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Beta-Lactamases and ESBL -内酰胺酶和ESBL
Pub Date : 2019-01-01 DOI: 10.23880/vij-16000225
A. A
Microbial resistance through extended-spectrum β-lactamase (ESBL) was first reported in the early 1980s in Europe and subsequently in the United States soon after the introduction of third-generation cephalosporins in clinical practice. β -Lactamases are enzymes that inactivate β -lactam antibiotics by opening the β-lactam ring of penicillins and cephalosporin and abolish their antimicrobial activity. Beta-lactamases have been described for many species of grampositive and gram-negative bacteria. Some β-lactamases are plasmid mediated while others are chromosomally
上世纪80年代初,欧洲首次报道了广谱β-内酰胺酶(ESBL)引起的微生物耐药,随后在第三代头孢菌素应用于临床后不久,美国也报道了微生物耐药。β-内酰胺酶是通过打开青霉素和头孢菌素的β-内酰胺环而使β-内酰胺抗生素失活并使其抗菌活性消失的酶。许多革兰氏阳性和革兰氏阴性细菌都发现了β -内酰胺酶。一些β-内酰胺酶是质粒介导的,而另一些是染色体介导的
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引用次数: 0
Hypertension: A Case Study 高血压:一个案例研究
Pub Date : 2019-01-01 DOI: 10.23880/vij-16000211
S. Sadeeqa
Hypertension is a haemodynamic disorder, characterized by an increase in peripheral vascular resistance that results in complicated diseases i.e myocardial infarction, renal failure, strokes and even death if not diagnosed early and treated properly. Generally, known as high blood pressure and defined as BP ≥140/90 millimeters of mercury (mmHg). Only way to diagnose hypertension is measurement of blood pressure. Patients suffering from hypertension may experience symptoms such as dull headaches, vomiting, dizzy spells, and more frequent nosebleeds. Treatment for hypertensive patients includes both pharmacological (medication) and non-Pharmacological (lifestyle modifications) therapy. In this report the referred case study of hypertension was the scenario of 50 years old female suffering from symptoms of headache, nausea, drowsiness and blurred vision. She was also the patient of Diabetes Mellitus Type 2. She was treated with anti-hypertensive and hypoglycemic therapy along with life style modifications which showed good management of both hypertension and diabetes.
高血压是一种血流动力学紊乱,其特点是周围血管阻力增加,如果不及早诊断和适当治疗,可导致复杂疾病,如心肌梗死、肾衰竭、中风甚至死亡。一般称为高血压,定义为血压≥140/90毫米汞柱(mmHg)。诊断高血压的唯一方法是测量血压。患有高血压的患者可能会出现头痛、呕吐、头晕和更频繁的流鼻血等症状。高血压患者的治疗包括药物治疗和非药物治疗(改变生活方式)。在本报告中,所提到的高血压病例研究是一个50岁的女性,患有头痛、恶心、嗜睡和视力模糊的症状。她同时也是2型糖尿病患者。患者接受降压降糖治疗,并改变生活方式,对高血压和糖尿病均有良好的控制。
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引用次数: 0
Study of Seroprevalence and Seroconversion to A Novel Bacterial Pathogen in Thoroughbred Horses 纯种马对一种新型病原菌的血清阳性率和血清转化研究
Pub Date : 2019-01-01 DOI: 10.23880/vij-16000203
G. Rajasekariah
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引用次数: 0
Intervene of EBV and HCMV in Relation to p27 and p73-Cell Regulatory Proteins in Histopathological Changes of Sinonasal and Nasopharyngeal Carcinomas EBV和HCMV对p27和p73细胞调节蛋白在鼻咽癌和鼻咽癌组织病理变化中的干预作用
Pub Date : 2019-01-01 DOI: 10.23880/vij-16000217
M. Mahmood
Background: Sinonasal and Nasopharyngeal carcinomas are related to many environmental, genetic predisposing and viral infections. Many studies have implicated EBV in the progression of benign and malignant head and neck tumors by affecting cell cycle proteins expression. The p73 and p27 were implicated in carcinogenesis of nasopharyngeal and sinonasal carcinomas. Objective: The research aimed to evaluate the impact of EBV and HCMV in relation to cellular protein expressions of p27 and p73-cell cycle regulatory genes on histopathological alterations of sinonasal and nasopharyngeal carcinomas. Patients and Methods: Eighty three formalin fixed, paraffin embedded tissue blocks belong to 65 nasopharyngeal (NPC) and 18 sinonasal carcinomas (SNC) were investigated for EBV, HCMV, P73, P27 coexistences. Results: The highest positivity percentage (50%) of EBV in SNC was seen in moderately differentiated group. While in NPC tissues the highest level (74.5%) of HCMV was detected in undifferentiated group. The highest positivity percentage (47.1%) of p73 in SNC group was in moderate differentiated grade, while the highest positive-p27 percentage in NPC group was in undifferentiated grade (76.3%).
