Showing 108 results for Research Article: Research Article
Sukanya Sudhaharan , Naga Appala Raju Sundarapu, Umabala Pamidimukkala ,
Volume 18, Issue 5 (9-2024)
Abstract
Background: The reference method for antifungal susceptibility testing is broth microdilution according to Clinical and Laboratory Standard Institute (CLSI) guidelines. However, the fully automated system, Vitek 2C system may reduce the workload and observer bias associated with manual broth microdilution. This study aimed to compare the results of YS08 card with the results of the broth microdilution (BMD) method.
Methods: A total of 50 clinical Candida isolates were included in the study. The susceptibility testing was done by Vitek 2C using the YS08 card. Broth microdilution was done according to CLSI guidelines M27M44S-Ed3.
Results: For C. albicans, the categorical agreement was 85.8%, 71.5%, 85.8%, and 100% for fluconazole, voriconazole, caspofungin, and micafungin, respectively. The minor errors (MiE) of 14.2% for fluconazole and caspofungin, 28.5% for voriconazole, were detected in C. albicans. In C. glabrata, the categorical agreement (CA) was 100% for micafungin, voriconazole, but 63.7% for caspofungin. An MiE of 36.3% was detected for caspofungin. C. parapsilosis showed a 100% CA for fluconazole, caspofungin, and micafungin, and 85.8% for voriconazole. There were 14.2% of MiEs for voriconazole. In C. tropicalis, 100 % CA was observed for fluconazole, micafungin, and caspofungin, and 88.9% for voriconazole. Moreover, 11.1% (1/9) of MiEs was observed for voriconazole. In C. auris, there was a 100% CA for caspofungin and micafungin, 77.8% for fluconazole, and 66.7% for amphotericin B. There was a major error of 22.2% for fluconazole and 33.3% for amphotericin B.
Conclusion: The majority of Vitek 2C showed comparable results with the broth microdilution (BMD) method. Only minor errors (MiEs) were observed in the tested Candida species.
Habibeh Sadat Mosavi , Mohammad Taher Hojjati , Khodaberdi Kalavi,
Volume 18, Issue 5 (9-2024)
Abstract
Background: Diabetes mellitus (DM) is a metabolic disease characterized by hyperglycemia, disturbed lipid metabolism, and cardiovascular disease (CVD). Poor glycemic control results in lipid and lipoprotein abnormalities, suggesting that dyslipidemia is secondary to insulin resistance or factors closely related to insulin resistance. Glaciated hemoglobin (HbA1c) is a routinely used marker for long-term glycemic control. This form of hemoglobin is chemically processed through post-translational glycosylation that reflects the plasma glucose concentration during the last two to three months.
Methods: This cross-sectional study was conducted on blood samples from 592 cases referred to Dezyani Specialty Clinic, affiliated with the Golestan University of Medical Sciences. In patients with diabetes mellitus (DM) and non-diabetic individuals, hemoglobin A1c (HbA1c), total cholesterol (T-chol), triglycerides (TG), low-density lipoprotein cholesterol (LDL-C), and high-density lipoprotein cholesterol (HDL-C) were measured.
Results: In the study, there were 460 female participants (76.9%) and 132 male participants (23.1%). Among them, 403 (67.4%) were diabetic patients, and 193 (32.4%) were non-diabetic. HbA1c levels were significantly lower in younger individuals than in middle-aged participants (p=0.000). No significant difference was found between middle-aged and older individuals (p>0.121). LDL levels were significantly lower in the young group than in the middle-aged group (p<0.001). Total cholesterol (TC) was also significantly lower in the young group compared to middle-aged and older groups (p<0.001).
Conclusion: HbA1c can be a helpful lipid and glycemic control marker in diabetes.
Noori Noha Alsharifi , Mahin Gholipur , Somayeh Ghorbani , Fatemeh Mohammadzadeh , Safoura Khajeniazi ,
Volume 18, Issue 5 (9-2024)
Abstract
Background: Tumor necrosis factor alpha (TNFα) is a 17 kDa, an important soluble pro-inflammatory cytokine, which is involved in some tissue dysfunctions, including thyroid and liver tissue. In spite of its role in thyroid and tissue damage separately, the relationship between this factor and these two disorders has not been clarified. The aim of the present study was to evaluate liver biochemical parameters and TNFα in hypothyroid patients compared to euthyroid subjects.
