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Magnetic polyacrylonitrile/ZIF-8/Fe_(3)O_(4) nanocomposite bead as an efficient iodine adsorbent and antibacterial agent 被引量:1
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作者 Reza Sacourbaravi Zeinab Ansari-Asl Esmaeil Darabpour 《Chinese Journal of Chemical Engineering》 SCIE EI CAS CSCD 2023年第9期210-220,共11页
The efficient adsorption of radioactive iodine(^(129)I and^(131)I)as nuclear waste is of great importance.Polymer nanocomposites consist of metal-organic frameworks(MOFs)developing for various pollutions sorption and ... The efficient adsorption of radioactive iodine(^(129)I and^(131)I)as nuclear waste is of great importance.Polymer nanocomposites consist of metal-organic frameworks(MOFs)developing for various pollutions sorption and separation have attracted much attention.This study reports the fabrication of magnetic polyacrylonitrile(PAN)/zeolitic imidazolate frameworks(ZIF-8)nanocomposites,PAN/ZIF-8(x%)/Fe_(3)O_(4),x=30 and 50,as iodine capture adsorbents.The PAN/ZIF-8(x%)/Fe_(3)O_(4)nanocomposite beads were fabricated via the phase inversion method,and their potential for iodine capture and separation in solution and vapor was investigated through UV-vis and weighing methods,respectively.Also,antibacterial activity of the as-prepared beads was assessed against E.coil and S.aureus.The as-fabricated compounds were studied by various techniques such as Fourier-transform infrared,X-ray diffraction,scanning electron microscope,energy-dispersive X-ray spectroscopy mapping,transmission electron microscope,N_(2)adsorption isotherm,and vibrating sample magnetometer.The iodine capture results showed that the efficiency of nanocomposites is remarkably higher than the pure PAN beads.Additionally,the asprepared nanocomposite adsorbents displayed higher capture capacities for iodine vapor(1524-4345mg·g^(-1))than iodine solution(187-295 mg·g^(-1)).The as-obtained magnetic nanocomposites can be successfully separated from polluted media by simple filtration or an external magnet,regenerated through washing with ethanol,and reused.Fast capturing,high sorption capacity,rapid separation,and good reusability make the PAN/ZIF-8(x%)/Fe_(3)O_(4)nanocomposites highly effective adsorbents for the separation of iodine from wastewater.Additionally,PAN/ZIF-8(50%)/Fe_(3)O_(4)bead can be considered as a potential new antibacterial agent for water and wastewater treatment. 展开更多
关键词 ZIF-8 POLYACRYLONITRILE Composites ADSORPTION Waste treatment antibacterial agent
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Physicochemical Property Testing of a Novel Maize Seed Coating Agent and Its Antibacterial Mechanism Research 被引量:7
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作者 Qingxiang Deng Defang Zeng 《Open Journal of Soil Science》 2015年第2期45-52,共8页
We used the no pollution natural polymer polysaccharide chitosan as the main raw material, which is supplemented by other additives, to prepare a high-efficiency environmental friendly maize seed coating agent. By det... We used the no pollution natural polymer polysaccharide chitosan as the main raw material, which is supplemented by other additives, to prepare a high-efficiency environmental friendly maize seed coating agent. By detecting the seed quality, maize seedling indexes, which include root activity, chlorophyll content and malondialdehyde (MDA) content, and through the results we found that this seed coating agent could improve the photosynthetic capacity and enhance seedling resistance. Laboratory bacteriostasis test and study showed that the antibacterial rate of this seed coating agent has reached more than 88%. Meanwhile, we analyzed and studied the antimicrobial mechanism of the seed coating agent. 展开更多
关键词 MAIZE SEED COATING agent antibacterial Mechanism Analysis
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Dynamic Expressions of Liver Tissue Apoptosis-related Genes of Vibrio Vulnificus Sepsis Rats and the Effects of Antibacterial Agents 被引量:3
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作者 卢中秋 李萌芳 +4 位作者 梁欢 邱俏檬 杨光田 周铁丽 洪广亮 《Journal of Huazhong University of Science and Technology(Medical Sciences)》 SCIE CAS 2009年第2期193-197,共5页
