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Uncovering physical interactions among human and Mycobacterium tuberculosis proteins 揭示人类和结核分枝杆菌蛋白之间的物理相互作用
Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2020-07-01 DOI: 10.4103/jnsbm.JNSBM_3_20
Dhammapal Bharne, Bhagyashri Tawar, V. Vindal
Background: Pathogens usually evade and manipulate host immune pathways through host-pathogen protein interactions. Uncovering these interactions is crucial for determining the mechanisms underlying pathogen infection and the defense system. The growing prevalence of tuberculosis (TB) infection in the world necessitated advances in TB research. With the rising information from several divisions of biosciences, computational approaches are promising to analyze and interpret the data at the system level. Methods: In the present study, in silico two-hybrid systems is employed on model organisms to predict physical interactions among proteins of Human and Mycobacterium tuberculosis (Mtb). Consistent protein interactions are identified by the Interlog method. Co-expression analysis and functional annotations are performed to infer significant Human and Mtb protein physical interactions (HMIs). Results: The interactions identified in this study support the current TB research through an improved understanding of the pathogen infection and survival mechanism. A network of HMIs highlighted dnaK as the most highly interacting protein. Further, dnaK, eno, tuf, and gap proteins are found to trigger toll-like receptor signaling pathways and initiate pathogenesis. Conclusion: The interactions proteins identified in this study may incline the researchers to explore for novel therapeutic intervention strategies.
背景:病原体通常通过宿主-病原体蛋白相互作用逃避和操纵宿主免疫途径。揭示这些相互作用对于确定病原体感染和防御系统的潜在机制至关重要。世界上结核病(TB)感染的日益流行要求在结核病研究方面取得进展。随着来自生物科学多个部门的信息不断增加,计算方法有望在系统级别分析和解释数据。方法:在本研究中,在模式生物上采用计算机双杂交系统来预测人与结核分枝杆菌(Mtb)蛋白之间的物理相互作用。一致的蛋白质相互作用鉴定的Interlog方法。共表达分析和功能注释进行推断显著人与结核分枝杆菌蛋白物理相互作用(hmi)。结果:本研究发现的相互作用通过提高对病原体感染和生存机制的理解,为当前的结核病研究提供了支持。hmi网络突出显示dnaK是最高度相互作用的蛋白质。此外,发现dnaK、eno、tuf和gap蛋白可触发toll样受体信号通路并启动发病机制。结论:本研究发现的相互作用蛋白可能促使研究人员探索新的治疗干预策略。
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引用次数: 2
Modulation of blood glucose, oxidative stress, and anxiety level by controlled vestibular stimulation in prediabetes 控制前庭刺激对糖尿病前期血糖、氧化应激和焦虑水平的调节
Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2020-07-01 DOI: 10.4103/jnsbm.JNSBM_205_19
Remya Paul, J. Mukkadan
Introduction: Prediabetes is the state of intermediate hyperglycemia. The present study was conducted to analyze the effect of controlled vestibular stimulation (CVS) on blood glucose levels, oxidative stress, and anxiety levels in prediabetic patients. Materials and Methods: This randomized controlled study was conducted at Little Flower Hospital and Research Centre, Angamaly, Kerala. This study comprised 117 prediabetic patients divided into experimental and control groups. Anthropometric measurements, blood pressures, blood glucose levels, and oxidative stress parameters were estimated. State-Trait Anxiety Inventory questionnaire was used to measure the anxiety levels. CVS was provided to the patients in the experimental group using a swing with back to front direction for 3 months. The parameters were reassessed after 3 months of intervention. Comparisons of parameters were carried out by paired t-test, Wilcoxon signed-rank test, and multivariate regression analysis. Results: Blood glucose levels, malondialdehyde level, and anxiety levels were significantly decreased in the experimental group compared to the control group. There was a significant increase in the superoxide dismutase activity after the intervention compared with the control group. Conclusion: The present study confirmed the importance of cost-effective lifestyle intervention for prediabetic patients. CVS can be incorporated in the lifestyle to maintain optimum blood glucose levels and tackle oxidative stress and anxiety
