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Bioimpedance Monitoring System for Pervasive Biomedical Applications
Bioimpedance monitoring system for pervasive biomedical applications Jaime Punter Villagrasa ADVERTIMENT . La consulta d’aquesta tesi queda condicionada a l’acceptació de les següents condicions d'ús: La difusió d’aquesta tesi per mitjà del servei TDX ( www.tdx.cat ) i a través del Dipòsit Digital de la UB ( diposit.ub.edu ) ha estat autoritzada pels titulars dels drets de propietat intel·lectual únicament per a usos privats emmarcats en ac tivitats d’investigació i docència. No s’autoritza la seva reproducció amb finalitats de lucre ni la seva difusió i posada a disposici ó des d’un lloc aliè al servei TDX ni al Dipòsit Digital de la UB . No s’autoritza la presentació del seu contingut en una finestra o marc aliè a TDX o al Dipòsit Digital de la UB (framing). Aquesta reserva de drets afecta tant al resum de presentació de la tesi com als seus continguts. En la utilització o cita de parts de la tesi és obligat indicar el nom de la persona autora . ADVERTENCIA . La consulta de esta tesis queda condicionada a la aceptación de las siguientes condiciones de uso: La difusión de esta tesis por medio del servicio TDR ( www.tdx.cat ) y a través del Repositorio Digital de la UB ( diposit.ub.edu ) ha sido auto rizada por los titulares de los derechos de propiedad intelectual únicamente para usos privados enmarcados en actividades de investigación y docencia. No se autoriza su reproducción con finalidades de lucro ni su difusión y puesta a disposición desde un si tio ajeno al servicio TDR o al Repositorio Digital de la UB . -
How Do We Treat Life-Threatening Anemia in a Jehovah's Witness
HOW DO I...? How do we treat life-threatening anemia in a Jehovah’s Witness patient? Joseph A. Posluszny Jr and Lena M. Napolitano he management of Jehovah’s Witness (JW) The refusal of allogeneic human blood and blood prod- patients with anemia and bleeding presents a ucts by Jehovah’s Witness (JW) patients complicates clinical dilemma as they do not accept alloge- the treatment of life-threatening anemia. For JW neic human blood or blood product transfu- patients, when hemoglobin (Hb) levels decrease Tsions.1,2 With increased understanding of the JW patient beyond traditional transfusion thresholds (<7 g/dL), beliefs and blood product limitations, the medical com- alternative methods to allogeneic blood transfusion can munity can better prepare for optimal treatment of severe be utilized to augment erythropoiesis and restore life-threatening anemia in JW patients. endogenous Hb levels. The use of erythropoietin- Lower hemoglobin (Hb) is associated with increased stimulating agents and intravenous iron has been mortality risk in JW patients. In a study of 300 patients shown to restore red blood cell and Hb levels in JW who refused blood transfusion, for every 1 g/dL decrease patients, although these effects may be significantly in Hb below 8 g/dL, the odds of death increased 2.5-fold delayed. When JW patients have evidence of life- (Fig. 1).3 A more recent single-center update of JW threatening anemia (Hb <5 g/dL), oxygen-carrying patients (n = 293) who declined blood transfusion capacity can be supplemented with the administration reported an overall mortality rate of 8.2%, with a twofold of Hb-based oxygen carriers (HBOCs). -
The Intestinal Protozoa
The Intestinal Protozoa A. Introduction 1. The Phylum Protozoa is classified into four major subdivisions according to the methods of locomotion and reproduction. a. The amoebae (Superclass Sarcodina, Class Rhizopodea move by means of pseudopodia and reproduce exclusively by asexual binary division. b. The flagellates (Superclass Mastigophora, Class Zoomasitgophorea) typically move by long, whiplike flagella and reproduce by binary fission. c. The ciliates (Subphylum Ciliophora, Class Ciliata) are propelled by rows of cilia that beat with a synchronized wavelike motion. d. The sporozoans (Subphylum Sporozoa) lack specialized organelles of motility but have a unique type of life cycle, alternating between sexual and asexual reproductive cycles (alternation of generations). e. Number of species - there are about 45,000 protozoan species; around 8000 are parasitic, and around 25 species are important to humans. 