scholarly journals EFEK PEMBERIAN JUST TOMAT (LYCOPERSICUM PYRIPORME) TERHADAP SPERMATOGENESIS PADA TIKUS PUTIH (RATTUS NORVERGICUS) JANTAN DEWASA HYPERKHOLESTROLEMIA

2011 ◽  
Vol 35 (1) ◽  
pp. 27 ◽  
Author(s):  
Eliza Anas ◽  
Asterina Asterina
Keyword(s):  
Enzyme Activity ◽  
Risk Factor ◽  
Adult Male ◽  
Control Design ◽  
Not Given ◽  
Treatment Groups ◽  
Significant Difference ◽  
Randomized Control ◽  
Vegetables And Fruits ◽  
Coa Reductase

AbstrakHiperkolesterolemia merupakan faktor resiko penyebab kematian di usia muda. Salah satu terapi yang sekarang dikembangkan adalah dengan banyak mengkonsurnsi sayur dan buah-buahan. Tomat mengandung zat-zat gizi antara lain likopen. Likopen memegang peranan penting didalam pengaturan kolesterol, yaitu dengan menghambat kerja enzim HMG-CoA reduktase, yang berperan dalam proses sintesis kolesterol sehingga berefek hipokolesterolemia. Sedangkan hormone testoteron dibentuk dari kolesterol. Tujuan penelitian ini ingin melihat efek pemberian jus tomat (Lycopersicum pyriporme) kukus terhadap spermatogenesis tikus (Rattus norvegikus) putih jantan hiperkolesterolemia.Desain penelitian adalah eksperimental dengan rancangan pretest and postest randomized control design, Sampel berjurnlah 24 ekor tikus hiperkolesterol, dilakukan pada 4 kelompok dimana 3 kelompok perlakuan diberikan jus tomat kukus selama lebih kurang 14 hari, sedangkan pada kelompok kontrol tidak diberikan just tomat kukus, hanya diberikan aquades.Dari hasil penelitian ditemukan bahwa pada pemberian dosis 2ml/200gr BB dan 2,5ml/200gr BB tidak ada perbedaan yang bermakna terhadap jumlah spermatogonium bila dibandingkan dengan kontrol sedangkan pada dosis 3ml/200gr BB ada perbedaan yang bemakna (P<0,05) terhadap jumlah spermatogonium dibandingkan dengan kontrol. Pada jumlah spermatosit pakiten, spermatid dan spermatozoa pada ke tiga dosis memperlihatkan perbedaan yang sangat bermakna (P.<0,01) bila dibandingkan dengan kontrol.Dari hasil yang didapatkan dapat disimpulkan, dengan pemberian jus tomat kukus dapat memperbaiki spermatogenesis tikus yang hiperkolesterolemia.Kata Kunci : Hiperkolesterolemia, Lycopersicum pyriporme, spermatogenesisAbstractHypercholestrolemia are the cause risk factor of the death in young ages. One of therapy current develop are many consuming vegetables and fruits. Tomatoes contain nutrient including lycopene. Lycopenes have important roleARTIKEL PENELITIAN28in regulation of cholesterol, which is inhibit enzyme activity, HMG-CoA reductase, which serve in process of synthesis so that have effect hypocholesterolemia, whereas testosterone is processed from cholesterol. The aim to this study is to show effect of giving the steam of tomato juices (Lyeopersieum pyripome) to spermatogenesis in adult male white mice (Rattus novergicus) with hypercholesterolemia.The design of study is experimental with pretest design and posted randomized contro design. 24 mice with cholesterolemia is performed to 4 groups, where three treatment groups are given the steam of tomato juices for abot 14 days, whereas the control is not given , but given aquadest only.Of the result is found that in giving both doses 2 ml/200 g b.w. and 2,5 ml/200 g b.w. is not significant difference to number of spermatogoium rather than control, whereas at dosage 3 ml/g b.w. there are significant difference to number of spermatogonium (13 <0,05), rather than control. In number of spermatocyte pachyten, spermatid and spermatozoa in all three doses show significant difference (P<0,01) rather than control. From the result we can be concluded that giving the steam of tomato juices can improve spermatogenesis in mice with hypercholesterolemia.Key word : Hypercholesterolemia, Lycopersicum pyriporme, spermatogenesis

scholarly journals Comparison of the Effectiveness of Tomato (Lycopersicum commune) and Red Melon (Cucumis melo L.) Juice in Increasing Vaginal Wall Thickness of Menopausal Rats Model

