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Cervical Cancer Screening Utilization and Associated Factors Among HIV- Positive Women in Bole Sub City, Addis Ababa, Ethiopia, 2022 2022年埃塞俄比亚亚的斯亚贝巴伯乐市艾滋病毒阳性妇女宫颈癌筛查利用及相关因素
Pub Date : 2022-12-01 DOI: 10.33140/asrhr.01.01.13
Introduction: Cervical most cancers is a most cancers develops on the neck of the womb that's because of the unusual boom of cells which have the cap potential to invade different components of the frame. With about 528,000 new instances taking place every 12 months global. It is the second one main cause of most cancers associated dying and one of the pinnacle 20 reasons of dying in Ethiopia. The disorder is ready 7.9 instances extra not unusual place in HIV inflamed girls than none inflamed ones. Cervical most cancers screening reduces morbidity and mortality with the aid of using extra than 80%. Cervical most cancers screening insurance in Ethiopia may be very low that's 1.6% for all girls with unknown popularity and tremendous girls. Objective: The goal of this have a look at became to evaluate and examine cervical cancer screening utilization and associated factors among HIV- positive women in bole sub city Addis Ababa, Ethiopia Method: facility primarily based totally move sectional have a look at layout became carried out from June 1-30,2021. A general of 714 girls, 357 from HIV tremendous and 357 from unknown HIV popularity girls come to the clinic became decided on with the aid of using systematic random sampling approach. Data became gathered with the aid of using interviewer administered, entered to Epi information model three.1 and exported to SPSS model 23 for evaluation. Bivariate and multivariate logistic regressions have been used to pick out elements related with final results variable. Result: A total of 156 eligible participants, were recruited in this study. Making an overall response rate of 100% participants were involved. Age was distributed in normal pattern with the mean age ±SD of HIV positive was 30.70±5.77 for women with unknown HIV status individuals respectively. Conclusion: The finding of this study concluded that cervical CA screening service utilization among both groups was very low. Even though the prevalence of utilizing CCA screening service was very low among both groups, the prevalence among unknown HIV status women was higher than that of positive ones and the difference was significant.
引言:宫颈癌是一种发生在子宫颈部的癌症,这是由于子宫内异常增生的细胞有可能侵入子宫的不同部分。全球每12个月约有528,000个新实例。它是大多数癌症相关死亡的第二大主要原因,也是埃塞俄比亚20大死亡原因之一。这种疾病在感染艾滋病毒的女孩中比没有感染艾滋病毒的女孩多出7.9例。宫颈癌筛检可减少80%以上的发病率和死亡率。埃塞俄比亚的宫颈癌筛查保险可能很低,对于所有不知名的女孩和巨大的女孩来说只有1.6%。目的:本研究的目的是评估和检查埃塞俄比亚亚的斯亚贝巴伯乐市艾滋病毒阳性妇女的宫颈癌筛查利用情况及其相关因素。方法:设施主要基于完全移动分段检查布局,于2021年6月1日至30日进行。采用系统随机抽样的方法,确定了714名来门诊的女孩,其中357名是艾滋病病毒感染者,357名是未知艾滋病病毒感染者。数据收集成为借助采访者管理,输入到Epi信息模型三。导出SPSS模型23进行评价。双变量和多变量逻辑回归已被用来挑选出与最终结果变量相关的元素。结果:本研究共招募了156名符合条件的参与者。使参与者的总体反应率达到100%。年龄分布呈正态分布,HIV感染状况未知的女性HIV阳性的平均年龄±SD分别为30.70±5.77。结论:两组患者宫颈CA筛查服务使用率均较低。尽管CCA筛查服务的使用率在两组中都很低,但未知HIV感染状况的女性的患病率高于阳性女性,且差异有统计学意义。
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引用次数: 0
Psychological State of a Person as A Factor Assessment of The Prenosological Level of Public Health 人的心理状态作为公共卫生先兆学水平的因素评价
Pub Date : 2022-12-01 DOI: 10.33140/asrhr.01.01.10
The article shows the development of a continuous functioning technology for remote automated monitoring of the sociopsychological state of the population to determine the prenosological level of individual health, which allows to optimize medical non-invasive mass screening of the population. The technologies and their implementation are shown to ensure functioning with the use of information and communication technologies, mobile communications, methods of automated remote exchange, accumulation, storage of information, as well as with the involvement of medical knowledge, mathematical models and algorithms for their data mining socio-psychological state population, development and implementation of preventive measures, which are effective mechanisms to ensure health of the healthy people’s.
