68,739 results on '"feces"'
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2. [64/m-Fresh blood on the stool : Preparation for the medical specialist examination: part 20].
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Sabanov A, Mehdorn M, Gockel I, and Stelzner S
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- Feces, Medicine
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- 2022
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3. Living with the chair: private excreta, collective health and medical authority in the eighteenth century.
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Dacome L
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- Europe, History, 18th Century, Italy, Bodily Secretions, Body Weight, Feces, Hygiene history, Medicine, Philosophy, Medical history, Physiology history, Public Health history, Weights and Measures history
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- 2001
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4. Temporal Characterization of Prion Shedding in Secreta of White-Tailed Deer in Longitudinal Study of Chronic Wasting Disease, United States
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Nathaniel D. Denkers, Erin E. McNulty, Caitlyn N. Kraft, Amy V. Nalls, Joseph A. Westrich, Edward A. Hoover, and Candace K. Mathiason
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chronic wasting disease ,CWD ,prions ,urine ,saliva ,feces ,Medicine ,Infectious and parasitic diseases ,RC109-216 - Abstract
Chronic wasting disease (CWD) affects cervids in North America, Asia, and Scandinavia. CWD is unique in its efficient spread, partially because of contact with infectious prions shed in secreta. To assess temporal profiles of CWD prion shedding, we collected saliva, urine, and feces from white-tailed deer for 66 months after exposure to low oral doses of CWD-positive brain tissue or saliva. We analyzed prion seeding activity by using modified amyloid amplification assays incorporating iron oxide bead extraction, which improved CWD detection and reduced false positives. CWD prions were detected in feces, urine, and saliva as early as 6 months postinfection. More frequent and consistent shedding was observed in deer homozygous for glycine at prion protein gene codon 96 than in deer expressing alternate genotypes. Our findings demonstrate that improved amplification methods can be used to identify early antemortem CWD prion shedding, which might aid in disease surveillance of cervids.
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- 2024
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5. Analysis of Microbial Diversity in Feces of Adult Nycticebus bengalensis by High-throughput Sequencing
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ZHANG Feiyan, LIU Chao, and LÜ Longbao
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nycticebus bengalensis ,feces ,high-throughput sequencing ,dominant bacteria ,function prediction ,Medicine - Abstract
Objective To analyze the composition of microbial community in gut of elderly male Nycticebus bengalensis, aiming to explore the health impact factors associated with artificial captivity. Methods Fecal samples of 4 adult male Nycticebus bengalensis were collected and the V4 region was amplified using bacterial 16S rDNA universal primers. Illumina NovaSeq sequencing platform was used for microbial sequencing analysis. The complexity and similarity of the samples were analyzed using the QIIME software analysis tool. The species structure and abundance of the intestinal flora were analyzed at the phylum and genus levels based on validated data. The PICRUSt software was applied to predict the metabolic function of the flora. Results The results showed that the diversity index (Shannon index) of the flora in the youngest Nycticebus bengalensis was higher than that of the others. PCoA analysis showed that the bacterial community compositions of the four samples had a certain degree of similarity. Bacteria identified in the Nycticebus bengalensis feces included 12 phyla, 18 classes, 28 orders, 49 families, 93 genera, and 59 species. Among them, the dominant phyla were Bacteroidetes and Firmicutes with average relative abundances of 46% and 28%, respectively; The genera Bacteroides, Bifidobacterium, and Fusobacterium had higher abundances, with relative abundances of 33%, 6%, and 6%, respectively; The beneficial genus Bifidobacterium was found in all samples, with the highest relative abundance found in the younger Nycticebus bengalensis. PICRUSt function prediction analysis showed that the abundance of the functional genes related to amino acid transport and metabolism, carbohydrate transport and metabolism,was relatively high. Conclusion The use of Illumina NovaSeq high-throughput sequencing technology can comprehensively detect the fecal microbial community of the Nycticebus bengalensis. The bacterial composition of Nycticebus bengalensis has rich diversity. Many bacteria are not identified and have higher relative abundance, which need further study.
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- 2024
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6. The first report on detecting SARS-CoV-2 inside bacteria of the human gut microbiome: A case series on asymptomatic family members and a child with COVID-19 [version 3; peer review: 2 approved, 1 not approved]
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Marina Piscopo, Marina Prisco, Domenico Rocco Bisaccia, Simone Cristoni, Luigi Montano, Francesco Lauritano, Mauro Petrillo, and Carlo Brogna
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SARS-CoV-2 ,gut microbiota ,bacteriophage ,feces ,diarrhea ,nasopharyngeal swab ,eng ,Medicine ,Science - Abstract
Many studies report the importance of using feces as source sample for detecting SARS-CoV-2 in patients with COVID-19 symptoms but who are negative to oropharyngeal/ nasopharyngeal tests. Here, we report the case of an asymptomatic child whose family members had negative results with the rapid antigen nasopharyngeal swab tests. The 21-month-old child presented with fever, diarrhea, bilateral conjunctivitis, and conspicuous lacrimation. In this study, analysis for the presence of SARS-CoV-2 in fecal samples by using Luminex technology allowed accurate detection of the presence of the viral RNA in the feces of the child and of all her relatives, which thus resulted to be positive but asymptomatic. It is the first time that SARS-CoV-2- is observed inside the bacteria of the human gut microbiome and outside a matrix resembling extracellular bacterial lysates, in agreement with a bacteriophage mechanism with the images obtained by transmission electron microscopy (TEM), post-embedding immunogold, and by fluorescence microscope. In addition to the typical observations of respiratory symptoms, accurate evaluation of clinical gastrointestinal and neurological symptoms, combined with efficient highly sensitive molecular testing on feces, represent an efficient approach for detecting SARS-CoV-2, and for providing the correct therapy in challenging COVID-19 cases, like the one here reported.
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- 2024
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7. Cryptosporidium spp. in large-scale sheep farms in China: prevalence and genetic diversity
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Qianming Zhao, Meng Qi, Bo Jing, Fuchun Jian, Pihong Gong, Chenyang Lu, Yaqun Yan, Zhiyang Pei, and Changshen Ning
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Cryptosporidium spp. ,Large-scale sheep farms ,Sheep ,Feces ,Environmental ,Molecular epidemiology ,Medicine ,Science - Abstract
Abstract Cryptosporidium spp. are significant zoonotic intestinal parasites that induce diarrhea and even death across most vertebrates, including humans. Previous studies showed that sheep are important hosts for Cryptosporidium and that its distribution in sheep is influenced by geography, feeding patterns, age, and season. Environmental factors also influence the transmission of Cryptosporidium. Molecular studies of Cryptosporidium in sheep have been conducted in only a few regions of China, and studies into the effect of sheep-housing environments on Cryptosporidium transmission are even rarer. To detect the prevalence of Cryptosporidium in large-scale sheep-housing farms, a total of 1241 fecal samples were collected from sheep, 727 environmental samples were taken from sheep housing, and 30 water samples were collected in six regions of China. To ascertain the existence of the parasite and identify the species of Cryptosporidium spp., we conducted nested PCR amplification of DNA extracted from all samples using the small-subunit (SSU) rRNA gene as a target. For a more in-depth analysis of Cryptosporidium spp. subtypes, C. xiaoi-and C. ubiquitum-positive samples underwent separate nested PCR amplification targeting the 60 kDa glycoprotein (gp60) gene. The amplification of the Cryptosporidium spp. SSU rRNA gene locus from the whole genomic DNA of all samples yielded a positive rate of 1.2% (20/1241) in fecal samples, 0.1% (1/727) in environmental samples, and no positive samples were found in water samples. The prevalence of Cryptosporidium spp. infection in large-scale housed sheep was 1.7%, which was higher than that in free-ranging sheep (0.0%). The highest prevalence of infection was found in weaning lambs (6.8%). Among the different seasons, the peaks were found in the fall and winter. The most prevalent species were C. xiaoi and C. ubiquitum, with the former accounting for the majority of infections. The distribution of C. xiaoi subtypes was diverse, with XXIIIc (n = 1), XXIIId (n = 2), XXIIIe (n = 2), and XXIIIl (n = 4) identified. In contrast, only one subtype, XIIa (n = 9), was found in C. ubiquitum. In this study, C. xiaoi and C. ubiquitum were found to be the predominant species, and Cryptosporidium was found to be present in the environment. These findings provide an important foundation for the comprehensive prevention and management of Cryptosporidium in intensively reared sheep. Furthermore, by elucidating the prevalence of Cryptosporidium in sheep and its potential role in environmental transmission, this study deepens our understanding of the intricate interactions between animal health, environmental contamination, and public health dynamics.
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- 2024
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8. Differential responses of rumen and fecal fermentation and microbiota of Liaoning cashmere goats after 2-hydroxy-4-(methylthio) butanoic acid isopropyl ester supplementation
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Zhiqiang Zhong, Peiyuan Sun, Yuning Zhang, Lingyun Li, Di Han, Xiaoguang Pan, and Ruiyang Zhang
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Rumen ,Feces ,HMBi ,Fermentation ,Microbial composition ,Liaoning cashmere goats ,Medicine ,Science - Abstract
Abstract The 2-hydroxy-4-(methylthio) butanoic acid isopropyl ester (HMBi), a rumen protective methionine, has been extensively studied in dairy cows and beef cattle and has been shown to regulate gastrointestinal microbiota and improve production performance. However, knowledge of the application of HMBi on cashmere goats and the simultaneous study of rumen and hindgut microbiota is still limited. In this study, HMBi supplementation increased the concentration of total serum protein, the production of microbial protein in the rumen and feces, as well as butyrate production in the feces. The results of PCoA and PERMANOVA showed no significant difference between the rumen microbiota, but there was a dramatic difference between the fecal microbiota of the two groups of Cashmere goats after the HMBi supplementation. Specifically, in the rumen, HMBi significantly increased the relative abundance of some fiber-degrading bacteria (such as Fibrobacter) compared with the CON group. In the feces, as well as a similar effect as in the rumen (increasing the relative abundance of some fiber-degrading bacteria, such as Lachnospiraceae FCS020 group and ASV32), HMBi diets also increased the proliferation of butyrate-producing bacteria (including Oscillospiraceae UCG-005 and Christensenellaceae R-7 group). Overall, these results demonstrated that HMBi could regulate the rumen and fecal microbial composition of Liaoning cashmere goats and benefit the host.
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- 2024
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9. Using feces to indicate plastic pollution in terrestrial vertebrate species in western Thailand
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Jiraporn Teampanpong and Prateep Duengkae
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Feces ,Microplastics ,Terrestrial vertebrates ,Western Thailand ,Protected areas ,Western Forest Complex ,Medicine ,Biology (General) ,QH301-705.5 - Abstract
Plastic pollution is a widespread and growing concern due to its transformation into microplastics (MPs), which can harm organisms and ecosystems. This study, aimed to identify plastic pollution in the feces of terrestrial vertebrates using convenience sampling both inside and outside protected areas in Western Thailand. We hypothesized that MPs are likely to be detectable in the feces of all vertebrate species, primarily in the form of small black fragments. We predicted varying quantities of MPs in the feces of the same species across different protected areas. Furthermore, we expected that factors indicating human presence, landscape characteristics, scat weight, and the MP abundance in water, soils, and sediments would influence the presence of plastics in feces. Among 12 terrestrial species studied, potential MPs were found in 41.11% of 90 samples, totaling 83 pieces across eight species including the Asian elephant (Elephas maximus), Eld’s deer (Rucervus eldii), Dhole (Cuon alpinus), Gaur (Bos gaurus), Sambar deer (Rusa unicolor), Wild boar (Sus scrofa), Northern red muntjac (Muntiacus vaginalis), and Butterfly lizard (Leiolepis belliana). Specifically, 3.61% of all potential MPs (three pieces) were macroplastics, and the remaining 96.39% were considered potential MPs with the abundance of 0.92 ± 1.89 items.scat−1 or 8.69 ± 32.56 items.100 g−1 dw. There was an association between the numbers of feces with and without potential plastics and species (χ2 = 20.88, p = 0.012). Most potential plastics were fibers (95.18%), predominantly black (56.63%) or blue (26.51%), with 74.70% smaller than two millimeters. Although there were no significant associations between species and plastic morphologies, colors, and sizes, the abundance classified by these characteristics varied significantly. FTIR identified 52.38% as natural fibers, 38.10% as synthetic fibers (rayon, polyurethane (PUR), polyethylene terephthalate (PET), polypropylene (PP), and PUR blended with cotton), and 9.52% as fragments of PET and Polyvinyl Chloride (PVC). Human-related factors were linked to the occurrence of potential plastics found in the feces of land-dwelling wildlife. This study enhances the understanding of plastic pollution in tropical protected areas, revealing the widespread of MPs even in small numbers from the areas distant from human settlements. Monitoring plastics in feces offers a non-invasive method for assessing plastic pollution in threatened species, as it allows for easy collection and taxonomic identification without harming live animals. However, stringent measures to assure the quality are necessitated to prevent exogenous MP contamination. These findings underscore the importance of raising awareness about plastic pollution in terrestrial ecosystems, especially regarding plastic products from clothing and plastic materials used in agriculture and irrigation systems.