Methods: To achieve this purpose, samples were transferred into tubes without anticoagulants and then centrifuged immediately to separate the serum. All markers in the serum were measured using commercial kits, including T3, T4, TSH, and TNFα, which were detected using the ELISA method. Liver function tests, including albumin, total bilirubin, and total protein were measured by spectroscopy and the colorimetric method, respectively. In addition, AST, ALT, ALP, and GGT were detected using enzymatic methods.
Results: Our results showed that the level of TNFα in hypothyroid patients was significantly higher than that in normal individuals (P = 0.009). TNFα had a significantly positive correlation with TSH and T3 but a negative correlation with T4. Furthermore, AST, ALT, and GGT had a positive correlation with TSH and a negative correlation with albumin, total protein, and total bilirubin. These correlations were insignificant (P < 0.05).
Conclusion: According to our data, the positive correlation of TSH with both TNFα and liver function tests may indicate a relationship between thyroid and liver function with each other.
Sedigheh Damavandi Kamali , Iliad Moradi , Abdolvahab Moradi ,
Volume 18, Issue 6 (11-2024)
Abstract
Background: Human papillomaviruses (HPVs) are DNA viruses from the Papillomaviridae family. These viruses are linked to about 5% of human cancers, with a significant association with cervical cancer. Infection with this virus can be screened in women to prevent cervical cancer.
Methods: This review analyzes articles published over the last two decades regarding self-sampling, papillomavirus, and cervical cancer. The search for articles was conducted using various scientific databases, with selections based on their relevance to the topic and their contribution to understanding and comparing methods. Key results were examined, focusing on social aspects, economic savings, and participants' satisfaction with the self-sampling method.
Results: One of the most common and effective methods for HPV screening is sampling from the cervix using the Pap smear method and molecular techniques, widely used in various countries. Currently, HPV screening methods in different countries are primarily limited to clinical sampling, which cannot cover all urban and rural populations. The World Health Organization has recommended and supported self-sampling for HPV screening as a new strategy.
Conclusion: This mini-review discusses the self-sampling method for HPV screening, its advantages, and its application in different countries. As self-sampling can address the needs of both rural and urban areas, it is more economically viable and helps minimize cultural barriers and public opinion challenges compared to clinical sampling. The HPV self-sampling strategy offers an effective and efficient method for HPV screening, aiming to cervical cancer caused by the HPV virus in various countries.
Fariba Rasannezhad , Asieh Abbassi Daloii, Javad Ziaolhagh , Ahmad Abdi ,
Volume 18, Issue 6 (11-2024)
Abstract
Background: The purpose of the present study was to investigate the effect of aerobic exercise and psilocybin after methamphetamine induction on the gene expression of certain cerebral cortex semaphorins in female Wistar rats.
Methods: In this experimental study, 40 female rats were placed into five groups: control (C), amphetamine (A), amphetamine-aerobic (AA), amphetamine-psilocybin (AP), and amphetamine-psilocybin-aerobic (AAP). Methamphetamine was injected at a dose of 15 mg/kg for 5 days in the morning. Psilocybin was administered at a dose of 1 mg/kg. The aerobic training program included running on a treadmill at 20–25 m/min, three days a week for eight weeks. After eight weeks, gene expression was measured using the Real-Time PCR method. The data were analyzed by one-way analysis of variance and Tukey's post hoc test at a significance level of P < 0.05.
Results: The results showed that the average gene expression of semaphorin 3A, semaphorin 4A, and semaphorin 7A in the cerebral cortex of the A group had a significant increase compared to the C group (P = 0.001). The AA, AP, and AAP groups showed a significant decrease in the average expression of semaphorin 3A and semaphorin 4A genes compared to the A group (P = 0.001). The AAP group had a significant decrease in the average expression of the semaphorin 3A gene compared to the AA and AP groups (P = 0.001). In addition, the AAP group showed a significant decrease in semaphorin 7A expression compared to the AP group (P = 0.007).
Conclusion: According to the results, aerobic training and psilocybin supplementation can help reduce semaphorin expression in the cerebral cortex of rats induced with methamphetamine.
Mahendran Kanumuru, Sridevi Nutakki ,
Volume 18, Issue 6 (11-2024)
Abstract
Background: Type 2 diabetes mellitus (T2DM) is a non-communicable disease, manifesting hyperinsulinemia, insulin resistance, hyperglycemia, and low-grade chronic inflammation associated with various micro and macrovascular complications. The present study aimed to estimate vitamin D (Vit D) levels, total antioxidant capacity, and malondialdehyde (MDA) levels in T2DM patients compared with healthy individuals. In addition, we assessed Vit D, total antioxidant capacity, and MDA levels in patients with T2DM and their association with HbA1c, insulin resistance and lipid profile parameters.
