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Reversed-Phase-HPLC Assay Method for Simultaneous Estimation of Sorbitol, Sodium Lactate, and Sodium Chlorides in Pharmaceutical Formulations and Drug Solution for Infusion
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作者 Sreenivas Pippalla Venugopal Komreddy +2 位作者 Srinivasulu Kasa Vaishnavi Chintala Poluri Venkata Reddy 《American Journal of Analytical Chemistry》 CAS 2024年第2期57-71,共15页
A rapid, straightforward, sensitive, efficient, and cost-effective reverse-phase high-performance liquid chromatographic method was employed for the simultaneous determination of Sorbitol, Sodium Lactate, and Chloride... A rapid, straightforward, sensitive, efficient, and cost-effective reverse-phase high-performance liquid chromatographic method was employed for the simultaneous determination of Sorbitol, Sodium Lactate, and Chlorides in a drug solution for infusion. Sorbitol, Sodium lactate, and Chloride are all officially recognized in the USP monograph. Assay methods are provided through various techniques, with titrations being ineffective for trace-level quantification. Alternatively, IC, AAS, and ICP-MS, though highly accurate, are costly and often unavailable to most testing facilities. When considering methods, it’s important to prioritize both quality control requirements and user-friendly techniques. A simple HPLC simultaneous method was developed for the quantification of Chlorides, Sorbitol, and Sodium Lactate with a shorter run time. The separation utilized a Shimpack SCR-102(H) ion exclusion analytical column (7.9 mm × 300 mm, 7 μm), with a flow rate of 0.6 mL per min. The column compartment temperature was maintained at 40°C, and the injection volume was set at 10 μL, with detection at 200 nm. All measurements were conducted in a 0.1% solution of phosphoric acid. The analytical curves demonstrated linearity (r > 0.9999) in the concentration range of 0.79 to 3.8 mg per mL for Sodium Lactate (SL), 0.16 to 0.79 mg per mL for Sodium Chloride (SC), and 1.5 to 7.2 mg per mL for Sorbitol. Validation of the developed method followed the guidelines of the International Conference on Harmonization (ICH Q2B) and USP. The method exhibited precision, robustness, accuracy, and selectivity. In accelerated stability testing over 6 months, no significant variations were observed in organoleptic analysis and pH. Consequently, the developed method is deemed suitable for routine quality control analyses, enabling the simultaneous determination of Sodium Lactate, Sodium Chloride, and Sorbitol in pharmaceutical formulations and infusions. 展开更多
关键词 SORBITOL Sodium Lactate and Chloride assay Analytical Validation HPLC
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Interferon-gamma release assays as a tool for differential diagnosis of gastrointestinal tuberculosis
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作者 Tsvetelina Velikova Anita Aleksandrova 《World Journal of Clinical Cases》 SCIE 2024年第27期6015-6019,共5页
In this editorial,we comment on an article published in a recent issue of the World Journal of Clinical Cases.There is a pressing need for reliable tools for diagnosing tuberculosis(TB)of the gastrointestinal tract.De... In this editorial,we comment on an article published in a recent issue of the World Journal of Clinical Cases.There is a pressing need for reliable tools for diagnosing tuberculosis(TB)of the gastrointestinal tract.Despite advancements in the diagnosis and treatment,TB remains a global health challenge.Ali et al demon-strated that TB may mimic gastrointestinal conditions,such as gastric outlet obstruction,causing a delay in the diagnosis.Furthermore,the latter complication is frequently observed during infections,including Helicobacter pylori,and rarely is related to TB,as in the presented case.In line with this,we think that laboratory tests based on interferon-gamma release assays can be a helpful tool for diagnosing latent TB paced in the gastrointestinal tract.Innovative strategies and approaches for diagnosing latent/active extra pulmonary TB are crucial for establishing the diagnosis early and enhancing treatment strategies to mitigate the global burden of TB. 展开更多