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- 2024
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10. A comparative study of the bacterial diversity and composition of nursery piglets’ oral fluid, feces, and housing environment
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Vinicius Buiatte, Ana Fonseca, Paloma Alonso Madureira, Andréia Cristina Nakashima Vaz, Polyana Cristine Tizioto, Ana Maria Centola Vidal, Erika Ganda, and Vera Letticie de Azevedo Ruiz
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Swine ,Saliva ,Feces ,16S rRNA gene ,Microbiome ,Medicine ,Science - Abstract
Abstract The oral cavity is the portal of entry for many microorganisms that affect swine, and the swine oral fluid has been used as a specimen for the diagnosis of several infectious diseases. The oral microbiota has been shown to play important roles in humans, such as protection against non-indigenous bacteria. In swine, studies that have investigated the microbial composition of the oral cavity of pigs are scarce. This study aimed to characterize the oral fluid microbiota of weaned pigs from five commercial farms in Brazil and compare it to their respective fecal and environmental microbiotas. Bacterial compositions were determined by 16S rRNA gene sequencing and analyzed in R Studio. Oral fluid samples were significantly less diverse (alpha diversity) than pen floor and fecal samples (P
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- 2024
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11. Effects of radiofrequency field from 5G communication on fecal microbiome and metabolome profiles in mice
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Xing Wang, Guiqiang Zhou, Jiajin Lin, Tongzhou Qin, Junze Du, Ling Guo, Panpan Lai, Yuntao jing, Zhaowen Zhang, Yan Zhou, and Guirong Ding
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Radiofrequency field ,Gut microbiota ,Metabolite ,Mice ,Feces ,Medicine ,Science - Abstract
Abstract With the rapid development of 5G networks, the influence of the radiofrequency field (RF) generated from 5G communication equipment on human health is drawing increasing attention in public. The study aimed at assessing the effects of long-term exposure to 4.9 GHz (one of the working frequencies of 5G communication) RF field on fecal microbiome and metabolome profiles in adult male C57BL/6 mice. The animals were divided into Sham group and radiofrequency group (RF group). For RF group, the mice were whole body exposed to 4.9 GHz RF field for three weeks, 1 h/d, at average power density (PD) of 50 W/m2. After RF exposure, the mice fecal samples were collected to detect gut microorganisms and metabolites by 16S rRNA gene sequencing and LC–MS method, respectively. The results showed that intestinal microbial compositions were altered in RF group, as evidenced by reduced microbial diversity and changed microbial community distribution. Metabolomics profiling identified 258 significantly differentially abundant metabolites in RF group, 57 of which can be classified to Kyoto Encyclopedia of Genes and Genomes (KEGG) pathways. Besides, functional correlation analysis showed that changes in gut microbiota genera were significantly correlated with changes in fecal metabolites. In summary, the results suggested that altered gut microbiota and metabolic profile are associated with 4.9 GHz radiofrequency exposure.
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- 2024
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12. Establishment of Fluorescence qPCR Method for Detection of Staphylococcus Aureus and Its Application in Feces Detection of Rats and Mice
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YU Lingzhi, XIE Jianyun, FENG Liping, and WEI Xiaofeng
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staphylococcus aureus ,method of detection ,fluorescent quantitative pcr ,feces ,rats ,mice ,Medicine - Abstract
Objective To establish a method for rapid and sensitive detection of Staphylococcus aureus.Methods The specific gene nuc of Staphylococcus aureus was selected as the target gene. A pair of specific primers and a TaqMan probe were designed and synthesized according to the published sequence of the nuc gene. Establish a nucleic acid detection method for nuc gene using fluorescence quantitative PCR technology, and apply it clinically in the detection of fecal samples from rats and mice.Results The DNA extracted from Staphylococcus aureus and other non-Staphylococcus aureus strains was detected by qPCR. The results showed that Staphylococcus aureus had a specific amplification curve, while other non-Staphylococcus aureus did not, indicating that the designed primers and probes were specific for Staphylococcus aureus. The sensitivity of this method was determined by diluting the DNA of Staphylococcus aureus by 10 times. The results showed that the detection limit of this method was 10 fg DNA, which was 2 orders of magnitude higher than that of ordinary PCR method. A total of 91 clinical samples were detected in this study, of which 4 rat samples from the same facility had a typical S-curve. The PCR products were sequenced and BLAST compared. The gene sequence of this sample was 100% similar to that of Staphylococcus aureus, indicating that the sample was positive for the nucleic acid of Staphylococcus aureus nuc gene, with a positive rate of 4.40%. The result was consistent with that obtained by bacterial culture method. The nucleic acid extraction adopted a full-automatic nucleic acid purification instrument, and the time required from nucleic acid extraction to detection result determination was less than 1.5 h.Conclusion The qPCR method established in this study to identify Staphylococcus aureus with nuc gene as the target gene has the advantages of fast, high sensitivity and specificity, and can be used for the detection of Staphylococcus aureus in feces of rats and mice.
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- 2023
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13. Efficacy of Triphala extracts on the changes of obese fecal microbiome and metabolome in the human gut model
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Pincha Kwandee, Surasawadee Somnuk, Bandhita Wanikorn, Massalin Nakphaichit, and Paiboon Tunsagool
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Feces ,Metabolome ,Microbiome ,Obesity ,Triphala extracts ,Medicine - Abstract
Triphala is a mixture of tree fruits obtained from Terminalia chebula, Terminalia bellerica, and Phyllanthus emblica. It is one of the Ayurveda medicinal recipes used to treat health diseases such as obesity. The chemical composition analysis of Triphala extracts obtained from an equal portion of three fruits was performed. The contents of total phenolic compounds (62.87 ± 0.21 mg gallic acid equivalent/mL), total flavonoids (0.24 ± 0.01 mg catechin equivalent/mL), hydrolyzable tannins (177.27 ± 10.09 mg gallotannin equivalent/mL), and condensed tannins (0.62 ± 0.11 mg catechin equivalent/mL) were observed in Triphala extracts. The 1 mg/mL of Triphala extracts was applied to batch culture fermentation which contained the feces from voluntarily obese female adults (body mass index of 35.0–40.0 kg/m2) for 24 h. The extraction of DNA and metabolites was each conducted on the samples obtained from batch culture fermentation within and without Triphala extracts treatment. The 16S rRNA gene sequencing and untargeted metabolomic analysis were carried out. There was no statistically significant difference between Triphala extracts and control treatments on the changes in microbial profiles (p-value
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- 2023
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14. Isolation and identification of a severe acute respiratory syndrome coronavirus 2 strain in feces from COVID-19 patients in Shanghai
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ZHOU Yanqiu, CUI Xiaoxian, MOU Jiabin, FANG Fanghao, TENG Zheng, WU Huanyu, CHEN Min, and ZHANG Xi
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sars-cov-2 ,feces ,vero e6 ,polymerase chain reaction ,whole genome sequencing ,Medicine - Abstract
ObjectiveTo isolate and study the biological characteristics of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) from feces of coronavirus disease 2019 (COVID-19) patients.MethodsVero E6 cells were used for virus isolation and the isolated strains were tested by nucleic acid test, immunofluorescence test, virulence test and whole genome sequencing. 50% tissue culture infective dose (TCID50) was calculated after the cell cultures of each generation were collectedResultsEight fecal specimens were inoculated with Vero E6 cells after treatment and cultured for 48 h. One specimen showed obvious cytopathic effect on Vero E6 cells. One SARS-CoV-2 out of 8 fecal samples from COVID-19 patients were isolated, and separation rate was 12.5%. The TCID50 of P1, P2 and P3 were 104.0/0.2 mL, 104.5/0.2 mL and 104.75/0.2 mL, respectively. Only one of the 8 stool samples had SARS-CoV-2 virus replication and amplification, and the Ct value of the nucleic acid detection was about 10. The sequence of the isolation was more than 99.99% homologous with that of Wuhan-Hu-1(GenBank MN908947).ConclusionThe SARS-CoV-2 strain is isolated from the fecal samples of COVID-19 cases and is confirmed by genomic sequencing and immunofluorescence test, which indicates the presence of live virus in feces of COVID-19 cases.
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- 2022
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15. Frequency of Gastrointestinal Helminths Fauna among Dogs in Gorgan, Iran
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Ali Ghafari, Fatemeh Zahra Gharib, and Alireza Yousefi
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helminth ,gastrointestinal tract ,feces ,dogs ,Medicine ,Medicine (General) ,R5-920 - Abstract
Background and Objective: Dogs are associated with more than 60 types of common diseases with humans, among which parasitic diseases play an important role in public health. This study aimed to estimate the frequency of gastrointestinal helminths fauna among dogs in Gorgan, Iran. Methods: This descriptive-analytical study was done on 70 dogs (37 male and 33 female) consisting of 40 shelter dogs, 18 pet dogs and 14 guard dogs in Gorgan (Iran) from November 2019 to January 2020. Age, gender and housing places of the dogs were recorded, and dogs' fecal samples were examined for gastrointestinal helminths by flotation method with Sheather's solution. Results: The eggs of gastrointestinal helminths were detected in 41 dogs (58.6%), including Toxocara canis (29.3%), Echino-taenia (26.8%), hookworms (24.4%), Trichuris vulpis (7.3%) and Toxascaris leonina (12.2%). The highest and lowest rates of infection were related to Toxocara canis (31.8%) in female dogs Trichuris vulpis (5.3%) in male dogs, respectively. Also, in female dogs, 69.7% of the samples were infected with at least one gastrointestinal parasite, and there was a significant relationship between parasitic disease and female gender (P
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- 2022
16. Rapid molecular diagnostics of tuberculosis resistance by targeted stool sequencing
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Doctor B. Sibandze, Alexander Kay, Viola Dreyer, Welile Sikhondze, Qiniso Dlamini, Andrew DiNardo, Godwin Mtetwa, Bhekumusa Lukhele, Debrah Vambe, Christoph Lange, Muyalo Glenn Dlamini, Tara Ness, Rojelio Mejia, Barbara Kalsdorf, Jan Heyckendorf, Martin Kuhns, Florian P. Maurer, Sindisiwe Dlamini, Gugu Maphalala, Stefan Niemann, and Anna Mandalakas
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Tuberculosis ,Drug resistance ,Feces ,Medicine ,Genetics ,QH426-470 - Abstract
Abstract Background Stool is an important diagnostic specimen for tuberculosis in populations who struggle to provide sputum, such as children or people living with HIV. However, the culture of Mycobacterium tuberculosis (M. tuberculosis) complex strains from stool perform poorly. This limits the opportunity for phenotypic drug resistance testing with this specimen. Therefore, reliable molecular methods are urgently needed for comprehensive drug resistance testing on stool specimens. Methods We evaluated the performance of targeted next-generation sequencing (tNGS, Deeplex® Myc-TB) for the detection of mutations associated with M. tuberculosis complex drug resistance on DNA isolated from stool specimens provided by participants from a prospective cohort of patients treated for tuberculosis in Eswatini (n = 66; 56 with and 10 participants without M. tuberculosis complex DNA detected in stool by real-time quantitative PCR), and an independent German validation cohort of participants with culture-confirmed tuberculosis (n = 21). Results The tNGS assay detected M. tuberculosis complex DNA in 38 of 56 (68%) samples; for 28 of 38 (74%) samples, a full M. tuberculosis complex drug resistance prediction report was obtained. There was a high degree of concordance with sputum phenotypic drug susceptibility results (κ = 0.82). The ability to predict resistance was concentration-dependent and successful in 7/10 (70%), 18/25 (72%), and 3/21 (14%) of samples with stool PCR concentration thresholds of > 100 femtogram per microliter (fg/μl), 1 to 100 fg/μl, and
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- 2022
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17. Prevalence Of Intestinal Nematodes Soil Transmitted Helminth (STH) On Nails And Feces Of Vegetable Farmers In Ngagrong Village Ampel Subdistrictboyolali Regency
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Siti Umamah and Rahmat Budi Nugroho
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soil transmitted helminth ,feces ,nails ,vegetable farmers ,Medicine - Abstract
The development of endemic diseases such as worm infections that are transmitted through soil is strongly influenced by climatic conditions in tropical Indonesia. The worms included in the Soil Transmitted Helminth are Ascaris lumbricoides, Trichuris trichiura and Hookworm (Necator americanus and Ancylostoma duodenale). Ngagrong is a village in the highlands in Boyolali Regency. The majority of the population works as farmers, especially vegetable farmers. It is suspected that the habit of farmers while working who sometimes do not use personal protective equipment such as gloves and footwear in the form of sandals or shoes that directly contact with the soil and eat food without first washing their hands can give them a risk of worm infection. Intestinal Nematodes of Soil Transmitted Helminth in vegetable farmers In Ngagrong Village, Ampel Subdistrict, Boyolali Regency, Central Java.This research was conducted at the Parasitology Laboratory of the Faculty of Health Sciences, Setia Budi University, Surakarta in January 2019. The samples taken were stools and nails of 30 vegetable farmers in Ngagrong Village, Ampel Subdistrict, Boyolali Regency. The technique used is directly with lugol dyes in faecal samples and sedimentation (deposition) with 0.25% NaOH in nail samples. The results of the examination obtained from 30 faecal samples of vegetable farmers were found to have a positive percentage of results found in 3.33% of the Soil Transmitted Helminth Intestinal Nematodes, namely Hookworm worm eggs. In the nail sample, negative results were not infected with the parasitic Transmitted Helminth Soil Group with a percentage of 100% of the 30 nail samples examined.
