LAB

LAB
  • 文章类型: Journal Article
    目前的研究是为了分离,从番鸭的肠道中测试和表征分子和生理乳酸菌,以评估它们对家禽养殖的益生菌潜力。从番鸭胃肠道中分离出三百种乳酸菌。通过观察细胞形态对菌株进行表型表征,进行革兰氏染色,过氧化氢酶生产,并测试它们在不同温度下在MRS肉汤中生长的能力,pH值,NaCl浓度,胆汁浓度,以及菌株之间的相容性测试。根据其弹性选择9个菌株。使用分子技术鉴定了8个菌株。这些菌株表现出对酸性pH的显著耐受性,胆汁盐,和NaCl,益生菌功能必不可少。所有分离株都抑制了沙门氏菌血清型鼠伤寒(DT104)和肠致病性大肠杆菌血清型O86:H34(EPEC)的生长,展示他们的抗菌潜力。抗生素敏感性测试显示对克林霉素和红霉素具有100%的耐药性,但对氨苄西林和万古霉素具有高度敏感性。在不同温度下观察到生长,表明嗜温特征。相容性测试证实了它们对于益生菌制剂的适用性。基因组分析鉴定该菌株主要为肠球菌。最后,这项研究确定了九种从番鸭中选择的乳酸菌菌株中的八种是本土益生菌,显示出对治疗的韧性和联合体配方的相容性。这些菌株适用于潜在家禽养殖应用的体内测试。需要进一步研究其分子机制和体内作用。
    The current study was conducted to isolate, test and characterize molecularly and physiologically lactic acid bacteria from the intestines of Muscovy ducks to evaluate their probiotic potential for poultry farming. Three hundred lactic acid bacteria from the gastrointestinal tract of Muscovy ducks were isolated. The strains were phenotypically characterized by observing cell morphology, performing Gram staining, catalase production, and testing their ability to grow in MRS broth at different temperatures, pH values, NaCl concentrations, bile concentration, and in compatibility tests between strains. Nine strains were selected based on their resilience. Eight strains were identified using molecular techniques. These strains exhibited significant tolerance to acidic pH, bile salts, and NaCl, essential for probiotic function. All isolates inhibited the growth of Salmonella enterica serotype Typhimurium (DT104) and Enteropathogenic Escherichia coli serotype O86:H34 (EPEC), showcasing their antimicrobial potential. Antibiotic susceptibility testing revealed 100% resistance to clindamycin and erythromycin but high susceptibility to ampicillin and vancomycin. Growth was observed at various temperatures, indicating mesophilic characteristics. Compatibility tests confirmed their suitability for probiotic formulations. Genomic analysis identified the strains primarily as Enterococcus. Conclusively, the study identified eight out of nine selected lactic acid bacteria strains from Muscovy ducks as autochthonous probiotics, showing resilience to treatments and compatibility for consortium formulation. These strains are suitable for in vivo testing for potential poultry farming applications. Further research on their molecular mechanisms and in vivo effects is needed.
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  • 文章类型: Journal Article
    在处理牲畜对气候危机的影响时,对素食产品和植物性食品的需求不断增长。这项研究的目的是开发一种基于植物的霉菌成熟奶酪类似物的配方。对以下植物材料进行了调查:腰果,开心果,大豆粉,鹰嘴豆粉,豌豆蛋白,南瓜蛋白,大麻蛋白,和螺旋藻粉.用乳酸菌(LAB)发酵剂培养物和霉菌种念珠菌和青霉的奶酪发酵剂培养物发酵植物基质。在纯素型培养基中测试所有微生物的生长。应用钙补充剂,然后用电感耦合等离子体发射光谱法对选定类似物的元素组成进行深入分析。对基于植物的卡门培尔替代品进行了物理化学和感官分析。这是第一篇论文,描述了使用模仿原始乳制品的技术制备的卡门培尔奶酪的基于植物的替代品的新型配方。
    There is a growing demand for vegan products and plant-based food when dealing with the impact of livestock on the climate crisis. The aim of this study was to develop a formulation for a plant-based analogue of mold-ripened cheese. Were investigated the following plant materials: cashews, pistachios, soy flour, chickpea flour, pea protein, pumpkin protein, hemp protein, and spirulina powder. Plant matrices were fermented with lactic acid bacteria (LAB) starter cultures and cheese starter cultures of mold species Geotrichum candidum and Penicillium camemberti. All microorganisms\' growth were tested in a vegan-type culture medium. Calcium supplementation was applied and followed by an in-depth analysis of the elemental composition of selected analogues with inductively coupled plasma optical emission spectroscopy. The physicochemical and organoleptic analyses of plant-based alternatives of Camembert were conducted. This is the first paper describing novel formulations for plant-based alternatives for Camembert cheese prepared with techniques mimicking the original milk product.
