RESUMEN
Covid-19 is a contagious disease caused by severe acute respiratory syndrome corona virus 2 (SARS-CoV-2). In order to control this disease, different effective vaccines have been developed. This study is an attempt to determine the strength and duration of immunogenicity of various established vaccines. This cross-sectional, observational study was conducted to compare the efficacy of three different vaccines; Pfizer BNT 162b2, Sinovac, and CanSino, respectively, after a duration of 3 months, in the healthy adult population of Pakistan. In this study 371 healthy participants (aged 12-25 years) of both genders (male and females) were enrolled. The blood sample was drawn 90 days after the complete vaccination process. The humoral response (IgG) was analyzed by electrochemiluminescence immunoassay (ECLIA) method with Roche Anti-SARS-CoV-2 S analyzer kit. Descriptive statistical analysis was performed using IBM SPSS statistics version 22 and P < 0.05 was considered significant. The mean antibody titer in Pfizer-group was 12,536.35 U/mL, followed by 5168.68 U/mL in the Sinovac group and 4284.32 U/mL in the CanSino group. The Pfizer-group showed gender-specific significant differences, with higher antibody levels in males (P = 0.006) as compared to Sinovac and Cansino groups. The Mean IgG antibody levels of the Pfizer-vaccinated group were significantly higher than the Sinovac-vaccinated group and the CanSino-vaccinated group (P = 0.000, each). However, the mean difference between the Sinovac-vaccinated group and the CanSino-vaccinated group was not significant. Vaccine-induced seropositivity was found in the whole cohort. The mRNA-based vaccine produced the highest immune response, and thus, it is recommended for future application.
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Vacunas contra la COVID-19 , COVID-19 , Humanos , Adulto , Femenino , Masculino , Pakistán , Estudios Transversales , COVID-19/prevención & control , SARS-CoV-2 , Inmunoglobulina G , Anticuerpos AntiviralesRESUMEN
The genomic diversity of the domestic dog is an invaluable resource for advancing understanding of mammalian biology, evolutionary biology, morphologic variation, and behavior. There are approximately 350 recognized breeds in the world today, many established through hybridization and selection followed by intense breeding programs aimed at retaining or enhancing specific traits. As a result, many breeds suffer from an excess of particular diseases, one of many factors leading to the recent trend of "designer breed" development, i.e. crossing purebred dogs from existing breeds in the hope that offspring will be enriched for desired traits and characteristics of the parental breeds. We used a dense panel of 150,106 SNPs to analyze the population structure of the Australian labradoodle (ALBD), to understand how such breeds are developed. Haplotype and admixture analyses show that breeds other than the poodle (POOD) and Labrador retriever (LAB) contributed to ALBD formation, but that the breed is, at the genetic level, predominantly POOD, with all small and large varieties contributing to its construction. Allele frequency analysis reveals that the breed is enhanced for variants associated with a poodle-like coat, which is perceived by breeders to have an association with hypoallergenicity. We observed little enhancement for LAB-specific alleles. This study provides a blueprint for understanding how dog breeds are formed, highlighting the limited scope of desired traits in defining new breeds.
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Animales Domésticos/genética , Perros/genética , Selección Genética/genética , Alelos , Animales , Australia , Cruzamiento/métodos , Frecuencia de los Genes/genética , Pruebas Genéticas , Variación Genética , Genómica , Genotipo , Haplotipos , Fenotipo , FilogeniaRESUMEN
Despite periodic drops in popularity, Arctic sled dogs continue to play a vital role in northern societies, providing both freight transit and recreational race activities. In this study, we selected the Mackenzie River Husky, a freight dog of complex history, and the Chinook, an American Kennel Club recognized freight dog breed whose heritage reportedly overlaps that of the MKRH, for detailed population analysis. We tested each to determine their component breeds and used admixture analysis to ascertain their population structure. We utilized haplotype analysis to identify genomic regions shared between each population and their founding breeds. Our data show that the Alaskan Malamutes and modern Greenland sled dog contributed to both populations, but there are also unexpected contributions from the German Shepherd dog and Collie. We used haplotype analysis to identify genomic regions nearing fixation in population type and identify provocative genes in each region. Finally, in response to recent reports regarding the importance of dietary lipid genes in Arctic dogs, we analyzed 8 such genes in a targeted analysis observing signatures of selection in both populations at the MLXIPL gene loci. These data highlight the genetic routes that breeds of similar function have taken toward their occupation as successful sled dogs.