前驱糖尿病是处于中度高血糖状态。本研究旨在分析可控前庭刺激(CVS)对糖尿病前期患者血糖水平、氧化应激和焦虑水平的影响。材料和方法:本随机对照研究在喀拉拉邦安加马利小花医院和研究中心进行。本研究将117例糖尿病前期患者分为实验组和对照组。测量人体测量值、血压、血糖水平和氧化应激参数。采用状态-特质焦虑量表测量焦虑水平。实验组患者采用前后摆动方式进行CVS,持续3个月。干预3个月后重新评估参数。参数比较采用配对t检验、Wilcoxon符号秩检验和多元回归分析。结果:实验组血糖水平、丙二醛水平、焦虑水平较对照组明显降低。与对照组相比,干预后超氧化物歧化酶活性显著增加。结论:本研究证实了具有成本效益的生活方式干预对糖尿病前期患者的重要性。CVS可以与生活方式相结合,以维持最佳血糖水平,解决氧化应激和焦虑
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引用次数: 14
Evaluation of paragonimus metacercariae isolated from Maydelliathelphusa Lugubris and morphological characterization of Paragonimus Westermani recovered from an experimental model 马氏吸虫囊蚴分离鉴定及实验模型回收的威氏吸虫形态特征
Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2020-07-01 DOI: 10.4103/jnsbm.JNSBM_61_20
Bhamani Tongbram, T. Singh, D. Tsering
Background: Humans acquire Paragonimus westermani (lung flukes) infestation by consumption of crabs and crayfish harboring Paragonimus metacercariae. This study was designed to evaluate the prevalence of P. westermani infection in fresh water crabs found in Manipur, India. The morphological characterization of adult fluke recovered from Wister rats infected with P. metacercariae was also studied. Materials and Methods: The freshwater crabs were collected from the mountain streams of Churachanpur district, Manipur, India. P. metacercariae were harvested from the crab extract under a stereomicroscope. To recover adult flukes, twenty P. westermani-type metacercariae were injected intraperitoneally to Wister rats. The adult fluke recovered from Wister rats were stained with borax carmine, and the whole mount was used for morphological assessment. Results: Crabs of species, Maydelliathelphusa lugubris, were found to harbor Paragonimus heterotremus- and westermani-type metacercariae. Two migratory flukes were recovered from the lung surface of the Wister rats injected intraperitoneally with metacercariae. The morphological features of the mounted specimen of adult fluke recovered showed six lobed ovaries with terminal branching and five lobed testes. On the basis of the morphological features, the species was identified as P. westermani despite the atypical features of its metacercariae. Conclusion: Here, we report the role of M. lugubris fresh water crab species as natural permissive hosts of lung fluke (P. westermani) in Manipur region of India.
背景:人类通过食用携带肺吸虫的螃蟹和小龙虾感染肺吸虫。本研究旨在评估印度曼尼普尔邦淡水蟹感染的流行程度。本文还研究了感染囊包虫病的Wister大鼠成年吸虫的形态特征。材料与方法:从印度曼尼普尔邦Churachanpur地区的山间溪流中采集淡水蟹。在体视显微镜下从蟹提取物中收获囊蚴。为了恢复成年吸虫,对Wister大鼠腹腔注射20只威斯特曼氏囊蚴。取Wister大鼠成年吸虫,用硼砂胭脂红染色,整片进行形态学评价。结果:鲎属(Maydelliathelphusa lugubris)检出异源并殖吸虫和韦斯特曼型囊蚴。经腹腔注射囊蚴的Wister大鼠肺表面检出2只迁移吸虫。发现的成年吸虫挂载标本形态特征为6个分叶子房和5个分叶睾丸。根据形态学特征,鉴定该物种为P. westermani,尽管其囊蚴具有非典型特征。结论:本文报道了印度曼尼普尔地区淡水螯蟹作为肺吸虫(P. westermani)天然寄主的作用。
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引用次数: 0
Dissecting aortic aneurysm associated with severe aortic regurgitation in an asymptomatic young female 一例无症状年轻女性夹层主动脉瘤伴严重主动脉反流
Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2020-01-01 DOI: 10.4103/jnsbm.JNSBM_149_19
H. N. Natraj Setty, C. Rama, P. Murthy, Santhosh Jadav, K. Murthy, Rahul Krishnarao Patil, Sathwik Raj, Babu Reddy, B. Srinivas, T. Raghu, C. Manjunath
An aortic aneurysm is a rare clinical entity since most patients will present with complications of dissection or rupture before the size of aneurysm reaches that magnitude. The classical presentation of a patient with acute aortic dissection (AAD) is characterized by severe chest, back, or abdominal pain, ripping or tearing in nature (mimics myocardial infarction). However, some patients present with painless AAD. We hereby present a case report of a 28-year aged female who presented with palpitation from the past 2 years, diagnosed to have aortic aneurysm with dissection and severe aortic regurgitation. She eventually underwent Bentall's procedure and had an uneventful recovery.
