Objective:To evaluate the effectiveness of direct-acting antivirals(DAAs)in patients with chronic hepatitis C,assess changes in liver function and hepatic fibrosis following treatment,and identify independent predicto...Objective:To evaluate the effectiveness of direct-acting antivirals(DAAs)in patients with chronic hepatitis C,assess changes in liver function and hepatic fibrosis following treatment,and identify independent predictors of treatment failure.Methods:This retrospective cohort study included patients who received DAA therapy at Hospital Kuala Lumpur between January 2020 and December 2023.Sustained virologic response(SVR)was assessed at least 12 weeks post-treatment by reverse transcription-polymerase chain reaction for hepatitis C virus(HCV)RNA.Demographic,clinical,and laboratory data were collected and analyzed.Multiple logistic regression analysis was performed to identify independent predictors of treatment failure.Results:A total of 335 patients in the study.The overall SVR rate was 89%.After achieving SVR,significant improvements were observed in liver enzyme levels and non-invasive liver fibrosis scores,whereas the overall Model for End-Stage Liver Disease(MELD)scores remained unchanged.Significant independent predictors of treatment failure included non-compliance with DAA therapy[adjusted odds ratio(aOR)68.3;95%confidence interval(95%CI)16.3-285.0;P<0.001],treatment with sofosbuvir/velpatasvir(aOR 6.1;95%CI 1.4-26.5;P=0.015),MELD score of 10-15(aOR 4.6;95%CI 1.1-18.2;P=0.031),HCV genotype 3 infection(aOR 4.5;95%CI 1.1-17.6;P=0.031),and elevated serum total bilirubin level(aOR 1.1;95%CI 1.0-1.1;P=0.003).Conclusions:DAA therapy yielded a high SVR rate,and treatment failure was strongly associated with non-adherence to therapy and advanced liver disease.These findings underscore the necessity of adherence support,early diagnosis,and individualized clinical management to optimize treatment outcomes in patients with chronic hepatitis C.展开更多
Varicella-zoster virus, which is responsible for varicella(chickenpox) and herpes zoster(shingles), is ubiquitous and causes an acute infection among children, especially those aged less than six years. As 90% of adul...Varicella-zoster virus, which is responsible for varicella(chickenpox) and herpes zoster(shingles), is ubiquitous and causes an acute infection among children, especially those aged less than six years. As 90% of adults have had varicella in childhood, it is unusual to encounter an infected pregnant woman but, if the disease does appear, it can lead to complications for both the mother and fetus or newborn. The major maternal complications include pneumonia, which can lead to death if not treated. If the virus passes to the fetus, congenital varicella syndrome, neonatal varicella(particularly serious if maternal rash appears in the days immediately before or after childbirth) or herpes zoster in the early years of life may occur depending on the time of infection. A Microbiology laboratory can help in the diagnosis and management of mother-child infection at four main times:(1) when a pregnant woman has been exposed to varicella or herpes zoster, a prompt search for specific antibodies can determine whether she is susceptible to, or protected against infection;(2) when a pregnant woman develops clinical symptoms consistent with varicella, the diagnosis is usually clinical, but a laboratory can be crucial if the symptoms are doubtful or otherwise unclear(atypical patterns in immunocompromised subjects, patients with post-vaccination varicella, or subjects who have received immunoglobulins), or if there is a need for a differential diagnosis between varicella and other types of dermatoses with vesicle formation;(3) when a prenatal diagnosis of uterine infection is required in order to detect cases of congenital varicella syndrome after the onset of varicella in the mother; and(4) when the baby is born and it is necessary to confirm a diagnosis of varicella(and its complications), make a differential diagnosis between varicella and other diseases with similar symptoms, or confirm a causal relationship between maternal varicella and malformations in a newborn.展开更多
A reliable estimation of Candida bloodstream infection prevalence is increasingly important to track changes in Candida species distribution and define burden of ongoing candidemia.A systematic review and meta-analysi...A reliable estimation of Candida bloodstream infection prevalence is increasingly important to track changes in Candida species distribution and define burden of ongoing candidemia.A systematic review and meta-analysis were conducted to estimate candidemia prevalence and identify patterns of Candida species in South-eastern Asia.Systematic electronic-databases literature search was performed on published studies recorded candidemia prevalence in South-Eastern Asia.Using meta-analysis of proportions,the overall pooled prevalences of candidemia by Candida(C.)albicans,C.tropicalis,C.parapsilosis and C.glabrata were calculated as 28.4%(95%CI 24.9-31.8),29.2%(95%CI 24.7-33.7),19.1%(95%CI 14.8-23.4)and 14.0%(95%CI 10.4-17.5),respectively.Based on publication year and country,subgroup analyses were conducted on Candida species to determine heterogeneity source.The findings may not precisely reflect true candidemia prevalence in different countries.Therefore,it highlights continuous need to conduct prevalence studies,assess and monitor growing burden,control effect of potential risk factors and implement regional surveillance programs to prevent further rise.展开更多
Serological tests for antibodies specific for Epstein-Barr virus(EBV) antigens are frequently used to define infection status and for the differential diagnosis of other pathogens responsible for mononucleosis syndrom...Serological tests for antibodies specific for Epstein-Barr virus(EBV) antigens are frequently used to define infection status and for the differential diagnosis of other pathogens responsible for mononucleosis syndrome. Using only three parameters [viral capsid antigen(VCA) Ig G, VCA Ig M and EBV nuclear antigen(EBNA)-1 Ig G],it is normally possible to distinguish acute from past infection: the presence of VCA Ig M and VCA Ig G without EBNA-1 Ig G indicates acute infection, whereas the presence of VCA Ig G and EBNA-1 Ig G without VCA Ig M is typical of past infection. However, serological findings may sometimes be difficult to interpret as VCA Ig G can be present without VCA Ig M or EBNA-1 Ig G in cases of acute or past infection, or all the three parameters may be detected simultaneously in the case of recent infection or during the course of reactivation. A profile of isolated EBNA-1 Ig G may also create some doubts. In order to interpret these patterns correctly, it is necessary to determine Ig G avidity, identify anti-EBV Ig G and Ig M antibodies by immunoblotting, and look for heterophile antibodies, anti-EA(D) antibodies or viral genome using molecular biology methods. These tests make it possible to define the status of the infection and solve any problems that may arise in routine laboratory practice.展开更多