Dynamic changes in mRNA expressions of liver tissue apoptosis-promoting genes Fas and Bax and apoptosis-inhibiting gene Bcl-2 of vibrio vulnificus sepsis rats were detected and the effects of antibacterial agents were... Dynamic changes in mRNA expressions of liver tissue apoptosis-promoting genes Fas and Bax and apoptosis-inhibiting gene Bcl-2 of vibrio vulnificus sepsis rats were detected and the effects of antibacterial agents were examined. The rat model with Vibrio vulnificus sepsis (VV group) was established and some of the Vibrio vulnificus sepsis rats were treated with antibacterial agents (AA group). The mRNA expressions of Fas, Bax and Bcl-2 were measured by reverse transcription polymerase chain reaction (RT-PCR). As compared with normal control group (NC group), the ex- pressions of Fas and Bax mRNA in liver tissue at all different time points in VV group were increased significantly (P〈0.05), and the highest levels of Fas and Bax mRNA expressions were 6 and 12 h after the infection, respectively. At the same time, the expression of Bcl-2 mRNA in liver tissue at all different time points in VV group were decreased significantly (P〈0.05), and the lowest level of Bcl-2 mRNA expression appeared 2 h after the infection. The mRNA expressions of Bcl-2 in liver tissue 9 and 12 h after the infection in AA group were increased significantly (P〈0.05) compared with NC group, while the expressions of Fas and Bax mRNA were not significantly different from those of NC group. Compared with VV group, the expression of Fas mRNA in AA group was decreased (P〈0.05) and Bax rnRNA was decreased significantly 12 and 16 h after the infection (P〈0.05), while the expressions of Bcl-2 mRNA were increased significantly 9, 12 and 16 h after the infection (P〈0.05). It is concluded that the mRNA expressions of liver tissue apoptosis-promoting genes Fas and Bax were increased remarkably in vibrio vulnificus sepsis rats, whereas the expression of apoptosis-inhibiting gene Bcl-2 mRNA was decreased obviously in sepsis rats in early stage. The treatment with cefoperazone sodium and levofloxacin lactate could inhibit the expression of Fas mRNA and Bax mRNA and enhance the expression ofBcl-2 rnRNA at the same time. 展开更多
关键词 vibrio vulnificus SEPSIS Fas mRNA Bax mRNA Bcl-2 rnRNA antibacterial agents
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Prediction Model of Antibacterial Activities for Inorganic Antibacterial Agents Based on Artificial Neural Networks 被引量:1
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作者 刘雪峰 张利 涂铭旌 《Journal of Shanghai University(English Edition)》 CAS 2004年第1期109-112,共4页
Quantitatively evaluation of antibacterial activities of inorganic antibacterial agents is an urgent problem to be solved. Using experimental data by an orthogonal design, a prediction model of the relation between co... Quantitatively evaluation of antibacterial activities of inorganic antibacterial agents is an urgent problem to be solved. Using experimental data by an orthogonal design, a prediction model of the relation between conditions of preparing inorganic antibacterial agents and their antibacterial activities has been developed. This is accomplished by introducing BP artificial neural networks in the study of inorganic antibacterial agents. It provides a theoretical support for the development and research on inorganic antibacterial agents. Key words inorganic antibacterial agent - antibacterial activity - neural networks - nanometer material 展开更多
关键词 inorganic antibacterial agent antibacterial activity neural networks nanometer material
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The effect of antibacterial agents on the production of nitric oxide induced by lipopolysaccharide in mice
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作者 Hampartsoum Barsoumian Fadi El-Rami Alexander M. Abdelnoor 《Advances in Bioscience and Biotechnology》 2010年第2期61-67,共7页