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  • 文章类型: Journal Article
    基于植物的奶酪类似物已经成为一种新的全球市场趋势,这是由我们星球的可持续性问题驱动的。这项研究调查了欧洲生产的11种柔软成熟的植物基奶酪类似物,主要以花皮和腰果为主要成分。首先,我们专注于探索标签上的大量营养素和盐含量,以及样品的详细脂肪酸分析。与乳制品相比,植物性奶酪在脂质含量上有相似之处,但是它们的脂肪酸分布差异很大,具有较高比例的单不饱和脂肪酸和多不饱和脂肪酸,如油酸和亚油酸。我们还调查了这些模拟产品的微生物群,采用依赖文化和独立的方法。我们在植物性奶酪中发现了多种微生物,乳酸乳球菌和肠系膜明串珠菌是主要的细菌种类,主要真菌种类为念珠菌和茶青霉菌。大多数特征物种与乳制品奶酪中存在的物种相似,这表明它们已被接种作为培养物的起始物,以促进植物奶酪的感官接受。然而,我们还确定了几种可能是植物基质固有的或来自生产环境的物种,如戊糖片球菌和肠球菌。典型的乳制品相关生物与植物相关物种的这种共存突出了基于植物的奶酪生产中固有的潜在微生物动力学。这些发现将有助于更好地理解植物性奶酪替代品,促进可持续产品的开发,并为将来探索在奶酪类似物生产中使用植物基质的研究铺平道路。
    Plant-based cheese analogs have emerged as a novel global market trend driven by sustainability concerns for our planet. This study examines eleven soft ripened plant-based cheese analogs produced in Europe, primarily with bloomy rinds and cashew nuts as the main ingredient. First, we focused on exploring the macronutrients and salt content stated on the labels, as well a detailed fatty acid analysis of the samples. Compared to dairy cheeses, plant-based cheeses share similarities in lipid content, but their fatty acid profiles diverge significantly, with higher ratio of mono- and polyunsaturated fatty acids such as oleic and linoleic acids. We also investigated the microbiota of these analog products, employing a culture-dependent and -independent approaches. We identified a variety of microorganisms in the plant-based cheeses, with Lactococcus lactis and Leuconostoc mesenteroides being the dominant bacterial species, and Geotrichum candidum and Penicillium camemberti the dominant fungal species. Most of the species characterized are similar to those present in dairy cheeses, suggesting that they have been inoculated as culture starters to contribute to the sensorial acceptance of plant-based cheeses. However, we also identify several species that are possibly intrinsic to plant matrices or originate from the production environment, such as Pediococcus pentosaceus and Enterococcus spp. This coexistence of typical dairy-associated organisms with plant associated species highlights the potential microbial dynamics inherent in the production of plant-based cheese. These findings will contribute to a better understanding of plant-based cheese alternatives, enable the development of sustainable products, and pave the way for future research exploring the use of plant-based substrates in the production of cheese analogues.