2019 ◽  
Vol 55 (3) ◽  
pp. 159
Author(s):  
Yhenti Widjayanti ◽  
Arief Widya Prasetya
Keyword(s):  
Wall Thickness ◽  
Vaginal Wall ◽  
Menopausal Symptoms ◽  
Tomato Juice ◽  
Control Group ◽  
Ovarian Activity ◽  
Treatment Groups ◽  
Significant Difference ◽  
Vegetables And Fruits ◽  
Vaginal Wall Thickness

Menopausal period is the period of permanent cessation of menstruation due to reduced or lost ovarian activity. One of the effects of decline estrogen levels during menopause is atropic vulvovaginitis. Consumption of phytoestrogens can reduce menopausal symptoms. Phytoestrogen is found in vegetables and fruits such as tomatoes and red melon. The objective of this study was to compare the effectiveness of red melon juice and tomato on the increase of vaginal wall thickness in menopausal rats. This study revealed an alternative of phytoestrogen sources that is more effective to reduce menopausal symptoms, especially those related to vaginal atrophy to improve the quality of life of menopausal women. Subjects of this study were 27 ovariectomized Wistar strain Rattus norvegicus which were s divided into 3 groups randomly, one control group and two treatment groups with tomato juice and red melon juice at a dose of 330 mg/kgBW/day administered for 28 days. The variable of this study were the thickness of the vaginal wall which was precipitated by Hematoxiline Eosine. The highest vaginal wall thickness was found in the treatment group of red melon juice of 879.89 ± 70.52 µm and the lowest of the control group (K) of 643.3 ± 58.33 µm. The results of Anova test showed that there was a significant difference between control group and treatment groups, the tomato juice and red melon juice with a dose of 330 mg/kgBW/day, so it can be concluded that red melon juice with a dose of 330mg/Kg BW/day has the best effect in increasing the thickness of vaginal wall of menopausal rats as compared with tomato juice.

scholarly journals Efektivitas Penggunaan Alat Peraga dengan Model Pembelajaran Inkuiri untuk Meningkatkan Keterampilan Generik Sains pada Materi Kinematika Gerak Kelas X SMA

2020 ◽  
Vol 11 (1) ◽  
pp. 63-68
Author(s):  
Nur Khoiri ◽  
Rif'atul Fauziyah
Keyword(s):  
Statistical Analysis ◽  
Inquiry Learning ◽  
Control Design ◽  
Learning Model ◽  
Not Given ◽  
Generic Skills ◽  
Significant Difference ◽  
Main Instrument ◽  
And Control

The purpose of this research is to find out the effectiveness of application motion kinematics props with the model of learning inquiry to the science generic skills of grade X students MIPA at SMA Negeri 15 Semarang. The design of the study using Posttest Only Control Design, in this design there were two randomly selected groups, where the first group was given a treatment called the experiment class, and the second group was not given a treatment called the control class. The population in this research is the grade X students of MIPA SMA Negeri 15 Semarang. The sample in the research was the grade X students of MIPA 1 as an experimental class amounting to 36 students and students of grade X MIPA 4 as a control class amounting to 36 students. The main instrument of research used is the observation sheet, that is by conducting observations performed by the observer when students perform practicum/experiments tailored to nine indicators of science generic skills. Analysis of the class observation sheet is obtained on average 84.51% with excellent criteria and control class 61.57% with good criteria. Statistical analysis shows the value of tcount 0,000 < ttable 0,05 with the equivalent of α = 0,05 significance, so that rejecting H0 and accepting Ha. There is a significant difference between the experimental class and control class, so the inquiry learning model assisted of kinematic props is effective against student’s Generic Science Skills.

