Electrocardiogram as prognostic and diagnostic parameter in follow up of patients with heart failure

No Abstract

Albumin to creatinine ratio as a predictor to the severity of coronary artery disease

Introduction: Microalbuminuria (MA) is a well-known risk factor for coronary artery disease (CAD). It is associated with higher cardiovascular mortality, especially in diabetics. However, there are few data linking angiographic severity of CAD to MA.Aim: The aim of the present study was to assess the albumin to creatinine ratio as a new predictor for CAD and to correlate with its severity apart from other traditional CAD risk factors.Methods: Our study included 100 patients with documented CAD by coronary angiography in Alexandria main university hospital. The severity of CAD was scored on the basis of the number and the extent of lesions within the coronary arteries by using Syntax score. Urine albumin excretion was measured for all patients in morning spot urine samples by immune precipitation technique. We correlate between MA and severity of CAD.Results: In a total of 100 patients (74 males and 26 females), (mean age 55.71± 8.99 y) MA was present in 34 patients only. Patients were divided into two groups; group I included those without MA and group II with MA. CAD occurred more frequently in males than in females and in smokers than in non-smokers. There were no significant differences in the prevalence of hypertension and hypercholesterolemia between the two groups. A direct relationship between MA and extension of atherosclerotic coronary lesions was noticed (P = 0.009).Conclusion: Patients with MA having more severe angiographic CAD were compared to those without MA. This relation is independent of other risk factors. MA could be utilized as an independent risk factor for CAD.Keywords: Coronary artery disease (CAD); Microalbuminuria (MA); Albumin–creatinine rati

Environmental Impact and Biosecurity of Composting for Emergency Disposal of Livestock Mortalities

A two-year project was begun in Iowa in 2002 to test the decay performance, air and water environmental impacts, and bio-security of using composting for emergency disposal of cattle carcasses in the event of a foot-and-mouth disease outbreak. Of the three emergency cover materials tested to date, silage produced the highest and most sustained internal heat, the most rapid and thorough carcass decomposition, and the most rapid destruction of avian vaccine viruses introduced into the piles for bio-security testing. Although internal temperatures within ground cornstalk cover material were much lower than in the silage, carcass decomposition appeared to occur almost as rapidly as in the silage. The cornstalk material produced more collectable leachate with higher pollutant concentrations than the silage. Downwind odor from test units constructed with ground cornstalk, which has a much higher air permeability coefficient than silage, appeared to be strongest and more frequent during the initial 2–3 weeks following construction of the piles

Antibacterial activity of the released metabolites of sea anemone Stichodactyla gigantea (Forskal, 1775) from the coast of South Andaman, India

Marine sessile organisms produce unique bioactive metabolites, which render a defensive barrier against microbial threats and increase survivability in the middle of predators. The earlier studies focused on isolated metabolites from marine sources, composed to exhibit antibacterial, antiviral, and cytotoxic properties. The present study aims to evaluate the antibacterial property of the anemone-released metabolites. The crude and released mucoid metabolite obtained from the sea anemone Stichodactyla gigantea (Forskal, 1775) assayed against five human pathogens like Bacillus subtilis (MTCC 121), Listeria monocytogenes (MTCC 839), Staphylococcus aureus (MTCC839), Bacillus cereus (MTCC 443), and Salmonella enterica typhimurium (MTCC 1252). The assay exhibited positive activity against two pathogens, viz. B. subtilis (MTCC 121) and L. monocytogenes (MTCC 839). Based on the demonstrated activity, the released metabolites were purified using Open Column chromatography. The fractions collected were subjected to an antibacterial assay, which showed a high inhibition zone of 39 mm and 23 mm in diameter against B. subtilis and L. monocytogenes. Followingly, the characterization of purified fractions through GC-MS analysis confirmed the presence of 22 compounds. This study reveals the potential power of the released mucoid metabolites against antibiotic-resistive pathogens. Further studies are essential to elucidate the role of endosymbiont's contribution to mucoid production and their responsiveness towards tackling stressed conditions

