Brucellosis: An Outpatient Non-Probability Retrospective Study of 199 Patients

Background: A descriptive study of the characteristics of brucellosis patients in Jordan and antimicrobial therapy. Methods: In an outpatient study, records were reviewed between July 2016 and April 2024 and electronically saved. Brucella diagnosis was based on epidemiological factors, risk factors, the standard tube agglutination test (STA), and blood or tissue cultures. Records were uploaded into a spreadsheet and imported into the R-Program. A 2-sample Kruskal-Wallis rank sum tested the equality of proportions between two treatment regimens for all available and spondylodiscitis, P Results: Two hundred patients with Brucellosis were analyzed;males 106 (53%) with a mean age of 46.8 years, and females 94 (47%) with a mean age of 48.1 years. Patients from Jordan were 159 (79.9%), and the Arabian Peninsula 25 (12.6%). Brucellosis was a non-focal presentation in 121 (60.50%) patients, spondylodiscitis in 64 (32.0%), and sacroiliitis in 7 (3.5%). Spondylodiscitis involved lumbar 48 (75.0%), thoracic 11 (17.20%), and cervical 5 (7.8%). STA was a common diagnostic method (188, 94%). Risk factors included cheese 80 (47.3%), cattle, small ruminants, and she-camel milk 37 (21.89%), dairy products 28 (16.57%), meat 9 (05.33%), and working with cattle 10 (05.92%). ESR was highest in spondylodiscitis (mean of 54.5). Imaging studies commonly requested were MRI and Bone scans. Doxycycline/Rifampin were mostly prescribed antimicrobials. Conclusion: There is no clear guidance on brucella treatment. In endemic areas, brucella is still a concern. Population education must be a priority. Support for randomized trials addressing antimicrobials and durations is extremely needed.

Intravoxel incoherent motion and dynamic contrast-enhanced MRI for assessing abnormalities of brucellosis spondylitis without conventional MRI changes

Objective To observe the value of intravoxel incoherent motion(IVIM)and dynamic contrast-enhanced MRI(DCE-MRI)for assessing abnormalities of brucellosis spondylitis(BS)without conventional MRI changes.Methods Data of 36 brucellosis patients with definite spinal lesions displayed on conventional MRI(BS 1 group),14 cases without brucellosis infection nor abnormal spinal signals on MRI(control group)and 36 brucellosis patients without definite spinal lesions on conventional MRI(BS 2 group)were retrospectively analyzed.The values of IVIM parameters,including perfusion fraction(f),pure water diffusion coefficient(D)and pseudo-diffusion coefficient(D*),also of DCE-MRI parameters,including time-intensity curve(TIC)type,volume transport constant(K trans),the rate constant(K ep)and volume fraction of extravascular extracellular space per unit tissue volume(V e)were compared among groups.Univariate and multivariate logistic regression were used to screen independent factors for discriminating BS 1 and BS 2.Receiver operating characteristic curves were drawn,and the areas under the curve(AUC)were calculated to evaluate the efficiency of the above parameters for discriminating BS 1 and BS 2.Results Among IVIM parameters,compared with control group,D*values decreased but D values increased in BS 1 group,while D*values increased in BS 2 group(all adjusted P<0.05).Compared with BS 2 group,BS 1 group had higher values of f and D and lower D*(all adjusted P<0.05).In BS 1 group,the TIC types were predominantly typeⅠ(23/36,63.89%),which were wholly or predominantly typeⅢin BS 2 group and control group,and of the former was significantly different with latter 2(both adjusted P<0.05).Compared with control group,K trans increased progressively in both BS 1 and BS 2 groups(both adjusted P<0.05).BS 1 group had lower K ep and higher V e than BS 2 and control groups(all adjusted P<0.05).Among univariate logistic regression models,the model including only f had lower capability for discriminating BS 1 and BS 2(AUC=0.759)than those including D,K trans and V e(AUC=0.951,0.833,0.894,all P<0.05).No significant different was found among multivariate logistic regression model including f and D,model including K trans and V e nor model including all above parameters(all P>0.05).Conclusion Both IVIM and DCE-MRI could be used to evaluate BS abnormality without conventional MRI changes.