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  • 文章类型: Journal Article
    这项研究旨在评估从埃塞俄比亚传统发酵乳制品中分离的产生细菌素的LAB在Jimma镇的原料奶中的抗菌活性和生物保存能力。测试了产生细菌素的LAB对各种食源性病原体的抗菌活性,包括金黄色葡萄球菌,大肠杆菌,单核细胞增生李斯特菌,和鼠伤寒沙门氏菌.结果表明,益生菌LAB分离株抑制食源性病原体(E。大肠杆菌金黄色葡萄球菌,和单核细胞增生李斯特菌),抑制区范围为22.00±0.57至34.13±0.57。屎肠球菌和乳酸乳球菌对大肠杆菌表现出可能的拮抗作用,而戊糖片球菌对铜绿假单胞菌有34.13±0.57毫米的抑制区。分离株还显示出与病原体的共同聚集潜力,乳酸乳球菌分离株及其组合证明了针对所研究病原体的最佳共聚集能力。生物防腐剂分析表明,推定的益生菌分离株(L.乳酸JULABE35,屎肠球菌JULABE23和戊糖假单胞菌JULABE05)可有效降低原料乳中的单核细胞增生李斯特菌。7-8天后,诊断为这些分离物的牛奶样本显示单核细胞增生李斯特菌完全减少。生产细菌素的LAB在原料奶上的生物保存能力延长了牛奶在4°C储存10天的保质期,与不含益生菌LAB的牛奶样品相比,为6天。用产生益生菌和细菌素的分离物保存的牛奶样品显示出良好的近似分析,在没有产生细菌素的分离株的情况下,牛奶显示出明显的变化。本研究中使用的分离化学物质可用作食品添加剂或食品防腐剂,表明在埃塞俄比亚传统发酵乳制品中的潜在应用。
    This study aimed to assess the antibacterial activity and bio-preservation capability of bacteriocin-producing LAB isolated from Ethiopian traditional fermented dairy products in raw milk from Jimma town. Bacteriocin-producing LAB were tested for their antimicrobial activity against various foodborne pathogens, including Staphylococcus aureus, Escherichia coli, Listeria monocytogenes, and Salmonella typhimurium. The results showed that probiotic LAB isolates inhibited foodborne pathogens (E. coli, S. aureus, and L. monocytogenes), with inhibition zones ranging from 22.00 ± 0.57 to 34.13 ± 0.57. Enterococcus faecium and Lactococcus lactis demonstrated possible antagonistic effects against E. coli, while Pediococcus pentosaceus had a 34.13 ± 0.57 mm inhibitory zone against Pseudomonas aeruginosa. The isolates also showed co-aggregation potential with the pathogens, with Lactococcus lactis isolates and their combinations demonstrating the best co-aggregation capabilities against the investigated pathogens. The bio-preservative assay showed that putative probiotic isolates (L. lactis JULABE35, E. faecium JULABE 23, and P. pentosaceus JULABE05) were efficient in decreasing Listeria monocytogenes in raw milk. After 7-8 days, milk samples diagnosed with these isolates showed complete reduction of Listeria monocytogenes. The bio-preservation capability of bacteriocin-producing LAB on raw milk extended the shelf life of milk at 4 °C storage for ten days, compared to six days for milk samples without probiotic LAB. The milk samples preserved with probiotic and bacteriocin-producing isolates showed good proximate analysis, showing significant variation with milk kept without bacteriocin-producing isolates. The isolated chemicals employed in this study can be used as food additives or food preservatives, indicating potential applications in Ethiopian traditional fermented dairy products.
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  • 文章类型: Journal Article
    背景:本研究旨在评估发酵羊奶与副干酪乳杆菌M11(MG027695)产生的生物活性肽的抗高血压和抗糖尿病活性,以及纯化和表征从发酵羊奶产生的血管紧张素转换酶(ACE)抑制和抗糖尿病肽。
    结果:在37°C下发酵48小时后,羊奶表现出抗糖尿病作用和ACE-I作用的显着变化,观察到ACE抑制的抑制百分比(76.32%),α-淀粉酶(70.13%),α-葡萄糖苷酶(70.11%)和脂肪酶抑制(68.22%)。通过优化生长条件,产生了最高水平的肽(9.77mgmL-1),其中包括2.5%的接种率和48小时的潜伏期。通过十二烷基硫酸钠聚丙烯酰胺凝胶电泳分析,比较了蛋白质组分之间的分子量分布,而根据分子量和pH使用2D凝胶电泳分离斑点。用3和10kDa的超滤膜表征肽允许研究评估基于分子量的分离。用M11发酵的羊奶抑制了脂多糖产生的一氧化氮和RAW264.7免疫细胞中促炎细胞因子的分泌。傅里叶变换红外光谱用于评估发酵后官能团的变化,提供对发酵过程中发生的结构变化的见解。
    结论:本研究表明,用副干酪乳杆菌(M11)发酵导致发酵羊奶发生显著变化,增强其生物活性,特别是在ACE抑制和抗糖尿病活性方面,并且产生具有生物活性的肽具有潜在的健康益处。©2024化学工业学会。
    BACKGROUND: The present study aimed to evaluate the anti-hypertensive and anti-diabetic activities from biologically active peptides produced by fermented sheep milk with Lacticaseibacillus paracasei M11 (MG027695), as well as to purify and characterize the angiotensin-converting enzyme (ACE) inhibitory and anti-diabetic peptides produced from fermented sheep milk.