Antibacterial activity of the released metabolites of sea anemone Stichodactyla gigantea (Forskal, 1775) from the coast of South Andaman, India

Marine sessile organisms produce unique bioactive metabolites, which render a defensive barrier against microbial threats and increase survivability in the middle of predators. The earlier studies focused on isolated metabolites from marine sources, composed to exhibit antibacterial, antiviral, and cytotoxic properties. The present study aims to evaluate the antibacterial property of the anemone-released metabolites. The crude and released mucoid metabolite obtained from the sea anemone Stichodactyla gigantea (Forskal, 1775) assayed against five human pathogens like Bacillus subtilis (MTCC 121), Listeria monocytogenes (MTCC 839), Staphylococcus aureus (MTCC839), Bacillus cereus (MTCC 443), and Salmonella enterica typhimurium (MTCC 1252). The assay exhibited positive activity against two pathogens, viz. B. subtilis (MTCC 121) and L. monocytogenes (MTCC 839). Based on the demonstrated activity, the released metabolites were purified using Open Column chromatography. The fractions collected were subjected to an antibacterial assay, which showed a high inhibition zone of 39 mm and 23 mm in diameter against B. subtilis and L. monocytogenes. Followingly, the characterization of purified fractions through GC-MS analysis confirmed the presence of 22 compounds. This study reveals the potential power of the released mucoid metabolites against antibiotic-resistive pathogens. Further studies are essential to elucidate the role of endosymbiont's contribution to mucoid production and their responsiveness towards tackling stressed conditions

Molecular and serological techniques for the diagnosis of culture negative infective endocarditis in Alexandria Main University Hospital

AbstractBackground and aimCulture-negative infective endocarditis (CNIE) is a diagnostic dilemma. The study was carried out to estimate the prevalence of CNIE among definite IE cases, to describe the epidemiologic and clinical characteristics of CNIE patients and to diagnose the microbial etiology of CNIE using molecular and serological techniques.Subjects and methodsSixty-five definite IE cases were enrolled in a prospective observational study between January and December 2010. CNIE cases were tested by 16SrRNA and seminested PCR for 35 blood samples, serological tests and the study of ten valve tissue specimens.ResultsCNIE constituted 39 (60%) cases. The mean age of CNIE patients was 31years. Male to female ratio was 2.9:1. Healthcare associated IE accounted for 15.4%, native valve IE for 66.7% and intravenous drug abuse for 20.5% of cases. The mitral valve was the most frequently involved (56.4%). Out of 39 CNIE cases, seminested blood PCR detected 12 cases (ten Staphylococci, two Streptococci). Five cases were reactive by serology (three Bartonella, one Coxiella, and one Brucella). Six cases were positive by analysis of valve tissue (three Staphylococci, three Streptococci). The combined results of all diagnostic tools decreased the percentage of non-identified causes of CNIE from 60% to 24.6%.ConclusionsOur data underlined the role of collecting blood culture before starting antibiotics and the role of seminested PCR in the diagnosis of conventional causes of CNIE. The importance of serology to identify non conventional causes was also highlighted

Genes Contributing to Staphylococcus aureus Fitness in Abscess- and Infection-Related Ecologies

ABSTRACT Staphylococcus aureus is a leading cause of both community- and hospital-acquired infections that are increasingly antibiotic resistant. The emergence of S. aureus resistance to even last-line antibiotics heightens the need for the development of new drugs with novel targets. We generated a highly saturated transposon insertion mutant library in the genome of S. aureus and used Tn-seq analysis to probe the entire genome, with unprecedented resolution and sensitivity, for genes of importance in infection. We further identified genes contributing to fitness in various infected compartments (blood and ocular fluids) and compared them to genes required for growth in rich medium. This resulted in the identification of 426 genes that were important for S. aureus fitness during growth in infection models, including 71 genes that could be considered essential for survival specifically during infection. These findings highlight novel as well as previously known genes encoding virulence traits and metabolic pathways important for S. aureus proliferation at sites of infection, which may represent new therapeutic targets