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Lobos , Animales , Perros , Genoma , Genómica , Haplotipos , Lobos/genéticaRESUMEN
Animal derived milk which is an important part of human diet due to its high nutritional value not only supports humans but also presents a growth environment for pathogenic bacteria. Milk may become contaminated with bacteria through udder infections or through contact within the dairy farm environment. Infections are treated with antibiotics, with ß-lactams most commonly used in veterinary medicine. However, their frequent use leads to the emergence of ß-lactam resistant bacterial strains, which causes difficulties in the treatment of infections in both humans and animals. Detection of pathogens as well as their antibiotic sensitivity is a pre-requisite for successful treatment and this is generally achieved with laboratory-based techniques such as growth inhibition assays, enzyme-linked immunosorbent assays (ELISA) or polymerase chain reactions (PCRs), which are unavailable in resource-limited settings. Here, we investigated paper-based analytical devices (µPADs) for the presumptive detection of Staphylococcus aureus (S. aureus) and Escherichia coli (E. coli) and their antibiotic resistant bacterial strains in milk samples. The µPADs were fabricated on filter paper using wax printing, and then impregnated with chromogenic substrates, which reacted with bacterial enzymes to form coloured products. Limits of detection of S. aureus and E. coli and their antibiotic resistant strains in milk samples were found to be 106 cfu mL-1. Enrichment of milk samples in a selective medium for 12 h enabled detection as low as 10 cfu mL-1. The paper devices tested on a set of 640 milk samples collected from dairy animals in Pakistan demonstrated more than 90% sensitivity and 100% selectivity compared to PCR, showing promise to provide inexpensive and portable diagnostic solutions for the detection of pathogenic bacteria in resource-limited settings.
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Staphylococcus aureus Resistente a Meticilina , Leche , Animales , Antibacterianos/análisis , Antibacterianos/farmacología , Colorimetría , Escherichia coli , Humanos , Leche/química , Staphylococcus aureusRESUMEN
Ten plant species were grown in constructed wetlands (CWs) to remediate water containing 2% (w/v) crude oil. The plant species with better growth and biomass production were Typha latifolia and Cyperus laevigatus, and they were significantly correlated (R2 = 0.91) with hydrocarbon degradation. From T. latifolia and C. laevigatus, 33 hydrocarbon-degrading bacterial strains were isolated from the rhizosphere, and root and shoot interiors. More diversified bacteria were found in the rhizosphere and endosphere of C. laevigatus than those of T. latifolia. The predominant cultural hydrocarbon-degrading bacteria were shown to belong to the genera Pseudomonas, Acinetobacter and Bacillus. In addition to genes involved in hydrocarbon degradation, most of the bacteria displayed multiple plant growth promoting (PGP) activities. This study suggests the importance of selecting suitable bacterial strains with hydrocarbon degradation and PGP activities for improving the efficacy of CWs used in remediating water contaminated with crude oil.
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Biodegradación Ambiental , Hidrocarburos/metabolismo , Petróleo/metabolismo , Rizosfera , Contaminantes del Suelo/metabolismo , Agua/química , Humedales , Acinetobacter/aislamiento & purificación , Acinetobacter/metabolismo , Bacillus/aislamiento & purificación , Bacillus/metabolismo , Bacterias , Biomasa , Petróleo/análisis , Contaminación por Petróleo , Raíces de Plantas/metabolismo , Raíces de Plantas/microbiología , Brotes de la Planta/metabolismo , Brotes de la Planta/microbiología , Pseudomonas/aislamiento & purificación , Pseudomonas/metabolismo , Typhaceae/crecimiento & desarrollo , Typhaceae/metabolismo , Typhaceae/microbiología , Contaminación del AguaRESUMEN
Iron deficiency anemia (IDA) is one of the foremost health issues among women of reproductive age. The study highlights to assess the level of awareness about the causes, symptoms, prevention and treatment of IDA among women of reproductive age in district Bahawalpur, province Punjab, Pakistan. A randomized study was conducted by using a self-designed standardized questionnaire disseminated to the hostels of female residents and homes in the immediate vicinity of Islamia University Bahawalpur. Females aged 18-45 years without any previous history of medical or gynecological problems were enlisted. A total number of 200 women were surveyed for awareness of iron deficiency anemia. Seventy three percent (73%) of women (n=146) were aware of the term IDA with the highest proportion of women falling in the age bracket 20-35 years. Most (66.9%) of the women were aware of the fact that their diet contains iron and its importance in health. It is concluded that, in reproductive age women the IDA can be prevented and treated through proper guidance and awareness through education.