主动脉瘤是一种罕见的临床实体,因为大多数患者在动脉瘤达到这种大小之前就会出现夹层或破裂的并发症。急性主动脉夹层(AAD)患者的典型表现是严重的胸部、背部或腹部疼痛,撕裂或撕裂(类似于心肌梗死)。然而,一些患者表现为无痛性AAD。我们在此报告一例28岁女性,过去2年出现心悸,诊断为主动脉瘤夹层和严重的主动脉反流。她最终接受了本特尔的手术,并顺利康复。
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引用次数: 0
Analysis of hematological metal element levels in orthopedic patients with implants 骨科植入物患者血液金属元素水平分析
Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2020-01-01 DOI: 10.4103/jnsbm.JNSBM_120_19
V. Sengodan, Shreyas Doddihithlu
Background: The progressive increase in concentration of circulating metal by-products derived from the metal-based orthopedic implants may have deleterious effects in the patients over the long term. Therefore, it is necessary to profile the metal levels in the body of the patients receiving metal implants using appropriate highly sensitive techniques and strategies. Hence, in this study, we estimated the levels of metal in serum of patients with metal implants. Materials and Methods: Blood samples of 25 patients with metallic implants were collected at 6 months postsurgery. The blood samples were subjected to triple acid digestion and then analyzed through inductively coupled plasma–mass spectroscopy, and the blood levels of various metals were quantified. Results: An increase in serum levels of titanium was observed in the patients with metal implants at 6 months postsurgical implant. However, the levels of titanium were within the normal range (normal level <7.2 μg/l), and we did not observe any signs of detectable systemic toxicity. In contrast, the mean serum levels of cobalt (0.19–2.6 μg/l) and nickel (0.05–1.08 μg/l) were above the normal range. Conclusion: Orthopedic patients with metal implants had the serum levels of titanium within the normal range but had serum levels of cobalt and nickel above the normal range. Despite increase in the serum levels of cobalt and nickel, the patients did not show any clinical signs of toxicity.
背景:金属基骨科植入物产生的循环金属副产物浓度的逐渐增加可能对患者产生长期的有害影响。因此,有必要使用适当的高灵敏度技术和策略来分析接受金属植入物的患者体内的金属水平。因此,在本研究中,我们估计了金属种植体患者血清中的金属水平。材料与方法:收集25例金属种植体患者术后6个月的血液标本。血液样品经三次酸消化,然后通过电感耦合等离子体质谱分析,并定量血液中各种金属的含量。结果:金属种植体患者术后6个月血清钛水平升高。然而,钛的水平在正常范围内(正常水平<7.2 μg/l),我们没有观察到任何可检测到的全身毒性迹象。血清钴(0.19 ~ 2.6 μg/l)、镍(0.05 ~ 1.08 μg/l)均高于正常水平。结论:骨科植入金属种植体患者血清钛含量在正常范围内,钴、镍含量高于正常范围。尽管血清中钴和镍含量增加,但患者未表现出任何临床毒性症状。
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引用次数: 1
Effect of fenugreek consumption with metformin treatment in improving plaque index in diabetic patients 胡芦巴与二甲双胍治疗对改善糖尿病患者斑块指数的影响
Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2020-01-01 DOI: 10.4103/jnsbm.JNSBM_96_19
Gopalakrishnan Sundaram, R. Theagarajan, K. Gopalakrishnan, G. Babu, G. Murthy
Aims and Objectives: The aim of this study is to compare the efficacy of metformin and fenugreek seed powder as an adjunct to scaling and root planing (SRP) with the effect achieved using SRP and metformin alone by assessing their respective effects on periodontal parameters, glycemic status, and inflammatory marker. Materials and Methods: Eighty patients were included in this study who were further divided into two groups. Each group consisted of 40 patients. Group 1 patients included chronic periodontitis with uncontrolled type 2 diabetes mellitus (DM), who received SRP and treatment with metformin. Group 2 patients included chronic periodontitis with uncontrolled type 2 DM, who received SRP, metformin plus fenugreek powder. Periodontal parameters such as plaque index (PI), gingival index, bleeding on probing, pocket depth, and clinical attachment levels were evaluated at baseline and 1 month after nonsurgical periodontal therapy. Blood samples were also collected to assess the levels of glycosylated hemoglobin (HbA1c) and inflammatory cytokine interleukin-6 (IL-6) at baseline and after 1 month of nonsurgical periodontal therapy. Results: On intragroup comparison of clinical parameters at baseline and after treatment, a statistically significant reduction was observed for both Group 1 and Group 2 patients. When intergroup comparison was done after treatment, significant reduction was observed only for PI (P < 0.0031). On intragroup comparison was done for fasting blood sugar (FBS) and HbA1c before and after nonsurgical periodontal treatment, there were statistically significant changes seen in both the groups for FBS (P < 0.001) and for HbA1c in Group 2 patients alone. The level of IL-6 also reduced after treatment compared to baseline values (P < 0.001). Conclusion: The direct effect of fenugreek on the FBS level could attribute to the changes in the PI and decrease in the inflammation. Thus, the study showed that fenugreek seeds could be used as an adjuvant in chronic periodontitis patients to control type 2 DM and inflammatory marker IL-6.