AIM: To identify and evaluate the relative impact of H pylori infection and other risk factors on the occurrence of gastric ulcer (GU), duodenal ulcer (DU) and gastritis in Turkish patients. METHODS: A total of 4471 p...AIM: To identify and evaluate the relative impact of H pylori infection and other risk factors on the occurrence of gastric ulcer (GU), duodenal ulcer (DU) and gastritis in Turkish patients. METHODS: A total of 4471 patients (48.3% female) out of 4863 attended the Samatya hospital in Istanbul (June 1999 - October 2003) were included. The records of H pylori status (CLO-test), endoscopic f indings of GU, DU and gastritis, personal habits (smoking, alcohol intake) and medication [non-steroidal anti-inflammatory drugs (NSAIDs), aspirin intake] were analyzed using multi-way frequency analysis. RESULTS: We have found that GU in the presence of H pylori had significant association with aspirin (P = 0.0001), alcohol (P = 0.0090) and NSAIDs (P = 0.0372). DU on the other hand had significant association with aspirin/ smoking/NSAIDs (P = 0.0259), aspirin/alcohol (P = 0.0002) and aspirin/smoking (P = 0.0233), also in the presence of H pylori. In the absence of H pylori GU had significant association with alcohol/NSAIDs (P = 0.0431), and NSAIDs (P = 0.0436). While DU in the absence of H pylori had significant association with smoking/alcohol/ NSAIDs (P = 0.0013), aspirin/NSAIDs (P = 0.0334), aspirin/alcohol (P = 0.0360). CONCLUSION: In the presence of H pylori, aspirin, alcohol and NSAIDs intake act as an independent risk factors that had an augmenting impact on the occurrence of GU and only together on the occurrence of DU in Turkish patients.展开更多
Early gastric cancer(EGC)is an invasive carcinoma involving only the stomach mucosa or submucosa,independently of lymph node status.EGC represents over 50%of cases in Japan and in South Korea,whereas it accounts only ...Early gastric cancer(EGC)is an invasive carcinoma involving only the stomach mucosa or submucosa,independently of lymph node status.EGC represents over 50%of cases in Japan and in South Korea,whereas it accounts only for approximately 20%of all newly diagnosed gastric cancers in Western countries.The main classification systems of EGC are the Vienna histopathologic classification and the Paris endoscopic classification of polypoid and non-polypoid lesions.A careful endoscopic assessment is fundamental to establish the best treatment of EGC.Generally,EGCs are curable if the lesion is completely removed by endoscopic resection or surgery.Some types of EGC can be resected endoscopically;for others the most appropriate treatment is surgical resection and D2 lymphadenectomy,especially in Western countries.The favorable oncological prognosis,the extended lymphadenectomy and the reconstruction of the intestinal continuity that excludes the duodenum make the prophylactic cholecystectomy mandatory to avoid the onset of biliary complications.展开更多
Objective:The column chromatographic fraction of ethyl acetate(EA1,EA2,EA3,EA4 and EA5) leaf extracts of Vangueria spinosa(V.spinosa) were screened for antibacterial activity and phytochemical analysis.Methods:EA3 fra...Objective:The column chromatographic fraction of ethyl acetate(EA1,EA2,EA3,EA4 and EA5) leaf extracts of Vangueria spinosa(V.spinosa) were screened for antibacterial activity and phytochemical analysis.Methods:EA3 fraction was isolated and identified by column chromatography,thin layer chromatography,spectral data analysis and phytochemical screening were used for analysis.Results:EA3 fraction was significantly active at 4 to 64 mg/L against Staphylococcus aureus,Escherichia coli,Klebsiella pneumoniae and Pseudomonas aeruginosa with minimum inhibitory concentration of 1.5625 to 3.1250 mg/mL.The active fraction(EA3) revealed the presence of flavonoid with retention factor value(R_f) of 0.39.The active antibacterial agent in the most potent fraction(EA3) was isolated and identified as flavonoid(-)-epicatechin-3-O-β-glucopyranoside by thin layer chromatography(TLC) and phytochemical screening.EA1 and EA2 show inhibitory activity at 4 to 64 mg/L against Staphylococcus aureus only where as fraction EA4 and EA5 do not shows any inhibitory activity within that range of concentration against any bacteria.Conclusions:The results support the ethnomedicinal use of leaf of V.spinosa for the treatment of bacterial diseases.展开更多
Objective:The column chromatographic fractions of chloroform(CH1,CH2,CH3) seed extracts of Argemone mexicana(A.mexicana) were screened for antibacterial activity and phytochemical analysis.Methods:CH3 fraction was iso...Objective:The column chromatographic fractions of chloroform(CH1,CH2,CH3) seed extracts of Argemone mexicana(A.mexicana) were screened for antibacterial activity and phytochemical analysis.Methods:CH3 fraction was isolated and identified by column chromatography,thin layer chromatography,spectral data analysis and phytochemical screening were used for analysis. Results:CH3 fraction was significantly active at 4 to 64 mg/mL against Staphylococcus aureus, Escherichia coli,Klebsiella pneumoniae and Pseudomonas aeruginosa with minimum inhibitory concentration of 1.5625 to 3.125 mg/mL.The active fraction(CH3) revealed presence of alkaloid with retention factor value of 0.44.The active antibacterial agent in the most potent fraction (CH3) was isolated and identified as N-demethyloxysanguinarine by thin layer chromatography (TLC) and phytochemical screening.The CH1 and CH2 fractions did not show inhibitory activity. Conclusions:The results support the ethnomedicinal use of seeds of A.mexicana for treatment of bacterial diseases.展开更多
Biosensors for sensitive and specific detection of foodborne and waterborne pathogens are particularly valued for their portability,usability,relatively low cost,and real-time or near real-time response.Their applicat...Biosensors for sensitive and specific detection of foodborne and waterborne pathogens are particularly valued for their portability,usability,relatively low cost,and real-time or near real-time response.Their application is widespread in several domains,including environmental monitoring.The main limitation of currently developed biosensors is a lack of sensitivity and specificity in complex matrices.Due to increased interest in biosensor development,we conducted a systematic review,complying with the PRISMA guidelines,covering the period from January 2010 to December 2019.The review is focused on biosensor applications in the identification of foodborne and waterborne microorganisms based on research articles identified in the Pubmed,Science Direct,and Scopus search engines.Efforts are still in progress to overcome detection limitations and to provide a rapid detection system which will safeguard water and food quality.The use of biosensors is an essential tool with applicability in the evaluation and monitoring of the environment and food,with great impact in public health.展开更多
Objective:The documented evidence of toxigenic fungi and their toxic metabolites on medicinal plants,coupled with the ability of these toxins to resist decomposition and temperature treatments necessitated this study,...Objective:The documented evidence of toxigenic fungi and their toxic metabolites on medicinal plants,coupled with the ability of these toxins to resist decomposition and temperature treatments necessitated this study,with a view of surveying for a possible carry over into the final medicinal products.As such popular indigenous crude herbal preparations widely consumed for various ailments in south-western Nigeria,were screened for fungal contamination,mycoflora enumeration,flora mycotoxin productibility,detection and quantification of a potent human carcinogen(aflatoxin). Methods:Fungal contamination was assessed on acidified potato dextrose agar using the plate count method, while mycotoxin detection,extraction and quantification were achieved by the thin - layer chromatography and chemical confirmation techniques.Mycoflora were characterized by standard procedures.Results:The total plate count ranged from 1.80×10~4 CFU/ML to 1.1×10~5 CFU/ML and 2.00×10~3 CFU/ML to 1.38×10~5 CFU/ML for water and dry gin extracted preparations respectively.The mycoflora consisted of six genera(Aspergillus,Penicillium,Fusarium, Mucor,Alternaria and Rhizopus).Thirty-four percent(34%) of the potential toxigenic species(Aspergillus, Penicillium and Fusarium) produced mycotoxins in culture,while further characterization indicated production of aflatoxin Bl(42%),ochratoxin A(50%) and penicillic acid(8%) by the mycotoxigenic strains respectively. The aflatoxin content of the herbal medicines ranged between 0.004μg/kg and 0.345μg/kg.Conclusion:The study confirmed the carry over of the fungal contaminants and their toxic metabolites into the final herbal medicines in quantities that exceeded some of the available limits.The implication of this is that the chronic exposure to mycotoxins particularly aflatoxins as a result of long term consumption of these preparations,could lead to impaired growth, nutritional interference,immunologic suppression and hepatocellular carcinoma in the consumers.展开更多