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Anemia Ferropénica , Conocimientos, Actitudes y Práctica en Salud , Hierro de la Dieta/administración & dosificación , Adolescente , Adulto , Anemia Ferropénica/etiología , Anemia Ferropénica/prevención & control , Anemia Ferropénica/terapia , Dieta , Suplementos Dietéticos , Escolaridad , Femenino , Humanos , Persona de Mediana Edad , Pakistán , Embarazo , Encuestas y Cuestionarios , Adulto JovenRESUMEN
In this work, we present an ultra-low-cost smartphone device for in situ quantification of OP poisoning severity. The performance of the lens-less smartphone spectrum apparatus (LeSSA) is evaluated using standard human Interleukin-6 (IL-6) immunoassay kits. Upon dose-response curve fitting, LeSSA demonstrates an accuracy of 99.5%. The limit of detection (LOD) of LeSSA was evaluated through comparison of 6.4 pg/ml with standard laboratory grade UV-vis spectrophotometer at 5.5 pg/ml. Evaluating the capacity of LeSSA in spike solution by combining plasma cholinesterase (PChE) and human plasma shows consistency at agreement of 97.6% between LeSSA and the laboratory instrument. For application demonstration, the activity of PChE for 24 agricultural workers' plasma samples was measured with LeSSA, showing exceptional agreement (r2 = 0.92) with the laboratory instrument reference. In addition to near laboratory grade accuracy, the total manufacturing cost of LeSSA is only $20 USD highlighting it's affordability. With LeSSA, clinicians can evaluate OP poisoning severity without the need to transport patient samples to facilities at far distances. Utilizing LeSSA, immediate results can be used for administration of appropriate treatment.
RESUMEN
Insecticides, essential for crop protection measures, leave behind several toxic residues that can result in a series of human health disorders. Therefore, this study was planned for the determination of residues and adverse effects of insecticides in blood samples of sprayers, pesticide-industry workers and controls by using blood parameters of these individuals as biomarkers. Optimized analytical methods using GC-MS and HPLC for the simultaneous detection of 22 currently used insecticides were adopted. Eight of twenty-seven (22.22%) sprayers' blood samples were found positive for five different insecticides. Eleven of twenty-seven (40.74%) pesticide-industry workers were found positive for eight different insecticides. The blood samples of both the exposed groups, sprayers and industry workers had significantly (Pâ¯<â¯0.001; Mann-Whitney U-tests) low hemoglobin-Hb concentrations (12.17⯱â¯2.13 and 12.22⯱â¯2.37â¯g/dl respectively) than the average value of the control group with 14.23⯱â¯2.37â¯g/dl. The erythrocyte sedimentation rates (ESRs) in sprayers and insecticide industry workers (28.78⯱â¯20.72 and 28.17⯱â¯25.14â¯mm/1st h respectively) were greater significantly (Pâ¯< 0.001; Mann-Whitney U test) than the control blood samples (9.53⯱â¯3.34â¯mm/1st h). These results indicate that the exposed individuals have experienced significant hemotoxic effects during insecticide exposure. The study also predicts the risk to exposed individuals in developing countries like Pakistan and demands realization of safety measures to prevent such dangerous effects of pesticide exposures.
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Insecticidas/sangre , Exposición Profesional/análisis , Residuos de Plaguicidas/sangre , Adulto , Biomarcadores , Hemoglobinas , Humanos , Insecticidas/toxicidad , Exposición Profesional/efectos adversos , Pakistán , Residuos de Plaguicidas/toxicidad , Plaguicidas , Adulto JovenRESUMEN
To control agricultural pests and meet the increasing food demands, pesticides use has been increased substantially over time. Although pesticides are relatively specific to their targets, they can affect non-target organisms and are hazardous for the population around the application areas particularly to the individuals engaged in different types of agricultural activities. This situation is worse in developing and under-developed countries where personal protective equipment is merely used and regulatory guidelines are hardly practiced. In the present study, DNA damage in women exposed to pesticides while picking cotton with bare hands was assessed using single cell gel electrophoresis assay or comet assay. The presence of pesticides in blood serum of exposed individuals was also analyzed using high-performance liquid chromatography. Blood samples were collected from 138 (69 exposed and 69 control) randomly selected females from a major cotton growing area (Bahawalpur District) of the Punjab province of Pakistan. DNA damage, as determined by the mean comet tail length, was significantly higher (p < 0.001) in the exposed group compared to the unexposed. A positive correlation of DNA damage with age and exposure time was also observed. Residues of three pesticides, cyhalothrin, endosulfan, and deltamethrin found significantly higher (p < 0.001) in the serum samples of the exposed group compared to the unexposed. It was observed that the groups with higher mean comet tail length also had a higher concentration of pesticides in their serum samples indicating a positive association of DNA damage and pesticide exposure. The present study suggests that exposure to pesticides leads to DNA damage.
