Background:
Inflammatory bowel diseases (IBD), which include Crohn’s disease (CD) and
ulcerative colitis (UC), are described as a chronic inflammation of the small intestine and colon, caused
by a dysregulated immune response to host intestinal microbiota in genetically susceptible subjects.
Objective:
The aim of this study was to compare probiotic therapy versus placebo in Oxidative Stress
Values and clinical features in patients affected by IBD.
Method:
Forty (40) patients previously diagnosed for IBD were recruited and randomized to receive
probiotics (test group, n=20) or placebo (control group, n=20) administered for 90 days. Subjects in
both the groups were assessed for overall oxidant ability (d-ROMs test) and for the antioxidant response
(BAP test): data were reported at baseline, after 1 and 3 months. Additional data from anamnesis
and haematological investigation were also reported during the study.
Results:
d-ROM assay clearly showed that the values observed in the test group were significantly
improved, leading to oxidative stress values which are not pathological. The test group showed increasing
BAP values, thus confirming the overall improvements of patients ‘health following administration
of probiotics.
Conclusion:
Oral administration of the specific probiotics demonstrated its efficacy and safety on patients
affected by IBD.
These results explain the basis of the apparent difference in block of mutant sodium channels by mexiletine and Me7, opening the way to a more rationale drug use and to design more potent drugs able to correct specifically the biophysical defect of the mutation in individual myotonic patients.
Background: Chronic endometritis (CE) is a subtle pathology causing infertility and abnormal uterine bleeding. We evaluated the reliability of vaginal and cervical cultures for detecting infectious agents at the endometrial level. Methods: In a prospective diagnostic study, 181 women diagnosed with CE and 100 controls underwent vaginal, endocervical and endometrial sampling. Cultures for common bacteria, Neisseria gonorrhoeae, yeast and Ureaplasma urealyticum and PCR for Chlamydia trachomatis were performed. Results: The prevalent infectious agents at the endometrial level were common bacteria(59.7% of cases); U. urealyticum was detected in 11.0% and C. trachomatis in only 2.8%. The concordance rate between endocervical and endometrial specimens for common bacteria was 48.3%; 100% for C. trachomatis and 58.3% for U. urealyticum. The concordance rate between vaginal and endometrial cultures for common bacteria was 50.2%, only 16.7% for C. trachomatis and 48.8% for U. urealyticum. For common bacteria both vaginal and cervical cultures showed low sensitivities of 0.30 and 0.19, respectively. Conclusion: Common bacteria and U. urealyticum were the prevalent infectious agents in the uterine cavity of women diagnosed with CE. Both vaginal and endocervical cultures had low concordance with endometrial cultures. Only C. trachomatis test at cervical level had high concordance with endometrial findings.
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