TC4-DT钛合金切削加工参数研究

针对YG8和TiAlN涂层硬质合金两种刀具,通过单因素车削、低速铣削及正交高速铣削加工试验,探究刀具切削工艺参数对TC4-DT钛合金加工件表面粗糙度、表层硬度的影响规律。实验结果表明:钛合金的表面粗糙度随着切削三要素发生变化,切削速度越高,粗糙度越低;进给量越大,粗糙度越大;但随切削深度波动变化。使用TiAlN涂层硬质合金立铣刀进行加工得到的平均表面粗糙度小于YG8硬质合金立铣刀,且加工表面硬度变化更小,更适合用于TC4-DT的铣削加工。

Periprosthetic knee joint infection caused by Brucella melitensis which was first-osteoarticular brucellosis or osteoarthrosis:A case report

BACKGROUND Brucellosis is the most common zoonosis worldwide and is endemic in the Middle East,Africa,Asia,and Latin America.However,it is uncommon in Central Europe,and periprosthetic infections caused by Brucella are therefore rare.Due to the low prevalence and nonspecific clinical presentation of the disease,accurate diagnosis can be challenging;no gold standard currently exists for treating brucellosis.CASE SUMMARY Here,we present a 68-year-old Afghan woman living in Austria with a periprosthetic knee infection caused by Brucella melitensis.The interval from total knee arthroplasty to septic loosening was five years.A profound medical history and examinations suggested that the patient had been suffering from unrecognized chronic osteoarticular brucellosis prior to total knee arthroplasty.She was successfully treated by two-stage revision surgery and combined antibiotic therapy over three months.CONCLUSION Clinicians should consider brucellosis as a possible cause of chronic arthralgia and periprosthetic infection in patients originating from countries with a high brucellosis burden.

Oligo(dT)亲和层析介质的载量比较和机制分析

针对Oligo(d T)亲和层析介质的吸附性能,以poly(A)为模型分子,考察了4种Oligo(d T)亲和层析介质的静态吸附平衡、吸附动力学和动态结合载量(DBC),探讨了载量影响相关机制。结果表明,4种介质的合适吸附条件均为0.6 mol·L-1Na Cl、p H=6~7;Monomix d T20静态吸附容量最大,且poly(A)能扩散至介质微球深层孔内,而Poros Oligo(d T)25、Praesto Jetted (d T)25和Nano Gel d T20等3种介质中poly(A)均主要为表层吸附、静态吸附容量稍低;对于DBC,Nano Gel d T20和Monomix d T20的10%穿透的DBC较高,而Poros Oligo (d T)25和Praesto Jetted (d T)25相对略低。经分析,影响载量的主要因素包含基质种类、微球孔径、配基密度、间隔臂和配基长度等。对于基质种类,聚苯乙烯基质可能孔道结构较为特别。对于微球孔径,应针对不同大小的m RNA分子定制不同孔径的微球,以平衡传质阻力与可及吸附表面积之间的矛盾,从而增大DBC。

Epidemiological Investigation of Brucellosis Spondylitis and Optimal Selection of Clinical Drug Compatibility, Treatment Course and Treatment Plan

Background: Brucellosis is a zoonotic endemic disease, the main source of infection is infected cattle, sheep, pigs and their products. In recent years, the global incidence of brucellosis spondylitis has increased year by year, and it has spread from pastoral areas to semi-agricultural and semi-pastoral areas, agricultural areas and cities. It has changed from a mainly occupational disease to a mainly food-borne disease, and it is also a zoonotic specific spinal infectious disease that WHO and governments around the world pay great attention to. Due to the low cure rate and high recurrence rate of traditional drug therapy regimen. Therefore, to carry out epidemiological investigation and Related research on clinical drug therapy of brucellosis spondylitis has practical significance for improving diagnosis rate, cure rate and reducing recurrence rate. Objective: To analyze the epidemiological characteristics of Brucellosis spondylitis and explore the choice of drugs and the best drug treatment plan, so as to provide scientific basis for improving the prevention and control of the disease and treatment effect. Methods: Clinical epidemiodogical materials were collected from 113 patients with brucellar spondylitis. All these patients were divided into 5 different groups according to 5 kinds of drugs adopted respectively, and then the patients were given different course of treatment. Results: In the 113 patients, brucellar spondylitis morbility of female patients were higher than that of male ones, and the morbility of Bashang were higher than that of Baxia. These patients were infected mainly through browsing and breeding beasts. Lumbars were the major focus of infection. It was very comnlon that two adjacent lumbars were involved in concurrently. L4 was the most common infection location and its demolishment was most serious. The curative effect of group treated with doxycycline was better than that of group treated without doxycycline. If the course of treatment Was increased, the curative effect Was not increased obviously. Conclusions: There are characteristic features in clinical epidemiology of brucell spondylitis. Doxycycline + Rifampicin + Sulfamethoxazole was used as the preferred antibiotic. Using antibiotics adequately and jointly by two courses of treatment for a long time is the most reasonable way to treat the disease and prevent the disease from recurrence.