2. Diagnosis - must learn to differentiate between the harmless and the medically important. This is most often based upon the morphology of respective organisms. 3. Transmission - mostly person-to-person, via fecal-oral route; fecally contaminated food or water important (organisms remain viable for around 30 days in cool moist environment with few bacteria; other means of transmission include sexual, insects, animals (zoonoses). B. Structures 1. trophozoite - the motile vegetative stage; multiplies via binary fission; colonizes host. 2. cyst - the inactive, non-motile, infective stage; survives the environment due to the presence of a cyst wall. 3. nuclear structure - important in the identification of organisms and species differentiation. 4. diagnostic features a. size - helpful in identifying organisms; must have calibrated objectives on the microscope in order to measure accurately. -
Guidelines for Transfusion and Patient Blood Management, and Discuss Relevant Transfusion Related Topics
Guidelines for Transfusion and Community Transfusion Committee Patient Blood Management Community Transfusion Committee CHAIR: Aina Silenieks, M.D., [email protected] MEMBERS: A.Owusu-Ansah, M.D. S. Dunder, M.D. M. Furasek, M.D. D. Lester, M.D. D. Voigt, M.D. B. J. Wilson, M.D. COMMUNITY Juliana Cordero, Blood Bank Coordinator, CHI Health Nebraska Heart REPRESENTATIVES: Becky Croner, Laboratory Services Manager, CHI Health St. Elizabeth Mackenzie Gasper, Trauma Performance Improvement, Bryan Medical Center Kelly Gillaspie, Account Executive, Nebraska Community Blood Bank Mel Hanlon, Laboratory Specialist - Transfusion Medicine, Bryan Medical Center Kyle Kapple, Laboratory Quality Manager, Bryan Medical Center Lauren Kroeker, Nurse Manager, Bryan Medical Center Christina Nickel, Clinical Laboratory Director, Bryan Medical Center Rachael Saniuk, Anesthesia and Perfusion Manager, Bryan Medical Center Julie Smith, Perioperative & Anesthesia Services Director, Bryan Medical Center Elaine Thiel, Clinical Quality Improvement/Trans. Safety Officer, Bryan Med Center Kelley Thiemann, Blood Bank Lead Technologist, CHI Health St. Elizabeth Cheryl Warholoski, Director, Nebraska Operations, Nebraska Community Blood Bank Jackie Wright, Trauma Program Manager, Bryan Medical Center CONSULTANTS: Jed Gorlin, M.D., Innovative Blood Resources [email protected] Michael Kafka, M.D., LifeServe Blood Center [email protected] Alex Smith, D.O., LifeServe Blood Center [email protected] Nancy Van Buren, M.D., Innovative -
Reducing the Risk of Iatrogenic Anemia and Catheter-Related Bloodstream Infections Using Closed Blood Sampling
WHITE PAPER WHITE Reducing the Risk of Iatrogenic Anemia and Catheter-Related Bloodstream Infections Using Closed Blood Sampling INTRODUCTION In the Intensive Care Unit (ICU), critically ill patients are more numerous and severely ill than ever before.1 To effectively care for these patients, clinicians rely on physiologic monitoring of blood-flow, oxygen transport, coagulation, metabolism, and organ function. This type of monitoring has made the collection of blood for testing an essential part of daily management of the critically ill patient, yet it is widely recognized that excessive phlebotomy has a deleterious effect on patient health. The result is a clinical paradox in which diligent care may contribute to iatrogenic anemia. RISKS ASSOCIATED WITH CONVENTIONAL DIAGNOSTIC BLOOD SAMPLING Iatrogenic Anemia The process of obtaining a blood sample from an indwelling central venous or arterial Use of blood sampling techniques that rely catheter requires a volume of diluted blood on discarding a volume of blood for each (2–10 mL) to be discarded or “cleared” from the catheter before a sample can be taken.2,3 sample may contribute to iatrogenic anemia, Studies have shown that patients with central which remains a prevalent issue affecting venous or arterial catheters have more blood sampling than ICU patients who don’t have the vast majority of patients in the ICU. these catheters and the total blood volume drawn from patients with arterial catheters is 44% higher than patients without arterial catheters (See Table 1).4,5 It has also been -
