Trauma — Apoptosis in Polymorphonuclear Cells and Inflammatory Cytokines of Trauma Patients
Citation(s)
Brach MA, deVos S, Gruss HJ, Herrmann F Prolongation of survival of human polymorphonuclear neutrophils by granulocyte-macrophage colony-stimulating factor is caused by inhibition of programmed cell death. Blood. 1992 Dec 1;80(11):2920-4.
Giannoudis PV, Hildebrand F, Pape HC Inflammatory serum markers in patients with multiple trauma. Can they predict outcome? J Bone Joint Surg Br. 2004 Apr;86(3):313-23. Review.
Gillani S, Cao J, Suzuki T, Hak DJ The effect of ischemia reperfusion injury on skeletal muscle. Injury. 2012 Jun;43(6):670-5. doi: 10.1016/j.injury.2011.03.008. Epub 2011 Apr 9. Review.
Greenberg S, Grinstein S Phagocytosis and innate immunity. Curr Opin Immunol. 2002 Feb;14(1):136-45. Review.
Kim JY, Hong YS, Choi SH, Yoon YH, Moon SW, Lee SW Effect of hypertonic saline on apoptosis of polymorphonuclear cells. J Surg Res. 2012 Nov;178(1):401-8. doi: 10.1016/j.jss.2012.01.055. Epub 2012 Mar 23.
Martin C, Boisson C, Haccoun M, Thomachot L, Mege JL Patterns of cytokine evolution (tumor necrosis factor-alpha and interleukin-6) after septic shock, hemorrhagic shock, and severe trauma. Crit Care Med. 1997 Nov;25(11):1813-9.
Menger MD, Vollmar B Surgical trauma: hyperinflammation versus immunosuppression? Langenbecks Arch Surg. 2004 Nov;389(6):475-84. Epub 2004 May 28. Review.
Interventional studies are often prospective and are specifically tailored to evaluate direct impacts of treatment or preventive measures on disease.
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