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Productos Agrícolas , Daño del ADN , Agricultores , Gossypium , Mutágenos/efectos adversos , Exposición Profesional/efectos adversos , Residuos de Plaguicidas/efectos adversos , Semillas , Adulto , Anciano , Estudios de Casos y Controles , Ensayo Cometa , Endosulfano/efectos adversos , Endosulfano/sangre , Monitoreo del Ambiente/métodos , Femenino , Humanos , Persona de Mediana Edad , Nitrilos/efectos adversos , Nitrilos/sangre , Pakistán , Residuos de Plaguicidas/sangre , Piretrinas/efectos adversos , Piretrinas/sangre , Medición de Riesgo , Factores Sexuales , Adulto JovenRESUMEN
Chlorpyrifos is a commonly used organophosphate insecticide that causes toxicological effects in aquatic organisms especially in fish. This study determined the effects of chlorpyrifos on the genotoxic and hematological parameters of freshwater fish, Labeo rohita. The genotoxic effects of different sublethal concentrations of chlorpyrifos were investigated in the erythrocytes of Labeo rohita (commonly known as Rohu) using the Micronucleus test. Effects of chlorpyrifos on the hematological parameters of the fish were also observed. Fish specimens were exposed to three sublethal concentrations of chlorpyrifos viz., sublethal I (SL-I, 1/6th of LC50 = â¼73.8 µg/L), sublethal II (SL-II, 1/4th of LC50 = â¼110.7 µg/L) and sublethal III (SL-III, 1/2nd of LC50 = â¼221.4 µg/L) for 96 h. Blood samples were collected at every 24 h and were subjected to the Micronucleus assay. The observed micronucleus frequencies were concentration and time-dependent. The MN induction was significantly highest (p < 0.01) at all the concentrations on 96-h exposure. During the experimental period, hematological parameters like total erythrocytes count (TEC), hemoglobin (Hb) and packed cell volume (PCV) decreased, whereas total leukocytes count (TLC) increased. This study indicated that the Micronucleus assay is a useful tool to detect genotoxic potential of chlorpyrifos in fish.
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Cloropirifos/toxicidad , Inhibidores de la Colinesterasa/toxicidad , Cyprinidae , Eritrocitos/efectos de los fármacos , Agua Dulce , Insecticidas/toxicidad , Micronúcleos con Defecto Cromosómico/inducido químicamente , Contaminantes Químicos del Agua/toxicidad , Animales , Cyprinidae/sangre , Cyprinidae/genética , Relación Dosis-Respuesta a Droga , Recuento de Eritrocitos , Eritrocitos/metabolismo , Eritrocitos/patología , Hematócrito , Hemoglobinas/metabolismo , Pruebas de Micronúcleos , Medición de Riesgo , Factores de TiempoRESUMEN
Phytoremediation is a promising approach for the cleanup of soil contaminated with petroleum hydrocarbons. This study aimed to develop plant-bacterial synergism for the successful remediation of crude oil-contaminated soil. A consortia of three endophytic bacteria was augmented to two grasses, Leptochloa fusca and Brachiaria mutica, grown in oil-contaminated soil (46.8 g oil kg-1 soil) in the vicinity of an oil exploration and production company. Endophytes augmentation improved plant growth, crude oil degradation, and soil health. Maximum oil degradation (80%) was achieved with B. mutica plants augmented with the endophytes and it was significantly (P < 0.05) higher than the use of plants or bacteria individually. Moreover, endophytes showed more persistence, the abundance and expression of alkB gene in the rhizosphere as well as in the endosphere of the tested plants than in unvegetated soil. A positive relationship (r = 0.70) observed between gene expression and crude oil reduction indicates that catabolic gene expression is important for hydrocarbon mineralization. This investigation showed that the use of endophytes with appropriate plant is an effective strategy for the cleanup of oil-contaminated soil under field conditions.