Methods: Seventy patients with T2DM aged 35 to 50 years were selected and 70 healthy age-matched subjects were selected as controls. Serum Vit D and insulin were estimated by the enzyme-linked immunosorbent assay (ELISA). Glycosylated hemoglobin (HbA1C) was assessed by high-performance liquid chromatography (HPLC) method and other routine lipid profile investigations were carried out using a Beckman Coulter fully automated analyzer.
Results: Vitamin D levels significantly decreased in T2DM patients. HbA1C and insulin resistance values are significantly increased in type 2 diabetic patients. Vitamin D levels negatively correlated with MDA, insulin resistance, and HbA1c, while positively correlated with total antioxidant capacity. Nevertheless, there is no significant correlation between lipid profile parameters.
Conclusion: Vitamin D deficiency may be one of the vital risk factors responsible for increased oxidative stress in patients with T2DM. Regular monitoring and supplementation of Vit D are beneficial for the reduction of oxidative stress and vascular complications in these patients.
Fasahath Jahan Uzma , Shilpa L, Prathima S,
Volume 18, Issue 6 (11-2024)
Abstract
Background: Cervical cancer has seen a significant decline in death rates due to early diagnosis and treatment. The Pap test remains valuable but exhibits limitations, such as false positives and false negatives, with the former associated with atrophy-related changes. This article aims to bring attention to cervical carcinoma screening, focusing on the interpretation of atrophy-related changes in Pap smears and minimizing intervention.
Methods: This retrospective study, conducted at a tertiary care center, evaluated cases with intra-epithelial abnormalities or malignancies in Pap smears.
Results: A total of 11,680 cervical cytology smears received in the Department of Pathology, Vydehi Institute of Medical Sciences and Research Centre, Bengaluru, over 7.5 years (From January 1, 2016, to June 30, 2023), were reviewed. Of these, 56 cases exhibited epithelial abnormalities and were categorized as follows: 1. Atypical squamous cells of undetermined significance, 2. Low-grade squamous intraepithelial lesion, 3. High-grade squamous intraepithelial lesion, and 4. Malignancy. Among the 56 smears, 40 (71%) showed co-existent atrophy. Biopsies were available for 22 smears, and atrophy with epithelial abnormalities co-existed in 16 (28%) of these cases. Of these 16 cases, only eight (50%) were found to have abnormalities greater than Cervical Intraepithelial Neoplasia II dysplasia. This results in the positive predictive value of cervical cytology smears detecting epithelial abnormalities in cases with co-existing atrophy-related changes being only 50%.
Conclusion: The article emphasizes the importance of cautious interpretation of Pap smears in the presence of atrophy.
Mahshad Paziraee , Habib Asgharpour , Asra Askari , Reza Rezaei Shirazi , Neda Aghaei Bahman Beglo ,
Volume 18, Issue 6 (11-2024)
Abstract
Background: Running and starvation can have a positive effect on the reticulophagy of the liver tissue. The purpose of this research was to investigate the effect of running and starvation interventions on the atherogenic index and Xbp1 gene change in the liver endoplasmic reticulum of non-alcoholic fatty liver rats (NAFLD).
Methods: Thirty obese male Wistar rats aged 18-20 weeks with an average body weight of 348 ± 25.53 grams, after one week of familiarization with the laboratory environment, were randomly divided into six groups (n=5 per group): 1) starvation, 2) three days of training, 3) five days of training, 4) three days of training plus starvation, 5) five days of training plus starvation, and 6) the control group. All fatty liver animal models had free access to water and standard food pellets (10 gr per 100 g of mouse body weight). The statistical test of one-way analysis of variance was used at a significance level of less than 0.05, and the LSD post-hoc test was used to compare research groups.
Results: According to the experimental results and statistical analyses (One-way analysis of variance), a significant decrease was noticed in the ratio of lipoproteins (VLDL/HDL and LDL/HDL) in all experimental groups compared to the control group. Also, a significant decrease was observed in the expression of XBP1 and CHOP genes in animals doing 3 and 5 days of exercise alone or along with starvation.
