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Differential DNA Extraction from Lateral Flow Immunochromatographic Tests via the EZ1® Advanced XL System.
IF 2.3 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2025-01-02 DOI: 10.3390/mps8010002
Scarlet Neilson, Leah Nangeroni, Mirna Ghemrawi

This differential extraction protocol details the steps for isolating DNA from sample pads used in lateral flow immunochromatographic (LFI) tests, particularly for cases involving mixed biological samples such as semen and menstrual blood, or other evidence related to sexual assault. This procedure utilizes a differential extraction technique applied to sample pads from immunochromatographic tests, where the sample pads serve as the substrate. The method involves two sequential lysis steps to effectively separate non-sperm and sperm fractions, enabling the targeted isolation of distinct cell types for downstream DNA analysis. The efficiency of this procedure is demonstrated by the results within this paper, which highlights the successful recovery of both male autosomal and Y-STR profiles, even in mixed samples with a high female presence. Overall, this protocol demonstrates the effective recovery of DNA from sample pads, which is beneficial for forensic practitioners dealing with limited sample quantities, underscoring the value of using these pads in forensic analysis.

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引用次数: 0
Evaluation of Protocols for DNA Extraction from Individual Culex pipiens to Assess Pyrethroid Resistance Using Genotyping Real-Time Polymerase Chain Reaction. 实时聚合酶链反应基因分型法检测库蚊对拟除虫菊酯类杀虫剂抗性的方法研究
IF 2.3 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2024-12-23 DOI: 10.3390/mps7060106
Ilaria Congiu, Elisa Cugini, Daniele Smedile, Federico Romiti, Manuela Iurescia, Valentina Donati, Claudio De Liberato, Antonio Battisti

Culex pipiens is a major vector of pathogens, including West Nile and Usutu viruses, that poses a significant public health risk. Monitoring pyrethroid resistance in mosquito populations is essential for effective vector control. This study aims to evaluate four DNA extraction protocols-QIAsymphony, DNAzol® Direct reagent, PrepMan® Ultra Sample Preparation Reagent (USPR), and Chelex® 100-to identify an optimal method to extract DNA from individual Culex pipiens, as part of a high-throughput surveillance of pyrethroid resistance using Real-Time Genotyping PCR. The target is the L1014F mutation in the voltage-sensitive sodium channel (VSSC) gene, which confers knockdown (kdr) resistance to pyrethroids. Mosquitoes were collected from wintering and summer habitats in Lazio and Tuscany, Italy, and DNA was extracted using the four methods. The quality, quantity, extraction time, and cost of the DNA were compared among the various methods. The PrepMan® USPR protocol was the most efficient, providing high-quality DNA with a 260/280 purity ratio within the optimal range at the lowest cost and in a short time. This method also demonstrated the highest amplification success rate (77%) in subsequent real-time PCR assays, making it the preferred protocol for large-scale genotyping studies.

库蚊是西尼罗河病毒和乌苏图病毒等病原体的主要传播媒介,对公共卫生构成重大威胁。监测蚊子种群中拟除虫菊酯耐药性对有效控制病媒至关重要。本研究旨在评估四种DNA提取方案(qiasymphony、DNAzol®Direct reagent、PrepMan®Ultra Sample Preparation reagent (USPR)和Chelex®100),以确定提取库蚊个体DNA的最佳方法,作为实时基因分型PCR高通量监测拟除虫菊酯类杀虫剂耐药性的一部分。目标是电压敏感钠通道(VSSC)基因中的L1014F突变,该突变赋予对拟除虫菊酯的敲低(kdr)抗性。在意大利拉齐奥和托斯卡纳的冬季和夏季栖息地收集蚊子,采用四种方法提取DNA。比较了不同提取方法提取DNA的质量、数量、提取时间和成本。PrepMan®USPR方案是最有效的,以最低的成本和较短的时间在最佳范围内提供260/280纯度比的高质量DNA。该方法在随后的实时PCR分析中也显示出最高的扩增成功率(77%),使其成为大规模基因分型研究的首选方案。
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引用次数: 0
Formalin and 2.5% Glutaraldehyde/2% Paraformaldehyde in 0.1 M Cacodylate Buffer Inactivation Protocols to Ensure the Proper Fixation of Positive Sense RNA Viruses and Genomic Material Prior to Removal from Containment. 福尔马林和2.5%戊二醛/2%多聚甲醛在0.1 M草酸缓冲液中灭活方案,以确保在从容器中移除之前正确固定阳性RNA病毒和基因组物质。
IF 2.3 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2024-12-21 DOI: 10.3390/mps7060105
Lauren E Panny, Ashley E Piper, Christina L Gardner, Crystal W Burke

