酵母样真菌快速分型诊断

为进一步解决感染酵母样真菌病患者的早期诊断和治疗,我们采用了一种快速,简便,准确鉴定和分类酵母样真菌的方法－纸片法,同时对纸片法与传统的方法（生长图谱法）进行了比较。２１７株酵母样真菌的鉴定结果准确率达１００％,其中白念珠菌检出率最高１５５株占７１．４２％,为最常见菌,其次是热带念珠２０株占９．２２％,其它四种念珠菌１６株占７．３７％,还有分类及种未定酵母菌２６株占１１．９８％。以上观察结果其检出     

深部真菌感染的微生物学诊断与防治研究

用简单、快速的念珠菌分类鉴定法对657例不同患者标本进行了鉴定,结果121例分得真菌,阳性率18.24％。分得真菌153株,其中酵母样真菌97株,占63.4％;曲霉23株,占15.03％.酵母样真菌97株中念珠菌83株,占酵母样真菌的85.57％。念珠菌中又以白色念珠菌为主,其次为热带念珠菌、克柔氏念珠菌。深部真菌感染∞％以上是由念珠菌引起的。用ELISA和GC法检测念珠菌感染患者血清中Mn—Ag,结果表明患者血清中Mn—Ag浓度明显高于正常人,用念珠菌感染动物后24h,在血清中可测到Mn—Ag,是一个早期快速、特异诊断念珠菌血行播散的方法。丁香、黄连、桂皮、木香对真菌有抑杀菌作用。真菌感染与应用抗生素、激素的数量及时间密切相关。     

以分子生物学鉴定结果为“金标准”评估Rapid ID Yeast Plus及API20C AUX对酵母样真菌的鉴定效能

目的 以分子生物学方法为“金标准”对两种商品化酵母样真菌鉴定产品Rapid ID Yeast Plus（简称RapIDYST）及API20C AUX（简称API20C）的鉴定效能进行评估.方法 从2010年中国医院侵袭性真菌感染监测网菌株库中筛选酵母样真菌25种,共计194株.其中,包含临床最常见的5种酵母样真菌（白念珠菌、热带念珠菌、光滑念珠菌、近平滑念珠菌、新生隐球菌）共130株,占研究总菌株数的67.0％.所有菌株已经过分子生物学方法准确鉴定至种水平.菌株复苏分纯后,严格按照产品操作指南,平行进行RapID YST和API20C鉴定.结果 所研究菌株中,有181株（18种）在RapID YST鉴定菌种数据库中,所有在库菌株种及复合体鉴定正确率为87.8％（159/181）.相比,API鉴定菌种库包含菌株174株（18种）,在库菌株种及复合体鉴定正确率为92.0％ （160/174）.RapID YST与API20C对于5种临床常见的酵母样真菌的种鉴定正确率分别为93.1％和97.1％.对于库外菌株,RapID YST的鉴定错误率分别为23.1％（3/13）,相比API20C的鉴定错误率为60.0％ （12/20）.综合此次评估结果,二者对酵母样真菌的鉴定效能无显著差异（McNemar检验,P＞0.05）.结论 两种商品化产品对酵母样真菌的鉴定效能基本一致;相较而言,RapID YST在操作便捷性、检测时间方面具有较大优势.     

MALDI-TOF-MS技术在酵母样真菌鉴定中的临床应用评价

目的评价基质辅助激光解析电离飞行时间质谱(Matrix-Assisted Laser Desorption Ionization-Time Of FlightMass Spectrometry,MALDI-TOF-MS)技术对酵母样真菌鉴定的临床应用价值。方法将2015年6月~2016年6月临床检出的142株酵母样真菌标本同时采用MALDI-TOF-MS技术和传统真菌培养方法进行鉴定,记录结果并对结果进行对比分析。结果两种方法对于常见的白念珠菌、热带念珠菌、克柔念珠菌和新生隐球菌的鉴定率很高(100%),符合率较高(100%);对于少见的葡萄牙念珠菌、解脂念珠菌、产朊念珠菌,两种方法的符合率较低,分别为25.00%、00.00%、00.00%。结论 MALDI-TOF-MS技术对酵母样真菌的鉴定率较高,操作简便快速,是传统真菌培养鉴定的有力补充,可将其推广应用于酵母样真菌的早期快速鉴定。     