Conclusion: Regular exercise for 3 and 5 days per week with starvation can possibly reduce the activity of the genes involved in endoplasmic reticulum stress in NAFLD patients.
Tejas Atulbhai Contractor , Himali Parsotambhai Thakkar, Anupama Ishwar Dayal, Sandesh Omprakash Agrawal , Hani Kamleshbhai Patel ,
Volume 18, Issue 6 (11-2024)
Abstract
Background: Upper gastrointestinal (GI) lesions are significant contributors to morbidity, with endoscopy serving as a crucial minimally invasive tool for their visualization and biopsy. This study explores the demographic patterns of upper GI lesions by age, sex, and biopsy site, comparing the prevalence of neoplastic and non-neoplastic lesions across the esophagus, stomach, and duodenum, while underscoring the importance of early detection and management.
Methods: This cross-sectional retrospective study was conducted at a tertiary care center in Gujarat, India, from July 2019 to October 2021. A total of 104 upper GIT biopsies were included and categorized based on age, sex, site, endoscopic findings, and histomorphology. Histopathological analysis involved routine processing, staining, and microscopic examination by a histopathologist.
Results: Out of the 104 endoscopic biopsies, the majority were from the 46-55 age group, followed by the 66-75 age group, with a male-to-female ratio of 1.7:1. Esophageal biopsies were the most common (48%). Non-neoplastic lesions (52.8%) were predominant, with duodenitis (48%) and celiac disease (33.3%) being the most frequent. Neoplastic lesions (47.1%) were prevalent in the esophagus (36.5%), primarily squamous cell carcinoma. Gastric biopsies showed more benign lesions, such as gastritis, than malignant ones, with adenocarcinoma being the most common. Endoscopic findings included thickening, scalloping, nodularity, polyps, and fragile growths, emphasizing the diversity of upper GIT lesions and the need for early detection and treatment.
Conclusion: The study emphasizes the crucial role of biopsies in promptly diagnosing esophageal malignancies and identifying premalignant conditions like Barrett's esophagus for timely intervention. It reaffirms the pivotal role of endoscopic biopsy in clinical management, stressing the necessity of a multidisciplinary approach.
Sharabeh Hezarkhani , Khosro Ghojoghi , Sara Hosseinzadeh , Naser Behnampour , Farshid Fathabadi , Zahra Hesari , Hamid Reza Joshaghani ,
Volume 18, Issue 6 (11-2024)
Abstract
Background: Leptin and adiponectin, two members of the adipokine family, play roles in increasing lipid metabolism and inhibiting lipogenesis. Reduced levels of these cytokines are associated with obesity and insulin resistance. This study aimed to determine the serum levels of leptin and adiponectin in type-2 diabetic patients with and without metabolic syndrome compared to a control group.
Methods: Three groups of individuals participated in this study: 47 type-2 diabetic patients with metabolic syndrome (DM+MetS), 25 type-2 diabetic patients without metabolic syndrome (DM-MetS), and 40 individuals with no history of diabetes or metabolic syndrome (Control group). Fasting blood samples were collected, and serum levels of fasting blood sugar, cholesterol, triglycerides, HDL-cholesterol, and LDL-cholesterol were measured using the enzymatic method. Blood pressure, height, and weight were recorded using stadiometers, while leptin and adiponectin levels were determined via enzyme-linked immunosorbent assay.
Results: A significant difference was observed between the DM+MetS group and the DM-MetS group in serum leptin (p = 0.004) and adiponectin (p < 0.001) levels. In patients with type-2 diabetes and metabolic syndrome, serum leptin (p = 0.530) and adiponectin (p < 0.001) levels were lower compared to the control group.
Conclusion: A decrease in the serum levels of key adipokines, such as leptin and adiponectin, in type-2 diabetic patients may serve as a predictor of metabolic syndrome.
Elmira Shah Cheraghi, Mozhgan Ghiasian ,
Volume 18, Issue 6 (11-2024)
Abstract
Background: Pseudomonas aeruginosa (P. aeruginosa) is a common causative agent of hospital-acquired infections and exhibits resistance to many antibiotics, including beta-lactams. One of the mechanisms of resistance to beta-lactams is the MexAB-OprM efflux pump. This study investigated the genetic pattern of resistant P. aeruginosa strains concerning the presence of the gene encoding the MexAB-OprM efflux pump
Methods: This descriptive-analytical study was conducted between 2022 and 2023 in Isfahan, and 110 strains of P. aeruginosa isolated from various clinical samples were identified. Antibiotic susceptibility testing of the isolates was conducted using the disk diffusion method, and strains producing extended-spectrum beta-lactamases (ESBLs) were identified using the double disk diffusion method. The gene encoding the MexAB-OprM efflux pump in these strains was investigated using polymerase chain reaction.