PENGARUH PIJAT BAYI TERHADAP PERKEMBANGAN BALITA USIA 3-5 BULAN

2018 ◽  
Vol 6 (1) ◽  
pp. 6
Author(s):  
Arum Lusiana ◽  
Siti Chunaeni ◽  
Sri Winarsih
Keyword(s):  
Growth And Development ◽  
Total Sample ◽  
Nerve Tissue ◽  
Control Group ◽  
P Value ◽  
Not Given ◽  
Infant Massage ◽  
Significant Difference ◽  
Randomized Control ◽  
Two Stages

Pada proses pertumbuhan dan perkembangan anak, orang tua dan keluarga memiliki peran yang sangat penting bukan hanya untuk memenuhi nutrisi yang cukup, memberikan perhatian dan kasih saying, melainkan juga memberikan stimulus untuk membantu proses penyempurnaan jaringan syaraf anak salah satunya dengan melakuan pijat bayi. Seni pijat diajarkan secara turun-temurun walaupun pada awalnya tidak diketahui secara jelas bagaimana pijat dan sentuhan dapat berpengaruh demikian positif pada tubuh manusia. Penelitian bertujuan menganalisa pengaruh pijat bayi terhadap perkembangan bayi usia 3-5 bulan. Desain penelitian yang digunakan adalah Experiment dengan desain Randomized Control Group Pretest-Posttest Design. Jumlah sampel sebanyak 30 bayi yang terdiri atas 15 bayi yang diberikan pijatan sebanyak 3x dalam seminggu selama 4 minggu dan 15 bayi yang tidak diberikan pijitan. Analisis data dilakukan dalam dua tahapan yaitu analisis univariat, bivariat, dengan bantuan software Hasil penelitian menunjukkan terdapat perbedaan skor perkembangan yang bermakna pada bayi yang dilakukan pijata dan bayi yang tidak dilakukan pijatan, sehingga pijat bayi dapat mempengaruhi perkembangan bayi usia 3-5 bulan dengan p value 0.000. Saran para orang tua yang memiliki bayi dapat melakukan pijat bayi kepada bayinya minimal 2x dalam seminggu untuk membantu merangsang perkembangan bayinya, dan juga untuk menjalin kasih sayang antara ibu dan bayi. Abstract In the process of growth and development of children, parents and families have a very important role not only to meet adequate nutrition, attention and affection, but also provide the stimulus to help the process of perfecting the nerve tissue of children one by performing baby massage. The art of massage was taught for generations although initially not known for certain how the massage and touch can thus positively affect the humanbody. The study aims to analyze the effect of infant massage on the development of infants aged 3-5 months. The study design used wasExperiment with design Randomized Controlgroup pretest-posttest design. Total sample of 30 infants consisted of 15 infants given a massage 3x a week for 4 weeks and 15 infants who were not given massage. Data analysis was performed in two stages, namely univariate, bivariate, with the help of software results showed a significant difference in developmental scores in babies and infants pijata do not do massage, so that baby massage can affect the development of babies aged 3-5 months with p value 0.000. Advice of parents who have babies can feed their babies infant massage at least 2x a week to help stimulate the development of the baby, and also to establish the lovebetween mother and baby.

The 1246 G/A polymorphism of the HCRTR2 gene is not associated with migraine

Cephalalgia ◽  
2007 ◽  
Vol 27 (8) ◽  
pp. 945-949 ◽  
Author(s):  
L Pinessi ◽  
E Binello ◽  
P De Martino ◽  
S Gallone ◽  
S Gentile ◽  
...  
Keyword(s):  
Risk Factor ◽  
Chronic Migraine ◽  
Genetic Risk ◽  
Migraine Without Aura ◽  
Control Design ◽  
Case Control ◽  
Healthy Controls ◽  
Experimental Animals ◽  
Significant Difference ◽  
Migraine Pathophysiology

Studies in experimental animals have suggested that the hypocretin/orexin system may be involved in migraine pathophysiology. Using a case-control design study, we genotyped 246 migraine patients and 239 healthy controls for the 1246G→A polymorphism of the hypocretin receptor 2 ( HCRTR2) gene. Genotypic and allelic frequencies of the examined polymorphism were similarly distributed between cases and controls (χ2 = 2.22, P = 0.14 and χ2 = 2.45, P = 0.29, respectively). When different migraine subgroups were compared (migraine with aura vs. migraine without aura and episodic vs. chronic migraine) no significant difference was found. Comparison of the clinical features of the disease with the 1246G→A genotypes showed no significant difference. Our data suggest that the HCRTR2 gene is not a genetic risk factor in migraine.

