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Effect of Vitamin C Exposure to Fibroblast Cells on Woman Uterosacral Ligament Culture 维生素C暴露于成纤维细胞对女性子宫骶韧带培养的影响
Pub Date : 2023-08-09 DOI: 10.31964/mltj.v9i2.521
R. Rahajeng, T. Nurseta, Edy Mustofa, Yahya Irwanto, Aditiya Fendi Uji Pamungkas, D. E. P. Harnandari, P. A. Herliawati
Pelvic Organ Prolapse (POP) occurs when the uterosacral ligaments weaken. Vitamin C plays a major role in forming the extracellular matrix (collagen) and stimulates fibroblast cell proliferation. This study aimed to examine how a woman's uterosacral ligament culture was affected by vitamin C exposure to fibroblast cells. A straightforward experimental design investigation that is non-blind and includes analysis after exposure (Post-test control group design). This study's sample used uterosacral ligament from a woman who underwent at least two vaginal deliveries through a hysterectomy procedure. Several doses of vitamin C were given and repeated for 72 hours, followed by examining the number of fibroblast cells; then, the data was analyzed starting with the parametric prerequisite test and the one-way ANOVA test. There was a significant effect of vitamin C exposure on fibroblast cells of the uterosacral ligament at a dose of 50 μg/ml and 100 μg/ml. In contrast, at doses of 150 μg/ml and 200 μg/ml, there was no significant effect. From this study, it is hoped that the administration of vitamin C according to the optimal dose found in the study (significant impact at doses of 50 μg/ml and 100 μg/ml, can increase the proliferation of fibroblast matrix supporting the sacrouterine ligament in women, to prevent prolapse of the pelvic organs in women, and can maintain the quality of life of women.
盆腔器官脱垂(POP)发生在子宫骶韧带变弱的时候。维生素C在形成细胞外基质(胶原)和刺激成纤维细胞增殖中起主要作用。本研究旨在研究女性子宫骶韧带培养如何受到维生素C暴露于成纤维细胞的影响。一个直接的实验设计调查,是非盲的,包括暴露后的分析(测试后对照组设计)。本研究的样本使用的子宫骶韧带来自一位接受子宫切除术后至少两次阴道分娩的妇女。给予若干剂量的维生素C并重复服用72小时,随后检查成纤维细胞的数量;然后,采用参数前提检验和单因素方差分析对数据进行分析。50 μg/ml和100 μg/ml剂量的维生素C对子宫骶韧带成纤维细胞有显著影响。150 μg/ml和200 μg/ml剂量组无明显影响。从本研究中,希望按照研究中发现的最佳剂量(50 μg/ml和100 μg/ml剂量影响显著)给药维生素C,可以增加女性骶韧带支撑的成纤维细胞基质的增殖,防止女性盆腔器官脱垂,维持女性的生活质量。
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引用次数: 0
Effect of Soybean Extract on sFlt-1 LEVELS in Huvecs Cultures Induced by Preeclampsia Plasma 大豆提取物对子痫前期血浆诱导的Huvecs培养物sFlt-1水平的影响
Pub Date : 2023-08-02 DOI: 10.31964/mltj.v9i2.532
Wiwit Indriyani, Luh Citrarasmi Dara Mestika, T. Nurseta, E. Norahmawati
Preeclampsia is a dangerous pregnancy issue that causes hypertension at ≥20 weeks of gestation. Oxidative stress is known to play a role in the pathophysiology of preeclampsia by raising the activity of soluble fms-like tyrosine kinase 1 (sFlt-1) and causing endothelial dysfunction. As a result, antioxidants are utilized as a therapy in preeclampsia to protect the body from the impacts of free radicals. This study aims to determine the effect of soybean extract on sFlt-1 levels in HUVECs cultures exposed to preeclamptic plasma. The benefit of this study is the consideration for clinicians to provide soybean ethanol extract supplements (Glycine max) to increase the potential of antihypertensive therapy. Human umbilical vein endothelial cell cultures (HUVECs) were used in the study, which was conducted in vitro. HUVECs cultures were exposed to preeclampsia plasma and subsequently treated for 24 hours with various dosages of soybean extract. The enzyme-linked immunosorbent assay (ELISA) measured the sFlt-1 levels in each observation group. The hypothesis was tested using One-Way ANOVA analysis with SPSS version 25 software. This study found a significant difference (p <0,05) between the mean value of the positive control group and the negative control group. A significant difference was also found (p <0,05) in the mean value of sFlt-1 between the positive control group and the treatment group that was given soybean extract at doses of 17,5 ppm. Soybean extract had a significant effect on decreasing sFlt-1 levels in HUVECs cultures exposed to preeclamptic plasma. Thus, soybeans isoflavones have the potential to treat preeclampsia by reducing anti-angiogenic factors.