Bacterial nanocellulose(BNC)is a homopolymer ofβ-1,4 linked glycose,which is synthesized by Acetobacter using simple culturing methods to allow inexpensive and environmentally friendly small-and large-scale productio...Bacterial nanocellulose(BNC)is a homopolymer ofβ-1,4 linked glycose,which is synthesized by Acetobacter using simple culturing methods to allow inexpensive and environmentally friendly small-and large-scale production.Depending on the growth media and types of fermentation methods,ultra-pure cellulose can be obtained with different physio-chemical characteristics.Upon biosynthesis,bacterial cellulose is assembled in the medium into a nanostructured network of glucan polymers that are semitransparent,mechanically highly resistant,but soft and elastic,and with a high capacity to store water and exchange gasses.BNC,generally recognized as safe as well as one of the most biocompatible materials,has been found numerous medical applications in wound dressing,drug delivery systems,and implants of heart valves,blood vessels,tympanic membranes,bones,teeth,cartilages,cornea,and urinary tracts.展开更多
Objective:To investigate the seroprevalence of Helicobacter pylori(H.pylori) infection among the undergraduate students of Nasarawa state University,Keffi,Nigeria.Methods:A total of 200 serum samples were collected fr...Objective:To investigate the seroprevalence of Helicobacter pylori(H.pylori) infection among the undergraduate students of Nasarawa state University,Keffi,Nigeria.Methods:A total of 200 serum samples were collected from undergraduate students of Nasarawa State University, Keffi,and 100μL of each serum was aseptically transferred to the specimen well of an H.pylori antigen kit(Clinotech USA).The 2 distinctive red lines apearing in the control and test regions of the kit after 10 minufes indicated positive reaction.Results:Of the 200 students sampled, 108(54%) were seropositive.Analysis of seroprevalence of H.pylori revealed the correlation between infection prevalence and age.The infection prevalence was 45.5%among students aged 18-20,rose to the peak of 85.7%adults aged 31-40,dropped to 66.7%among those 41-50 years old,and continuously went down to 28.6%in the 51-year-old and above populaion.There was a statistically significant difference(using Chi-square) with respects to gender,age and type of infection(symptomatic or asymptomatic seropositive infection)(P【0.0S).Conclucions: Community Health Personnel should be aware of this microorganism as a potential cause of illness in children.Furthermore,the mode of transmission and possible means of controlling the bacterial infection among students or a community is of public health concern and requires further study.展开更多
AIM: To estimate the prevalence of gastric cancer(GC) in a cohort of patients diagnosed with GC and to compare it with patients diagnosed with all other types of gastro-intestinal(GI) cancer during the same period.MET...AIM: To estimate the prevalence of gastric cancer(GC) in a cohort of patients diagnosed with GC and to compare it with patients diagnosed with all other types of gastro-intestinal(GI) cancer during the same period.METHODS: Between 2008 and 2013,five-year period,the medical records of all GI cancer patients who underwent medical care and confirm diagnosis of cancer were reviewed at the National Referral Hospital,Thimphu which is the only hospital in the country where surgical and cancer diagnosis can be made. Demographic information,type of cancer,and the year of diagnosis were collected.RESULTS: There were a total of 767 GI related cancer records reviewed during the study period of which 354(46%) patients were diagnosed with GC. There were 413 patients with other GI cancer including; esophagus,colon,liver,rectum,pancreas,gall bladder,cholangiocarcinoma and other GI tract cancers. The GC incidence rate is approximately 0.9/10000 per year(367 cases/5years per 800000 people). The geographic distribution of GC was the lowest in the south region of Bhutan 0.3/10000 per year compared to the central region 1.4/10000 per year,Eastern region 1.2/10000 per year,and the Western region 1.1/10000 per year. Moreover,GC in the South part was significantly lower than the other GI cancer in the same region(8% vs 15%; OR = 1.8,95%CI: 1.3-3.1,P = 0.05). Among GC patients,38% were under the age of 60 years,mean age at diagnosis was 62.3(± 12.1) years with male-to-female ratio 1:0.5. The mean age among patients with all other type GI cancer was 60 years(± 13.2) and male-tofemale ratio of 1:0.7. At time of diagnosis of GC,342(93%) were at stage 3 and 4 of and by the year 2013; 80(23%) GC patients died compared to 31% death among patients with the all other GI cancer(P = 0.08).CONCLUSION: The incidence rate of GC in Bhutan is twice as high in the United States but is likely an underestimate rate because of unreported and undiagnosed cases in the villages. The high incidence of GC in Bhutan could be attributed to the high prevalence of Helicobacter pylori infection that we previously reported. The lowest incidence of GC in Southern part of the country could be due to the difference in the ethnicity as most of its population is of Indian and Nepal origin. Our current study emphasizes on the importance for developing surveillance and prevention strategies for GC in Bhutan.展开更多
Objective:To investigate the mosquito larvicidal activity of Cayratia trifolia(L.)Domin(Vitaceae:Vitales)(C.trifolia)which is distributed in many parts of India with medicinal properties as vector control is facing th...Objective:To investigate the mosquito larvicidal activity of Cayratia trifolia(L.)Domin(Vitaceae:Vitales)(C.trifolia)which is distributed in many parts of India with medicinal properties as vector control is facing threat due to the emergence of resistance to synthetic insecticides.Methods:Young and mature leaves of C.trifolia were investigated for larvicidal activity against3rd instars larvae of Culex quinquefasciatus in different seasons throughout the year.The active fractions were extracted using six different solvents in a non-polar to polar fashion viz petroleumether,benzene,chloroform:methanol(1:1 v/v),acetone,absolute alcohol and distilled water.Dose dependent mortality was recorded against each solvent extract.Determination of LD_(50)and LD_(90)were executed through log-probit analysis using the most bioactive fraction.The fluctuations in mortality were statistically co-related through ANOVA analyses concerning different seasons and types of leaves as random variables.Justification of larvicidal activity was established through student's t-test.Costing effects were evaluated on the non-target water fauna under laboratory conditions.Thin layer chromatographic techniques were performed for phytochemical analysis and categorization of chemical personality of the active fractions using the most effective solvent extract following standard methods.Results:Significant variations in mortality rate were noted with respect to the type of leaves(mature and senescence),concentration of leaf extract and between seasons.The water extract among all the solvent extracts was found to induce cent percent mortality at 50 mg/L in test mosquito species within 24 h with a LD_(50)and LD_(90)value of 10.70 mg/L and 27.64 mg/L respectively.No significant mortality was recorded in non-target water population.Chromatographic analyses of the water extract revealed the presence of steroids,triterpene glycosides,essential oil,phenolics and diterpenes as secondary phytochemicals.Conclusions:Water extract of C.trifolia leaf promised as a cost effective and potent larvicidal agent against Culex quinquefasciatus.展开更多