Morphological and biochemical analyses of changes in rat hepatocytes related to wine and ethanol consumption

1984 ◽  
Vol 42 ◽  
pp. 232-233
Author(s):  
S.M. Geyer ◽  
C.L. Mendenhall ◽  
J.T. Hung ◽  
E.L. Cardell ◽  
R.L. Drake ◽  
...  
Keyword(s):  
Electron Microscopy ◽  
Endoplasmic Reticulum ◽  
Enzyme Activity ◽  
Malic Enzyme ◽  
Smooth Endoplasmic Reticulum ◽  
Rat Hepatocytes ◽  
Mature Male ◽  
Treatment Groups ◽  
Malic Enzyme Activity ◽  
Biochemical Analyses

Thirty-three mature male Holtzman rats were randomly placed in 3 treatment groups: Controls (C); Ethanolics (E); and Wine drinkers (W). The animals were fed synthetic diets (Lieber type) with ethanol or wine substituted isocalorically for carbohydrates in the diet of E and W groups, respectively. W received a volume of wine which provided the same gram quantity of alcohol consumed by E. The animals were sacrificed by decapitation after 6 weeks and the livers processed for quantitative triglycerides (T3), proteins, malic enzyme activity (MEA), light microscopy (LM) and electron microscopy (EM). Morphometric analysis of randomly selected LM and EM micrographs was performed to determine organellar changes in centrilobular (CV) and periportal (PV) regions of the liver. This analysis (Table 1) showed that hepatocytes from E were larger than those in C and W groups. Smooth endoplasmic reticulum decreased in E and increased in W compared to C values.

Relevance Predictability in Information Retrieval Systems

1967 ◽  
Vol 06 (02) ◽  
pp. 45-51 ◽  
Author(s):  
A. Kent ◽  
J. Belzer ◽  
M. Kuhfeerst ◽  
E. D. Dym ◽  
D. L. Shirey ◽  
...  
Keyword(s):  
Information Retrieval ◽  
Experimental Conditions ◽  
Treatment Groups ◽  
Retrieval Systems ◽  
Significant Difference ◽  
Information Retrieval Systems ◽  
High Predictability ◽  
Intermediate Response ◽  
Quantitative Indicators ◽  
Level Of Processing

An experiment is described which attempts to derive quantitative indicators regarding the potential relevance predictability of the intermediate stimuli used to represent documents in information retrieval systems. In effect, since the decision to peruse an entire document is often predicated upon the examination of one »level of processing« of the document (e.g., the citation and/or abstract), it became interesting to analyze the properties of what constitutes »relevance«. However, prior to such an analysis, an even more elementary step had to be made, namely, to determine what portions of a document should be examined.An evaluation of the ability of intermediate response products (IRPs), functioning as cues to the information content of full documents, to predict the relevance determination that would be subsequently made on these documents by motivated users of information retrieval systems, was made under controlled experimental conditions. The hypothesis that there might be other intermediate response products (selected extracts from the document, i.e., first paragraph, last paragraph, and the combination of first and last paragraph), that would be as representative of the full document as the traditional IRPs (citation and abstract) was tested systematically. The results showed that:1. there is no significant difference among the several IRP treatment groups on the number of cue evaluations of relevancy which match the subsequent user relevancy decision on the document;2. first and last paragraph combinations have consistently predicted relevancy to a higher degree than the other IRPs;3. abstracts were undistinguished as predictors; and4. the apparent high predictability rating for citations was not substantive.Some of these results are quite different than would be expected from previous work with unmotivated subjects.

Effect of Fixed Minidose Warfarin, Conventional Dose Warfarin and Aspirin on INR and Prothrombin Fragment 1 + 2 in Patients with Atrial Fibrillation

1997 ◽  
Vol 77 (05) ◽  
pp. 0845-0848 ◽  
Author(s):  
B G Koefoed ◽  
C Feddersen ◽  
A L Gulløv ◽  
P Petersen
Keyword(s):  
Atrial Fibrillation ◽  
International Normalized Ratio ◽  
Coagulation System ◽  
Nonvalvular Atrial Fibrillation ◽  
Treatment Groups ◽  
Prothrombin Fragment ◽  
Conventional Dose ◽  
Dose Warfarin ◽  
Significant Difference ◽  
Changes Over Time