目的和目的:本研究的目的是通过评估二甲双胍和胡芦巴籽粉分别对牙周参数、血糖状态和炎症标志物的影响,比较二甲双胍和胡芦巴籽粉作为刮治和根刨(SRP)辅助治疗的效果与单独使用SRP和二甲双胍的效果。材料与方法:将80例患者分为两组。每组40例。1组患者为慢性牙周炎合并2型糖尿病(DM)患者,采用SRP和二甲双胍治疗。2组患者为慢性牙周炎伴2型糖尿病患者,接受SRP、二甲双胍加胡芦巴粉治疗。牙周参数如菌斑指数(PI)、牙龈指数、探查时出血、牙袋深度和临床附着水平在基线和非手术牙周治疗后1个月进行评估。在基线和非手术牙周治疗1个月后,收集血液样本以评估糖化血红蛋白(HbA1c)和炎症细胞因子白介素-6 (IL-6)的水平。结果:组内比较治疗前后临床参数,1组和2组患者均有统计学意义的降低。治疗后进行组间比较,仅PI有显著降低(P < 0.0031)。在组内比较非手术牙周治疗前后空腹血糖(FBS)和糖化血红蛋白(HbA1c), FBS组和2组单独患者的糖化血红蛋白(HbA1c)变化有统计学意义(P < 0.001)。与基线值相比,治疗后IL-6水平也降低(P < 0.001)。结论:胡芦巴对大鼠FBS水平的直接影响可能与改变PI和减轻炎症有关。因此,本研究表明胡芦巴籽可作为慢性牙周炎患者的佐剂来控制2型糖尿病和炎症标志物IL-6。
{"title":"Effect of fenugreek consumption with metformin treatment in improving plaque index in diabetic patients","authors":"Gopalakrishnan Sundaram, R. Theagarajan, K. Gopalakrishnan, G. Babu, G. Murthy","doi":"10.4103/jnsbm.JNSBM_96_19","DOIUrl":"https://doi.org/10.4103/jnsbm.JNSBM_96_19","url":null,"abstract":"Aims and Objectives: The aim of this study is to compare the efficacy of metformin and fenugreek seed powder as an adjunct to scaling and root planing (SRP) with the effect achieved using SRP and metformin alone by assessing their respective effects on periodontal parameters, glycemic status, and inflammatory marker. Materials and Methods: Eighty patients were included in this study who were further divided into two groups. Each group consisted of 40 patients. Group 1 patients included chronic periodontitis with uncontrolled type 2 diabetes mellitus (DM), who received SRP and treatment with metformin. Group 2 patients included chronic periodontitis with uncontrolled type 2 DM, who received SRP, metformin plus fenugreek powder. Periodontal parameters such as plaque index (PI), gingival index, bleeding on probing, pocket depth, and clinical attachment levels were evaluated at baseline and 1 month after nonsurgical periodontal therapy. Blood samples were also collected to assess the levels of glycosylated hemoglobin (HbA1c) and inflammatory cytokine interleukin-6 (IL-6) at baseline and after 1 month of nonsurgical periodontal therapy. Results: On intragroup comparison of clinical parameters at baseline and after treatment, a statistically significant reduction was observed for both Group 1 and Group 2 patients. When intergroup comparison was done after treatment, significant reduction was observed only for PI (P < 0.0031). On intragroup comparison was done for fasting blood sugar (FBS) and HbA1c before and after nonsurgical periodontal treatment, there were statistically significant changes seen in both the groups for FBS (P < 0.001) and for HbA1c in Group 2 patients alone. The level of IL-6 also reduced after treatment compared to baseline values (P < 0.001). Conclusion: The direct effect of fenugreek on the FBS level could attribute to the changes in the PI and decrease in the inflammation. Thus, the study showed that fenugreek seeds could be used as an adjuvant in chronic periodontitis patients to control type 2 DM and inflammatory marker IL-6.","PeriodicalId":16373,"journal":{"name":"Journal of Natural Science, Biology, and Medicine","volume":"32 1","pages":"55 - 60"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91269336","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 4
Detection of scrub typhus by real-time polymerase chain reaction and immunoglobulin M ELISA among patients with acute febrile illness 实时聚合酶链反应和免疫球蛋白M酶联免疫吸附试验检测急性发热患者恙虫病
Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2020-01-01 DOI: 10.4103/jnsbm.JNSBM_156_19
N. Saravanan, P. Rajendiran, S. Sankar, Mageshbabu Ramamurthy, Archana Sasimohan, Vishnu Vineeta, G. Varghese, M. Idikula, M. Jesudason, R. Mangalakumar, A. Nair, R. Babujanarthanam, B. Nandagopal, G. Sridharan
