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Occult Hepatitis B infection (OBI) in vaccinated groups, a metanalysis 接种疫苗组的隐性乙型肝炎感染(OBI),一项荟萃分析
Pub Date : 2019-10-30 DOI: 10.22037/AMLS.V1I2.10296
S. Alavian, S. Jazayeri
Nowadays, the presence of HBV DNA in the absence of HBsAg; occult hepatitis B infection; (OBI), is a known clinical entity along with the rapid influx of research being conducted on its clinical relevance. Biologists and clinicians alike have a recent-standing interest in this regards. OBI has been described in several clinical settings. However, the data on its prevalence among immunized and non-immunized healthy general population, in particular, among health care workers (HCWs) is ambigous. This review attemps to explore the significance of OBI in vaccinated groups as a special subject. The prevalence of OBI among general population, vaccinated children/general population and health care workers were: 157 (5.2%), 222 (6.7%) and 33 (1.8%), respectively. The prevalence of anti-HBc among OBI-positive subjects were: 64 (40.7%), 133 (82.7%) and 27 (81.8%), respectively. OBI is partly prevalent in general population and in vaccinated individuals, especially in those who born to HBsAg positive mothers. HBV serological surveys are not enough adequate and sensitive to rule out the presence of HBV DNA. For high-risk groups (subjects born to HBsAg mothers, health care workers, isolated anti-HBc, etc) sensitive molecular tests based on real time PCR should be applied for a proper diagnosis.
目前,在没有HBsAg的情况下存在HBV DNA;隐性乙型肝炎感染;(OBI)是一个已知的临床实体,随着其临床相关性研究的迅速涌入。生物学家和临床医生最近都对这方面感兴趣。OBI已经在几个临床环境中被描述过。然而,在免疫和未免疫的健康一般人群中,特别是在卫生保健工作者(HCWs)中,其流行率的数据含糊不清。这篇综述试图探讨OBI在接种疫苗组作为一个特殊课题的意义。普通人群、接种疫苗的儿童/普通人群和卫生保健工作者的OBI患病率分别为157(5.2%)、222(6.7%)和33(1.8%)。obi阳性人群中抗- hbc患病率分别为64人(40.7%)、133人(82.7%)和27人(81.8%)。OBI在一般人群和接种疫苗的个体中部分流行,特别是在HBsAg阳性母亲所生的婴儿中。HBV血清学调查不够充分和敏感,不能排除HBV DNA的存在。对于高危人群(HBsAg母亲所生的受试者、医护人员、分离的抗hbc者等),应采用基于实时PCR的敏感分子检测方法进行正确诊断。
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引用次数: 4
Relationship between Delivery Type and Jaundice Severity among Newborns Referred to Hospital 转诊新生儿黄疸严重程度与分娩方式的关系
Pub Date : 2019-10-14 DOI: 10.22037/AMLS.V5I4.32145
Mohammad Panji, Vahideh Behmard, Y. Varghaiyan, Zakieh Sadat Sheikhalishahi, Sajjad Peyvasteh, Effat Seyedhashemi, Mana Zakeri, Farkhonde Pooyanfar, Haleh Barmaki
Background: Neonatal jaundice affects one of two newborns around the World and occurs when a baby has a high level of bilirubin in the blood. In recent decades, the cesarean section has increased, accompanied by higher neonatal jaundice risks compared with vaginal delivery. This study aimed to investigate the relationship between the jaundice severity and the delivery type and gender among newborns referred to a Qamar Bani Hashem Hospital in Khoy city (West Azerbaijan Province, Iran). Materials and Methods: In this cross-sectional study, we investigated randomly 309 newborns with asymptomatic jaundice, who referred to the hospital, from 2014 to 2018. The results of laboratory tests were recorded for all participating infants. Results: 49.19% of newborns with jaundice were born by cesarean section, and 49.19% were born by vaginal delivery. 141 (45.63%) of babies with jaundice were males, and 168 (54.37%) were females. Mean blood sugar (BS) (p=0.52), urea (p=0.48), creatinine(Cr) (p=0.69), Na (p=0.46), K (p=0.69), Ca (p=0.29), TB (p=0.58) and neonatal weight (p=0.14) within days 3 to 10 were not significantly different between vaginal delivery group and cesarean section group (p>0.05), while direct bilirubin showed significant variations (p<0.05). Mean serum direct bilirubin was 0.22±0.07 mg/dL in the normal vaginal delivery group and 0.25±0.09 mg/dL in the cesarean section group (p<0.05). Also, the level of K (P=0.04) was significantly higher in the male group compared to the female group. Conclusion: Based on our study, there is no significant relationship between the severity of jaundice and the type of delivery and gender in newborns.