关键词 TUBERCULOSIS Gastrointestinal tuberculosis Interferon-gamma release assay IGRA Primary gastroduodenal tuberculosis Gastric outlet obstruction Case report
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Interest of Transcranial Doppler (TCD) in Emergency in Traumatic Brain Injury Patients at Gabriel Touré University Hospital, Bamako, Mali
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作者 Abdoulhamidou Almeimoune Moustapha Mangane +8 位作者 Madane Thierno Diop Mahamadoun Coulibaly Amadou Gamby Dramane Sanogo Alfousseini Soumare Adama Coulibaly Ababacar Salaha Harouna Sangaré Diango Djibo Mahamane 《Open Journal of Emergency Medicine》 2024年第3期114-121,共8页
Introduction: Transcranial Doppler is a simple, non-invasive and inexpensive examination which allows the assessment of cerebral perfusion. In countries with limited resources, which do not have a means of monitoring ... Introduction: Transcranial Doppler is a simple, non-invasive and inexpensive examination which allows the assessment of cerebral perfusion. In countries with limited resources, which do not have a means of monitoring intracranial pressure, this examination offers hope of survival for patients with traumatic brain injury. This study was designed to investigate the incidence of early cerebral circulation abnormalities after traumatic brain injury using transcranial Doppler (TCD). Methodology: A descriptive and analytical study was conducted over one year, including patients with traumatic brain injury and an initial Glasgow Coma Scale (GCS) score of less than 15. Non-inclusion criteria: Stroke, brain tumor, cerebral abscess. Exclusion criteria: Inadequate insonation window. Results: Out of 854 traumatic brain injury patients admitted to the emergency department, 112 were included in the study. The average age was 30.14 years, with a sex ratio of 4.1. Initially, 83.5% had moderate traumatic brain injury, and 12.1% had severe traumatic brain injury. Brain CT scans were performed in 95.7% of the patients. Edematous-hemorrhagic contusion was observed in 95% of the patients. On initial TCD, the pulsatility index in the middle cerebral artery was greater than 1.3 in 49.4% of the patients. Diastolic velocity was less than 20 cm/s in 46.4% of cases, and mean velocity was greater than 150 cm/s in 8.7% of cases. In this group, low diastolic velocity indicated cerebral hypoperfusion suggestive of intracranial hypertension. When the pulsatility index was greater than 1.9, no patient had a normal diastolic velocity. Among patients with severe traumatic brain injury, 61.5% had an abnormal pulsatility index compared to 42.3% of patients with moderate traumatic brain injury. Conclusion: TCD is a simple tool for analyzing intracerebral hemodynamics. 展开更多
关键词 Traumatic Brain Injury tcd Neuroresuscitation Sub-Saharan Africa
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Evaluation of Interferon-Gamma Release Assay Testing and Tuberculin Skin Test for Early Diagnosis of Tuberculosis in Children and Adolescents
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作者 Yelda Sorguç Miray Çelebi Yılmaz +4 位作者 Yüce Ayhan Yakup Yaman Şener Tulumoğlu Aybüke Akaslan Kara İlker Devrim 《Open Journal of Pediatrics》 2024年第3期558-567,共10页