Background: Scrub typhus caused by Orientia tsutsugamushi is a vector-borne zoonotic infection endemic in several parts of the globe. The infection generally presents with fever and nonspecific clinical features but may lead to severe complications with a high mortality rate if untreated. Early diagnosis and timely management are therefore important. Serological diagnosis such as Weil–Felix test, indirect immunofluorescence assay, immunoglobulin (Ig) M/IgG ELISA, and rapid antibody detection assays are either less sensitive or laborious. Molecular detection by polymerase chain reaction (PCR) targeting specific gene targets of O. tsutsugamushi is warranted. Materials and Methods: We developed a real-time PCR assay targeting 47-KDa htrA gene for the specific diagnosis of the pathogen. The assay was evaluated in a buffy coat from whole blood or serum samples collected from patients presenting with acute febrile illness. Randomly selected samples were also tested for IgM by commercial IgM ELISA assay. Results: The real-time PCR assay was able to detect <1 genome copy per the PCR input and specific to O. tsutsugamushi on heterologous pathogens testing. The samples were negative by real-time PCR and 13 samples were positive by IgM ELISA. This study found a relatively low prevalence of scrub typhus in the population. Conclusion: The assay developed in this study could be a useful diagnostic tool for the detection of O. tsutsugamushi in clinical samples. The study also indicated the need for a wide epidemiological survey that could help determine appropriate health measures including treatment and prevention.
背景:恙虫病东方体引起的恙虫病是一种媒介传播的人畜共患传染病,在全球一些地区流行。感染通常表现为发热和非特异性临床特征,但如果不治疗,可能导致严重并发症,死亡率高。因此,早期诊断和及时治疗非常重要。血清学诊断,如Weil-Felix试验、间接免疫荧光测定、免疫球蛋白(Ig) M/IgG ELISA和快速抗体检测,要么不太敏感,要么费力。采用聚合酶链反应(PCR)技术检测恙虫病恙虫体特异性基因靶点是必要的。材料与方法:建立了一种针对47-KDa htrA基因的实时PCR检测方法,用于病原菌的特异性诊断。该试验是在从急性发热性疾病患者身上采集的全血或血清样本中进行评估的。随机抽取样本,采用IgM ELISA法检测IgM。结果:实时荧光定量PCR法能够检测出每个PCR输入的<1个基因组拷贝,并且在异源病原体检测中对恙虫病体有特异性。real-time PCR检测结果为阴性,IgM ELISA检测结果为阳性13例。本研究发现恙虫病在人群中的流行率相对较低。结论:建立的检测方法可作为恙虫病恙虫体临床检测的有效工具。该研究还指出,需要进行广泛的流行病学调查,以帮助确定包括治疗和预防在内的适当保健措施。
{"title":"Detection of scrub typhus by real-time polymerase chain reaction and immunoglobulin M ELISA among patients with acute febrile illness","authors":"N. Saravanan, P. Rajendiran, S. Sankar, Mageshbabu Ramamurthy, Archana Sasimohan, Vishnu Vineeta, G. Varghese, M. Idikula, M. Jesudason, R. Mangalakumar, A. Nair, R. Babujanarthanam, B. Nandagopal, G. Sridharan","doi":"10.4103/jnsbm.JNSBM_156_19","DOIUrl":"https://doi.org/10.4103/jnsbm.JNSBM_156_19","url":null,"abstract":"Background: Scrub typhus caused by Orientia tsutsugamushi is a vector-borne zoonotic infection endemic in several parts of the globe. The infection generally presents with fever and nonspecific clinical features but may lead to severe complications with a high mortality rate if untreated. Early diagnosis and timely management are therefore important. Serological diagnosis such as Weil–Felix test, indirect immunofluorescence assay, immunoglobulin (Ig) M/IgG ELISA, and rapid antibody detection assays are either less sensitive or laborious. Molecular detection by polymerase chain reaction (PCR) targeting specific gene targets of O. tsutsugamushi is warranted. Materials and Methods: We developed a real-time PCR assay targeting 47-KDa htrA gene for the specific diagnosis of the pathogen. The assay was evaluated in a buffy coat from whole blood or serum samples collected from patients presenting with acute febrile illness. Randomly selected samples were also tested for IgM by commercial IgM ELISA assay. Results: The real-time PCR assay was able to detect <1 genome copy per the PCR input and specific to O. tsutsugamushi on heterologous pathogens testing. The samples were negative by real-time PCR and 13 samples were positive by IgM ELISA. This study found a relatively low prevalence of scrub typhus in the population. Conclusion: The assay developed in this study could be a useful diagnostic tool for the detection of O. tsutsugamushi in clinical samples. The study also indicated the need for a wide epidemiological survey that could help determine appropriate health measures including treatment and prevention.","PeriodicalId":16373,"journal":{"name":"Journal of Natural Science, Biology, and Medicine","volume":"48 1","pages":"66 - 71"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79363895","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
