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Impact of Commonly Prescribed Antibiotics on Preterm Gut Microbiome in Necrotising Enterocolitis and Late Onset Sepsis 常用抗生素对坏死性小肠结肠炎和晚发型脓毒症早产儿肠道微生物组的影响
Pub Date : 2020-01-24 DOI: 10.19080/ctbeb.2019.18.555979
A. B.
Background: Antibiotics are usually prescribed to preterm infants during their early days of life in neonatal intensive care units. The effects of this intervention on the developing gut microbiome are poorly understood but might have important consequences for health. We aimed to explore the routinely used antibiotics in a neonatal intensive care unit and to what extent this intervention alters the preterm gut microbiome. Methods: The three most commonly prescribed antibiotic combinations were analysed VCM (Vancomycin, Ceftazidine and Metronidazole), VC (Vancomycin and Ceftazidine) and AFG (Amoxicillin, Flucloxacillin, and Gentamicin). Sampling was performed at four time points: 2-3 days before course started (Pre), last day of administration (During), 1-2 days after antibiotic was given (After), and one week later than or as late as possible before next antibiotic course. In total, 141 stool samples were collected from 38 patients and bacterial profiling was performed by 16SrRNA gene sequencing (Miseq, Illumina) Results: Bacterial diversity increased significantly after the VC course was stopped (P=0.1). Diversity was reduced for all antibiotic treatment during their administration (P>0.05). Generally, VCM and VC were comparable with lower bacterial taxa when compared to AFG which recorded higher bacterial taxa. The result also showed that VC and VCM recovered but AFG does not. Conclusion: The three antibiotics courses differentially affected the preterm gut microbiome, causing reductions in the diversity. Further work is necessary to determine the contribution of these changes to health and how medical intervention can be tailored to achieve optimal outcomes for preterm infants.
背景:在新生儿重症监护病房,抗生素通常用于早产儿的早期生活。这种干预对发育中的肠道微生物群的影响尚不清楚,但可能对健康产生重要影响。我们的目的是探索在新生儿重症监护病房常规使用抗生素,以及这种干预在多大程度上改变了早产儿的肠道微生物群。方法:分析3种最常用的抗生素组合VCM(万古霉素、头孢他嗪和甲硝唑)、VC(万古霉素和头孢他嗪)和AFG(阿莫西林、氟氯西林和庆大霉素)。在四个时间点进行采样:疗程开始前2-3天(Pre),给药最后一天(During),抗生素给药后1-2天(after),以及比下一次抗生素疗程晚一周或尽可能晚一周。共收集38例患者141份粪便样本,通过16SrRNA基因测序(Miseq, Illumina)进行细菌谱分析。结果:VC疗程停止后,细菌多样性显著增加(P=0.1)。在给药期间,所有抗生素治疗的多样性都降低了(P < 0.05)。与AFG记录的较高细菌类群相比,VCM和VC与较低细菌类群具有可比性。结果还表明,VC和VCM恢复,而AFG没有。结论:三种抗生素疗程对早产儿肠道微生物群的影响不同,导致多样性降低。需要进一步的工作来确定这些变化对健康的贡献,以及如何调整医疗干预措施以实现早产儿的最佳结果。
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引用次数: 0
Estrogen and Susceptibility of Alzheimer’s Disease 雌激素与阿尔茨海默病的易感性
Pub Date : 2019-12-16 DOI: 10.19080/ctbeb.2019.19.556019
Jingshan Shi
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引用次数: 2
Median Lethal Dose (Ld50) Of Electric Current 电流中位致死剂量(Ld50)
Pub Date : 2019-11-06 DOI: 10.19080/ctbeb.2019.19.556018
S. Saganuwan
Electrical related deaths are more frequent among school age children as a result of high voltage and lightning strike [1]. Lightening, a transfer of an electrical charge, which results in discharge of static electricity, kills about 1000 people in the US every year [2]. Lightening causes muscular spasm, neurosis, thrombosis, damage of blood vessels, unconsciousness, cardiac arrest, hypoxia, respiratory arrest and death [3]. The types of lightning strikes are intracloud, cloud to ground and ground to cloud [4]. The most important resistor to the flow of current from lightening electricity is skin [5]. Estimated are 50,000 thunderstorms, 8 million lightning flashes [6], with mortality rate of 30% [7] and survival rate of 70% [8], affecting more people of less than 40years of age [9]. The effect depends on the intensity of current, voltage, body exposure among others [10]. A voltage of 30V can cause ventricular fibrillation. Electric shock is a sudden violent response to electric current, which may lead to death (electrocution). Let go phenomenon for high voltage (7600V) could be tolerated for 100 milliseconds or less [11]. Lightning has been considered by some ethnic groups as myth, miracle and mirage [12], which is cruelty to animals, and may be caused by witches [13]. In view of traditional beliefs and toxicity effects associated with lightning and electric current, there is need for acute toxicity study of electric current, with a view to determining the resistance threshold of lightning and electric current in humans and animals.