Background: This study aimed to evaluate the diagnostic value of interferon-γ release assay (IGRA), a sensitive microbiological diagnostic method, in children and adolescents with suspected tuberculosis in a country ... Background: This study aimed to evaluate the diagnostic value of interferon-γ release assay (IGRA), a sensitive microbiological diagnostic method, in children and adolescents with suspected tuberculosis in a country with a high burden of tuberculosis. Method: This study included 581 children and adolescents aged 4 - 19 years who were suspected of having tuberculosis, were latently infected with Mycobacterium tuberculosis, and had received at least one dose of BCG vaccine between April 17, 2019, and February 24, 2021. The study evaluated the TST results of 106 patients who had a positive Quantiferon test and were suspected of having tuberculosis. Results: The study included 581 patients aged between 4 and 19 years. Of these, 106 patients tested positive for the Quantiferon test, while 19 were indeterminate and 456 were negative. The Quantiferon test positivity rate was 18.24%. Among the 106 QFT-Plus-positive cases, 23 patients also tested positive for TST. The difference in distribution was found to be statistically significant. Conclusion: The QFT-Plus test is considered an alternative to TST and other microbiological diagnostic methods for early tuberculosis diagnosis, particularly in children and adolescents. 展开更多
关键词 Interferon Gamma Release assay CHILDREN Tuberculin Test CHILDREN Latent Tuberculosis
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超声联合TCD技术诊断颈部动脉粥样硬化性脑梗死的临床价值
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作者 李新勇 《现代医用影像学》 2024年第3期533-535,539,共4页
目的:探讨超声联合TCD技术诊断颈部动脉粥样硬化性脑梗死(CAEI)的临床价值。方法:以62例CAEI患者为对象,以同期62例健康人为对照组。均接受血管超声及TCD检查,分析二者诊断CAEI的价值。结果:观察组颈总动脉收缩期内径(Ds)、内中膜厚度(I... 目的:探讨超声联合TCD技术诊断颈部动脉粥样硬化性脑梗死(CAEI)的临床价值。方法:以62例CAEI患者为对象,以同期62例健康人为对照组。均接受血管超声及TCD检查,分析二者诊断CAEI的价值。结果:观察组颈总动脉收缩期内径(Ds)、内中膜厚度(IMT)值高于对照组(P<0.05)。观察组Vd、Vs低于对照组,RI、PI高于对照组(P<0.05)。观察组斑块检出率为85.48%,高于对照组(19.35%,P<0.05)。模型1(Ds+IMT)诊断CAEI的AUC、灵敏度、特异度分别为0.754(95%CI:0.669-0.827)、79.03%、74.19%;模型2(Vs+Vd+RI+PI)诊断CAEI的AUC、灵敏度、特异度分别为0.814(95%CI:0.735-0.878)、82.26%、70.97%;模型3(Ds+IMT+Vs+Vd+RI+PI)诊断CAEI的AUC、灵敏度、特异度分别为0.871(95%CI:0.799-0.924)、90.32%、74.19%。模型3诊断CAEI的AUC高于模型1、模型2(P<0.05)。结论:超声联合TCD检测可了解CAEI患者的颈动脉斑块及血流信息,有助于提高诊断的准确度。 展开更多
关键词 超声 tcd 颈部动脉粥样硬化性脑梗死
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TCD监测颅内血流动力学参数评估脑血管病患者颈动脉狭窄程度及神经功能恶化的风险 被引量:2
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作者 杨茹 王明玉 +3 位作者 任孝林 董青 籍牛 周芯羽 《中国老年学杂志》 CAS 北大核心 2023年第21期5135-5138,共4页
目的探讨经颅射绝超声多普勒系统(TCD)监测颅内血流动力学对脑血管病患者颈动脉狭窄严重程度和神经功能恶化风险的评估价值。方法前瞻性纳入122例脑血管病患者为病例组,根据患者颈动脉狭窄程度分为轻度狭窄组(n=43)、中度狭窄组(n=47)... 目的探讨经颅射绝超声多普勒系统(TCD)监测颅内血流动力学对脑血管病患者颈动脉狭窄严重程度和神经功能恶化风险的评估价值。方法前瞻性纳入122例脑血管病患者为病例组,根据患者颈动脉狭窄程度分为轻度狭窄组(n=43)、中度狭窄组(n=47)、重度狭窄组(n=32),并纳入同期健康体检者60例为对照组,比较4组颅内血流动力学指标,并采用Pearson分析其与患者颈动脉狭窄严重程度的相关性;根据患者神经功能恶化程度分为神经功能恶化组(n=55)和神经功能未恶化组(n=67),采用单因素和多因素Logistic回归分析明确影响患者发生神经功能恶化的高危因素,并采用受试者工作特征(ROC)曲线进一步分析独立危险因素对神经功能恶化的诊断效能。结果轻、中、重度狭窄组舒张期峰值血流速度(EDV)、收缩期峰值血流速度(PSV)及平均血流速度(MV)水平均较对照组偏低,搏动指数(PI)和阻力指数(RI)较对照组偏高,有统计学差异(P<0.05);重度狭窄组PSV、MV、EDV水平较轻、中度狭窄组显著偏低,PI及RI水平显著偏高(P<0.05)。Pearson相关性分析结果显示,PSV、EDV及MV与颈动脉狭窄程度呈显著正相关(r=0.541,0.763,0.822,均P<0.05),PI及RI与颈动脉狭窄程度呈显著负相关(r=-0.133,-0.375,均P<0.05)。神经功能恶化组平均年龄、入院GCS评分、ICU停留时间及住院时长等临床指标均明显高于神经功能未恶化组(P<0.05);两组大脑中动脉血流动力学参数对比,神经功能恶化组收缩期血流速度(FVs)、PI显著高于神经功能未恶化组,FVd、平均流速(FVm)明显低于神经功能未恶化组(P<0.05)。Logistic回归分析结果显示,ICU停留时间、住院时间、FVs、舒张期血流速度(FVd)、PI均是影响脑血管病患者神经功能恶化的独立危险因素(P<0.05)。ROC曲线分析结果显示,FVs、FVd、FVm及PI对预测脑血管病患者发生神经功能的ROC曲线下面积(AUC)分别为0.643、0.834、0.336、0.866(均P<0.05)。诊断效能:PI>FVd>FVs>FVm。结论应用TCD对脑血管病患者颅内血流动力学参数进行监测可辅助临床评估患者的颈动脉狭窄程度,对此类患者发生神经功能病变具有较高的预测价值。 展开更多
关键词 tcd监测 颅内血流动力学 脑血管病 颈动脉狭窄 神经功能恶化