子痫前期是一种危险的妊娠问题,可在妊娠≥20周时引起高血压。氧化应激通过提高可溶性类膜酪氨酸激酶1 (sFlt-1)的活性并引起内皮功能障碍,在子痫前期的病理生理中发挥作用。因此,抗氧化剂被用作子痫前期的一种治疗方法,以保护身体免受自由基的影响。本研究旨在确定大豆提取物对暴露于子痫前期血浆的HUVECs培养物中sFlt-1水平的影响。这项研究的好处是临床医生考虑提供大豆乙醇提取物补充剂(Glycine max)来增加抗高血压治疗的潜力。本研究采用人脐静脉内皮细胞(HUVECs)进行体外培养。huvec培养物暴露于子痫前期血浆中,随后用不同剂量的大豆提取物处理24小时。酶联免疫吸附试验(ELISA)检测各观察组血清sFlt-1水平。采用SPSS 25版单因素方差分析对假设进行检验。本研究发现阳性对照组与阴性对照组的平均值有显著差异(p < 0.05)。在阳性对照组和给予17.5 ppm剂量的大豆提取物的治疗组之间,sFlt-1的平均值也有显著差异(p < 0.05)。大豆提取物对降低子痫前期血浆暴露的HUVECs培养物中sFlt-1水平有显著作用。因此,大豆异黄酮有可能通过减少抗血管生成因子来治疗先兆子痫。
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引用次数: 0
Clinico-microbiological and Risk Factor Analysis of Strongyloides stercoralis Infections in South India 南印度斯特科珊瑚虫感染的临床微生物学和危险因素分析
Pub Date : 2023-07-19 DOI: 10.31964/mltj.v9i2.529
A. Jayachandran, V. Muralidharan, Balan Kandasamy
Strongyloides stercoralis is a soil-transmitted nematode infection. It is implicated in causing hyper infection syndrome in immunosuppressed patients. This infection can also present without symptoms. The study aims to analyze the demographic data and risk factors associated with acquiring this infection and detectStrongyloides stercoralis in the stool sample by microscopy and modified agar plate culture. Combining microscopy and culture can facilitate detecting the infection in cases of low worm burden. Evaluation of socio-demographic information and risk factors will help in implementing control measures. A total of 986 stool samples were received. All the samples were examined by saline and Iodine mount examination. All the stool samples were cultured by the modified agar plate method. The risk factors, patient demographic details and clinical features were analyzed for significant association using the Chi-square test and a p-value < 0.05 was considered significant) by quick calls graph pad software. The overall prevalence of Strongyloides stercoralis infection was 22(1.23%), and all these cases were diagnosed on stool examination by the demonstration of rhabditiform larva ofStrongyloides stercoralis and adult females by modified agar plate culture. The positivity for Strongyloides larva was high among males, patients from rural areas and individuals working in agricultural settings. There was a significant association between walking barefoot and the demonstration of the larva. Patients presenting from endemic regions, even with vague, nonspecific gastrointestinal symptoms, especially with risk factors like Diabetes mellitus, should be screened for this infection and treated. Awareness, proper hygiene practices, and appropriate treatment are necessary to prevent this soil-transmitted helminthic infection.