BACKGROUND Surgery for gastric cancer is a complex procedure and lymphadenectomy is often mandatory.Postoperative mortality and morbidity after curative gastric cancer surgery is not insignificant.AIM To evaluate the ...BACKGROUND Surgery for gastric cancer is a complex procedure and lymphadenectomy is often mandatory.Postoperative mortality and morbidity after curative gastric cancer surgery is not insignificant.AIM To evaluate the factors determining mortality and morbidity in a population of patients undergoing R0 resection and D2 lymphadenectomy for gastric cancer.METHODS A retrospective analysis of clinical data and pathological characteristics(age,sex,primary site of the tumor,Lauren histotype,number of positive lymph nodes resected,number of negative lymph nodes resected,and depth of invasion as defined by the standard nomenclature)was conducted in patients with gastric cancer.For each patient we calculated the Kattan’s score.We arbitrarily divided the study population of patients into two groups based on the nomogram score(<100 points or≥100 points).Prespecified subgroups in these analyses were defined according to age(≤65 years or>65 years),and number of lymph nodes retrieved(≤35 lymph nodes or>35 lymph nodes).Uni-and multivariate analysis of clinical and pathological findings were performed to identify the factors affecting postoperative mortality and morbidity.RESULTS One-hundred and eighty-six patients underwent a curative R0 resection with D2 lymphadenectomy.Perioperative mortality rate was 3.8%(7 patients);a higher mortality rate was observed in patients aged>65 years(P=0.002)and in N+patients(P=0.04).Following univariate analysis,mortality was related to a Kattan’s score≥100 points(P=0.04)and the presence of advanced gastric cancer(P=0.03).Morbidity rate was 21.0%(40 patients).Surgical complications were observed in 17 patients(9.1%).A higher incidence of morbidity was observed in patients where more than 35 lymph nodes were harvested(P=0.0005).CONCLUSION Mortality and morbidity rate are higher in N+and advanced gastric cancer patients.The removal of more than 35 lymph nodes does not lead to an increase in mortality.展开更多
AIM：To investigate hepatitis C virus （HCV） seroprevalence in Tunisian patients with diabetes mellitus and in a control group. METHODS： A cross-sectional study was conducted to determine the HCV seroprevalence in 1...AIM：To investigate hepatitis C virus （HCV） seroprevalence in Tunisian patients with diabetes mellitus and in a control group. METHODS： A cross-sectional study was conducted to determine the HCV seroprevalence in 1269 patients with diabetes （452 male, 817 female） and 1315 nondiabetic patients, attending health centers in Sousse, Tunisia. HCV screening was performed in both groups using a fourth-generation enzyme immunoassay. RESULTS： In the diabetic group, 17 （1.3%） were found to be HCV-infected compared with eight （0.6%） in the control group, although the difference was not significant （P = 0.057）. Quantitative PCR was performed in 20 patients. Eleven patients were positive and showed HCV genotype lb in all cases. CONCLUSION： Frequency of HCV antibodies was low in patients with diabetes and in the control group in central Tunisia, with no significant difference between the groups.展开更多
Introduction: Magnetic resonance imaging (MRI) studies obtained during the initial staging of patients affected by uterine cervical cancer were compared to the final histological report after surgery. Methods: Data we...Introduction: Magnetic resonance imaging (MRI) studies obtained during the initial staging of patients affected by uterine cervical cancer were compared to the final histological report after surgery. Methods: Data were retrieved from published papers. Results: MRI detection of lymph node metastases shows a sensitivity of 49.3% (1209 patients) and a specificity of 87.7% (1182 patients). Parametrial involvement detection has 66.2% sensitivity (1288 patients) and 83.6% specificity (1282 patients). MRI tumor size evaluation shows significant error. Even detection of over 1 cm diameter primary tumor can fail. MRI appears promising in the detection of myometrial and endometrial involvement. Conclusions: Primary uterine cervical cancer evaluation with routine MRI has a limited accuracy especially in the detection of lymph node involvement and parametrial invasion. It is not sensitive enough to replace histology of dissected nodes and parametria. Tumor size estimation is imprecise. Detection of myometrial and endometrial invasion using MRI might be possible. Awareness of MRI limitations is crucial in primary cervical cancer staging.展开更多
Objective:To investigate the larvicidal activities of crude and chlor of orm:methanol(1:1 v/ v) extracts of some common spices(Cuminum cyminum,Allium sativum,Zingiber offinale, Curcuma longa) and vegetable waste(Solan...Objective:To investigate the larvicidal activities of crude and chlor of orm:methanol(1:1 v/ v) extracts of some common spices(Cuminum cyminum,Allium sativum,Zingiber offinale, Curcuma longa) and vegetable waste(Solanum tuberosum germinated tuber) against Anopheles stephensi and Culex quinquefasciatus mosquito larvae.Methods:Larval mortality of above mosquito species were observed after 24,48 and 72 h of exposure to five concentrations of aqueous extract(0.1%,0.2%,0.3%,0.4%and 0.5%) and four concentrations(25,50,75 ppm) of chlor of orm:methanol(1:1 v/v) extract.The lethal concentration of individual spices or vegetable waste was determined by log-probit analysis(at 95%confidence level) and effect of crude and chlor of orm:methanol(1:1 v/v) extracts were recorded on non target organisms.Results: Relative mortality rate of both larval mosquito species were recorded in the following sequences: Cuminum cyminum】 Allium sativum】Zingiber offinale,Curcuma longa 】 Solanum tuberosum germinated tuber for crude extract,and efficacy of chlor of orm:methanol(1:1 v/v) extract were as follows:Curcuma longa 】 Zingiber offinale 】 Solanum tuberosum germinated tuber 】 Cuminum cyminum】 Allium sativum.Conclusions:Crude and chlor of orm:methanol(1:1 v/v) extract of Cuminum cyminum,Allium sativum,Zingiber offinale,Curcuma longa and Solanum tuberosum germinated tuber can be recommended effectively in mosquito control programmes at very low concentrations.No mortality and other abnormalities were noticed on non target organisms and further studies are needed to investigate the chemical structure of active principal which are responsible for larvicidal activity.展开更多