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Colloidal Gold Immunochromatographic Assay for Rapid On-Site Detection of Tetracycline in Seawater 被引量:2
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作者 LI Haiping MENG Fanping LI Aifeng 《Journal of Ocean University of China》 SCIE CAS CSCD 2023年第4期1129-1138,共10页
Recently increasing concerns from the scientists and public have been paid for seawater pollution due to tetracycline(TC)overuse in maricultural area.However,there are few methods or instruments that can be used for s... Recently increasing concerns from the scientists and public have been paid for seawater pollution due to tetracycline(TC)overuse in maricultural area.However,there are few methods or instruments that can be used for specific and rapid detection of this antibiotic in seawater.In this study,the colloidal gold immunochromatographic assay(CG-ICA)was used to achieve this goal.A commercialized monoclonal antibody against TC(anti-TC mAb)was selected because of its higher sensitivity(half-maximal inhibitory concentration of 2.38μgL^(-1)).The prepared CG particles(average diameter of 20 nm)were used to label anti-TC mAb at pH 8.0.The conjugate pad was formed by spraying the CG-labeled anti-TC mAb on a glass fibre membrane followed by proper dryness.The test pad was made by immobilizing artificial antigen and anti-mouse mAb in the test line and the control line,respectively,in a nitrocellulose membrane.The test strip,assembled with sample pad,conjugate pad,test pad and absorbent pad,could be used to detect TC during seawater sample flowing through these components in turn.The results could be observed by the naked eye in 10min.The visible limit of detection(vLOD)was 20μgL^(-1) for TC in seawater.The CG-ICA test results were in good agreement with those of liquid chromatography-tandem mass spectrometry(LC-MS/MS).The assay also showed that,oxytetracycline(OTC)and chlortetracycline(CTC),as the structural analogues of TC,did not interfere with TC determination.Furthermore,the TC concentration given by test strip could not be affected by the fluctuation of temperature(10℃–30℃),pH(7–9)and salinity(0–40)of seawater.Therefore,CG-ICA is a suitable tool for rapid,on-site,and semi-quantitative detection of TC in seawater. 展开更多
关键词 tetracycline(TC) seawater colloidal gold(CG) immunochromatographic assay SEMI-QUANTITATIVE
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TCD发泡试验在诊断隐源性脑卒中相关危险因素PFO中的应用研究
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作者 黄丽霞 鲍云 +2 位作者 邵玉薇 刘竞芳 董轩 《中文科技期刊数据库(引文版)医药卫生》 2023年第2期106-108,共3页
研究TCD发泡试验在隐源性脑卒中中相关危险因素PFO应用效果开展诊断评估。方法 选择我院2019-2023年所接受到的80名隐源性脑卒中患者为分析对象,比较患者经颅多普勒超声(TCD)发泡试验和经胸心脏超声心动图(TTE)检查结果阳性率和影像学... 研究TCD发泡试验在隐源性脑卒中中相关危险因素PFO应用效果开展诊断评估。方法 选择我院2019-2023年所接受到的80名隐源性脑卒中患者为分析对象,比较患者经颅多普勒超声(TCD)发泡试验和经胸心脏超声心动图(TTE)检查结果阳性率和影像学特征。结果 TCD发泡试验在隐源性脑卒中相关危险因素卵圆孔未闭(PFO)阳性率检出率和TTE阳性检出率检查方面,检查具备统计学意义。在TCD发泡试验对隐源性脑卒中脑卒中相关危险因素中PFO阳性和阴性患者检查内,阳性患者梗死病大部分出现在皮层、皮层下区域,阴性患者主要出现深部灰质区域。结论 TCD发泡试验可以有效检测出由于PFO该危险因素造成隐源性脑卒中,PFO阳性病灶大部分位于皮层、皮层下区域,就隐源性脑卒中相关危险因素PFO筛查、诊断、病因研究等角度具备关键意义,适宜临床推广与应用。 展开更多
关键词 tcd发泡试验 隐源性脑卒中 PFO 影像学特点
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TCD发泡试验在卵圆孔未闭中的应用
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作者 陈立侠 《中国科技期刊数据库 医药》 2023年第12期1-4,共4页
对卵圆孔未闭采用TCD发泡实验,做好效果分析。方法 通过选取本院收治的隐源性卒中患者42例,患者在入院后进行MRI以及CT检查,采用TCD发泡实验,做好阳性率情况的比较。结果 通过对42例患者进行检查,其中阳性率为88.4%。卵圆孔直径在1-3mm... 对卵圆孔未闭采用TCD发泡实验,做好效果分析。方法 通过选取本院收治的隐源性卒中患者42例,患者在入院后进行MRI以及CT检查,采用TCD发泡实验,做好阳性率情况的比较。结果 通过对42例患者进行检查,其中阳性率为88.4%。卵圆孔直径在1-3mm之间。结论 对卵圆孔未闭采用TCD发泡实验,能够更好的探查卒中,明确隐源性脑梗的发生概率,整体效果良好,为患者预后提供一定基础。 展开更多
关键词 tcd发泡试验 卵圆孔未闭 应用
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TCD5 Enhances the Photosynthesis Capacity,Increases the Panicle Number and the Yield in Rice