stercoralis类圆线虫是一种由土壤传播的线虫感染。它与免疫抑制患者的高感染综合征有关。这种感染也可能没有症状。本研究旨在分析与获得这种感染相关的人口统计学数据和风险因素,并通过显微镜和改良琼脂平板培养检测粪便样本中的粪圆线虫。显微镜和培养相结合可以有助于在蠕虫负担较低的情况下检测感染。评估社会人口信息和风险因素将有助于实施控制措施。共收到986份粪便样本。所有样品均通过盐水和碘量检查进行检查。所有粪便样品均采用改良琼脂平板法进行培养。使用卡方检验分析风险因素、患者人口统计细节和临床特征的显著相关性,p值<0.05被认为是显著的),并通过快速调用图形板软件进行分析。粪圆线虫感染的总患病率为22(1.23%),所有这些病例都是通过粪便检查诊断的,通过改良琼脂平板培养显示粪圆线虫的横纹肌体幼虫和成年雌性。弓形虫幼虫的阳性率在男性、来自农村地区的患者和在农业环境中工作的个人中很高。赤足行走和幼虫的展示之间有着显著的联系。来自流行地区的患者,即使有模糊、非特异性的胃肠道症状,特别是有糖尿病等危险因素的患者,也应该进行这种感染的筛查和治疗。意识、适当的卫生习惯和适当的治疗对于预防这种土壤传播的蠕虫感染是必要的。
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引用次数: 0
Fibrinolytic Protease-Producing Bacteria with Varied Hemolysis Pattern Associated with Marine Algae Dictyota sp. 与海藻相关的不同溶血模式的纤溶蛋白酶产生菌。
Pub Date : 2023-06-27 DOI: 10.31964/mltj.v9i2.525
M. Afriansyah, S. Ethica
The main death factor of cardiovascular disease (CVD) is the formation of a blood clot (thrombus). Thrombus is formed by the action of fibrin, playing a role as a blood coagulation agent. Administration of fibrinolytic enzymes can degrade fibrin through the fibrinolysis process. Therefore, searching for new sources of fibrinolytic enzymes becomes critical in eradicating diseases by fibrinolysis of thrombus. This study aims to isolate fibrinolytic protease-producing bacteria associated with fermented brown algae products Dictyota sp, of Awur Bay, Jepara, Indonesia, and to observe their hemolysis pattern. As many as 14 unique bacterial colonies previously isolated from fermented Dictyota sp. were sub-cultured using Zobell Agar (ZA) medium. Skim Milk Agar (SMA) and Fibrin Agar (FA) were then used as selective media to detect the presence of fibrinolytic protease-producing bacteria, which was indicated by their ability to form a clear proteolytic and fibrinolytic zone simultaneously around bacterial colonies. Hemolysis characteristics of fibrinolytic bacteria were determined using Blood Agar Plate (BAP) to test their ability to produce hemolysin toxin. As a result, of these 14 isolates, 3 of them, namely FD-09, FD-13, and FD-14 (FD= Fermented Dictyota), could produce both proteolytic and fibrinolytic zone with a fibrinolytic index range of 2.0–2.9. Isolate FD-09 is the least pathogenic (g-hemolytic) compared to other fibrinolytic isolates, FD-13 (b-hemolytic) and FD-14 (a-hemolytic), in terms of hemolysin toxicity. In conclusion, fermented Dictyota sp. is a potential source of bacteria-producing fibrin-degrading protease with varied hemolysis patterns. It is necessary to identify bacteria-producing fibrinolytic protease isolates Dictyota sp. and further characterization regarding the specificity and activity of the resulting protease to develop its potential as an antithrombotic agent.
心血管疾病(CVD)的主要死亡因素是血栓(血栓)的形成。血栓是由纤维蛋白作用形成的,起到凝血剂的作用。纤维蛋白溶解酶可以通过纤维蛋白溶解过程降解纤维蛋白。因此,寻找纤溶酶的新来源对于根除由纤溶血栓引起的疾病至关重要。本研究旨在分离产自印度尼西亚Jepara Awur Bay的发酵褐藻产品Dictyota sp的产纤溶蛋白酶菌,并观察其溶血模式。利用佐贝尔琼脂(Zobell Agar, ZA)培养基传代培养了先前从发酵的Dictyota sp.中分离到的多达14个独特菌落。然后用脱脂乳琼脂(SMA)和纤维蛋白琼脂(FA)作为选择性培养基检测纤维蛋白溶解蛋白酶产生菌的存在,这表明它们能够在细菌菌落周围同时形成清晰的蛋白溶解和纤维蛋白溶解区。采用血琼脂平板(Blood Agar Plate, BAP)测定纤维蛋白溶解菌的溶血特性,检测其产生溶血素毒素的能力。结果表明,在这14株菌株中,FD-09、FD-13和FD-14 (FD= yeast Dictyota) 3株既能产生蛋白溶解区,又能产生纤溶区,纤溶指数范围为2.0 ~ 2.9。就溶血素毒性而言,与其他纤维蛋白溶解分离物FD-13 (b溶血)和FD-14 (a溶血)相比,FD-09是致病性最低的(g溶血)。综上所述,发酵的Dictyota sp.是产生具有不同溶血模式的纤维蛋白降解蛋白酶的潜在细菌来源。有必要鉴定产生细菌的纤维蛋白溶解蛋白酶分离株Dictyota sp,并进一步表征所产生的蛋白酶的特异性和活性,以开发其作为抗血栓药物的潜力。
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引用次数: 0
Phytochemical Analysis by LC-HRMS and Antibacterial Activity Of the Ethanol Extract of Sengkuang (Dracontomelon dao (Blanco) Merr. & Rofe) 生光龙乙醇提取物的LC-HRMS植物化学分析及抗菌活性研究。&))【专业化的表扬!