    RESULTS: After 48 h of fermentation at 37 °C, sheep milk demonstrated significant changes in anti-diabetic effects and ACE-I effects, with inhibition percentages observed for ACE inhibition (76.32%), α-amylase (70.13%), α-glucosidase (70.11%) and lipase inhibition (68.22%). The highest level of peptides (9.77 mg mL-1) was produced by optimizing the growth conditions, which included an inoculation rate of 2.5% and a 48 h of incubation period. The comparison of molecular weight distributions among protein fractions was conducted through sodium dodecyl-sulfate polyacrylamide gel electrophoresis analysis, whereas spots were separated using 2D gel electrophoresis according to both the molecular weight and pH. Peptide characterization with ultra-filtration membranes at 3 and 10 kDa allowed the study to assess molecular weight-based separation. Nitric oxide generated by lipopolysaccharide and the secretion of pro-inflammatory cytokines in RAW 264.7 immune cells were both inhibited by sheep milk fermented with M11. Fourier-transform infrared spectroscopy was employed to assess changes in functional groups after fermentation, providing insights into the structural changes occurring during fermentation.
    CONCLUSIONS: The present study demonstrates that fermentation with L. paracasei (M11) led to significant changes in fermented sheep milk, enhancing its bioactive properties, notably in terms of ACE inhibition and anti-diabetic activities, and the generation of peptides with bioactive properties has potential health benefits. © 2024 Society of Chemical Industry.
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  • 文章类型: Journal Article
    背景:许多先前的报道已经证明了乳酸菌(LAB)在动物中促进生长和预防疾病的功效。在这项研究中,从健康家兔的粪便中分离出屎肠球菌ZJUIDS-R1和动物小杆菌ZJUIDS-R2,两种菌株在体外均表现出良好的益生菌特性。将两株(108CFU/ml/kg/天)饲喂断奶兔21天,然后诱导特异性细菌感染,研究菌株对家兔细菌性腹泻的影响。
    结果:我们的数据表明,屎肠球菌ZJUIDS-R1和动物利氏杆菌ZJUIDS-R2干预措施降低了腹泻和全身炎症反应的发生率,减轻动物肠道损伤和增加抗体水平。此外,屎肠球菌ZJUIDS-R1恢复了Ruminococcaceae1的菌群丰度。动物鞭毛杆菌ZJUIDS-R2上调了Adlercreutzia和假丝酵母的菌群丰度。两者都下调了Shuttleworthia和Barnesiella的菌群丰度,以恢复肠道菌群平衡,从而增加肠道短链脂肪酸含量。
    结论:这些发现表明屎肠球菌ZJUIDS-R1和动物鞭毛虫ZJUIDS-R2能够提高肠道免疫力,产有机酸,调节肠道菌群平衡,增强抗病力,缓解断奶兔腹泻相关疾病。
    BACKGROUND: Numerous previous reports have demonstrated the efficacy of Lactic acid bacteria (LAB) in promoting growth and preventing disease in animals. In this study, Enterococcus faecium ZJUIDS-R1 and Ligilactobaciiius animalis ZJUIDS-R2 were isolated from the feces of healthy rabbits, and both strains showed good probiotic properties in vitro. Two strains (108CFU/ml/kg/day) were fed to weaned rabbits for 21 days, after which specific bacterial infection was induced to investigate the effects of the strains on bacterial diarrhea in the rabbits.
    RESULTS: Our data showed that Enterococcus faecium ZJUIDS-R1 and Ligilactobaciiius animalis ZJUIDS-R2 interventions reduced the incidence of diarrhea and systemic inflammatory response, alleviated intestinal damage and increased antibody levels in animals. In addition, Enterococcus faecium ZJUIDS-R1 restored the flora abundance of Ruminococcaceae1. Ligilactobaciiius animalis ZJUIDS-R2 up-regulated the flora abundance of Adlercreutzia and Candidatus Saccharimonas. Both down-regulated the flora abundance of Shuttleworthia and Barnesiella to restore intestinal flora balance, thereby increasing intestinal short-chain fatty acid content.
    CONCLUSIONS: These findings suggest that Enterococcus faecium ZJUIDS-R1 and Ligilactobaciiius animalis ZJUIDS-R2 were able to improve intestinal immunity, produce organic acids and regulate the balance of intestinal flora to enhance disease resistance and alleviate diarrhea-related diseases in weanling rabbits.