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作者 Jing Yang Yufeng Wang +3 位作者 Zhanghua Hu Xiaoping Chen Yanjun Dong Sheng Teng 《Phyton-International Journal of Experimental Botany》 SCIE 2023年第9期2649-2663,共15页
Improvement of photosynthetic efficiency is a major approach to increase crop yield potential.Previously,we cloned a gene encoding the chloroplast-located putative monooxygenase TCD5,which is essential in plastid deve... Improvement of photosynthetic efficiency is a major approach to increase crop yield potential.Previously,we cloned a gene encoding the chloroplast-located putative monooxygenase TCD5,which is essential in plastid development under low temperature in rice(Oryza sativa L.).In this study,the effects of TCD5 on the photosynthesis and the yields were investigated in rice.Two sets of genetic materials with three levels of TCD5 expression,including tcd5 mutant or TCD5 RNAi transgenic lines and TCD5 over-expression transgenic lines in Jiahua1 and Nipponbare backgrounds,were used in the field trails of multi-locations and multi-years.TCD5 positively affected the panicle number and the yield at dosage.Compared with the wild-types,the panicle numbers were 12.4%-14.6%less in tcd5 mutant and 8.3%-38.6%less in TCD5 RNAi lines,but 26.2%-61.8%more in TCD5 over-expression lines.The grain yields per plant were 9.1%-18.4%less in tcd5 mutant and 14.3%-56.7%less in TCD5 RNAi lines,but 6.9%-56.5%more in TCD5 over-expression lines.The measurements of net photosynthetic rate indicated that mutation or knock down of TCD5 decreased the net photosynthetic rate by 10.4%and 15.6%,respectively,while increasing it by 8.9%and 8.7%in the TCD5 over-expression lines in Jiahua1 and Nipponbare backgrounds,respectively.Accordingly,the measurements of chlorophyll fluorescence parameters showed that the electron transport rate and quantum yield decreased in tcd5 mutant or TCD5 RNAi lines but increased in TCD5 overexpression lines,both in Jiahua1 and Nipponbare backgrounds.IP-MS screening revealed that TCD5 interacts with 29 chloroplast proteins involved in chlorophyll synthesis,photo-reactions of the photosynthesis,carbon assimilation and metabolism,energy metabolism,redox balance,protein synthesis and transportation.Two TCD5 interacted proteins,D1 and FBA were effective targets for improving photosynthesis.These results suggest a potentially new strategy for increasing rice yield by enhancing photosynthesis. 展开更多
关键词 tcd5 PHOTOSYNTHESIS panicle number YIELD
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A novel pathogenic splicing mutation of RPGR in a Chinese family with X-linked retinitis pigmentosa verified by minigene splicing assay
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作者 Hui-Qin Wang Pei-Kuan Cong +2 位作者 Tian He Xiao-Feng Yu Ya-Nan Huo 《International Journal of Ophthalmology(English edition)》 SCIE CAS 2023年第10期1595-1600,共6页
AIM:To report a novel splicing mutation in the RPGR gene(encoding retinitis pigmentosa GTPase regulator)in a three-generation Chinese family with X-linked retinitis pigmentosa(XLRP).METHODS:Comprehensive ophthalmic ex... AIM:To report a novel splicing mutation in the RPGR gene(encoding retinitis pigmentosa GTPase regulator)in a three-generation Chinese family with X-linked retinitis pigmentosa(XLRP).METHODS:Comprehensive ophthalmic examinations including best corrected visual acuity,fundus photography,vision field,and pattern-visual evoked potential were performed to identify the disease phenotype of a six-yearold boy from the family(proband).Genomic DNA was extracted from peripheral blood of five available members of the pedigree.Whole-exome sequencing(WES),Sanger sequencing,and pSPL3-based exon trapping were used to investigate the aberrant splicing of RPGR.Human Splice Finder v3.1 and NNSPLICE v0.9 were used for in silico prediction of