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Combination Activity of Standard Antituberculosis Drugs and Extracts of Medicinal Plants Commonly Used in Traditional Treatment of Tuberculosis in Uganda

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Advances in Infectious Diseases 2024年第3期14卷 511-522页

作者： moses mpeirwe Kevin Komakech Duncan Ssesazi Patrick Engeu Ogwang Joel Bazira Department of Microbiology Mbarara University of Science and Technology Mbarara Uganda Department of Medical Microbiology Mycobacteriology (BSL-3) Laboratory Makerere University Kampala Uganda Department of Pharmaceutical Sciences Mbarara University of Science and Technology Mbarara Uganda Department of Pharmacy Mbarara University of Science and Technology Mbarara Uganda

Introduction: Resistance to antituberculosis drugs and adverse drug reactions remain the leading causes of tuberculosis therapeutic failure globally. Despite the increasing acceptance of medicinal plant use in combination with conventional antituberculosis drugs in treatment of tuberculosis (TB) in Uganda, there is paucity of knowledge on their combination effect. Aim: This research aimed to determine combination activity of standard antituberculosis drugs with extracts of Zanthoxylum leprieurii Guill. & Perr. and Rubia cordifolia L., the two common antituberculosis medicinal plants in Uganda, against pansensitive (H37Rv) and multi-drug resistant (MDR) Mycobacterium tuberculosis strains. Materials and Methods: Two reference MTB strains (H37Rv and MDR strain) were inoculated on Middlebrook 7H11 medium containing a combination of standard antituberculosis drugs and methanol extracts of Z. leprieurii and R. cordifolia at varying concentrations. The number of colonies on the plates was observed and counted weekly for up to 8 weeks. In vitro combination activity was determined using proportion method. Mean percentage inhibition was calculated for the reduction of number of colonies on drug-extract combination medium in relation to drug-extract-free control medium. Results: Drug-extract combinations showed good combination activity against Mycobacterium tuberculosis strains when compared with individual standard anti-TB drugs. This was more exhibited against MDR strain. There was however a reduction in percentage inhibition when extracts were combined with ethambutol and streptomycin against H37Rv strain. Conclusions: Zanthoxylum leprieurii and Rubia cordifolia in combination with standard anti-TB drugs exhibited increased in vitro activity against Mycobacterium tuberculosis, especially MDR-TB strain. This justifies the local use of these plants in traditional treatment of tuberculosis especially in resistant cases in Uganda.

关键词： Combination Activity Medicinal Plants Zanthoxylum leprieurii Rubia cordifolia Standard Antituberculosis Drugs

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Clindamycin Resistance among Methicillin Resistant <i>Staphylococcus aureus</i>Isolated from Human and Respective Household Swine in Greater Kabale Region—South Western Uganda

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Advances in Infectious Diseases 2019年第4期9卷 285-294页

作者： Andrew Baguma Benson Musinguzi moses mpeirwe Joel Bazira Department of Microbiology Faculty of Medicine Mbarara University of Science and Technology Mbarara Uganda Department of Medical Laboratory Sciences School of Allied Health Sciences Kampala International University Bushenyi Uganda

Introduction: S. aureus is recognized as the common cause of nosocomial and community-acquired infections. Macrolide-Lincosamide-Streptogramin B (MLSB) is thought to be alternative therapies against MRSA infections. Clindamycin is the most favored agent because of exceptional pharmacokinetic characteristics. However, increasing resistance to clindamycin among MRSA strains is a serious challenge. The current study investigated the profile of clindamycin resistance among MRSA isolates from Humans, and their respective livestock (in particular swine) using D-test in greater Kabale region. Materials and Methods: Three hundred phenotypic MRSA isolates previously isolated from Humans and swine were confirmed by mecA PCR. We performed D-test using erythromycin (15 μg) and clindamycin (2 μg) discs in accordance to Clinical and Laboratory Standards Institute (CLSI) protocol. Results: Of all 300 MRSA isolates, 6% (n = 18) were sensitive to Erythromycin and Clindamycin (S). The rate of inducible clindamycin resistance (iMLSB) was 42% (n = 125) and 38% (n = 115) was resistance to both Erythromycin and clindamycin (cMLSB). However, 14% (n = 42) were resistant to erythromycin but sensitive to clindamycin (MS) without “D” zone negative. Conclusion: Clindamycin resistance (both cMLSB and iMLSB) among MRSA was high and “D” test should be adopted routinely during antimicrobial susceptibility testing by disc diffusion testing to rapidly detect iMLSB and cMLSB.

