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Effect of holder pasteurization and storage of donor human milk on Bacillus cereus survival 供体母乳的支架巴氏杀菌和储存对蜡样芽孢杆菌存活率的影响
Pub Date : 2024-01-01 DOI: 10.2478/ahem-2023-0027
Kamila Strom, S. Jarzynka, Anna Minkiewicz-Zochniak, A. Wesołowska, G. Olędzka
Human milk, which constitutes the best composed nutrition for infants, is not a sterile biofluid. Besides nutritional and bioactive components, many microorganisms have been found in human milk, including Bacillus cereus. Those pathogenic bacteria can be responsible for causing pneumonia or septicemia in neonates. Although Bacillus cereus infections are not common, they represent one of the increasing factors of a high mortality rate in the preterm infants group. Donor human milk (DHM) may be a significant source of this pathogen. Given the high ability of Bacillus cereus spores to survive under different thermal conditions, we tested the effect of the holder pasteurization and storage points (4 °C and −21 °C) on sporulation and vegetative forms’ survival in inoculated human milk samples by culture method and light microscopy. Studies confirmed that holder pasteurization is effective against vegetative forms of Bacillus cereus. Additionally, during storage endospores were observed in all analyzed inoculated donor milk samples, both the pasteurized and unpasteurized samples, thus possibly promoting the occurrence of Bacillus cereus in DHM. Bacillus cereus is considered a contamination in DHM and in the human milk banks’ (HMB) environment. There is a need to further develop methods of identifying, transmitting, and preventing bacteria forming spores, which could be applied in HMB.
母乳是婴儿的最佳营养品,但它并不是无菌的生物液体。除了营养成分和生物活性成分外,母乳中还发现了许多微生物,包括蜡样芽孢杆菌。这些致病菌可导致新生儿肺炎或败血症。虽然蜡样芽孢杆菌感染并不常见,但却是早产儿死亡率增高的因素之一。捐赠人奶(DHM)可能是这种病原体的重要来源。 鉴于蜡样芽孢杆菌孢子在不同温度条件下的存活能力很强,我们通过培养法和光学显微镜检测了支架巴氏灭菌法和储存点(4 °C和-21 °C)对接种母乳样本中孢子和无性繁殖体存活的影响。 研究证实,支架巴氏灭菌法能有效抑制蜡样芽孢杆菌的无性繁殖。此外,在贮存期间,所有分析接种的供体奶样本(包括巴氏杀菌和未巴氏杀菌样本)中都观察到了内生孢子,因此可能会促进蜡样芽孢杆菌在 DHM 中的出现。 蜡样芽孢杆菌被认为是母乳和母乳库(HMB)环境中的一种污染。有必要进一步开发可用于人奶库的识别、传播和预防细菌孢子的方法。
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引用次数: 0
Ocular ischemic syndrome – case report and literature analysis 眼缺血综合征--病例报告和文献分析
Pub Date : 2024-01-01 DOI: 10.2478/ahem-2024-0001
Aleksandra Górska, Marek Sosnowski, Sebastian Sirek, R. Leszczyński, Mikołaj Kuźniak, Ewa Mrukwa-Kominek
Ocular ischemic syndrome (OIS) is a rare condition associated with ocular hypoperfusion caused by carotid artery occlusive disease. This article describes the case of a patient who was admitted to the Department of Ophthalmology at UCK in Katowice, Poland, due to significant loss of visual acuity and pain in the right eye. Retrosopective case report. Patient showed up in the ophthalmological emergency department complaining of significant loss of visual acuity and pain in the right eye persisting for 2 weeks. The patient had a history of type II diabetes mellitus, hypertension, status post ACS and PCI, and long-term nicotinism. Examination of the right eye revealed ocular irritation, mixed conjunctival injection, hyphema in the anterior chamber, iris neovascularization, and discrete central retinal fading. Additional examinations were performed, including an angioCT, which showed a long-standing obstruction of the right internal carotid artery, a ballooning thrombus in the lumen of the brachiocephalic trunk, and suspected critical stenosis of the left vertebral artery. A neurologist and vascular surgeon were consulted, and treatment was instituted to limit further complications from the underlying disease. The patient remains under close supervision of the vascular surgeon and neurologist. OIS is a rare but potentially blinding condition and should be considered in the differential diagnosis of transient visual acuity reduction or vision loss.
