21 research outputs found

    Phylogeny in Aid of the Present and Novel Microbial Lineages: Diversity in Bacillus

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    Bacillus represents microbes of high economic, medical and biodefense importance. Bacillus strain identification based on 16S rRNA sequence analyses is invariably limited to species level. Secondly, certain discrepancies exist in the segregation of Bacillus subtilis strains. In the RDP/NCBI databases, out of a total of 2611 individual 16S rDNA sequences belonging to the 175 different species of the genus Bacillus, only 1586 have been identified up to species level. 16S rRNA sequences of Bacillus anthracis (153 strains), B. cereus (211 strains), B. thuringiensis (108 strains), B. subtilis (271 strains), B. licheniformis (131 strains), B. pumilus (83 strains), B. megaterium (47 strains), B. sphaericus (42 strains), B. clausii (39 strains) and B. halodurans (36 strains) were considered for generating species-specific framework and probes as tools for their rapid identification. Phylogenetic segregation of 1121, 16S rDNA sequences of 10 different Bacillus species in to 89 clusters enabled us to develop a phylogenetic frame work of 34 representative sequences. Using this phylogenetic framework, 305 out of 1025, 16S rDNA sequences presently classified as Bacillus sp. could be identified up to species level. This identification was supported by 20 to 30 nucleotides long signature sequences and in silico restriction enzyme analysis specific to the 10 Bacillus species. This integrated approach resulted in identifying around 30% of Bacillus sp. up to species level and revealed that B. subtilis strains can be segregated into two phylogenetically distinct groups, such that one of them may be renamed

    International Consensus Statement on Rhinology and Allergy: Rhinosinusitis

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    Background: The 5 years since the publication of the first International Consensus Statement on Allergy and Rhinology: Rhinosinusitis (ICAR‐RS) has witnessed foundational progress in our understanding and treatment of rhinologic disease. These advances are reflected within the more than 40 new topics covered within the ICAR‐RS‐2021 as well as updates to the original 140 topics. This executive summary consolidates the evidence‐based findings of the document. Methods: ICAR‐RS presents over 180 topics in the forms of evidence‐based reviews with recommendations (EBRRs), evidence‐based reviews, and literature reviews. The highest grade structured recommendations of the EBRR sections are summarized in this executive summary. Results: ICAR‐RS‐2021 covers 22 topics regarding the medical management of RS, which are grade A/B and are presented in the executive summary. Additionally, 4 topics regarding the surgical management of RS are grade A/B and are presented in the executive summary. Finally, a comprehensive evidence‐based management algorithm is provided. Conclusion: This ICAR‐RS‐2021 executive summary provides a compilation of the evidence‐based recommendations for medical and surgical treatment of the most common forms of RS

    ComplicaçÔes relacionadas à lobectomia em doadores de transplante pulmonar intervivos Complications related to lobectomy in living lobar lung transplant donors

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    OBJETIVO: Avaliar as complicaçÔes pĂłs-operatĂłrias imediatas de doadores vivos de lobos pulmonares para transplante. MÉTODOS: Entre setembro de 1999 e maio de 2005 foram realizadas lobectomias em 32 doadores saudĂĄveis para transplante pulmonar em 16 receptores. Os prontuĂĄrios mĂ©dicos destes doadores foram analisados retrospectivamente para verificar a incidĂȘncia de complicaçÔes pĂłs-operatĂłrias e as alteraçÔes da função pulmonar apĂłs a lobectomia. RESULTADOS: Vinte e dois doadores (68,75%) nĂŁo apresentaram complicaçÔes. Entre os 10 casos que apresentaram alguma complicação o derrame pleural foi a mais freqĂŒente, ocorrendo em 5 deles (15,6% da amostra). TrĂȘs doadores (9,3%) necessitaram de transfusĂŁo de hemĂĄcias e, em 2 casos, foi necessĂĄria nova intervenção cirĂșrgica devido a hemotĂłrax. Um doador apresentou pneumotĂłrax apĂłs a retirada do dreno de tĂłrax e houve um caso de infecção respiratĂłria. Ocorreram duas intercorrĂȘncias intra-operatĂłrias (6,25%): em um doador foi realizada broncoplastia do lobo mĂ©dio; em outro, foi necessĂĄria a ressecção da lĂ­ngula. NĂŁo houve mortalidade cirĂșrgica nesta sĂ©rie. As provas de função pulmonar do pĂłs-operatĂłrio demonstraram uma redução mĂ©dia de 20% no volume expiratĂłrio forçado no primeiro segundo (p < 000,1), em comparação com os valores verificados antes da cirurgia. CONCLUSÕES: A lobectomia em doadores pulmonares vivos para transplante apresenta elevado risco de complicaçÔes pĂłs-operatĂłrias e resulta em perda definitiva da função pulmonar Uma cuidadosa avaliação prĂ©-operatĂłria faz-se necessĂĄria para reduzir a incidĂȘncia de complicaçÔes nos doadores vivos de lobos pulmonares para transplante.<br>OBJECTIVE: To evaluate post-operative complications in living lobar lung transplant donors. METHODS: Between September of 1999 and May of 2005, lobectomies were performed in 32 healthy lung transplant donors for 16 recipients. The medical charts of these donors were retrospectively analyzed in order to determine the incidence of postoperative complications and alterations in pulmonary function after lobectomy. RESULTS: Twenty-two donors (68.75%) presented no complications. Among the 10 donors presenting complications, the most frequently observed complication was pleural effusion, which occurred in 5 donors (15.6% of the sample). Red blood cell transfusion was necessary in 3 donors (9.3%), and 2 donors underwent a second surgical procedure due to hemothorax. One donor presented pneumothorax after chest tube removal, and one developed respiratory infection. There were two intra-operative complications (6.25%): one donor required bronchoplasty of the middle lobe; and another required lingular resection. No intra-operative mortality was observed. Post-operative pulmonary function tests demonstrated an average reduction of 20% in forced expiratory volume in one second (p < 000.1) compared to pre-operative values. CONCLUSIONS: Lobectomy in living lung transplant donors presents high risk of post-operative complications and irreversible impairment of pulmonary function. Careful pre-operative evaluation is necessary in order to reduce the incidence of complications in living lobar lung transplant donors
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