Treatment Outcomes in COVID-19 Patients with Brucellosis:Case Series in Heilongjiang and Systematic Review of Literature

Objective Clinical characteristics and outcome in COVID-19 with brucellosis patients has not been well demonstrated,we tried to analyze clinical outcome in local and literature COVID-19 cases with brucellosis before and after recovery.Methods We retrospectively collected hospitalization data of comorbid patients and prospectively followed up after discharge in Heilongjiang Infectious Disease Hospital from January 15,2020 to April29,2022.Demographics,epidemiological,clinical symptoms,radiological and laboratory data,treatment medicines and outcomes,and follow up were analyzed,and findings of a systematic review were demonstrated.Results A total of four COVID-19 with brucellosis patients were included.One patient had active brucellosis before covid and 3 patients had nonactive brucellosis before brucellosis.The median age was54.5 years,and all were males(100.0%).Two cases(50.0%)were moderate,and one was mild and asymptomatic,respectively.Three cases(75.0%)had at least one comorbidity(brucellosis excluded).All4 patients were found in COVID-19 nucleic acid screening.Case C and D had only headache and fever on admission,respectively.Four cases were treated with Traditional Chinese medicine,western medicines for three cases,no adverse reaction occurred during hospitalization.All patients were cured and discharged.Moreover,one case(25.0%)had still active brucellosis without re-positive COVID-19,and other three cases(75.0%)have no symptoms of discomfort except one case fell fatigue and anxious during the follow-up period after recovery.Conducting the literature review,two similar cases have been reported in two case reports,and were both recovered,whereas,no data of follow up after recovery.Conclusion These cases indicate that COVID-19 patients with brucellosis had favorable outcome before and after recovery.More clinical studies should be conducted to confirm our findings.

Financial Losses Associated with Bovine Brucellosis (Brucella abortus) in Carchi-Ecuador

Brucellosis is an infectious disease of worldwide distribution, which has a great economic impact due to the productive and reproductive losses that it causes, in addition to the serious public health problem. The aim of this study is to estimate the economic losses, through financial analysis, caused by bovine brucellosis in the province of Carchi, over a one-year period. A random sampling was used to determine the prevalence in the study area, where 2976 animals were considered, and the Rose Bengal (RB) test was used as a screening test and the Fluorescence Polarized Assay (FPA) as a confirmatory test, obtaining a prevalence of 8.2% (244/2976). In addition, parameters associated to the losses caused by brucellosis in cattle were determined by literature review. To estimate costs, field information was collected through a survey of a total of 100 randomly selected farmers. The loss estimated due to calves lost as a result of abortions and neonatal death was USD. 79170.00. The loss due to death of 4 cows as a result of metritis was estimated at USD. 5000.00. The cost of examination and treatment of aborted cows was USD. 20100.00. The losses due to reduction in milk production from aborted and non-aborted seropositive cows were estimated at USD. 158114.21. The financial losses due to brucellosis in province of Carchi were estimated at USD. 262384.21.