Comparative clinical effects of spinal manipulation, core stability exercise, and supervised exercise on pain intensity, segmental instability, and health-related quality of life among patients with chronic nonspecific low back pain: A randomized control trial 一项随机对照试验:脊柱操作、核心稳定性锻炼和监督锻炼对慢性非特异性腰痛患者疼痛强度、节段不稳定性和健康相关生活质量的比较临床效果
Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2020-01-01 DOI: 10.4103/jnsbm.JNSBM_101_19
K. Sarker, J. Sethi, Umasankar Mohanty
Background: The purpose of this study was to investigate the comparative efficacy of spinal manipulative therapy-high-velocity low-amplitude (SMT-HVLA) thrust, core stability exercise (CSE), and supervised exercise on pain intensity (PI), segmental instability, and quality of life among patients with chronic nonspecific low back pain (CNSLBP). Materials and Methods: This was a randomized controlled trial conducted on 105 patients with CNSLBP (with duration of pain >3 months) distributed in three groups with 35 participants in each group, and an average age of the participants was 25.66 (standard deviation = 6.74) years. Participants received SMT-HVLA thrust (Group 1), CSE (Group 2), and supervised exercise (control group [CG]) with a common ergonomic advice (EA) for 2 weeks. The primary outcomes were PI measured by the Numeric Pain Rating Scale and segmental instability (postural sway) through the center of foot pressure measured by Win-Track platform. The secondary outcome was the quality of life measured by the EuroQoL questionnaire. All outcomes were assessed at baseline and 2 and 4 weeks. Two-way ANOVA followed by with post hoc Tukey's multiple comparison tests was carried out to examine treatment effects, and the relationship between the groups changes across outcome measures. Results: All participants completed the 2 weeks of intervention and the 4 weeks of follow-up. Group 1 had better outcomes than CG at 2 weeks (between-group difference in PI, P = 0.001; segmental instability, P = 0.001, and quality of life, P = 0.001) as compared to Group 2 and CG (between-group difference in PI, P = 0.03; segmental instability, P = 0.04; and quality of life, P = 0.05) as well as at 4 weeks (between-group difference in PI, P = 0.05; segmental instability, P = 0.03; and quality of life, P = 0.04). Conclusions: The SMT-HVLA thrust with EA providing pain reduction in patients with CNSLBP of high severity was associated with clinically better improvement in segmental instability (postural sway) and health-related quality of life. Thus, SMT may be an attractive option in such patients before proceeding for more invasive and costly treatments.
背景:本研究的目的是探讨脊柱推拿疗法-高速低振幅(SMT-HVLA)推力、核心稳定性运动(CSE)和监督运动对慢性非特异性腰痛(CNSLBP)患者疼痛强度(PI)、节段不稳定性和生活质量的比较疗效。材料与方法:105例疼痛持续时间>3个月的CNSLBP患者随机对照试验,分为三组,每组35人,平均年龄25.66岁(标准差= 6.74)。参与者接受SMT-HVLA推力(第1组),CSE(第2组)和监督运动(对照组[CG]),并接受共同的人体工程学建议(EA),为期2周。主要结果是通过数字疼痛评定量表测量PI和通过Win-Track平台测量的足中心压力测量的节段不稳定性(体位摇摆)。次要终点是通过EuroQoL问卷测量的生活质量。在基线、2周和4周时评估所有结果。采用双因素方差分析和事后Tukey多重比较检验来检验治疗效果,以及两组之间在不同结果测量值之间的关系变化。结果:所有受试者均完成2周的干预和4周的随访。第1组2周的预后优于CG组(PI组间差异,P = 0.001;节段不稳定性,P = 0.001,生活质量,P = 0.001)与2组和CG相比(PI组间差异,P = 0.03;节段不稳定性,P = 0.04;和生活质量,P = 0.05)及第4周时(PI组间差异,P = 0.05;节段不稳定性,P = 0.03;和生活质量,P = 0.04)。结论:SMT-HVLA推力配合EA可减轻重度CNSLBP患者的疼痛,与临床更好地改善节段不稳定性(体位摇摆)和健康相关生活质量相关。因此,在进行更具侵入性和昂贵的治疗之前,SMT可能是这类患者的一个有吸引力的选择。
