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Prevalence of metallo-beta-lactamase in clinical isolates of Pseudomonas aeruginosa and Proteus mirabilis in Benin City, Nigeria 尼日利亚贝宁市铜绿假单胞菌和奇异变形杆菌临床分离物中金属-β-内酰胺酶的流行情况
Pub Date : 2024-07-30 DOI: 10.30574/wjarr.2024.23.1.2060
Olabisi Promise Lawal, Ibrahim Ayo Olanipekun, Bukola Ikuejamoye-Omotore, Adedoyin Tinuade Buari, Omowunmi Ramota Gbadamosi, Cynthia Amarachukwu Ibe-Chukwuemeka
Carbapenems are the prime choice of treatment for severe cases of infections caused by Multi-Drug-Resistant Pseudomonas aeruginosa and Proteus mirabilis. Nevertheless, Metallo-Beta-Lactamase (MBL) production by these organisms has led to carbapenem resistance which is a global threat. This study aimed to determine the prevalence and antimicrobial susceptibility profile of MBL in clinical isolates of Pseudomonas aeruginosa and Proteus mirabilis in Benin City, Nigeria. 354 non monotonous clinical isolates of Pseudomonas aeruginosa (282) and Proteus mirabilis (72) used were obtained from various clinical samples from tertiary hospitals in Benin City. Identification of these isolates were done using standard microbiological techniques. Antimicrobial susceptibility test was performed using Kirby-Bauer disk diffusion method. MBL production was detected using Imipenem Ethylene-Diamine-Tetra-Acetic Acid combined disc test method. Of the total 354 clinical isolates tested, 115 (32.48%) were MBL and the prevalence of this resistant isolates was significantly higher in Pseudomonas aeruginosa (46.8%) compared to Proteus mirabilis (P=0.0001). Among the metallo-beta-lactamase producing isolates of Pseudomonas aeruginosa higher prevalence were reported from Pleural fluid and cerebrospinal fluid samples with 6 (100%) and 3 (100%) respectively. This difference was statistically significant (P=0.0001). Susceptibility testing showed that isolates that produced beta-lactamase demonstrated poorly against cephalosporin, amoxicillin-clavulanate, gentamicin and floroquinones than non-beta- lactamase producers. A prevalence of 46.8% was reported for MBL producing Pseudomonas aeruginosa and 12.5% was reported for MBL producing Proteus mirabilis. Isolates that produced the MBL enzyme were more resistant to antibacterial agents. Measures to control and curb the spread of MBL producing clinical isolates are highly advocated
碳青霉烯类是治疗由多重耐药铜绿假单胞菌和神奇变形杆菌引起的严重感染病例的首选药物。然而,这些微生物产生的金属-β-内酰胺酶(MBL)导致了碳青霉烯类耐药性,这是一个全球性威胁。本研究旨在确定尼日利亚贝宁市铜绿假单胞菌和奇异变形杆菌临床分离物中 MBL 的流行率和抗菌药敏感性概况。使用的 354 个铜绿假单胞菌(282 个)和奇异变形杆菌(72 个)的非单一临床分离物是从贝宁市三级医院的各种临床样本中获得的。使用标准微生物学技术对这些分离物进行了鉴定。使用柯比鲍尔盘扩散法进行了抗菌药敏感性测试。使用亚胺培南乙二胺四乙酸联合圆片测试法检测 MBL 的产生。在检测的 354 个临床分离株中,有 115 个(32.48%)产生了 MBL,与奇异变形杆菌相比,铜绿假单胞菌(46.8%)产生耐药分离株的比例明显更高(P=0.0001)。在铜绿假单胞菌产生金属-β-内酰胺酶的分离株中,胸腔积液和脑脊液样本中的流行率较高,分别为 6 株(100%)和 3 株(100%)。这一差异具有统计学意义(P=0.0001)。药敏试验显示,产生β-内酰胺酶的分离株与不产生β-内酰胺酶的分离株相比,对头孢菌素、阿莫西林-克拉维酸、庆大霉素和氟喹诺酮类药物的耐药性较差。据报告,产生 MBL 的铜绿假单胞菌感染率为 46.8%,产生 MBL 的奇异变形杆菌感染率为 12.5%。产生 MBL 酶的分离菌株对抗菌剂的耐药性更强。强烈建议采取措施控制和遏制产生 MBL 的临床分离菌的传播。
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引用次数: 0
In vitro micropropagation and mass multiplication of Stevia rebaudiana Bertoni 甜叶菊的体外微繁殖和大量繁殖
Pub Date : 2024-07-30 DOI: 10.30574/wjarr.2024.23.1.2027
Vaibhav D. Misal, Ashok M. Chavan
Stevia rebaudiana Bertoni, an ancient perennial herb produces steviol glycosides including stevioside and rebaudioside-A that are valuable as low calorie sweeteners, about 300-400 times sweeter than saccharose. Conventional propagation methods are not produce adequate planting material. Micro propagation is an imperative technology that could be extensively exploited to meet the growing demands of elite planting material for commercially cultivated. The prime objective of this study was to established standard protocol for in vitro regeneration and mass multiplication in Stevia. In present investigation, different concentrations of Auxin and Cytokinin were tried for optimization of shoot initiation, shoot multiplication, root initiation and callus induction of Stevia from different explant. BAP and IBA (1.0+0.5) mg/l, IBA (2.0) mg/l shows promising results of shoot multiplication and root initiation respectively.