由于高压和雷击,电气相关死亡在学龄儿童中更为常见[1]。闪电是一种电荷转移导致静电放电的现象,在美国每年约有1000人死于闪电[2]。闪电会导致肌肉痉挛、神经衰弱、血栓形成、血管损伤、意识丧失、心脏骤停、缺氧、呼吸停止和死亡[3]。雷击的类型有云内雷击、云对地雷击和地对云雷击[4]。对雷电电流流动最重要的电阻是皮肤[5]。估计每年有5万次雷暴,800万次闪电[6],死亡率为30%[7],存活率为70%[8],影响人群多为40岁以下[9]。这种效应取决于电流、电压、人体暴露等因素的强度[10]。30V的电压可引起心室颤动。触电是对电流的突然剧烈反应,可能导致死亡(触电)。高压(7600V)下的放空现象可容忍100毫秒或更短[11]。闪电被一些民族认为是神话、奇迹和海市蜃楼[12],对动物是残忍的,可能是女巫造成的[13]。鉴于传统观念和雷电与电流的毒性作用,有必要对电流进行急性毒性研究,以确定人类和动物对雷电和电流的电阻阈值。
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引用次数: 0
Median Lethal Dose (Ld50) Of Electric Current 电流中位致死剂量(Ld50)
Pub Date : 2019-08-26 DOI: 10.19080/ctbeb.2019.19.556017
E. Peón
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引用次数: 0
The Assessment of The Quality, Efficacy and Safety of The Investigational Medicinal Product in The Absence of An Approved Registration Dossier 在没有批准注册档案的情况下,临床试验药品的质量、疗效和安全性评估
Pub Date : 2019-08-14 DOI: 10.19080/ctbeb.2019.19.556016
V. Ekaterina
Today the pharmaceutical industry is one of the highly regulated fields with many rules and regulations which are quite volatile and are updated at least every decade [1-8]. Practical guidelines and recommendations are published by regulatory authorities and manufacturers even more often. As a result, things that were state-of-the art yesterday may not be appropriate tomorrow, especially in the rapidly changing area of biopharmaceutical development.
今天,制药行业是高度管制的领域之一,有许多规则和条例,这些规则和条例相当不稳定,至少每十年更新一次[1-8]。监管机构和制造商甚至更频繁地发布实用指南和建议。因此,昨天最先进的东西明天可能就不合适了,特别是在快速变化的生物制药开发领域。
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引用次数: 0
GATES/GEB as the New Paradigm for Electrolytic Redox Systems GATES/GEB作为电解氧化还原系统的新范例
Pub Date : 2019-07-10 DOI: 10.19080/ctbeb.2019.19.556013
T. Michałowski
One of the most important achievements in formulation of electrolytic systems is the discovery of Generalized Electron Balance (GEB) [1], as an equation (unknown earlier in Science) completing the set of equations needed for thermodynamic solving electrolytic redox systems of any degree of complexity, i.e., equilibrium, metastable and kinetic systems, in monophase, two-phase, multiphase, and multi-solvent media. Redox and non-redox systems are resolved according to Generalized Approach to Electrolytic Systems (GATES) [2,3], formulated by Michałowski; for redox systems, the acronym GATES/GEB is applied.