Recommendations released by the CDC in 2023 address the need to demonstrate that the RNA genome of positive-strand RNA viruses is inactivated in addition to viral particles. This recommendation is in response to the similarities between host mRNA and the viral genome that allow the viral RNA to be used as a template by host replication mechanisms to produce infectious viruses; therefore, there is concern that through artificial introduction into host cells, active positive-strand RNA genomes can be utilized to produce infectious viruses out of a containment facility. Utilizing 10% formalin for 7 days or 2.5% glutaraldehyde/2% paraformaldehyde in 0.1 M cacodylate buffer (glut/PFA) for 2 days to fix eastern equine encephalitis virus (EEEV)-infected non-human primate (NHP) brain tissue was found to effectively inactivate EEEV particles and genomic RNA. The methods assessed in this paper outline an effective means to validate both genomic RNA and viral particle inactivation.

美国疾病控制与预防中心在2023年发布的建议解决了证明除病毒颗粒外,正链RNA病毒的RNA基因组也灭活的需要。这一建议是针对宿主mRNA和病毒基因组之间的相似性作出的,这些相似性使得病毒RNA可以被宿主复制机制用作模板,以产生传染性病毒;因此,令人担忧的是,通过人工导入宿主细胞,活性正链RNA基因组可被用于从收容设施中产生感染性病毒。用10%福尔马林浸泡7天或用2.5%戊二醛/2%多聚甲醛浸泡0.1 M草酸缓冲液(glut/PFA)浸泡2天对东部马脑炎病毒(EEEV)感染的非人灵长类动物(NHP)脑组织进行修复,可有效灭活EEEV颗粒和基因组RNA。本文评估的方法概述了验证基因组RNA和病毒颗粒失活的有效手段。
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引用次数: 0
The Measurement of Spatiotemporal Parameters in Running at Different Velocities: A Comparison Between a GPS Unit and an Infrared Mat. 不同运动速度下时空参数的测量:GPS单元与红外垫的比较。
IF 2.3 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2024-12-20 DOI: 10.3390/mps7060103
Thomas Provot, Benjamin Millot, Eline Hazotte, Thomas Rousseau, Jean Slawinski

The accurate measurement of spatiotemporal parameters, such as step length and step frequency, is crucial for analyzing running and sprinting performance. Traditional methods like video analysis and force platforms are either time consuming or limited in scope, prompting the need for more efficient technologies. This study evaluates the effectiveness of a commercial Global Positioning System (GPS) unit integrated with an Inertial Measurement Unit (IMU) in capturing these parameters during sprints at varying velocities. Five experienced male runners performed six 40 m sprints at three velocity conditions (S: Slow, M: Medium, F: Fast) while equipped with a GPS-IMU system and an optical system as the gold standard reference. A total of 398 steps were analyzed for this study. Step frequency, step length and step velocity were extracted and compared using statistical methods, including the coefficient of determination (r2) and root mean square error (RMSE). Results indicated a very large agreement between the embedded system and the reference system, for the step frequency (r2 = 0.92, RMSE = 0.14 Hz), for the step length (r2 = 0.91, RMSE = 0.07 m) and the step velocity (r2 = 0.99, RMSE = 0.17 m/s). The GPS-IMU system accurately measured spatiotemporal parameters across different running velocities, demonstrating low relative errors and high precision. This study demonstrates that GPS-IMU systems can provide comprehensive spatiotemporal data, making them valuable for both training and competition. The integration of these technologies offers practical benefits, helping coaches better understand and enhance running performance. Future improvements in sample rate acquisition GPS-IMU technology could further increase measurement accuracy and expand its application in elite sports.