Some antibacterial agents have been shown to neutralize the biological properties of bacterial lipopolysaccharide (LPS). The aim of this study was to eluci- date the role of gentamicin, tobramycin, imipenem, tigecycli... Some antibacterial agents have been shown to neutralize the biological properties of bacterial lipopolysaccharide (LPS). The aim of this study was to eluci- date the role of gentamicin, tobramycin, imipenem, tigecycline, and isoniazid in affecting the production of nitric oxide (NO) induced by LPS in mice. Groups of mice were injected intraperitoneally with LPS alone, antibacterial agent alone, or LPS in combination with an antibacterial agent. Serum NO levels were determined at 1, 3, 6 and 9 hours post-injection using the Griess reagent method. Thin layer chroma- tography was performed to determine if antibacterial agent—LPS interaction had occurred. All the antibacterial agents suppressed NO production. More- over, LPS-induced production of NO was suppressed by all the antibacterial agents, tobramycin and tigecycline being the most effective at 9 hours post-injection. Blocking of any of the stages leading to NO production by the antibacterial agents is suggested. Moreover, thin layer chromatograms obtained are suggestive of LPS-antibacterial agent interactions. 展开更多
关键词 LIPOPOLYSACCHARIDE antibacterial agentS NITRIC Oxide MICE
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Efficient Synthesis of a New Class of <i>N</i>-Nucleosides of 4<i>H</i>-Thiochromeno[2,3-<i>d</i>]pyrimidine-10-Sulfone as Potential Anticancer and Antibacterial Agents
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作者 Abdulrahman G. Alshammari Abdel-Rhman B. A. El-Gazzar Hend N. Hafez 《International Journal of Organic Chemistry》 2013年第3期15-27,共13页
A highly practical and efficient preparation of 6-methy-4H-thiochromene and 7-methyl-thiochromene[2,3-d]pyrimidine derivatives was developed via a multi-component reaction of 3-methyl-thiophenol (1), aldehydes (2), an... A highly practical and efficient preparation of 6-methy-4H-thiochromene and 7-methyl-thiochromene[2,3-d]pyrimidine derivatives was developed via a multi-component reaction of 3-methyl-thiophenol (1), aldehydes (2), and malononitrile (3). A series of pyrimidine nucleoside, thiochromene[2,3-d]pyrimidine and thiochromene[2,3-d]pyrimidine-10-sulfone was efficiently obtained. These hybrid compounds were evaluated as potential antibacterial and anticancer agents and showed encouraging biological activities. Some of these derivatives showed broad-spectrum antitumour activity against the nine tumour subpanels tested, and demonstrated significant activity in the in vitro antitumour screening expressed by MG-MID log10GI50 value of -4.55, -4.67 and -4.73 of compounds 9a, 9b and 9c, respectively. 展开更多
关键词 Thiochromene PYRIMIDINE antibacterial ANTICANCER agents
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The Synthesis of the Reactive Antibacterial Agents and Their Antibacterial Activities 被引量:1
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作者 何瑾馨 朱泉 王菊生 《Journal of China Textile University(English Edition)》 EI CAS 1998年第4期1-5,共5页
A series of monochlorotriazine reactive antibacterial agents were synthesised by using 2,4,4’ - trichloro -2’ - hydroxydiphenyl ether as a starting material. The spectrum analyses (UV and MS) and elementary analy-se... A series of monochlorotriazine reactive antibacterial agents were synthesised by using 2,4,4’ - trichloro -2’ - hydroxydiphenyl ether as a starting material. The spectrum analyses (UV and MS) and elementary analy-ses were also carried out. These antibacterial agents can be used as the bacteria - resistance finishing agents of the cellulose fabrics. The treated fabrics possess excellent antibacterial activity and durable wash fastness. For ex-ample , the percentages of bacterial reduction of the fab-ric finished with reactive antibacterial agent 2RSDP are 98.5%, 98. 86% and 96.67% for Staphylococcus au-reus, Escherichia coli and Pseudomonas aeruginose re-spectively. After more than 100 times of washing at 60°C, the antibacterial activity still retains at a level of about 90% of the original. The relationships between the molecular structures of the reactive antibacterial finish-ing agents and their antibacterial activities are discussed. 展开更多
关键词 synthesis REACTIVE antibacterial FINISHING agent 2 4 4’trichloro-2’-hydroxydiphenyl ether antibacte-rial ACTIVITY monochlorotriazine finishing.
