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Characterization of Enterococcus species in a tertiary care hospital 某三级医院肠球菌种类特征分析
Pub Date : 2016-08-01 DOI: 10.9790/3013-068014851
S. Nautiyal, S. Jauhari, G. Joshi, V. Kataria
Background & objectives: Enterococci are a part of normal intestinal flora of humans and animals but are increasingly being recognized as important human pathogens. Although they cause only a few clinical infections in human beings since the beginning of antibiotic era, they have posed major therapeutic challenges to humans. Material & methods: Various samples coming to Microbiology division of central laboratory such as blood, pus, urine etc. were included in the study. All the essential biochemical reactions needed to establish the identity of Enterococci spp. were put followed by antibiotic sensitivity testing by Kirby Bauer disc diffusion technique. Results: In our study we found the predominance of Enterococcus faecalis followed by E. faecium and E.columbae.44.4 % isolates were recovered from surgery ward predominantly from urine samples. Discussion: The present study was undertaken for phenotypic characterization of Enterococcus spp. Majority of cases belonged to surgery probably due to catheterization, surgical procedures and prolonged hospitalization.
背景与目的:肠球菌是人类和动物正常肠道菌群的一部分,但越来越被认为是重要的人类病原体。虽然自抗生素时代开始以来,它们在人类中引起的临床感染很少,但它们对人类的治疗构成了重大挑战。材料与方法:收集中心实验室微生物科的血液、脓液、尿液等样品。采用Kirby Bauer盘片扩散法进行抗生素敏感性试验,完成肠球菌鉴定所需的生化反应。结果:以粪肠球菌(Enterococcus faecalis)为主,其次为粪肠球菌(E. faecium)和柱状芽孢杆菌(E.columbae.)。讨论:本研究是为了研究肠球菌的表型特征,大多数病例属于手术,可能是由于导管、手术和长期住院所致。
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引用次数: 3
Statistical optimization of bioactive metabolite production from Bacillus cereus NSD 10072 by using low cost substrate 利用低成本底物生产蜡样芽孢杆菌NSD 10072生物活性代谢物的统计优化
Pub Date : 2016-08-01 DOI: 10.9790/3013-068020815
Namita Singh, Rajneesh Jaryal, S. Shweta, A. Devi, S. Panchal, P. Thakur
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引用次数: 0
Blindness and ocular posterior segment involvement in the acute phase of Kawasaki disease: a mini-review 川崎病急性期的失明和眼后段受累:一个小型回顾
Pub Date : 2016-08-01 DOI: 10.9790/3013-068012629
T. Nakad
Ocular involvement in the acute phase of Kawasaki disease typically involves the anterior segment of the eye, and its associated treatment outcomes are generally excellent. However, there are rare reports of posterior segment involvement, and these are associated with poorer outcomes. This study reviewed six patients with recently reported blindness and/or ocular posterior segment involvement in the acute phase of Kawasaki disease. The median age of these patients was 8.5 years old (range: 6–12 years old). The ocular symptoms were photophobia, reduction of vision, blindness, and ocular pain. Five patients exhibited optic disc involvement and three patients showed retinal vessel involvement. All patients received intravenous immunoglobulin therapy and two patients received systemic corticosteroid administration. The visual acuity outcomes of treatment were excellent in five of the patients. However, in one patient there was still no light perception in the affected eye at two months after the initial onset of the disease. This was associated with the possible obstruction of the ophthalmic artery due to vasculitis. Older children may have a higher associated risk of blindness and ocular posterior segment involvement in the acute phase of Kawasaki disease.
川崎病急性期的眼部受累通常累及眼前段,其相关治疗结果通常很好。然而,很少有后段受累的报道,这与较差的预后有关。本研究回顾了最近报道的川崎病急性期失明和/或眼后段受累的6例患者。这些患者的中位年龄为8.5岁(范围:6-12岁)。眼部症状为畏光、视力下降、失明和眼部疼痛。5名患者表现为视盘受累,3名患者表现为视网膜血管受累。所有患者均接受静脉免疫球蛋白治疗,2例患者接受全身皮质类固醇治疗。5例患者的视力治疗效果良好。然而,有一名患者在发病两个月后,受影响的眼睛仍然没有光感。这可能与血管炎引起的眼动脉阻塞有关。在川崎病的急性期,年龄较大的儿童可能有更高的失明和眼后段受累的相关风险。
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引用次数: 2
Medicinal plants with central nervous effects (part 2): plant based review 具有中枢神经作用的药用植物(第二部分):植物综述
Pub Date : 2016-08-01 DOI: 10.9790/3013-068015275
A. Al-Snafi
Previous reviews revealed that many medicinal plants affected central nervous functions and can be utilize for therapeutic purposes as antiepileptic, antidepressant, anxiolytic, sedative, anti-Parkinson, antipsychotic, neuroprotective and many other effects. This review will highlight the central nervous effects of medicinal plants as a second part of our previous review.