准确测量步长和步频等时空参数对分析跑步和短跑成绩至关重要。传统的方法,如视频分析和力量平台,要么耗时,要么范围有限,这促使人们需要更高效的技术。本研究评估了商用全球定位系统(GPS)单元与惯性测量单元(IMU)在不同速度的冲刺中捕获这些参数的有效性。五名经验丰富的男性运动员在三种速度条件下(S:慢,m:中,F:快)进行了六次40米短跑,并配备了GPS-IMU系统和光学系统作为黄金标准参考。本研究共分析了398个步骤。提取步频、步长和步速,采用统计方法进行比较,包括决定系数(r2)和均方根误差(RMSE)。结果表明,在步进频率(r2 = 0.92, RMSE = 0.14 Hz)、步长(r2 = 0.91, RMSE = 0.07 m)和步速(r2 = 0.99, RMSE = 0.17 m/s)方面,嵌入式系统与参考系统之间存在很大的一致性。GPS-IMU系统能准确测量不同运行速度下的时空参数,具有相对误差小、精度高的特点。该研究表明,GPS-IMU系统可以提供全面的时空数据,使其在训练和比赛中都有价值。这些技术的整合提供了实际的好处,帮助教练更好地理解和提高跑步表现。未来GPS-IMU采样率采集技术的改进将进一步提高测量精度,扩大其在精英运动中的应用。
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引用次数: 0
Establishment of Stable Knockdown of MACC1 Oncogene in Patient-Derived Ovarian Cancer Organoids. 在患者源性卵巢癌类器官中稳定敲低MACC1癌基因的建立。
IF 2.3 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2024-12-20 DOI: 10.3390/mps7060104
Sophia Hierlmayer, Liliia Hladchenko, Juliane Reichenbach, Christoph Klein, Sven Mahner, Fabian Trillsch, Mirjana Kessler, Anca Chelariu-Raicu

High-grade serous ovarian cancer (HGSOC) remains the most lethal gynecological malignancy, and there is still an unmet medical need to deepen basic research on its origins and mechanisms of progression. Patient-derived organoids of high-grade serous ovarian cancer (HGSOC-PDO) are a powerful model to study the complexity of ovarian cancer as they maintain, in vitro, the mutational profile and cellular architecture of the cancer tissue. Genetic modifications by lentiviral transduction allow novel insights into signaling pathways and the potential identification of biomarkers regarding the evolution of drug resistance. Here, we provide an in-depth and detailed protocol to successfully modify the gene expression of HGSOC-PDOs by lentiviral transduction. As an example, we validate our protocol and create a stable knockdown of the MACC1 oncogene with an efficacy of ≥72% in two HGSOC-PDO lines, which remained stable for >3 months in culture. Moreover, we explain step-by-step the sample preparation for the validation procedures on transcriptional (qPCR) and protein (Western Blot) levels. Sustained downregulation of specific genes by lentiviral transduction enables the analysis of the resulting phenotypic and morphological changes. It serves as a valuable in-vitro model to study the mechanisms of ovarian cancer pathogenesis and allows for the evaluation of therapeutic approaches.