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Honey:its medicinal property and antibacterial activity 被引量:26
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作者 Manisha Deb Mandal Shyamapada Mandal 《Asian Pacific Journal of Tropical Biomedicine》 SCIE CAS 2011年第2期154-160,共7页
Indeed,medicinal importance of honey has been documented in the world's oldest medical literatures,and since the ancient times,it has been known to possess antimicrobial property as well as wound-healing activity.... Indeed,medicinal importance of honey has been documented in the world's oldest medical literatures,and since the ancient times,it has been known to possess antimicrobial property as well as wound-healing activity.The healing property of honey is due to the fact that it offers antibacterial activity,maintains a moist wound condition,and its high viscosity helps to provide a protective barrier to prevent infection.Its immunomodulatory property is relevant to wound repair too.The antimicrobial activity in most honeys is due to the enzymatic production of hydrogen peroxide.However,another kind of honey,called non-peroxide honey(viz.,manuka honey),displays significant antibacterial effects even when the hydrogen peroxide activity is blocked.Its mechanism may be related to the low pH level of honey and its high sugar content(high osmolality) that is enough to hinder the growth of microbes.The medical grade honeys have potent in vitro bactericidal activity against antibiotic-resistant bacteria causing several life-threatening infections to humans. But,there is a large variation in the antimicrobial activity of some natural honeys,which is due to spatial and temporal variation in sources of nectar.Thus,identification and characterization of the active principle(s) may provide valuable information on the quality and possible therapeutic potential of honeys(against several health disorders of humans),and hence we discussed the medicinal property of honeys with emphasis on their antibacterial activities. 展开更多
关键词 HONEY antibacterial activity Wound healing PROPERTY Glucose OXIDASE Non-peroxide effect Medical-grade HONEY ANTIMICROBIAL agents MEDICINAL PROPERTY ANTIMICROBIAL PROPERTY IMMUNOMODULATORY PROPERTY
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Synthesis and Antibacterial Activity of 8-Substituted Phenyl-1-pyridin-3-yl-5H-bis[1,2,4]triazolo[3,4-b;4′,3′-d][1,3,4] thiadiazines 被引量:6
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作者 GuoQiangHU SongQiangXIE +1 位作者 WenLongHUANG HuiBinZHANG 《Chinese Chemical Letters》 SCIE CAS CSCD 2005年第6期723-726,共4页
关键词 Antibiotics TRIAZOLE THIADIAZINE SYNTHESIS antibacterial agent.
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Synthesis and Antibacterial Activity of New Tetracyclic Triazolo-thiadiazino Fluoroquinolones 被引量:3
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作者 GuoQiangHU ZhongQuanZHANG +2 位作者 WenLongHUANG HuiBinZHANG ShengTangHUANG 《Chinese Chemical Letters》 SCIE CAS CSCD 2004年第1期23-25,共3页
关键词 ANTIBIOTICS tetracyclicquinolone SYNTHESIS antibacterial agents.
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Evaluation in vitro of an Experimental Antibacterial Silk Suture 被引量:1
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作者 陈晓洁 吕爱凤 +5 位作者 王璐 PETHILE Sibanda 侯丹丹 陆明康 王文祖 吴永高 《Journal of Donghua University(English Edition)》 EI CAS 2013年第5期382-385,共4页
Because of good clinical performance and low cost,silk braided surgical suture becomes one of excellent and widely used sutures. But as a kind of natural protein fiber,silk easily trends to microbial infection. Beyond... Because of good clinical performance and low cost,silk braided surgical suture becomes one of excellent and widely used sutures. But as a kind of natural protein fiber,silk easily trends to microbial infection. Beyond that,braided structure may increase the risk of hide of bacteria. Hence,the project of this study is to develop a novel antibacterial silk braided suture. Silk braided