Pub Date : 2023-06-13 DOI: 10.31964/mltj.v9i1.506
Ratih Dewi Dwiyanti, Anny Thuraidah, Nurlailah Nurlailah
Dracontomelon dao (Blanco) Merr. & Rofe is one of the medicinal plants for the community. This study aims to analyze the ethanol extract of Sengkuang (Dracontomelon dao (Blanco) Merr. & Rofe) using the LC-HRMS Phytochemical Test and determine its antibacterial activity. Leaf Dracontomelon dao (Blanco) Merr. & Rofe originates from Hulu Sungai Utara, South Kalimantan, Indonesia, macerated with 96% ethanol. Antibacterial test by diffusion was carried out using the well method. LC-HRMS (Liquid Chromatography - High-Resolution Mass Spectrometry) test using the Instrument Thermo Scientific™ Dionex™ Ultimate 3000 RSLCnano UHPLC coupled with Thermo Scientific™ Q Exactive™ High-Resolution Mass Spectrometer. The content of chemical compounds from the ethanol extract, namely flavonoids 125.5 ± 0.433 mgEQ/g, alkaloids (%) 33.945 ± 0.781, saponins (%) 33.093 ± 0.755, tannins (mg/ml) 0.069 ± 0.003, the highest content was triterpenoids 669.8 ± 2,000(mg/ml). The best inhibition of E coli growth with the largest inhibition zone was 24 mm at a 500 mg/ml concentration. The active compounds contained in the leaves of Dracontomelon dao (Blanco) Merr. & Rolfe are quercetin-3β-D-glucoside, anacardic acid, D-glucosamine, azelaic acid, choline, astragalin, quercetin, luteolin, syringic acid. The active ingredient of the ethanol extract of Sengkuang (Dracontomelon dao (Blanco) Merr. & Rofe) has the potential as an antibacterial and anti-inflammatory that can be added to pharmaceutical preparations.Keywords: Dracontomelon dao (Blanco) Merr. & Rofe; Phytochemical Analysis; Liquid Chromatography - High-Resolution Mass Spectrometry
龙血藤(Blanco)Merr.&Rofe是该社区的药用植物之一。本研究旨在对川芎的乙醇提取物进行分析Rofe),并测定其抗菌活性。叶龙血藤(Blanco)Merr.&Rofe来源于印度尼西亚南加里曼丹的Hulu Sungai Utara,用96%的乙醇浸渍。采用井法进行了扩散抗菌试验。使用Thermo Scientific仪器进行LC-HRMS(液相色谱-高分辨率质谱)测试™ Dionex™ Ultimate 3000 RSLCnano UHPLC与Thermo Scientific耦合™ 轨道阱质谱仪™ 高分辨率质谱仪。乙醇提取物中总黄酮含量为125.5±0.433mgEQ/g,生物碱含量为33.945±0.781,皂苷含量为33.093±0.755,单宁含量为0.069±0.003,其中三萜含量最高,为669.8±2000(mg/ml)。在500mg/ml浓度下,对大肠杆菌生长的最佳抑制作用和最大的抑制区为24mm。龙血藤叶片中所含的活性化合物Rolfe是槲皮素-3β-D-葡萄糖苷、anacardic acid、D-葡糖胺、壬二酸、胆碱、黄芪甲素、槲皮素、木犀草素、丁香酸。桑光乙醇提取物的有效成分Rofe)具有抗菌和抗炎的潜力,可以添加到药物制剂中。关键词:龙血藤Rofe;植物化学分析;液相色谱-高分辨率质谱法
{"title":"Phytochemical Analysis by LC-HRMS and Antibacterial Activity Of the Ethanol Extract of Sengkuang (Dracontomelon dao (Blanco) Merr. & Rofe)","authors":"Ratih Dewi Dwiyanti, Anny Thuraidah, Nurlailah Nurlailah","doi":"10.31964/mltj.v9i1.506","DOIUrl":"https://doi.org/10.31964/mltj.v9i1.506","url":null,"abstract":"Dracontomelon dao (Blanco) Merr. & Rofe is one of the medicinal plants for the community. This study aims to analyze the ethanol extract of Sengkuang (Dracontomelon dao (Blanco) Merr. & Rofe) using the LC-HRMS Phytochemical Test and determine its antibacterial activity. Leaf Dracontomelon dao (Blanco) Merr. & Rofe originates from Hulu Sungai Utara, South Kalimantan, Indonesia, macerated with 96% ethanol. Antibacterial test by diffusion was carried out using the well method. LC-HRMS (Liquid Chromatography - High-Resolution Mass Spectrometry) test using the Instrument Thermo Scientific™ Dionex™ Ultimate 3000 RSLCnano UHPLC coupled with Thermo Scientific™ Q Exactive™ High-Resolution Mass Spectrometer. The content of chemical compounds from the ethanol extract, namely flavonoids 