甜叶菊(Stevia rebaudiana Bertoni)是一种古老的多年生草本植物,可产生甜菊糖甙,包括甜菊糖甙和甜菊糖甙-A,是一种有价值的低热量甜味剂,其甜度约为糖的 300-400 倍。传统的繁殖方法无法生产出足够的种植材料。微型繁殖是一项必要的技术,可以广泛利用,以满足商业栽培对优质种植材料日益增长的需求。本研究的主要目的是建立甜叶菊体外再生和大量繁殖的标准方案。在本研究中,尝试了不同浓度的叶黄素和细胞分裂素,以优化甜叶菊不同外植体的芽萌发、芽繁殖、根萌发和胼胝体诱导。BAP 和 IBA(1.0+0.5)毫克/升、IBA(2.0)毫克/升分别在芽繁殖和根萌发方面显示出良好的效果。
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引用次数: 0
The most effective strategies in teaching theoretical Anatomy in Medical schools, from a student’s view 从学生角度看医学院理论解剖学教学的最有效策略
Pub Date : 2024-07-30 DOI: 10.30574/wjarr.2024.23.1.2013
Sérgio Murta Maciel, Breno Bitencourt Brás, Gabriel Toledo
Introduction: The anatomical study cannot be limited to memorization and identification of structures. It is essential that, in a modern and dynamic approach to this discipline, contextualization is adopted, and above all, the clinical applications of what is studied, in addition to other methods such as 3D images. It is necessary to understand the student's conception of such methods – the didactic and scientific evidence at the moment – so that they can make the connection – in the present and the future – with professional life. Methodology: The research, carried out with 163 medical students from two educational institutions in Juiz de Fora, aimed to find out which methodologies were used in their anatomy course; Which one(s) among them is(are) seen as the most effective, and most facilitator(s) of the learning process and approach to clinical practice. The data obtained were processed using the SPSS program, version 20.0. Results: It was evident that the approach to anatomical content based on clinical direction, contextualization of the subject, and use of radiological images is more widespread in Medicine. The application of seminars and clinical debates was scarcely explored. The use of alternative technologies to slides was notable in the Medicine course. Medical students, markedly, advocate for contextualizations and clinical applications. Conclusions: Students, in general, recognize the effectiveness of contextualization, clinical correlations, and the use of images. Few students support the use of seminars. As much as the interviewees do not prefer more summarized theoretical classes, they would like fewer structures to lean about, with more direct books.
