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1.
BMC Infect Dis ; 23(1): 543, 2023 Aug 19.
Artículo en Inglés | MEDLINE | ID: mdl-37598157

RESUMEN

BACKGROUND: Helicobacter pylori is a gastrointestinal pathogen that infects around half of the world's population. H. pylori infection is the most severe known risk factor for gastric cancer (GC), which is the second highest cause of cancer-related deaths globally. We conducted a systematic review and meta-analysis to assess the global prevalence of GC in H. pylori-infected individuals. METHODS: We performed a systematic search of the PubMed, Web of Science, and Embase databases for studies of the prevalence of GC in H. pylori-infected individuals published from 1 January 2011 to 20 April 2021. Metaprop package were used to calculate the pooled prevalence with 95% confidence interval. Random-effects model was applied to estimate the pooled prevalence. We also quantified it with the I2 index. Based on the Higgins classification approach, I2 values above 0.7 were determined as high heterogeneity. RESULTS: Among 17,438 reports screened, we assessed 1053 full-text articles for eligibility; 149 were included in the final analysis, comprising data from 32 countries. The highest and lowest prevalence was observed in America (pooled prevalence: 18.06%; 95% CI: 16.48 - 19.63; I2: 98.84%) and Africa (pooled prevalence: 9.52%; 95% CI: 5.92 - 13.12; I2: 88.39%). Among individual countries, Japan had the highest pooled prevalence of GC in H. pylori positive patients (Prevalence: 90.90%:95% CI: 83.61-95.14), whereas Sweden had the lowest prevalence (Prevalence: 0.07%; 95% CI: 0.06-0.09). The highest and lowest prevalence was observed in prospective case series (pooled prevalence: 23.13%; 95% CI: 20.41 - 25.85; I2: 97.70%) and retrospective cohort (pooled prevalence: 1.17%; 95% CI: 0.55 - 1.78; I 2: 0.10%). CONCLUSIONS: H. pylori infection in GC patients varied between regions in this systematic review and meta-analysis. We observed that large amounts of GCs in developed countries are associated with H. pylori. Using these data, regional initiatives can be taken to prevent and eradicate H. pylori worldwide, thus reducing its complications.


Asunto(s)
Helicobacter pylori , Neoplasias Gástricas , Humanos , Neoplasias Gástricas/epidemiología , Prevalencia , Estudios Retrospectivos , África
2.
Mol Biol Rep ; 50(7): 5565-5574, 2023 Jul.
Artículo en Inglés | MEDLINE | ID: mdl-37155016

RESUMEN

INTRODUCTION: Nosocomial infections (NIs) are a major challenge worldwide. Identification of antibiotic resistance pattern extended spectrum beta-lactamases (ESBLs) and carbapenem-resistant Enterobacteriaceae (CRE) were the objectives of this study. METHODS: In this cross-sectional study, the antimicrobial susceptibility pattern of bacterial isolates collected from patients with NIs in ICU was determined. Overall, 42 Escherichia coli and Klebsiella pneumoniae isolates from different infection sites were used to determine phenotypic tests of ESBLs, Metallo-ß-lactamases (MBLs) and CRE. Detection of ESBLs, MBLs and CRE genes were performed by the polymerase chain reaction (PCR) method. RESULTS: From 71 patients with NIs, 103 different bacterial strains were isolated. The most frequently isolated bacteria were E. coli (n = 29; 28.16%), Acinetobacter baumannii (n = 15; 14.56%), and K. pneumoniae (n = 13; 12.26%). Also, the rate of multidrug-resistant (MDR) isolates was 58.25% (60/103). Based on phenotypic confirmation tests, 32 (76.19%) isolates of E. coli and K. pneumoniae produced ESBLs, and 6 (14.28%) isolates were identified as CRE producers. PCR showed the high prevalence of the blaCTX-M (n = 29; 90.62%) in ESBL genes. In addition, blaNDM was detected in 4 (66.66%), blaOXA-23 in 3 (50%), and blaOXA-48 gene in 1 (16.66%) isolates. The blaVIM, blaKPC, and blaIMP genes were not detected in any of the isolates. CONCLUSION: The Gram-negative bacteria E. coli, A. baumannii, and K. pneumoniae with high resistance levels were the most common bacteria causing NIs in the ICU. This study for the first time identified blaOXA-11, blaOXA-23, and blaNDM-1 genes in E. coli and K. pneumoniae in Ilam city of Iran.