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- 2020
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18. Strong Association between Diarrhea and Concentration of Enterotoxigenic Escherichia coli Strain TW10722 in Stools of Experimentally Infected Volunteers
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Oda Barth Vedøy, Hans Steinsland, Sunniva Todnem Sakkestad, Halvor Sommerfelt, and Kurt Hanevik
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experimental infection in humans ,diarrhea ,enterotoxigenic Escherichia coli ,heat-stable enterotoxin ,controlled human infection model ,feces ,Medicine - Abstract
Enterotoxigenic Escherichia coli (ETEC) strains are a major cause of diarrheal illness in children and travelers in low- and middle-income countries. When volunteers are infected with ETEC strains, as part of experimental infection studies, some do not develop diarrhea. To improve our understanding of how these volunteers are protected, we investigated the association between stool ETEC DNA concentration, as determined by quantitative PCR, and the development and severity of disease in 21 volunteers who had been experimentally infected with ETEC strain TW10722. We found a strong association between maximum stool ETEC DNA concentration and the development of diarrhea: all of the 11 volunteers who did not develop diarrhea had
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- 2023
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19. Combination of Chinese and Western Medicine Optimizes the Intestinal Microbiota of Exacerbated Chronic Obstructive Pulmonary Disease in Rats.
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Li, Xiaojun, Li, Ya, Mao, Jing, Bian, Qingqing, Xuan, Yinshuang, Shen, Tingting, and Li, Suyun
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MEDICINE , *BIOLOGICAL models , *C-reactive protein , *LIPOPOLYSACCHARIDES , *HERBAL medicine , *COMBINATION drug therapy , *GUT microbiome , *LUNGS , *ANIMAL experimentation , *ALBUTEROL , *RNA , *TREATMENT effectiveness , *RATS , *FECES , *CHRONIC obstructive pulmonary disease , *PULMONARY function tests , *INTESTINAL mucosa , *CHINESE medicine , *DISEASE exacerbation , *BACTERIA - Abstract
Chronic obstructive pulmonary disease (COPD) changes the structure of the intestinal microbiota and activates the acute exacerbation of COPD (AECOPD). Previous studies showed that the way to treat COPD and AECOPD via combination of Chinese and Western medicine was successful. However, the effect of the intervention on the structure of the intestinal microbiota has not been studied. In this study, we collected feces from model rats following intervention, integrated with Chinese and Western medicine, and used 16S rRNA gene sequencing to clarify the effect on intestinal microbiota. Methods. Twenty-five rats were randomized into the control, COPD, AECOPD, Western medicine (moxifloxacin hydrochloride tablets + salbutamol sulfate tablets, MXF/STL), and integrated Chinese and Western medicine (Tong Sai granules + moxifloxacin hydrochloride tablets + salbutamol sulfate tablets + Bu Fei Yi Shen granules + salbutamol sulfate tablets, TMS/FS) groups. Lipopolysaccharide-combined cigarette smoke exposure method was used to simulate the acute exacerbation-stabilization of COPD. Then, the model rats were intervened. Results. The intervention of combination Chinese and Western medicine improved the lung function, decreased the C-Reactive Protein (CRP) and Serum Amyloid A (SAA), and relieved pathological damage to the pulmonary alveoli and intestinal mucous of AECOPD rats. The proportion of Firmicutes, TM7, Oscillospira, Clostridium, Ruminococcus, Blautia, Treponema, and Turicibacter decreased, whereas that of Bacteroidetes, Proteobacteria, Lactobacillus, and Allobaculum increased via the intervention with the combination of Chinese and Western medicine. Conclusions. The intervention with Chinese and Western medicine optimizes the intestinal microbiota structure in AECOPD rat model, which provides a basis for the COPD study in the Chinese medicine. [ABSTRACT FROM AUTHOR]
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- 2021
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20. Lactoferrin impact on gut microbiota in preterm infants with late-onset sepsis or necrotising enterocolitis: the MAGPIE mechanisms of action study
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Nicholas Embleton, Janet Berrington, Stephen Cummings, Jon Dorling, Andrew Ewer, Alessandra Frau, Edmund Juszczak, John Kirby, Christopher Lamb, Clare Lanyon, Lauren Lett, William McGuire, Christopher Probert, Stephen Rushton, Mark Shirley, Christopher Stewart, and Gregory R Young
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humans ,infant ,infant, newborn ,enterocolitis, necrotizing ,ltf protein, human ,lactoferrin ,gastrointestinal microbiome ,dysbiosis ,enteral nutrition ,risk factors ,milk ,metabolome ,high-throughput nucleotide sequencing ,infant, premature ,sepsis ,feces ,fatty acids, volatile ,immune system ,mass spectrometry ,clinical protocols ,Medicine - Abstract
Background: Preterm infants have high rates of morbidity, especially from late-onset sepsis and necrotising enterocolitis. Lactoferrin is an anti-infective milk protein that may act through effects on gut bacteria, metabolites and epithelial cell function. The impact of supplemental lactoferrin in reducing late-onset sepsis was explored in the Enteral LactoFerrin In Neonates (ELFIN) trial. Objectives: The Mechanisms Affecting the Gut of Preterm Infants in Enteral feeding (MAGPIE) study was nested within the ELFIN trial and aimed to determine the impact of lactoferrin on gut microbiota and bacterial function, and changes preceding disease onset. We aimed to explore impacts on the stool bacteria and faecal/urinary metabolome using gas and liquid chromatography–mass spectrometry, and explore immunohistological pathways in resected tissue. Methods: Preterm infants from 12 NHS hospitals were enrolled in the study, and daily stool and urine samples were collected. Local sample collection data were combined with ELFIN trial data from the National Perinatal Epidemiology Unit, Oxford. The longitudinal impact of lactoferrin in healthy infants was determined, and samples that were collected before disease onset were matched with samples from healthy control infants. Established, quality-controlled 16S ribonucleic acid, gas chromatography–mass spectrometry and liquid chromatography–mass spectrometry analyses were conducted. Validated databases and standardised workflows were used to identify bacteria and metabolites. Tissue samples from infants undergoing surgery and matched controls were analysed. Results: We recruited 479 preterm infants (mean gestation of 28.4 ± 2.3 weeks) and collected > 33,000 usable samples from 467 infants. 16S ribonucleic acid bacterial analysis was conducted on samples from 201 infants, of whom 20 had necrotising enterocolitis and 51 had late-onset sepsis, along with samples from healthy matched controls to explore longitudinal changes. The greatest change in relative bacterial abundance over time was observed in Staphylococcus, which decreased from 42% at aged 7–9 days to only 2% at aged 30–60 days (p
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- 2021
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21. The Stool Color Card as a Screening Tool for Biliary Atresia in the Digital Version of the Portuguese Child and Youth Health Booklet
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Joanna Ashworth, Marta Tavares, Ermelinda Santos Silva, and Ana Isabel Lopes
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Biliary Atresia/diagnosis ,Feces ,Jaundice ,Neonatal ,Neonatal Screening ,Medicine ,Medicine (General) ,R5-920 - Abstract
N/a.
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- 2021
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22. Viral RNA Load in Mildly Symptomatic and Asymptomatic Children with COVID-19, Seoul, South Korea
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Mi Seon Han, Moon-Woo Seong, Namhee Kim, Sue Shin, Sung Im Cho, Hyunwoong Park, Taek Soo Kim, Sung Sup Park, and Eun Hwa Choi
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SARS-CoV-2 ,viral load ,children ,COVID-19 ,feces ,saliva ,Medicine ,Infectious and parasitic diseases ,RC109-216 - Abstract
Along with positive SARS-CoV-2 RNA in nasopharyngeal swabs, viral RNA was detectable at high concentration for >3 weeks in fecal samples from 12 mildly symptomatic and asymptomatic children with COVID-19 in Seoul, South Korea. Saliva also tested positive during the early phase of infection. If proven infectious, feces and saliva could serve as transmission sources.
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- 2020
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23. Uporaba mitohondrijske DNA v forenzičnih preiskavah
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Irena Zupanič Pajnič
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skeletni ostanki ,nohti ,lasje ,feces ,urin ,Medicine - Abstract
Prispevek na pregleden način opisuje uporabo mitohondrijske DNA (mtDNA) v forenzičnih preiskavah. Pri starih in slabo ohranjenih bioloških vzorcih tipizacija jedrne DNA pogosto ni uspešna, lahko pa preiskujemo polimorfizme mtDNA, ki je zaradi številnih kopij na calico in krožne oblike manj izpostavljena razgradnji in se ohrani daljši čas. Osredotočili se bomo na kontrolno regijo mtDNA, ki je zaradi svoje polimorfnosti v forenzičnih preiskavah najbolj uporabna in opozorili na heteroplazmijo, ki jo je potrebno upoštevati pri identifikacijah posameznikov in bioloških sledi. Slabo ohranjene biološke vzorce predstavljalo predvsem stari skeletni ostanki - kosti in zobje, stari nohti, feces, urin ter izpadli lasje. Slednji predstavljajo mikrosledove, ki jih kriminalisti pogosto najdejo na krajih kaznivih dejanj. Posamezen tip biološkega materiala bomo podrobneje opisali. Poleg zgradbe bomo namenili posebno pozornost vplivom okolja na ohranitev DNA v posameznem tipu biološkega materiala, optimizaciji ekstrakcijskih metod za učinkovito izolacijo in optimalnemu vzorčenju. Zaradi nizkih količin DNA, so omenjeni vzorci izpostavljeni kontaminaciji z DNA oseb, ki sodelujejo pri postopkih zbiranja in genetskih preiskavah. Za preprečevanje in sledenje morebitni kontaminaciji upoštevamo različne ukrepe, ki jih bomo opisali. Uporaba mtDNA je v forenziki zelo široka, zato bomo prispevek zaključili s predstavitvijo preiskav mtDNA v Sloveniji in po svetu.