眼部缺血综合征(OIS)是一种罕见病,与颈动脉闭塞性疾病导致的眼部低灌注有关。本文描述了一例因视力明显下降和右眼疼痛而入住波兰卡托维兹 UCK 眼科的患者。 回顾性病例报告。 患者到眼科急诊就诊,主诉视力明显下降,右眼疼痛持续两周。患者有 II 型糖尿病史、高血压史、ACS 和 PCI 后遗症以及长期尼古丁中毒。右眼检查发现眼部刺激、混合性结膜注射、前房红斑、虹膜新生血管和离散性视网膜中央褪色。患者接受了其他检查,包括血管造影术(angioCT),结果显示右侧颈内动脉长期阻塞,肱脑干管腔内有气球状血栓,左侧椎动脉疑似严重狭窄。医生咨询了神经科医生和血管外科医生,并采取了治疗措施,以防止潜在疾病引发更多并发症。患者仍在血管外科医生和神经科医生的密切监护下接受治疗。 OIS是一种罕见但可能致盲的疾病,应在一过性视力下降或视力丧失的鉴别诊断中加以考虑。
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引用次数: 0
Epidemiology of childhood acute leukemias 儿童急性白血病流行病学
Pub Date : 2024-01-01 DOI: 10.2478/ahem-2023-0023
Marzena Ciesielska, Beata Orzechowska, Andrzej Gamian, Bernarda Kazanowska
Acute leukemias are the largest group of childhood cancers. According to the latest WHO data 80,491 leukemias were diagnosed in 2020 alone. In the coming years the incidence worldwide will continue at a similar level. The morbidity correlates with biological determinants such age, gender and race. The etiology of leukemia formation is complex and depends on genetic, physiological, environmental and even prior treatment-related factors. Both the incidence and curability are also influenced by age, gender, and race. The peak of incidence of leukemia occurs between the ages of 1–4 years and 9–19. The etiology of leukemia formation is complex and depends on genetic, physiological, environmental and even prior treatment-related factors. Boys suffer from leukemia more often than girls. In 2020 58.2% of diagnoses were for boys. Numerous factors contribute to the development of acute leukemia. In the case of young children, a notable association exists between acute leukemia and infections caused by viruses such as EBV or HHV-6. Furthermore, the risk of leukemia can be elevated by allergies, which involve Th1/Th2 lymphocyte-dependent mechanisms. A familial predisposition to tumorigenesis in children is observed in Li-Fraumeni Syndrome. Also, genetic diseases such as Down syndrome and Fanconi anemia are associated with an increased risk of acute leukemia. Previous exposure to radiation therapy or the use of anti-cancer drugs can also lead to the development of secondary cancers, including leukemia. The analysis of risk factors can be used to support efforts aimed to reduce potentially harmful exposure and to decrease the risk of disease.
急性白血病是儿童癌症中最大的一类。根据世界卫生组织的最新数据,仅在 2020 年就诊断出 80 491 例白血病。未来几年,全球发病率将保持在类似水平。发病率与年龄、性别和种族等生理因素相关。白血病的病因很复杂,取决于遗传、生理、环境甚至先前治疗的相关因素。发病率和治愈率也受年龄、性别和种族的影响。白血病的发病高峰出现在 1-4 岁和 9-19 岁之间。白血病的病因很复杂,取决于遗传、生理、环境,甚至与先前治疗有关的因素。男孩比女孩更容易患白血病。2020 年,58.2% 的确诊病例为男孩。急性白血病的发病因素众多。就幼儿而言,急性白血病与由 EBV 或 HHV-6 等病毒引起的感染之间存在明显的关联。此外,过敏也会增加罹患白血病的风险,这涉及 Th1/Th2 淋巴细胞依赖机制。Li-Fraumeni 综合征(Li-Fraumeni Syndrome)是一种家族性儿童肿瘤发生倾向。此外,唐氏综合征和范可尼贫血症等遗传疾病也与急性白血病的发病风险增加有关。曾经接受过放射治疗或使用过抗癌药物也会导致继发性癌症的发生,包括白血病。对风险因素的分析可用于支持旨在减少潜在有害接触和降低患病风险的工作。
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