Asunto(s)
Antiinfecciosos , Enterobacteriaceae Resistentes a los Carbapenémicos , Infección Hospitalaria , Humanos , Escherichia coli/genética , Infección Hospitalaria/tratamiento farmacológico , Infección Hospitalaria/epidemiología , Infección Hospitalaria/microbiología , Irán/epidemiología , Estudios Transversales , Clero , Pruebas de Sensibilidad Microbiana , beta-Lactamasas/genética , Hospitales , Klebsiella pneumoniae/genética , Antibacterianos/farmacología , Proteínas Bacterianas/genética
3.
Clin Lab ; 69(1)2023 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-36649505

RESUMEN

BACKGROUND: The emergence of multidrug resistance and extensively drug-resistant tuberculosis is a serious public health crisis. Using rapid and inexpensive molecular methods such as HRM assay in the detection of second-line drugs resistance in M. tuberculosis would be helpful in the treatment and control of XDR tuberculosis cases. METHODS: MDR-TB isolates were collected from Iranian tuberculosis laboratories. Drug susceptibility test performed via the indirect proportion method utilizing LJ Medium. Susceptibility to ciprofloxacin, ofloxacin, amikacin, kanamycin, and capreomycin, as second-line anti-tuberculosis agents were assessed. Single point mutations in gyrA, rrs and eis genes were detected via HRM assay and DNA sequencing. RESULTS: A DST test was performed for 56 MDR isolates and at least 27 (48.2%) isolates were resistant to CIP or OFL. Also, 14 (25%), 12 (21.4%), and 15 (26.7%) isolates were resistant to capreomycin, amikacin, and kanamycin, respectively. D94G, A90V, and G88C mutations were the most frequent mutations in gyrA gene. Also, A1401G mutation was detected more than the other mutations in rrs gene. CONCLUSIONS: The frequency of CIP/OFL and AMK/CAP/KAN-resistant TB is considerable among Iranian tuberculosis cases. HRM assay is a rapid and inexpensive test and can detect important mutation-based drug resistance in MDR-TB and XDR-TB isolates.


Asunto(s)
Tuberculosis Extensivamente Resistente a Drogas , Mycobacterium tuberculosis , Tuberculosis Resistente a Múltiples Medicamentos , Humanos , Amicacina/farmacología , Capreomicina/farmacología , Capreomicina/uso terapéutico , Irán , Farmacorresistencia Bacteriana Múltiple/genética , Antituberculosos/farmacología , Kanamicina/farmacología , Kanamicina/uso terapéutico , Tuberculosis Extensivamente Resistente a Drogas/tratamiento farmacológico , Tuberculosis Extensivamente Resistente a Drogas/microbiología , Mutación , Pruebas de Sensibilidad Microbiana , Tuberculosis Resistente a Múltiples Medicamentos/diagnóstico , Tuberculosis Resistente a Múltiples Medicamentos/tratamiento farmacológico , Tuberculosis Resistente a Múltiples Medicamentos/microbiología
4.
Clin Lab ; 69(10)2023 Oct 01.
Artículo en Inglés | MEDLINE | ID: mdl-37844044

RESUMEN

BACKGROUND: Disinfectants and antiseptics inhibit the dissemination of pathogenic organisms in hospitals but often cause disinfectant-resistant microorganisms, an important factor for nosocomial infection. This study aimed to evaluate the correlation between qacΔE efflux pump gene and its resistance to disinfectants among Escherichia coli clinical isolates. METHODS: A total of 97 E. coli isolates were isolated from patients with urinary tract infections. The minimum inhibition concentration (MIC) value of chlorhexidine and benzalkonium chloride was determined using broth microdilution method. Effect of efflux pumps was assessed by MIC test in the presence of phenylalanine-arginine ß-naphthylamide (PAßN), and then the qacΔE efflux pump gene was detected using polymerase chain reaction (PCR). RESULT: Of the isolates, 85.6% and 61.9% were resistant to chlorhexidine and benzalkonium chloride, respectively. Following the treatment of isolates with the efflux pump's inhibitor, PAßN, the MIC value of chlorhexidine and benzalkonium chloride decreased in 75.2% and 57.7% of the isolates, respectively. A significant correlation was found between PAßN treatment and the change in the resistant strains to susceptible strains (p = 0.021). The qacΔE gene was detected in 84.5% (n = 82) of the isolates, and the presence of the gene amongst disinfectant-resistant strains was also significant (p < 0.001). CONCLUSIONS: It is suggested to conduct other studies on other efflux pumps, as well as to periodically monitor the resistance to disinfectants. Substances inhibiting efflux pumps and neutral compounds are effective in the reduction of resistance to disinfectants. New disinfectants and drugs should be designed.


Asunto(s)
Infección Hospitalaria , Desinfectantes , Humanos , Desinfectantes/farmacología , Clorhexidina/farmacología , Escherichia coli/genética , Compuestos de Benzalconio/farmacología , Pruebas de Sensibilidad Microbiana , Antibacterianos/farmacología , Farmacorresistencia Bacteriana/genética
5.
J Clin Lab Anal ; 37(4): e24850, 2023 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-36808649