splice site variants.RESULTS:The proband was diagnosed as having retinitis pigmentosa(RP).He had severe symptoms with early onset.A novel splicing mutation,c.619+1G>C in RPGR was identified in the proband by WES and in four family members by Sanger sequencing.Minigene splicing assays verified that c.619+1G>C in RPGR would result in the formation of a damaging alternative transcript in which the last 91 bp of exon 6 were skipped,leading to the subsequent deletion of 623 correct amino acids(c.529_619del p.Val177Glnfs*16).CONCLUSION:We identify a novel splice donor site mutation causing aberrant splicing of RPGR.Our findings add to the catalog of pathological mutations of RPGR and further emphasize the functional importance of RPGR in RP pathogenesis and its complex clinical phenotypes. 展开更多
关键词 retinitis pigmentosa X-linked inheritance RPGR splicing mutation pSPL3 minigene assay
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The Contribution of the Xpert® MTB/RIF Assay to the Surveillance of Drug-Resistant Tuberculosis in the Central African Republic
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作者 Alain Farra Lydie V. Danebera +3 位作者 Gilles Ngaya Brice M. Yambiyo Alexandre Manirakiza Christian D. Mossoro-Kpinde 《Journal of Tuberculosis Research》 CAS 2023年第1期23-32,共10页
Introduction: The Central African Republic is one of the 30 high Tuberculosis burden countries in the world, with an incidence of 540 cases per 100,000 population and a mortality of 91 deaths per 100,000 population. S... Introduction: The Central African Republic is one of the 30 high Tuberculosis burden countries in the world, with an incidence of 540 cases per 100,000 population and a mortality of 91 deaths per 100,000 population. Since 2020, following WHO recommendations, the National Reference Laboratory for Tuberculosis has been using the Xpert<sup>&#174</sup> MTB/RIF assay as a first-line diagnostic test for the early detection of Drug Resistance Tuberculosis. The goal of this study was to evaluate the contribution of the Xpert<sup>&#174</sup> MTB/RIF assay to the surveillance of rifampicin resistance in new and previously treated tuberculosis cases. Materials and Methods: The data relative to the Xpert<sup>&#174</sup> MTB/RIF assay carried out on various categories of tuberculosis patients registered at the National Reference Laboratory for Tuberculosis in 2020 were analyzed retrospectively. The categories of tuberculosis patients were new cases, failed treatment cases, relapse cases, lost-to-follow-up cases and multidrug-resistant tuberculosis contact cases. Results: A total of 1404 tuberculosis patients were registered at the NRL-TB in 2020;the mean age was 39.2 years (2 - 90 years) and the male-to-female sex ratio was 1.16:1. Overall, 32.7% (454/1404) proved infected with tuberculosis, of which 22.5% (102/454) cases showed resistance to rifampicin. The primary resistance rate was 9.1% (27/298) and the secondary resistance rate was 46.6% (75/161). Treatment failures and relapsed cases were significantly associated with rifampicin resistance (p 0.005). Conclusion: Large-scale use of Xpert<sup>&#174</sup> MTB/RIF, especially in the provinces of the Central African Republic, will help the Ministry of Health to better control Drug Resistance Tuberculosis in the country. 展开更多
关键词 Xpert® MTB/RIF assay RIFAMPICIN SURVEILLANCE CAR
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Comparative assessment of nitrogen fixation rate by ^(15)N_(2) tracer assays in the South China Sea
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作者 Danyang Li Minfang Zheng +5 位作者 Yusheng Qiu Limin Lai Nengwang Chen Hongmei Jing Run Zhang Min Chen 《Acta Oceanologica Sinica》 SCIE CAS CSCD 2023年第1期75-82,共8页