SummaryThe efficacy of conventional dose adjusted oral anticoagulation for stroke prevention in patients with non-valvular atrial fibrillation is well- documented but not considered ideal as primary antithrombotic treatment in elderly patients. The antithrombotic effect of fixed minidose warfarin 1.25 mg/day alone or in combination with aspirin 300 mg/day, of conventional dose adjusted warfarin (INR 2.0-3.0), and of aspirin 300 mg/day have been investigated in outpatients with chronic nonvalvular atrial fibrillation in the second Copenhagen Atrial Fibrillation, Aspirin and Anticoagulant Therapy Study (AFASAK 2). In order to investigate the effect on the coagulation system of the treatments, the International Normalized Ratio of the prothrombin time (INR) and prothrombin fragment 1 + 2 (F1 +2) were monitored at baseline and after three months of treatment in 100 patients consecutively included in the trial. At baseline no differences in INR and F1+2 between the four treatment groups were present. After three months of therapy the level of INR increased significantly from baseline in patients receiving warfarin in any dose and the level of F1+2 decreased significantly by combined minidose warfarin-aspirin and by dose adjusted warfarin. When comparing the changes over time in FI +2 (three-month value minus baseline value) during therapy with fixed minidose warfarin, combined minidose warfarin-aspirin and aspirin alone no significant difference between the groups was found. In conclusion, INR was changed by all three warfarin regimens but only dose adjusted warfarin (INR 2.0-3.0) had a marked effect on F1+2.

Characteristics of Insulin-degrading Enzyme in Alzheimer's Disease: A Meta-Analysis

2018 ◽  
Vol 15 (7) ◽  
pp. 610-617 ◽  
Author(s):  
Huifeng Zhang ◽  
Dan Liu ◽  
Huanhuan Huang ◽  
Yujia Zhao ◽  
Hui Zhou
Keyword(s):  
Alzheimer’S Disease ◽  
Alzheimer's Disease ◽  
Enzyme Activity ◽  
Protein Level ◽  
Senile Plaque ◽  
Meta Analysis ◽  
Cochrane Library ◽  
Insulin Degrading Enzyme ◽  
Degrading Enzyme ◽  
Significant Difference

Background: β-amyloid (Aβ) accumulates abnormally to senile plaque which is the initiator of Alzheimer's disease (AD). As one of the Aβ-degrading enzymes, Insulin-degrading enzyme (IDE) remains controversial for its protein level and activity in Alzheimer's brain. Methods: The electronic databases PubMed, EMBASE, The Cochrane Library, OVID and Sinomed were systemically searched up to Sep. 20th, 2017. And the published case-control or cohort studies were retrieved to perform the meta-analysis. Results: Seven studies for IDE protein level (AD cases = 293; controls = 126), three for mRNA level (AD cases = 138; controls = 81), and three for enzyme activity (AD cases = 123; controls = 75) were pooling together. The IDE protein level was significantly lower in AD cases than in controls (SMD = - 0.47, 95% CI [-0.69, -0.24], p < 0.001), but IDE mRNA and enzyme activity had no significant difference (SMD = 0.02, 95% CI [-0.40, 0.43] and SMD = 0.06, 95% CI [-0.41, 0.53] respectively). Subgroup analyses found that IDE protein level was decreased in both cortex and hippocampus of AD cases (SMD = -0.43, 95% CI [-0.71, -0.16], p = 0.002 and SMD = -0.53, 95% CI [-0.91, -0.15], p = 0.006 respectively). However, IDE mRNA was higher in cortex of AD cases (SMD = 0.71, 95% CI [0.14, 1.29], p = 0.01), not in hippocampus (SMD = -0.26, 95% CI [-0.58, 0.06]). Conclusions: Our results indicate that AD patients may have lower IDE protease level. Further relevant studies are still needed to verify whether IDE is one of the factors affecting Aβ abnormal accumulation and throw new insights for AD detection or therapy.