临床酵母样真菌的感染特点及耐药性研究

目的了解临床酵母样真菌的感染类型、分布以及耐药情况,为临床诊断治疗提供合理的用药依据.方法采用常规方法进行真菌培养,用科玛嘉显色培养基联合法国生物梅里埃API 20C AUX鉴定条进行鉴定,药敏试验采用微量稀释法.结果864株酵母样真菌中,白色念珠菌619株（71.6%）,其次为热带念珠菌116株（13.4%）和克柔念珠菌47株（5.4%）,非白色念珠菌感染的比例逐年上升（21.5%）.其中,呼吸道标本酵母样真菌检出率最高,达79.7%,其次是消化道为8.8%,泌尿道为4.7%.科室分布依次为干部科、呼吸科、急诊内科、血液科等;白色念珠菌对两性霉素B、5-氟胞嘧啶高度敏感,达90%以上,对氟康唑和伊曲康唑的敏感性有所降低.结论酵母样真菌的检出率与患者基础疾病密切相关;对氟康唑等药物的敏感性有下降的趋势,未发现对4种药物同时耐药的菌株,提示在治疗中,药敏监测是非常必要的.     

阴道分泌物酵母样真菌分离培养及其药敏的临床价值

目的了解阴道分泌物酵母样真菌的分离培养及其药敏临床意义。方法从阴道分泌物中分离到的196株酵母样真菌,采用API-20Aux和ATBFUN GUS进行鉴定和药敏试验,所得结果进行统计分析。结果196株酵母样真菌中,分离率最多的前3种是白色念珠菌（80．5％）、葡萄牙念珠菌（9．5％）和光滑念珠菌（5．6％）,酵母样真菌对两性霉素B和制霉菌素敏感率最高,达94．5％和92．6％,5-氟胞嘧啶、咪康唑、益康唑和酮康唑只有43．6％～58．1％。结论真菌性阴道炎主要以白色念珠菌感染为主,感染的酵母菌除了对多烯类药物敏感率高外,对其他抗真菌药有不同程度的下降,应引起关注。     

酵母样真菌感染的菌型分布及药敏试验分析

目的:调查酵母样真菌在临床标本中的菌型分布情况;了解临床常见真菌对常用抗真菌药物的敏感性,为临床使用抗真菌药提供依据.方法:按<临床检验操作规程>进行菌株分离和鉴定;对分离的菌株用法国生物梅里埃公司生产的ATBFUNGUS抗真菌药物敏感性试剂盒进行药敏试验.结果:共检出酵母样真菌256株,其构成比:白色念珠菌161株(62.88%)、热带念珠菌58株(22.8%)、高里念珠菌12株(4.69%)、酵母菌10株(3.91%),未定型7株(2.73%);91株酵母样真菌药敏结果:5-FC敏感率95.6%、AmB 100%、NYS 93.4%、MIZ 80.2%、ECO 81.3%、KET 84.6%.11株MIZ耐药株,2株同时耐ECO与KET,9株为ECO中介、8株为KET中介,15株耐药株有10株为热带念珠菌.结论:引起深部真菌感染的酵母样真菌种类日渐增多,其中以白色念珠菌为主;大部分酵母样真菌对抗真菌药敏感,咪唑类药物有交叉耐药,多数热带念珠菌有耐药性.因此,酵母样真菌的菌种鉴定及药敏试验对临床深部真菌感染的防治具有重要的意义.     

北京朝阳医院深部真菌感染的临床分析和药敏试验

目的对院内临床深部真菌感染的标本进行分离鉴定和药敏试验,为临床感染性疾病提供病原学诊断和合理使用抗真菌药物的依据。方法采用念珠菌显色培养基进行鉴定。对真菌(丝状菌)用棉蓝染色直接镜检和培养相结合的方法进行鉴定。采用纸片扩散法进行药敏试验。结果450株真菌标本中,念珠菌396株,占88.0%;真菌(丝状菌)54株,占12.0%。分离菌株对药物的敏感性分别为氟康唑90.15%,两性霉素B97.98%,伊曲康唑91.67%,氟胞嘧啶89.1%。结论院内真菌感染以念珠菌最为多见,特别是白念珠菌和热带念珠菌。     