sutures were treated with antimicrobial solution which added antimicrobial agent4-quinolones into 5% polycaprolactone( PCL) solution. Then sutures were tested for in vitro efficacy against Staphylococcus aureus(S. aureus) and Escherichia coli(E. coli) by a zone of inhibition assay,and sustained efficacy assay,release of antibacterial agent,SEM photographs against S. aureus. Treated sutures exhibited distinct zones of inhibition against S. aureus and E. coli. They also kept antimicrobial property against S. aureus for 7 d,which were almost equal with coated VICRYL*Plus sutures. The highest release concentration of treated suture was 1. 53 mg /L,which was lower than Cmaxof 4-quinolones,proved the safety of antibacterial silk suture. SEM photographs gave both the change of the surface and different bacteria growth situations on the surface before and after treating. 展开更多
关键词 surgical site infections(SSIs) SILK braided SUTURE antimicrobial agent sustained efficacy release of antibacterial agent
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Anti-hemolytic, antibacterial and anti-cancer activities of methanolic extracts from leaves and stems of Polygonum odoratum 被引量:1
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作者 Nittaya Chansiw Narisara Paradee +1 位作者 Kamonnaree Chotinantakul Somdet Srichairattanakool 《Asian Pacific Journal of Tropical Biomedicine》 SCIE CAS 2018年第12期580-585,共6页
Objective: To investigate anti-hemolytic, antibacterial and anti-cancer activities of leaf and stem extracts from Polygonum odoratum. Methods: Leaves and stems of Polygonum odoratum were extracted using methanol and t... Objective: To investigate anti-hemolytic, antibacterial and anti-cancer activities of leaf and stem extracts from Polygonum odoratum. Methods: Leaves and stems of Polygonum odoratum were extracted using methanol and their anti-hemolytic activity was assessed using 2, 2′-Azobis(2-methylpropionamidine) dihydrochloride which is known to generate free radical damage on cell membranes of red blood cells. This damage, represented by hemolysis, was measured using spectrophotometry. Antibacterial activity was tested by using a broth microdilution method to find minimal inhibitory concentrations against eight bacterial strains. Anti-cancer activity of the extracts was evaluated against a human promyelocytic leukemic cell line(HL-60) by using MTT assay for cell viability and flow cytometry for apoptosis induction and cell cycle analysis. Results: Both leaf and stem extracts have anti-hemolytic activity. The results showed a significantly increased percentage of inhibition in a concentration-dependent manner. Interestingly, the leaf extract showed anti-hemolytic activity to a greater extent than the stem extract. Antibacterial activity of the extracts, as indicated by their minimal inhibitory concentration, using 12.5, 50, 25, 25 μg/mL, was measured against Staphylococcus epidermidis, Enterococcus faecium, Enterococcus faecalis and Staphylococcus aureus. The leaf extracts also exhibited anti-cancer activity, demonstrated by significantly decreased cell viability of human promyelocytic cells(HL-60), with an IC_(50) of(350.00±1.85) μg/mL for 48 h and(38.00±0.92) μg/mL for 72 h. Additionally, HL-60 became apoptotic and accumulated in G_1-phase after 48 hours of treatment. Conclusions: The extracts of Polygonum odoratum exhibit potential antihemolytic activity. They also have antibacterial activity by inhibiting growth of Gram-positive bacteria. The leaf extract shows anti-cancer activity against HL-60 to a greater extent than the stem extract, causing decreased viability, increased G_1-phase accumulation and apoptosis induction. 展开更多
关键词 activity anti extracts using leaf
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PREPARATION AND THEIR ANTIBACTERIAL ACTIVITY OF ACTIVATED CARBON FIBER CONTAINING SILVER 被引量:1
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作者 CHENShuixia LUOYing 《Chinese Journal of Reactive Polymers》 2000年第2期105-111,共7页