关键词： Clindamycin Resistance cMLSB and iMLSB Phenotypes MRSA

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Incidence and Etiology of Catheter Associated Urinary Tract Infection among Admitted Patients at Kabale Regional Referral Hospital, South Western Uganda

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Advances in Infectious Diseases 2019年第3期9卷 183-196页

作者： Benson Musinguzi Immaculate Kabajulizi moses mpeirwe Joseph Turugurwa Taseera Kabanda Department of Microbiology Faculty of Medicine Mbarara University of Science and Technology Mbarara Uganda Department of Medical Laboratory Sciences School of Allied Health Sciences Kampala International University Bushenyi Uganda

Introduction: Catheter Associated Urinary Tract Infection is the most common hospital acquired infection worldwide. Urinary Tract Infections among catheterised patients are on rise regardless of antibiotic use and this is due to erratic use of antibiotics, treatment failure, antimicrobial resistance and emergency of Extended Spectrum Beta Lactamase producing bacteria leading to patient distress, increased healthcare costs, long hospital stay and poor patient response to antibiotics. In Uganda, no previous studies have sought to study the burden of CAUTI among catheterized patients, the bacterial pathogens involved and their antimicrobial susceptibility patterns yet there is upsurge in antimicrobial resistance of uropathogens. The effective management of patients suffering from Catheter Associated Urinary Tract infection (CAUTI) relays on the identification of uropathogens that cause CAUTI and the selection of an effective antibiotic agent to the uropathen in question. Objectives: The objectives of this study were to determine incidence, etiology and antibiotic susceptibility pattern among the uropathogens causing Catheter Associated Urinary Tract Infections among patients with indwelling catheters at Kabale Regional Referral Hospital. Methods: Using a descriptive prospective observational hospital-based study, the study was conducted on 150 catheterized patients recruited from Emergency, Obstetrics and gynecology, Medical, Maternity and Surgical wards at Kabale Regional Referral Hospital between April and May 2019. The urine samples from study participants were processed in Kabale RRH microbiology laboratory as per standard operating procedures. After isolation and identification, all the isolates were subjected to antibiotic susceptibility testing for commonly used antibiotics. Results: Following the urine culture from 150 catheterized patients, urine from 23 (15.3%) patients showed significant growth. The common bacterial isolates were Escherichia coli 12 (52%), f

关键词： Catheter Associated Urinary Tract Infection(CAUTI) ESBL Uropathogens Urinary Tract Infection Incidence

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Anti-Mycobacterial Activity of Medicinal Plant Extracts Used in the Treatment of Tuberculosis by Traditional Medicine Practitioners in Uganda

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Pharmacology & Pharmacy 2023年第2期14卷 33-42页

作者： moses mpeirwe Ivan Mugisha Taremwa Patrick Orikiriza Patrick Engeu Ogwang Duncan Ssesazi Joel Bazira Department of Microbiology Mbarara University of Science and Technology Mbarara Uganda Institute of Allied Health Sciences Clarke International University Kampala Uganda Department of Microbiology Division of Basic Medical Sciences University of Global Health Equity Kigali Rwanda Department of Pharmacy Mbarara University of Science and Technology Mbarara Uganda Department of Pharmaceutical Sciences Mbarara University of Science and Technology Mbarara Uganda