白念珠菌临床分离调查及基因分型研究

目的 了解白念珠菌临床分离情况,并探讨其药敏结果与基因分型的相关性.方法 回顾性分析本院2011年3～11月间临床分离白念珠菌分布及耐药性;随机选取232株,采用PCR方法扩增白念珠菌25S rDNA基因内含子区进行基因分型研究;采用ATB真菌药敏试剂条进行药敏分析;统计分析药敏结果与基因分型的相关性.结果 期间共检出酵母样真菌973例,占病原菌阳性样本数比率为15.7％ (973/6196);其中分离白念珠菌562株,占58％ (562/973),主要分布科室为呼吸科(39.1％)、老年科(13.2％)、ICU(7.7％)、神经内科(7.5％)、免疫科(6.0％)以及其他科室(26.5％);标本类型以下呼吸道为主(81.7％),其次为尿路(9.4％)、血液(1.8％)等.对氟胞嘧啶、两性霉素B、氟康唑、伊曲康唑及伏立康唑的耐药率分别为0.9％、0％、1.4％、1.6％和1.1％.随机选取的232株白念珠菌经PCR方法可分为3型:A型125株,B型96株,C型11株.各型在5种药物的耐药性上并无差异.结论 临床分离酵母样真菌以白念珠菌为主,感染部位以下呼吸道为主;临床分离株对5种抗真菌药物敏感度较高,主要基因型为A和B型,不同基因分型间药敏结果并无统计学差异.     

新生隐球菌的酚氧化酶及用于菌种鉴定的研究

采用4％玉米浸汁咖啡酸琼脂(CACA)培养基。观察了具不同生物学特性的新生隐球菌的酚氧化酶活性,并对临床常见的多种酵母和酵母样真菌作了该酶的检测。结果,受试的3个变种、5种血清型和尿素酶阴性新生隐球菌均呈明确的阳性反应;150株常见酵母和酵母样真菌中43株新生隐球菌全部呈酚氧化酶阳性。107株其它酵母和酵母样真菌全部阴性。具各种不同生物学特性的新生隐球菌均特异性地产生酚氧化酶,用检测该酶的方法作该菌鉴定的特异性和敏感性均为100％,且可于72小时内得到结果。此外,结合尿素酶试验可以准确的鉴定出尿素酶阴性的新生隐球菌。     

Comparative life cycle assessment of car disc brake systems—case study results and method discussion about comparative LCAs

Purpose

Two life cycle assessment (LCA) studies comparing a new low-particulate-matter-emission disc brake and a reference disc brake were presented. The purpose was to identify the difference in potential environmental impacts due to a material change in the new disc brake parts. Additionally, the validity was investigated for the simplification method of omitting identical parts in comparative LCA. This was done by comparing the results between the simplified and the full LCA model.

Methods

The two disc brakes, new disc brake and reference disc brake, were assessed according to the LCA ISO standards. The ReCiPe 2016 Midpoint (hierarchist) impact assessment method was chosen. Simplifying a comparative LCA is possible, all identical parts can be omitted, and only the ones that differ need to be assessed. In this paper, this simplification was called comparative LCA with an omission of identical parts.

Results and discussion

The comparative impacts were analysed over seventeen impact categories. The new disc brake alternative used more resources during the manufacture of one disc compared to the reference disc brake alternative. The shorter life length of the reference disc demanded a higher number of spare part discs to fulfil the same functional unit, but this impact was reduced due to material recycling. The new disc brake impacts were connected primarily to the coating and secondly to the pad manufacture and materials. The validity of the simplification method was investigated by comparing the results of the two LCA models. The impact differences were identical independent of the LCA model, and the same significant impact categories could be identified. Hence, the purpose of the study could be fulfilled, and the simplification was valid.

Conclusions

Both LCA models, simplified and full, revealed that the new disc brake had limited environmental advantages. The omission of identical parts made it more challenging to determine if an impact was significant or insignificant. The simplification seemed to be reasonable.