电解系统公式中最重要的成就之一是发现了广义电子平衡(GEB)[1],作为一个方程(在《科学》早期未知),它完成了热力学求解任何复杂程度的电解氧化还原系统所需的一组方程,即单相、两相、多相和多溶剂介质中的平衡、亚稳和动力学系统。氧化还原和非氧化还原系统根据电解系统的广义方法(GATES)[2,3]进行分解,该方法由Michałowski;对于氧化还原系统,使用缩写GATES/GEB。
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引用次数: 1
Anti-Viral Vaccine Activity of Zinc(Ⅱ) for Viral Prevention, Entry, Replication, and Spreading During Pathogenesis Process 锌的抗病毒疫苗活性(Ⅱ)在发病过程中对病毒的预防、进入、复制和传播
Pub Date : 2019-07-09 DOI: 10.19080/ctbeb.2019.19.556012
T. Ishida
Anti-viral vaccine activity of Zn2+ ions for viral prevention, pathogenesis processes, and ROS generation causing to oxidative stress have been investigated. AZP is efficient for viral prevention by inhibitions of BSCTV and DNA virus replications. The AZP phenotypes show strongly resistant to virus infection and viral DNA replication could be applied to the prevention of virus infections in humans. ZnOTs exhibit the ability to neutralize HSV-2 virions and blocking HSV-2 attachment activity. Zinc salts can mediate antiviral activity on RSV by altering the ability of the cell to support RSV replication. The effect of zinc sulfate on seroconversion after a simple method vaccination had been identified that accelerated HB vaccination can shorten duration of immunization of this clinical trial for showing its effectiveness. The inhibition of zinc binding activity of hMPV M2-1 protein can lead to the development of novel, live attenuated vaccines as well as antiviral drugs for pneumoviruses. The CCHH zinc finger motif provides potential vaccine candidates for the development of live species-specific attenuated influenza virus vaccines. Chelates zinc ions inhibit HIV-1 replication. The LAIVs are attracting attention as several advantages over inactivated vaccines. Zinc finger reactive compounds also inactivate retroviruses. ZOTEN promoted the presentation of bound HSV-2 virions.
Zn2+离子的抗病毒疫苗活性对病毒的预防、发病过程和氧化应激引起的ROS生成进行了研究。AZP通过抑制BSCTV和DNA病毒复制而有效地预防病毒。AZP表型显示出对病毒感染的强抗性,病毒DNA复制可用于预防人类病毒感染。ZnOTs具有中和HSV-2病毒粒子和阻断HSV-2附着活性的能力。锌盐可以通过改变细胞支持RSV复制的能力来介导对RSV的抗病毒活性。硫酸锌对简单方法疫苗接种后血清转化的影响已被确定,加速乙肝疫苗接种可缩短免疫时间,本临床试验显示其有效性。抑制hMPV M2-1蛋白的锌结合活性可导致新型减毒活疫苗和肺炎病毒抗病毒药物的开发。CCHH锌指基序为开发种特异性减毒流感病毒活疫苗提供了潜在的候选疫苗。螯合锌离子抑制HIV-1复制。laiv因其优于灭活疫苗的几个优点而引起人们的注意。锌指反应性化合物也灭活逆转录病毒。中通促进了结合的HSV-2病毒粒子的呈递。
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引用次数: 11
Prevalence of Hypertension in Women Working in Different Educational Institutes of District Mianwali, Punjab, Pakistan 巴基斯坦旁遮普Mianwali地区不同教育机构工作妇女高血压患病率
Pub Date : 2019-06-13 DOI: 10.19080/ctbeb.2019.19.556011
S. Habib
The present study was carried out to checked the elevation of hypertension level and risk factors associated with hypertension in the different educational sectors of Mainwali district. The questionnaire was design to obtained the data, which comprises of three parts i.e. part one comprises of demographic records (Age, weight etc), second were related to life style character (obesity, physical inactivity etc) and third one consist of the elements in blood like calcium, sodium, potassium, ferritin level and HB%. Basic descriptive statistical analysis, Chi – square test and odd square estimation was used to analyse the data. The result showed that the demographic characters are main cause of hypertension. Increasing age (above 40 year), weight (above 63) and body mass index cause elevation of blood pressure. Low level of education and post increase the blood pressure. Urban areas (65%) had higher rate of hypertension. Obese women (67%), physical activity have low prevalence of hypertension (75% in normotensive and 18.35% in hypertensive. Low socioeconomic status also causes prevalence of hypertension. High level of sodium (136.84 mEq/L), calcium (2.22mg/dL) and potassium (4.15 mEq/L) increases the higher risk of hypertension. Mean value of HB level is higher in normotensive (11.40g/dl) and pre-hypertensive (11.15g/dl) individual. Ferritin level was high in normotensive group (118.77ng/ ml) but low in pre-hypertensive (115.74ng/dl) and hypertensive group (114.33ng/dl). The low concentration of HB and ferritin affect the blood pressure and causes prevalence of hypertension. The present study provided data about factors that elevate the blood pressure and caution that will minimize our blood pressure.