简介解剖学研究不能仅限于记忆和识别结构。重要的是,在这门学科的现代和动态学习方法中,除了三维图像等其他方法外,还采用了上下文,尤其是所学内容的临床应用。有必要了解学生对这些方法的概念--目前的教学和科学证据--以便他们能够将现在和将来的职业生活联系起来。研究方法:研究对象是来自胡伊斯德福拉两所教育机构的 163 名医科学生,目的是了解他们在解剖学课程中使用了哪些方法;其中哪些方法被视为最有效、最有利于学习过程和临床实践的方法。获得的数据使用 SPSS 程序 20.0 版进行处理。研究结果很明显,在医学中,基于临床方向、主题背景和使用放射图像来学习解剖学内容的方法更为普遍。很少有人探讨研讨会和临床辩论的应用。在医学课程中,幻灯片替代技术的使用非常显著。医科学生明显主张联系实际和临床应用。结论:学生们普遍认可情境教学、临床关联和图像使用的有效性。很少有学生支持使用研讨会。尽管受访者不喜欢更多总结性的理论课,但他们希望减少结构上的倾斜,多用直接的书本。
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引用次数: 0
Effects of reduced personal accomplishment on delivery of professional functions among University Lecturer’s in Uasin Gishu County, Kenya 个人成就感降低对肯尼亚 Uasin Gishu 县大学讲师履行专业职能的影响
Pub Date : 2024-07-30 DOI: 10.30574/wjarr.2024.23.1.2133
Martha Jepkemboi Tubei, Michael Kimotho, Jennifer Munyua
The study sought find out the effects of reduced personal accomplishment and delivery of professional functions among university lecturers in Uasin Gishu County, Kenya. The study adopted the Multidimensional Theory of burnout by Christina Maslach (1946). The study used embedded research design in the mixed method approach and Ex Post Facto approach. Simple random sampling technique was used to sample 178 lecturers. Three counselors were sampled using purposive sampling from the sampled universities. Qualitative research was analyzed in theme derived from the in-depth interviews while quantitative data was coded and analyzed using the Statistical Package for Social Science Version 26.0. Using descriptive statistics and presented using frequencies, percentages, mean and standard deviation. The study found out that reduced personal accomplishment had a moderate level (66%) of burnout. The hypotheses were tested using linear and multiple regression which showed that reduced personal accomplishment, F (1, 95) = 16.935, p = 0.02 had statistically significant relationship with the delivery of professional functions. The study will be beneficial to the Ministry of Education, university lecturers and the counsellors. The study recommends that university administration regularizes the workload and working schedules to ensure that lecturers are not overwhelmed by workload to reduce work burnout.
该研究试图找出肯尼亚 Uasin Gishu 县大学讲师个人成就感降低和履行专业职能的影响。研究采用了 Christina Maslach(1946 年)提出的职业倦怠多维理论。研究采用了混合方法中的嵌入式研究设计和事后研究方法。采用简单随机抽样技术抽取了 178 名讲师。采用目的性抽样法从被抽样大学中抽取了 3 名辅导员。定性研究以深入访谈得出的主题进行分析,定量数据则使用社会科学统计软件包 26.0 版进行编码和分析。使用描述性统计,并以频率、百分比、平均值和标准偏差的形式呈现。研究发现,个人成就感降低对职业倦怠的影响程度适中(66%)。使用线性回归和多元回归对假设进行了检验,结果表明,个人成就感降低(F (1, 95) = 16.935, p = 0.02)与专业职能的履行有显著的统计学关系。这项研究将有益于教育部、大学讲师和辅导员。研究建议大学管理部门规范工作量和工作时间表,确保讲师不被工作量压垮,以减少工作倦怠。
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引用次数: 0
Custom made orbital prosthesis using digital approach: A case report 使用数字化方法定制眼眶假体:病例报告
Pub Date : 2024-07-30 DOI: 10.30574/wjarr.2024.23.1.2089
Agus Dahlan, Putri Melinda Iradani
Factors that affect a person's quality of life can be influenced by aesthetics. In the case of involving orbits, it is a big problem in aesthetic factors and must be done immediately so as not to affect the quality of life of a person. A 76-year-old male patient came to the prosthodontic dental and oral hospital on a referral from an ophthalmologist to have an eye prosthesis because he wanted to improve his appearance. The patient wants to have an eye prosthesis immediately because of embarrassment. The creation of an eye prosthesis by printing with extraoral scans and orbital contour design is the treatment plan given to the patient. After that, the first visit to the orbital socket is scanned, the color of the eye is selected and the patient can go home. The contour of the orbit of the eye can be designed with 3D software and 3D printed for the working model, as well as the search for a suitable stock eye for the patient. The next visit can be done by selecting colors and trying them out. This speeds up visits, prosthetic comfort and aesthetics.
影响一个人生活质量的因素可能会受到美学的影响。在涉及眼眶的情况下,这是一个很大的美学问题,必须立即进行,以免影响人的生活质量。一位 76 岁的男性患者在眼科医生的介绍下来到口腔牙科修复医院接受眼部修复手术,因为他想改善自己的外观。由于感到尴尬,患者希望立即安装义眼。通过口外扫描和眼眶轮廓设计打印出眼球假体,这就是为患者制定的治疗方案。在此之后,首次就诊的患者将被扫描眼眶,选择眼球的颜色,然后就可以回家了。眼眶的轮廓可以用三维软件设计,并用三维打印出工作模型,同时为患者寻找合适的库存眼球。下一次就诊时,可以通过选择颜色和试戴来完成。这加快了就诊速度、假体舒适度和美观度。
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引用次数: 0
Solar powered solid waste management system using IoT 利用物联网的太阳能固体废物管理系统
Pub Date : 2024-07-30 DOI: 10.30574/wjarr.2024.23.1.1983
Girish Chandrappa, Sowmya Anand
The amount of waste has been increasing due to the increase in human population and urbanization. In cities, the overflowed bin creates an unhygienic environment. Thus degrades the environment, to overcome this situation, “Solar Powered Solid Waste Management System Using IoT” is developed. The system is powered by solar energy and separates the waste into three categories namely wet, dry and metallic. Each of the wastes are detected by the respective sensors and gets segregated to respective bins. IoT is used to continuous monitor the dustbin in order to check whether the dustbin is full or not. The present work updates the real time data using IoT and the same can be conveyed to concerned administrators and can fetch the information using Android Application.