以往的研究表明,许多药用植物影响中枢神经功能,具有抗癫痫、抗抑郁、抗焦虑、镇静、抗帕金森、抗精神病、神经保护等多种治疗作用。这篇综述将重点介绍药用植物的中枢神经作用,作为我们上一部分综述的第二部分。
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引用次数: 36
Traumatic Posterior Hip Dislocation In A 9 Year Child: A Case Report 9岁儿童外伤性髋后脱位1例
Pub Date : 2016-01-01 DOI: 10.9790/3013-06712326
Khandge Av
-Traumatic hip dislocation in children is a relatively rare injury. If gone unnoticed and reduced later than six hours after injury it can have complications like avascular necrosis of the femoral head. We present a case of paediatric posterior hip dislocation: A nine-year-old female child with a history of fall from height (5 feet) following which patient suffered a right-sided posterior hip dislocation which was reduced within four hours of injury under general anesthesia followed by immobilization in a Thomas splint. The patient followed up after eight months with a completely normal hip.Closed reduction as rapidly as possible following the trauma or an open relocation of the dislocated hip under general anesthesia is the treatment recommended. As pain sensitivity in children differs from that in adults the examiner must always do a hip examination following a trauma to the lower limb in children. Hence, it is imperative for the examiner to assess the child holistically and not to exclude any hip joint condition without proper examination and accompanying radiology.
儿童外伤性髋关节脱位是一种相对罕见的损伤。如果在受伤后6小时内不被注意并减少,可能会出现股骨头缺血性坏死等并发症。我们报告一例小儿髋关节后路脱位:一名9岁女童,有从高处(5英尺)坠落的病史,随后患者遭受右侧髋关节后路脱位,在全身麻醉下,在托马斯夹板固定下,在受伤后4小时内复位。患者随访8个月后髋关节完全恢复正常。建议在创伤后尽快闭合复位或在全身麻醉下对脱位髋关节进行开放复位。由于儿童的疼痛敏感性不同于成人,检查人员必须在儿童下肢创伤后进行髋关节检查。因此,检查者必须对儿童进行全面评估,不能在没有适当检查和伴随放射学的情况下排除任何髋关节状况。
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引用次数: 0
Amary llidaceae Perspectives In Alzheimer´S Disease 苦参科在阿尔茨海默病中的研究进展
Pub Date : 2016-01-01 DOI: 10.9790/3013-06712733
W. O. Castillo
Alzheimer ́s disease (AD) is the most prominent type of dementia in elderly population. The etiology is multifactorial, and pathophysiology of disease is complex with slowly progressive and irreversible deterioration. Traditionally, AD researches have focused on the pathogenesis caused by Neuritic Plaques (NPs) and Neurofibrilary Tangles (NFTs); however, in the pathologic spectrum of disease, there are others independent pathways involved. Although several genetic alterations have been associated with AD, as memory as AD seem to be influenced by genetic, physiologic and environmental factors, resulted of accumulate over time. The current therapeutic approaches for AD temporarily improve the symptoms; and despite intensive efforts, none of the treatments available today alter the course of disease. Nevertheless, one of the most promising approaches for treating it is to enhance acetylcholine level and decrease oxidative stress in brain of AD patients. In line with this, different studies indicate that the alkaloids belonging to Amaryllidaceae family exhibit a wide range of biological activities. Galantamine has become the most attractive of alkaloids for its use in the treatment of AD; however, Amaryllidaceaes contain other alkaloids which have high potential as acetylcholinesterase inhibitors (ACHEI) and antioxidant.