Results: A significant proportion of the 101 P. aeruginosa isolates originated from the emergency department and ICU-2, highlighting the clinical significance of this pathogen in these settings. Meropenem demonstrated a high resistance rate (74%), while gentamicin exhibited lower resistance (33.33%). Resistance rates to amikacin, levofloxacin, cefepime, ceftazidime, tazocin, ciprofloxacin, and ceftriaxone were 40.4%, 68%, 65.34%, 66.33%, 57.42%, 71.42%, and 50%, respectively. The prevalence of extended-spectrum beta-lactamases (ESBLs) was 29.7%, and the MexAB-OprM efflux pump gene was identified in 80% of ESBL-producing strains, suggesting a potential role in multidrug resistance.
Conclusion: Our findings reveal a strong association between the presence of the MexAB-OprM efflux pump and extended-spectrum beta-lactamase production in P. aeruginosa. This observation suggests that the MexAB-OprM efflux pump plays a pivotal role in the development of multidrug resistance in this pathogen. Future studies should focus on elucidating the molecular mechanisms underlying the regulation and function of this efflux system to inform the design of novel antimicrobial agents and combination therapies.
Tahereh Panahi , Leila Asadpour , Najmeh Ranji ,
Volume 19, Issue 1 (1-2025)
Abstract
Background: Infections caused by extended-spectrum β-lactamase (ESBL)-producing Pseudomonas aeruginosa (P. aeruginosa) are a serious concern in hospitals around the world. Many β-lactamase genes are carried by integrons. This study was conducted to investigate the frequency of β-lactamase genes and characterize class 1 integrons in multidrug-resistant P. aeruginosa strains in Guilan, northern Iran.
Methods: A total of 110 P. aeruginosa isolates were collected from different hospitals in 2021 and identified using standard microbiological methods. The isolates were studied for their antibacterial susceptibility and ESBL-producing ability by disk diffusion. All ESBL-producing isolates were investigated for the presence of β-lactamase resistance and integron genes by polymerase chain reaction (PCR). Gene cassette screening was done based on sequence analysis of class 1 integrons.
Results: Based on antibiotic susceptibility testing, 40 isolates (37.4%) were ESBL producers. The frequency of β-lactamase genes, including VIM, SIM, IMP, SPM, and OXA2, was 10.3%, 1.9%, 20.6%, 14%, and 4%, respectively. GIM and OXA 10 genes were not found in any of the strains. Furthermore, the int1 gene was identified among 37 isolates (34.6%). The sequencing results of int1 showed 12 different types of gene cassettes among 13 strains. In this assay, blaOXA-2 was the only bla gene identified in int1.
Conclusion: The integrons carrying multidrug resistance genes are highly prevalent in P. aeruginosa isolates, and ESBL genes were also observed in these strains. Therefore, constant monitoring of drug resistance, especially ESBL producers, is critical to disease management in clinical settings.
Zahra Askari, Zeynab Mirzapour, Tooba Shafighi, Reyhaneh Ghorbanpour,
Volume 19, Issue 1 (1-2025)
Abstract
Background: Urinary tract infections (UTIs) caused by uropathogenic Escherichia coli (UPEC) represent a significant global health concern. Virulence factors (VFs) expressed by UPEC strains play a crucial role in promoting bacterial pathogenicity within the urinary tract. Effective treatment of these infections is frequently complicated by the high prevalence of antimicrobial resistance exhibited by Escherichia coli. The objective of this study was to investigate the VFs and antibiotic susceptibility profiles of UPEC strains isolated in the northern region of Iran.
Methods: One hundred and five urine specimens were collected from female patients diagnosed with UTIs in Rasht, located in the north of Iran. These samples underwent culturing on both Eosin Methylene Blue (EMB) agar and MacConkey agar. Following a 24-hour incubation period at 37°C, pure bacterial isolates were identified through Gram staining and a battery of standard biochemical assays. The prevalence of six VF genes - papC, sfa/foc, fimH, afa, ibeA, and neuC - within UPEC strains was determined utilizing polymerase chain reaction (PCR) and subsequently confirmed via direct sequencing. Antibiotic susceptibility testing (AST) was conducted using the disk diffusion method, adhering to the guidelines established by the Clinical and Laboratory Standards Institute (CLSI M02).