125.5 ± 0.433 mgEQ/g, alkaloids (%) 33.945 ± 0.781, saponins (%) 33.093 ± 0.755, tannins (mg/ml) 0.069 ± 0.003, the highest content was triterpenoids 669.8 ± 2,000(mg/ml). The best inhibition of E coli growth with the largest inhibition zone was 24 mm at a 500 mg/ml concentration. The active compounds contained in the leaves of Dracontomelon dao (Blanco) Merr. & Rolfe are quercetin-3β-D-glucoside, anacardic acid, D-glucosamine, azelaic acid, choline, astragalin, quercetin, luteolin, syringic acid. The active ingredient of the ethanol extract of Sengkuang (Dracontomelon dao (Blanco) Merr. & Rofe) has the potential as an antibacterial and anti-inflammatory that can be added to pharmaceutical preparations.\u0000Keywords: Dracontomelon dao (Blanco) Merr. & Rofe; Phytochemical Analysis; Liquid Chromatography - High-Resolution Mass Spectrometry","PeriodicalId":32131,"journal":{"name":"Medical Laboratory Technology Journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43821695","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: 0
Non-Thermal Effect Of The Brand And Generic Mobile Phones Radiofrequency Radiation On The Antioxidant And Histomorphology Of The Epididymis After Prolonged Whole-Body Radiation on Sprague Dawley Rat 品牌和通用手机射频辐射对Sprague Dawley大鼠全身长时间辐射后附睾抗氧化和组织形态学的非热效应
Pub Date : 2023-06-10 DOI: 10.31964/mltj.v9i1.471
Oyedele Oyewumi Ajayi, Johnson Orie Okoro, D. Ugbomoiko, O. Akpoka, T. Erameh, E. Odigie
Mobile phone usage has increased greatly over time, and there is also the proliferation of models by different manufacturers, some of which are known to produce popular brands while other manufacturers of unknown brands have been identified. So many health conditions have been associated with the radiation emitted from mobile phones and other communication gadgets. Such condition as glioma, schwannoma, and some degenerative tissue conditions has been reported by different researchers both on short and prolonged exposure. The IARC report on radiofrequency radiation as a human “possible carcinogen, group 2B” has also prompted much research on the effect of mobile phone radiofrequency radiation on humans. The mobile phone placement in the pocket, which is close to the male reproductive organ, and the possible radiation emission levels from different models by manufacturers prompted this study. The goal is to investigate the histological alterations, spermatic epididymal contents, and changes in oxidative stress indicators that may occur following prolonged exposure to mobile phone radiofrequency radiation. Forty (40) male Sprague Dawley rats were used for this study. They were grouped into eight groups equally, two (2) control groups and six (6) groups that were exposed to six different mobile phone models. The 8 hours of daily exposure for 6 months was done with phones in active mode. The finding showed a significant reduction of the mature sperms in the lumen of the epididymis. There was focal epithelial hyperplasia in two groups exposed to branded models. No degenerative epithelium was observed in the epididymis. There was also a significant reduction in the motility and sperm count of the exposed groups. The Superoxide dismutase (SOD) was significantly depleted across the exposed groups. There are isolated changes that result from individual phone models, but changes cannot be dichotomized into changes that result from branded or generic phones.