背景:新生儿黄疸影响全世界两名新生儿中的一名,当婴儿血液中胆红素水平高时发生。近几十年来,与阴道分娩相比,剖宫产的新生儿黄疸风险更高。本研究旨在调查在Khoy市(西阿塞拜疆省)Qamar Bani Hashem医院转诊的新生儿黄疸严重程度与分娩类型和性别之间的关系。材料与方法:在本横断面研究中,我们随机调查了2014年至2018年在该院转诊的309例无症状黄疸新生儿。所有参与研究的婴儿的实验室测试结果都被记录下来。结果:剖宫产占新生儿黄疸的49.19%,阴道分娩占49.19%。男婴141例(45.63%),女婴168例(54.37%)。阴道分娩组与剖宫产组3 ~ 10 d平均血糖(BS) (p=0.52)、尿素(p=0.48)、肌酐(Cr) (p=0.69)、Na (p=0.46)、K (p=0.69)、Ca (p=0.29)、TB (p=0.58)、新生儿体重(p=0.14)差异无统计学意义(p>0.05),直接胆红素差异有统计学意义(p<0.05)。正常阴道分娩组平均血清直接胆红素为0.22±0.07 mg/dL,剖宫产组平均血清直接胆红素为0.25±0.09 mg/dL (p<0.05)。男性组的K水平也显著高于女性组(P=0.04)。结论:根据我们的研究,新生儿黄疸的严重程度与分娩类型和性别没有显著关系。
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引用次数: 2
Investigating the inhibitory effects of Seidlitzia rosmarinus extract on the amyloid fibril formation of ҡ-casein in the presence of dextran 探讨迷迭香子提取物在葡聚糖存在下对ҡ-casein淀粉样蛋白纤维形成的抑制作用
Pub Date : 2019-10-14 DOI: 10.22037/AMLS.V4I2.25212
A. Ghahghaei, Khatoon Heidari nasab, Fariba Mohammadi Tahroodi, S. Rahimi
Background: Formation of amyloid fibrils has been associated with different protein aggregation diseases. Many studies indicate that many proteins can be converted in vitro into amyloid structures. Isolated ҡ-casein (ҡ-CN) spontaneously forms amyloid fibrils under physiological conditions, so it is a convenient model for researching generic aspect of fibril formation. Materials and Methods: In this study the effect of aqueous extract of S. rosmarinus on the amyloid formation of ҡ-CN in the presence and absence of crowding agent, dextran, have been examined using Thioflavin T binding (ThT) assay, fluorescence spectroscopy, and circular dichroism (CD) spectroscopy. Results: ThT binding assay showed that dextran increased the rate of amyloid fibril formation and S. rosmarinus extract retarded the amyloid fibril formation in κ-CN. In the presence of dextran however, the effect of   S. rosmarinus extract on the amyloid formation of ҡ-CN was less than in its absence. Fluorescence spectroscopy results also demonstrated that dextran led to unfolding and increased the exposure hydrophobic area in ҡ-CN. S. rosmarinus extract efficiency decreased the exposure of hydrophobic regions in κ-CN, whereas in the presence of dextran this effect of extract was reduced. CD spectroscopy results exhibited that incubation of κ-CN with S. rosmarinus extract prevented a structural transition to a β-sheet. CD spectroscopy results also indicated that by adding dextran to reduced κ-CN β-sheet structures observed, which indicates structural change. S. rosmarinus extract however, prevented transition to β-sheet structural. Conclusion: In conclusion our finding suggests that S. rosmarinus extract prevents amyloid fibril formation in κ-CN, although this effect decreased in the presence of dextran.