RESUMEN

BACKGROUND: Burn injuries result in disruption of the skin barrier against opportunistic infections. Pseudomonas aeruginosa is one of the main infectious agents colonizing burn wounds and making severe infections. Biofilm production and other virulence factors along with antibiotic resistance limit appropriate treatment options and time. MATERIALS AND METHODS: Wound samples were collected from hospitalized burn patients. P. aeruginosa isolates and related virulence factors identified by the standard biochemical and molecular methods. Antibiotic resistance patterns were determined by the disc diffusion method and ß-lactamase genes were detected by polymerase chain reaction (PCR) assay. To determine the genetic relatedness amongst the isolates, enterobacterial repetitive intergenic consensus (ERIC)-PCR was also performed. RESULTS: Forty P. aeruginosa isolates were identified. All of these isolates were biofilm producers. Carbapenem resistance was detected in 40% of the isolates, and blaTEM (37/5%), blaVIM (30%), and blaCTX-M (20%) were the most common ß-lactamase genes. The highest resistance was detected to cefotaxime, ceftazidime, meropenem, imipenem and piperacillin, and 16 (40%) isolates were resistant to these antibiotics. The minimum inhibitory concentrations (MIC) of colistin was lower than 2 µg/mL and no resistance was observed. Isolates were categorized to 17 MDR, 13 mono-drug resistance, and 10 susceptible isolates. High genetic diversity was also observed among the isolates (28 ERIC types) and most carbapenem-resistant isolates were classified into four main types. CONCLUSION: Antibiotic resistance, particularly carbapenem resistance was considerable among the P. aeruginosa isolates colonizing burn wounds. Combining carbapenem resistance with biofilm production and virulence factors would result in severe and difficult-to-treat infections.


Asunto(s)
Quemaduras , Infecciones por Pseudomonas , Infección de Heridas , Humanos , Pseudomonas aeruginosa/genética , Virulencia , Infecciones por Pseudomonas/tratamiento farmacológico , Infecciones por Pseudomonas/microbiología , Antibacterianos/farmacología , Antibacterianos/uso terapéutico , Carbapenémicos/farmacología , beta-Lactamasas/genética , Quemaduras/complicaciones , Pruebas de Sensibilidad Microbiana , Farmacorresistencia Microbiana , Factores de Virulencia/genética , Biopelículas
6.
Mikrochim Acta ; 190(9): 371, 2023 08 30.
Artículo en Inglés | MEDLINE | ID: mdl-37646854

RESUMEN

The measurement of food contaminants faces a great challenge owing to the increasing demand for safe food, increasing consumption of fast food, and rapidly changing patterns of human consumption. As different types of contaminants in food products can pose different levels of threat to human health, it is desirable to develop specific and rapid methods for their identification and quantification. During the past few years, metal-organic framework (MOF)-based materials have been extensively explored in the development of food safety sensors. MOFs are porous crystalline materials with tunable composition, dynamic porosity, and facile surface functionalization. The construction of high-performance biosensors for a range of applications (e.g., food safety, environmental monitoring, and biochemical diagnostics) can thus be promoted through the synergistic combination of MOFs with aptamers. Accordingly, this review article delineates recent innovations achieved for the aptamer-functionalized MOFs toward the detection of food contaminants. First, we describe the basic concepts involved in the detection of food contaminants in terms of the advantages and disadvantages of the commonly used analytical methods (e.g., DNA-based methods (PCR/real-time PCR/multiplex PCR/digital PCR) and protein-based methods (enzyme-linked immunosorbent assay/immunochromatography assay/immunosensor/mass spectrometry). Afterward, the progress in aptamer-functionalized MOF biosensors is discussed with respect to the sensing mechanisms (e.g., the role of MOFs as signal probes and carriers for loading signal probes) along with their performance evaluation (e.g., in terms of sensitivity). We finally discuss challenges and opportunities associated with the development of aptamer-functionalized MOFs for the measurement of food contaminants.


Asunto(s)
Técnicas Biosensibles , Estructuras Metalorgánicas , Humanos , Inmunoensayo , Oligonucleótidos , Alimentos Procesados
7.
J Environ Manage ; 346: 118976, 2023 Nov 15.
Artículo en Inglés | MEDLINE | ID: mdl-37738732

RESUMEN

This study highlights a pioneering approach in the development of an efficient, affordable, and economically feasible adsorbent specifically tailored for the removal of glyphosate (Gly) from contaminated water. To accomplish this objective, a low-cost and pure NaA Zeolite (NaAZ) was synthesized with 93% crystallinity from Austrian fly ash (AFA) as a precursor for the first-time. Taguchi design was employed to optimize critical parameters such as the SiO2/Al2O3 ratio, alkalinity concentration, time, and temperature. The cation exchange capacity (CEC) and external cation exchange capacity (ECEC) are determined as critical factors for the modification process. Subsequently, the pure NaAZ was modified with hexadecyl trimethyl ammonium chloride (HDTMAC), a cationic surfactant. The utilization of surfactant-modified zeolite (SMZ) for Gly removal demonstrates its innovative application in this field, highlighting its enhanced adsorption capacity and optimized surface properties. The AFA, NaAZ, and SMZ were characterized using analytical techniques including XRD, XRF, FTIR-ATR, SEM, TGA, BET, CHNSO analyzer and ICP-OES. The adsorbent exhibited effective Gly removal through its pH-dependent charge properties (pH 2-10), with an optimized pH 6 facilitating a significant electrostatic interaction between the adsorbent and Gly. SMZ demonstrated remarkable adsorption capacity and removal efficacy, surpassing most reported adsorbents with values of 769.23 mg/g and 98.92% respectively. Our study demonstrates the significant advantage of the SMZ, with a low leaching concentration of only 6 ppm after 60 days, ensuring environmental safety, long-term stability, and public health considerations. The kinetics of the adsorption process was well described by the pseudo-second order and the Freundlich isotherm. Pore diffusion and H-bonding were postulated to be involved in physisorption, whereas electrophilic interactions led to chemisorption type of adsorption. Consequently, SMZ provides a practical significance, broad applicability and promising solution for Gly removal, facilitating sustainable water treatment.