     

A modified method for determining protein binding capacity of plant polyphenolics using radiolabelled protein

A modified radiochemical protein binding method for determining the protein binding capacity of plant polyphenolics (tannins) is described. Purified tannin or unfractionated plant extracts were immobilised on filter paper discs and incubated with the 125I-labelled bovine serum albumin. Protein bound to the disc was proportional to the amount of tannin applied to the disc, although at high concentrations of polyphenolics the discs became saturated and the relationship was no longer applicable. The method was validated using purified procyanidin from Sorghum grain and has been applied to crude polyphenolic extracts from maple, white oak, black oak, walnut and tulip poplar leaves. Specific chemical assays for the determination of proanthocyanidins (acid butanol method) and hydrolysable tannins (modified potassium iodate method) were employed to validate the new protein binding method with the complex plant extracts.     

New technique for enzymic hydrolysis of glycosphingolipids

A method is described for the study of glycosyl ceramide glycosyl hydrolases. Problems arising from the limited solubility of glycosyl ceramides in aqueous media were overcome by coating the substrate on a filter paper disc that had been treated with phosphatidyl choline. A comparison between the disc method and conventional dispersion of the substrate by detergents was made with two enzymes, galactosylgalactosyl-glucosyl ceramide galactosyl hydrolase (trihexosyl ceramide galactosyl hydrolase) from lysosomes of human and rat small intestine and human spleen, and d-galactose oxidase. In both cases enzymatic activity was greater with the paper disc method than it was with substrates dispersed by detergents. The galactose liberated by the glycosyl hydrolase was determined as the trimethylsilyl derivative of the free sugar by gas-liquid chromatography.     

Determination of Cup to Disc Ratio Using Unsupervised Machine Learning Techniques for Glaucoma Detection

The cup nerve head, optic cup, optic disc ratio and neural rim configuration are observed as important for detecting glaucoma at an early stage in clinical practice. The main clinical indicator of glaucoma optic cup to disc ratio is currently determined manually by limiting the mass screening was potential. This paper proposes the following methods for an automatic cup to disc ratio determination. In the first part of the work, fundus image of the optic disc region is considered. Clustering means K is used automatically to extract the optic disc whereas K-value is automatically selected by algorithm called hill climbing. The segmented contour of optic cup has been smoothened by two methods namely elliptical fitting and morphological fitting. Cup to disc ratio is calculated for 50 normal images and 50 fundus images of glaucoma patients. Throughout this paper, the same set of images has been used and for these images, the cup to disc ratio values are provided by ophthalmologist which is taken as the gold standard value. The error is calculated with reference to this gold standard value throughout the paper for cup to disc ratio comparison. The mean error of the K-means clustering method for elliptical and morphological fitting is 4.5% and 4.1%, respectively. Since the error is high, fuzzy C-mean clustering has been chosen and the mean error of the method for elliptical and morphological fitting is 3.83% and 3.52%. The error can further be minimized by considering the inter pixel relation. To achieve another algorithm is by Spatially Weighted fuzzy C-means Clustering (SWFCM) is used. The optic disc and optic cup have clustered and segmented by SWFCM Clustering. The SWFCM mean error clustering method for elliptical and morphological fitting is 3.06% and 1.67%, respectively. In this work fundus images were collected from Aravind eye Hospital, Pondicherry.     

水螅营养积累对基盘组织更新进程的影响

目的观察大乳头水螅（Hydra magnipapillata ）基盘组织更新进程,探讨水螅营养积累对基盘组织更新进程的影响。方法设定水螅喂食频率梯度（代表不同的营养积累水平）,记录和观察喂食频率对水螅更新基盘组织进程的影响。通过ABTS细胞化学染色法检测水螅基盘分子标志物过氧化物酶的表达,观察水螅老基盘组织脱落后水螅体主体新生基盘组织的再生过程。结果喂食频率对水螅更新基盘组织进程有明显的影响。水螅基盘组织更新的标准过程如下;在一定的喂食频率下培养水螅,水螅体出芽区逐渐有芽体产生,随后在出芽区和基盘之间靠近芽体的位置出现缢痕,最后水螅体在缢痕处断裂为水螅体主体和老基盘组织两部分。缢痕断裂后对水螅体主体保持既定的喂食频率,其伤口能愈合但不能再生出新的基盘组织;对其降低喂食频率直至其伤口上方的芽体全部脱落后伤口处重新启动新生基盘组织的再生进程。另外,脱落的老基盘组织有两种不同的命运,即大部分老基盘组织不能发育成正常水螅体、最终解体;而小部分的老基盘组织能发育成正常的水螅体。结论水螅营养积累可能促进基盘组织更新进程,靠近断裂伤口处的芽体能抑制水螅体主体新生基盘的再生进程。     