Nitrogen fixation is one of the most important sources of new nitrogen in the ocean and thus profoundly affects the nitrogen and carbon biogeochemical processes.The distribution,controlling factors,and flux of N2 fixa... Nitrogen fixation is one of the most important sources of new nitrogen in the ocean and thus profoundly affects the nitrogen and carbon biogeochemical processes.The distribution,controlling factors,and flux of N2 fixation in the global ocean remain uncertain,partly because of the lack of methodological uniformity.The^(15)N_(2)tracer assay(the original bubble method→the^(15)N_(2)-enriched seawater method→the modified bubble method)is the mainstream method for field measurements of N2 fixation rates(NFRs),among which the original bubble method is the most frequently used.However,accumulating evidence has suggested an underestimation of NFRs when using this method.To improve the availability of previous data,we compared NFRs measured by three^(15)N_(2)tracer assays in the South China Sea.Our results indicate that the relationship between NFRs measured by the original bubble method and the^(15)N_(2)-enriched seawater method varies obviously with area and season,which may be influenced by incubation time,diazotrophic composition,and environmental factors.In comparison,the relationship between NFRs measured by the original bubble method and the modified bubble method is more stable,indicating that the N2 fixation rates based on the original bubble methods may be underestimated by approximately 50%.Based on this result,we revised the flux of N2 fixation in the South China Sea to 40 mmol/(m2·a).Our results improve the availability and comparability of literature NFR data in the South China Sea.The comparison of the^(15)N_(2)tracer assay for NFRs measurements on a larger scale is urgently necessary over the global ocean for a more robust understanding of the role of N2 fixation in the marine nitrogen cycle. 展开更多
关键词 N2 fixation rate South China Sea ^(15)N_(2)tracer assay
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托莫西汀联合感觉统合训练治疗注意缺陷多动障碍患儿效果及对TCD参数、动态肌电图的影响
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作者 叶华贞 《黑龙江医药》 CAS 2023年第4期873-875,共3页
目的:探讨托莫西汀联合感觉统合训练治疗注意缺陷多动障碍(ADHD)患儿效果及对经颅多普勒超声检查(TCD)参数、动态肌电图的影响。方法:按随机数字表法将2021年9月至2022年9月我院收治的60例ADHD患儿分为两组,各30例。对照组采用托莫西汀... 目的:探讨托莫西汀联合感觉统合训练治疗注意缺陷多动障碍(ADHD)患儿效果及对经颅多普勒超声检查(TCD)参数、动态肌电图的影响。方法:按随机数字表法将2021年9月至2022年9月我院收治的60例ADHD患儿分为两组,各30例。对照组采用托莫西汀治疗,研究组在对照组基础上加用感觉统合训练治疗,对比两组临床疗效、TCD参数[大脑基底动脉(BA)、左侧中动脉(MCA-L)、左侧前动脉(ACA-L)、左侧后动脉(PCA-L)]、儿童感觉统合能力发展评定量表评分、中文版注意缺陷多动障碍评定量表-父母版(SNAP-IV)评分和不良反应。结果:研究组治疗后总有效率高于对照组(P<0.05);两组治疗后BA对比,无统计学差异(P>0.05);研究组治疗后MCA-L、ACA-L、PCA-L高于对照组(P<0.05);研究组治疗后儿童感觉统合能力发展评定量表评分高于对照组(P<0.05);研究组治疗后SNAP-IV评分低于对照组(P<0.05);两组治疗期间均无严重不良反应发生。结论:托莫西汀联合感觉统合训练可有效提升ADHD患儿的注意力和感觉统合能力,促进大脑动脉局部灌注的恢复,利于纠正患儿行为抑制缺陷,值得在临床上推广和应用。 展开更多
关键词 注意缺陷多动障碍 托莫西汀 感觉统合训练 tcd参数 动态肌电图
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TCD发泡试验在肝硬化门静脉高压患者中的临床价值探讨
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作者 黎振林 《中国科技期刊数据库 医药》 2023年第6期104-106,共3页
探讨经颅多普勒(transcranialDoppler,TCD)发泡试验在肝硬化门静脉高压患者中的临床价值。方法 收集2021年5月~2023年4月玉林市红十字会医院消化内科收治肝硬化门静脉高压患者141例作为观察组,选择同期门诊就诊健康体检者58例作为对照组... 探讨经颅多普勒(transcranialDoppler,TCD)发泡试验在肝硬化门静脉高压患者中的临床价值。方法 收集2021年5月~2023年4月玉林市红十字会医院消化内科收治肝硬化门静脉高压患者141例作为观察组,选择同期门诊就诊健康体检者58例作为对照组,两组均进行发泡试验,记录观察组和对照组发泡试验阳性率并对比分析,同时将肝硬化门静脉高压伴和不伴食管胃静脉曲张出血的发泡试验阳性率、不同肝功能分级发泡试验阳性率进行比较,分析其差异性。结果 门静脉高压患者发泡试验阳性率高于健康者,差异有统计学意义(P<0.05)。食管胃底静脉曲张破裂出血发泡试验阳性率低于非食管胃底静脉曲张破裂出血,P<0.05。结论 在肝硬化门静脉高压患者中,进行TCD发泡试验具有临床应用的价值。该试验可以作为一种新的指导方法,用于在内镜下治疗食管胃底静脉曲张破裂出血时提供指导。 展开更多
关键词 tcd发泡试验 门静脉高压 临床价值
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偏头痛患者采用TCD发泡试验筛查卵圆孔未闭的价值分析与探讨
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作者 许丽丽 《中文科技期刊数据库(引文版)医药卫生》 2023年第12期24-26,共3页