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- 2019
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24. Is stool frequency associated with the richness and community composition of gut microbiota?
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Hye Jung Kwon, Jong Hyun Lim, Dongmin Kang, Sanghyun Lim, Seun Ja Park, and Jae Hyun Kim
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Feces ,Gastrointestinal microbiome ,Composition ,Distribution ,Medicine ,Diseases of the digestive system. Gastroenterology ,RC799-869 - Abstract
Background/Aims Recently, a number of studies have reported that the gut microbiota could contribute to human conditions, including obesity, inflammation, cancer development, and behavior. We hypothesized that the composition and distribution of gut microbiota are different according to stool frequency, and attempted to identify the association between gut microbiota and stool frequency. Methods We collected fecal samples from healthy individuals divided into 3 groups according to stool frequency: group 1, a small number of defecation (≤2 times/wk); group 2, normal defecation (1 time/day or 1 time/2 day); and group 3, a large number of defecation (≥2–3 times/day). We evaluated the composition and distribution of the gut microbiota in each group via 16S rRNA-based taxonomic profiling of the fecal samples. Results Fecal samples were collected from a total of 60 individuals (31 men and 29 women, aged 34.1±5.88 years), and each group comprised 20 individuals. The microbial richness of group 1 was significantly higher than that of group 3 and tended to decrease with increasing number of defecation (P
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- 2019
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25. Epidemiology of Aeromonas spp. isolated from stool in a tertiary hospital in Cantabria, Northern Spain, in the last five years
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Ana de Malet Pintos-Fonseca, Carlos Ruiz de Alegría-Puig, and Marta Fernández-Martínez
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Microbiology (medical) ,medicine.medical_specialty ,Veterinary medicine ,Aeromonas caviae ,biology ,Campylobacter ,General Medicine ,biology.organism_classification ,medicine.disease_cause ,Diarrhea ,Aeromonas ,Epidemiology ,Multiplex polymerase chain reaction ,medicine ,medicine.symptom ,Pathogen ,Feces - Abstract
Introduction The role of Aeromonas species in gastrointestinal disease is controversial. The aim of this study was to know the epidemiological distribution of Aeromonas spp. isolated from stool in our health area, determine the existence of diarrhea as a significant symptom, identification of existing species in our environment and association as co-pathogen. Methods It was a retrospective descriptive study of isolates of Aeromonas spp. in feces (2016–2020). The protocol for these isolates included coproculture, identification by MALDI-TOF (Vitek-MS®, BioMerieux) and confirmation by multiplex PCR. Results A total of 366 Aeromonas spp. isolates were analyzed being Aeromonas caviae the most prevalent species (289, 78.7%). A total of 58 (15.8%) co-infections were identified, being more frequent in pediatric age (49;84.5%) (p = 0.01) and mostly associated with Campylobacter spp. Discussion Aeromonas spp. prove to be a gastrointestinal pathogen more frequently associated with co-infections in pediatric age, evidencing its appearance especially with Campylobacter spp.
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- 2023
26. Cryptosporidium spp. and Giardia duodenalis emissions from humans and animals in the Three Gorges Reservoir in Chongqing, China
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Qian Huang, Ling Yang, Bo Li, Huihui Du, Feng Zhao, Lin Han, Qilong Wang, Yunjia Deng, Guosheng Xiao, and Dayong Wang
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Cryptosporidium spp. ,Giardia duodenalis ,Feces ,Emission ,Model ,Three Gorges Reservoir ,Medicine ,Biology (General) ,QH301-705.5 - Abstract
Cryptosporidium spp. and Giardia duodenalis are two waterborne protozoan parasites that can cause diarrhea. Human and animal feces in surface water are a major source of these pathogens. This paper presents a GloWPa-TGR-Crypto model that estimates Cryptosporidium and G. duodenalis emissions from human and animal feces in the Three Gorges Reservoir (TGR), and uses scenario analysis to predict the effects of sanitation, urbanization, and population growth on oocyst and cyst emissions for 2050. Our model estimated annual emissions of 1.6 × 1015 oocysts and 2.1 × 1015 cysts from human and animal feces, respectively. Humans were the largest contributors of oocysts and cysts, followed by pigs and poultry. Cities were hot-spots for human emissions, while districts with high livestock populations accounted for the highest animal emissions. Our model was the most sensitive to oocyst excretion rates. The results indicated that 74% and 87% of total emissions came from urban areas and humans, respectively, and 86% of total human emissions were produced by the urban population. The scenario analysis showed a potential decrease in oocyst and cyst emissions with improvements in urbanization, sanitation, wastewater treatment, and manure management, regardless of population increase. Our model can further contribute to the understanding of environmental pathways, the risk assessment of Cryptosporidium and Giardia pollution, and effective prevention and control strategies that can reduce the outbreak of waterborne diseases in the TGR and other similar watersheds.
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- 2020
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27. PREVALENCE OF INTESTINAL HELMINTHIASIS IN CHILDREN AT NORTH KEPUTRAN SURABAYA AT 2017
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Hana Naili Prasetyo and Heru Prasetyo
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intestinal parasites ,children ,riverbank ,anal swab ,feces ,Medicine ,Microbiology ,QR1-502 - Abstract
Background: Parasite infection is still an endemic disease that can be found in any place in Indonesia that can cause problems in public health, especially for children. Intestinal helminthiasis can interfere with children’s growth and development which will affect their quality of life. Purpose: The purpose of this research is to find out the prevalence of intestinal helminthiasis among children in Pasar Kampung Keputran Surabaya. It is located at the riverbank and the majority people are immigrants that lead to population density and slum. Methods: This descriptive observational study anal swab specimens with Scotch adhesive tape swab method and fecal specimen were examined microscopically at the Laboratory of Parasitology, Faculty of Medicine, Airlangga University. Result: according to the finding of the anal swab and stool examination: 36 % specimens were infected by intestinal helminth as follows: Enterobiasis 28 %, Ascariasis 4% and Hymenolepiasis 4% Intestinal parasite sufferers 62,5% male and 37,5% women with vulnerable age of a patient 6-11 year. Conclusion: It can be concluded that the prevalence of intestinal helminthiasis in children in the village of Pasar Keputran Utara Surabaya is quite high, ie 36% infected intestinal worms. Gender and age are also influential. Proven male patients are higher than women. Densely populated areas, poor environmental and sanitation, and the intensity and intensity of child contact with the outdoors are responsible for high rates of intestinal parasite infection in the area.
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- 2018
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28. Zoonotic intestinal nematodes in dogs from public parks in Yucatán, México
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Rodrigo Adán Medina-Pinto, Roger Iván Rodríguez-Vivas, and Manuel Emilio Bolio-González
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Nematoda ,feces ,dogs ,parasitic diseases, animal ,zoonoses ,parks, recreational ,Mexico ,Medicine ,Arctic medicine. Tropical medicine ,RC955-962 - Abstract
Introduction: Dogs represent a potential public health risk because of the natural transmission of zoonotic parasitic infections. Objective: To estimate the frequency and to determine factors associated with the presence of intestinal nematode eggs in dog feces collected in public parks of Mérida,Yucatán, México. Materials and methods: A total of 100 dog fecal samples collected from 20 public parks in two areas of Mérida were analyzed. Samples were processed by the centrifugation-flotation and the McMaster techniques to confirm the presence and to quantify the excretion of intestinal nematode eggs per gram of feces. The factors associated with the presence of nematode eggs were identified using the chi square univariate analysis. Results: We found an 11% frequency of fecal samples positive for intestinal nematode eggs. Eggs of three species of parasites were identified: Ancylostoma caninum was the most common (10%), followed by Toxocara canis (10%), and Trichuris vulpis (1%). Most positive samples were infected with only one intestinal nematode (10%), and only 1 % was positive for a mixed infection by A. caninum and T. vulpis. The presence of stray dogs in public parks was an associated factor (p=0.046) with a higher number of fecal samples positive for intestinal nematode eggs. Conclusions: The frequency of intestinal nematodes in dog feces with zoonotic potential was high in parks of Mérida, Yucatán, México; samples from parks where there were stray dogs had a higher possibility of being positive.
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- 2018
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29. Peanut Skins as a Natural Antimicrobial Feed Additive To Reduce the Transmission of Salmonella in Poultry Meat Produced for Human Consumption
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Adam K. Redhead, Nur Fatin Inazlina Noor Azman, Anis Izzaty Nasaruddin, Thien Vu, Fernanda Santos, Ramon Malheiros, Anis Shobirin Meor Hussin, and Ondulla T. Toomer
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Male ,Litter (animal) ,Salmonella ,Arachis ,Feed additive ,Biology ,medicine.disease_cause ,Microbiology ,Feed conversion ratio ,Poultry ,Animal science ,medicine ,Animals ,Cecum ,Poultry Diseases ,Feces ,Salmonella Infections, Animal ,Inoculation ,food and beverages ,Animal Feed ,Anti-Bacterial Agents ,Salmonella enteritidis ,Flock ,medicine.symptom ,Chickens ,Weight gain ,Food Science - Abstract
Salmonella is the leading cause of bacterial foodborne zoonoses in humans. Thus, the development of strategies to control bacterial pathogens in poultry is essential. Peanut skins, a considerable waste by-product of the peanut industry is discarded and of little economic value. However, peanut skins contain identified polyphenolic compounds that have antimicrobial properties. Hence, we aim to investigate the use of peanut skins as an antibacterial feed additive in the diets of broilers to prevent the proliferation of Salmonella Enteritidis (SE). One hundred sixty male hatchlings (Ross 308) were randomly assigned to (i) peanut skin diet without SE inoculation (PS); (ii) peanut skin diet and SE inoculation (PSSE); (iii) control diet without SE inoculation (CON); and (iv) control diet with SE inoculation (CONSE). Feed intake and body weights were determined at weeks 0 and 5. On days 10 and 24 posthatch, three birds per pen (24 total) from each treatment group were euthanized, and the liver, spleen, small intestine, and ceca were collected. The weights of the liver, spleen, and ceca were recorded. Organ invasion was determined by counting SE colonies. Each pen served as an experimental unit and was analyzed by using a t test. Performance data were analyzed in a completely randomized design by using a general linear mixed model to evaluate differences. There were no significant differences (P0.05) in weekly average pen body weight, total feed consumption, bird weight gain, and feed conversion ratio between the treatment groups. There were no significant differences in SE CFU per gram for fecal, litter, or feed between the treatment groups CONSE and PSSE. However, for both fecal and litter, the PSSE treatment group tended (P ≤ 0.1) to have a lower Salmonella CFU per gram compared with the CONSE treatment group. The results indicate that peanut skins may have potential application as an antimicrobial feed additive to reduce the transmission or proliferation of SE in poultry environments or flocks.