Results: The study identified 65.71% of the isolates as Escherichia coli. Among the virulence genes examined, fimH exhibited the highest prevalence (100%), while afa was the least frequent (1.44%). Antibiotic resistance analysis revealed the highest rate against Cefazolin (66.66%) and the lowest against Gentamicin (24.63%). Notably, the prevalence of multi-drug resistance (MDR) was determined to be 73.91%.
Conclusion: This study underscored the significance of localized surveillance of UPEC isolates. This emphasis stems from the pathogen's considerable capacity for genetic mutation, coupled with the influence of environmental variables and individual patient characteristics. Understanding these dynamic factors at a local level is crucial for formulating the most effective strategies to combat UTIs.
Supriya Gulajkar , Rajni Shivkar , Sanjyoti Panchbudhe , Charushila Kadam,
Volume 19, Issue 1 (1-2025)
Abstract
Background: Quality control (QC) is a crucial tool in the clinical laboratory for error identification and correction. While the Internal Quality Control (IQC) ensures daily precision and accuracy, the External Quality Assurance Scheme (EQAS) ensures long-term accuracy by providing external verification. The objective of this study was to evaluate our laboratory’s performance in the EQAS program services and assess the impact of corrective actions implemented, where necessary, to enhance EQAS performance.
Methods: This retrospective observational study was undertaken in a tertiary care hospital. The biochemistry department of the laboratory participated in the monthly clinical chemistry EQA program administered by CMC Vellore EQAS. Nineteen parameters were assessed using a structured approach to analyze deviating EQAS results. Monthly performance was analyzed in terms of the Standard Deviation Index (SDI) and variance index score (VIS) from October 2019 to September 2021.
Results: Among the nineteen parameters assessed in the EQAS program, most showed ‘excellent’ performance between October 2019 and September 2021 based on mean SDI. Some improvement was observed in the SDI values between the two cycles after implementing a structured approach to root cause analysis, indicating an enhanced level of performance in the EQAS program. The VIS analysis revealed that 89.47% of parameters in the October 2019 to September 2020 period and 94.73% in the October 2020 to September 2021 period achieved scores classified as ‘very good’ performance.
Conclusion: Adopting a structured approach to analyze deviating EQAS results enables the evaluation of laboratory performance and offers opportunities for improvement. Consequently, EQAS plays a significant role as a cornerstone in the accreditation process.
Maryam Rezaeian, Laleh Hoveida,
Volume 19, Issue 1 (1-2025)
Abstract
Background: Infections caused by bacteria transmitted from food, including carbapenem-resistant Enterobacteriaceae, Pseudomonas aeruginosa (P. aeruginosa), and Acinetobacter baumannii (A. baumannii), are spreading, and this has caused concerns in treatment. This study investigated the frequency of carbapenem resistance genes in Enterobacteriaceae, P. aeruginosa, and A. baumannii, isolated from raw chicken meat.
Methods: In this cross-sectional study, 100 samples of raw chicken meat were collected from Isfahan. Bacterial contamination was evaluated and confirmed using biomedical tests. Antibiotic sensitivity tests were performed using disc diffusion for Enterobacteriaceae, P. aeruginosa, and Acinetobacter baumannii isolates. The frequency of carbapenem resistance genes (OXA-181, OXA-48, VIM, NDM, IMP, and KPC) was determined through polymerase chain reaction (PCR) analysis.
Results: Out of 100 samples, 70 were positive for bacterial infection, of which 30 were infected with Escherichia coli (E. coli), 14 samples with Klebsiella pneumoniae (K. pneumoniae), 9 samples with Salmonella typhimurium (S. typhimurium), 11 samples with P. aeruginosa, and 6 samples with A. baumannii. The highest levels of antibiotic resistance were estimated to be tetracycline, cotrimoxazole, gentamicin, trimethoprim, and streptomycin, and the lowest levels were azithromycin and rifampin. Among genes encoding resistance to carbapenem, NDM and OXA-48 genes were the most commonly expressed, with a frequency of 60% and 28.24%, respectively.
Conclusion: This study found significant bacterial contamination, especially for Enterobacteriaceae, with notable antibiotic resistance to tetracycline. Carbapenem resistance genes NDM and OXA-48 were prevalent, indicating the urgency of addressing antibiotic resistance.