{"title":"Comparative clinical effects of spinal manipulation, core stability exercise, and supervised exercise on pain intensity, segmental instability, and health-related quality of life among patients with chronic nonspecific low back pain: A randomized control trial","authors":"K. Sarker, J. Sethi, Umasankar Mohanty","doi":"10.4103/jnsbm.JNSBM_101_19","DOIUrl":"https://doi.org/10.4103/jnsbm.JNSBM_101_19","url":null,"abstract":"Background: The purpose of this study was to investigate the comparative efficacy of spinal manipulative therapy-high-velocity low-amplitude (SMT-HVLA) thrust, core stability exercise (CSE), and supervised exercise on pain intensity (PI), segmental instability, and quality of life among patients with chronic nonspecific low back pain (CNSLBP). Materials and Methods: This was a randomized controlled trial conducted on 105 patients with CNSLBP (with duration of pain >3 months) distributed in three groups with 35 participants in each group, and an average age of the participants was 25.66 (standard deviation = 6.74) years. Participants received SMT-HVLA thrust (Group 1), CSE (Group 2), and supervised exercise (control group [CG]) with a common ergonomic advice (EA) for 2 weeks. The primary outcomes were PI measured by the Numeric Pain Rating Scale and segmental instability (postural sway) through the center of foot pressure measured by Win-Track platform. The secondary outcome was the quality of life measured by the EuroQoL questionnaire. All outcomes were assessed at baseline and 2 and 4 weeks. Two-way ANOVA followed by with post hoc Tukey's multiple comparison tests was carried out to examine treatment effects, and the relationship between the groups changes across outcome measures. Results: All participants completed the 2 weeks of intervention and the 4 weeks of follow-up. Group 1 had better outcomes than CG at 2 weeks (between-group difference in PI, P = 0.001; segmental instability, P = 0.001, and quality of life, P = 0.001) as compared to Group 2 and CG (between-group difference in PI, P = 0.03; segmental instability, P = 0.04; and quality of life, P = 0.05) as well as at 4 weeks (between-group difference in PI, P = 0.05; segmental instability, P = 0.03; and quality of life, P = 0.04). Conclusions: The SMT-HVLA thrust with EA providing pain reduction in patients with CNSLBP of high severity was associated with clinically better improvement in segmental instability (postural sway) and health-related quality of life. Thus, SMT may be an attractive option in such patients before proceeding for more invasive and costly treatments.","PeriodicalId":16373,"journal":{"name":"Journal of Natural Science, Biology, and Medicine","volume":"86 1","pages":"27 - 34"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78716965","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 7
Comparative anthropometry analysis of the digital X-rays of the right and left hip joints in an Indian population 印度人左右髋关节数字x光片比较人体测量学分析
Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2020-01-01 DOI: 10.4103/jnsbm.JNSBM_177_19
V. Sengodan, Navaneethan Appusamy
Background: Population-specific anthropometric analysis of hip joints has vital clinical and surgical implications including adoption of optimal preventive measures and selection of effective prosthesis. Hence, in this study, we determined the anatomical variance between the right and left hip of the patients referred to our orthopedic unit. Materials and Methods: Five hundred patients with a normal hip joint attending the Institute of Orthopedics and Traumatology Unit of Coimbatore Medical College Hospital, Coimbatore, India, were included in this study. Plain radiographs were taken to measure the neck-shaft angle (NSA), head diameter (HD), neck width (NW) of the right and left femur, and the values were compared with data reported in the literature for various other population. Results: The mean value of NSA (134.2°), HD (42.9 mm), and NW (28.2 mm) in the study population differed when compared with data reported in the literature for the Western and other Indian population. Significant changes were also observed between the right and left sides of the hip joint in the study population. Conclusion: This study concludes that significant differences exist between the right and left side of hip joint in the study population. Further the values observed in our study population were considerably different from the values reported in the literature for the Western population.