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- 2022
30. Predictive value of tissue calprotectin for disease recurrence after ileocecal resection in pediatric Crohn's disease
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Filip Mikus, Lucie Pos, Kristyna Zarubova, Vojtech Dotlacil, Richard Skaba, Ondrej Hradsky, Tereza Lerchova, Ondrej Fabian, and Jiri Bronsky
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medicine.medical_specialty ,Peritonitis ,Disease ,Anastomosis ,Gastroenterology ,General Biochemistry, Genetics and Molecular Biology ,Feces ,fluids and secretions ,Crohn Disease ,Recurrence ,Internal medicine ,medicine ,Humans ,Child ,business.industry ,Margins of Excision ,Colonoscopy ,Ileocecal resection ,medicine.disease ,Predictive value ,Resection margin ,Immunohistochemistry ,Calprotectin ,business ,Leukocyte L1 Antigen Complex ,Biomarkers - Abstract
AIM Detection of possible predictive factors of endoscopic recurrence after ileocecal resection in Crohn's disease could be very beneficial for the individual adjustment of postoperative therapy. The aim of this study was to verify, whether immunohistochemical detection of calprotectin in resection margins is useful in diagnostics of endoscopic recurrence. METHODS In this study we included pediatric patients with Crohn's disease who underwent ileocecal resection, regardless of pre-operative or post-operative therapy (n=48). We collected laboratory, clinical, surgical, endoscopic and histopathological data at the time of surgery and at 6 months after surgery. The immunohistochemical staining of calprotectin antigen was performed on all paraffin blocks from the resection margins. RESULTS Out of 48 patients 52% had endoscopic recurrence in the anastomosis (defined by Rutgeerts score) within 6 months after surgery. The number of cells positive for calprotectin in the proximal resection margin was negatively associated with recurrence (P=0.008), as was the elevated level of total calprotectin (from both resection margins). There was no correlation of calprotectin in distal resection margin and endoscopic recurrence. Fecal calprotectin over 100 ug/g (P=0.0005) and high CRP (P
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- 2022
31. The Accumulation of Gut Microbiome–derived Indoxyl Sulfate and P-Cresyl Sulfate in Patients With End-stage Renal Disease
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Wangqun Liang, Xuechun Lin, Piwei Zhang, Ying Yao, Xiaolei Guo, Li Li, Siyun Xiang, Shuiqing He, Hong Wang, Xuezhi Zuo, Qianqian Xiong, Chenjiang Ying, and Jing Zhao
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medicine.medical_specialty ,Indoles ,Medicine (miscellaneous) ,Urine ,Sulfuric Acid Esters ,medicine.disease_cause ,End stage renal disease ,Cresols ,chemistry.chemical_compound ,Downregulation and upregulation ,Dialysis Solutions ,RNA, Ribosomal, 16S ,Internal medicine ,Humans ,Medicine ,Renal Insufficiency, Chronic ,Sulfate ,Escherichia coli ,Feces ,Nutrition and Dietetics ,biology ,Sulfates ,business.industry ,Tryptophan ,biology.organism_classification ,Gastrointestinal Microbiome ,Endocrinology ,chemistry ,Nephrology ,Kidney Failure, Chronic ,Indoxyl Sulfate ,business ,Indican ,Bacteria - Abstract
Indoxyl sulfate (IS) and p-cresyl sulfate (pCS) are two important gut microbiota-generated protein-bound uremic toxins. The present study aims to explore the alterations of serum IS and pCS concentrations, their production, and daily removal in end-stage renal disease (ESRD).A case-controlled study was conducted based on 11 patients with ESRD and 11 healthy volunteers. The metabolic processes for IS and pCS were compared in these two groups, including gut microbiome, fecal indole and p-cresol, indole-producing bacteria and p-cresol-producing bacteria, serum total IS and pCS concentrations, and their daily removal by urine and spent dialyzate.Compared with healthy controls, patients with ESRD exhibited higher relative abundance of the indole-producing bacteria Escherichia coli (P .001) and Bacteroides fragilis (P = .010) and p-cresol-producing bacteria Bacteroides fragilis (P = .010) and Bacteroides caccae (P = .047). The predicted functional profiles of gut microbiome based on 16S rRNA gene PhyloChip analysis showed that the microbial tryptophan metabolism pathway (map00380, P = .0006) was significantly enriched in patients with ESRD. However, the fecal precursors indole (P = .332) and p-cresol concentrations (P = .699) were comparable between the two groups. The serum IS (P .001) and pCS (P .001) concentrations were far higher in patients with ESRD than those in healthy controls, whereas the daily total removal by urine and dialyzate was much lower for the former than that for the latter (P = .019 for IS, P = .016 for pCS).The present study showed serious IS and pCS accumulation in patients with ESRD, with significant expansion of indole-producing bacteria and p-cresol-producing bacteria, upregulation of the bacterial tryptophan metabolism pathway, and greatly increased serum IS and pCS concentrations, whereas significant decline of daily IS and pCS removal.
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- 2022
32. Prevalence, Genetic Diversity and Factors Associated with Distribution of Listeria monocytogenes and Other Listeria spp. in Cattle Farms in Latvia
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Margarita Terentjeva, Žanete Šteingolde, Irēna Meistere, Didzis Elferts, Jeļena Avsejenko, Madara Streikiša, Silva Gradovska, Laura Alksne, Juris Ķibilds, and Aivars Bērziņš
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serogroups ,clonal complexes ,feed ,soil ,water ,feces ,Medicine - Abstract
Listeria spp. is a diverse genus of Gram-positive bacteria commonly present in the environment while L. monocytogenes and L. ivanovii are well known human and ruminant pathogens. The aim of the present study was to reveal the prevalence and genetic diversity of L. monocytogenes and other Listeria spp. and to identify the factors related to the abundance of pathogen at cattle farms. A total of 521 animal and environmental samples from 27 meat and dairy cattle farms were investigated and the genetic diversity of L. monocytogenes isolates was studied with WGS. The prevalence of Listeria was 58.9%, while of L. monocytogenes it was −11%. The highest prevalence of L. monocytogenes was found in the environment—soil samples near to manure storage (93%), mixed feed from the feeding trough and hay (29%), water samples from farms drinking trough (28%) and cattle feces (28%). Clonal complexes (CC) of CC37 (30%), CC11 (20%) and CC18 (17%) (all IIa serogroup) were predominant L. monocytogenes clones. CC18, CC37 and CC8 were isolated from case farms and CC37, CC11 and CC18 from farms without listeriosis history. Only one hypervirulent CC4 (1%) was isolated from the case farm. Sequence types (STs) were not associated with the isolation source, except for ST7, which was significantly associated with soil (p < 0.05). The contamination of soil, feeding tables and troughs with L. monocytogenes was associated with an increased prevalence of L. monocytogenes at farms. Our study indicates the importance of hygienic practice in the prevention of the dissemination of L. monocytogenes in the cattle farm environment.
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- 2021
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33. Is methylation analysis of SFRP2, TFPI2, NDRG4, and BMP3 promoters suitable for colorectal cancer screening in the Korean population?
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Soo-Kyung Park, Hae Lim Baek, Junghee Yu, Ji Yeon Kim, Hyo-Joon Yang, Yoon Suk Jung, Kyu Yong Choi, Hungdai Kim, Hyung Ook Kim, Kyung Uk Jeong, Ho-Kyung Chun, Kyungeun Kim, and Dong Il Park
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Colorectal neoplasms ,Feces ,DNA ,Adenoma ,Medicine ,Diseases of the digestive system. Gastroenterology ,RC799-869 - Abstract
Background/Aims: Colorectal cancer (CRC) screening using stool DNA was recently found to yield good detection rates. A multi-target stool DNA test (Cologuard®, Exact Sciences), including methylated genes has been recently approved by the U.S. Food and Drug Administration. The aim of this study was to validate these aberrantly methylated genes as stool-based DNA markers for detecting CRC and colorectal advanced adenoma (AA) in the Korean population.Methods: A single-center study was conducted in 36 patients with AA; 35 patients with CRC; and 40 endoscopically diagnosed healthy controls using CRC screening colonoscopy. The methylation status of the SFRP2, TFPI2, NDRG4, and BMP3 promoters was investigated blindly using bisulfate-modified stool DNA obtained from 111 participants. Methylation status was investigated by methylation-specific polymerase chain reaction.Results: Methylated SFRP2, TFPI2, NDRG4, and BMP3 promoters were detected in 60.0%, 31.4%, 68.8%, and 40.0% of CRC samples and in 27.8%, 27.8%, 27.8%, and 33.3% of AA samples, respectively. The sensitivities obtained using 4 markers to detect CRC and AA were 94.3% and 72.2%, respectively. The specificity was 55.0%.Conclusions: Our results demonstrate that the SFRP2, TFPI2, NDRG4, and BMP3 promoter methylation analysis of stool sample DNA showed high sensitivity but low specificity for detecting CRC and AA. Because of the low specificity, 4 methylated markers might not be sufficient for CRC screening in the Korean population. Further large-scale studies are required to validate the methylation of these markers in the Asian population and to find new markers for the Asian population.
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- 2017
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34. Association of the gut microbiome and metabolome with wheeze frequency in childhood asthma
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Scott T. Weiss, Nancy Laranjo, Megan Sandel, Babak Momeni, Kathleen Lee-Sarwar, Sandra Dedrick, Diane R. Gold, Robert S. Zeiger, Jessica Lasky-Su, Yang-Yu Liu, Leonard B. Bacharier, George T. O'Connor, Rachel S. Kelly, Augusto A. Litonjua, and Avraham Beigelman
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Childhood asthma ,business.industry ,Immunology ,Gut microbiome ,Asthma ,Gastrointestinal Microbiome ,Feces ,Wheeze ,Child, Preschool ,RNA, Ribosomal, 16S ,medicine ,Metabolome ,Humans ,Metabolomics ,Immunology and Allergy ,medicine.symptom ,business ,Respiratory Sounds - Abstract
While the microbiome has an established role in asthma development, less is known about its contribution to morbidity in children with asthma.In this ancillary study of the Vitamin D Antenatal Asthma Reduction Trial (VDAART), we analyzed the gut microbiome and metabolome of wheeze frequency in children with asthma.Bacterial 16S ribosomal RNA microbiome and untargeted metabolomic profiling were performed on fecal samples collected from 3-year-old children with parent-reported physician-diagnosed asthma. We analyzed wheeze frequency by calculating the proportion of quarterly questionnaires administered between ages 3 and 5 years in which parents reported the child had wheezed (wheeze proportion). Taxa and metabolites associated with wheeze were analyzed by identifying log fold changes with respect to wheeze frequency and correlation/linear regression analyses, respectively. Microbe-metabolite and microbe-microbe correlation networks were compared between subjects with high and low wheeze proportion.Specific taxa, including the genus Veillonella and histidine pathway metabolites, were enriched in subjects with high wheeze proportion. Among wheeze-associated taxa, Veillonella and Oscillospiraceae UCG-005, which was inversely associated with wheeze, were correlated with the greatest number of fecal metabolites. Microbial networks were similar between subjects with low versus high wheeze frequency.Gut microbiome features are associated with wheeze frequency in children with asthma, suggesting an impact of the gut microbiome on morbidity in childhood asthma.
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- 2022
35. Multi-omics data reveals the disturbance of glycerophospholipid metabolism caused by disordered gut microbiota in depressed mice
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Jianjun Chen, Jing Xie, Qiang Mao, Qi Zhong, Wei-hua Shao, Ying Wang, and Tian Tian
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medicine.medical_specialty ,Multidisciplinary ,biology ,Metabolite ,Tryptophan ,Firmicutes ,Hippocampus ,Lipid metabolism ,Glycerophospholipids ,Metabolism ,Gut flora ,Fatty Acids, Volatile ,Lipid Metabolism ,biology.organism_classification ,Gastrointestinal Microbiome ,Pathogenesis ,Mice ,chemistry.chemical_compound ,Endocrinology ,chemistry ,Internal medicine ,medicine ,Animals ,Feces - Abstract
Introduction Although researchers have done intensive research on depression, its pathogenesis is still not fully explained. More and more evidence suggests that gut microbiota is closely related to the onset of depression; but its specific functional ways are not clearly identified. Objectives The purpose of our work was to find out how the gut microbiota was involved in the onset of depression, and to identify the potential ways to link the gut and brain in mice with depressive-like behaviors (DLB). Methods We used the chronic restraint stress (CRS)-induced depression model here. Gut microbiota compositions in fecal samples, lipid metabolism (in fecal, serum and hippocampus samples) and neurotransmitters in hippocampus samples were detected. Results We found that the 7 of 13 differential genera that significantly correlated with DLB belonged to phylum Firmicutes. The differential lipid metabolites in fecal samples mainly belonged to glycerophospholipids (GP) and fatty acids (FA) metabolism, and three important “metabolite type-bacterial taxa” correlated pairs were identified: “FA/GP-Firmicutes”, “FA/GP-Akkermansia”, and “FA/GP-Bifidobacterium”. The key differential lipid metabolites significantly correlated with DLB mainly belonged to FA and GP, and the DLB-related metagenomic genes were consistently enriched in GP metabolism and FA metabolism. Three significantly changed short-chain fatty acids (SCFAs) were significantly correlated with the majority of differential genera. Meanwhile, we found that the differential lipid metabolites in serum and hippocampus samples were mainly mapped into the GP metabolism, and there were four differential neurotransmitters from the tryptophan pathway in hippocampus samples. Conclusion Together, our findings could provide novel insights into the role of “microbiota-gut-brain” (MGB) axis in depression, and indicate that the gut microbiota might have a vital role in the onset of DLB by affecting the peripheral/central GP metabolism and tryptophan pathway. The “Firmicutes-SCFAs-GP metabolism-Tryptophan pathway” might be a possible way to link the gut and brain in depressed mice.