由于人口增加和城市化,垃圾数量不断增加。在城市中,溢出的垃圾桶造成了不卫生的环境。为了克服这种情况,我们开发了 "利用物联网的太阳能固体废物管理系统"。该系统以太阳能为动力,将垃圾分为三类,即湿垃圾、干垃圾和金属垃圾。每种废物都会被相应的传感器检测到,并被分类到相应的垃圾箱中。物联网用于持续监控垃圾箱,以检查垃圾箱是否已满。本作品利用物联网更新实时数据,这些数据可传达给相关管理员,并可使用安卓应用程序获取信息。
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引用次数: 0
Nickel allergy in a patient after nitinol stent placement 一名镍钛诺支架置入术后患者的镍过敏症
Pub Date : 2024-07-30 DOI: 10.30574/wjarr.2024.23.1.1987
Meryem Sassi, Alexandre Lecis
We report a case involving a patient who developed a polymorphic rash and prurigo lesions on the limbs and anterior thorax, accompanied by an urticarial reaction on the back, following the endovascular placement of a femoral and iliac nitinol stent for critical limb ischemia. Patch testing identified a nickel allergy. The patient responded well to corticosteroid therapy, showing significant clinical improvement. This report discusses the epidemiology, pathophysiology, and clinical implications of nickel allergy, particularly in the context of using nickel-alloy stents.
我们报告了一例患者的病例,该患者在接受股骨和髂骨镍钛诺支架血管内置入术治疗严重肢体缺血后,四肢和前胸出现多形性皮疹和瘙痒病变,背部伴有荨麻疹反应。经斑贴试验确定患者对镍过敏。患者对皮质类固醇治疗反应良好,临床症状明显改善。本报告讨论了镍过敏的流行病学、病理生理学和临床意义,尤其是在使用镍合金支架的情况下。
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引用次数: 0
Research on the evaluation of rural revitalization level in Daqing City 大庆市乡村振兴水平评价研究
Pub Date : 2024-07-30 DOI: 10.30574/wjarr.2024.23.1.1880
Denan Kong, Yuzhong Sun
Starting from a systematic perspective, this study divides the rural revitalization system into five subsystems: Prosperous industries, Ecological livability, Rural cultural civilization, Effective governance, and Prosperous life , as well as 14 secondary indicators based on the rural revitalization strategy. It uses the coefficient of variation method and relative weighting method to determine the weight of each indicator. Based on this, the fuzzy comprehensive evaluation method is used to calculate the level of rural revitalization in Daqing City. The research shows that due to the continuous development of the prosperous industries subsystem and the prosperous life subsystem in Daqing, the level of rural revitalization in Daqing City has continued to rise. However, the fluctuation of the ecological livability subsystem caused by the increase in clean fuel use and the decrease in rural greening in Daqing City requires continuous improvement in rural greening. Further increasing the consumption expenditure of rural residents in education, culture, and entertainment can promote the continuous rise of the rural cultural civilization subsystem.
本研究从系统性的角度出发,将乡村振兴体系划分为五个子系统,即产业兴旺、生态宜居、乡风文明、治理有效、生活富裕:产业兴旺、生态宜居、乡风文明、治理有效、生活富裕五个子系统,以及基于乡村振兴战略的 14 个二级指标。采用变异系数法和相对权重法确定各指标的权重。在此基础上,采用模糊综合评价法计算大庆市乡村振兴水平。研究表明,由于大庆市产业兴旺子系统和生活富裕子系统的不断发展,大庆市乡村振兴水平持续上升。但是,由于大庆市清洁燃料使用量的增加和乡村绿化减少导致的生态宜居子系统的波动,需要不断提高乡村绿化水平。进一步增加农村居民在教育、文化、娱乐等方面的消费支出,可以促进农村文化文明子系统的不断提升。
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引用次数: 0
Superior vena cava thrombosis induced by chemotherapy port: About a case 化疗端口诱发的上腔静脉血栓:关于一个病例
Pub Date : 2024-07-30 DOI: 10.30574/wjarr.2024.23.1.2067
Meryem Sassi, Alexandre Lecis
Superior vena cava syndrome is secondary to obstruction of the superior vena cava and/or brachiocephalic venous trunk, which are currently common during venous catheterization (implantable chamber, dialysis catheter or during placement of an endocavitary stimulation lead). We report the case of a 50-year-old patient with beta thalassemia who had been wearing a chemotherapy box for 2 years, and presented with clinically symptomatic superior vena cava syndrome. A phleboscanner was ordered, showing a tight stenosis of the superior vena cava. A double-approach angioplasty was performed with good postoperative results.