随着时间的推移,手机的使用量大幅增加,不同制造商的型号也在激增,其中一些制造商生产的是受欢迎的品牌,而其他未知品牌的制造商已经确定。许多健康状况都与手机和其他通信设备发出的辐射有关。神经胶质瘤、神经鞘瘤和一些退行性组织疾病等情况已被不同的研究人员在短期和长期暴露中报道。IARC关于射频辐射是人类“可能致癌物,2B组”的报告也促使人们对手机射频辐射对人类的影响进行了大量研究。手机放在靠近男性生殖器官的口袋里,以及制造商可能从不同型号发出的辐射水平,促使了这项研究。目的是研究长期暴露于手机射频辐射后可能发生的组织学改变、精子附睾内容物和氧化应激指标的变化。四十(40)只雄性Sprague-Dawley大鼠用于本研究。他们被平均分为八组,两(2)个对照组和六(6)个小组,分别接触六种不同型号的手机。在6个月的时间里,每天暴露8小时是在手机处于活动模式的情况下完成的。这一发现显示附睾内腔中成熟精子的数量显著减少。暴露于品牌模型的两组患者出现局灶性上皮增生。附睾中未观察到退化上皮。暴露组的运动能力和精子数量也显著减少。超氧化物歧化酶(SOD)在暴露组中显著减少。个别手机型号会带来一些孤立的变化,但这些变化不能分为品牌手机或通用手机带来的变化。
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引用次数: 0
The Emergence of Mupirocin Resistance among Staphylococcus aureus in a Tertiary Care Hospital in South India: The Necessity for Routine Susceptibility Testing 南印度三级医院出现的金黄色葡萄球菌对莫匹罗辛的耐药性:常规药敏试验的必要性
Pub Date : 2023-05-27 DOI: 10.31964/mltj.v8i2.516
A. Jayachandran, Balan Kandasamy
Methicillin-resistant Staphylococcus aureus (MRSA) is difficult to treat, causing considerable morbidity and mortality. Nasal carriage of MRSA can occur both in healthcare workers and patients. Mupirocin is used as a topical agent for the eradication of such isolates. The present study aims to study the prevalence of mupirocin resistance among the MRSA and MSSA (Methicillin-sensitive Staphylococcus aureus) isolates. A total of 148 Staphylococcus aureus isolates were tested. Antibiotic susceptibility testing was done by Kirby Bauer disc diffusion method for amoxicillin, penicillin, cotrimoxazole, clindamycin, mupirocin(5 µg and 200 µg discs for low and high-level resistance), erythromycin, gentamicin and linezolid. MRSA isolates were detected by cefoxitin disc diffusion and Mec A detection by PCR (Polymerase Chain Reaction). MRSA was detected among 44 (29.7%) of the isolates. Among MSSA, good susceptibility was observed for cotrimoxazole 89 (85.5%) and clindamycin 92 (88.4%). An overall mupirocin resistance of 12(8.1%) was observed, with high-level resistance at 4 (2.7%) and low-level resistance at 8 (5.4%).The mupirocin resistance pattern between MRSA and MSSA was not statistically significant (p=0.1833). The emergence of mupirocin resistance highlights the necessity for creating cognizance among clinicians before prescribing mupirocin. In eradicating nasal carriage of MRSA, all the isolates should always be tested for mupirocin susceptibility to prevent the selection and spread of drug-resistant isolates.