Tuberculosis (TB) remains a public health challenge and one of the leading causes of death worldwide. TB is preventable and curable. However, treatment of tuberculosis has continued to be difficult as a result of rapid increase of multidrug and extensively drug resistant strains of Mycobacterium tuberculosis. Medicinal plants have for centuries been traditionally used in treatment of tuberculosis and similar ailments. They possess antimicrobial properties which render them a new hope as a source of novel bioactive leads in the development of antimycobacterial agents. In this study, 2 plant species commonly used traditionally in Uganda for treatment of tuberculosis, Zanthoxylum leprieurii and Rubia cordifolia were screened for in vitro antimycobacterial activity against Mycobacterium tuberculosis strains;pan sensitive MTB H37Rv, Rifampicin resistant TMC 331 strain and two wild strains (one rifampicin resistant and another one rifampicin susceptible). Antimycobacterial activity of aqueous, ethanolic and methanolic plant extracts was determined using Resazurin Microtiter Assay (REMA). Both plant extracts exhibited significant in vitro antimycobacterial activity against all strains of Mycobacterium tuberculosis. Minimum inhibitory concentrations (MIC) of methanolic crude extracts of both plants ranged from 23.4 μg/mL to 187.5 μg/mL. Comparatively, methanol extracts of both plants possessed superior antimycobacterial activity against all Mycobacterium tuberculosis strains. Our findings indicated that both plants exhibited activity against susceptible and resistant strains of Mycobacterium tuberculosis. While antimycobacterial activity of Z. leprieurii confirms results from previous studies, activity of the extracts of R. cordifolia is reported for the first time in East Africa. Further studies aimed at determining the effects of combination of these plant extracts and standard anti-TB drugs should be carried out.

关键词： Tuberculosis Antimycobacterial Activity Medicinal Plants Zanthoxylum leprieurii Rubia cordifolia

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Yttrium cuprates modification in linear generator application for power generation

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Clean Energy 2024年第5期8卷 229-240页

作者： moses Eterigho Emetere Physics Department Bowen UniversityIwoOsun StateNigeria Department of Mechanical Engineering Science University of JohannesburgAPK CampusJohannesburgSouth Africa

Yttrium barium copper oxide(YBCO)is used for special applications in linear generators because of its excitation loss,lower weight,and higher *** qualities enable the compound to operate better than the conventional copper wire coil in the stator unit of the linear ***,the continuous use of YBCO in linear generators has a fundamental challenge that affects industrial production and material stability after prolonged *** paper seeks to sustain the adoption of YBCO by improving its quality for linear generator *** yttrium cuprates modification(YBYbCO)was synthesized using the solid-state reaction technique by doping YBCO with *** crystalline structure,microstructural pattern,and stability of the new sample were adequately measured and found to be structurally stable to ensure *** was reported that applyingYBYbCO in the linear generator would lead to a 200%increase in energy *** higher number of particles and lower individual particulate resistance enable it to withstand chemical pressure,thereby prolonging the lifespan of the linear generator.

关键词： microstructure YBCO structure linear generator cuprates clean energy SDG7

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Current perspectives on mesenchymal stem cells as a potential therapeutic strategy for non-alcoholic fatty liver disease

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World Journal of Stem Cells 2024年第7期16卷 760-772页

作者： Yan Jiang Narazah Mohd Yusoff Jiang Du Emmanuel Jairaj moses Jun-Tang Lin School of Nursing Xinxiang Medical UniversityXinxiang 453000Henan ProvinceChina Department of Biomedical Sciences Advanced Medical and Dental InstituteUniversiti Sains MalaysiaKepala Batas 13200Pulau PinangMalaysia Advanced Medical and Dental Institute Universiti Sains MalaysiaKepala Batas 13200Pulau PinangMalaysia Henan Joint International Research Laboratory of Stem Cell Medicine School of Medical EngineeringXinxiang Medical UniversityXinxiang 453003Henan ProvinceChina Stem Cells and Biotherapy Engineering Research Center of Henan National Joint Engineering Laboratory of Stem Cells and BiotherapySchool of Life Science and TechnologyXinxiang Medical UniversityXinxiang 453003Henan ProvinceChina Henan Joint International Research Laboratory of Stem Cell Medicine School of Medical EngineeringXinxiang Medical UniversityXinxiang 453000Henan ProvinceChina