背景:淀粉样蛋白原纤维的形成与不同的蛋白质聚集性疾病有关。许多研究表明,许多蛋白质可以在体外转化为淀粉样蛋白结构。分离的ҡ-casein (ҡ-CN)在生理条件下自发形成淀粉样原纤维,是研究原纤维形成共性方面的方便模型。材料和方法:本研究采用硫黄素T结合(ThT)法、荧光光谱和圆二色(CD)光谱法,研究了在存在和不存在聚类剂葡聚糖(dextran)的情况下,迷香参水提物对ҡ-CN淀粉样蛋白形成的影响。结果:ThT结合实验显示,葡聚糖增加了κ-CN中淀粉样纤维的形成速度,迷迭香提取物延缓了淀粉样纤维的形成。然而,在葡聚糖存在的情况下,迷迭香提取物对ҡ-CN淀粉样蛋白形成的影响小于不存在时的影响。荧光光谱结果也表明右旋糖酐导致ҡ-CN中暴露疏水区域展开并增加。迷迭香提取物的效率降低了κ-CN中疏水区域的暴露,而葡聚糖的存在则降低了这种作用。CD光谱结果表明,与迷迭香提取物孵育的κ-CN阻止了结构向β-薄片的转变。CD光谱结果还表明,加入葡聚糖还原后的κ-CN β-片结构也发生了变化。然而,迷迭香提取物阻止过渡到β-片结构。结论:迷迭香提取物可抑制κ-CN中淀粉样蛋白纤维的形成,但这种作用在葡聚糖的存在下会减弱。
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引用次数: 0
Human Dirofilaria repens infection of the breast: a case report 人类双丝虫复发性乳房感染:1例报告
Pub Date : 2019-10-14 DOI: 10.22037/AMLS.V1I1.9403
S. Maraghi, Ali Sameri, Yasser Jeddi
Background: Dirofilariasis is a common helminthic parasitic disease in both domestic and wild animals around the world, with canines as the principal reservoir host and mosquitoes as the vector.  Human dirofilariasis has been reported from many parts of the world, including Africa, Australia, the Americas, Europe, and Asia. Case Report: A 40 year old woman from Abadan city Southwest of Iran referred to surgeon with a nodule on her right breast. Ultrasound and mammography revealed a nodule diagnosed as parasitic lesion. After resection of the nodule, tissue was placed in 10% formaldehyde and sent to pathology laboratory. In histopathological examination, cross section of a worm surrounded with necrotic tissue, associated with infiltration of Neutrophils, Eosinophils, and foreign body giant cells observed which was morphologically compatible with Dirofilaria repens. Conclusion: Human dirofilariasis should be considered in endemic regions.
背景:钩丝虫病是世界范围内家畜和野生动物常见的一种寄生虫病,以犬类为主要宿主,蚊子为媒介。世界上许多地方,包括非洲、澳大利亚、美洲、欧洲和亚洲,都报告了人类双丝虫病。病例报告:一名来自伊朗西南部阿巴丹市的40岁妇女因右乳结节转介给外科医生。超声和乳房x光检查显示结节诊断为寄生病变。切除结节后,将组织置于10%甲醛中,送往病理实验室。在组织病理学检查中,观察到被坏死组织包围的蠕虫的横切面,与中性粒细胞、嗜酸性粒细胞和异物巨细胞浸润有关,在形态上与repens Dirofilaria相容。结论:在流行地区应考虑人蝇蛆病。
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引用次数: 2
Pathogenesis of Acute Lymphoblastic Leukemia 急性淋巴细胞白血病的发病机制
Pub Date : 2019-10-13 DOI: 10.22037/AMLS.V4I1.23075
Shahin Aghamiri, Farhad Hajializadeh, A. Jafarpour, Shiva Bayat, Soodeh Namjoo, F. Zaker
Acute lymphoblastic leukemia (ALL) is a hematological malignant disease characterized by an enhanced self-renewal ability of precursor lymphoid cells whose cell division takes more time than their normal counterparts.  ALL occurs most between 2 to 5 years of age and during the sixth decade of life. There is a strong relationship between the time ALL occurs in children and the genetic abnormalities which are identified by the rate of leukemic concordance between identical twins. About 90% of ALL cases do not have a clear etiological mechanism. Genetic syndromes, polymorphic variants genes, germline mutations, and some environmental factors are responsible for less than 10% of ALL predisposition but the pathogenesis mechanism of ALL is not identified precisely. Here we review the recent findings and earlier studies about the pathogenesis of acute lymphoblastic leukemia and its incidence. This article also summarizes the identification of predictive factors for ALL and options available to predict disease recurrence.