本文展示了一种持续功能技术的发展,用于远程自动监测人口的社会心理状态,以确定个人健康的先兆学水平,从而可以优化人口的医疗非侵入性大规模筛查。这些技术及其实施表明,通过使用信息和通信技术、移动通信、自动远程交换、信息积累和存储方法,以及利用医学知识、数学模型和算法进行数据挖掘、社会心理状况、人口、制定和实施预防措施,确保发挥作用。这些都是保障健康人健康的有效机制。
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引用次数: 0
Timing and Factors Associated with Timely First Antenatal Care Booking Among Pregnant Women Attending Antenatal Clinics in Addis Ababa Selected Health Centers, Addis Ababa, Ethiopia, 2022 在亚的斯亚贝巴选定的卫生中心,埃塞俄比亚亚的斯亚贝巴,2022年,在产前诊所就诊的孕妇及时预约首次产前护理的时机和相关因素
Pub Date : 2022-12-01 DOI: 10.33140/asrhr.01.01.11
Background: The burden of maternal mortality is the problem of each evolved and growing nations, especially sub-Saharan Africa along with Ethiopia. This is understood because of bad fine of maternal health care offerings. Almost all reasons of maternal demise are preventable, so ANC is the access factor to address the ones reasons of maternal demise in addition to headaches throughout being pregnant. However, early initiation of first ANC goes to is not nicely practiced in Ethiopia consistent with evidences distinctive literatures. Due to this motive many moms died due to being pregnant headaches. Objective: To assess timing and factors associated with first antenatal care booking among pregnant women attending antenatal clinics in selected health centers, Addis Ababa, Ethiopia, 2021 Methods: Facility primarily based totally Cross-Sectional take a look at layout was carried out from June- July, 2021 to evaluate the timing of first ANC reserving and related Study topics had been decided on through the use of systematic random sampling. Data was gathered through three BSc midwives recruited from different medical institution and supervised through one Ass. Data was gathered through questionnaire and entered onto a pc the use of Epi-data 7 statistical application then exported to SPSS v- 22 for evaluation. Logistic regression version was used to be expecting timing of first ANC reserving and related elements. Lastly, Significant of statistical affiliation was confident or examined the use of 95% self-belief c programming language (CI) and p fee of first antenatal reserving; Result: All the 334 pregnant women were participated in this study making the response rate of 100%. One hundred fiftynine (47.6%) of the study participants were in the age group of 25–35 years and the mean age (+ SD) of the participants was 31.39 (+ 6.61) years. Two hundred sixty-one (78.1) of the participants were married. Regarding respondents’ knowledge, 326(97.6%) of the respondents have good knowledge about ANC and the importance of ANC.
背景:产妇死亡率的负担是每个发展和发展中国家的问题,特别是撒哈拉以南非洲与埃塞俄比亚。这是可以理解的,因为产妇保健服务的质量很差。几乎所有孕产妇死亡的原因都是可以预防的,因此,除了怀孕期间的头痛之外,ANC是解决孕产妇死亡的原因之一的途径因素。然而,第一次ANC的早期发起在埃塞俄比亚并没有很好地实践,这与独特的文献证据相一致。由于这个动机,许多母亲死于怀孕头痛。目的:评估2021年在埃塞俄比亚首都亚的斯亚贝巴选定的卫生中心产前门诊就诊的孕妇首次预约产前护理的时间和相关因素。方法:于2021年6月- 7月进行全横断面调查布局,评估首次预约产前护理的时间,并通过系统随机抽样确定相关研究课题。数据通过从不同医疗机构招募的三名BSc助产士收集,并通过一个Ass进行监督。数据通过问卷收集,并使用Epi-data 7统计应用程序输入pc,然后导出到SPSS v- 22进行评估。采用Logistic回归模型预测第一次ANC保留时间及相关因素。最后,统计关联的显著性是自信的或检查了95%的自我信念c编程语言(CI)和首次产前保留的p费用的使用;结果:334例孕妇全部参与本研究,有效率为100%。年龄在25-35岁之间的有159人(47.6%),平均年龄(+ SD)为31.39(+ 6.61)岁。其中261人(78.1人)已婚。在受访者的知识方面,326人(97.6%)的受访者对非国大有良好的了解,并了解非国大的重要性。
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引用次数: 0
Factors Influencing Uptake of STI Screening Among Adolescent Female Sex Workers in Mukono District 穆科诺区青少年女性性工作者接受性传播感染筛查的影响因素
Pub Date : 2022-06-22 DOI: 10.33140/asrhr.01.01.05