Sustainability and eco-friendliness have both engendered research on alternative replacement of fossil fuel. This study was aimed at determining the effects of varying levels of glucose (10 ~ 40 g/L), and glycerol (0....Sustainability and eco-friendliness have both engendered research on alternative replacement of fossil fuel. This study was aimed at determining the effects of varying levels of glucose (10 ~ 40 g/L), and glycerol (0.25 ~ 1.0 mL/L) on the heterotrophic and mixotrophic growth and lipid production by Dictyosphaerium sp. The microalga was cultivated in 2000 mL amber-coloured bottles each containing 1000 mL of a sterile modified BG-11 medium at pH of 7.3. Each bottle was inoculated with a one-week-old pure culture of the isolate (inoculum ratio = 15%) and incubated in the dark at room temperature (30°C ± 2°C) for 10 d. Dictyosphaerium sp. showed the ability to grow heterotrophically and mixotrophically on glucose and on glycerol as a sole carbon substrates. Biomass productivity and specific growth rates did not vary when the initial medium glucose was varied. Lipid accumulation was not dependent on the initial medium glycerol contents. The mean lipid content and productivity of the organism in the present study were high enough to be utilised for industrial processes. Growth and lipid accumulations were better in mixotrophic cultures than both heterotrophic and autotrophic. However, both were better than autotrophic. The percentage compositions of the major fatty acids from Dictyosphaerium sp. grown under different culture conditions show at least five components each. The carbon skeletons eluted ranged from C14 to C22. Oleic acid was a major component of all the fatty acids, which confirm the suitability of the use of the oil for biodiesel production.展开更多
文摘Objective:To evaluate the effectiveness of direct-acting antivirals(DAAs)in patients with chronic hepatitis C,assess changes in liver function and hepatic fibrosis following treatment,and identify independent predictors of treatment failure.Methods:This retrospective cohort study included patients who received DAA therapy at Hospital Kuala Lumpur between January 2020 and December 2023.Sustained virologic response(SVR)was assessed at least 12 weeks post-treatment by reverse transcription-polymerase chain reaction for hepatitis C virus(HCV)RNA.Demographic,clinical,and laboratory data were collected and analyzed.Multiple logistic regression analysis was performed to identify independent predictors of treatment failure.Results:A total of 335 patients in the study.The overall SVR rate was 89%.After achieving SVR,significant improvements were observed in liver enzyme levels and non-invasive liver fibrosis scores,whereas the overall Model for End-Stage Liver Disease(MELD)scores remained unchanged.Significant independent predictors of treatment failure included non-compliance with DAA therapy[adjusted odds ratio(aOR)68.3;95%confidence interval(95%CI)16.3-285.0;P<0.001],treatment with sofosbuvir/velpatasvir(aOR 6.1;95%CI 1.4-26.5;P=0.015),MELD score of 10-15(aOR 4.6;95%CI 1.1-18.2;P=0.031),HCV genotype 3 infection(aOR 4.5;95%CI 1.1-17.6;P=0.031),and elevated serum total bilirubin level(aOR 1.1;95%CI 1.0-1.1;P=0.003).Conclusions:DAA therapy yielded a high SVR rate,and treatment failure was strongly associated with non-adherence to therapy and advanced liver disease.These findings underscore the necessity of adherence support,early diagnosis,and individualized clinical management to optimize treatment outcomes in patients with chronic hepatitis C.
文摘Varicella-zoster virus, which is responsible for varicella(chickenpox) and herpes zoster(shingles), is ubiquitous and causes an acute infection among children, especially those aged less than six years. As 90% of adults have had varicella in childhood, it is unusual to encounter an infected pregnant woman but, if the disease does appear, it can lead to complications for both the mother and fetus or newborn. The major maternal complications include pneumonia, which can lead to death if not treated. If the virus passes to the fetus, congenital varicella syndrome, neonatal varicella(particularly serious if maternal rash appears in the days immediately before or after childbirth) or herpes zoster in the early years of life may occur depending on the time of infection. A Microbiology laboratory can help in the diagnosis and management of mother-child infection at four main times:(1) when a pregnant woman has been exposed to varicella or herpes zoster, a prompt search for specific antibodies can determine whether she is susceptible to, or protected against infection;(2) when a pregnant woman develops clinical symptoms consistent with varicella, the diagnosis is usually clinical, but a laboratory can be crucial if the symptoms are doubtful or otherwise unclear(atypical patterns in immunocompromised subjects, patients with post-vaccination varicella, or subjects who have received immunoglobulins), or if there is a need for a differential diagnosis between varicella and other types of dermatoses with vesicle formation;(3) when a prenatal diagnosis of uterine infection is required in order to detect cases of congenital varicella syndrome after the onset of varicella in the mother; and(4) when the baby is born and it is necessary to confirm a diagnosis of varicella(and its complications), make a differential diagnosis between varicella and other diseases with similar symptoms, or confirm a causal relationship between maternal varicella and malformations in a newborn.
文摘A reliable estimation of Candida bloodstream infection prevalence is increasingly important to track changes in Candida species distribution and define burden of ongoing candidemia.A systematic review and meta-analysis were conducted to estimate candidemia prevalence and identify patterns of Candida species in South-eastern Asia.Systematic electronic-databases literature search was performed on published studies recorded candidemia prevalence in South-Eastern Asia.Using meta-analysis of proportions,the overall pooled prevalences of candidemia by Candida(C.)albicans,C.tropicalis,C.parapsilosis and C.glabrata were calculated as 28.4%(95%CI 24.9-31.8),29.2%(95%CI 24.7-33.7),19.1%(95%CI 14.8-23.4)and 14.0%(95%CI 10.4-17.5),respectively.Based on publication year and country,subgroup analyses were conducted on Candida species to determine heterogeneity source.The findings may not precisely reflect true candidemia prevalence in different countries.Therefore,it highlights continuous need to conduct prevalence studies,assess and monitor growing burden,control effect of potential risk factors and implement regional surveillance programs to prevent further rise.
文摘Serological tests for antibodies specific for Epstein-Barr virus(EBV) antigens are frequently used to define infection status and for the differential diagnosis of other pathogens responsible for mononucleosis syndrome. Using only three parameters [viral capsid antigen(VCA) Ig G, VCA Ig M and EBV nuclear antigen(EBNA)-1 Ig G],it is normally possible to distinguish acute from past infection: the presence of VCA Ig M and VCA Ig G without EBNA-1 Ig G indicates acute infection, whereas the presence of VCA Ig G and EBNA-1 Ig G without VCA Ig M is typical of past infection. However, serological findings may sometimes be difficult to interpret as VCA Ig G can be present without VCA Ig M or EBNA-1 Ig G in cases of acute or past infection, or all the three parameters may be detected simultaneously in the case of recent infection or during the course of reactivation. A profile of isolated EBNA-1 Ig G may also create some doubts. In order to interpret these patterns correctly, it is necessary to determine Ig G avidity, identify anti-EBV Ig G and Ig M antibodies by immunoblotting, and look for heterophile antibodies, anti-EA(D) antibodies or viral genome using molecular biology methods. These tests make it possible to define the status of the infection and solve any problems that may arise in routine laboratory practice.