高级别浆液性卵巢癌(High-grade serous ovarian cancer, HGSOC)仍然是最致命的妇科恶性肿瘤,其起源和进展机制的基础研究仍有待深入。高级别浆液性卵巢癌患者源性类器官(HGSOC-PDO)是研究卵巢癌复杂性的一个强大模型,因为它们在体外维持癌组织的突变谱和细胞结构。慢病毒转导的遗传修饰允许对信号通路和关于耐药性进化的生物标志物的潜在鉴定有新的见解。在这里,我们提供了一个深入而详细的方案,成功地通过慢病毒转导修饰HGSOC-PDOs的基因表达。作为一个例子,我们验证了我们的方案,并在两个HGSOC-PDO品系中创建了MACC1癌基因的稳定敲除,其有效性≥72%,在培养中保持稳定50 - 3个月。此外,我们一步一步地解释了转录(qPCR)和蛋白质(Western Blot)水平验证程序的样品制备。慢病毒转导对特定基因的持续下调使分析产生的表型和形态变化成为可能。它可以作为一个有价值的体外模型来研究卵巢癌发病机制,并允许评估治疗方法。
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引用次数: 0
Studies on Square Wave and Cyclic Voltammetric Behavior of 1,2- and 1,4-Dihydroxybenzenes and Their Derivatives in Acetic Acid, Ethyl Acetate and Mixtures of the Two. 1,2-和1,4-二羟基苯及其衍生物在乙酸、乙酸乙酯和两者混合物中的方波和循环伏安行为研究
IF 2.3 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2024-12-20 DOI: 10.3390/mps7060102
László Kiss

An electrochemical investigation of 1,2- and 1,4-dihydroxybenzenes was carried out with platinum macro- and microelectrodes using square wave and cyclic voltammetry techniques. Furthermore, the effect of the two solvents-acetic acid and ethyl acetate-was compared. When using square wave voltammetry, signals only appeared at lower frequencies and only when the supporting electrolyte was in excess, as expected due to the relatively low permittivity of the used solvents. The behavior of hydroquinone and catechol did not differ significantly from that of their derivatives (dihydroxybenzaldehydes, dihydroxybenzoic acids and 2',5'-dihydroxyacetophenone). When the cyclic voltammetric experiments using a microelectrode were extended to higher anodic potentials, electrode fouling was very significant in ethyl acetate after the potential region where steady-state oxidation to the corresponding quinone occurs. The substituent effect was not significant here either, which was proven by using different functional groups in different positions. In contrast, the position had a dramatic influence on the susceptibility to electropolymerization, as 1,2-dihydroxybenzenes-independent of the nature of the substituent on the benzene ring-deactivated the electrode, while 1,4-dihydroxybenzenes did not, possibly due to the different solubilities of the polymers formed from the primary oxidation product (quinones). A user-friendly analytical procedure is also proposed that uses an electropolymerization reaction and does not require frequent cleaning of the electrode via polishing, which is required usually especially with a microelectrode.

采用方波和循环伏安技术对1,2-和1,4-二羟基苯进行了宏电极和微电极的电化学研究。并比较了乙酸和乙酸乙酯两种溶剂的反应效果。当使用方波伏安法时,由于所用溶剂的介电常数相对较低,信号仅在较低频率下出现,并且仅在支撑电解质过量时出现。对苯二酚和儿茶酚的行为与其衍生物(二羟基苯甲醛、二羟基苯甲酸和2′,5′-二羟基苯乙酮)的行为没有显著差异。当使用微电极的循环伏安实验扩展到更高的阳极电位时,在乙酸乙酯发生稳态氧化生成相应醌的电位区域后,电极污染非常明显。取代基效应也不显著,这是通过在不同位置使用不同的官能团来证明的。相反,位置对电聚合的敏感性有很大的影响,因为1,2-二羟基苯-与苯环上取代基的性质无关-使电极失活,而1,4-二羟基苯则没有,可能是由于由初级氧化产物(醌)形成的聚合物的不同溶解度。还提出了一种用户友好的分析方法,该方法使用电聚合反应,并且不需要通过抛光频繁地清洗电极,而抛光通常特别需要用于微电极。
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引用次数: 0
Proof of Concept Study: Comparison of Semi-Automated RNA Isolation Methods from Archived Formalin-Fixed, Paraffin-Embedded Tissues with Clinical Routine RNA Isolation Methods. 概念验证研究:从存档的福尔马林固定石蜡包埋组织中半自动RNA分离方法与临床常规RNA分离方法的比较。
IF 2.3 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2024-12-19 DOI: 10.3390/mps7060101
Patrick Hannibal Dalsbo Petersen, Jaslin Pallikkunnath James, Lene Buhl Riis, Claus Kim Høgdall, Estrid Vilma Høgdall