急性淋巴细胞白血病(ALL)是一种血液系统恶性疾病,其特征是前体淋巴样细胞的自我更新能力增强,其细胞分裂比正常细胞需要更多的时间。ALL多发生在2至5岁之间和生命的第六个十年。儿童罹患ALL的时间与同卵双胞胎之间的白血病一致性率所确定的遗传异常之间有很强的关系。大约90%的ALL病例没有明确的病因机制。遗传综合征、多态变异基因、种系突变和一些环境因素占ALL易感性的不到10%,但ALL的发病机制尚不明确。本文就急性淋巴细胞白血病发病机制及其发病率的最新发现和早期研究进行综述。本文还总结了ALL的预测因素的识别和预测疾病复发的可用选择。
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引用次数: 0
Molecular investigation of CTX-M gene in Extended Spectrum β Lactamases (ESBLs) producing Pseudomonas aeruginosa isolated from Iranian patients with burn wound infection 伊朗烧伤创面感染患者产扩展谱β内酰胺酶(ESBLs)中CTX-M基因的分子研究
Pub Date : 2019-10-13 DOI: 10.22037/AMLS.V4I1.23078
F. Piri, M. Ebrahimi, K. Amini
Background:  Pseudomonas aeruginosa (P. aeruginosa) is one of the most important causes of infection in burns and intensive care units. Extended-spectrum β-lactamases (ESBLs) production in P. aeruginosa is a major factor in the antibiotic resistance and is thought of as a serious threat to the currently available antibiotic armory. The purpose of this study was to determine the prevalence of CTX-M gene in ESBL-producing P. aeruginosa isolates in burn wound samples. Materials and methods: In this cross-sectional survey, a total of 60 clinical isolates of P. aeruginosa were obtained from patients suffering from burn wound infection referred to major hospitals of Tehran, Iran. After verification by biochemical tests and antimicrobial susceptibility testing, CTX-M gene was identified using PCR method. Results: The results of the molecular analysis of CTX-M gene showed that the prevalence of isolates of P. aeruginosa harboring CTX-M gene was 20% (12/60). Conclusion: The results from this study showed high levels of antibiotic resistance and CTX-M gene among P. aeruginosa isolated samples of burn-wound infections which condition may result in the increased the emergence of multidrug-resistant strains and the failure of therapy This study suggests that detailed data on the CTX-M gene frequency can be useful to achieve the best therapy for infections caused by ESBLs producing P. aeruginosa.
背景:铜绿假单胞菌(P. aeruginosa)是烧伤和重症监护病房感染的最重要原因之一。P. aeruginosa中广谱β-内酰胺酶(ESBLs)的产生是抗生素耐药性的主要因素,被认为是对现有抗生素库的严重威胁。本研究的目的是确定CTX-M基因在烧伤创面样本中产生esbl的铜绿假单胞菌分离株中的流行程度。材料与方法:本横断面调查从伊朗德黑兰各大医院转诊的烧伤创面感染患者中分离出60株铜绿假单胞菌。经生化试验和药敏试验验证,采用PCR方法鉴定出CTX-M基因。结果:CTX-M基因分子分析结果显示,携带CTX-M基因的铜绿假单胞菌分离株的流行率为20%(12/60)。结论:本研究结果显示,铜绿假单胞菌烧伤创面感染分离样本中CTX-M基因和抗生素耐药水平较高,可能导致多药耐药菌株的出现增加和治疗失败。本研究提示CTX-M基因频率的详细数据可用于对产生ESBLs的铜绿假单胞菌引起的感染进行最佳治疗。
{"title":"Molecular investigation of CTX-M gene in Extended Spectrum β Lactamases (ESBLs) producing Pseudomonas aeruginosa isolated from Iranian patients with burn wound infection","authors":"F. Piri, M. Ebrahimi, K. Amini","doi":"10.22037/AMLS.V4I1.23078","DOIUrl":"https://doi.org/10.22037/AMLS.V4I1.23078","url":null,"abstract":"Background:  Pseudomonas aeruginosa (P. aeruginosa) is one of the most important causes of infection in burns and intensive care units. Extended-spectrum β-lactamases (ESBLs) production in P. aeruginosa is a major factor in the antibiotic resistance and is thought of as a serious threat to the currently available antibiotic armory. The purpose of this study was to determine the prevalence of CTX-M gene in ESBL-producing P. aeruginosa isolates in burn wound samples. Materials and methods: In this cross-sectional survey, a total of 60 clinical isolates of P. aeruginosa were obtained from patients suffering from burn wound infection referred to major hospitals of Tehran, Iran. After verification by biochemical tests and antimicrobial susceptibility testing, CTX-M gene was identified using PCR method. Results: The results of the molecular