Non-alcoholic fatty liver disease(NAFLD)has emerged as a significant health challenge,characterized by its widespread prevalence,intricate natural progression and multifaceted *** NAFLD initially presents as benign fat accumulation,it may progress to steatosis,non-alcoholic steatohepatitis,cirrhosis,and hepatocellular *** stem cells(MSCs)are recognized for their intrinsic self-renewal,superior biocompatibility,and minimal immunogenicity,positioning them as a therapeutic innovation for liver ***,this review aims to elucidate the potential roles of MSCs in alleviating the progression of NAFLD by alteration of underlying molecular pathways,including glycolipid metabolism,inflammation,oxidative stress,endoplasmic reticulum stress,and *** insights are expected to provide further understanding of the potential of MSCs in NAFLD therapeutics,and support the development of MSC-based therapy in the treatment of NAFLD.

关键词： Non-alcoholic induced fatty liver disease Mesenchymal stem cells Lipid accumulation Inflammation Oxidative stress Endoplasmic reticulum stress Fibrosis

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Cancer treatment with biosimilar drugs:A review

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Cancer Innovation 2024年第2期3卷 45-62页

作者： Shilpa Malakar Emmanuel Nuah Gontor moses YDugbaye Kamal Shah Sakshi Sinha Priya Sutaoney Nagendra Singh Chauhan Department of Microbiology Kalinga UniversityRaipurChhattisgarhIndia Institute of Pharmaceutical Research GLA UniversityMathuraUttar PradeshIndia Drug Testing Laboratory Avam Anusandhan KendraRaipurChhattisgarhIndia

Biosimilars are biological drugs created from living organisms or that contain living *** share an identical amino-acid sequence and *** drugs are considered to be cost-effective and are utilized in the treatment of cancer and other endocrine *** primary aim of biosimilars is to predict biosimilarity,efficacy,and treatment costs;they are approved by the Food and Drug Administration(FDA)and have no clinical *** involve analytical studies to understand the similarities and dissimilarities.A biosimilar manufacturer sets up FDA-approved reference products to evaluate *** contribution of next-generation sequencing is evolving to study the organ tumor and its progression with its impactful therapeutic approach on cancer patients to showcase and target rare *** study shall help to understand the future perspectives of biosimilars for use in gastro-entero-logic diseases,colorectal cancer,and thyroid *** also help target specific organs with essential mutational categories and drug prototypes in clinical practices with blood and liquid biopsy,cell treatment,gene therapy,recombinant therapeutic proteins,and personalized *** derivatives such as monoclonal antibodies like trastuzumab and rituximab are common drugs used in cancer *** coli produces more than six antibodies or antibody-derived proteins to treat cancer such as filgrastim,epoetin alfa,and so on.

关键词： biologics biosimilars cancer Escherichia coli monoclonal antibody next-generation sequencing pharmacovigilance

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Genetic analyses of ancient tea trees provide insights into the breeding history and dissemination of Chinese Assam tea(Camellia sinensis ***)

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Plant Diversity 2024年第2期46卷 229-237页

作者： Miao-Miao Li Muditha K.Meegahakumbura moses C.Wambulwa Kevin S.Burgess Michael Möller Zong-Fang Shen De-Zhu Li Lian-Ming Gao CAS Key Laboratory for Plant Diversity and Biogeography of East Asia Kunming Institute of BotanyChinese Academy of ScienceKunming650201China Germplasm Bank of Wild Species Kunming Institute of BotanyChinese Academy of ScienceKunming650201China Kunming College of Life Science University of Chinese Academy of SciencesKunming650201YunnanChina Department of Export Agriculture Faculty of Animal Science and Export AgricultureUva Wellassa UniversityBadulla90000Sri Lanka Department of Life Sciences School of Science and ComputingSouth Eastern Kenya University170-90200KituiKenya Department of Biology Columbus State UniversityUniversity System of GeorgiaColumbusGA31907-5645USA Royal Botanic Garden Edinburgh 20A Inverleith RowEdinburghEH35LRScotlandUK Lijiang Forest Biodiversity National Observation and Research Station Kunming Institute of BotanyChinese Academy of SciencesLijiang674100YunnanChina