High-quality RNA is crucial in clinical diagnostics and precision medicine. Formalin-fixed and paraffin-embedded (FFPE) tissues pose a challenge due to nucleic acid fragmentation and crosslinking. In this pilot study, various commercially available techniques for extracting RNA from small FFPE samples were compared. We evaluated the KingFisher Duo automated system or the manual MagMAX FFPE DNA/RNA Ultra Kit as an RNA extraction method combined with either a xylene, d-limonene, or AutoLys M tubes deparaffinization method. Additionally, the automated Maxwell RSC RNA FFPE kit and the High Pure FFPET RNA Isolation Kit were examined using FFPE samples from inflammatory bowel disease (IBD) patients, as well as samples from ovarian, kidney, and breast cancer and the skin. The KingFisher Duo system gave a higher yield and more consistent RNA quantities, especially from small volumes of IBD samples, compared to manual extraction. The deparaffinization method also impacted results, with AutoLys M tubes proving effective in combination with the KingFisher Duo system. Conversely, the High Pure kit exhibited higher yields for larger FFPE samples. While RNA integrity is a critical factor, particularly for messenger RNA (mRNA) expression studies, its role is less prominent in microRNA (miRNA) analyses. Recognizing this, our study focused on RNA yield and purity (A260/A230) to evaluate RNA extraction methods for various sample types. These findings emphasize the importance of selecting appropriate RNA extraction methods based on sample characteristics and research goals, highlighting the performance of automated methods and the impact of deparaffinization choices. The findings contribute to refining RNA extraction for molecular biology analyses, suggesting avenues for further exploration, including cost-effectiveness under specific experimental conditions.

高质量RNA对临床诊断和精准医疗至关重要。由于核酸断裂和交联,福尔马林固定和石蜡包埋(FFPE)组织构成了挑战。在这项初步研究中,比较了从小型FFPE样品中提取RNA的各种商业上可用的技术。我们评估了KingFisher Duo自动化系统或手动MagMAX FFPE DNA/RNA Ultra Kit作为RNA提取方法与二甲苯,d-limonene或AutoLys M管脱胶方法的组合。此外,自动Maxwell RSC RNA FFPE试剂盒和高纯FFPET RNA分离试剂盒使用炎症性肠病(IBD)患者的FFPE样本,以及卵巢癌、肾癌、乳腺癌和皮肤样本进行检测。与人工提取相比,KingFisher Duo系统的产量更高,RNA数量更一致,特别是从小体积的IBD样品中。脱胶方法也影响了结果,AutoLys M管与KingFisher Duo系统的结合被证明是有效的。相反,对于较大的FFPE样品,高纯试剂盒显示出更高的收率。虽然RNA完整性是一个关键因素,特别是在信使RNA (mRNA)表达研究中,但它在microRNA (miRNA)分析中的作用不太突出。认识到这一点,我们的研究重点是RNA产量和纯度(A260/A230),以评估各种样品类型的RNA提取方法。这些发现强调了根据样品特征和研究目标选择合适的RNA提取方法的重要性,突出了自动化方法的性能和分离选择的影响。这些发现有助于改进分子生物学分析的RNA提取,为进一步探索提供了途径,包括在特定实验条件下的成本效益。
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引用次数: 0
Liver Cancer Neuroscience: Regulating Liver Tumors via Selective Hepatic Vagotomy. 肝癌神经科学:通过选择性肝迷走神经切开术调节肝脏肿瘤。
IF 2.3 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2024-12-11 DOI: 10.3390/mps7060099
Kylynda C Bauer, Shadin Ghabra, Chi Ma, Lee Chedester, Tim F Greten