8.
Environ Monit Assess ; 195(7): 826, 2023 Jun 09.
Artículo en Inglés | MEDLINE | ID: mdl-37294457

RESUMEN

Eutrophication is an environmental issue which occurs when the environment becomes enriched with nutrients. Phosphorus (P) is a key nutrient limiting the phytoplankton and algal growth in many aquatic environments. Therefore, P removal could be a promising technique to control the eutrophication. Herein, a natural zeolite (NZ) was modified by two practical techniques, including zirconium (ZrMZ) and magnesium-ammonium modification (MNZ), and employed for phosphate removal. Batch, equilibrium, and column experiments were conducted to determine various adsorption parameters. Equilibrium data were fitted to two different isotherms and Freundlich isotherm provided the best fit which confirms multi-layer adsorption of phosphate ions on the adsorbents. The kinetic experiments demonstrated that the adsorption process is fast with more than 80% of phosphate adsorbed in the first 4 h, and a subsequent equilibrium was established after 16 h. The kinetic data were well described by pseudo-second-order model, suggesting that chemisorption is the mechanism of sorption. Intraparticle diffusion showed a rate-limiting step for phosphate adsorption on all the adsorbents, especially MNZ and ZrMZ. The fixed-bed column study showed that the phosphate concentration in the outlet (C) of ZrMZ column did not reach the initial concentration (C0) after passing 250 bed volume (BV), while it reached C0 after 100 BV when the MNZ was employed. Given the considerable improvement were seen, the results of this study suggest that surface of zeolite can be modified with zirconium (and in a less extent magnesium-ammonium) to enhance adsorption of phosphate from many eutrophic lakes.


Asunto(s)
Compuestos de Amonio , Contaminantes Químicos del Agua , Zeolitas , Fosfatos , Circonio , Magnesio , Monitoreo del Ambiente , Agua , Cinética , Adsorción , Contaminantes Químicos del Agua/análisis , Concentración de Iones de Hidrógeno , Soluciones
9.
Arch Microbiol ; 204(6): 303, 2022 May 06.
Artículo en Inglés | MEDLINE | ID: mdl-35524073

RESUMEN

Biocompatible and non-toxic properties of chitosan make it a candidate with excellent application prospects in developing wound dressing conjugate compounds. Six different chitosan-based nanohybrid membranes were evaluated against multidrug-resistant bacterial isolates. Different combinations of chitosan, ciprofloxacin (CIP), biofunctionalized montmorillonite (MMT), and montmorillonite with sulfate chains (SMMT) were provided, and their antibacterial activity was assessed using the colony count method. Totally, 27 drug-resistant isolates, including 6x methicillin-resistant Staphylococcus aureus, 7 vancomycin-resistant Enterococcus faecalis, 4 Acinetobacter baumannii, and 10 Pseudomonas aeruginosa isolates were identified from burn wound infections. Chitosan and montmorillonite did not show significant antibacterial effect (p > 0.05), but chitosan/SMMT/CIP was the most effective nanocomposite (p < 0.01). Chitosan-based nanocomposites with ciprofloxacin could effectively reduce the susceptibility of drug-resistant bacterial isolates. Bacterial targeting using nanosystems provides an opportunity for effective antibiotic treatment by improving antibacterial efficacy.


Asunto(s)
Quemaduras , Quitosano , Staphylococcus aureus Resistente a Meticilina , Infección de Heridas , Antibacterianos/farmacología , Bentonita/farmacología , Quemaduras/complicaciones , Quemaduras/microbiología , Quitosano/farmacología , Ciprofloxacina/farmacología , Humanos , Pruebas de Sensibilidad Microbiana , Infección de Heridas/tratamiento farmacológico , Infección de Heridas/microbiología
10.
Clin Lab ; 68(6)2022 Jun 01.
Artículo en Inglés | MEDLINE | ID: mdl-35704732