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- 2022
36. Advances in the Comprehensive Management of Postoperative Crohn’s Disease
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William J. Sandborn and Robert Battat
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medicine.medical_specialty ,Population ,Colonoscopy ,Disease ,Inflammatory bowel disease ,Endoscopy, Gastrointestinal ,Feces ,03 medical and health sciences ,0302 clinical medicine ,Crohn Disease ,Internal medicine ,Small intestinal bacterial overgrowth ,medicine ,Humans ,education ,Inflammation ,Crohn's disease ,education.field_of_study ,Hepatology ,medicine.diagnostic_test ,business.industry ,Gastroenterology ,medicine.disease ,Short bowel syndrome ,030220 oncology & carcinogenesis ,030211 gastroenterology & hepatology ,Calprotectin ,business ,Leukocyte L1 Antigen Complex ,Biomarkers - Abstract
Patients with postoperative Crohn's disease are difficult to manage because of their risk of experiencing a more severe course, multiple symptom confounders, and poor sensitivity of symptomatic remission to rule out intestinal inflammation. In this group, data are lacking on biologic therapeutic efficacy, and recommendations are lacking for those with multiple medication failures. Novel noninvasive testing can simultaneously exclude alternate causes of symptoms (serum C4, fecal fat, small intestinal bowel overgrowth breath testing) and assess intestinal inflammation (fecal calprotectin, endoscopic healing index). In addition, endoscopy-based disease activity assessment and management are required. Endoscopy should be performed within 6 months of surgery, and aggressive disease activity monitoring can be considered with colonoscopy every 1-2 years subsequently to ensure late recurrence is detected. Patients with multiple resections should be screened for short bowel syndrome. Predictive biomarkers are needed to guide medication selection in this high-risk population. Postoperative prophylactic biologic therapy is prudent for patients with preoperative biologic failure. However, there are no high-quality data to guide which agent should be selected. Selecting biologics with an alternative mechanism of action in those who had failed a biologic with adequate drug concentrations and selection of different agents in those with previous intolerance are reasonable. Significantly more study is required to assess the efficacy of therapies in this setting.
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- 2022
37. MW Polyomavirus in diarrheal Italian infants
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Ilaria Galliano, Valentina Daprà, Chiara Merlino, Pier-Angelo Tovo, Massimiliano Bergallo, Marco Rassu, and Paola Montanari
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business.industry ,MW polyomavirus ,Stool specimen ,medicine.disease_cause ,Virology ,Virus ,Diarrhea ,Real-time polymerase chain reaction ,Pediatrics, Perinatology and Child Health ,TaqMan ,medicine ,medicine.symptom ,business ,Feces - Abstract
BACKGROUND MXPyV, like MWPyV, was identified in stool samples from children suffering diarrhea in Mexico. In this study, we used a home-made real time PCR to investigate the presence of this novel viruses in stool specimen collected from under-Five- Year-Old Children with gastroenteritis. METHODS A total of 192 fecal specimens previously screened for RV, ADV, NoV, HPeV and SaV, were tested for MWPyV with Taqman real time PCR. RESULTS The most commonly detected virus was NoV GII (33.8%), followed by RV (21.3%), SaV (10.9%), HPeV(8%), NoV GI (6.7%) and AdV (1%). Real time PCR detected MWPyV in 1/192 (0.5%) patients. CONCLUSIONS We detected MWPyV in 0.5% of fecal specimens collected from pediatric patients suffering gastroenteritis which is smaller than the previously reported in literature (4.4% in Australia and 12% Mexico).
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- 2023
38. Fungi: Friend or Foe? A Mycobiome Evaluation in Children With Autism and Gastrointestinal Symptoms
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Mohammad H. Rahbar, Deborah A. Pearson, Parisa Asgarisabet, Fernando Navarro, J. Marc Rhoads, Amirali Tahanan, Rosleen Mansour, Nicole Y. Fatheree, Yuying Liu, Jane J. Alookaran, Manouchehr Hessabi, Thomas A. Auchtung, and Melissa R Van Arsdall
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medicine.medical_specialty ,Autism Spectrum Disorder ,Gastrointestinal Diseases ,Pilot Projects ,behavioral disciplines and activities ,Gastroenterology ,Article ,Immunity ,Internal medicine ,parasitic diseases ,mental disorders ,Medicine ,Humans ,Limited evidence ,Microbiome ,Autistic Disorder ,Child ,Feces ,Inflammation ,business.industry ,Fungi ,medicine.disease ,Gastrointestinal Microbiome ,Pediatrics, Perinatology and Child Health ,Candida spp ,population characteristics ,Autism ,Calprotectin ,business ,human activities ,Leukocyte L1 Antigen Complex ,Mycobiome - Abstract
Gastrointestinal (GI) symptoms often affect children with autism spectrum disorders (ASD) and GI symptoms have been associated with an abnormal fecal microbiome. There is limited evidence of Candida species being more prevalent in children with ASD. We enrolled 20 children with ASD and GI symptoms (ASD + GI), 10 children with ASD but no GI symptoms (ASD - GI), and 20 from typically developing (TD) children in this pilot study. Fecal mycobiome taxa were analyzed by Internal Transcribed Spacer sequencing. GI symptoms (GI Severity Index [GSI]), behavioral symptoms (Social Responsiveness Scale -2 [SRS-2]), inflammation and fungal immunity (fecal calprotectin and serum dectin-1 [ELISA]) were evaluated. We observed no changes in the abundance of total fungal species (alpha diversity) between groups. Samples with identifiable Candida spp. were present in 4 of 19 (21%) ASD + GI, in 5 of 9 (56%) ASD - GI, and in 4 of 16 (25%) TD children (overall P = 0.18). The presence of Candida spp. did not correlate with behavioral or GI symptoms (P = 0.38, P = 0.5, respectively). Fecal calprotectin was normal in all but one child. Finally, there was no significance in serum dectin-1 levels, suggesting no increased fungal immunity in children with ASD. Our data suggest that fungi are present at normal levels in the stool of children with ASD and are not associated with gut inflammation.
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- 2023
39. Luminescent Phage-Based Detection of Klebsiella pneumoniae: From Engineering to Diagnostics
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Lior Zelcbuch, Elad Yitzhaki, Olga Nissan, Eliya Gidron, Nufar Buchshtab, Edith Kario, Sharon Kredo-Russo, Naomi B. Zak, and Merav Bassan
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diagnostics ,phage ,luminescent ,cloning ,nluc ,feces ,Medicine ,Pharmacy and materia medica ,RS1-441 - Abstract
Bacteriophages (“phages”) infect and multiply within specific bacterial strains, causing lysis of their target. Due to the specific nature of these interactions, phages allow a high-precision approach for therapy which can also be exploited for the detection of phage-sensitive pathogens associated with chronic diseases due to gut microbiome imbalance. As rapid phage-mediated detection assays becoming standard-of-care diagnostic tools, they will advance the more widespread application of phage therapy in a precision approach. Using a conventional method and a new cloning approach to develop luminescent phages, we engineered two phages that specifically detect a disease-associated microbial strain. We performed phage sensitivity assays in liquid culture and in fecal matrices and tested the stability of spiked fecal samples stored under different conditions. Different reporter gene structures and genome insertion sites were required to successfully develop the two nluc-reporter phages. The reporter phages detected spiked bacteria in five fecal samples with high specificity. Fecal samples stored under different conditions for up to 30 days did not display major losses in reporter-phage-based detection. Luminescent phage-based diagnostics can provide a rapid co-diagnostic tool to guide the growing field of phage therapy, particularly for a precision-based approach to chronic diseases treatment.
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- 2021
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40. Prevalence and Associated Risk Factors of Intestinal Parasitic Infections among Egyptian Patients with Inflammatory Bowel Disease
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Wael M. Abdel-Ghany, Manar M. Sanadeki, Amany M. Kamal, Reham A M Abd Rabou, and Marwa G. Abdelrehim
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Microbiology (medical) ,medicine.medical_specialty ,Cryptosporidiosis ,Cryptosporidium ,Gastroenterology ,Inflammatory bowel disease ,Feces ,Risk Factors ,hemic and lymphatic diseases ,Internal medicine ,parasitic diseases ,Prevalence ,medicine ,Humans ,Significant risk ,Intestinal Diseases, Parasitic ,Blastocystis ,biology ,business.industry ,Entamoeba ,Giardia ,General Medicine ,Middle Aged ,Inflammatory Bowel Diseases ,biology.organism_classification ,medicine.disease ,digestive system diseases ,Cross-Sectional Studies ,Infectious Diseases ,Case-Control Studies ,Egypt ,business ,Contaminated food - Abstract
The global prevalence of inflammatory bowel disease (IBD) is continuously rising, however, a little is known concerning intestinal parasitic infections (IPIs) and (IBD). We aimed to evaluate the prevalence of IPIs among IBD patients, through a case-control study and also, to correlate the positive cases to the socio-demographic risk factors of IPIs among the study groups. A 1-year case-control study included patients with IBD (n=125) and healthy controls (n=125). The fecal samples were examined with the classical parasitological methods for intestinal parasites. Also, in-vitro culture (for Blastocystis sp.) and Immuno-chromatography technique (for Cryptosporidium / Giardia /Entamoeba) were done. IBD patients had significant higher positivity rate of IPIs compared to healthy controls (Adjusted OR= 9.60, 95% CI: 4.51-20.41, P = 0.0001), with Blastocystis sp., Entamoeba dispar/ histolytica and Cryptosporidium sp. being highly significant in IBD patients. In addition to IBD, living in rural area, with low socio-economic stander, and consumed raw/contaminated food and age group > 50 years old were significant risk factors for IPIs. In conclusion, our results support a possible link between IPIs and IBD.
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- 2022
41. Fecal Amino Acid Analysis in Newly Diagnosed Pediatric Inflammatory Bowel Disease
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Tim G. J. de Meij, Erwin E. W. Jansen, Johan Van Limbergen, Ibrahim Ayada, Marc A. Benninga, Abdellatif Bakkali, Nanne K. H. de Boer, Jürgen Claesen, Eduard A. Struys, Jasmijn Z. Jagt, Graduate School, Paediatric Gastroenterology, AGEM - Amsterdam Gastroenterology Endocrinology Metabolism, ARD - Amsterdam Reproduction and Development, APH - Digital Health, APH - Health Behaviors & Chronic Diseases, Pediatrics, Amsterdam Neuroscience - Cellular & Molecular Mechanisms, Amsterdam Gastroenterology Endocrinology Metabolism, Laboratory Medicine, Gastroenterology and hepatology, and Amsterdam Reproduction & Development (AR&D)
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medicine.medical_specialty ,Taurine ,amino acid analysis ,pediatrics ,Inflammatory bowel disease ,Gastroenterology ,Feces ,chemistry.chemical_compound ,Crohn Disease ,Valine ,inflammatory bowel disease ,Internal medicine ,medicine ,Humans ,Immunology and Allergy ,Histidine ,Amino Acids ,Child ,chemistry.chemical_classification ,business.industry ,Tryptophan ,Case-control study ,Ornithine ,Inflammatory Bowel Diseases ,medicine.disease ,Ulcerative colitis ,metabolomics ,digestive system diseases ,Amino acid ,chemistry ,Case-Control Studies ,Chronic Disease ,Colitis, Ulcerative ,Leucine ,business - Abstract
Background Fecal metabolomic profiles differ between pediatric inflammatory bowel disease (IBD) patients and controls and may provide new insights in the pathophysiology of IBD. The role of amino acids, however, is not fully elucidated. We aimed to assess fecal amino acid profiles in pediatric IBD. Methods In this case-control study, treatment-naïve, newly diagnosed pediatric IBD patients and a non-IBD control group, matched based on sex and age, were included in 2 tertiary centres. Fecal amino acid profiles were assessed using a targeted high-performance liquid chromatography technique. A random forest classifier method was used to develop a prediction model differentiating IBD from controls and predicting IBD phenotype. The association between IBD localization and amino acid concentrations was tested with ordinal regression models. Results We included 78 newly diagnosed IBD patients (40 Crohn’s disease [CD], 38 ulcerative colitis [UC]) and 105 controls. Patients with IBD could be differentiated from controls with an accuracy of 82% (sensitivity 63%, specificity 97%). Twenty-nine out of the 42 measured unique amino acids were included in the prediction model. Increased levels of tryptophan, taurine, alanine, ornithine, valine, histidine, and leucine were the most differentiating features. Children with CD and UC could be differentiated from the controls with an accuracy of 80% and 90%, respectively. Inflammatory bowel disease phenotype could not be predicted. Tryptophan, valine, and histidine levels were positively associated with more extended disease in UC patients (P < .05). Conclusions Fecal amino acids may enhance understanding of the role of host-microbial interactions in the pathophysiology of IBD and may evolve into biomarkers for pediatric IBD diagnostic and personalized medicine.