analysis of CTX-M gene showed that the prevalence of isolates of P. aeruginosa harboring CTX-M gene was 20% (12/60). Conclusion: The results from this study showed high levels of antibiotic resistance and CTX-M gene among P. aeruginosa isolated samples of burn-wound infections which condition may result in the increased the emergence of multidrug-resistant strains and the failure of therapy This study suggests that detailed data on the CTX-M gene frequency can be useful to achieve the best therapy for infections caused by ESBLs producing P. aeruginosa.","PeriodicalId":18401,"journal":{"name":"Medical laboratory sciences","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76769174","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
To Reduce the Effects of Experimental Aflatoxicosis in Broiler Chicks Using Specific Egg Yolk Immunoglobulin (IgY) 特异性卵黄免疫球蛋白(IgY)降低肉鸡实验性黄曲霉中毒的作用
Pub Date : 2019-10-13 DOI: 10.22037/AMLS.V4I1.23058
N. Afzali, A. Nakhaei, S. J. H. Vashan, M. Torshizi
Background : This experiment was conducted to evaluate the effects of the specific egg yolk immunoglobulin (IgY) on reducing the defects of experimental aflatoxicosis in broilers. Materials and Methods : In a completely randomized design, a total of 128 Ross 308 broiler chicks were used in 4 treatments, 4 replicates and 8 observations (chicks) for 42 days.  Treatments were: 1) control; 2) diet containing 1 ppm aflatoxin B1; 3) diet contaminated with 1 ppm aflatoxin B1 + 0.75 % of egg yolk containing IgY; 4) diet contaminated with 1 ppm aflatoxin B1 + 1.5 % of egg yolk containing IgY. Results : The results showed that the use of aflatoxin containing diet significantly increased the feed conversion ratio, serum cholesterol concentration, serum gamma-glutamyl transferase (GGT), and aspartate aminotransferase (AST). Also, experimental aflatoxicosis resulted in reduced feed intake, weight gain, serum total protein and albumin concentrations (p<0.05); as well as the liver histopathologic lesions. IgY containing egg yolk (0.75% and 1.5%) added to the contaminated ration improved feed intake, weight gain and feed conversion ratio compared to treatment 2 (p<0.05). Compared to treatment 2, serum cholesterol concentration decreased while total protein concentration increased in treatments 3 and 4 (p<0.05). Liver tissue was approximately normal with mild effects on hepatocytes and mild cytoplasmic changes in chicks receiving treatments 3 and 4.  Conclusion : It can be concluded that specific IgY is effective in reducing the defects of experimental aflatoxicosis as well as improving performance in broilers.
背景:本试验旨在探讨特异性蛋黄免疫球蛋白(IgY)对降低肉鸡实验性黄曲霉中毒缺陷的作用。材料与方法:采用完全随机设计,选用罗斯308肉鸡128只,分4个处理、4个重复、8个观察(只),试验期42 d。处理方法为:1)对照;2)日粮中黄曲霉毒素B1含量为1ppm;3)黄曲霉毒素B1 1 ppm +含IgY蛋黄0.75%污染日粮;1 ppm黄曲霉毒素B1 + 1.5%含卵黄y的蛋黄污染日粮。结果:结果表明,添加黄曲霉毒素饲粮显著提高了饲料系数、血清胆固醇浓度、血清γ -谷氨酰转移酶(GGT)和天冬氨酸转氨酶(AST)。试验性黄曲霉中毒导致采食量、增重、血清总蛋白和白蛋白浓度降低(p<0.05);以及肝组织病理病变。与处理2相比,污染日粮中添加含蛋黄(0.75%和1.5%)的卵黄能提高采食量、增重和饲料系数(p<0.05)。与处理2相比,处理3和处理4血清胆固醇浓度降低,总蛋白浓度升高(p<0.05)。处理3和处理4的雏鸡肝组织基本正常,肝细胞受到轻微影响,细胞质发生轻微改变。结论:特异性IgY可有效降低肉鸡黄曲霉中毒的缺陷,提高肉鸡生产性能。
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引用次数: 1
marA efflux pump gene expression in Salmonella enteritidis strains treated with Artemisia tournefortiana hydroalcoholic extract and comparison with commercial efflux pump inhibitor, carbonyl cyanide 3-chlorophenylhydrazone (CCCP) tournefortiana水醇提取物处理肠炎沙门氏菌后marA外排泵基因的表达及与商业外排泵抑制剂羰基氰化3-氯苯腙(CCCP)的比较
Pub Date : 2019-10-13 DOI: 10.22037/AMLS.V4I1.24090
M. Khosravani, M. Dallal, M. Norouzi