A novel glass fiber disc culture system for testing of small amounts of compounds on growth and aflatoxin production byAspergillus flavus

A new method for growingAspergllius flavus for experimental studies is presented. The system consists of a humidified vial with a thick septum pierced by a pin on which a glass fiber disc is affixed. The disc contains the test solution and inoculum plus medium. The method has been used to assess the effect of variations in culture conditions on production of aflatoxin B₁ (AFB₁). The AFB₁ level was affected by the amount of medium placed on the disc and type of disc material. The results for different types of glass fiber and quartz discs were compared with AFB₁ produced by fungus grown in liquid medium or on paper discs. When compared to a liquid medium culture there was a 15 to 20-fold increase in AFB₁ for one type of disc. Incubations with less than 14 µl of medium gave satisfactory results. A crude phosphatidylcholine preparation at a concentration of 0.7% of the medium resulted in a 4-fold increase in AFB₁.Abbreviations AFB₁ aflatoxin B₁ - CV coefficient of variation - PC phosphatidylcholine - SD suspended disc     

Corneal endothelium: A modified method for cultivation

Summary A modified method for establishing cultures of rabbit corneal cells is described. The new technique utilized a Lucite disc in combination with a Tygon ring for growth of pure cell cultures and was compared with an explant method for growing cells. Each method provided adequate cell cultures for biochemical or ultrastructure studies of rabbit corneal cells, but the ring and disc method described here allowed the isolation of specific cell types without the interference of stromal cell contamination.     

Corneal endothelium: a modified method for cultivation

A modified method for establishing cultures of rabbit corneal cells is described. The new technique utilized a Lucite disc in combination with a Tygon ring for growth of pure cell cultures and was compared with an explant method for growing cells. Each method provided adequate cell cultures for biochemical or ultrastructure studies of rabbit corneal cells, but the ring and disc method described here allowed the isolation of specific cell types without the interference of stromal cell contamination.     

Soluble Antigen Fluorescent-Antibody Technique

An indirect fluorescent-antibody (FA) procedure employing soluble antigen fixed onto an artificial matrix was developed, and a mechanical means for reading of test results was devised. The method employs two small cellulose acetate paper discs for each test. One disc contains soluble antigen diluted in 1% bovine serum albumin (BSA); the other contains only 1% BSA and serves as a control. After testing by the indirect FA procedure, the results of the tests are read on a fluorometer fitted with a paper chromatogram door. The instrument is set at zero with the control disc as a blank, and the specific fluorescence of the antigen disc is determined. Findings obtained with homologous and heterologous antisera indicated that the method yields excellent results. The soluble antigen fluorescent-antibody technique has definite advantages over the conventional indirect FA procedures. (i) The investigator may objectively select the antigen to be employed. (ii) It is possible to obtain objective mechanical reading of test results rather than the highly subjective readings required by conventional methods. (iii) The system compensates for any nonspecific fluorescence contributed either by the serum (e.g., drugs) or by free fluorescein in the conjugated antiserum.     

Minimizing errors associated with calculating the location of the helical axis for spinal motions

One of the more common comparative tools used to quantify the motion of the vertebral joint is the orientation and position of the (finite) helical axis of motion as well as the amount of translation along, and rotation about, this axis. A survey of recent studies that utilize the helical axis of motion to compare motion before and after total disc replacement reveals a lack of concern for the relative errors associated with this metric. Indeed, intrinsic algorithmic and experimental errors that arise when interpreting motion tracking data can easily lead to a misinterpretation of the changes caused by replacement disc devices. While previous studies examining these errors exist, most have overlooked the errors associated with the determination of the location of the helical axis and its intersection with a chosen plane. The purpose of the study presented in this paper was to evaluate the sensitivity and reliability of the helical axis of motion as a comparative tool for kinematically evaluating spinal prostheses devices. To this end, we simulated a typical spine biomechanics testing experiment to investigate the accuracy of calculating the helical axis and its associated parameters using several popular algorithms. The resultant data motivated the development of a new algorithm that is a hybrid of two existing algorithms. The improved accuracy of this hybrid method made it possible to quantify some of the changes to the kinematics of a spinal unit that are induced by distinct placements of a total disc replacement.