Effect of alloxan induced diabetes on liver and kidney function in arsenic treated rats

Experiments were performed to study the effects of inorganic arsenic (iAs) on liver and kidney functions of diabetic rats. Data showed that arsenic concentration decreases in the liver and kidneys of rats in hyperglycemic conditions. Alanine aminotransferase (ALT) activity was markedly less in arsenic-diabetic rats compared to arsenic alone; however, hyperbilirubinemia was observed in arsenic-diabetic animals. Creatinine values showed improved kidney function in arsenic-diabetic rats compared to arsenic alone. Histopathological observations were less severe in inorganic arsenic liver and kidneys of alloxan-diabetic rats. These observations were considered to be important since they partially argue against earlier reports that demonstrated a diabetogenic effect attributed to arsenic.     

安体舒通对2型糖尿病肾病的保护作用

探讨安体舒通对于2型糖尿病肾病患者蛋白尿、血压及肾功能的影响．采用随机双盲交叉的实验方法，20个2型糖尿病肾病患者参与了本课题．在以前降压药的基础上，包括利尿剂、最大推荐剂量的AECI或和ARB，患者以随机的顺序予安体舒通20mg／d及安慰剂分别治疗8周，每个治疗阶段后，测定血压、24h尿蛋白定量及肾小球滤过率（GFR）．安体舒通显著地降低了2型糖尿病肾病患者的血压及24h尿蛋白定量，而肾小球滤过率无显著变化，且24h尿蛋白定量的变化与血压的变化无明显相关．对于2型糖尿病肾病患者，在推荐最大剂量AECI或和ARB的基础上，加用适当剂量的安体舒通有额外的肾脏保护作用．表3，参11．     

Medical investigation after a motorcoach strikes the rear of a tractor semitrailer parked on the highway; 13 fatal

Abstract

Objective: The objective of this study was to examine the medical conditions of 2 commercial drivers and the effects of physical barriers to occupant egress in a crash involving a tractor trailer and a motorcoach in order to assess and identify the factors that caused the crash and had a significant effect on occupant extrication.

Methods: Physical evidence from the scene, video evidence, commercial driver information, phone records, toxicology findings, autopsy results, and personal medical information were reviewed.

Results: On October 23, 2016, at 5:16 a.m., a motorcoach carrying a driver and 42 passengers struck the rear of a stopped semitrailer occupied by its driver in the center-right lane of Interstate 10 at highway speed outside Palm Springs, California. The motorcoach driver and 12 passengers died; 11 passengers were seriously injured.

All traffic had been stopped on I-10 early that morning to allow electrical lines to be strung over the highway. Security camera footage showed that the truck arrived at the end of a traffic queue 2?min before traffic flow resumed. Physical evidence indicated that the truck’s parking brake was still engaged at the time of the collision about 2?min later. The truck driver had a body mass index (BMI) between 45.6 and 50?kg/m², which placed him at very high risk of moderate to severe obstructive sleep apnea; he also inaccurately recalled that he had been stopped for 20–25?min and had placed the vehicle in gear just before the collision.

The motorcoach driver was on the return leg of an overnight trip to a casino. Based on his phone records, known driving time, and security camera footage, at the time of the collision he had had 4?h of sleep opportunity in the preceding 35?h. There was no evidence that the motorcoach driver attempted any evasive action before the collision. In addition, postmortem testing revealed a hemoglobin A1C of 11.4%, indicating poorly controlled diabetes; this was apparently undiagnosed prior to the crash.

The motorcoach was equipped with a single loading door at the front of the vehicle; it was rendered inoperable by the collision. Emergency egress was initially carried out through the emergency exit windows, but they repeatedly swung shut, impeding passengers’ efforts to exit. Emergency responders eventually cut open the bus wall to create a larger means of egress. Overall, it took almost 3?h to extricate the occupants from the vehicle.

Conclusions: The National Transportation Safety Board (NTSB) determined that the probable cause of the accident was the truck driver’s falling asleep, most likely due to undiagnosed moderate-to-severe obstructive sleep apnea, and the motorcoach driver’s failure to identify the stopped truck as a hazard requiring evasive action, most likely as the result of fatigue. Additional easy-to-use emergency exits would have decreased the time to extricate the occupants.     

潮汕地区防治糖尿病的植物资源

分析了潮汕地区32种防治糖尿病的植物,对其产地和药用情况进行了介绍,提出了开发利用的建议和措施.     

Maternal exposure to specific perfluoroalkyl substances is associated with increasing blood glucose in pregnant women

正Imagine if a group of toxic substances that increase oxidative stress and disrupt glucose and lipid metabolism have been broadly used worldwide for applications such as repellent,food packaging,and non-stick frying pan coatings.Now imagine if some of these substances have half-lives as long as 3-8 years.This is an environmental reality that has come to light with perfluoroalkyl and polyfluoroalkyl substances(PFASs)–high     

环境内分泌干扰化合物干扰胰岛素分泌潜在作用机理

不断升高的糖尿病发病率在全球范围内引起广泛关注,流行病学调查显示糖尿病发病率的增加与环境内分泌干扰化合物使用量增大之间存在显著相关,环境内分泌干扰化合物可能增加糖尿病发病风险,是影响糖尿病的危险因素。在此背景下,综述了环境内分泌干扰化合物暴露与糖尿病发病之间的流行病学关系;环境内分泌干扰化合物暴露对胰岛β细胞胰岛素分泌的调节、高胰岛素效应及其潜在的作用机理,表明影响胰岛素分泌是环境内分泌干扰化合物调节代谢,诱发糖尿病的重要作用机制。