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Petróleo , Contaminantes del Suelo , Bacterias , Biodegradación Ambiental , SueloRESUMEN
BACKGROUND: Cytokines are of increasing interest as markers for stress responses, mental disorders and general health. We assessed associations of two cytokines with several factors among relocated hurricane survivors and controls. METHODS: We examined 40 relocated hurricane survivors and 40 demographically matched (frequency matching) Oklahoma controls to assess relationships of Interleukin-2 (IL-2) and Interleukin-6 (IL-6) with psychiatric diagnoses (SCID-IV), demographic variables, hurricane exposure and body mass index (BMI). Participants were predominantly African American (n=70, 87.5%). RESULTS: Relocated Katrina survivors had higher proportions of current PTSD, major depression and psychiatric diagnoses than controls. Unexpectedly, exposure to Katrina with relocation was not by itself associated with differences in IL-2 or IL-6 levels. The mean IL-2 level was significantly higher in African American participants than other ethnicities (8 Caucasians, 2 Asians) and in those with a current psychiatric disorder. The mean IL-6 level was higher in females than males and in participants with any current psychiatric diagnosis. IL-6 level also correlated positively with participants' BMI. CONCLUSIONS: Results suggest that cytokines studied were influenced non-specifically by the presence of a mental disorder, and by demographic variables of gender, ethnicity and BMI. Implications of these findings are discussed, as well as possible long-term impact of the identified interleukin differences on immunologic, inflammatory, neuropsychiatric and other systems.
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Índice de Masa Corporal , Trastorno Depresivo Mayor/inmunología , Interleucina-2/sangre , Interleucina-6/sangre , Trastornos Mentales , Trastornos por Estrés Postraumático/inmunología , Adolescente , Adulto , Negro o Afroamericano/psicología , Negro o Afroamericano/estadística & datos numéricos , Biomarcadores/sangre , Tormentas Ciclónicas , Trastorno Depresivo Mayor/sangre , Trastorno Depresivo Mayor/diagnóstico , Trastorno Depresivo Mayor/etnología , Etnicidad , Femenino , Humanos , Interleucina-2/inmunología , Interleucina-6/inmunología , Masculino , Trastornos Mentales/etnología , Trastornos Mentales/inmunología , Persona de Mediana Edad , Trastornos por Estrés Postraumático/sangre , Trastornos por Estrés Postraumático/diagnóstico , Trastornos por Estrés Postraumático/etnología , Estrés Psicológico/sangre , Estrés Psicológico/diagnóstico , Estrés Psicológico/etnología , Estrés Psicológico/inmunología , Sobrevivientes/psicología , Sobrevivientes/estadística & datos numéricos , Adulto JovenRESUMEN
BACKGROUND: Ethiopia has made considerable progress in maternal, newborn, and child health in terms of health outcomes and health services coverage. This study examined how different groups have fared in the process. It also looked at possible factors behind the inequalities. METHODS: The study examined 11 maternal and child health outcomes and services: stunting, underweight, wasting, neonatal mortality, infant mortality, under-5 mortality, measles vaccination, full immunization, modern contraceptive use by currently married women, antenatal care visits, and skilled birth attendance. It explored trends in inequalities by household wealth status based on Demographic and Health Surveys conducted in 2000, 2005, 2011, and 2014. The study also investigated the dynamics of inequality, using concentration curves for different years. Decomposition analysis was used to identify the role of proximate determinants. RESULTS: The study found substantial improvements in health outcomes and health services: Although there is still a considerable gap between the rich and the poor, inequalities in health services have been reduced. However, child nutrition outcomes have mainly improved for the rich. The changes observed in wealth-related inequality tend to reflect the changing direct effect of household wealth on child health and health service use. CONCLUSIONS: The country's efforts to improve access to health services have shown some positive results, but attention should now turn to service quality and to identifying multisectoral interventions that can change outcomes for the poorest.