阿尔茨海默病(AD)是老年人群中最突出的痴呆症类型。病因是多因素的,疾病的病理生理是复杂的,缓慢进行性和不可逆的恶化。传统上,AD的研究主要集中在神经斑块(NPs)和神经原纤维缠结(nft)引起的发病机制上;然而,在疾病的病理谱中,还有其他独立的途径参与其中。虽然一些基因改变与阿尔茨海默病有关,但记忆和阿尔茨海默病似乎受到遗传、生理和环境因素的影响,随着时间的积累。目前的治疗方法暂时改善了AD的症状;尽管付出了巨大的努力,但目前没有一种治疗方法能改变疾病的进程。然而,提高阿尔茨海默病患者脑内乙酰胆碱水平和降低氧化应激是最有希望的治疗方法之一。与此相一致的是,不同的研究表明,属于Amaryllidaceae家族的生物碱具有广泛的生物活性。加兰他敏因其治疗阿尔茨海默病而成为最具吸引力的生物碱;然而,amaryllidaceae含有其他生物碱,具有很高的潜力作为乙酰胆碱酯酶抑制剂(ACHEI)和抗氧化剂。
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引用次数: 0
Study Of Prevalence Of Pulmonary Hypertension In Chronic Kidney Disease And Its Co-Relation With Clinical & Biochemical Parameters. 慢性肾脏病患者肺动脉高压患病率及其与临床生化指标相关性的研究
Pub Date : 2016-01-01 DOI: 10.9790/3013-06711822
Dr.Neelam Redkar
-OBJECTIVES: The objectives of this prospective observational study were to study (i) the prevalence of pulmonary hypertension (PH) in patients who are on conservative management, haemodialysis or continuous ambulatory peritoneal dialysis, (ii) the co-relation of PH with variables such as A-V fistula, hypertension, diabetes Mellitus & duration for dialysis, and (iii) the co-relation of PH with biochemical parameters.MATERIALS AND METHODS: The study was conducted in a tertiary care centre in Mumbai over a period 12 months after obtaining approval from the Institutional Ethics Committee. 245 CKD patients, on conservative management, haemodialysis and continuous ambulatory peritoneal dialysis were enrolled in this study, taking into consideration the inclusion & exclusion criteria and appropriate informed consent after taking detailed history of every patient. All patients underwent routine investigations and 2D ECHO for pulmonary hypertension. RESULTS: Our study enrolled 245 patients in the age group of 20 to 85 years where 68.6% patients were male and 31.4% were females. 28.2% patients had CKD with PH while 71.8% had CKD without PH. The proportion of patients with PH having AV fistula was significantly more than those without AV fistula. Of the 28.2% patients with PH, 33.6% had hypertension and 22% were diabetic. Our study revealed a positive association between the duration of dialysis and the prevalence of PH along-with low levels of haemoglobin and serum bicarbonate, and high levels of uric acid, BUN and creatinine. CONCLUSION: The prevalence of PH was found to be 28.2%. PH is positively correlated with chemical as well as biochemical parameters.
-目的:本前瞻性观察性研究的目的是研究(i)肺高压(PH)在保守治疗、血液透析或连续动态腹膜透析患者中的患病率,(ii) PH与A-V瘘、高血压、糖尿病和透析时间等变量的相关关系,以及(iii) PH与生化参数的相关关系。材料和方法:该研究在获得机构伦理委员会批准后,在孟买的一家三级保健中心进行了为期12个月的研究。245名CKD患者,接受保守治疗,血液透析和持续的门诊腹膜透析,纳入了本研究,在获得每位患者的详细病史后,考虑了纳入和排除标准以及适当的知情同意。所有患者均行常规检查和二维超声检查肺动脉高压。结果:我们的研究纳入了245例患者,年龄在20至85岁之间,其中68.6%为男性,31.4%为女性。28.2%的患者为CKD合并PH, 71.8%的患者为CKD不合并PH。有PH的患者合并房室瘘的比例明显高于无房室瘘的患者。在28.2%的PH患者中,33.6%患有高血压,22%患有糖尿病。我们的研究揭示了透析时间与PH患病率、低血红蛋白和血清碳酸氢盐水平、高尿酸、BUN和肌酐水平之间的正相关。结论:PH患病率为28.2%。PH值与化学和生化参数呈正相关。
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引用次数: 0
Quinoxaline as a potent heterocyclic moiety 喹啉作为一个强效的杂环片段
Pub Date : 2014-12-05 DOI: 10.9790/3013-040120101617027
S. Srivastava, J. Banerjee, Nomi Srestha
Various novel, mild, eco-friendly and efficient methods has been developed for the preparation of quinoxaline derivatives in high yields via condensation of aromatic diamine and 1,2-dicarbonyl compounds or alphahydroxyketones in the presence of different catalyst such as CuSO4/KMno4 , iodine, phenol similarly by using different solvents such as water, ethanol. As part of current studies, we here in report efficient practical techniques likesonication (sonochemistry sythesis), heating, grinding and simple mortal-pastel methods (mechanochemistry). However, all results suggest a mild and heterogeneous nature of these mechanisms, shorter time of reaction and higher yield or similar to reported older methods, the review here is to highlight some convenient methods of synthesis with keeping an eye to their various biological importances. KEYWORDS-alphahydroxyketones, sonochemistry, antioxidantactivity. Methods for synthesis of quinoxaline:
在不同的催化剂(如CuSO4/KMno4、碘、苯酚)存在下,采用不同的溶剂(如水、乙醇),通过芳香二胺和1,2-二羰基化合物或α羟基酮的缩合反应,开发了各种新颖、温和、环保和高效的方法,以高收率制备喹诺啉衍生物。作为当前研究的一部分,我们在这里报告了有效的实用技术,如超声(声化学合成),加热,研磨和简单的灰质粉剂方法(机械化学)。然而,所有的结果都表明这些机制的性质温和且多相,反应时间短,收率高或与报道的旧方法相似,本文综述了一些方便的合成方法,并注意到它们的各种生物学重要性。关键词:α羟基酮;声化学;抗氧化;喹啉的合成方法:
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引用次数: 9
A review on chemistry and biological significance of benzimidaole nucleus 苯并咪唑核的化学和生物学意义综述
Pub Date : 2014-12-05 DOI: 10.6084/M9.FIGSHARE.1294838.V1
Phr Iosr, S. Nomi
Benzimidazole is a heterocyclic aromatic organic compound. It is an important pharmacophore and privileged structure in medicinal chemistry. It plays a very important role with plenty of useful therapeutic activities such as: antiulcers, antihypertensives, analgesic, anti-inflammatory, anti-virals, antifungals, anticancers, and antihistaminics. The review of the literature shows that the benzimidazole derivatives are outstandingly effective compound and number of reviews available for biochemical and pharmacological studies conformed that their molecules are useful against a wide variety of micro-organisms. Because of their importance, the methods for their synthesis have become a focus of Synthetic Organic Chemists. Therefore in the present review we tried to compile the chemistry of different derivative of substituted benzimidazole as well as various pharmacological activities and some of the important methodologies used for the synthesis. KEYWORDSpharmacophore,Benzimidazole, anti-hypertensive,anti-histaminic,
苯并咪唑是一种杂环芳香有机化合物。它是药物化学中一种重要的药效团和特权结构。它具有抗溃疡、降压、镇痛、抗炎、抗病毒、抗真菌、抗癌、抗组胺等多种治疗作用。文献综述表明,苯并咪唑衍生物是一种非常有效的化合物,大量的生物化学和药理学研究表明,它们的分子对多种微生物都是有用的。由于它们的重要性,它们的合成方法已成为合成有机化学家关注的焦点。因此,本文综述了取代苯并咪唑衍生物的化学性质、药理活性及其合成方法。anti-histaminic KEYWORDSpharmacophore,苯并咪唑,降压,
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引用次数: 13
Uveitis: Pathogenesis, Clinical presentations and Treatment 葡萄膜炎:发病机制、临床表现及治疗
Pub Date : 2014-12-05 DOI: 10.6084/M9.FIGSHARE.1294836.V1
Phr Iosr, Mustafa P.Muthusamy Ss. Hussain SC.Shimmi MM.Sein Murtaza
Uveitis a vision threatening inflammation of uvea is prevalent worldwide. In the United States uveitis has prevalence of 2.3 million people and causes 10% of all cases of blindness. Uveitis is classified by the ocular structures involved e.g., anterior, intermediate, posterior and panuveitis.0cular TB(Eales’ disease) is common in patients from Indian sub-continent. Frequent uveitis etiologies includes, Herpes simplex, Herpes zoster, cytomegalovirus, syphilis, tuberculosis, Lyme disease, toxoplasmosis and fungi. Diagnosis of uveitis is always presumptive and cannot be proved by pathology or by culture. PCR has proven most useful in diagnosis of uveitis. Treatment is mostly by acyclovir, intravenous antiviral agents, anti TB drugs for ocular tuberculosis, intravenous penicillin for ocular syphilis and sulfadiazine for Toxoplasmosis, with corticosteroids added to prevent intraocular or sight threatening inflammation. Early diagnosis and treatment of uveitis can prevent vision loss. KEYWORS: Uveitis, Acute retinal necrosis, Progressive outer retinal necrosis, Herpetic anterior uveitis, and
葡萄膜炎是一种威胁视力的葡萄膜炎症,在世界范围内普遍存在。在美国,有230万人患葡萄膜炎,占所有失明病例的10%。葡萄膜炎可根据所累及的眼部结构进行分类,如前、中、后、全葡萄膜炎。眼结核(Eales病)常见于印度次大陆的患者。常见的葡萄膜炎病因包括:单纯疱疹、带状疱疹、巨细胞病毒、梅毒、肺结核、莱姆病、弓形虫病和真菌。葡萄膜炎的诊断通常是推测性的,不能通过病理或培养来证实。PCR已被证明对葡萄膜炎的诊断最有用。治疗方法主要是阿昔洛韦、静脉注射抗病毒药物、治疗眼结核的抗结核药物、治疗眼梅毒的静脉注射青霉素和治疗弓形虫病的磺胺嘧啶,并添加皮质类固醇以预防眼内或威胁视力的炎症。早期诊断和治疗葡萄膜炎可以预防视力下降。关键词:葡萄膜炎,急性视网膜坏死,进行性视网膜外坏死,疱疹性前葡萄膜炎,和
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引用次数: 15
期刊
IOSR Journal of Pharmacy
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