Background: Worldwide, more than 1 million Sexually Transmitted Infections (STIs) are acquired every day and female adolescents aged 10 to 19 years are almost twice more susceptible to STIs than boys of the same age. The highest STI prevalence has been reported among key populations such as Female Sex Workers (FSWs) and fisher folk. This study investigated the factors influencing uptake of sexually transmitted infections screening among Adolescent Female sex Workers (AFSWs) in Mukono district, Uganda. Methods: In this cross-sectional descriptive and analytical study, a total of 355 AFSWs based on the streets, bars, lodges, hotels, brothels, landing sites and other entertainment places in Mukono district were recruited using snowball sampling. Data was collected using pre-tested semi-structured questionnaires through face-to-face interviews with the help of trained research assistants. Data collected was entered into Epi-Data and then exported to SPSS for analysis. Analysis was done at three levels; Univariate for descriptive summary, Bivariate to test for possible association between each independent variable and the outcome variable, and Multivariate logistic regression to control for possible confounding effects of the independent variables. Chi square (χ2) test was done and p value 0.05 used to determine the association. Results: This study found that uptake of STIs screening among AFSWs was 32.1%. AFSWs who reported that STI screening wasn’t embarrassing were 3 times more likely to take-up STI screening than those who said uptake of STI screening was embarrassing (PR=3.45, 95%CI=1.96 - 6.09, P=<0.001). AFSWs who reported that STI screening wasn’t painful were 5 times more likely to take-up STI screening than those who said uptake of STI screening was painful (PR=5.45, 95%CI=2.78 - 10.66, P=<0.001). Conclusion: STIs screening rate among AFSWs in Mukono district was at 32.1%. Individual factors (attitude) and health facility factors were found to be the real influencers of uptake of STI screening among AFSWs in Mukono district. We, therefore, recommend that government scales up provision of sexually transmitted infection screening to even cater for high risk and vulnerable groups to facilitate and increase access to STI screening.
背景:在世界范围内,每天有超过100万的性传播感染(STIs), 10至19岁的女性青少年感染性传播感染的可能性几乎是同龄男孩的两倍。据报道,在女性性工作者(FSWs)和渔民等关键人群中,性传播疾病患病率最高。本研究调查了乌干达穆科诺区青少年女性性工作者(AFSWs)接受性传播感染筛查的影响因素。方法:采用横断面描述性分析研究方法,采用滚雪球抽样法,在Mukono区街道、酒吧、旅舍、酒店、妓院、登陆点等娱乐场所共招募AFSWs 355名。数据收集使用预先测试的半结构化问卷,通过面对面访谈,并在训练有素的研究助理的帮助下。将收集到的数据输入Epi-Data,然后导出到SPSS进行分析。在三个层面上进行分析;单变量用于描述性总结,双变量用于检验每个自变量与结果变量之间可能的关联,多变量逻辑回归用于控制自变量可能的混杂效应。采用χ2检验,p值0.05确定相关性。结果:本研究发现,AFSWs的性传播感染筛查率为32.1%。报告性传播感染筛查不尴尬的AFSWs接受性传播感染筛查的可能性是那些认为性传播感染筛查令人尴尬的AFSWs的3倍(PR=3.45, 95%CI=1.96 - 6.09, P=<0.001)。报告性传播感染筛查无痛的AFSWs接受性传播感染筛查的可能性是那些认为性传播感染筛查有痛的AFSWs的5倍(PR=5.45, 95%CI=2.78 - 10.66, P=<0.001)。结论:Mukono区AFSWs性传播感染检出率为32.1%。发现个人因素(态度)和卫生设施因素是Mukono区AFSWs接受性传播感染筛查的真正影响因素。因此,我们建议政府扩大提供性传播感染筛查,甚至迎合高风险和弱势群体,以促进和增加获得性传播感染筛查的机会。
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引用次数: 0
Cigarette Smoking Erectile Dysfunction and its Extended Psychobiology 吸烟勃起功能障碍及其延伸的心理生物学
Pub Date : 2022-06-22 DOI: 10.33140/asrhr.01.01.16
Increasing cigarette smoking has been observed in males as a sign of being macho and manly. However, the reality is contrastingly unfortunate as tobacco smoking has an adverse influence on male sexual health causing mild-to-severe grades of impotence or erectile dysfunction (ED) and leading to adversarial psychological consequences, together these are termed here as the tobacco-penis syndrome (TPS). This brief review details the epidemiology, pathophysiology, and molecular basis of ED in smokers. It also discusses the consequential psychological aspects beyond the TPS. The article aims to generate awareness among men with elaborated scientific pieces of evidence in a concise manner.