“Typhoidal Cells”Appear in a Woman with Hemophagocytic Syndrome Secondary To Brucellosis:A Case Report

We report a case of hemophagocytic syndrome(HPS)secondary to brucellosis,in which typhoidal cells were found in bone marrow,suggesting typhoidal cells present not only in Salmonella typhi infections but also in other bacterial infections.Typhoidal cells in bone marrow can be used to quickly identify the presence of bacterial infection pending the results of bone marrow and/or blood cultures.

Establishment and Clinical Application of Multidisciplinary Collaborative Rapid Rehabilitation Nursing Pathway in Perioperative Period of Brucellosis Spondylitis

Objective: To study the establishment and clinical application of multidisciplinary collaborative rapid rehabilitation nursing model in patients with brucellosis spondylitis during the perioperative period. Method: From January 2009 to January 2013, 39 patients diagnosed with brucellosis spondylitis were treated with focal clearance combined with posterior pedicle internal fixation. Nursing was randomly divided into 2 groups: 19 cases of routine nursing as the control group (group A);20 cases of implementation of the nursing path as the intervention group (group B). In the intervention group, analgesic nursing plan, daily activity ability training path, medication compliance and health education path were used to effectively intervene on the evaluation parameters affecting rapid recovery and clinical efficacy (VAS score, daily activity ability mastery, Oswestry disability index and medication Morisky-Green index). The nursing effect and clinical evaluation of the two groups were compared. Results: As time went by, VAS pain score, mastery of daily activity ability, Oswestry disability index and medication compliance between the two groups at the same time point were significantly different (P Conclusions: The nursing path of brucellosis spondylitis is positively correlated with rapid recovery and clinical efficacy. Compared with routine nursing, it has a significant effect on accelerating postoperative rehabilitation and clinical efficacy.

Brucellosis presenting with pancytopenia and hearing loss:A case report

BACKGROUND Brucellosis is one of the most common zoonotic infectious diseases in the world,with approximately 500000 new cases of human brucellosis diagnosed each year.Brucellosis can simulate various multi-system diseases,presenting atypical symptoms.Very few brucellosis cases with pancytopenia accompanied by a severe hearing loss have been reported.In the literature review,we could find only one similar case reported in the past.Moreover,this disease is easily misdiagnosed as a blood system disease leading to delayed treatment.Thus,it is important to improve clinicians'awareness of this disease.CASE SUMMARY A 64-year-old woman presented with dizziness and fatigue,accompanied by pancytopenia and severe hearing loss.Brucella melitensis was identified on blood culture.Anti-infective therapy with rifampicin(900 mg/d)and doxycycline(100 mg twice a day)was prescribed for 4 mo along with ceftriaxone 2 g/d for 1 mo.The patient showed a good response to antibiotic therapy.Her blood counts returned to normal followed by significant improvement in hearing.CONCLUSION Brucellosis should be considered in the differential diagnosis of patients presenting with pancytopenia and hearing loss.

PKGIα通路抑制剂DT-3对胃癌细胞增殖和迁移的影响

目的:探讨PKGIα信号通路特异性抑制剂DT-3对胃癌细胞增殖和迁移的影响。方法:利用生物信息学分析,基于GEO、TCGA、HPA、Kaplan-Meier plotter数据库和GEPIA在线分析网站对PKGI在组织中的表达进行差异分析并探讨PKGI和PKGIα在胃癌患者中的预后情况。采用CCK-8、克隆形成实验检测DT-3对细胞增殖的影响,划痕愈合实验观察DT-3对细胞迁移的影响;Western blot-ting法验证PKGIα的蛋白表达和相关性分析。结果:胃腺癌组织中PKGI mRNA表达增高,在42种胃癌细胞株里有27种能检测到PKGI mRNA的表达,高表达PKGIαmRNA的胃癌组织更具肿瘤侵袭性;免疫组织化学(IHC)结果展示PKGI蛋白表达情况,12例胃癌组织中观察到6例存在中、高强度的细胞质染色阳性反应;PKGI和CDH1的表达呈负相关(r=-0.74,P<0.05);生存分析显示PKGI和PKGIαmRNA高表达对胃腺癌患者的总生存期(OS)有统计学意义(HR>1,logrank P<0.05)。实验结果表明PKGIα蛋白在人胃癌细胞株AGS中的表达增加;DT-3抑制细胞增殖迁移(P<0.05),使NF-κB磷酸化p65表达降低,且PKGI和NF-κB p-p65的表达呈极强正相关(r=0.957,P<0.05)。结论:通过抑制PKGIα信号通路,可以有效抑制胃癌细胞增殖迁移。