Both the prevalence and mortality of liver cancers continue to rise. Early surgical interventions, including liver transplantation or resection, remain the only curative treatment. Nerves in the periphery influence tumor growth within visceral organs. Emerging cancer neuroscience efforts linked parasympathetic vagus nerves with tumor pathology, underscoring the value of vagal nerve denervation methods within cancer mouse models. Here, we describe a selective hepatic vagotomy that largely maintains non-liver parasympathetic innervation in mice. To address vagal interactions in hepatic tumor pathology, we provide an adapted methodology utilizing an established liver metastatic model. We anticipate that this methodology will expand the burgeoning field of cancer neuroscience, enabling the study of the neuroimmune, neurometabolic, and/or nerve-microbiota interactions shaping liver cancer progression and treatment.

肝癌的患病率和死亡率都在持续上升。早期手术干预,包括肝移植或切除,仍然是唯一的治疗方法。外周神经影响内脏器官内肿瘤的生长。新兴的癌症神经科学研究将副交感迷走神经与肿瘤病理联系起来,强调了迷走神经去神经支配方法在癌症小鼠模型中的价值。在这里,我们描述了一种选择性的肝脏迷走神经切断术,在很大程度上维持了小鼠的非肝脏副交感神经支配。为了解决迷走神经在肝肿瘤病理中的相互作用,我们提供了一种利用已建立的肝转移模型的适应性方法。我们预计这种方法将扩展癌症神经科学的新兴领域,使研究神经免疫、神经代谢和/或神经微生物群相互作用影响肝癌的进展和治疗成为可能。
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引用次数: 0
The Multifunctional Catalytic Hemoglobin from Amphitrite ornata: Protocols on Isolation, Taxonomic Identification, Protein Extraction, Purification, and Characterization. 从两栖藻中提取的多功能催化血红蛋白:分离、分类鉴定、蛋白质提取、纯化和表征的方法。
IF 2.3 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2024-12-11 DOI: 10.3390/mps7060100
Anna L Husted, Victoria R Sutton, Lauren A Presnar, R Kevin Blackburn, Joseph L Staton, Stephen A Borgianini, Edward L D'Antonio

The multifunctional catalytic hemoglobin from the terebellid polychaete Amphitrite ornata, also named dehaloperoxidase (AoDHP), utilizes the typical oxygen transport function in addition to four observed activities involved in substrate oxidation. The multifunctional ability of AoDHP is presently a rare observation, and there exists a limitation for how novel dehaloperoxidases can be identified from macrobenthic infauna. In order to discover more infaunal DHP-bearing candidates, we have devised a facilitated method for an accurate taxonomic identification that places visual and molecular taxonomic approaches in parallel. Traditional visual taxonomic species identification by the non-specialist, at least for A. ornata or even for other marine worms, is a very difficult and time-consuming task since a large diversity is present and the method is restricted to adult worm specimens. The work herein aimed to describe a method that simplifies the taxonomic identification of A. ornata in particular through the assessment of its mitochondrial cytochrome c oxidase subunit I gene by employing the DNA barcoding technique. Furthermore, whole-worm specimens of A. ornata were used to extract and purify AoDHP followed by an H2O2-dependent peroxidase activity assay evaluation against substrate 2,4,6-trichlorophenol. AoDHP isoenzyme A was also overexpressed as the recombinant protein in Escherichia coli, and its peroxidase activity parameters were compared to AoDHP from the natural source. The activity assay assessment indicated a tight correlation for all Michaelis-Menten parameters evaluated. We conclude that the method described herein exhibits a streamlined approach to identify the polychaete A. ornata, which can be adopted by the non-specialist, and the full procedure is predicted to facilitate the discovery of novel dehaloperoxidases from other marine invertebrates.