耐甲氧西林金黄色葡萄球菌(MRSA)难以治疗,引起相当高的发病率和死亡率。耐甲氧西林金黄色葡萄球菌鼻腔携带可发生在医护人员和患者。莫匹罗星被用作局部药物,用于根除这类分离株。本研究旨在研究MRSA和MSSA(甲氧西林敏感金黄色葡萄球菌)分离株对莫匹罗星的耐药性。共检测了148株金黄色葡萄球菌。采用Kirby Bauer盘片扩散法对阿莫西林、青霉素、复方新诺明、克林霉素、莫匹罗星(低耐药5µg、高耐药200µg)、红霉素、庆大霉素、利奈唑胺进行药敏试验。采用头孢西丁纸片扩散法和聚合酶链式反应(PCR)法检测MRSA分离株。44株(29.7%)检出MRSA。对复方新诺明89(85.5%)和克林霉素92(88.4%)的敏感性较好。总的莫匹罗星耐药率为12(8.1%),其中高耐药率为4(2.7%),低耐药率为8(5.4%)。MRSA与MSSA对莫匹罗星的耐药模式差异无统计学意义(p=0.1833)。莫匹罗星耐药性的出现突出了临床医生在开莫匹罗星处方前建立认知的必要性。在根除MRSA鼻腔传播的过程中,所有分离株应始终进行莫匹罗星敏感性检测,以防止耐药分离株的选择和传播。
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引用次数: 0
Haematological Parameters in Preterm Neonates Admitted in Neonatal Intensive Care Unit in a Tertiary Care Hospital 某三级医院新生儿重症监护病房收治的早产儿血液学参数
Pub Date : 2023-05-23 DOI: 10.31964/mltj.v8i2.517
Dwepa Kamlesh Parikh, A. Nisal, R. Nimbargi
Though reference haematological parameters are defined for neonates, ranges vary in preterm. Few data are available regarding the premature population during the first month of life. Objective: To observe the variation in haematological parameters concerning different gestational ages, birth weights and gender among preterm neonates admitted to NICU with common illnesses like respiratory distress (RDS), neonatal hyperbilirubinemia (NNH) and sepsis in a tertiary care hospital. A total of ninety preterm neonates admitted to the neonatal intensive care unit (NICU) were analyzed over two years. Complete blood counts were obtained, grouped and analyzed according to the underlying diagnosis of sepsis, NNH and RDS. Clinical data were also extracted. The data were analyzed using SPSS software version 25. Mean, Chi-square test and ANOVA tests were used for data analysis. P value <0.05 was considered significant. Result: Variation was seen concerning gestational age and birth weight. Eosinophils were significantly decreased in LBW, while a decrease in neutrophils and an increase in lymphocyte count were seen in EPT. Haemoglobin and RBC indices also showed significant variation according to birth weight. Conclusions research complete blood counts of preterm depend on the degree of prematurity, birth weight, and other clinical findings.
尽管参考血液学参数是为新生儿定义的,但早产儿的范围各不相同。关于生命第一个月内早产人口的数据很少。目的:观察新生儿重症监护室新生儿呼吸窘迫综合征(RDS)、新生儿高胆红素血症(NNH)和败血症等常见疾病患者不同胎龄、出生体重和性别的血液学参数变化。对新生儿重症监护室(NICU)收治的90名早产儿进行了为期两年的分析。根据败血症、NNH和RDS的潜在诊断,获得全血细胞计数,进行分组和分析。还提取了临床数据。使用SPSS 25版软件对数据进行分析。数据分析采用均数、卡方检验和方差分析。P值<0.05被认为是显著的。结果:孕龄和出生体重存在差异。LBW中嗜酸性粒细胞显著减少,而EPT中中性粒细胞减少,淋巴细胞计数增加。血红蛋白和红细胞指数也因出生体重的不同而有显著差异。结论研究早产的全血细胞计数取决于早产程度、出生体重和其他临床表现。
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引用次数: 0
Identification of Acute Respiratory Infection Patients Using RP2 Nested Multiplex PCR Test in Jakarta, Indonesia 印尼雅加达应用RP2套式多重PCR检测急性呼吸道感染患者
Pub Date : 2023-05-09 DOI: 10.31964/mltj.v8i2.519
Dewi Inderiati, Tanty Rachmawaty, Citra Amaniah Anhar
Acute Respiratory Infection (ARI) is an acute respiratory disease caused by infectious organisms transmitted between humans. Viruses and bacteria generally cause the cause of ARI infection. Other viruses that can also cause ARI are Influenza, Adenovirus, Enterovirus, and Respiratory Syncytial Virus. This study aims to determine the causes of bacterial or viral ARI infection with RP2 Nested Multiplex RT-PCR. The research methodology is cross-sectional. The sample used was 50 people with purposive sampling technique in patients with ARI who examined bacteria and viruses using RP2 Nested Multiplex RT-PCR. The research was located at the Laboratory of the United States Embassy in Jakarta, Indonesia. The results showed that 26 (52%) men suffered more from ARI patients than 24 women (46%), with the most age group being children, 28 people (56%). The three symptoms that many patients in this study felt were that 40 patients (80%) experienced nasal congestion, 38 patients (76%) experienced fever, and 32 patients (64%) coughed. The results of the organisms in the RP2 nested multiplex RT-PCR examination showed that 100% of the causes of ARI were viruses with the highest prevalence (40%) originating from the Human Rhinovirus/Enterovirus. The reason for ARI in this research is from a virus (100%), so antibiotics are not needed for this patient.