Brucellosis,a diagnostic dilemma,presenting atypically in a child with terminal ileitis:A case report

BACKGROUND Brucellosis is endemic in India with seropositivity rates as high as 10%in children in the eastern states,yet the disease is not on the radar when a differential diagnosis of pyrexia of unknown origin(PUO)is being considered,especially in children in urban set-up.This may be because of the non-specific multitude of systemic symptoms seen in this disease and the lack of awareness among clinicians.CASE SUMMARY We present a case of a 13-year-old boy,who came with a history of undulating fever for the past three and a half months,loss of appetite,and abdominal pain.The child had visited several pediatricians and was even admitted to a tertiary care hospital for PUO evaluation,but to no avail.He presented to us after three and half months of suffering and weight loss of more than 10%of body weight.His ultrasonography revealed thickening of the terminal ileum.His blood culture grew Brucella melitensis.A diagnosis of Brucellosis with terminal ileitis was made.Brucella serology by enzyme-linked immunoassay(ELISA)was positive for both IgG and IgM.He was treated with doxycycline and Rifampicin along with syrup multivitamin and zinc,for 6 wk.There was remarkable improvement with gain in 4 kg body weight within 2 mo of completing treatment.History revealed consumption of unpasteurized milk and contact with cattle.CONCLUSION Clinical suspicion,detailed history,appropriate laboratory investigations are the three pillars for diagnosing Brucellosis in patients presenting with vague symptoms.

基于DT‒SVM优化算法的人体姿态特征提取与识别研究

为确定人体运动行为在空间环境中的表现情况,实现对姿态特征的准确定义,针对基于DT‒SVM优化算法的人体姿态特征提取与识别方法展开研究.利用DT‒SVM优化算法,推荐必要的姿态特征节点,确定人体运动行为所处空间平面.实施对姿态特征的梯度化处理,根据获取到的轮廓节点,计算夹角向量的具体数值,从而求解姿态特征提取与识别的数学表达式,完成基于DT‒SVM优化算法的人体姿态特征提取与识别方法的设计.实验结果表明,上述方法的应用,可同时在X轴、Y轴、Z轴三个方向上,控制人体运动行为,使其偏向角数值均不超过12°,符合精准定义人体姿态特征的实际应用需求.

TC4-DT合金中片状α相的高精度定量分析方法

针对网篮组织片状α相体积分数难以精确定量分析以及粘连α相难分离表征的问题,结合体视学原理,采用随机森林、遗传算法和改进遗传算法对TC4-DT合金网篮组织片状α相进行表征。首先,预处理采集网篮组织图像;然后,利用样本中片状α相和β相特征对随机森林模型进行训练。考虑到传统遗传算法图像分割易陷入局部最优解以及收敛速度过快的问题,本文采用精英选择和轮盘赌结合的方法初始化种群,设计了两段式交叉概率和抛物线型变异概率优化遗传算法。最后,利用Java程序验证随机森林模型并自动定量分析片状α相的体积分数,结合实例定量分析片状α相的特征参数。结果表明:采用改进遗传算法运行时时间缩短60%,且图像处理效果也得到提升;随机森林模型不仅在训练样本中的分类准确率达到99.89%,而且在测试样本中的准确率也达到99.29%。这说明随机森林模型能精确地分离片状α相与β相且具有较好的泛化能力。

Seroprevalence of Brucellosis Disease and Lumpy Skin Disease on Cattles at Svay Rieng and Prey Veng Province, Cambodia