Several kinds of activated carbon fiber(ACF), Granule Activated carbon(AC) containing silver ion or fine silver particle(Ag-ACF/AC) have been prepared by soaking ACF or AC in the salt solution of silver. Ag, AgCl ... Several kinds of activated carbon fiber(ACF), Granule Activated carbon(AC) containing silver ion or fine silver particle(Ag-ACF/AC) have been prepared by soaking ACF or AC in the salt solution of silver. Ag, AgCl and AgI compounds have been loaded onto the fibers. The structure of the fibers was measured by scanning electron microscopy (SEM) and powder X-ray diffraction (XRD). The Ag content in the fiber was obtained by an Atomic absorption spectroscopy (AAS). The Ag+ content in water after the antibacterial test was measured by an Inductively Coupled Plasma (ICP) emission spectroscopy. Antibacterial test was carried out against Escherichia coli (E.coli) and Staphylococcus aureus (S.aureus). The results show that Ag-ACF/AC have strong antibacterial activity against E.coli and S.aureus. After dealt with ACF/AC loading Ag, AgCl, AgI, no E.coli and S.aureus alive in solution can be detected. The analysis of Ag content in water after antibacterial test showed that the content of Ag meet the quality requirement of the National Potable Water Standard. It is indicated that ACF/AC-Ag in this experiment would be a safe antibacterial agent . 展开更多
关键词 碳纤维 含银 吸附
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Antibacterial Dental Resin Composites: A Narrative Review
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作者 Ameenah Saad Alansy Thekra Ali Saeed +3 位作者 Yuqing Guo Yanwei Yang Bin Liu Zengjie Fan 《Open Journal of Stomatology》 2022年第5期147-165,共19页
Lack of antibacterial properties in resin-based composites (RBCs) is one of the flaws that cause the failure of filling clinically. Several agents have been incorporated to endow RBCs with antibacterial properties. In... Lack of antibacterial properties in resin-based composites (RBCs) is one of the flaws that cause the failure of filling clinically. Several agents have been incorporated to endow RBCs with antibacterial properties. In this review, we summarize the recent antibacterial agents between 2015 and 2020 using keywords of antibacterial or antimicrobial dental resin composites by PubMed databases. The most effective strategies are concerned with polymerizable monomers (50%), followed by filler particles (39%) and leachable agents (11%). A recent modification of the antibacterial agent is either by combining two agents from the same category or mixing agents from different categories in one. More than two methods were used in one study to assess antibacterial efficacy. The most common method was biofilm colony-forming units (CFUs) counting method (40%), followed by live/dead bacteria staining assay of biofilms (25%), metabolic activity assay of biofilms using MTT assay (16%), lactic acid production assay of biofilms (8%), agar diffusion test (8%), and other methods (3%) such as minimal inhibitory concentration (MIC) and minimal bactericidal concentration (MBC). 展开更多
关键词 Dental Resin Composite antibacterial agents antibacterial Strategies antibacterial Property antibacterial Assessment
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Preparation and Characterization of New Antibacterial Polyester Composites
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作者 Azadeh Azadbakht Amir Reza Abbasi 《材料科学与工程(中英文A版)》 2011年第6期865-868,共4页
关键词 纤维复合材料 抗菌聚酯 银纳米粒子 扫描电子显微镜 金黄色葡萄球菌 表征 制备 生长温度
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Synthesis and Antibacterial Performance of Quaternary Phosphonium Salts with Reactive Hydroxyl Group
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作者 Wang Tingting Wang Xiaoqun +1 位作者 Chen Guiyong Du Shanyi 《China Petroleum Processing & Petrochemical Technology》 SCIE CAS 2012年第2期76-81,共6页