急性呼吸道感染(ARI)是一种由传染性生物体在人与人之间传播引起的急性呼吸道疾病。病毒和细菌通常是ARI感染的原因。其他可能导致ARI的病毒有流感、腺病毒、肠道病毒和呼吸道合胞病毒。本研究旨在通过RP2套式多重RT-PCR确定细菌或病毒ARI感染的原因。研究方法是横向的。使用的样本是50名ARI患者,他们使用RP2嵌套多重RT-PCR检测细菌和病毒。这项研究是在美国驻印度尼西亚雅加达大使馆的实验室进行的。结果显示,26名(52%)男性患ARI的人数比24名(46%)女性多,其中年龄组最多的是儿童,28人(56%)。本研究中许多患者感受到的三种症状是:40名患者(80%)出现鼻塞,38名患者(76%)出现发烧,32名患者(64%)咳嗽。RP2嵌套多重RT-PCR检查中的生物体结果显示,ARI的100%原因是源自人类鼻病毒/肠道病毒的最高流行率(40%)的病毒。本研究中ARI的原因是病毒(100%),因此该患者不需要抗生素。
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引用次数: 0
Analysıs of Urınary Albumın and Urınary Synaptopodın Levels in Type 2 Dıabetes Mellıtus Subjects 2型糖尿病患者尿白蛋白和尿突触足水平分析
Pub Date : 2023-05-04 DOI: 10.31964/mltj.v8i2.514
A. J. Laisouw, L. B. Kurniawan, Yuyun Widaningsih, T. Esa, H. Sanusi, A. A. Zainuddin, Theosobia Grace Orno
Hyperglycemia from diabetes mellitus affects many body organs and interferes with normal function. Kidney function decreased in approximately one-third of patients with diabetes mellitus before the development of albuminuria. The purpose of this study was to analyze differences in urine albumin and urine synaptopodin levels in type 2 diabetes mellitus (T2DM) and non-DM subjects, differences in urine synaptopodin levels in T2DM subjects with and without nephropathy, to analyze the correlation between urine albumin and urine synaptopodin in T2DM subjects and the cut-off analysis of sensitivity and specificity of urinary synaptopodin in diagnosing diabetic nephropathy. A sample of 60 subjects comprised 40 T2DM subjects and 20 non-DM subjects. Urinary synaptopodin levels were examined using the ELISA method, and albuminuria levels using the immunoturbidimetric method. Based on statistical analysis, the results showed that there were differences in urine albumin levels in T2DM and non-DM subjects (p*= < 0.001), there were differences in urine synaptopodin levels in T2DM and non-DM subjects (p*= < 0.001), there were no differences in urine synaptopodin levels with and without nephropathy in T2DM subjects (p*= 0.090), a relationship was found between urine albumin and urinary synaptopodin in T2DM subjects (p*= 0.048, r= 0.314) and the cut off of urinary synaptopodin in diagnosing nephropathy was ³0.39 ng/mL, sensitivity 64.7% and specificity 56.5%. We recommend further prospective studies with larger sample sizes to compare urinary synaptopodin levels and microalbuminuria (MAU) as markers for early detection of DN in T2DM subjects.
糖尿病引起的高血糖影响许多身体器官并干扰正常功能。大约三分之一的糖尿病患者在出现蛋白尿之前肾功能下降。本研究的目的是分析2型糖尿病(T2DM)和非糖尿病受试者的尿白蛋白和尿突触素水平的差异、伴有和不伴有肾病的T2DM受试者尿突触蛋白水平的差异,分析T2DM患者尿白蛋白和尿突触素的相关性,以及尿突触蛋白诊断糖尿病肾病的敏感性和特异性的截断分析。60名受试者的样本包括40名T2DM受试者和20名非糖尿病受试者。用ELISA法检测尿突触素水平,用免疫浊度法检测蛋白尿水平。基于统计分析,结果显示,T2DM和非糖尿病受试者的尿白蛋白水平存在差异(p*=<0.001),T2DM与非DM受试者尿突触素水平存在差异,T2DM受试人群有无肾病的尿突触蛋白水平无差异(p**=0.090),T2DM患者尿白蛋白与尿突触素之间存在相关性(p*=0.048、r=0.314),敏感性64.7%,特异性56.5%。我们建议进一步进行更大样本量的前瞻性研究,以比较尿突触素水平和微量白蛋白尿(MAU)作为早期检测T2DM患者DN的标志物。
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引用次数: 0
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Medical Laboratory Technology Journal
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