Nonunion Rates in Hind- and Midfoot Arthrodesis in Current, Ex-, and Nonsmokers

2020 ◽  
pp. 107110072097126
Author(s):  
Jack Allport ◽  
Jayasree Ramaskandhan ◽  
Malik S. Siddique
Keyword(s):  
Risk Factor ◽  
Cohort Study ◽  
Relative Risk ◽  
Retrospective Cohort Study ◽  
Retrospective Cohort ◽  
Smoking Status ◽  
Time Frame ◽  
Modifiable Risk Factor ◽  
Level Of Evidence ◽  
Significant Difference

Background: Nonunion rates in hind or midfoot arthrodesis have been reported as high as 41%. The most notable and readily modifiable risk factor that has been identified is smoking. In 2018, 14.4% of the UK population were active smokers. We examined the effect of smoking status on union rates for a large cohort of patients undergoing hind- or midfoot arthrodesis. Methods: In total, 381 consecutive primary joint arthrodeses were identified from a single surgeon’s logbook (analysis performed on a per joint basis, with a triple fusion reported as 3 separate joints). Patients were divided based on self-reported smoking status. Primary outcome was clinical union. Delayed union, infection, and the need for ultrasound bone stimulation were secondary outcomes. Results: Smoking prevalence was 14.0%, and 32.2% were ex-smokers. Groups were comparable for sex, diabetes, and body mass index. Smokers were younger and had fewer comorbidities. Nonunion rates were higher in smokers (relative risk, 5.81; 95% CI, 2.54-13.29; P < .001) with no statistically significant difference between ex-smokers and nonsmokers. Smokers had higher rates of infection ( P = .05) and bone stimulator use ( P < .001). Among smokers, there was a trend toward slower union with heavier smoking ( P = .004). Conclusion: This large retrospective cohort study confirmed previous evidence that smoking has a considerable negative effect on union in arthrodesis. The 5.81 relative risk in a modifiable risk factor is extremely high. Arthrodesis surgery should be undertaken with extreme caution in smokers. Our study shows that after cessation of smoking, the risk returns to normal, but we were unable to quantify the time frame. Level of Evidence: Level III, retrospective cohort study.

scholarly journals Association of biological antirheumatic therapy with risk for type 2 diabetes: a retrospective cohort study in incident rheumatoid arthritis

BMJ Open ◽  
2021 ◽  
Vol 11 (6) ◽  
pp. e042246
Author(s):  
Sanjoy K Paul ◽  
Olga Montvida ◽  
Jennie H Best ◽  
Sara Gale ◽  
Attila Pethö-Schramm ◽  
...  
Keyword(s):  
Rheumatoid Arthritis ◽  
Type 2 Diabetes ◽  
T Cell ◽  
Disease Modifying Antirheumatic Drugs ◽  
Antirheumatic Therapy ◽  
Treatment Groups ◽  
Significant Difference ◽  
Necrosis Factor

ObjectiveTo explore possible associations of treatment with biological disease-modifying antirheumatic drugs (bDMARDs), including T-cell-based and interleukin-6 inhibition (IL-6i)-based therapies, and the risk for type 2 diabetes mellitus (T2DM) in patients with rheumatoid arthritis (RA).Study design, setting and participantsFive treatment groups were selected from a United States Electronic Medical Records database of 283 756 patients with RA (mean follow-up, 5 years): never received bDMARD (No bDMARD, n=125 337), tumour necrosis factor inhibitors (TNFi, n=34 873), IL-6i (n=1884), T-cell inhibitors (n=5935) and IL-6i+T cell inhibitor abatacept (n=1213). Probability and risk for T2DM were estimated with adjustment for relevant confounders.ResultsIn the cohort of 169 242 patients with a mean 4.5 years of follow-up and a mean 641 200 person years of follow-up, the adjusted probability of developing T2DM was significantly lower in the IL-6i (probability, 1%; 95% CI 0.6 to 2.0), T-cell inhibitor (probability, 3%; 95% CI 2.3 to 3.3) and IL-6i+T cell inhibitor (probability, 2%; 95% CI 0.1 to 2.9) groups than in the No bDMARD (probability, 5%; 95% CI 4.6 to 4.9) and TNFi (probability, 4%; 95% CI 3.7 to 4.7) groups. Compared with No bDMARD, the IL-6i and IL-6i+T cell inhibitor groups had 37% (95% CI of HR 0.42 to 0.96) and 34% (95% CI of HR 0.46 to 0.93) significantly lower risk for T2DM, respectively; there was no significant difference in risk in the TNFi (HR 0.99; 95% CI 0.93 to 1.06) and T-cell inhibitor (HR 0.96; 95% CI 0.82 to 1.12) groups.ConclusionsTreatment with IL-6i, with or without T-cell inhibitors, was associated with reduced risk for T2DM compared with TNFi or No bDMARDs; a less pronounced association was observed for the T-cell inhibitor abatacept.

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