Amoebic Dysentery
University of Nebraska Medical Center DigitalCommons@UNMC MD Theses Special Collections 5-1-1934 Amoebic dysentery H. C. Dix University of Nebraska Medical Center This manuscript is historical in nature and may not reflect current medical research and practice. Search PubMed for current research. Follow this and additional works at: https://digitalcommons.unmc.edu/mdtheses Part of the Medical Education Commons Recommended Citation Dix, H. C., "Amoebic dysentery" (1934). MD Theses. 320. https://digitalcommons.unmc.edu/mdtheses/320 This Thesis is brought to you for free and open access by the Special Collections at DigitalCommons@UNMC. It has been accepted for inclusion in MD Theses by an authorized administrator of DigitalCommons@UNMC. For more information, please contact [email protected]. A MOE B leD Y SEN T E R Y By H. c. Dix University of Nebraska College of Medicine Omaha, N~braska April 1934 Preface This paper is presented to the University of Nebraska College of MediCine to fulfill the senior requirements. The subject of amoebic dysentery wa,s chosen due to the interest aroused from the previous epidemic, which started in Chicago la,st summer (1933). This disea,se has previously been considered as a tropical disease, B.nd was rarely seen and recognized in the temperate zone. Except in indl vidu8,ls who had been in the tropics previously. In reviewing the literature, I find that amoebio dysentery may be seen in any part of the world, and from surveys made, the incidence is five in every hun- dred which harbor the Entamoeba histolytlca, it being the only pathogeniC amoeba of the human gastro-intes tinal tract. -
Enteric Protozoa in the Developed World: a Public Health Perspective
Enteric Protozoa in the Developed World: a Public Health Perspective Stephanie M. Fletcher,a Damien Stark,b,c John Harkness,b,c and John Ellisa,b The ithree Institute, University of Technology Sydney, Sydney, NSW, Australiaa; School of Medical and Molecular Biosciences, University of Technology Sydney, Sydney, NSW, Australiab; and St. Vincent’s Hospital, Sydney, Division of Microbiology, SydPath, Darlinghurst, NSW, Australiac INTRODUCTION ............................................................................................................................................420 Distribution in Developed Countries .....................................................................................................................421 EPIDEMIOLOGY, DIAGNOSIS, AND TREATMENT ..........................................................................................................421 Cryptosporidium Species..................................................................................................................................421 Dientamoeba fragilis ......................................................................................................................................427 Entamoeba Species.......................................................................................................................................427 Giardia intestinalis.........................................................................................................................................429 Cyclospora cayetanensis...................................................................................................................................430 -
Entamoeba Histolytica?
Amebas Friend and foe Facultative Pathogenicity of Entamoeba histolytica? Confusing History 1875 Lösch correlated dysentery with amebic trophozoites 1925 Brumpt proposed two species: E. dysenteriae and E. dispar 1970's biochemical differences noted between invasive and non-invasive isolates 80's/90's several antigenic and DNA differences demonstrated • rRNA 2.2% sequence difference 1993 Diamond and Clark proposed a new species (E. dispar) to describe non-invasive strains 1997 WHO accepted two species 1 Family Entamoebidae Family includes parasites • Entamoeba histolytica and commensals • Entamoeba dispar • Entamoeba coli Species are differentiated • Entamoeba hartmanni based on size, nuclear • Endolimax nana substructures • Iodamoeba bütschlii Entamoeba histolytica one of the