RESUMEN

BACKGROUND: Nowadays, novel antimicrobial strategies are being developed which focus on debilitating, rather than killing the microorganisms. In this regard, anti-biofilm therapy is one of the important ways to combat bacterial infections. Therefore, the aim of the current study was to evaluate the anti-biofilm activity of Carvacrol against E. faecalis by means of its effects on biofilm formation as well as on the gene expression levels of the two biofilm related genes, Epa and Esp. METHODS: A total of 40 clinical strains of E. faecalis were collected from three hospitals in Tehran, Iran during 2020. These isolates were confirmed by biochemical and genotypic methods. Antibacterial and anti-biofilm activity of Carvacrol essence were determined according the standard protocol. Finally, expression level of the biofilm related genes (Epa and Esp) were evaluated before and after the treatment with Carvacrol. RESULTS: A total of 14 isolates were considered as strong biofilm producers and were used for analysis. Carvacrol essence showed the best antibacterial activity at 2,500 µg/mL concentration against all the isolates, the biofilm formation capacity was decreased by Carvacrol essence, and it was statistically significant (p < 0.05). Expression levels of the Esp gene were decreased in 5 isolates while increased in 3 isolates following the Carvacrol treatment. Ex-pression levels of the EpaI gene was significantly decreased (p < 0.05) in 4 isolates following the Carvacrol treatment. CONCLUSIONS: In conclusion, the results presented in this study suggest that carvacrol extract exhibits significant antimicrobial and anti-biofilm properties against E. faecalis, even against vancomycin resistant isolates.


Asunto(s)
Antiinfecciosos , Infecciones por Bacterias Grampositivas , Antibacterianos/farmacología , Antibacterianos/uso terapéutico , Antiinfecciosos/metabolismo , Antiinfecciosos/farmacología , Antiinfecciosos/uso terapéutico , Biopelículas , Cimenos , Enterococcus faecalis/genética , Infecciones por Bacterias Grampositivas/microbiología , Humanos , Irán , Pruebas de Sensibilidad Microbiana
11.
Chem Biodivers ; 19(10): e202200202, 2022 Oct.
Artículo en Inglés | MEDLINE | ID: mdl-36163613

RESUMEN

In this study, copper complexes with Curcumin (Cur) and 2,2'-bipyridine-5,5'-dicarboxylic acid (BPYD) were synthesized and their cytotoxicity on the MDA-MB-231 cell lines was evaluated. The resulting complex was characterized using FTIR, UV/VIS, CHNS, TGA, ICP-MS, and Mass spectroscopy techniques. The in-vitro cytotoxicity was studied on the MDA-MB-231 as a cancerous cell line and the HUVEC as a normal cell line. Reactive oxygen species (ROS) production was measured using the 2',7'-dichlorofluorescein diacetate (DCFDA) test in the MDA-MB-231 cancer cell lines. The in-vitro assays revealed that all synthesized copper complexes exhibited a higher cytotoxicity effect than carboplatin as a positive control on the MDA-MB-231 cells. While the synthesized complexes exhibited cytotoxic effects on cancerous cell lines, they are practically safe on normal cells. The Cu-Cur-BPYD complexes (a5 & b5) exhibited higher cytotoxicity on MDA-MB-231 cells with IC50 s around 4.9 and 2.3 mM, respectively. It can be concluded that the synthesized Cu-Cur-BPYD complexes (a5 & b5) could be considered effective anticancer candidates in complementary studies.


Asunto(s)
Antineoplásicos , Complejos de Coordinación , Curcumina , Compuestos Heterocíclicos , Curcumina/farmacología , Curcumina/química , Cobre/química , Especies Reactivas de Oxígeno/metabolismo , Carboplatino/farmacología , Línea Celular Tumoral , 2,2'-Dipiridil/farmacología , Apoptosis , Antineoplásicos/farmacología , Antineoplásicos/química , Compuestos Heterocíclicos/farmacología , Complejos de Coordinación/farmacología , Complejos de Coordinación/química
12.
J Environ Manage ; 318: 115532, 2022 Sep 15.
Artículo en Inglés | MEDLINE | ID: mdl-35717699

RESUMEN

Arsenic (As) bio-availability in the soil is influenced by different organic and inorganic anions. In the present study, the effects of various competitive agents, including phosphate, citrate, oxalate, humic acid (HA), and fulvic acid (FA), on the adsorption of As in calcareous soils were investigated. The results revealed the presence of phosphate, citrate, and oxalate in soil has a significant impact on the arsenic retention (adsorption) in soil which increases the As bio-availability. The negative impact of the competing anions was increased at higher concentrations. The Double Site Langmuir (DSL) isotherm was best fitted to the adsorption data, which indicates that most of the As adsorbed on the low-energy surfaces (non-specific adsorption by oxides, clays, and clay-size calcite). Accordingly, in soil 1, the DSL predicted that, due to phosphate, citrate, and oxalate competition (at a concentration of 10 mM), the adsorption capacity of the high- and low-energy surfaces decreased from 86.2 to 33.5, 82.1 and 61.3 mg/kg and from 663 to 659, 335.8, and 303.5 mg/kg, respectively, Moreover, after addition of phosphate, citrate, and oxalate to the soil-As system, the Langmuir constant of high-energy surfaces decreased from 0.686 to 0.074, 0.261, and 0.301 L/mg, respectively. No regular trend was observed for the Langmuir constant of low-energy surfaces. Similarly, in soils 2, 3, and 4, the adsorption capacities of both high- and low-energy surfaces as well as the Langmuir constant of high-energy surfaces decreased by the addition of phosphate, citrate, and oxalate to the soil-As system. HA and FA did not have a significant effect on the As adsorption behavior. Phosphate, citrate, and oxalate, as interfering oxyanions, increased the As bio-availability in the calcareous soils by decreasing the As adsorption.