文摘AIM: To identify and evaluate the relative impact of H pylori infection and other risk factors on the occurrence of gastric ulcer (GU), duodenal ulcer (DU) and gastritis in Turkish patients. METHODS: A total of 4471 patients (48.3% female) out of 4863 attended the Samatya hospital in Istanbul (June 1999 - October 2003) were included. The records of H pylori status (CLO-test), endoscopic f indings of GU, DU and gastritis, personal habits (smoking, alcohol intake) and medication [non-steroidal anti-inflammatory drugs (NSAIDs), aspirin intake] were analyzed using multi-way frequency analysis. RESULTS: We have found that GU in the presence of H pylori had significant association with aspirin (P = 0.0001), alcohol (P = 0.0090) and NSAIDs (P = 0.0372). DU on the other hand had significant association with aspirin/ smoking/NSAIDs (P = 0.0259), aspirin/alcohol (P = 0.0002) and aspirin/smoking (P = 0.0233), also in the presence of H pylori. In the absence of H pylori GU had significant association with alcohol/NSAIDs (P = 0.0431), and NSAIDs (P = 0.0436). While DU in the absence of H pylori had significant association with smoking/alcohol/ NSAIDs (P = 0.0013), aspirin/NSAIDs (P = 0.0334), aspirin/alcohol (P = 0.0360). CONCLUSION: In the presence of H pylori, aspirin, alcohol and NSAIDs intake act as an independent risk factors that had an augmenting impact on the occurrence of GU and only together on the occurrence of DU in Turkish patients.
文摘Early gastric cancer(EGC)is an invasive carcinoma involving only the stomach mucosa or submucosa,independently of lymph node status.EGC represents over 50%of cases in Japan and in South Korea,whereas it accounts only for approximately 20%of all newly diagnosed gastric cancers in Western countries.The main classification systems of EGC are the Vienna histopathologic classification and the Paris endoscopic classification of polypoid and non-polypoid lesions.A careful endoscopic assessment is fundamental to establish the best treatment of EGC.Generally,EGCs are curable if the lesion is completely removed by endoscopic resection or surgery.Some types of EGC can be resected endoscopically;for others the most appropriate treatment is surgical resection and D2 lymphadenectomy,especially in Western countries.The favorable oncological prognosis,the extended lymphadenectomy and the reconstruction of the intestinal continuity that excludes the duodenum make the prophylactic cholecystectomy mandatory to avoid the onset of biliary complications.
文摘Objective:The column chromatographic fraction of ethyl acetate(EA1,EA2,EA3,EA4 and EA5) leaf extracts of Vangueria spinosa(V.spinosa) were screened for antibacterial activity and phytochemical analysis.Methods:EA3 fraction was isolated and identified by column chromatography,thin layer chromatography,spectral data analysis and phytochemical screening were used for analysis.Results:EA3 fraction was significantly active at 4 to 64 mg/L against Staphylococcus aureus,Escherichia coli,Klebsiella pneumoniae and Pseudomonas aeruginosa with minimum inhibitory concentration of 1.5625 to 3.1250 mg/mL.The active fraction(EA3) revealed the presence of flavonoid with retention factor value(R_f) of 0.39.The active antibacterial agent in the most potent fraction(EA3) was isolated and identified as flavonoid(-)-epicatechin-3-O-β-glucopyranoside by thin layer chromatography(TLC) and phytochemical screening.EA1 and EA2 show inhibitory activity at 4 to 64 mg/L against Staphylococcus aureus only where as fraction EA4 and EA5 do not shows any inhibitory activity within that range of concentration against any bacteria.Conclusions:The results support the ethnomedicinal use of leaf of V.spinosa for the treatment of bacterial diseases.
文摘Objective:The column chromatographic fractions of chloroform(CH1,CH2,CH3) seed extracts of Argemone mexicana(A.mexicana) were screened for antibacterial activity and phytochemical analysis.Methods:CH3 fraction was isolated and identified by column chromatography,thin layer chromatography,spectral data analysis and phytochemical screening were used for analysis. Results:CH3 fraction was significantly active at 4 to 64 mg/mL against Staphylococcus aureus, Escherichia coli,Klebsiella pneumoniae and Pseudomonas aeruginosa with minimum inhibitory concentration of 1.5625 to 3.125 mg/mL.The active fraction(CH3) revealed presence of alkaloid with retention factor value of 0.44.The active antibacterial agent in the most potent fraction (CH3) was isolated and identified as N-demethyloxysanguinarine by thin layer chromatography (TLC) and phytochemical screening.The CH1 and CH2 fractions did not show inhibitory activity. Conclusions:The results support the ethnomedicinal use of seeds of A.mexicana for treatment of bacterial diseases.
基金supported by the Single State Action Aid for Research,Technological Development&Innovation"INVESTIGATE-CREATE–INNOVATE"project"SMART-SEATRAC(No,T1EDK-04615)"。
文摘Biosensors for sensitive and specific detection of foodborne and waterborne pathogens are particularly valued for their portability,usability,relatively low cost,and real-time or near real-time response.Their application is widespread in several domains,including environmental monitoring.The main limitation of currently developed biosensors is a lack of sensitivity and specificity in complex matrices.Due to increased interest in biosensor development,we conducted a systematic review,complying with the PRISMA guidelines,covering the period from January 2010 to December 2019.The review is focused on biosensor applications in the identification of foodborne and waterborne microorganisms based on research articles identified in the Pubmed,Science Direct,and Scopus search engines.Efforts are still in progress to overcome detection limitations and to provide a rapid detection system which will safeguard water and food quality.The use of biosensors is an essential tool with applicability in the evaluation and monitoring of the environment and food,with great impact in public health.
文摘Objective:The documented evidence of toxigenic fungi and their toxic metabolites on medicinal plants,coupled with the ability of these toxins to resist decomposition and temperature treatments necessitated this study,with a view of surveying for a possible carry over into the final medicinal products.As such popular indigenous crude herbal preparations widely consumed for various ailments in south-western Nigeria,were screened for fungal contamination,mycoflora enumeration,flora mycotoxin productibility,detection and quantification of a potent human carcinogen(aflatoxin). Methods:Fungal contamination was assessed on acidified potato dextrose agar using the plate count method, while mycotoxin detection,extraction and quantification were achieved by the thin - layer chromatography and chemical confirmation techniques.Mycoflora were characterized by standard procedures.Results:The total plate count ranged from 1.80×10~4 CFU/ML to 1.1×10~5 CFU/ML and 2.00×10~3 CFU/ML to 1.38×10~5 CFU/ML for water and dry gin extracted preparations respectively.The mycoflora consisted of six genera(Aspergillus,Penicillium,Fusarium, Mucor,Alternaria and Rhizopus).Thirty-four percent(34%) of the potential toxigenic species(Aspergillus, Penicillium and Fusarium) produced mycotoxins in culture,while further characterization indicated production of aflatoxin Bl(42%),ochratoxin A(50%) and penicillic acid(8%) by the mycotoxigenic strains respectively. The aflatoxin content of the herbal medicines ranged between 0.004μg/kg and 0.345μg/kg.Conclusion:The study confirmed the carry over of the fungal contaminants and their toxic metabolites into the final herbal medicines in quantities that exceeded some of the available limits.The implication of this is that the chronic exposure to mycotoxins particularly aflatoxins as a result of long term consumption of these preparations,could lead to impaired growth, nutritional interference,immunologic suppression and hepatocellular carcinoma in the consumers.