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  • 文章类型: Journal Article
    传统发酵食品的流行是基于其健康。启动器的添加带来了一致的,可取的,可预测的食物变化,营养改善,功能,和感官品质。添加植物残留物的混合物作为发酵剂或微生物来源是制备传统发酵食品和饮料的古老做法,大多数关于传统食品的报告数据都是基于对最终产品的分析。对于任何传统的发酵食品,单个发酵剂成分(植物残留物)的贡献都没有实验证实。但是这些数据对于有效的起动器的配方非常重要。在这项研究中,芦笋,在印度次大陆用作制备大米发酵食品的常用原料,在实验室规模下用作制备大米发酵食品的发酵剂,并对其微生物和营养概况进行了评估。发酵产品是乳酸菌的良好来源,双歧杆菌。,酵母,等。食品是酸性的,富含乳酸和乙酸,可滴定酸度为0.65%。蛋白质的含量,脂肪,矿物,和维生素(水溶性)得到了显着改善。最值得注意的是,寡糖(G3-基质三糖),不饱和脂肪酸(ω3、ω6、ω7和ω9),新配制的食物中富含必需和非必需氨基酸。因此,以草药为基础的大米发酵食品将提供重要的宏观和微量营养素。它们还可以为健康的可持续性提供大量活性微生物。因此,选定的植物部分赋予了其作为制备更健康的大米食品的有效起始剂的适用性。
    The popularity of traditional fermented food products is based on their healthiness. The addition of a starter brings consistent, desirable, and predictable food changes with improved nutritive, functional, and sensory qualities. The addition of a mixture of plant residues as a starter or source of microbes is an age-old practice to prepare traditional fermented food and beverages, and most of the reported data on traditional foods were based on the analysis of the final product. The contribution of an individual starter component (plant residue) is not experimentally substantiated for any traditional fermented food, but this data are very essential for the formulation of an effective starter. In this study, Asparagus racemosus, which used as a common ingredient of starter for preparation of rice fermented food in the Indian sub-continent, was used as a starter for the preparation of rice fermented food under laboratory scale, and its microbial and nutrient profile was evaluated. The fermented product was a good source of lactic acid bacteria, Bifidobacterium sp., yeast, etc. The food product was acidic and enriched with lactic acid and acetic acid with titratable acidity of 0.65%. The content of protein, fat, minerals, and vitamins (water-soluble) was considerably improved. Most notably, oligosaccharide (G3-matotriose), unsaturated fatty acids (ω3, ω6, ω7, and ω9), and a pool of essential and non-essential amino acids were enriched in the newly formulated food. Thus, the herbal starter-based rice fermented food would provide important macro- and micronutrients. They could also deliver large numbers of active microorganisms for the sustainability of health. Therefore, the selected plant part conferred its suitability as an effective starter for the preparation of healthier rice-based food products.
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  • 文章类型: Journal Article
    乳酸菌(LAB)广泛用于乳制品和非乳制品食品基质中的发酵目的,具有有益的技术和健康促进特性。这项研究描述了两种乳酸菌的作用,即,副干酪乳杆菌SP5和戊糖片SP2,在酚类谱上,抗氧化活性,总酚含量(TPC),类胡萝卜素含量,两种不同混合果汁的感官轮廓。发酵48小时后,两种LABs在两种果汁中均保持超过9LogCFU/mL的活力。TPC,玉米黄质+叶黄素,β-胡萝卜素含量,与对照样品相比,发酵48小时后,LABs和混合汁的抗氧化活性(AA)均提高。关于酚醛概况,两种果汁都表现出绿原酸水平的显着下降,而奎尼酸和酪醇浓度显着增加。
    Lactic acid bacteria (LAB) are widely applied for fermentation purposes in dairy and non-dairy food matrices with beneficial technological and health-promoting properties. This study describes the effect of two lactic acid bacteria, namely, Lactiplantibacillus paracasei SP5 and Pediococcus pentosaceus SP2, on the phenolic profiles, antioxidant activities, total phenolic content (TPC), carotenoid content, and sensorial profile of two different mixed fruit juices. After 48 h of fermentation, both LABs retained viability over 9 Log CFU/mL in both juices. The TPC, zeaxanthin + lutein, β-carotene content, and antioxidant activity (AA) were elevated for both LABs and mixed juices after 48 h of fermentation compared to control samples. Regarding the phenolic profile, both juices exhibited a significant decrease in chlorogenic acid levels, while quinic acid and tyrosol concentrations showed notable increases.