Asunto(s)
Arsénico , Contaminantes del Suelo , Adsorción , Aniones , Arsénico/análisis , Benzopiranos , Ácido Cítrico , Arcilla , Sustancias Húmicas , Compuestos Orgánicos , Oxalatos , Fosfatos , Suelo
13.
Yale J Biol Med ; 95(4): 407-411, 2022 12.
Artículo en Inglés | MEDLINE | ID: mdl-36568837

RESUMEN

Nocardial brain abscess is usually associated with immunodeficiency, but can sometimes emerge in healthy individuals. This infection can be acquired through inhalation or direct inoculation of the bacteria, followed by dissemination to various organs, including the brain, through blood circulation. Mortality rate due to nocardial cerebral abscess is three times higher than that associated with cerebral abscess caused by other types of bacteria. Moreover, patients with Nocardia asteroides-associated brain abscess show poorer prognosis compared to patients with brain abscess caused by other Nocardia species, which is probably due to the high tendency of N. asteroides to become resistant to numerous antibiotics. It is, therefore, of paramount importance to diagnose and treat N. asteroides cerebral abscess in patients as soon as possible. The current paper is a rare report of a brain abscess caused by N. asteroides in a diabetic patient who failed to respond to multiple antibiotics (trimethoprim/sulfamethoxazole and amikacin), but improved by receiving imipenem and linezolid, and was finally successfully treated by surgical operation and long-term antibiotic therapy (imipenem and linezolid).


Asunto(s)
Absceso Encefálico , Diabetes Mellitus , Nocardiosis , Humanos , Nocardia asteroides , Linezolid/farmacología , Nocardiosis/complicaciones , Nocardiosis/diagnóstico , Nocardiosis/tratamiento farmacológico , Antibacterianos/farmacología , Absceso Encefálico/complicaciones , Absceso Encefálico/diagnóstico , Imipenem , Diabetes Mellitus/tratamiento farmacológico
14.
Clin Lab ; 67(2)2021 Feb 01.
Artículo en Inglés | MEDLINE | ID: mdl-33616323

RESUMEN

BACKGROUND: We aimed to accumulate evidence that suggests the potential role of neutrophil-to-lymphocyte ratio (NLR) in determining the prognostic factor for COVID-19 patients. METHODS: A cohort of COVID-19 hospitalized patients at the Ilam University of Medical Sciences was analyzed. Logistic regression models were performed to identify the potential role of NLR in determining the prognostic factor for COVID-19 patients. RESULTS: The total number of in-hospital mortality was 43/328 (13.1%). Multivariate analysis identified that there was a 26% higher risk of in-hospital death for each unit increase in NLR (Odds ratio [OR] = 1.08; 95% confidence interval [95% CI], 1.01 to 1.14; p = 0.0147). Multivariate analysis identified that there was an 8% higher risk of in-hospital death for each unit increase in NLR (Odds ratio [OR] = 1.08; 95% confidence interval [95% CI], 1.01 to 1.14; p = 0.0147). Compared with patients in the NLR < 5 group, the NLR of patients in the NLR ≥ 5 group had a 16-fold higher risk of mortality (OR = 16.04; 95% CI, 1.14 to 224.95; p = 0.0395) after adjustment for potential confounders. CONCLUSIONS: NLR is an independent risk factor of mortality COVID-19 patients.


Asunto(s)
COVID-19 , Recuento de Leucocitos , Linfocitos , Neutrófilos , COVID-19/sangre , COVID-19/diagnóstico , COVID-19/mortalidad , COVID-19/terapia , Femenino , Mortalidad Hospitalaria , Hospitalización/estadística & datos numéricos , Humanos , Irán/epidemiología , Recuento de Leucocitos/métodos , Recuento de Leucocitos/estadística & datos numéricos , Masculino , Persona de Mediana Edad , Pronóstico , Estudios Retrospectivos , Medición de Riesgo/métodos , Factores de Riesgo , SARS-CoV-2/aislamiento & purificación
15.
Med Princ Pract ; 28(6): 547-551, 2019.
Artículo en Inglés | MEDLINE | ID: mdl-30995662