Background: Salmonella enterica subsp. enterica serovar Enteritidis is a food-borne pathogenic bacterium that has recently become resistant to most quinolone antibiotics. The MarA efflux pump plays a significant role in the development of ciprofloxacin resistance in S. Enteritidis strains. The aim of this study was comparative evaluation of anti-efflux activity of Artemisia tournefortiana extract and commercial efflux inhibitor, carbonyl cyanide 3-chlorophenylhydrazone (CCCP) on marA efflux pump gene expression in S. Enteritidis clinical strains. M aterials and Methods: In this experimental study, Artemisia tournefortiana extract was prepared using maceration method. Subsequently, MarA efflux pump was detected in 20 clinical strains of S. Enteritidis via cartwheel and PCR methods. Finally, after treatment of strains with subMIC concentration of extract and 20 µg/L and CCCP, their anti-efflux activity against MarA efflux pump was studied using Real Time PCR. R es ults: The results of cartwheel and PCR methods indicated that all of ciprofloxacin resistant strains had MarA efflux pump. Subsequently, after treatment of strains with subMIC concentration of extract and CCCP, results show that both component have the ability to inhibit the MarA efflux pump, significantly. C onclusion: Considering the results of MarA efflux inhibition by A. tournefortiana and CCCP, it seems that this plant can be used as a potential source of drug use as a suppository pump inhibitor instead of CCCP.
背景:肠沙门氏菌亚种。血清型肠炎是一种食源性致病菌,最近对大多数喹诺酮类抗生素产生耐药性。MarA外排泵在肠炎沙门氏菌耐环丙沙星的发展中起重要作用。本研究的目的是比较评价tournefortiana提取物与市售外排抑制剂羰基氰化物3-氯苯基肼(CCCP)对肠链球菌marA外排泵基因表达的抑制作用。材料与方法:本实验采用浸渍法制备金针蒿提取物。随后,采用翻轮法和PCR法在20株肠炎沙门氏菌中检测到MarA外排泵。最后,用亚mic浓度的提取物和20µg/L的CCCP处理菌株后,用Real Time PCR研究其对MarA外排泵的抗外排活性。结果:侧翻法和PCR法结果表明,所有耐药菌株均存在MarA外排泵。随后,用亚mic浓度的提取物和CCCP处理菌株后,结果表明,这两种成分都有显著抑制MarA外排泵的能力。结论:考虑到金针蒿和CCCP对MarA外排的抑制效果,金针蒿可以作为栓剂泵抑制剂替代CCCP,成为潜在的药物来源。
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引用次数: 1
The association between intracellular electrolytes and obesity indices 细胞内电解质与肥胖指数的关系
Pub Date : 2019-07-15 DOI: 10.22037/AMLS.V4I2.26275
R. Ebrahimi, Naghmeh Jannat Alipour, S. Emamgholipour
Background: Obesity with a rapid grow in developed and developing countries has a close association with higher disposition to related diseases such as hypertension. Intracellular functions of sodium, potassium, calcium, phosphate, and iron have been an interested subject in obese patients since their dysregulations are linked to a higher risk of hypertension and other metabolic disorders. Materials and Methods: In this study, the circulating levels of sodium, potassium, calcium, phosphate, and iron were determined in the serum of obese patients compared to normal-weight people. Moreover, we examined the correlation of such electrolytes with the well-known indices of obesity such as body mass index (BMI), waist circumference (WC), hip, triglycerides (TG), cholesterol and other characterizations. Results : The mean levels of sodium, potassium, calcium, phosphate, and iron were significantly different (p < 0.05) in obese patients compared to normal-weight subjects. We observed a positive partial correlation between the levels of these electrolytes and obesity indices such as BMI, WC, hip, and cholesterol. Conclusion : Collectively, the present study suggests the positive correlation between obesity and the indices of metabolic disorders such as hypertension and renal failure according to the observed imbalances in the concentration of electrolytes. Moreover, efforts for diet modification may be helpful in the programs aimed at decreasing the burden of obesity and related disorders.