越来越多的男性吸烟被认为是男子汉气概的标志。然而,现实却是相反不幸的,因为吸烟对男性性健康有不利影响,导致轻度至重度阳痿或勃起功能障碍(ED),并导致不利的心理后果,这些在这里被称为烟草阴茎综合征(TPS)。本文简要综述了吸烟者ED的流行病学、病理生理学和分子基础。它还讨论了相应的心理方面超出了TPS。这篇文章的目的是通过简明扼要的科学证据来提高人们的意识。
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引用次数: 0
Diagnostic Challenges Associated with Heterotopic Pregnancy – A Case Report 与异位妊娠相关的诊断挑战- 1例报告
Pub Date : 2022-06-22 DOI: 10.33140/asrhr.01.01.06
Heterotopic pregnancy, the simultaneous co-existence of an intrauterine and an extrauterine (ectopic) pregnancy is a very rare occurrence. However, it poses great diagnostic and management challenges. We present a 35-year-old P3+1 (3 alive) lady who was referred from a private facility following nine-weeks history of amenorrhea and a one-day history of lower abdominal pain. She had two different ultrasound scans which suspected an ectopic and an intrauterine pregnancy respectively. She subsequently had laparotomy with finding of haemoperitoneum of 2.5litres and a ruptured right ectopic pregnancy around the isthmic region. Heterotopic pregnancy still remains a diagnostic challenge despite the availability of ultrasound. A high index of suspicion is needed for timely diagnosis and subsequent surgical management for a favorable outcome.
异位妊娠,同时存在一个宫内和一个子宫外(异位)妊娠是一个非常罕见的发生。然而,它给诊断和管理带来了巨大的挑战。我们报告一位35岁的P3+1(3活着)女性,她因9周的闭经史和1天的下腹痛史从一家私人机构转介。她进行了两次不同的超声扫描,分别怀疑异位妊娠和宫内妊娠。随后进行剖腹手术,发现腹膜出血2.5升,并在峡区周围发生右侧异位妊娠破裂。尽管有超声,异位妊娠仍然是一个诊断挑战。需要高度的怀疑指数,以便及时诊断和随后的手术处理,以获得良好的结果。
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引用次数: 0
Effect of training provided on knowledge and attitude of reproductive health among adolescent students in Asmara, Eritrea, a quasi-experimental study 提供的培训对厄立特里亚阿斯马拉青少年学生生殖健康知识和态度的影响,一项准实验研究
Pub Date : 2022-06-22 DOI: 10.33140/asrhr.01.01.14
Background: The period of adolescence that is between 10 and 19 years of age is the time which largely shapes the future life of boys and girls. Adolescent girls are more likely to experiment sexual practice before they have knowledge of its subsequent consequences. Objective: This study aimed to assess the effect of training on the knowledge and attitude of female adolescent students towards reproductive health and emergency contraceptives. Methods: A school based single group pre-post quasi-experimental study design was employed in four secondary schools in Asmara on 140 female students. Trained data collectors during the pre-test, immediate post-test and three months later used a predesigned and pretested questionnaire to collect data regarding the knowledge and attitude via interview. Repeated measures ANOVA was used to make comparisons in knowledge and attitude scores using SPSS (Version 22). Results: Of all the study participants, a quarter (30.0 %) have heard of the methods of emergency contraceptives at the initial assessment. After training, three quarter (75.7%) of the students were able to have the correct knowledge. Life skill teachers at the school (57.9%) were mentioned as the primary source of information regarding reproductive health. The health education provided to adolescent females resulted in a significant increase on the mean scores of their knowledge from 6.57/13 (SD=2.08) pre-intervention to 9.26/13 (SD=2.14) immediate post intervention. However, the score declined significantly (p <0.001) from immediate after intervention