Chinese Assam tea(Camellia sinensis ***)is an important tea crop with a long history of cultivation in Yunnan,*** its potential value as a genetic resource,its genetic diversity and domestication/breeding history remain *** address this issue,we genotyped 469 ancient tea plant trees representing 26 *** *** populations,plus two of its wild relatives(six and three populations of *** and ***,respectively)using 16 nuclear microsatellite *** showed that Chinese Assam tea has a relatively high,but comparatively lower gene diversity(H_(S)=0.638)than the wild relative ***(H_S=0.658).Clustering in STRUCTURE indicated that Chinese Assam tea and its two wild relatives formed distinct genetic groups,with considerable interspecific *** Chinese Assam tea accessions clustered into three gene pools,corresponding well with their geographic ***,New Hybrids analysis indicated that 68.48%of ancient Chinese Assam tea plants from Xishuangbanna were genetic intermediates between the Puer and Lincang gene *** addition,10%of the ancient Chinese Assam tea individuals were found to be hybrids between Chinese Assam tea and *** results suggest that Chinese Assam tea was domesticated separately in three gene pools(Puer,Lincang and Xishuangbanna)in the Mekong River valley and that the hybrids were subsequently selected during the domestication *** the domestication history of Chinese Assam tea in southwestern Yunnan remains complex,our results will help to identify valuable genetic resources that may be useful in future tea breeding programs.

关键词： Tea plant Hybrid origin Genetic diversity Domestication history Camellia sinensis var.assamica Camellia taliensis

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Connected Components in Bipolar Fuzzy Digital Plane

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Advances in Pure Mathematics 2024年第7期14卷 546-555页

作者： Stephen Macharia Gathigi moses Nderitu Gichuki Kewamoi Chesire Sogomo Department of Mathematics Egerton University Nakuru Kenya

The concepts of connectedness play a critical role in digital picture segmentation and analyses. However, the crisp nature of set theory imposes hard boundaries that restrict the extension of the underlying topological notions and results. Whilst fuzzy set theory was introduced to address this inherent drawback, most human processes are not just fuzzy but also double-sided. Most phenomena will exhibit both a positive side and a negative side. Therefore, it is not enough to have a theory that addresses imprecision, uncertainty and ambiguity;rather, the theory must also be able to model polarity. Hence the study of bipolar fuzzy theory is of potential significance in an attempt to model real-life phenomena. This paper extends some concepts of fuzzy digital topology to bipolar fuzzy subsets including some important basic properties such as connectedness and surroundedness.

关键词： Fuzzy Bipolar Fuzzy Digital Topology

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Optimization of two-dimensional solid-state electrolyte-anode interface by integrating zinc into composite anode with dual-conductive phases

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Green Carbon 2024年第1期2卷 94-100页

作者： Yijun Zhong Chencheng Cao Leqi Zhao moses Oludayo Tadé Zongping Shao WA School of Mines:Minerals Energy and Chemical Engineering(WASM-MECE)Curtin UniversityPerthWA 6102Australia

Solid-state electrolytes(SSEs)are a solution to safety issues related to flammable organic electrolytes for Li *** contact between the anode and SSE results in high interface resistance,thus causing the batteries to exhibit high charging and discharging ***,we reduced the overpotential of Li stripping and plating by introducing a high proportion of dual-conductive phases into a composite *** current study investigates the interface resistance and stability of a composite electrode modified with Zn and a lower proportion of dual-conductive ***-cation-adsorbed Prussian blue is synthesized as an intermediate component for a Zn-modified composite electrode(Li-FeZnNC).The Li-FeZnNC symmetric cell presents a lower interface resistance and overpotential compared with Li-FeNC(without Zn modification)and Li-symmetric *** Li-FeZnNC symmetric cell shows high electrochemical stability during Li stripping and plating at different current densities and high stability for 200 *** batteries with a Li-FeZnNC composite anode,garnet-type SSE,and LiFePO4 cathode show low charging and discharging overpotentials,a capacity of 152 mAh g^(−1),and high stability for 200 cycles.

关键词： Solid-state battery Composite anode Interface engineering Li stripping and plating Zinc modification

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