most potent killers in nature Entamoeba histolytica • worldwide distribution (cosmopolitan) • higher prevalence in tropical or developing countries (20%) • 1-6% in temperate countries • Possible animal reservoirs • Amebiasis - Amebic dysentery • aka: Montezuma’s revenge Taxonomy • One parasitic species? • E. histolytica • E. dispar • E. hartmanni 2 Entamoeba Life Cycle - Direct Fecal/Oral transmission Cyst - Infective stage Resistant form Trophozoite - feeding, binary fission Different stages of cyst development Precysts - rich in glycogen Young cyst - 2, then 4 nuclei with chromotoid bodies Metacysts - infective stage Metacystic trophozoite - 8 8 Excystation Metacyst Cyst wall disruption Ameba emerges Nuclear division 48 Cytokinesis Nuclear division -
38 Entamoeba Histolytica and Other Rhizophodia
MODULE Entamoeba Histolytica and Other Rhizophodia Microbiology 38 Notes ENTAMOEBA HISTOLYTICA AND OTHER RHIZOPHODIA 38.1 INTRODUCTION Amoebae can be pathogenic called Entamoeba histolytica and non pathogenic called Entamoeba coli (large intestines), Entamoeba gingivalis (oral cavity). These parasites are motile with pseudopodia. The pseudopodia are cytoplasmic processes which are thrown out. OBJECTIVES After reading this lesson you will be able to: z describe morphology, its life cycle, pathogenecity of Entameba Histolytica, other amoebae and free living amoeba z differentiate between amoebic and Bacillary dysentery z differentiate between Entamoeba Histolytica and Entamoeba Coli z demonstrate Laboratory diagnosis of Entameba 38.2 ENTAMOEBA HISTOLYTICA It belongs to the class Rhizopoda and family Entamoebidae. It is the causative agent of amoebiasis. Amoebiasis can be intestinal and extra intestinal like amoebic hepatitis, amoebic liver abscess. 38.3 MORPHOLOGY The Entamoeba is seen in three stages 344 MICROBIOLOGY Entamoeba Histolytica and Other Rhizophodia MODULE (a) Trophozoite: The trophozoite is 18-40 µm in size. The trophozoite is Microbiology actively motile. The cytoplasm is demarcated into endoplasm and ectoplasm. Ingested food particles and red blood cells are seen in the cytoplasm No bacteria are seen in the cytoplasm. The nucleus is 6-15 µm and has a central rounded karyosome. Nuclear membrane has chromatin granules and spoke like radial arrangement of chromatin fibrils. Notes Fig. 38.1 (b) Precyst: Smaller in size. 10-20 µm in diameter. It is round to oval in shape with blunt pseudopodium. The nuclei is similar to the trophozoite. (c) Cyst: These are round 10-15 µm in diameter. It is surrounded by a refractile membrane called as the cyst wall. -
Endolimax Nana
Autonomous University of San Luis Potosí Faculty of Chemical Sciences Laboratory of General Microbiology Searching for intestinal parasites in vegetables Members: Canela Costilla Aaron Jared Gómez Hernández Christiane Lucille Castillo Guevara Diana Zuzim Teacher: Juana Tovar Oviedo Teacher: Rosa Elvia Noyola Medina Days: Tuesday-Thrusday Schedule: 08:00-09:00 hrs Abril 5th of 2017 Objective To perform the search of parasitic forms of protozoa and intestinal helminths in vegetables sold in home samples, using the saline centrifugation technique, microscopic observation with 10X and 40X objective, using lugol as a contrast dye Introduction Protozoans are unicellular microorganisms that lack a cell wall. They usually lack color and are mobile. They are distinguished from prokaryotes by their larger size, algae lacking chloroplast and chlorophyll, yeasts and fungi by being mobile and mucosal fungi because of their inability to form fruiting bodies Because of their appreciable content of ascorbic acid, carotene and dietary fiber, vegetables are widely recommended as part of the daily diet. Celery, lettuce, cabbage, brussels sprouts and other vegetables that are generally eaten raw have been associated with outbreaks of diarrhea and even listeriosis. In addition, contamination with parasitic eggs such as Ascaris lumbricoides, Trichocephalus trichiurus, Entamoeba histolytica cysts, Giardia intestinalis and viruses such as hepatitis A has been found in this type of plant. Collection and preservation of vegetables Vegetables should The sample is allowed Vegetables are be fresh at the time to soak in saline solution chopped and cut of sampling 0.85% for 24 hours into pieces They are placed in The contents are We weigh 40g of the glass glasses and 400ml shaken and left to sample in a granataria of saline solution is stand for 24 hours scale added 0.9% Process 9. -