基金financial assistance from the INNOGAP (Unitec), Sciences Innovation HUB, and Botany and Plant Biology Department of University of Geneva
文摘Bacterial nanocellulose(BNC)is a homopolymer ofβ-1,4 linked glycose,which is synthesized by Acetobacter using simple culturing methods to allow inexpensive and environmentally friendly small-and large-scale production.Depending on the growth media and types of fermentation methods,ultra-pure cellulose can be obtained with different physio-chemical characteristics.Upon biosynthesis,bacterial cellulose is assembled in the medium into a nanostructured network of glucan polymers that are semitransparent,mechanically highly resistant,but soft and elastic,and with a high capacity to store water and exchange gasses.BNC,generally recognized as safe as well as one of the most biocompatible materials,has been found numerous medical applications in wound dressing,drug delivery systems,and implants of heart valves,blood vessels,tympanic membranes,bones,teeth,cartilages,cornea,and urinary tracts.
文摘Objective:To investigate the seroprevalence of Helicobacter pylori(H.pylori) infection among the undergraduate students of Nasarawa state University,Keffi,Nigeria.Methods:A total of 200 serum samples were collected from undergraduate students of Nasarawa State University, Keffi,and 100μL of each serum was aseptically transferred to the specimen well of an H.pylori antigen kit(Clinotech USA).The 2 distinctive red lines apearing in the control and test regions of the kit after 10 minufes indicated positive reaction.Results:Of the 200 students sampled, 108(54%) were seropositive.Analysis of seroprevalence of H.pylori revealed the correlation between infection prevalence and age.The infection prevalence was 45.5%among students aged 18-20,rose to the peak of 85.7%adults aged 31-40,dropped to 66.7%among those 41-50 years old,and continuously went down to 28.6%in the 51-year-old and above populaion.There was a statistically significant difference(using Chi-square) with respects to gender,age and type of infection(symptomatic or asymptomatic seropositive infection)(P【0.0S).Conclucions: Community Health Personnel should be aware of this microorganism as a potential cause of illness in children.Furthermore,the mode of transmission and possible means of controlling the bacterial infection among students or a community is of public health concern and requires further study.
基金Supported by The Center for Eye Research and Education,Boston Massachusetts(partly)
文摘AIM: To estimate the prevalence of gastric cancer(GC) in a cohort of patients diagnosed with GC and to compare it with patients diagnosed with all other types of gastro-intestinal(GI) cancer during the same period.METHODS: Between 2008 and 2013,five-year period,the medical records of all GI cancer patients who underwent medical care and confirm diagnosis of cancer were reviewed at the National Referral Hospital,Thimphu which is the only hospital in the country where surgical and cancer diagnosis can be made. Demographic information,type of cancer,and the year of diagnosis were collected.RESULTS: There were a total of 767 GI related cancer records reviewed during the study period of which 354(46%) patients were diagnosed with GC. There were 413 patients with other GI cancer including; esophagus,colon,liver,rectum,pancreas,gall bladder,cholangiocarcinoma and other GI tract cancers. The GC incidence rate is approximately 0.9/10000 per year(367 cases/5years per 800000 people). The geographic distribution of GC was the lowest in the south region of Bhutan 0.3/10000 per year compared to the central region 1.4/10000 per year,Eastern region 1.2/10000 per year,and the Western region 1.1/10000 per year. Moreover,GC in the South part was significantly lower than the other GI cancer in the same region(8% vs 15%; OR = 1.8,95%CI: 1.3-3.1,P = 0.05). Among GC patients,38% were under the age of 60 years,mean age at diagnosis was 62.3(± 12.1) years with male-to-female ratio 1:0.5. The mean age among patients with all other type GI cancer was 60 years(± 13.2) and male-tofemale ratio of 1:0.7. At time of diagnosis of GC,342(93%) were at stage 3 and 4 of and by the year 2013; 80(23%) GC patients died compared to 31% death among patients with the all other GI cancer(P = 0.08).CONCLUSION: The incidence rate of GC in Bhutan is twice as high in the United States but is likely an underestimate rate because of unreported and undiagnosed cases in the villages. The high incidence of GC in Bhutan could be attributed to the high prevalence of Helicobacter pylori infection that we previously reported. The lowest incidence of GC in Southern part of the country could be due to the difference in the ethnicity as most of its population is of Indian and Nepal origin. Our current study emphasizes on the importance for developing surveillance and prevention strategies for GC in Bhutan.
基金Supported by UGC DRS for kind financial support with the grant no:F.3-9/2012(SAP H)
文摘Objective:To investigate the mosquito larvicidal activity of Cayratia trifolia(L.)Domin(Vitaceae:Vitales)(C.trifolia)which is distributed in many parts of India with medicinal properties as vector control is facing threat due to the emergence of resistance to synthetic insecticides.Methods:Young and mature leaves of C.trifolia were investigated for larvicidal activity against3rd instars larvae of Culex quinquefasciatus in different seasons throughout the year.The active fractions were extracted using six different solvents in a non-polar to polar fashion viz petroleumether,benzene,chloroform:methanol(1:1 v/v),acetone,absolute alcohol and distilled water.Dose dependent mortality was recorded against each solvent extract.Determination of LD_(50)and LD_(90)were executed through log-probit analysis using the most bioactive fraction.The fluctuations in mortality were statistically co-related through ANOVA analyses concerning different seasons and types of leaves as random variables.Justification of larvicidal activity was established through student's t-test.Costing effects were evaluated on the non-target water fauna under laboratory conditions.Thin layer chromatographic techniques were performed for phytochemical analysis and categorization of chemical personality of the active fractions using the most effective solvent extract following standard methods.Results:Significant variations in mortality rate were noted with respect to the type of leaves(mature and senescence),concentration of leaf extract and between seasons.The water extract among all the solvent extracts was found to induce cent percent mortality at 50 mg/L in test mosquito species within 24 h with a LD_(50)and LD_(90)value of 10.70 mg/L and 27.64 mg/L respectively.No significant mortality was recorded in non-target water population.Chromatographic analyses of the water extract revealed the presence of steroids,triterpene glycosides,essential oil,phenolics and diterpenes as secondary phytochemicals.Conclusions:Water extract of C.trifolia leaf promised as a cost effective and potent larvicidal agent against Culex quinquefasciatus.
