49 research outputs found
Leukotriene receptor expression in esophageal squamous cell cancer and non-transformed esophageal epithelium: a matched case control study
Study questionnaire. (DOC 21 kb
The influence of gastric atrophy on Helicobacter pylori antibiotics resistance in therapy-naĂŻve patients
Background: Antibiotic susceptibility of Helicobacter pylori to antibiotics may vary among different niches of the stomach. The progression of chronic H. pylori gastritis to atrophy changes intragastric physiology that may influence selection of resistant strains.
Aim: To study the antibiotic resistance of H. pylori taking the severity of atrophic gastritis in antrum and corpus into account.
Methods: Helicobacter pylori-positive patients (n = 110, m = 32, mean age 52.6 ± 13.9 years) without prior H. pylori eradication undergoing upper gastrointestinal (GI) endoscopy for dyspeptic symptoms were included in a prospective study. Patients were stratified into three groups depending on the grade of atrophy: no atrophy (OLGA Stage 0), mild atrophy (OLGA Stage I–II) and moderate/severe atrophy (OLGA Stage III–IV). Two biopsies each from the antrum and the corpus and one from the angulus were taken and assessed according to the updated Sydney system. H. pylori strains were isolated from antrum and corpus biopsies and tested for antibiotic susceptibility (AST) for amoxicillin, clarithromycin, metronidazole, levofloxacin, tetracycline, and rifampicin by the agar dilution methods. A Chi-square test of independence with a 95% confidence interval was used to detect differences in the proportion of patients with susceptible and resistant H. pylori strains.
Results: Among 110 patients, primary clarithromycin resistance (R) was 30.0%, both in the antrum and corpus; metronidazole resistance accounted for 36.4 and 34.5% in the antrum and corpus; and levofloxacin was 19.1 and 22.7% in the antrum and corpus, respectively. Resistance rates to amoxicillin, tetracycline, and rifampicin were below 5%. Dual antibiotic resistance rate was 21.8%, and triple resistance rate was 9.1%. There was a significant difference in the resistance rate distribution in antrum (p < 0.0001) and corpus (p < 0.0001). With increasing severity of atrophy according to OLGA stages, there was a significant increase in clarithromycin-R and metronidazole-R.
Conclusion: In treatment-naĂŻve patients, antibiotic resistance and heteroresistance were related to the severity of atrophy. The high clarithromycin resistance in atrophic gastritis suggests that H. pylori antibiotic susceptibility testing should always be performed in this condition before selecting the eradication regimen
Tratamiento de efluentes acuosos contaminados con compuestos organoclorados
[ES] Los compuestos organoclorados son un tipo de residuos que han adquirido especial relevancia en los Ăşltimos tiempos, debido a sus caracterĂsticas tĂłxicas y peligrosas, tanto para el medio ambiente como para los seres humanos. Su especial peligrosidad ha potenciado la bĂşsqueda de alternativas para su tratamiento en las distintas corrientes donde se presentan. En este artĂculo se describe la problemática real de este tipo de compuestos, se exponen los principales contaminantes y se muestra una visiĂłn general de las alternativas para la eliminaciĂłn de estos organoclorados de corrientes acuosas, detallándose en profundidad una de las alternativas de eliminaciĂłn consideradas: la hidrodecloraciĂłn catalĂtica en fase acuosa.Padilla Vivas, B.; DĂez Sanz, FV.; Ordóñez GarcĂa, S. (2005). Tratamiento de efluentes acuosos contaminados con compuestos organoclorados. 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Nutzung von Prozessen der Biosorption und Akkumulation zur Metallabtrennung und Rueckgewinnung aus belasteten Abwaessern mit dem Ziel der Umweltsanierung Abschlussbericht
Es wurden Grundlagenuntersuchungen zur Biosorption von umweltrelevanten Schwermetallen mit verschiedenen mikrobiellen Adsorbentien durchgefuehrt und an technischen Abwaessern Technologievorschlaege erarbeitet. Zur Verbesserung der Technologie von Biosorptionsprozessen wurden Moeglichkeiten der Steigerung der Sorptionsleistung von Biosorbentien erarbeitet und Untersuchungen zur Immobilisierung der biologischen Adsorbentien durchgefuehrt. (orig.)Fundamental investigations into the biosorption of environmentally relevant heavy metals were carried out with different microbial adsorbents, and processes were proposed for industrial effluents. In order to improve the technology of biosorption processes, attempts were made to improve the sorption efficiency of biological sorbents, and investigations were carried out on the immobilisation of biological adsorbents. (orig.)Available from TIB Hannover: D.Dt.F. QN1(7,10) / FIZ - Fachinformationszzentrum Karlsruhe / TIB - Technische InformationsbibliothekSIGLEBundesministerium fuer Forschung und Technologie (BMFT), Bonn (Germany)DEGerman