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- 2022
42. Determining the protective effects of Ma-Mu-Ran Antidiarrheal Capsules against acute DSS-induced enteritis using 16S rRNA gene sequencing and fecal metabolomics
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Zheng Si-li, Mo Guoyan, Han Lintao, Duan Yan-fen, Huang Fang, and Zhang Dong-ning
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Capsules ,Gut flora ,Microbiology ,Enteritis ,Feces ,Mice ,Metabolomics ,RNA, Ribosomal, 16S ,Drug Discovery ,medicine ,Animals ,Antidiarrheals ,biology ,Genes, rRNA ,General Medicine ,Metabolism ,biology.organism_classification ,16S ribosomal RNA ,medicine.disease ,Metabolic pathway ,Diarrhea ,Complementary and alternative medicine ,medicine.symptom - Abstract
Ma-Mu-Ran Antidiarrheal Capsules (MMRAC) is traditional Chinese medicine that has been used to treat diarrhea caused by acute enteritis (AE) and bacillary dysentery in Xinjiang (China) for many years. However, the potential therapeutic mechanism of MMRAC for AE and its regulatory mechanism on host metabolism is unclear. This study used fecal metabolomics profiling with GC/MS and 16S rRNA gene sequencing analysis to explore the potential regulatory mechanisms of MMRAC on a dextran sulfate sodium salt (DSS)-induced mouse model of AE. Fecal metabolomics-based analyses were performed to detect the differentially expressed metabolites and metabolic pathways. The 16S rRNA gene sequencing analysis was used to assess the altered gut microbes at the genus level and for functional prediction. Moreover, Pearson correlation analysis was used to integrate differentially expressed metabolites and altered bacterial genera. The results revealed that six intestinal bacteria and seven metabolites mediated metabolic disorders (i.e., metabolism of amino acid, carbohydrate, cofactors and vitamins, and lipid) in AE mice. Besides, ten altered microbes mediated the differential expression of eight metabolites and regulated these metabolisms after MMRAC administration. Overall, these findings demonstrate that AE is associated with metabolic disorders and microbial dysbiosis. Further, we present that MMRAC exerts protective effects against AE by improving host metabolism through the intestinal flora.
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- 2022
43. Effects of Resistant Starch on Symptoms, Fecal Markers, and Gut Microbiota in Parkinson’s Disease — The RESISTA-PD Trial
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Anouck Becker, Valentina Galata, Georges Pierre Schmartz, Eckart Meese, Jörn Walter, Andreas Keller, Sascha Tierling, Jacqueline Weiland, Laura Gröger, Andreas Schwiertz, Nadja Grammes, Marcus M. Unger, Gudrun Wagenpfeil, Hannah Philippeit, Nicole Ludwig, Klaus Faßbender, and Jörg Spiegel
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medicine.medical_specialty ,Parkinson's disease ,food.ingredient ,medicine.medical_treatment ,Butyrate ,Gut flora ,Biochemistry ,Gastroenterology ,Feces ,food ,Internal medicine ,Genetics ,medicine ,Humans ,Resistant starch ,Molecular Biology ,Bacteria ,biology ,business.industry ,Prebiotic ,Resistant Starch ,Parkinson Disease ,Fatty Acids, Volatile ,medicine.disease ,biology.organism_classification ,Gastrointestinal Microbiome ,Butyrates ,Computational Mathematics ,Prebiotics ,Calprotectin ,business ,Leukocyte L1 Antigen Complex ,Biomarkers - Abstract
The composition of the gut microbiome is linked to multiple diseases, including Parkinson’s disease (PD). Bacteria producing short-chain fatty acids (SCFAs) and fecal SCFA concentrations are reduced in PD. SCFAs exert various beneficial functions in humans. In the interventional, monocentric, open-label clinical trial RESISTA-PD (NCT02784145) we aimed at altering fecal SCFAs by an 8-week prebiotic intervention with resistant starch (RS). We enrolled 87 subjects in three study-arms: 32 PD patients receiving RS (PD + RS), 30 control subjects receiving RS, and 25 PD patients receiving solely dietary instructions. We performed paired-end 100 base pair length metagenomic sequencing of fecal samples using the BGISEQ platform at an average of 9.9 GB. RS was well-tolerated. In PD + RS, fecal butyrate concentrations increased significantly and fecal calprotectin concentrations dropped significantly after 8 weeks of RS. Clinically, we observed a reduction in non-motor symptoms load in PD + RS. The reference-based analysis of metagenomes highlighted stable alpha-diversity and beta-diversity across the three groups, including bacteria producing SCFAs. Reference-free analysis suggested punctual, yet pronounced differences in the metagenomic signature in PD + RS. RESISTA-PD highlights that a prebiotic treatment with RS is safe and well-tolerated in PD. The stable alpha-diversity and beta-diversity alongside altered fecal butyrate and calprotectin concentrations calls for long-term studies, also investigating whether RS is able to modify the clinical course of PD.
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- 2022
44. Factors Associated With Advanced Colorectal Neoplasia in Patients With CKD
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Charmaine E. Lok, Petra Macaskill, Michael J. Bourke, Richard D. M. Allen, Germaine Wong, Allison Tong, Anh Kieu, Jeremy R. Chapman, Antoni Castells, Shaundeep Sen, Armando Teixeira-Pinto, Jean Y. Yang, Jonathan C. Craig, Carol A. Pollock, Nicholas B Cross, Steven J. Chadban, Wai H. Lim, Eric Au, Laura J James, Fritz Diekmann, Kirsten Howard, Simon D. Roger, and Robin M. Turner
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Male ,medicine.medical_specialty ,Colorectal cancer ,medicine.medical_treatment ,Population ,Colonoscopy ,Feces ,Risk Factors ,Internal medicine ,Epidemiology ,medicine ,Humans ,Prospective Studies ,Renal Insufficiency, Chronic ,Prospective cohort study ,education ,Dialysis ,education.field_of_study ,medicine.diagnostic_test ,business.industry ,medicine.disease ,Transplantation ,Nephrology ,Occult Blood ,Colorectal Neoplasms ,business ,Kidney disease - Abstract
The risk of developing colorectal cancer in patients with chronic kidney disease (CKD) is twice that of the general population, but the factors associated with colorectal cancer are poorly understood. The aim of this study was to identify factors associated with advanced colorectal neoplasia in patients with CKD.Prospective cohort study.Patients with CKD stages 3-5, including those treated with maintenance dialysis or transplantation across 11 sites in Australia, New Zealand, Canada, and Spain, were screened for colorectal neoplasia using a fecal immunochemical test (FIT) as part of the Detecting Bowel Cancer in CKD (DETECT) Study.Baseline characteristics for patients at the time of study enrollment were ascertained, including duration of CKD, comorbidities, and medications.Advanced colorectal neoplasia was identified through a 2-step verification process with colonoscopy following positive FIT and 2-year clinical follow-up for all patients.Potential factors associated with advanced colorectal neoplasia were explored using multivariable logistic regression. Sensitivity analyses were performed using grouped LASSO (least absolute shrinkage and selection operator) logistic regression.Among 1,706 patients who received FIT-based screening-791 with CKD stages 3-5 not receiving kidney replacement therapy (KRT), 418 receiving dialysis, and 497 patients with a functioning kidney transplant-117 patients (6.9%) were detected to have advanced colorectal neoplasia (54 with CKD stages 3-5 without KRT, 34 receiving dialysis, and 29 transplant recipients), including 9 colorectal cancers. The factors found to be associated with advanced colorectal neoplasia included older age (OR per year older, 1.05 [95% CI, 1.03-1.07], P0.001), male sex (OR, 2.27 [95% CI, 1.45-3.54], P0.001), azathioprine use (OR, 2.99 [95% CI, 1.40-6.37], P=0.005), and erythropoiesis-stimulating agent use (OR, 1.92 [95% CI, 1.22-3.03], P=0.005). Grouped LASSO logistic regression revealed similar associations between these factors and advanced colorectal neoplasia.Unmeasured confounding factors.Older age, male sex, erythropoiesis-stimulating agents, and azathioprine were found to be significantly associated with advanced colorectal neoplasia in patients with CKD.
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- 2022
45. Disease Activity Indices for Pouchitis
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Geert R. D'Haens, Florian Rieder, Rocio Sedano, Tran M Nguyen, Ahmed Almradi, Claire E Parker, Brian G. Feagan, Christopher Ma, Lisa M. Shackelton, William J. Sandborn, and Vipul Jairath
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medicine.medical_specialty ,Pouchitis ,Gastroenterology ,law.invention ,Disease activity ,Clinical Reviews ,03 medical and health sciences ,Feces ,0302 clinical medicine ,Randomized controlled trial ,systematic review ,law ,Internal medicine ,Criterion validity ,Immunology and Allergy ,Medicine ,Humans ,operating properties ,business.industry ,pouchitis disease ,Outcome measures ,Construct validity ,Reproducibility of Results ,medicine.disease ,Clinical trial ,C-Reactive Protein ,030220 oncology & carcinogenesis ,030211 gastroenterology & hepatology ,Calprotectin ,business ,index development ,Leukocyte L1 Antigen Complex - Abstract
Background Several indices exist to measure pouchitis disease activity; however, none are fully validated. As an initial step toward creating a validated instrument, we identified pouchitis disease activity indices, examined their operating properties, and assessed their value as outcome measures in clinical trials. Methods Electronic databases were searched to identify randomized controlled trials including indices that evaluated clinical, endoscopic, or histologic pouchitis disease activity. A second search identified studies that assessed the operating properties of pouchitis indices. Results Eighteen randomized controlled trials utilizing 4 composite pouchitis disease activity indices were identified. The Pouchitis Disease Activity Index (PDAI) was most commonly used (12 of 18; 66.7%) to define both trial eligibility (8 of 12; 66.7%), and outcome measures (12 of 12; 100%). In a separate search, 21 studies evaluated the operating properties of 3 pouchitis indices; 90.5% (19 of 21) evaluated validity, of which 42.1% (8 of 19) evaluated the construct validity of the PDAI. Criterion validity (73.7%; 14 of 19) was evaluated through correlation of the PDAI with fecal calprotectin (FCP; r = 0.188 to 0.71), fecal lactoferrin (r = 0.570 to 0.582), and C-reactive protein (CRP; r = 0.584). Two studies assessed correlation of the modified PDAI (mPDAI) with FCP (r = 0.476 and r = 0.565, respectively). Fair to moderate inter-rater reliability of the PDAI (k = 0.440) and mPDAI (k = 0.389) was reported in a single study. Responsiveness of the PDAI pre-antibiotic and postantibiotic treatment was partially evaluated in a single study of 12 patients. Conclusions Development and validation of a specific pouchitis disease activity index is needed given that existing instruments are not valid, reliable, or responsive.