来自terebellid polychaete Amphitrite ornata的多功能催化血红蛋白,也被称为脱盐过氧化物酶(AoDHP),除了具有典型的氧转运功能外,还具有四种观察到的涉及底物氧化的活性。AoDHP的多功能能力目前是一种罕见的观察,并且如何从大型底栖动物中鉴定新的脱盐过氧化物酶存在限制。为了发现更多的动物dhp候选者,我们设计了一种简便的方法,将视觉和分子分类方法并行进行准确的分类鉴定。传统的视觉分类物种鉴定是一项非常困难和耗时的任务,至少对于a . ornata或其他海洋蠕虫来说,因为存在大量的多样性,而且这种方法仅限于成虫标本。本文旨在描述一种利用DNA条形码技术,通过对其线粒体细胞色素c氧化酶亚基I基因的评估,简化了a . ornata分类鉴定的方法。此外,我们还利用全虫标本提取纯化了AoDHP,并进行了h2o2依赖性过氧化物酶对底物2,4,6-三氯酚的活性测定。AoDHP同工酶A也以重组蛋白的形式在大肠杆菌中过表达,并将其过氧化物酶活性参数与天然来源的AoDHP进行比较。活性分析评估表明,所有Michaelis-Menten参数评估密切相关。我们的结论是,本文描述的方法展示了一种简化的方法来识别多毛藻a . ornata,可以被非专业人员采用,并且整个过程预计将有助于从其他海洋无脊椎动物中发现新的脱盐过氧化物酶。
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引用次数: 0
Impact of the Timed and Targeted Counselling Model on Maternal Health Continuum of Care Outcomes in Northern Uganda: Protocol of a Quasi-Experimental Study. 在乌干达北部,定时和有针对性的咨询模式对孕产妇保健连续护理结果的影响:一项准实验研究的协议。
IF 2.3 Q3 BIOCHEMICAL RESEARCH METHODS Pub Date : 2024-12-10 DOI: 10.3390/mps7060098
Douglas Zibugu, Jessica S Gubbels, Christabellah Namugenyi, John Bosco Asiimwe, Sanne Gerards

Background: About 287,000 women died globally during their pregnancy journey in 2020, yet most of these deaths could have been prevented. In Uganda, studies show that using Community Health Worker (CHW) visits to households with a pregnant woman can support the prevention of adverse maternal and neonatal outcomes. One such intervention is through the timed and targeted counselling (ttC) approach, where CHWs deliver tailored messages to mothers and their male caregivers at key stages of pregnancy. This study aims to evaluate the impact of the ttC approach on maternal health in Northern Uganda. The main outcomes include antenatal care attendance, advised place of delivery, and postnatal care visit.

Methods: We will employ a cross-sectional quasi-experimental design, with retrospective data to compare an intervention group (where ttC is implemented) to a control group (without intervention) using the propensity score matching (PSM) technique applying a 1:1 ratio with a caliper width of 20% of the standard deviation to estimate the average treatment effects. Adjusted odds ratios after generating matched pairs will be reported with 95% confidence intervals with Rosenbaum sensitivity analysis carried out for robustness.

Discussion: These findings can be used to modify the implementation of the ttC approach, thereby enhancing its efficiency and effectiveness.

背景:2020年,全球约有28.7万名妇女在怀孕期间死亡,但其中大多数死亡是可以避免的。在乌干达,研究表明,利用社区卫生工作者(CHW)访问有孕妇的家庭可以帮助预防孕产妇和新生儿的不良结局。其中一种干预措施是通过定时和有针对性的咨询(ttC)方法,在怀孕的关键阶段,保健员向母亲及其男性照顾者提供量身定制的信息。本研究旨在评估ttC方法对乌干达北部孕产妇保健的影响。主要结果包括产前护理出勤率、建议的分娩地点和产后护理访视。方法:我们将采用横断面准实验设计,采用回顾性数据比较干预组(实施ttC)和对照组(不进行干预),使用倾向评分匹配(PSM)技术,采用1:1的比例,卡尺宽度为标准偏差的20%,以估计平均治疗效果。生成匹配对后的校正比值比将以95%的置信区间报告,并进行Rosenbaum敏感性分析以保持稳健性。讨论:这些发现可用于修改ttC方法的实施,从而提高其效率和有效性。
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引用次数: 0
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