上腔静脉综合征是继发于上腔静脉和/或肱静脉主干阻塞的疾病,目前常见于静脉导管插入术(植入腔、透析导管或腔内刺激导线置入术)。我们报告了一例 50 岁的β地中海贫血患者的病例,该患者佩戴化疗盒 2 年,出现了临床症状明显的上腔静脉综合征。患者接受了静脉造影检查,结果显示上腔静脉狭窄。患者接受了双腔血管成形术,术后效果良好。
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引用次数: 0
Computational study of phytochemical derived bioactive compounds of Vernonia amygdalina as a potential inhibitor of Topoisomerase IV in pneumonia 将杏仁蕨的植物化学衍生生物活性化合物作为肺炎拓扑异构酶 IV 潜在抑制剂的计算研究
Pub Date : 2024-07-30 DOI: 10.30574/wjarr.2024.23.1.2130
Ayobami Fidelix, Tomilola Akingbade, Jatin Jangra, Olutola Adeyemo, Damilola Adeniji
Several of the bacteria responsible for pneumonia had become resistant to available antibiotics. According to the WHO, the resistance of Klebsiella pneumonia to Ciprofloxacin is 79.4%, making infections such as pneumonia and several diseases more difficult, if not impossible to treat. The prevalence of antimicrobial resistance is a global problem and among the 10 top global health threats facing humanity. With the projection of 10 million deaths per year by 2050 due to bacterial infections associated with antibiotic resistance according to WHO, there is an urgent need to identify an alternative approach to curb the incessant antimicrobial resistance and a complementary approach is to employ the use of naturally occurring compounds with potent antibacterial activities. We employed structural bioinformatics and theoretical chemistry techniques via molecular docking, and pharmacokinetic study, to identify novel S. pneumoniae topoisomerase IV inhibitors. The stringent molecular docking identified Arg140, Arg81, Glu55, Pro84, Met83, and Asn51, as principal amino acid residues for topoisomerase IV ligand interactions. Ten of the bioactive compounds found in Vernonia amygdalina showed a higher binding energy when compared to the reference compound (Ciprofloxacin). The overall analysis of MD results and binding free energy calculations reveal that Luteolin and 7-O-methylwogonin displayed stable trajectories with acceptable RMSD values and sufficient high negative energies throughout the MD simulation run of 100ns. These identified bioactive compounds in this study can be taken further for in vitro and In vivo studies to examine their efficacy against Pneumonia.
导致肺炎的几种细菌对现有抗生素产生了抗药性。根据世界卫生组织的数据,肺炎克雷伯氏菌对环丙沙星的耐药性高达 79.4%,这使得肺炎等感染和一些疾病的治疗变得更加困难,甚至无法治疗。抗菌药耐药性的流行是一个全球性问题,也是人类面临的十大全球健康威胁之一。根据世界卫生组织的预测,到 2050 年,每年将有 1000 万人死于与抗生素耐药性相关的细菌感染,因此迫切需要找到一种替代方法来遏制不断出现的抗生素耐药性,而一种补充方法就是利用具有强效抗菌活性的天然化合物。我们采用结构生物信息学和理论化学技术,通过分子对接和药代动力学研究,确定了新型肺炎双球菌拓扑异构酶 IV 抑制剂。严格的分子对接发现 Arg140、Arg81、Glu55、Pro84、Met83 和 Asn51 是拓扑异构酶 IV 配体相互作用的主要氨基酸残基。与参考化合物(环丙沙星)相比,在杏仁蕨中发现的十种生物活性化合物显示出更高的结合能。对 MD 结果和结合自由能计算的总体分析表明,木犀草素和 7-O-methylwogonin 在 100ns 的 MD 模拟运行过程中显示出稳定的轨迹,具有可接受的 RMSD 值和足够高的负能量。本研究中发现的这些生物活性化合物可进一步用于体外和体内研究,以检验它们对肺炎的疗效。
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引用次数: 0
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World Journal of Advanced Research and Reviews
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