RESUMEN

OBJECTIVES: Drug resistance among gram-negative bacteria is a worldwide challenge. Due to the importance of drug-resistant Klebsiella pneumoniae and Escherichia coli strains in hospital-acquired infections, we aimed to determine the phenotypic and genotypic characteristics of ESBL-, AmpC-, and carbapenemase-producing isolates obtained from hospitalized patients in Tehran and Ilam (Iran). MATERIALS AND METHODS: In total, 90 K. pneumoniae isolates and 65 E. coli isolates were collected from various infections. Phenotypic identification of bacterial isolates was performed using standard methods. Phenotypic screening of ESBL, AmpC, and carbapenemase enzymes was carried out. Detection of ESBL, AmpC, and carbapenemase genes was also performed by the PCR method. RESULTS: Phenotypic detection tests showed that 36 (40%) K. pneumoniae and 23 (35.4%) E. coli isolates were ESBL producers. Moreover, 18 (20%) and 6 (9.2%) K. pneumoniae and E. coli isolates were AmpC producers, respectively. Modified Hodge test results indicated that 39 (43.3%) K. pneumoniae and 18 (27.7%) E. coli isolates produced carbapenemase. Molecular tests showed that 40% of K. pneumoniae and 36.9% of E. coli isolates were ESBL positive. AmpC was detected in 24.4 and 13.8% of K. pneumoniae and E. coli isolates. Carbapenemase was detected in 34 (37.8%) K. pneumoniae and 13 (20%) E. coli isolates. -Conclusion: In this study, 3 K. pneumoniae isolates simultaneously carried ESBL, AmpC, and carbapenemase genes. Up-to-date strategies such as combination therapy or utilization of new antimicrobial agents might help to combat such drug-resistant organisms.


Asunto(s)
Escherichia coli/enzimología , Escherichia coli/genética , Klebsiella pneumoniae/enzimología , Klebsiella pneumoniae/genética , Proteínas Bacterianas/análisis , Infección Hospitalaria/tratamiento farmacológico , Infección Hospitalaria/enzimología , Infección Hospitalaria/genética , Infección Hospitalaria/microbiología , Escherichia coli/aislamiento & purificación , Infecciones por Escherichia coli/tratamiento farmacológico , Infecciones por Escherichia coli/enzimología , Infecciones por Escherichia coli/genética , Genotipo , Humanos , Irán , Infecciones por Klebsiella/tratamiento farmacológico , Infecciones por Klebsiella/enzimología , Infecciones por Klebsiella/genética , Klebsiella pneumoniae/aislamiento & purificación , Pruebas de Sensibilidad Microbiana , Fenotipo , Resistencia betalactámica , beta-Lactamasas/análisis
16.
Microb Pathog ; 118: 247-250, 2018 May.
Artículo en Inglés | MEDLINE | ID: mdl-29578063

RESUMEN

The presence of Brucella melitensis and Brucella abortus genomes were investigated in the synovial fluid (SF) samples from 90 patients with rheumatoid arthritis (RA). DNA extraction and PCR assay were performed for simultaneous identification and discrimination of B. melitensis and B. abortus from the SF using three specific primers. After gel electrophoresis, the PCR products were confirmed by DNA sequencing. The cbg, omp31, manA, virB, and znuA virulence genes typing were performed by multiplex-PCR. Of the 90 samples, 14 were positive for B. melitensis (n = 9; 10%) and B. abortus (n = 5; 5.5%). The virulotyping of positive samples revealed the presence of all five virulence genes in B. melitensis. The virB, cbg, and om31 were detected in all five samples of B. abortus. In addition, zhuA and manA were detected in three (60%) and four (80%) samples, respectively, of the B. abortus-positive samples. Moreover, a total of 94.2% and 89.2% of the 14 positive samples were also found positive for manA and znuA, respectively. Our findings revealed that the Brucella spp. genomes can be detected in the SF of RA patients by the PCR-based method. We thus suggest that physicians should consider the Brucella spp. as indicators of potential RA for the timely diagnosis and treatment of RA.


Asunto(s)
Artritis Reumatoide/microbiología , Brucella abortus/genética , Brucella melitensis/genética , Genes Bacterianos/genética , Factores de Virulencia/genética , Proteínas Bacterianas/genética , Secuencia de Bases , Cartilla de ADN/genética , ADN Bacteriano/genética , ADN Bacteriano/aislamiento & purificación , Humanos , Irán , Reacción en Cadena de la Polimerasa Multiplex , Líquido Sinovial/microbiología , Virulencia/genética
17.
Environ Sci Pollut Res Int ; 31(10): 14574-14592, 2024 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-38273085

RESUMEN

The Tunisian Lebna dam sediment was utilized to create the zeolite faujasite type Na-X. The aim of this investigation is to optimize the yield of Na-X zeolite using alkaline fusion hydrothermal treatment. Taguchi orthogonal array design was employed with nine trials to explore operating parameters including fusion temperature and time, activator type, and sediment type. The efficiency of alkaline fusion was evaluated using acid solubility. After dissolving the optimal alkali-fused sample in water, the Box-Behnken plan was used to identify the influence of L/S ratio, crystallization temperature, and time on zeolite Na-X yield. Rietveld analysis identified the mineral phases in the sediment as quartz (82.0%), calcite (8.8%), kaolinite (6.0), and illite (1.2%). With a NaOH activator, 850 °C fusion temperature for 30 min, 15 L/S ratio, and 75 °C crystallization temperature for 4 days, highly crystalline zeolite Na-X was created. FTIR, TGA, N2 adsorption-desorption isotherm, and X-ray diffraction were used to thoroughly describe this sample. The findings reveal the substantial zeolitization potential of the raw Lebna dam sediment, resulting in a high yield of zeolite Na-X.