Parineeta Shelke , Preeti Doshi , Amit Nisal , Abdulrahaman Momin , Ravindra Nimbargi ,
Volume 19, Issue 2 (3-2025)
Abstract
Background: Hemoglobinopathies are a group of inherited disorders characterized by abnormal hemoglobin structure or synthesis, primarily classified into thalassemia syndromes and structural hemoglobin variants. Recognized as a global health priority, these disorders necessitate accurate diagnostic approaches. High-performance liquid chromatography (HPLC) has emerged as a reliable method for their detection. This study aimed to analyze the spectrum of hemoglobinopathies using HPLC in a population from Western Maharashtra, India.
Methods: A cross-sectional study was conducted at Bharati Vidyapeeth (DTU) Medical College, Pune, over three years. A total of 1,455 specimens from individuals of both genders were analyzed using the VARIANT™ II β-Thalassemia Short Program based on ion-exchange chromatography. Hematological parameters were assessed for all subjects, and the prevalence of hemoglobinopathies, along with their subtypes, was documented.
Results: The mean age of the study population was 26.91 ± 7.06 years, with a female predominance. The overall incidence of hemoglobinopathies was 8.78%, with β-thalassemia minor being the most prevalent, followed by β-thalassemia major, Hb S trait, and Hb S disease. Rare variants included two cases of Hb D Punjab heterozygosity and one case of Hb E heterozygosity. The Mentzer index exhibited a positive correlation with Hb F and mean corpuscular hemoglobin (MCH) and a negative correlation with hemoglobin levels, Hb A, and red cell distribution width (RDW-C).
Conclusion: The study revealed an 8.78% prevalence of hemoglobinopathies in the region, with β-thalassemia trait (Heterozygous) being the most common. Notably, co-inheritance of Hb E with β-thalassemia exacerbated anemia severity. These findings underscore the importance of HPLC-based screening for early diagnosis and management of hemoglobinopathies in high-risk populations.
Moushmi Shinde, Bharati Dalal, Meera Modak,
Volume 19, Issue 2 (3-2025)
Abstract
Introduction:
Dermatophytes are group of fungi that cause superficial infections via enzymes that degrade keratin in human skin, hair and nails. Several factors, including, gender, age, lifestyle, human migration, cultural habits, and socioeconomic status influence the prevalence of dermatophyte infections. Hot and humid climate in tropical and subtropical countries like India makes Dermatophytosis a very common superficial fungal infection.
Aim/objective:
To isolate & identify dermatophytes from clinically diagnosed cases of Dermatophytosis.
Methods:
Samples from 100 clinically diagnosed cases of Dermatophytosis were processed by KOH mount and fungal culture.
Results:
Out of 100 clinically diagnosed cases, Tinea corporis 42 (42%) was the commonest clinical type followed by Tinea cruris 25 (25%), Tinea unguium 21 (21%). Out of 100 samples, 53 were culture positive. Out of 53 dermatophytes isolated, T. rubrum 16 (30%) was the commonest followed by T. mentagrophytes 11 (20%) and T. violaceum 7 (13.3%). Out of 53
isolates, 49 (92.45%) dermatophytes were isolated on SDA and 51 (96.22%) dermatophytes were isolated from Dermatophyte test medium (DTM).
Conclusion:
Isolation and identification of etiological agents of Dermatophytosis is essential for the correct diagnosis as it is important to initiate appropriate treatment and also important for epidemiological purposes. Accurate assessment of the prevalence and etiological agents is desirable to estimate the size of therapeutic problem and prevent the transmission of such infection.
Dr Pius Omoruyi Omosigho, Miss Guobadia Precious Oghogho, Ms Ugiagbe Victory Osayekewmen, Mr Olalekan John Okesanya, Dr Janet Mosunmola Oladejo, Dr Uyigue Paulinus Osarodion,
Volume 19, Issue 2 (3-2025)
Abstract
Background: Candida species are known to be the most frequently encountered fungal pathogens in humans. There has been a noticeable rise in the occurrence of human infections caused by Candida over the past few decades. This cross-sectional study aimed to characterize the epidemiology and antifungal susceptibility patterns of Candida species isolated from clinical specimens in a tertiary hospital in Benin, Edo state, Nigeria.