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- 2022
46. Comparative assessment of immunochromatography and ELISA diagnostic tests for HBsAg detection in PCR-confirmed HBV infection
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Azita Navvabi, M.H. Khadem Ansari, F. Zitricky, H.R. Chalipa, and N. Navvabi
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Male ,Hepatitis B virus ,medicine.medical_specialty ,HBsAg ,Saliva ,Enzyme-Linked Immunosorbent Assay ,Urine ,Iran ,Polymerase Chain Reaction ,Gastroenterology ,Chromatography, Affinity ,Pcr test ,Internal medicine ,medicine ,Humans ,Feces ,Hepatitis B Surface Antigens ,Diagnostic Tests, Routine ,business.industry ,Infant, Newborn ,Diagnostic test ,General Medicine ,Hepatitis B ,medicine.disease ,Elisa test ,Female ,Viral hepatitis ,business - Abstract
Introduction and aims Viral hepatitis, which appears most frequently at birth or during childhood, is a disease whose transmission routes include tears, bile, sexual fluids, sweat, milk, urine, feces, and saliva. The aim of the present study was to analyze the specificity of the immunochromatographic and ELISA diagnostic tests for hepatitis B surface antigen and compare them with PCR testing. Materials and methods The study sample was made up of 140 men and 60 women referred to the Urmia Medical University hospital to undergo PCR testing for HBV diagnosis. The ELISA test was performed using the Pioneer Medicine Company kit (Tehran, Iran). Results The results of the HBs-Ag rapid test and the ELISA test were compared with the PCR test. The HBs-Ag rapid test had 97% sensitivity and 91% specificity, whereas the ELISA test had 78% sensitivity and 76% specificity. Discussion and conclusion According to our results, the immunochromatographic test was accurate for diagnosing HBs-Ag in blood and the ELISA test had acceptable sensitivity and specificity, compared with PCR testing.
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- 2022
47. Accuracy of H. pylori fecal antigen test using fecal immunochemical test (FIT)
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Sav Nieuwenburg, E. J. Kuipers, Gwenny M. Fuhler, L. M. M. Wolters, Maikel P. Peppelenbosch, Nicole S. Erler, Michiel C. Mommersteeg, M C W Spaander, A J van Vuuren, Marco J. Bruno, Gastroenterology & Hepatology, and Epidemiology
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Adult ,Male ,Cancer Research ,medicine.medical_specialty ,Adolescent ,Colorectal cancer ,Urea breath test ,Sensitivity and Specificity ,Gastroenterology ,Helicobacter Infections ,Serology ,Feces ,SDG 3 - Good Health and Well-being ,Stomach Neoplasms ,Internal medicine ,Humans ,Medicine ,Prospective Studies ,Risk factor ,Prospective cohort study ,Helicobacter pylori ,medicine.diagnostic_test ,business.industry ,Cancer ,General Medicine ,Middle Aged ,medicine.disease ,Oncology ,Female ,business ,Blood sampling - Abstract
Background Gastric and colorectal cancer (CRC) are both one of the most common cancers worldwide. In many countries fecal immunochemical tests (FIT)-based CRC screening has been implemented. We investigated if FIT can also be applied for detection of H. pylori, the main risk factor for gastric cancer. Methods This prospective study included participants over 18 years of age referred for urea breath test (UBT). Patients were excluded if they had used antibiotics/bismuth in the past 4 weeks, or a proton pomp inhibitor (PPI) in the past 2 weeks. Participants underwent UBT, ELISA stool antigen test in standard feces tube (SAT), ELISA stool antigen test in FIT tube (Hp-FIT), and blood sampling, and completed a questionnaire on user friendliness. UBT results were used as reference. Results A total of 182 patients were included (37.4% male, median age 52.4 years (IQR 22.4)). Of these, 60 (33.0%) tested H. pylori positive. SAT and Hp-FIT showed comparable overall accuracy 71.1% (95%CI 63.2–78.3) vs. 77.6% (95%CI 70.4–83.8), respectively (p = 0.97). Sensitivity of SAT was 91.8% (95%CI 80.4–97.7) versus 94.2% (95%CI 84.1–98.9) of Hp-FIT (p = 0.98). Serology scored low with an overall accuracy of 49.7% (95%CI 41.7–57.7). Hp-FIT showed the highest overall user convenience. Conclusions FIT can be used with high accuracy and sensitivity for diagnosis of H. pylori and is rated as the most convenient test. Non-invasive Hp-FIT test is highly promising for combined upper and lower gastrointestinal (pre-) cancerous screening. Further research should investigate the clinical implications, benefits and cost-effectiveness of such an approach.
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- 2022
48. Bacterial Distribution and Community Structure in Beef Cattle Liver and Bile at Slaughter
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Yoshimasa Sasaki, Yumiko Okada, Ken Shiroma, Hiroshi Asakura, Ayako Kiyoshima, Chie Hisamoto, Akiko Fujimori, Yutaka Shiraki, Kanako Munakata, Shiori Yamamoto, Jun Kawase, Sachiko Katabami, Yasuyo Ojima, and Hisashi Nishibu
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Veterinary medicine ,Meat ,Firmicutes ,Colony Count, Microbial ,Indicator bacteria ,Food Contamination ,Beef cattle ,medicine.disease_cause ,Microbiology ,Enterobacteriaceae ,RNA, Ribosomal, 16S ,Parenchyma ,medicine ,Animals ,Bile ,Microecosystem ,Escherichia coli ,Feces ,biology ,biology.organism_classification ,Liver ,Food Microbiology ,Cattle ,Proteobacteria ,Abattoirs ,Food Science - Abstract
In this study, the distribution of hygienic indicator bacteria in cattle livers and bile was examined at slaughterhouses. One hundred twenty-seven cattle livers with gallbladders were carefully eviscerated from carcasses at 10 slaughterhouses. Microbiological examination revealed that nine bile samples (7.1% prevalence) and 19 liver parenchyma samples (15.0% prevalence) were positive for Enterobacteriaceae (EB) with means ± standard deviations of 3.68 ± 4.63 log CFU/mL and 1.59 ± 2.47 log CFU/g, respectively; thus, bacterial contamination was apparent even at the postevisceration stage. Subsequently, 70 cattle livers were obtained at the postprocessing and storage stage from 7 of the 10 slaughterhouses. Microbiological analysis revealed significantly higher levels of EB in the liver parenchyma (3.00 ± 3.89 log CFU/g, P = 0.011) than those at the postevisceration stage, suggesting that bacterial dissemination and/or replication occurred in the liver parenchyma during processing and storage. According to 16S rRNA ion semiconductor sequencing analysis of representative samples from 12 cattle, Proteobacteria, Firmicutes, and Actinobacteria were dominant in both the parenchyma and bile in which EB and Escherichia coli were predominant among livers with higher EB levels. These results suggest that bile plays a role as a vehicle for bacterial transmission to the liver parenchyma. This study is the first to evaluate bacterial distribution and community structure in the liver and biliary microecosystem of cattle at slaughter. Our data support the use of EB testing of bile to screen cattle livers contaminated with high levels of fecal indicator bacteria.
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- 2022
49. Predictability of Elimination and Excretion of Small Molecules in Animals and Humans, and its Impact on Dosimetry for human ADME Studies with Radiolabeled Drugs
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Ewoud-Jan van Hoogdalem, Jan Jaap van Lier, A.F. Roffel, and Gerk Rozema
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Fecal Excretion ,business.industry ,Administration, Oral ,Physiology ,Half-life ,Effective dose (radiation) ,Quantitative correlation ,Excretion ,Feces ,Animals ,Humans ,Dosimetry ,Medicine ,Tissue Distribution ,Pharmacology (medical) ,General Pharmacology, Toxicology and Pharmaceutics ,Radiometry ,business ,Half-Life ,ADME - Abstract
Background: We assessed the extent to which urinary and fecal excretion of 14C-labeled drug material in animal ADME studies was predictive of human ADME studies. We compared observed plasma elimination half-lives for total drug-related radioactivity in humans to pre-study predictions, and we estimated the impact of any major differences on human dosimetry calculations. Methods: We included 34 human ADME studies with doses of 14C above 0.1 MBq. We calculated ratios of dosimetry input parameters (percentage fecal excretion in humans versus animals; observed half-life in humans versus predicted pre-study) and output parameters (effective dose post-study versus pre-study) and assessed their relationship. Results: A quantitative correlation assessment did not show a statistically significant correlation between the ratios of percentages of 14C excreted in feces and the ratios of dosimetry outcomes in the entire dataset, but a statistically significant correlation was found when assessing the studies that were based on ICRP 60/62 (n=19 studies; P=0.0028). There also appeared to be a correlation between the plasma half-life ratios and the ratios of dosimetry results. A quantitative correlation assessment showed that there was a statistically significant correlation between these ratios (P Conclusion: In all cases where the plasma elimination half-life for 14C in humans was found to be longer than the predicted value, the radiation burden was still within ICRP Category IIa. Containment of the actual radiation burden below the limit of 1.00 mSv appeared to be determined partly also by our choice to limit 14C doses to 3.7 MBq.
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- 2022
50. Stool microbiota are superior to saliva in distinguishing cirrhosis and hepatic encephalopathy using machine learning
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Andrew Fagan, Masoumeh Sikaroodi, Krishnakant Saboo, Jasmohan S. Bajaj, Edith Gavis, Patrick M. Gillevet, Ravishankar K. Iyer, Nikita V. Petrakov, Amirhossein Shamsaddini, and Sara McGeorge
- Subjects
Liver Cirrhosis ,Male ,Saliva ,Cirrhosis ,Logistic regression ,Machine learning ,computer.software_genre ,Article ,Machine Learning ,Feces ,chemistry.chemical_compound ,fluids and secretions ,Humans ,Mass Screening ,Medicine ,Microbiome ,Hepatic encephalopathy ,Aged ,Hepatology ,business.industry ,Microbiota ,Middle Aged ,Prognosis ,medicine.disease ,Rifaximin ,stomatognathic diseases ,chemistry ,Hepatic Encephalopathy ,Female ,Artificial intelligence ,business ,computer ,Microbiota composition - Abstract
Saliva and stool microbiota are altered in cirrhosis. Since stool is logistically difficult to collect compared to saliva, it is important to determine their relative diagnostic and prognostic capabilities. We aimed to determine the ability of stool vs. saliva microbiota to differentiate between groups based on disease severity using machine learning (ML).Controls and outpatients with cirrhosis underwent saliva and stool microbiome analysis. Controls vs. cirrhosis and within cirrhosis (based on hepatic encephalopathy [HE], proton pump inhibitor [PPI] and rifaximin use) were classified using 4 ML techniques (random forest [RF], support vector machine, logistic regression, and gradient boosting) with AUC comparisons for stool, saliva or both sample types. Individual microbial contributions were computed using feature importance of RF and Shapley additive explanations. Finally, thresholds for including microbiota were varied between 2.5% and 10%, and core microbiome (DESeq2) analysis was performed.Two hundred and sixty-nine participants, including 87 controls and 182 patients with cirrhosis, of whom 57 had HE, 78 were on PPIs and 29 on rifaximin were included. Regardless of the ML model, stool microbiota had a significantly higher AUC in differentiating groups vs. saliva. Regarding individual microbiota: autochthonous taxa drove the difference between controls vs. patients with cirrhosis, oral-origin microbiota the difference between PPI users/non-users, and pathobionts and autochthonous taxa the difference between rifaximin users/non-users and patients with/without HE. These were consistent with the core microbiome analysis results.On ML analysis, stool microbiota composition is significantly more informative in differentiating between controls and patients with cirrhosis, and those with varying cirrhosis severity, compared to saliva. Despite logistic challenges, stool should be preferred over saliva for microbiome analysis.Since it is harder to collect stool than saliva, we wanted to test whether microbes from saliva were better than stool in differentiating between healthy people and those with cirrhosis and, among those with cirrhosis, those with more severe disease. Using machine learning, we found that microbes in stool were more accurate than saliva alone or in combination, therefore, stool should be preferred for analysis and collection wherever possible.
- Published
- 2022
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