ZOOLOGY Biology of Parasitism Morphology, Life Cycle
Paper : 08 Biology of Parasitism Module : 18 Morphology, Life cycle, Pathogenecity, Diagnosis and Prophylaxis of Entamoeba Part 1 Development Team Principal Investigator : Prof. Neeta Sehgal Department of Zoology, University of Delhi Co-Principal Investigator : Prof. D.K. Singh Department of Zoology, University of Delhi Paper Coordinator : Dr. Pawan Malhotra ICGEB, New Delhi Content Writer : Dr. Ranjana Saxena Dyal Singh College, University of Delhi Content Reviewer : Prof. Rajgopal Raman Department of Zoology, University of Delhi 1 Biology of Parasitism ZOOLOGY Morphology, Life cycle, Pathogenecity, Diagnosis and Prophylaxis of Entamoeba Part 1 Description of Module Subject Name ZOOLOGY Paper Name Biology of Parasitism; Zool 008 Module Name/Title Protozoans Module Id M18: Morphology, Life cycle, Pathogenecity, Diagnosis and Prophylaxis of Entamoeba Part 1 Keywords Trophozoite, precyst, cyst, chromatoidal bars, excystation, encystation, metacystictrophozoites, amoebiasis, amoebic dysentery, extraintestinalinvasion. Contents 1. Learning Outcomes 2. Introduction 3. History of Entamoeba 4. Classification of Entamoeba 5. Geographical distribution of Entamoeba histolytica 6. Habit and Habitat 7. Host 8. Reservoir 9. Morphology 10. Life cycle 11. Transmission 12. Entamoeba dispar 13. Entamoeba gingivalis 14. Entamoeba coli 15. Entamoeba hartmanni 16. Comparison between the various Entamoeba 17. Summary of Entamoeba histolytica 2 Biology of Parasitism ZOOLOGY Morphology, Life cycle, Pathogenecity, Diagnosis and Prophylaxis of Entamoeba Part 1 1. Learning Outcomes After studying this unit you will be able to: Classify Entamoeba Understand the medical importance of Entamoeba Distinguish between the different species of Entamoeba Identify the pathogenic species of Entamoeba Describe the morphology ofEntamoeba histolytica Explain the life cycle of Entamoeba histolytica Compare the life cycle of different species of Entamoeba 2. -
The Detection and Differentiation of Entamoeba Histolytica and Entamoeba Dispar from Diarrheic Stool Samples by Real-Time PCR, ELISA and Trichrome Staining Method
The detection and differentiation of Entamoeba histolytica and Entamoeba dispar from diarrheic stool samples by real-time PCR, ELISA and Trichrome staining method Yakut Akyön1, Ahmet Pınar1, Alpaslan Alp1, Fadile Zeyrek2, Burçin Şener1, Sibel Ergüven1 1Hacettepe University, Medical Faculty, Department of Medical Microbiology, Ankara, 2Harran University, Medical Faculty, Department of Medical Microbiology, Şanlıurfa, Turkey. Introduction: Entamoeba histolytica is an intestinal protozoan parasite that causes invasive amoebiasis in 40–50 million people, resulting in 40 000–100 000 deaths worldwide each year (1). The highest prevalence of Entamoeba histolytica infection is found in countries in subtropical and tropical regions with low hygienic standards, and in countries with high population density. E. histolytica, E. dispar and E. moshkovskii are morphologically identical but are different biochemically and genetically. Although a previous study showed E. moshkovskii to be a non-pathogenic parasite, intestinal symptoms including diarrhea and other gastrointestinal disorders in individuals infected with this species have been reported (2). Also mild gastrointestinal symtoms has been reported in E. dispar infected patients, but the symptoms are self-limited. The prevalence of E. dispar is about ten times higher than E. histolytica (3). Differential diagnosis of E. histolytica, E. dispar and, E. moshkovskii which are three morphologically identical species of Entamoeba genus, is essential both for treatment decision and public health knowledge. Although the distinction between these three species is of great importance, the methods developed for this purpose either are very time-consuming or not sensitive and specific enough. In this study, the efficiency of quantitative real-time PCR method in detection of E.