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Salud Infantil/estadística & datos numéricos , Disparidades en el Estado de Salud , Salud Materna/estadística & datos numéricos , Adolescente , Adulto , Preescolar , Demografía , Etiopía , Femenino , Humanos , Lactante , Recién Nacido , Masculino , Persona de Mediana Edad , Aceptación de la Atención de Salud/estadística & datos numéricos , Embarazo , Factores Socioeconómicos , Adulto JovenRESUMEN
BACKGROUND: The devastating viral disease of small ruminants namely Peste des petits ruminants (PPR) declared as target for "Global Eradication" in 2015 by the Food and Agriculture Organization (FAO) and the World Organization for Animal Health (OIE). For a successful eradication campaign, molecular diagnostic tools are preferred for their specificity, efficacy and robustness to compliment prophylactic measures and surveillance methods. However, molecular tools have a few limitations including, costly equipment, multi-step template preparation protocols, target amplification and analysis that restrict their use to the sophisticated laboratory settings. As reverse transcription-loop mediated isothermal amplification assay (RT-LAMP) has such an intrinsic potential for point of care diagnosis, this study focused on the genetic detection of causative PPR virus (PPRV) in field conditions. It involves the use of a sample buffer that can precipitate out virus envelope and capsid proteins through ammonium sulphate precipitation and exposes viral RNA, present in the clinical sample, to the LAMP reaction mixture. RESULTS: The test was evaluated using 11 PPRV cultures, and a total of 46 nasal swabs (n = 32 collected in the field outbreaks, n = 14 collected from experimentally inoculated animals). The RT-LAMP was compared with the reverse transcription-PCR (RT-PCR) and real-time quantitative RT-PCR (RT-qPCR) for its relative specificity, sensitivity and robustness. RT-LAMP detected PPRV in all PPRV cultures in or less than 30 min. Its detection limit was of 0.0001TCID50 (tissue culture infective dose-50) per ml with 10-fold higher sensitivity than that of RT-PCR. In 59.4% of the field samples, RT-LAMP detected PPRV within 35-55 min. The analytical sensitivity and specificity of the RT-LAMP were equivalent to that of the RT-qPCR. The time of detection of PPRV decreased by at least forty minutes or 3-4 h in case of in the RT-LAMP as compared with the RT-qPCR and the RT-PCR, respectively. CONCLUSIONS: The sensitive and specific RT-LAMP test developed in this study targeting a small fragment of the N gene of PPRV is a rapid, reliable and applicable molecular diagnostic test of choice under the field conditions. RT-LAMP requiring minimal training offers a very useful tool for PPR diagnosis especially during the "Global PPR Eradication Campaign".
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Enfermedades de las Cabras/virología , Peste de los Pequeños Rumiantes/diagnóstico , Virus de la Peste de los Pequeños Rumiantes/genética , Enfermedades de las Ovejas/virología , Proteínas Virales/metabolismo , Animales , Colorimetría , Brotes de Enfermedades/veterinaria , Fluorometría , Regulación Viral de la Expresión Génica , Genoma Viral , Enfermedades de las Cabras/diagnóstico , Enfermedades de las Cabras/epidemiología , Cabras , India/epidemiología , Peste de los Pequeños Rumiantes/epidemiología , Peste de los Pequeños Rumiantes/virología , Virus de la Peste de los Pequeños Rumiantes/aislamiento & purificación , Sensibilidad y Especificidad , Ovinos , Enfermedades de las Ovejas/diagnóstico , Proteínas Virales/genética , Cultivo de VirusRESUMEN
CONTEXT: Observed disconnect between patient knowledge and choice of anesthesiologist. OBJECTIVES: Assess opportunities to improve perceptions about anesthesiology as a profession, and for patient education on the scope of anesthesia practice. DESIGN: Prospective Study. SETTING: Academic institution and tertiary care hospital in Oklahoma, USA. PARTICIPANTS: 238 patients with a scheduled procedure involving general anesthesia were approached and consented before surgery. Minors, in-patients, pregnant women, prisoners, and non-native English speakers were excluded. Post-procedure, 156 of the consented patients were administered a verbal, eight-question survey in the post-operative are of the hospital. The other 82 patients who had originally consented to the study were excluded for various reasons detailed in the case report. INTERVENTIONS: Study was conducted through surveys over a seven-week period on random patients who consented to answer the survey questions. Main outcome measures: Study confirmed the hypothesis, but also brought out secondary findings. RESULTS: Of the 156 patients surveyed, 19 (12%) knew their anesthesiologist's name, and only 15 (9.6%) said that they knew anything about the anesthesiologist's practice or qualifications. T-test analysis comparing satisfaction with the whole hospital environment to other satisfaction questions showed satisfaction with surgeon, nursing staff, and anesthesiologist were all significantly higher than satisfaction with whole hospital environment (p < 0.05). All T-tests performed were two-tailed tests. CONCLUSIONS: Study indicates that patients know little about their anesthesiologists, and are unlikely to select their own anesthesiologist. Improving patients' knowledge about the anesthesiologists' roles and competencies might be accomplished by providing a list of names and specific practice competencies, or by having an online site of practice information easily accessible.