Asunto(s)
Zeolitas , Zeolitas/química , Temperatura , Agua/química , Cristalización
18.
Water Res ; 252: 121248, 2024 Mar 15.
Artículo en Inglés | MEDLINE | ID: mdl-38335752

RESUMEN

This review explores the potential and challenges of combining electrochemical, especially electrocoagulation (EC) process, with various - wastewater treatment methods such as membranes, chemical treatments, biological methods, and oxidation processes to enhance pollutant removal and reduce costs. It emphasizes the advantages of using electrochemical processes as a pretreatment step, including increased volume and improved quality of permeate water, mitigation of membrane fouling, and lower environmental impact. Pilot-scale studies are discussed to validate the effectiveness of combined EC processes, particularly for industrial wastewater. Factors such as electrode materials, coating materials, and the integration of a third process are discussed as potential avenues for improving the environmental sustainability and cost-effectiveness of the combined EC processes. This review also discusses factors for improvement and explores the EC process combined with Advanced Oxidation Processes (AOP). The conclusion highlights the need for combined EC processes, which include reducing electrode consumption, evaluating energy efficiency, and conducting pilot-scale investigations under continuous flow conditions. Furthermore, it emphasizes future research on electrode materials and technology commercialization. Overall, this review underscores the importance of combined EC processes in meeting the demand for clean water resources and emphasizes the need for further optimization and implementation in industrial applications.


Asunto(s)
Contaminantes Químicos del Agua , Purificación del Agua , Aguas Residuales , Eliminación de Residuos Líquidos/métodos , Electrocoagulación , Electrodos , Purificación del Agua/métodos
19.
Heliyon ; 10(9): e30745, 2024 May 15.
Artículo en Inglés | MEDLINE | ID: mdl-38765099

RESUMEN

The zeolitic imidazolate framework-67 (ZIF-67) has been explored for the dynamic adsorption of toluene vapor. We synthesized ZIF-67 through a straightforward room-temperature process and characterized it using XRD, FT-IR, DLS, and SEM techniques. The synthesized ZIF-67 possessed a Brunauer-Emmett-Teller (BET) surface area of 1578.7 m2/g and 0.76 µm particle size. Thermal activation under various conditions revealed that ZIF-67, activated in dry air at 250 °C, demonstrated optimal adsorption efficacy. Its adsorption capacity, time of breakthrough, and time of equilibration were 414.5 mg/g, 420 min, and 795 min, respectively. We investigated the impact of diverse operational parameters on adsorption through breakthrough curve analysis. An increase in the toluene concentration from 100 to 1000 ppm enhanced the adsorption capacity from 171 to 414 mg/g, while breakthrough time decreased from 1260 min to 462 min, respectively. Our findings show that increasing relative humidity from 0 to 70 % reduced 53.7 % in adsorption capacity and 46.3 % in breakthrough time. The competitive adsorption of toluene and ethylbenzene revealed that ZIF-67 had a higher selectivity for toluene adsorption. A 98 % adsorbent's regeneration efficiency at the first cycle reveals its reusability. The experimental data were successfully fitted to the Yan, Thomas, and Yoon-Nelson models to describe the adsorption process. The statistical validation of the model parameters confirms their reliability for estimating adsorption parameters, thus facilitating the design of fixed-bed adsorption columns for practical applications.

20.
Environ Sci Pollut Res Int ; 31(16): 24512-24524, 2024 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-38443530

RESUMEN

Cyanobacterial algal hepatotoxins, called microcystins (MCs), are a global health concern, necessitating research on effective removal methods from contaminated water bodies. In this study, we synthesized non-fluorine MIL-100(Fe) using an environmentally friendly room-temperature method and utilized it as an adsorbent to effectively remove microcystin-LR (MC-LR), which is the most toxic MC congener. MIL-100(Fe) was thoroughly characterized, and its adsorption process was investigated under various conditions. Results revealed rapid MC-LR adsorption, achieving 93% removal in just 5 min, with the pseudo-second-order kinetic model indicating chemisorption as the primary mechanism. The Langmuir isotherm model demonstrated a monolayer sorption capacity of 232.6 µg g-1 at room temperature, showing favorable adsorption. Furthermore, the adsorption capacity increased from 183 µg g-1 at 20 °C to 311 µg g-1 at 40 °C, indicating an endothermic process. Thermodynamic parameters supported MC-LR adsorption's spontaneous and feasible nature onto MIL-100(Fe). This study highlights MIL-100(Fe) as a promising method for effectively removing harmful biological pollutants, such as MC-LR, from contaminated water bodies in an environmentally friendly manner.


Asunto(s)
Contaminantes Químicos del Agua , Purificación del Agua , Agua , Microcistinas/análisis , Toxinas Marinas , Adsorción , Contaminantes Químicos del Agua/análisis , Purificación del Agua/métodos
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