Gene/Protein Disease Symptom Drug Enzyme Compound
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Query: UMLS:C1522282 (EMT)
 2,868 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

This study examines the effects of demographics, lifestyle, and work characteristics on burnout in EMTs, and then determines the interaction of various EMT risk factors on cardiovascular changes. In phase 1, EMTs voluntarily completed a demographic data sheet and the Masslach Burnout Inventory (MBI). The MBI results were broken down into subgroups of Emotional Exhaustion (EE), Depersonalization (DP), and Personal Achievement (PA); these were then compared to national averages. Subgroup analysis was performed on the basis of sex, race, marital status, years with the service, smoking, and caffeine drinking habits. In phase 2, EMTs carried logbooks for 1 month, during which they recorded preshift and postshift blood pressure and pulse. Other information recorded for each shift was the amount of caffeine and cigarettes used, the number of advanced life support (ALS) and total runs, and whether the shift worked was day or night. Per-shift average caffeine use, average number of ALS and total runs, and average cross-shift changes in MAP (deltaMAP) and P (deltaP) were calculated for each EMT. The deltaMAP and deltaP were compared for discrete variables (sex, race, training levels, smoker v nonsmoker, marital status, and shift worked) and continuous variable (age, years with the service, total runs, ALS runs, and MBI subscale scores). Continuous variables were split into two groups using the median as a separator. Differences were detected at P < .05 by confidence interval analysis. Sixty-nine EMTs enrolled in phase 1. The EMTs scored significantly lower on the PA scale than the national average (28.1 v 34.6). The low PA score was only seen in the subgroup of EMTs with the service longer than 3 years (26.1 v 30.0). Forty EMTs completed phase 2 of the study. There were no significant differences in deltaMAP detected in any subgroup. There was a significant difference in deltaP based on marital status (single, -4.5 v married, 2.6), and age (younger than 32, -4.5 v older than 32, 0.6). There were no other detected deltaP changes. In conclusion, these results showed that PA is lower in our EMTs than in the general population; EMTs with the service longer than 3 years had the lowest values. There were no significant preshift to postshift changes in blood pressure in any subgroup. There was a statistically significant preshift to postshift decrease in pulse in unmarried EMTs and in those younger than 32 years of age. These results indicate little variation in stress between EMTs and the general population and do not indicate a need for more intensive intervention programs for the management of heart rate or pulse.
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PMID:Effect of individual and work characteristics of EMTs on vital sign changes during shiftwork. 890 60

Analysis of the heterogeneity of clones of single cells from two established lines of the Dunning series of rat prostate carcinoma differing in the degree of malignancy, AT-2 (moderately malignant) and MAT-LyLu (highly malignant), was conducted. The results showed that not only the original tumors and primary cell cultures were heterogeneous but also the established cell lines of tumor origin. In the MAT-LyLu cell line, the clones of cells with morpho-physiological features characteristic of malignant cells dominated, whereas diverse types of clones were present in the AT-2 cell line. Differences in cell morphology (EMT), multi-layering and release from contact inhibition followed by active migration were observed and found to be correlated with increased expression of proteins involved in cancer cell invasiveness: connexin 43 and transcription factor Snail. Caffeine, theophylline and papaverine, reported to show anticancer activity in vivo, were found to decrease the proportion of clones displaying malignant cell features in the AT-2 cell line. At the tested concentrations, these compounds reversibly retarded cell growth but did not inhibit it. The results showed that the heterogeneity of cell populations within the cell lines should be taken into account in experiments carried out in vitro on established model cancer cell lines.
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PMID:Morpho-physiological heterogeneity of cells within two rat prostate carcinoma cell lines AT-2 and MAT-LyLu differing in the degree of malignancy observed by cell cloning and the effects of caffeine, theophylline and papaverine upon a proportion of the clones. 2346 22