探讨分析偏头痛患者的TCD发泡试验筛查卵圆孔未闭的临床表现,针对偏头痛患者的卵圆孔功能进行判断,为患者的诊断提供进一步的参考方案。方法 本次研究在进行实验设置时,选择实验时间段为2019年6月,至2022年3月,研究人员在该时段内将我... 探讨分析偏头痛患者的TCD发泡试验筛查卵圆孔未闭的临床表现,针对偏头痛患者的卵圆孔功能进行判断,为患者的诊断提供进一步的参考方案。方法 本次研究在进行实验设置时,选择实验时间段为2019年6月,至2022年3月,研究人员在该时段内将我院资料登记有效的偏头痛患者共计80名作为研究对象,选择同期内院中接受健康体检的成人共计80名作为对照对象。研究人员在针对所有患者的一般资料进行记录后,针对患者进行TCD发泡试验筛查卵圆孔未闭检查,诊断完成后,研究人员针对患者的TCD发泡试验筛查卵圆孔未闭指标进行评价,分析组间差异。结果 在本次研究结果中显示,相较于对照组来说,实验组内患者的TCD发泡试验筛查卵圆孔未闭结果中发生率明显更高,数据进行对比分析后,差异显著,具有统计学意义(P<0.05)。结论 偏头痛患者的TCD发泡试验可以用于筛查卵圆孔未闭。在本次结果中表明卵圆孔未闭与偏头痛之间存在相关性。这项检查可以为偏头痛患者的诊断提供重要的参考信息,特别是在考虑手术干预或其他治疗方案时。TCD发泡试验可用于评估偏头痛患者的卵圆孔功能和筛查卵圆孔未闭。这一方法对于指导偏头痛患者的诊断和治疗决策具有重要的临床意义。 展开更多
关键词 偏头痛 tcd发泡试验筛查卵圆孔未闭 诊断 临床研究
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脑梗死患者行经颅多普勒超声(TCD)与颈部血管超声(CUS)联合诊断效果分析
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作者 刘玲娜 《中文科技期刊数据库(引文版)医药卫生》 2023年第7期86-89,共4页
对脑梗死患者予以领出啊来检查,分析经颅多普勒超声与颈部血管超声联合诊断结果。方法 本次研究对收入的脑梗死患者、同期接受医院检查的健康体检对象予以诊断对比,均接受经颅多普勒超声与颈部血管超声检查,对比诊断结果。结果 对比诊... 对脑梗死患者予以领出啊来检查,分析经颅多普勒超声与颈部血管超声联合诊断结果。方法 本次研究对收入的脑梗死患者、同期接受医院检查的健康体检对象予以诊断对比,均接受经颅多普勒超声与颈部血管超声检查,对比诊断结果。结果 对比诊断结果:经颅多普勒超声、联合检查、金标准检查的血管狭窄检出率差异不大,分别和金标准检查对比,(p>0.05),无统计学意义。结论 经颅多普勒超声检查和颈部血管超声联合检查方式可帮助脑梗死患者及时诊断出疾病,临床的误诊率、漏诊率较低,联合检查和金标准检查结果差异不大,(p<0.05),有统计学意义。 展开更多
关键词 脑梗死患者 经颅多普勒超声(tcd) 颈部血管超声(CUS) 联合诊断 效果分析
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TCD辅助尿激酶静脉溶栓及局部亚低温治疗急性脑梗死的疗效观察 被引量:24
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作者 周艳辉 余丹 +3 位作者 王琦 林珍 赖玉洁 杨国帅 《临床神经病学杂志》 CAS 北大核心 2015年第5期349-352,共4页
目的 探讨TCD辅助尿激酶静脉溶栓及局部亚低温治疗急性脑梗死的疗效。方法 对尿激酶组(24例)给予尿激酶静脉溶栓;亚低温联合组(24例)患者给予尿激酶联合局部亚低温治疗;TCD联合组(25例)患者给予TCD辅助尿激酶静脉溶栓;尿激酶+TC... 目的 探讨TCD辅助尿激酶静脉溶栓及局部亚低温治疗急性脑梗死的疗效。方法 对尿激酶组(24例)给予尿激酶静脉溶栓;亚低温联合组(24例)患者给予尿激酶联合局部亚低温治疗;TCD联合组(25例)患者给予TCD辅助尿激酶静脉溶栓;尿激酶+TCD+亚低温组(联合治疗组)(26例)患者给予TCD辅助尿激酶静脉溶栓后再予局部亚低温治疗。于溶栓前、溶栓后2 h、24 h、7 d、14 d采用NIHSS评分评价患者神经功能缺损程度。于3个月后采用mRS评分评价患者的神经功能。结果 TCD联合组及联合治疗组血管再通率显著高于尿激酶组(均P〈0.05)。与溶栓前比较,各组溶栓后各时间点NIHSS评分均显著下降(均P〈0.05)。与尿激酶组比较,TCD联合组及联合治疗组溶栓后各时间点NIHSS评分均显著下降;亚低温联合组溶栓后7 d、14 d时NIHSS评分均显著下降(P〈0.05~0.01)。与亚低温联合组比较,TCD联合组及联合治疗组溶栓后24 h、7 d、14 d时NIHSS评分均显著下降(均P〈0.05)。尿激酶组mRS评分显著高于亚低温联合组、TCD联合组及联合治疗组(均P〈0.05)。联合治疗组mRS评分显著低于亚低温联合组及TCD联合组(均P〈0.05)。各组间并发症发生率差异无统计学意义(均P〉0.05)。结论 TCD辅助溶栓及局部亚低温联合溶栓治疗在改善患者远期功能障碍方面显著优于单用尿激酶溶栓治疗或仅联合TCD及亚低温治疗,且并发症发生率无显著升高,是一种安全、有效的方法。 展开更多
关键词 静脉溶栓 亚低温 tcd 急性脑梗死
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MRA和TCD对椎基底动脉短暂缺血性发作的研究 被引量:13
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作者 唐开雄 陈瑞陶 +4 位作者 蔡瑞洲 周剑勇 黄俊杰 龙晚生 莫仲娟 《中风与神经疾病杂志》 CAS CSCD 北大核心 1999年第1期18-20,共3页
探讨椎基底动脉短暂缺血性发作(VBTIA)的发病机理。方法患者组65例,对照组26例,作磁共振血管成像(MRA)和经颅多普勒(TCD)检查。测量VBTIA的脑血流量(CBF)。结果对照组双侧椎动脉(VA)CBF为11... 探讨椎基底动脉短暂缺血性发作(VBTIA)的发病机理。方法患者组65例,对照组26例,作磁共振血管成像(MRA)和经颅多普勒(TCD)检查。测量VBTIA的脑血流量(CBF)。结果对照组双侧椎动脉(VA)CBF为112.3~278.9ml/min(均值195.6),较患者组48.0~262.0ml/min(均值14.90)高(P<0.01)。15例患者CBF降低,双侧VA广泛迂曲者下降明显,均值为107.5ml/min,VA重、中、轻度狭窄或发育不良者均值分别为120.0、141.3、154.2(ml/min)。三者健侧CBF占双侧CBF的百分比分别为91.5%、82.0%、65.8%。结论通过MRA和TCD可以测量CBF,它是诊断VBTIA的量化指标,对诊断VBTIA和认识其发病机理具有重要意义。 展开更多
关键词 成像 NMR tcd 椎基底动脉 供血不足 VBTIA
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SPECT、TCD及BAEP对椎基底动脉缺血性眩晕的诊断价值 被引量:24
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作者 钱传忠 刘向远 +5 位作者 高苹 恽文伟 强丽娟 吴松寒 徐龙宝 邓民斌 《临床神经病学杂志》 CAS 2003年第5期257-259,共3页
目的 探讨SPECT、TCD及BAEP对椎基底动脉缺血性眩晕 (VBAIV)的诊断价值。方法 对 10 0例临床诊断为VBAIV患者进行SPECT、BAEP、TCD检查 ,并对其检查的结果进行分析、对比。结果  10 0例中SPECT的阳性率为 87 0 % ,BAEP为 5 8 3% ,TCD... 目的 探讨SPECT、TCD及BAEP对椎基底动脉缺血性眩晕 (VBAIV)的诊断价值。方法 对 10 0例临床诊断为VBAIV患者进行SPECT、BAEP、TCD检查 ,并对其检查的结果进行分析、对比。结果  10 0例中SPECT的阳性率为 87 0 % ,BAEP为 5 8 3% ,TCD为 78 0 %。结论 SPECT的阳性率最高 ,能较灵敏地直接反映脑缺血的部位 ;BAEP阳性率最低 ,但能较正确的反映出脑干缺血的依据 ;TCD检查简单、方便 ,对脑血管和脑血流状态反映较灵敏 ,但定位准确性较差。三者在该病的诊断中均可提供有价值的客观依据 ,且有互相补充的作用。 展开更多
关键词 SPECT tcd BAEP 椎基底动脉缺血性眩晕 诊断 短暂脑缺血 首发症状 影像学检查
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