Methods: A total of 104 Candida isolates were obtained from various clinical specimens using a simple random sampling technique. The isolates were cultured on Chromagar Candida and identified based on characteristic color production. Antifungal susceptibility testing was performed using the disk diffusion method for Amphotericin B, ketoconazole, fluconazole, and Nystatin. Statistical analysis was conducted using SPSS version 20.0.
Results: Candida albicans was the most prevalent species, accounting for 72.1% of isolates, followed by Candida krusei (17.3%), Candida tropicalis (7.7%), and Candida glabrata (2.9%). High vaginal swabs showed the highest frequency of Candida isolates (46.2%). Females exhibited a higher preponderance of candidiasis (81.3%) compared to males. Candida albicans showed significant resistance to Amphotericin B and fluconazole, while other species demonstrated mixed susceptibility patterns. The antifungal susceptibility testing indicated variations in resistance patterns among different Candida species.
Conclusion: The study revealed a predominance of Candida albicans in clinical specimens, with emerging cases of non-albicans species. Antifungal resistance to clinically available agents raised concerns, necessitating continuous surveillance and monitoring of susceptibility patterns. The results underscore the importance of developing targeted strategies to combat the
Roohollah I Mohammadi Mirzae, Hamid Malekshahi , Halimeh Vahdatpoor ,
Volume 19, Issue 2 (3-2025)
Abstract
Background: Diabetes is a metabolic and vascular disorder characterized by endothelial dysfunction. Physical activity, particularly intermittent exercise, may offer therapeutic benefits. This study examined the effects of six weeks of intermittent exercise on serum nitric oxide (NO), insulin resistance, and lipid profiles in male diabetic rats.
Methods: Sixty Wistar rats (8 weeks old, 200 ± 20 g) were divided into six groups (n=10): healthy control, sham, interval training, interval training + saline, diabetic control, and diabetic + interval training. Diabetes was induced via nicotinamide-streptozotocin injection. The exercise groups underwent treadmill training (5 sessions/week for 6 weeks). Post-intervention, glucose, insulin, NO, LDL, HDL, triglycerides, and cholesterol were measured.
Results: Diabetes induction significantly increased glucose and insulin resistance while reducing insulin and NO levels compared to controls (P < 0.001). After six weeks, the diabetic + exercise group showed significant reductions in glucose and insulin resistance (P < 0.001) and increased NO levels (P < 0.001) versus the diabetic group. Insulin levels did not differ significantly among the groups (P = 0.11). Lipid profiles (LDL, HDL, triglycerides, cholesterol) remained unchanged (P > 0.05).
Conclusion: Six weeks of intermittent exercise improved glucose metabolism and vascular function in the diabetic rats by reducing insulin resistance and increasing NO levels, suggesting its potential as a non-pharmacological therapy for diabetes-related endothelial dysfunction.
Seyed Abdollah Hashemvarzi, Behrooz Mohammadnezhad,
Volume 19, Issue 2 (3-2025)
Abstract
Background and objectives: Inflammation plays a major role in the development and progression of diabetes. Vitamin D deficiency and physical inactivity can also increase the risk of developing type 2 diabetes. Combined therapeutic strategies are promising approaches for the treatment and prevention of diabetes. The aim of this study was to investigate effects of resistance training, vitamin D3 supplementation and adipose-derived mesenchymal stem cell (MSC) transplantation on tumor necrosis factor-beta level in the cerebral cortex of diabetic rats.
Methods: Eighty male Wistar rats (weighing 290±19 g) were randomly divided in to 10 groups: healthy control, sham, diabetes, training, vitamin D, MSC, training+vitamin D, MSC+training, MSC+vitamin D and training+MSC+vitamin D. Training groups were subjected to a resistance training program on ladder. MSC groups received 1.5 × 106 MSCs and vitamin D supplementation groups received 1 microgram/kilogram vitamin D3 eight times. Cortical TNF-β level and fasting serum glucose levels were measured.
Results: After 6 weeks, the combination of resistance training with vitamin D3 supplementation and MSC transplantation (P=0.018) as well as the combination of resistance training with MSCs (P=0.024) significantly reduced diabetes-induced elevation of TNF-β level.
Conclusion: Resistance training with appropriate intensity, duration and recovery between exercise sessions, combined with MSC transplantation and vitamin D3 supplementation has profound anti-inflammatory effects on the cerebral cortex tissue of diabetic rats. This type of intervention, especially the transplantation of MSCs, may be a promising protective strategy against some complications of diabetes.