文摘BACKGROUND Surgery for gastric cancer is a complex procedure and lymphadenectomy is often mandatory.Postoperative mortality and morbidity after curative gastric cancer surgery is not insignificant.AIM To evaluate the factors determining mortality and morbidity in a population of patients undergoing R0 resection and D2 lymphadenectomy for gastric cancer.METHODS A retrospective analysis of clinical data and pathological characteristics(age,sex,primary site of the tumor,Lauren histotype,number of positive lymph nodes resected,number of negative lymph nodes resected,and depth of invasion as defined by the standard nomenclature)was conducted in patients with gastric cancer.For each patient we calculated the Kattan’s score.We arbitrarily divided the study population of patients into two groups based on the nomogram score(<100 points or≥100 points).Prespecified subgroups in these analyses were defined according to age(≤65 years or>65 years),and number of lymph nodes retrieved(≤35 lymph nodes or>35 lymph nodes).Uni-and multivariate analysis of clinical and pathological findings were performed to identify the factors affecting postoperative mortality and morbidity.RESULTS One-hundred and eighty-six patients underwent a curative R0 resection with D2 lymphadenectomy.Perioperative mortality rate was 3.8%(7 patients);a higher mortality rate was observed in patients aged>65 years(P=0.002)and in N+patients(P=0.04).Following univariate analysis,mortality was related to a Kattan’s score≥100 points(P=0.04)and the presence of advanced gastric cancer(P=0.03).Morbidity rate was 21.0%(40 patients).Surgical complications were observed in 17 patients(9.1%).A higher incidence of morbidity was observed in patients where more than 35 lymph nodes were harvested(P=0.0005).CONCLUSION Mortality and morbidity rate are higher in N+and advanced gastric cancer patients.The removal of more than 35 lymph nodes does not lead to an increase in mortality.
文摘AIM：To investigate hepatitis C virus （HCV） seroprevalence in Tunisian patients with diabetes mellitus and in a control group. METHODS： A cross-sectional study was conducted to determine the HCV seroprevalence in 1269 patients with diabetes （452 male, 817 female） and 1315 nondiabetic patients, attending health centers in Sousse, Tunisia. HCV screening was performed in both groups using a fourth-generation enzyme immunoassay. RESULTS： In the diabetic group, 17 （1.3%） were found to be HCV-infected compared with eight （0.6%） in the control group, although the difference was not significant （P = 0.057）. Quantitative PCR was performed in 20 patients. Eleven patients were positive and showed HCV genotype lb in all cases. CONCLUSION： Frequency of HCV antibodies was low in patients with diabetes and in the control group in central Tunisia, with no significant difference between the groups.
文摘Introduction: Magnetic resonance imaging (MRI) studies obtained during the initial staging of patients affected by uterine cervical cancer were compared to the final histological report after surgery. Methods: Data were retrieved from published papers. Results: MRI detection of lymph node metastases shows a sensitivity of 49.3% (1209 patients) and a specificity of 87.7% (1182 patients). Parametrial involvement detection has 66.2% sensitivity (1288 patients) and 83.6% specificity (1282 patients). MRI tumor size evaluation shows significant error. Even detection of over 1 cm diameter primary tumor can fail. MRI appears promising in the detection of myometrial and endometrial involvement. Conclusions: Primary uterine cervical cancer evaluation with routine MRI has a limited accuracy especially in the detection of lymph node involvement and parametrial invasion. It is not sensitive enough to replace histology of dissected nodes and parametria. Tumor size estimation is imprecise. Detection of myometrial and endometrial invasion using MRI might be possible. Awareness of MRI limitations is crucial in primary cervical cancer staging.
基金The University of Burdwan for the facilities provided and acknowledges the financial support provided by The University of Burdwan,India
文摘Objective:To investigate the larvicidal activities of crude and chlor of orm:methanol(1:1 v/ v) extracts of some common spices(Cuminum cyminum,Allium sativum,Zingiber offinale, Curcuma longa) and vegetable waste(Solanum tuberosum germinated tuber) against Anopheles stephensi and Culex quinquefasciatus mosquito larvae.Methods:Larval mortality of above mosquito species were observed after 24,48 and 72 h of exposure to five concentrations of aqueous extract(0.1%,0.2%,0.3%,0.4%and 0.5%) and four concentrations(25,50,75 ppm) of chlor of orm:methanol(1:1 v/v) extract.The lethal concentration of individual spices or vegetable waste was determined by log-probit analysis(at 95%confidence level) and effect of crude and chlor of orm:methanol(1:1 v/v) extracts were recorded on non target organisms.Results: Relative mortality rate of both larval mosquito species were recorded in the following sequences: Cuminum cyminum】 Allium sativum】Zingiber offinale,Curcuma longa 】 Solanum tuberosum germinated tuber for crude extract,and efficacy of chlor of orm:methanol(1:1 v/v) extract were as follows:Curcuma longa 】 Zingiber offinale 】 Solanum tuberosum germinated tuber 】 Cuminum cyminum】 Allium sativum.Conclusions:Crude and chlor of orm:methanol(1:1 v/v) extract of Cuminum cyminum,Allium sativum,Zingiber offinale,Curcuma longa and Solanum tuberosum germinated tuber can be recommended effectively in mosquito control programmes at very low concentrations.No mortality and other abnormalities were noticed on non target organisms and further studies are needed to investigate the chemical structure of active principal which are responsible for larvicidal activity.
文摘Sustainability and eco-friendliness have both engendered research on alternative replacement of fossil fuel. This study was aimed at determining the effects of varying levels of glucose (10 ~ 40 g/L), and glycerol (0.25 ~ 1.0 mL/L) on the heterotrophic and mixotrophic growth and lipid production by Dictyosphaerium sp. The microalga was cultivated in 2000 mL amber-coloured bottles each containing 1000 mL of a sterile modified BG-11 medium at pH of 7.3. Each bottle was inoculated with a one-week-old pure culture of the isolate (inoculum ratio = 15%) and incubated in the dark at room temperature (30°C ± 2°C) for 10 d. Dictyosphaerium sp. showed the ability to grow heterotrophically and mixotrophically on glucose and on glycerol as a sole carbon substrates. Biomass productivity and specific growth rates did not vary when the initial medium glucose was varied. Lipid accumulation was not dependent on the initial medium glycerol contents. The mean lipid content and productivity of the organism in the present study were high enough to be utilised for industrial processes. Growth and lipid accumulations were better in mixotrophic cultures than both heterotrophic and autotrophic. However, both were better than autotrophic. The percentage compositions of the major fatty acids from Dictyosphaerium sp. grown under different culture conditions show at least five components each. The carbon skeletons eluted ranged from C14 to C22. Oleic acid was a major component of all the fatty acids, which confirm the suitability of the use of the oil for biodiesel production.