to 3 months’ follow-up by 0.80. Although the score declined, knowledge at 3 months’ follow-up was still significantly greater than that of pre-intervention (p<0.0001). The percentage of participants who believe a girl should carry emergency contraceptives in her bag significantly improved from 52.3% to 86.2% after intervention. The mean (SD) scores of attitudes towards reproductive health significantly increased at three time periods. Mean (SD) scores at time 1 (pre-intervention), time 2 (immediate post) and time 3 (three-month follow-up) were 48.98 (4.68), 51.03 (4.04), and 49.65 (4.01) out of 69 respectively. Attitude score was significantly higher at immediate post intervention than pre-intervention (p<0.001) and immediate post intervention than 3 months’ follow-up (p=0.001), but no significant difference existed between 3 months’ follow-up and pre-intervention (p=0.395). Conclusion: This research has yielded a valuable evidence that educational intervention can bring a significant increase in the knowledge and in introducing positive attitude towards reproductive health and usage of emergency contraceptives among adolescents. Reproductive health education with special emphasis on contraceptives should be part of the structured school curriculum to reach all students in the country with schools playing a leading role in coordinating the efforts of awareness creation.
背景:10至19岁之间的青春期在很大程度上决定了男孩和女孩未来的生活。青春期的女孩更有可能在不知道其后果之前就尝试过性行为。目的:探讨培训对女大学生生殖健康和紧急避孕知识和态度的影响。方法:采用以学校为基础的单组岗前准实验研究设计,对阿斯马拉市4所中学的140名女学生进行调查。经过培训的数据收集者在测试前、测试后和三个月后使用预先设计和预先测试的问卷,通过访谈收集有关知识和态度的数据。使用SPSS (Version 22)对知识和态度得分进行重复测量方差分析(Repeated measures ANOVA)。结果:在所有研究参与者中,四分之一(30.0%)在初步评估时听说过紧急避孕方法。经过培训,四分之三(75.7%)的学生能够掌握正确的知识。学校的生活技能教师(57.9%)被认为是生殖健康信息的主要来源。对女性青少年进行健康教育后,她们的健康知识平均得分从干预前的6.57/13 (SD=2.08)显著提高到干预后的9.26/13 (SD=2.14)。然而,从干预后立即到随访3个月,得分显著下降0.80 (p <0.001)。虽然得分有所下降,但随访3个月时知识水平仍显著高于干预前(p<0.0001)。干预后,认为女孩应在包中携带紧急避孕药具的参与者比例从52.3%显著提高到86.2%。对生殖健康态度的平均(SD)得分在三个时间段内显著增加。时间1(干预前)、时间2(立即后)和时间3(三个月随访)的平均(SD)评分分别为48.98(4.68)、51.03(4.04)和49.65(4.01)。干预后立即的态度得分显著高于干预前(p<0.001),干预后立即的态度得分显著高于随访3个月(p=0.001),但随访3个月与干预前无显著差异(p=0.395)。结论:教育干预可显著提高青少年对生殖健康和使用紧急避孕药具的认识和积极态度。应将特别强调避孕药具的生殖健康教育纳入有组织的学校课程,使全国所有学生都能接触到这方面的教育,学校应在协调提高认识的努力方面发挥主导作用。
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引用次数: 0
Effects of Recreational Dance on the Attention Span and Quality of Life of Individuals with Autism Spectrum Disorders 娱乐性舞蹈对自闭症谱系障碍患者注意力持续时间和生活质量的影响
Pub Date : 2022-06-22 DOI: 10.33140/asrhr.01.01.07
Background/ Objectives: The aim of this study was to determine the effects of recreational dance on the attention span (AS) and quality of life (QoL) of individuals with autism spectrum disorders (ASDs). Methods: Eighteen participants were recruited for this study. Both control and intervention groups participated in ball catching/throwing together for 30 minutes, with extra 30minutes sessions of recreational dance in the intervention group. Both attention span and QoL were measured using the manual stopwatch and the Quality of Life In Autism (QoLA) questionnaire, respectively before and after each treatment session. Results: AS improved significantly in both groups but the intervention group had greater improvement (from p= 0.036 to p=0.004). Conclusion: Recreational dance is beneficial for individuals with ASDs.