背景:鼻鼻癌和鼻咽癌与许多环境、遗传易感性和病毒感染有关。许多研究表明EBV通过影响细胞周期蛋白的表达而参与头颈部良性和恶性肿瘤的进展。p73和p27与鼻咽癌和鼻窦癌的癌变有关。目的:研究EBV和HCMV与p27和p73细胞周期调控基因的细胞蛋白表达对鼻咽癌和鼻咽癌组织病理学改变的影响。患者与方法:对65例鼻咽癌(NPC)和18例鼻窦癌(SNC) 83例福尔马林固定石蜡包埋组织块进行EBV、HCMV、P73、P27共存的检测。结果:EBV在SNC中分化组阳性率最高(50%)。而在NPC组织中,未分化组的HCMV水平最高(74.5%)。SNC组p73阳性率最高,为中度分化级别(47.1%),NPC组p27阳性率最高,为未分化级别(76.3%)。
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引用次数: 1
Pharmacological Study on Activity of Silymarin and/or Zinc Oxide Nanoparticles against Hepatic Dysfunction Using Cell Line HepG2 水飞蓟素和/或氧化锌纳米颗粒抗HepG2细胞系肝功能障碍的药理研究
Pub Date : 2019-01-01 DOI: 10.23880/vij-16000218
Sameh S Gad
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引用次数: 0
A Case of Infectious Mononucleosis with Concurrent EBV and CMV IGM Seropositivity 传染性单核细胞增多症并发EBV和CMV IGM血清阳性1例
Pub Date : 2019-01-01 DOI: 10.23880/vij-16000224
C. Monastiriotis
Infectious mononucleosis is a common viral infection affecting mainly children, adolescents and young adults. Its main aetiology is Epstein – Barr Virus followed by Cytomegalovirus. We present the case of a 26-year old lady, presented with clinical and laboratory features of the disease, with serologic evidence of concurrent EBV and CMV IgM positivity. Whether this represents a simultaneous infection or a previous infection by the one virus, boosted by the sequential infection by the second one, is very difficult to distinct.
传染性单核细胞增多症是一种常见的病毒感染,主要影响儿童、青少年和年轻人。其主要病原是eb病毒,其次是巨细胞病毒。我们报告一名26岁的女性病例,具有该疾病的临床和实验室特征,并有EBV和CMV IgM阳性的血清学证据。这究竟是一次同时感染,还是一种病毒之前的感染,由于第二种病毒的连续感染而加剧,很难区分。
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引用次数: 0
Management of Thromboembolism (Pulmonary Embolism) in Coronary Cardiac Unit 冠心病病房血栓栓塞(肺栓塞)的处理
Pub Date : 2019-01-01 DOI: 10.23880/vij-16000215
Faizan Naeem
Pulmonary embolism and deep vein thrombosis is considered thromboembolism which is the occlusion of blood vessels by thrombus that has fragmented away from its site of formation. Pulmonary embolism can be fatal which occurs when the Deep vein thrombosis breaks free from wall of a vein and blocks some or all of the blood supply to the lungs. Clinical presentations are pleuritic chest pain, rapid breathing, increased heart rate of patient and shortness of breath. It involves hypercoagulability, circulatory stasis and endothelial damage causing stagnation of blood flow which can be diagnosed by CT angiography. Computed tomography, or CT angiography is most often used but sometimes ventilation-perfusion lung scan is also used. Recommended treatment involves anticoagulant therapy, thrombolytics and surgery. In this case report, referred patient of 42 years old male is suffering from pulmonary embolism having chest pain along with diabetes and he was treated by thrombolytic therapy as well as by life style modifications which finally stabilizes his chest pain and condition of pulmonary embolism.
肺栓塞和深静脉血栓形成被认为是血栓栓塞,它是由血栓从其形成部位碎片化而阻塞血管。当深静脉血栓从静脉壁脱离并阻断部分或全部肺部血液供应时,肺栓塞可能是致命的。临床表现为胸膜性胸痛,呼吸急促,患者心率加快,呼吸短促。它包括高凝,循环停滞和内皮损伤导致血流停滞,可通过CT血管造影诊断。计算机断层扫描或CT血管造影是最常用的,但有时也使用通气灌注肺扫描。推荐的治疗包括抗凝治疗、溶栓和手术。在本病例报告中,患者为42岁男性,患有肺栓塞,胸痛并伴有糖尿病,他接受了溶栓治疗和生活方式的改变,最终稳定了他的胸痛和肺栓塞的情况。
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引用次数: 0
Sero-Prevalence of Acute Hepatitis A Virus among School Children in Khartoum State, Sudan 苏丹喀土穆州学龄儿童急性甲型肝炎病毒血清流行率
Pub Date : 2019-01-01 DOI: 10.23880/vij-16000202
A. Badri
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引用次数: 0
Ebola Virus Disease: Current Trends in Clinical Management 埃博拉病毒病:临床管理的当前趋势
Pub Date : 2019-01-01 DOI: 10.23880/vij-16000205
Chikere A. Anusiem
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引用次数: 0
Methods of ESBLs Detection in Clinical Microbiology Lab 临床微生物实验室ESBLs检测方法
Pub Date : 2019-01-01 DOI: 10.23880/vij-16000222
A. Abdelmoktader
Microbial resistance through extended-spectrum β-lactamase (ESBL) has emerged globally, and ESBL –producing Enterobacteriacae are recognized worldwide as nosocomial pathogens of major importance. Several phenotypic tests have been recommended for screening and confirmation of ESBL-producing organisms, but these are usually performed on isolated organisms following culture and antibiotic susceptibility testing.
通过广谱β-内酰胺酶(ESBL)产生的微生物耐药性已在全球范围内出现,而产生ESBL的肠杆菌是世界范围内公认的重要医院病原体。几种表型试验已被推荐用于筛选和确认产生esbl的生物体,但这些通常是在培养和抗生素敏感性试验后对分离的生物体进行的。
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引用次数: 3
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