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  • 文章类型: Case Reports
    默克尔细胞癌(MCC)是一种罕见的原发性神经内分泌皮肤肿瘤,面部呈肉色或蓝红色结节,脖子,或头。长期紫外线照射和Merkel细胞多瘤病毒与MCC发病机制相关。我们介绍了一名87岁男性患者右脸颊上的MCC病例。我们提出这个案子的主要目标是带来MCC,这是一个诊断挑战,引起皮肤科医生和肿瘤学家的注意,因为早期发现和及时治疗很重要。病人有明显的既往病史,包括糖尿病,高血压,血脂异常,慢性肾病3期,良性前列腺增生,慢性低钠血症,急性胰腺炎,羟基脲的原发性血小板增多症,缺血性心脏病.患者出现轻度肿胀的右上唇,显示定义不清,相对均匀的皮下病变,持续1.5个月。临床检查显示,脸颊右侧有5×3厘米的结节性病变,右上唇肿胀。免疫组织化学标记和组织病理学特征证实了MCC的诊断。患者被转诊至肿瘤科进行进一步治疗。皮肤MCC是一种侵袭性病变,具有很高的转移和复发风险,这在免疫功能低下的人群中更为常见。及时管理和治疗MCC至关重要,因为如果不及时治疗,它可以扩散到身体的其他部位,也可以转移到淋巴结和其他器官。患者87岁,有明显的糖尿病既往病史,高血压,血脂异常,慢性肾脏病3期良性前列腺增生,慢性低钠血症,急性胰腺炎,羟基脲的原发性血小板增多症,缺血性心脏病.目前,患者出现轻度肿胀的右上唇,显示定义不清,相对均匀的皮下病变,有1.5个月的存留史。临床检查显示,脸颊右侧有5x3厘米的结节性病变,右上唇肿胀。免疫组织化学标记物结果和组织病理学特征证实了默克尔细胞癌的诊断。患者被转诊至肿瘤科进行进一步治疗。皮肤默克尔细胞癌是一种侵袭性病变,具有很高的转移和复发风险,这在免疫功能低下的人群中更为常见。及时管理和治疗默克尔细胞癌至关重要,因为如果不及时治疗,它可以扩散到身体的其他部位,也可以转移到淋巴结和其他器官。
    Merkel cell carcinoma (MCC) is a rare primary neuroendocrine skin tumor that presents as a flesh-colored or bluish-red nodule on the face, neck, or head. Long-term ultraviolet radiation exposure and Merkel cell polyomavirus are associated with MCC pathogenesis. We present a case of MCC on the right cheek in a male patient aged 87 years. Our primary goal in presenting the case is to bring MCC, which is a diagnostic challenge, to the notice of dermatologists and oncologists, as early detection and prompt treatment are important. The patient had a significant past medical history, including diabetes mellitus, hypertension, dyslipidemia, stage 3 chronic kidney disease, benign prostatic hyperplasia, chronic hyponatremia, acute pancreatitis, essential thrombocytosis on hydroxyurea, and ischemic heart disease. The patient presented with a mildly swollen right upper lip showing a poorly defined, relatively homogeneous subcutaneous lesion with a history of persistence for 1.5 months. The clinical examination revealed a 5 × 3-cm nodular lesion on the right side of the cheek with swelling of the right upper lip. Immunohistochemistry markers and histopathological features confirmed the diagnosis of MCC. The patient was referred to the oncology department for further management. MCC of the skin is an aggressive lesion with a high risk of metastasis and recurrence, which is more common in immunocompromised people. Prompt management and treatment of MCC is essential because if left untreated, it can spread to other parts of the body and can also metastasize to lymph nodes and other organs. The patient is 87 years old and has a significant past medical history of diabetes mellitus, hypertension, dyslipidemia, chronic kidney disease stage 3, benign prostatic hyperplasia, chronic hyponatremia, acute pancreatitis, essential thrombocytosis on hydroxyurea, and ischemic heart disease. Currently, the patient presented with a mildly swollen right upper lip showing a poorly defined, relatively homogenous subcutaneous lesion with a history of persistence for 1.5 months. The clinical examination revealed a 5x3 cm nodular lesion on the right side of the cheek with swelling of the right upper lip. Immunohistochemistry markers results and histopathological features confirmed the diagnosis of Merkel cell carcinoma. The patient was referred to the oncology department for further management. Merkel cell carcinoma of the skin is an aggressive lesion with a high risk of metastasis and recurrence, which is more common in immunocompromised people. Prompt management and treatment of Merkel cell carcinoma is essential because if left untreated, it can spread to other parts of the body and can also metastasize to lymph nodes and other organs.