背景:肥胖在发达国家和发展中国家迅速增长,与高血压等相关疾病的高易感性密切相关。由于钠、钾、钙、磷酸盐和铁的细胞内功能失调与高血压和其他代谢紊乱的高风险有关,因此肥胖患者一直对这些细胞内功能感兴趣。材料与方法:在本研究中,测定了肥胖患者与正常体重者血清中钠、钾、钙、磷酸盐和铁的循环水平。此外,我们还研究了这些电解质与众所周知的肥胖指数(如体重指数(BMI)、腰围(WC)、臀围、甘油三酯(TG)、胆固醇和其他特征)的相关性。结果:肥胖患者的钠、钾、钙、磷酸盐、铁的平均水平与正常体重者相比有显著差异(p < 0.05)。我们观察到这些电解质水平与肥胖指数(如BMI、WC、hip和胆固醇)之间存在正偏相关。结论:根据观察到的电解质浓度失衡,本研究提示肥胖与高血压、肾衰竭等代谢性疾病指标呈正相关。此外,饮食调整的努力可能有助于旨在减轻肥胖和相关疾病负担的计划。
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引用次数: 3
A Survey on the association of glycosylated hemoglobin A1C and hyperlipidemia in patients with type 2 diabetes 2型糖尿病患者糖化血红蛋白A1C与高脂血症的相关性研究
Pub Date : 2019-07-15 DOI: 10.22037/AMLS.V4I1.21919
H. Musavi, Mojdeh Mahdiannasser, A. Shamshirian, S. Azizi
Background : Type 2 diabetes includes a series of disorders characterized by hyperglycemia, which are followed by dysfunction in insulin secretion. In the clinical laboratory, A1C test defines blood glucose levels over a three-month period. The aim of this study is to evaluate the correlation between HbA1c and hyperlipidemia in patients with type 2 diabetes. Materials and Methods : An cross-sectional study was performed on 209 diabetic patients men (n=109) and women (n=100) with a mean age of 57.1 ± 11.1 years. Diagnosis of diabetes was performed according to the WHO criteria. In this study, venous blood (5 ml) was collected from participants after overnight fasting, and HbA1C levels and lipid profiles were determined using enzymatic methods and auto-analyzer device. Risk factor values (TCH/HDL-C) and atherogenic index of plasma (AIP) (logTG/HDL-c), as well as LDL-C/HDL-C ratio, were calculated. Results : HDL-C and TCH / HDL-C were significantly increased in women. On the other hand, LDL-C/HDL-C and HbA1c levels were significantly higher in men. There was no significant difference in the levels of cholesterol, triglyceride, fast blood sugar (FBS), LDL-C, and AIP between women and men. Cholesterol, FBS, LDL-C and LDL-C/HDL-C also showed a significant direct correlation with HbA1c, but no significant correlation was observed between triglyceride, HDL, AIP, and risk ratio with HbA1c. Conclusion : HbA1c may be considered as a biomarker for dyslipidemia screening in patients with type 2 diabetes
背景:2型糖尿病包括一系列以高血糖为特征的疾病,随后是胰岛素分泌功能障碍。在临床实验室,糖化血红蛋白检测确定三个月的血糖水平。本研究的目的是评估2型糖尿病患者HbA1c与高脂血症的相关性。材料与方法:对209例糖尿病患者进行横断面研究,男性109例,女性100例,平均年龄57.1±11.1岁。根据世界卫生组织的标准进行糖尿病诊断。在本研究中,参与者在禁食过夜后采集静脉血(5ml),并使用酶促法和自动分析仪检测HbA1C水平和血脂。计算危险因素值(TCH/HDL-C)、血浆动脉粥样硬化指数(AIP) (logTG/ HDL-C)及LDL-C/HDL-C比值。结果:女性HDL-C和TCH / HDL-C明显升高。另一方面,男性的LDL-C/HDL-C和HbA1c水平明显更高。在胆固醇、甘油三酯、空腹血糖(FBS)、低密度脂蛋白(LDL-C)和AIP水平上,男女之间没有显著差异。胆固醇、FBS、LDL-C、LDL-C/HDL- c也与HbA1c有显著的直接相关性,但甘油三酯、HDL、AIP、风险比与HbA1c无显著相关性。结论:HbA1c可作为2型糖尿病患者血脂异常筛查的生物标志物
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引用次数: 0
期刊
Medical laboratory sciences
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