背景:针对特定人群的髋关节人体测量学分析具有重要的临床和外科意义,包括采用最佳预防措施和选择有效的假体。因此,在本研究中,我们确定了到我们骨科就诊的患者左右髋关节的解剖差异。材料与方法:在印度哥印拜陀医学院附属医院骨科与创伤科就诊的500例髋关节正常患者纳入本研究。采用x线平片测量左、右股骨颈轴角(NSA)、头径(HD)、颈宽(NW),并与文献报道的其他人群数据进行比较。结果:研究人群的NSA(134.2°)、HD (42.9 mm)和NW (28.2 mm)的平均值与文献中报道的西方和其他印度人群的数据不同。在研究人群中,还观察到左右两侧髋关节之间的显著变化。结论:本研究得出研究人群中左右侧髋关节存在显著差异。此外,在我们的研究人群中观察到的值与文献中报道的西方人群的值有很大不同。
{"title":"Comparative anthropometry analysis of the digital X-rays of the right and left hip joints in an Indian population","authors":"V. Sengodan, Navaneethan Appusamy","doi":"10.4103/jnsbm.JNSBM_177_19","DOIUrl":"https://doi.org/10.4103/jnsbm.JNSBM_177_19","url":null,"abstract":"Background: Population-specific anthropometric analysis of hip joints has vital clinical and surgical implications including adoption of optimal preventive measures and selection of effective prosthesis. Hence, in this study, we determined the anatomical variance between the right and left hip of the patients referred to our orthopedic unit. Materials and Methods: Five hundred patients with a normal hip joint attending the Institute of Orthopedics and Traumatology Unit of Coimbatore Medical College Hospital, Coimbatore, India, were included in this study. Plain radiographs were taken to measure the neck-shaft angle (NSA), head diameter (HD), neck width (NW) of the right and left femur, and the values were compared with data reported in the literature for various other population. Results: The mean value of NSA (134.2°), HD (42.9 mm), and NW (28.2 mm) in the study population differed when compared with data reported in the literature for the Western and other Indian population. Significant changes were also observed between the right and left sides of the hip joint in the study population. Conclusion: This study concludes that significant differences exist between the right and left side of hip joint in the study population. Further the values observed in our study population were considerably different from the values reported in the literature for the Western population.","PeriodicalId":16373,"journal":{"name":"Journal of Natural Science, Biology, and Medicine","volume":"14 1","pages":"3 - 6"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83535495","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 5
Phytochemical analysis and evaluation of antibacterial activity of different extracts of soil-isolated fungus chaetomium cupreum 土壤分离真菌铜毛菌不同提取物的植物化学分析及抑菌活性评价
Q3 Biochemistry, Genetics and Molecular Biology Pub Date : 2020-01-01 DOI: 10.4103/jnsbm.JNSBM_150_19
N. Wani, W. Khanday, S. Tirumale
Background: Chaetomium cupreum is soil-isolated pigment-producing fungus used as biocontrol agent. Hypothesis: The aim of the present study was to evaluate the bioactive constituents and antibacterial potential of C. cupreum extracts on bacteria such as Staphylococcus aureus, Bacillus subtilis, Salmonella typhi, and Proteus vulgaris. Materials and Methods: The qualitative and quantitative screening of secondary metabolites was done by standard procedures. The antibacterial activity of different extracts of C. cupreum was determined by agar well diffusion method and broth microdilution methods. Results: Among the different extracts of C. cupreum, ethyl acetate and n-butanol extracts exhibited antibacterial activity. In the n-butanol extract, the most susceptible organism was found to be B. subtilis with zone of inhibition 18.5 ± 0.7 mm, followed by P. vulgaris 15.5 ± 0.7 mm, S. typhi 12.5 ± 3.5 mm, and S. aureus 12.0 ± 2.8 mm at 0.5 mg/ml, whereas in the ethyl acetate extract, the most susceptible organism was to found be P. vulgaris with zone of inhibition 17.5 ± 0.7 mm followed by B. subtilis 17.0 ± 1.4 mm, S. typhi 14.0 ± 0.7 mm, and S. aureus 13.5 ± 0.7 mm at 0.5 mg/ml. Conclusion: The obtained results suggest that C. cupreum extracts contain compounds that possess antibacterial activity.
背景:铜毛毛菌是一种土壤分离的产色素真菌,可作为生物防治剂。假设:本研究的目的是评价铜柏提取物对金黄色葡萄球菌、枯草芽孢杆菌、伤寒沙门氏菌和寻常变形杆菌等细菌的生物活性成分和抑菌潜力。材料与方法:采用标准程序对次生代谢产物进行定性和定量筛选。采用琼脂孔扩散法和肉汤微量稀释法测定铜铜不同提取物的抑菌活性。结果:不同提取物中乙酸乙酯和正丁醇提取物均具有抑菌活性。在正丁醇提取,最敏感的生物被发现与区抑制枯草芽孢杆菌18.5±0.7毫米,其次是p .寻常的15.5±0.7毫米,伤寒杆菌12.5±3.5毫米,和金黄色葡萄球菌12.0±2.8毫米0.5毫克/毫升,而在乙酸乙酯提取物、最敏感的生物是发现与抑制区p .寻常的17.5±0.7毫米其次是枯草芽孢杆菌17.0±1.4毫米,伤寒杆菌14.0±0.7毫米,金黄色葡萄球菌在0.5毫克/毫升13.5±0.7毫米。结论:铜柏提取物中含有具有抗菌活性的化合物。
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引用次数: 13
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Journal of Natural Science, Biology, and Medicine
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