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  • 文章类型: Journal Article
    背景:科特迪瓦卫生部和华盛顿大学国际卫生培训和教育中心,由美国总统艾滋病紧急救援计划资助,一直在合作开发和实施开源企业级实验室信息系统(OpenELIS)。该系统旨在改善与艾滋病毒有关的实验室数据管理,并加强全国临床实验室的质量管理和能力。
    目的:本评估旨在量化实施OpenELIS对与HIV护理和治疗相关的实验室测试的数据质量的影响。
    方法:此评估使用准实验设计进行了中断的时间序列分析,以估计3个数据质量指标的水平和斜率的变化(及时性,完整性,和有效性)在OpenELIS实现后。在采用OpenELIS之前,我们收集了48周的分化4(CD4)聚类测试的纸质和电子记录,直到72周后。在2014年至2020年期间开始使用OpenELIS的13个卫生地区的21个实验室进行了数据收集。我们在实验室层面分析了数据。当实验室未采用OpenELIS时,我们通过将观察到的结果与建模的反事实结果进行比较来估计优势比(OR)。
    结果:及时性立即增加5倍(OR5.27,95%CI4.33-6.41;P<.001),完整性立即增加3.6倍(OR3.59,95%CI2.40-5.37;P<.001)。从OpenELIS安装后开始观察到这些立即的改进,然后一直持续到OpenELIS采用后72周。完整性的术后每周改善趋势显着(OR1.03,95%CI1.02-1.05;P<.001)。有效性的改善没有统计学意义(OR1.34,95%CI0.69-2.60;P=0.38),但有效性并未低于OpenELIS之前的水平。
    结论:这些结果证明了电子实验室信息系统在提高实验室数据质量和支持医疗保健循证决策方面的价值。这些研究结果突出表明了开放ELIS在科特迪瓦的重要性,以及在其他拥有类似卫生系统的低收入和中等收入国家采用开放ELIS的潜力。
    BACKGROUND: The Ministry of Health in Côte d\'Ivoire and the International Training and Education Center for Health at the University of Washington, funded by the United States President\'s Emergency Plan for AIDS Relief, have been collaborating to develop and implement the Open-Source Enterprise-Level Laboratory Information System (OpenELIS). The system is designed to improve HIV-related laboratory data management and strengthen quality management and capacity at clinical laboratories across the nation.
    OBJECTIVE: This evaluation aimed to quantify the effects of implementing OpenELIS on data quality for laboratory tests related to HIV care and treatment.
    METHODS: This evaluation used a quasi-experimental design to perform an interrupted time-series analysis to estimate the changes in the level and slope of 3 data quality indicators (timeliness, completeness, and validity) after OpenELIS implementation. We collected paper and electronic records on clusters of differentiation 4 (CD4) testing for 48 weeks before OpenELIS adoption until 72 weeks after. Data collection took place at 21 laboratories in 13 health regions that started using OpenELIS between 2014 and 2020. We analyzed the data at the laboratory level. We estimated odds ratios (ORs) by comparing the observed outcomes with modeled counterfactual ones when the laboratories did not adopt OpenELIS.
    RESULTS: There was an immediate 5-fold increase in timeliness (OR 5.27, 95% CI 4.33-6.41; P<.001) and an immediate 3.6-fold increase in completeness (OR 3.59, 95% CI 2.40-5.37; P<.001). These immediate improvements were observed starting after OpenELIS installation and then maintained until 72 weeks after OpenELIS adoption. The weekly improvement in the postimplementation trend of completeness was significant (OR 1.03, 95% CI 1.02-1.05; P<.001). The improvement in validity was not statistically significant (OR 1.34, 95% CI 0.69-2.60; P=.38), but validity did not fall below pre-OpenELIS levels.
    CONCLUSIONS: These results demonstrate the value of electronic laboratory information systems in improving laboratory data quality and supporting evidence-based decision-making in health care. These findings highlight the importance of OpenELIS in Côte d\'Ivoire and the potential for adoption in other low- and middle-income countries with similar health systems.
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