Quaternary phosphonium salts (QPS) with reactive groups used as antibacterial agents are promising which could be covalently linked to inert polymer surfaces by in situ polymerization. In this work, two kinds of quate... Quaternary phosphonium salts (QPS) with reactive groups used as antibacterial agents are promising which could be covalently linked to inert polymer surfaces by in situ polymerization. In this work, two kinds of quaternary phosphonium salts with hydroxyl groups were synthesized successfully. Characterization of these two quaternary phosphonium salts was performed by the Fourier transform infrared spectroscopy (FT-IR) and nuclear magnetic resonance (NMR) spectrometry. The thermal stability and antibacterial activity of antibacterial agents were also investigated by using thermo-gravimetric analysis, differential scanning calorimetry (TG-DSC) and agar diffusion method. The test results showed that these two QPS exhibited good thermal stability and excellent antibacterial activity against both bacteria: Staphylococcus aureus and Escherichia coli. 展开更多
关键词 抗菌活性 季鏻盐 抗菌性能 傅里叶变换红外光谱 羟基 合成 差示扫描量热分析 金黄色葡萄球菌
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Derivatives of Thiohydrazides as Effective Antibacterial Remedies for Chlamydial Infection Treatment at Chronic Stages of Infections
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作者 Vladimir Nikolaevich Yarovenko Egor Sergeevich Zayakin +3 位作者 Michail Mikhailovich Krayushkin Victoria Vladlmlrovna Zorma Lydia Nikolaevna Kapotina Nayha Akhatovna Zlganglrova 《Journal of Chemistry and Chemical Engineering》 2010年第4期55-59,共5页
关键词 沙眼衣原体 衣原体感染 慢性感染 衍生物 补救 抗菌 治疗 分泌系统
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基于SPO理论的医院抗菌药物管理体系应用探讨
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作者 魏伟 赵新才 +4 位作者 张剑萍 徐桔密 刘杰 曹建文 郭澄 《中国卫生质量管理》 2024年第3期28-31,共4页
“抗菌药物使用强度”是三级公立医院绩效考核核心指标之一。基于结构-过程-结果(SPO)理论构建抗菌药物管理体系,通过建章立制明确各方职责,科学制订用药规则,依托信息化高效整合抗菌药物事前、事中、事后管理,某院抗菌药物使用强度从2... “抗菌药物使用强度”是三级公立医院绩效考核核心指标之一。基于结构-过程-结果(SPO)理论构建抗菌药物管理体系,通过建章立制明确各方职责,科学制订用药规则,依托信息化高效整合抗菌药物事前、事中、事后管理,某院抗菌药物使用强度从2020年57.8DDDs下降到2022年31.1DDDs。SPO理论有助于抗菌药物全方位闭环管理,但需充分发挥临床药师专业价值和纽带作用。 展开更多
关键词 结构-过程-结果(SPO)理论 抗菌药物 管理体系
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老年慢性阻塞性肺疾病急性加重病人呼吸机相关性肺炎诺莫图模型的预测价值
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作者 吕培瑾 李书阅 +1 位作者 蒋云书 董亮亮 《安徽医药》 CAS 2024年第1期164-167,共4页
目的筛选老年慢性阻塞性肺疾病(COPD)急性加重病人发生呼吸机相关性肺炎(VAP)的危险因子,验证以此构建的诺莫图预测模型的价值。方法以2016年12月至2021年11月聊城市第二人民医院收治的374例老年COPD病人为研究对象,按6∶4的比例,采用... 目的筛选老年慢性阻塞性肺疾病(COPD)急性加重病人发生呼吸机相关性肺炎(VAP)的危险因子,验证以此构建的诺莫图预测模型的价值。方法以2016年12月至2021年11月聊城市第二人民医院收治的374例老年COPD病人为研究对象,按6∶4的比例,采用随机数字表法分为建模集(n=225)与验证集(n=149)。分析VAP的影响因素,建立诺莫图模型并评估其预测价值。结果VAP组病人年龄[(70.56±6.33)岁比(68.01±6.06)岁]、急性生理和慢性健康(APACHEⅡ)评分[(20.44±6.89)分比(12.20±4.60)分]、序贯器官衰竭(SOFA)评分[(7.65±3.32)分比4.12±1.82)分]、有吸烟史比例(71.9%比54.8%)、合并基础疾病≥3种比例(45.6%比18.5%)、过去90 d使用抗生素比例(63.2%比40.5%)、呼吸机通气时长≥4 d比例(77.2%比40.5%)、再次插管比例(80.7%比46.4%)较非VAP组升高(P<0.05)。logistic回归分析结果示,合并基础疾病≥3种(OR=2.78,P=0.027)、APACHEⅡ评分(OR=9.46,P<0.001)、SOFA评分(OR=2.99,P=0.010)、过去90 d使用抗生素(OR=2.71,P=0.015)、呼吸机通气时长≥4 d(OR=3.24,P=0.006)、再次插管(OR=3.65,P=0.004)是发生VAP的独立危险因素。建模集及验证集校准曲线结果均显示,构建的诺莫图预测模型校准度较好,ROC曲线下面积分别为0.87[95%CI:(0.82,0.93)]、0.83[95%CI:(0.75,0.92)]。结论通过合并基础疾病≥3种、APACHEⅡ评分、SOFA评分、过去90 d使用抗生素、呼吸机通气时长≥4 d、再次插管等危险因素建立的诺莫图模型对老年COPD急性加重病人发生VAP具有较好的预测价值。 展开更多
关键词 肺疾病 慢性阻塞性 肺炎 呼吸机相关性 抗菌药 危险因素 诺莫图
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耐碳青霉烯类肺炎克雷伯菌感染的治疗研究
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作者 王丽 王重娟 +2 位作者 黄云昆 李翠红 赵方允 《云南医药》 CAS 2024年第2期20-23,共4页
目的探讨耐碳青霉烯类肺炎克雷伯菌的抗感染治疗方案。方法回顾本院2020年2月-2021年6月住院患者检出CRKP的病例,应用SPSS软件比较CRKP患者治疗前后体温和感染标志物变化,结合病情,对治疗方案及疗效进行分析评价。结果研究纳入59名CRKP... 目的探讨耐碳青霉烯类肺炎克雷伯菌的抗感染治疗方案。方法回顾本院2020年2月-2021年6月住院患者检出CRKP的病例,应用SPSS软件比较CRKP患者治疗前后体温和感染标志物变化,结合病情,对治疗方案及疗效进行分析评价。结果研究纳入59名CRKP感染患者,药敏试验敏感率较高的药物有头孢他啶/阿维巴坦、替加环素、复方磺胺甲噁唑及多粘菌素。主要治疗方案为替加环素为基础的联合治疗,治疗有效率为72.88%。治疗前后患者体温、白细胞、中性粒细胞百分比和超敏C反应蛋白均较前明显下降,差异有统计学意义(P<0.05)。治疗过程中无明显不良反应发生。结论本院患者多使用替加环素联合方案治疗,疗效尚可。 展开更多
关键词 耐碳青霉烯类肺炎克雷伯菌 抗菌药物 治疗方案 疗效
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