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Anestesiología , Actitud Frente a la Salud , Satisfacción del Paciente , Centros Médicos Académicos , Anestesia General , Anestesiólogos , Humanos , Oklahoma , Estudios Prospectivos , Procedimientos Quirúrgicos Operativos , Encuestas y Cuestionarios , Centros de Atención TerciariaRESUMEN
We present a case of priapism in a homeless patient with a psychiatric history of major depression, PTSD, polysubstance abuse (alcohol and cocaine) and past psychotropic medication use who was admitted to a local hospital for suicidal ideation. Priapism is a serious urological and a medical emergency which has often been associated with psychotropic medications (including the antidepressant trazodone), use of marijuana and alcohol, and other factors. This clinical case highlights the additive risks of medications and comorbid conditions in contributing to onset of priapism, emphasizing the importance of any pre-existing medical illness, diagnoses, and comorbid mental illnesses. Moreover, clinicians should consider potential side effects of all medications used and their drug interactions as they manage patients who develop this condition.
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Trastorno Depresivo Mayor/tratamiento farmacológico , Inhibidores de Fosfodiesterasa 5/efectos adversos , Priapismo/inducido químicamente , Hiperplasia Prostática/tratamiento farmacológico , Inhibidores Selectivos de la Recaptación de Serotonina/efectos adversos , Citrato de Sildenafil/efectos adversos , Trastornos del Inicio y del Mantenimiento del Sueño/tratamiento farmacológico , Trazodona/efectos adversos , Antagonistas de Receptores Adrenérgicos alfa 1/uso terapéutico , Trastorno Depresivo Mayor/complicaciones , Hepatitis C/complicaciones , Humanos , Masculino , Persona de Mediana Edad , Fenilefrina/uso terapéutico , Priapismo/tratamiento farmacológico , Hiperplasia Prostática/complicaciones , Trastornos del Inicio y del Mantenimiento del Sueño/complicaciones , Trastornos Relacionados con Sustancias/complicaciones , Sulfonamidas/uso terapéutico , Tamsulosina , Vasoconstrictores/uso terapéuticoRESUMEN
Hyperosmotic agents such as maltodextrin negatively impact bacterial growth through osmotic stress without contributing to drug resistance. We hypothesized that a combination of maltodextrin (osmotic agent) and vancomycin (antibiotic) would be more effective against Staphylococcus aureus biofilms than either alone. To test our hypothesis, S. aureus was grown in a flat plate flow cell reactor. Confocal laser scanning microscopy images were analyzed to quantify changes in biofilm structure. We used dissolved oxygen microelectrodes to quantify how vancomycin and maltodextrin affected the respiration rate and oxygen penetration into the biofilm. We found that treatment with vancomycin or maltodextrin altered biofilm structure. The effect on the structure was significant when they were used simultaneously to treat S. aureus biofilms. In addition, vancomycin treatment increased the oxygen respiration rate, while maltodextrin treatment caused an increase and then a decrease. An increased maltodextrin concentration decreased the diffusivity of the antibiotic. Overall, we conclude that (1) an increased maltodextrin concentration decreases vancomycin diffusion but increases the osmotic effect, leading to the optimum treatment condition, and (2) the combination of vancomycin and maltodextrin is more effective against S. aureus biofilms than either alone. Vancomycin and maltodextrin act together to increase the effectiveness of treatment against S. aureus biofilm growth.
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Antibacterianos/metabolismo , Biopelículas/efectos de los fármacos , Biopelículas/crecimiento & desarrollo , Polisacáridos/metabolismo , Staphylococcus aureus/efectos de los fármacos , Staphylococcus aureus/fisiología , Vancomicina/metabolismo , Reactores Biológicos/microbiología , Interacciones Farmacológicas , Presión Osmótica , Oxígeno/metabolismoRESUMEN
Thermoanaerobacter pseudethanolicus 39E (ATCC 33223), a thermophilic, Fe(III)-reducing, and fermentative bacterium, was evaluated for its ability to produce current from four electron donors-xylose, glucose, cellobiose, and acetate-with a fixed anode potential (+ 0.042 V vs SHE) in a microbial electrochemical cell (MXC). Under thermophilic conditions (60 °C), T. pseudethanolicus produced high current densities from xylose (5.8 ± 2.4 A m(-2)), glucose (4.3 ± 1.9 A m(-2)), and cellobiose (5.2 ± 1.6 A m(-2)). It produced insignificant current when grown with acetate, but consumed the acetate produced from sugar fermentation to produce electrical current. Low-scan cyclic voltammetry (LSCV) revealed a sigmoidal response with a midpoint potential of -0.17 V vs SHE. Coulombic efficiency (CE) varied by electron donor, with xylose at 34.8% ± 0.7%, glucose at 65.3% ± 1.0%, and cellobiose at 27.7% ± 1.5%. Anode respiration was sustained over a pH range of 5.4-8.3, with higher current densities observed at higher pH values. Scanning electron microscopy showed a well-developed biofilm of T. pseudethanolicus on the anode, and confocal laser scanning microscopy demonstrated a maximum biofilm thickness (Lf) greater than ~150 µm for the glucose-fed biofilm.