本研究旨在检查美因瓦里地区不同教育部门的高血压水平升高和与高血压相关的危险因素。设计问卷是为了获得数据,数据包括三部分,第一部分是人口统计记录(年龄、体重等),第二部分是与生活方式特征相关的(肥胖、缺乏运动等),第三部分是血液中的元素,如钙、钠、钾、铁蛋白水平和HB%。采用基本描述性统计分析、卡方检验和奇方估计对数据进行分析。结果表明,人口统计学特征是导致高血压的主要原因。年龄(40岁以上)、体重(63岁以上)和体重指数的增加会导致血压升高。低教育水平和低岗位使血压升高。城市地区(65%)高血压发病率较高。肥胖妇女(67%),体力活动有较低的高血压患病率(正常人75%,高血压18.35%)。低社会经济地位也会导致高血压的流行。高水平的钠(136.84 mEq/L)、钙(2.22mg/dL)和钾(4.15 mEq/L)会增加高血压的风险。血压正常者(11.40g/dl)和高血压前期(11.15g/dl) HB均值较高。正常组高铁蛋白水平(118.77ng/ ml),高血压前期低铁蛋白水平(115.74ng/dl),高血压组低铁蛋白水平(114.33ng/dl)。血红蛋白和铁蛋白的低浓度影响血压,导致高血压的流行。目前的研究提供了有关升高血压的因素的数据,并提醒我们如何将血压降至最低。
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引用次数: 2
Optimal Inventory Strategies for Pharmaceutical Products Incorporating Carbon Emissions 考虑碳排放的药品最优库存策略
Pub Date : 2019-06-11 DOI: 10.19080/ctbeb.2019.19.556010
A. O. Adejuwon
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引用次数: 0
Antibacterial and Anticancer Property of Bromelain: A Plant Protease Enzyme from Pineapples (Ananas comosus) 菠萝蛋白酶(菠萝蛋白酶)的抑菌抗癌作用
Pub Date : 2019-06-06 DOI: 10.19080/ctbeb.2019.19.556009
Jermen Mamo
Bromelain is an extract isolated from pineapple (Ananas comosus) mainly containing proteinase. It is a crude, aqueous extract from the stems and fruits of pineapples (Ananas comosus) derived from Bromeliaceae family. It has showed significant antibacterial activity against gram negative and gram positive bacteria such as Bacillus subtilis, Streptococcus pyogenes, Corynebacterium spp, Streptococcus sanguis (10556 ATCC), Enterococcus faecalis, Escherichia coli, Proteus spp and Pseudomonas aeruginosa. The antibacterial mechanism of bromelain is not well known but it may inhibit the growth of bacteria through hydrolysis of some peptide bonds present in the bacterial cell wall. Bromelain also showed significant anticancer activity against breast cancer cells, melanoma cells, human epidermoid carcinoma cells, malignant peritoneal mesothelioma cells and mammary carcinoma cells. The major anticancer mechanism of bromelain is by inhibiting cancer cell proliferation and inducing differentiation of leukemic cells.
菠萝蛋白酶是从菠萝(Ananas comosus)中分离得到的主要含有蛋白酶的提取物。它是从凤梨科菠萝(Ananas comosus)的茎和果实中提取的一种粗水提取物。对枯草芽孢杆菌、化脓性链球菌、棒状杆菌、血链球菌(10556 ATCC)、粪肠球菌、大肠杆菌、变形杆菌和铜绿假单胞菌等革兰氏阴性菌和革兰氏阳性菌均有显著的抑菌活性。菠萝蛋白酶的抗菌机制尚不清楚,但它可能通过水解细菌细胞壁上的一些肽键来抑制细菌的生长。菠萝蛋白酶对乳腺癌细胞、黑色素瘤细胞、人表皮样癌细胞、恶性腹膜间皮瘤细胞和乳腺癌细胞也有明显的抗肿瘤活性。菠萝蛋白酶的主要抗癌机制是抑制癌细胞增殖,诱导白血病细胞分化。
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引用次数: 12
期刊
Current Trends in Biomedical Engineering & Biosciences
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