背景/目的:本研究旨在探讨娱乐性舞蹈对自闭症谱系障碍(asd)患者注意力持续时间(AS)和生活质量(QoL)的影响。方法:本研究共招募18名受试者。对照组和干预组都参加了30分钟的接球/扔球,干预组额外进行了30分钟的娱乐舞蹈。在每次治疗之前和之后,分别使用手动秒表和自闭症生活质量(QoLA)问卷测量注意力持续时间和生活质量。结果:两组AS均有明显改善,但干预组改善更大(p= 0.036 ~ p=0.004)。结论:娱乐性舞蹈对asd患者有益。
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引用次数: 0
Proton Decay Reconstruction in Conscious Phenomenon — Literature Review on MRI, EEG, and PET Technologies 意识现象中的质子衰变重建——MRI、EEG和PET技术的文献综述
Pub Date : 2022-06-22 DOI: 10.33140/asrhr.01.01.17
Consciousness as an autonomous phenomenon has been studied in the context of electromagnetic signaling from the neuronal activities. Genome multiplication culturing has been a primary paradigm in the direct material method of inquiry [1]. Such a method treats autonomy in consciousness phenomenon as specific and particular biogenetic development, but lacks the cohesive human perception and human experience of developmental psychology in consciousness. Nuclear biochemical approach to consciousness adopts functional biology in brain development with relation to neuronal development [2]. Such approach holds social functional presumptions of brain development with hydroelectrolysis methods, and implies a diagnostic subjective cognition in research [2]. While the genome-specific approach is more desirable with encompassed environmental factors and environment-isolated experiments, limitations still exist in phenomenal understandings in whole human experience within the threshold of acceptable ethics [1].
意识作为一种自主现象,在神经元活动的电磁信号背景下进行了研究。基因组增殖培养一直是直接物质探究方法的主要范例。这种方法将意识现象中的自主性视为具体的、特殊的生物遗传发育,但缺乏意识中发展心理学的凝聚力的人的感知和人的经验。意识的核生化方法采用与神经元发育有关的脑发育的功能生物学[b]。这种方法持有水电解方法对大脑发育的社会功能假设,并且在研究bbb中暗示了一种诊断性的主观认知。虽然基因组特异性方法在包含环境因素和环境隔离实验中更可取,但在可接受的伦理界限内,对整个人类经验的现象性理解仍然存在局限性。
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引用次数: 0
Antimicrobial Activity of Probiotic Lactobacilli Against Some Pathogenic Bacteria 益生菌乳酸菌对某些致病菌的抑菌活性研究
Pub Date : 2022-06-22 DOI: 10.33140/asrhr.01.01.09
Radwan Rushdi
Probiotics are viable lactic acid bacteria (LAB) that are believed to provide health benefits when administered in appropriate quantities. Lactobacillus is one of the most important genera of LAB that are known to produce substances including bacteriocins which can inhibit the growth of pathogenic bacteria. The current study determined the antibacterial activity of probiotic lactobacilli against some clinical bacterial isolates. A commercially available probiotic lactobacilli product which contains (Lactobacillus acidophilus and Lactobacillus Plantarum) strains were tested for their antibacterial activity against the clinical bacterial isolates: Escherichia coli, Klebsiella pneumoniae, Pseudomonas aeruginosa, and Staphylococcus aureus, following disk diffusion method. The cell-free supernatant of Lactobacilli strains isolated in the present study exhibited very remarkable and noticeable antimicrobial activity against pathogenic bacteria
益生菌是有活力的乳酸菌(LAB),被认为在适当数量的管理下提供健康益处。乳酸菌是乳酸菌中最重要的一个属,它能产生抑制致病菌生长的细菌素等物质。本研究测定了益生菌乳酸菌对一些临床分离细菌的抑菌活性。采用圆盘扩散法,对市售益生菌乳酸菌产品(含嗜酸乳杆菌和植物乳杆菌)对大肠埃希菌、肺炎克雷伯菌、铜绿假单胞菌和金黄色葡萄球菌的抑菌活性进行了测试。本研究分离的乳酸菌无细胞上清液对病原菌具有非常显著的抑菌活性
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引用次数: 1
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Advances in Sexual &amp; Reproductive Health Research
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