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Fuentes de Energía Bioeléctrica , Electrodos , Thermoanaerobacter/metabolismo , Acetatos , Biopelículas , Celobiosa/metabolismo , Técnicas Electroquímicas/instrumentación , Fermentación , Glucosa/metabolismo , Microscopía Electrónica de Rastreo , Thermoanaerobacter/química , Xilosa/metabolismoRESUMEN
Metallic nanoparticles (NPs) have a variety of applications in different industries including pharmaceutical industry where these NPs are used mainly for image analysis and drug delivery. The increasing interest in nanotechnology is largely associated with undefined risks to the human health and to the environment. Therefore, in the present study cytotoxic and genotoxic effects of iron oxide, aluminium oxide and copper nanoparticles were evaluated using most commonly used assays i.e. Ames assay, in vitro cytotoxicity assay, micronucleus assay and comet assay. Cytotoxicity to bacterial cells was assessed in terms of colony forming units by using Escherichia coli (gram negative) and Bacillus subtilis (gram positive). Ames assay was carried out using two bacterial strains of Salmonella typhimurium TA98 and TA100. Genotoxicity of these NPs was evaluated following exposure to monkey kidney cell line, CHS-20. No cytotoxic and genotoxic effects were observed for iron oxide, and aluminium oxide NPs. Copper NPs were found mutagenic in TA98 and in TA100 and also found cytotoxic in dose dependent manner. Copper NPs induced significant (p < 0.01) increase in number of binucleated cells with micronuclei (96.6 ± 5.40) at the highest concentration (25 µg/mL). Copper NPs also induced DNA strand breaks at 10 µg/mL and oxidative DNA damage at 5 and 10 µg/mL. We consider these findings very useful in evaluating the genotoxic potential of NPs especially because of their increasing applications in human health and environment with limited knowledge of their toxicity and genotoxicity.
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Óxido de Aluminio/toxicidad , Cobre/toxicidad , Compuestos Férricos/toxicidad , Nanopartículas del Metal/toxicidad , Óxido de Aluminio/administración & dosificación , Animales , Bacterias/citología , Bacterias/efectos de los fármacos , Línea Celular , Recuento de Colonia Microbiana , Ensayo Cometa , Cobre/administración & dosificación , Roturas del ADN/efectos de los fármacos , Daño del ADN/efectos de los fármacos , Relación Dosis-Respuesta a Droga , Compuestos Férricos/administración & dosificación , Haplorrinos , Riñón/citología , Riñón/efectos de los fármacos , Nanopartículas del Metal/administración & dosificación , Pruebas de Micronúcleos , Pruebas de MutagenicidadRESUMEN
Different grasses and trees were tested for their growth in a crude oil contaminated soil. Three grasses, Lolium perenne, Leptochloa fusca, Brachiaria mutica, and two trees, Lecucaena leucocephala and Acacia ampliceps, were selected to investigate the diversity of hydrocarbon-degrading rhizospheric and endophytic bacteria. We found a higher number of hydrocarbon degrading bacteria associated with grasses than trees and that the endophytic bacteria were taxonomically different from rhizosphere associated bacteria showing their spatial distribution with reference to plant compartment as well as genotype. The rhizospheric soil yielded 22 (59.45 %), root interior yielded 9 (24.32 %) and shoot interior yielded 6 (16.21 %) hydrocarbon-degrading bacteria. These bacteria possessed genes encoding alkane hydroxylase and showed multiple plant growth-promoting activities. Bacillus (48.64 %) and Acinetobacter (18.91 %) were dominant genera found in this study. At 2 % crude oil concentration, all bacterial isolates exhibited 25 %-78 % oil degradation and Acinetobacter sp. strain BRSI56 degraded maximum. Our study suggests that for practical application, support of potential bacteria combined with the grasses is more effective approach than trees to remediate oil contaminated soils.