LSD (Lumpy Skin Disease) is a poxviral disease with significant morbidity in cattle and belongs to the family Poxviridae and the genus Capripoxvirus and is transmitted by hematophagous arthropod vectors. Despite the typically low mortality rate, economic costs arise from deterioration in health, decreased milk production, miscarriages, infertility and harmed hides. Brucellosis disease is one of the most common contagious and communicable zoonotic diseases with high rates of morbidity and lifetime sterility. Serological tests with ELISA (Enzyme-Linked Immunosorbent Assays) indicate exposure to Brucella and LSD in cattle. To identify the presence of those diseases, the research was conducted in two provinces, Svay Rieng and Prey Veng, in Cambodia, starting from July 2021 to January 2022. In the study, the 2018 Thusfield method was adopted, and two cattle were selected from 216 households in the two provinces (112 in Svay Rieng and 104 in Prey Veng). However, not all the families had two cattle, so the total sample size was 300 cattle (227 in Svay Rieng and 73 in Prey Veng). As a result, there was only one brucellosis disease case in Svay Rieng Province, while that disease was not found at all in Prey Veng. Meanwhile, LSD was higher in Prey Veng (80% of the tested cattle) than in Svay Rieng (69%). Among all of the tested cattle, 66.7% had the highest BS (Body Score = 4). The finding suggests that LSD was prevalent in the studied areas, which may cause economic losses. Thus, preventive measures should be taken properly to tackle this issue. Although Brucellosis was a rare case in the studied areas, it may spread faster, causing abortion in cattle and women. Biosecurity is needed to ensure a strict control over this disease.

基于DTS的注水井吸水剖面解释方法

针对注水井分层注水量诊断技术难题,提出基于分布式光纤温度传感(Distributed Temperature Sensing,DTS)的注水井吸水剖面解释方法。建立考虑微量热效应的注水井温度剖面预测模型,模拟分析注水量、注水时间、储层导热系数等7个因素对温度剖面的影响规律。通过正交试验模拟分析,确定不同因素对注水井温度剖面的影响程度从强到弱分别为注入水温度、注水时间、注水量、井筒半径、储层导热系数、井筒倾斜角度、注水层渗透率,明确影响注水井温度剖面的主控因素为注入水温度、注水时间和注入量。采用模拟退火(Simulated Annealing,SA)算法建立注水井DTS数据反演模型,对一口注水井现场实测DTS数据进行反演,获得较为准确的吸水剖面,单层最大吸水量误差百分比14.25%,平均误差11.09%,验证该反演方法的可靠性。通过DTS数据反演可以实现注水井吸水剖面定量解释,为注水效果评价提供直接依据。

基于dv/dt参数提取的变流器IGBT驱动自调节技术

绝缘栅双极晶体管(IGBT)作为轨道交通变流器关键部件,对其驱动的调节可以显著改善dv/dt、开关损耗等影响变流器运行的重要参数。为此提出了一种基于dv/dt参数提取的变流器IGBT驱动自调节技术。首先基于IGBT驱动等效电路建立数学模型,分析了dv/dt、门极电阻、开关损耗三者之间的数学关系。其次以dv/dt参数的限制为主要优化目标,开关损耗的平衡为约束条件,提出一种基于Bang-Bang控制的自调节控制策略从而实现门极电阻主动切换,并在双脉冲测试中整定控制策略重要参数。最后通过有无自调节技术对比试验测试,验证了本技术的有效性。

输水隧洞液-气界面DTS监测方法

输水隧洞的运营状态与其水情息息相关,确定隧洞内液-气界面高度是确保隧洞正常运行的重要前提。基于分布式温度传感(DTS)技术时空连续性、监测便捷性、高空分辨率等特点,提出一种基于DTS技术的输水隧洞液-气界面分布式监测方法及液面高度经验公式,并通过室内模型验证该方法的适用性,分析液面高度、光缆布设角度、加热功率、光缆类型对感测性能的影响。结果表明:DTS液-气界面分布式监测方法配合铜网内加热传感光缆效果最佳,当布设角度为45°、加热时间为2 min,且界面高度处于28 cm及以上时,可以准确反映隧洞内液-气界面高度。

玉米新品种“登海 DT996”选育及栽培技术

玉米新品种“登海DT996”是枣庄市金苗农作物研究所在2015年以Z1302为母本、Z2159为父本杂交选育而成,夏播生育期为107天。该品种具有抗病抗倒、耐密耐涝、高产优质等特点,适宜山东省夏玉米区域种植利用。