Search Results (42)

Background: The volatile compounds present in rose extracts exhibit significant potential applications in medicine and cosmetics due to their capacity to enhance skin hydration and barrier function, two factors that are crucial for anti-aging and skin protection. The antimicrobial, anti-inflammatory, and analgesic properties of these extracts also suggest their potential utility in oral health applications. The aim of the current study was to obtain a new type of polyurethane delivery system based on a polyaddition process in the presence of a surfactant. Methods: Lysine-diisocyanate, polyethylene glycol, polycaprolactone diol, hexanediol, glycerol-1,2-diacetate, Tween^® 20, and caffeine were used to synthesize two samples of PU structures, one with and one without rose extract. The structures’ shape, size and surface charge, encapsulation efficacy, pH, solubility, release kinetics, and permeation rate were all assessed; the irritation potential of samples was verified by skin parameters testing the cytotoxicity by in vitro cell viability assay. Results: Within our findings, structures measuring between 98 and 203 nm were found, while the sample containing the rose extract showed an entrapment efficacy of 71.76%. Almost 90% of the structures penetrated the membrane in 48 h, and around 45% were released from the carrier in the same period. Biosafety evaluations conducted both in vivo and in vitro confirmed that PU structures are safe as delivery vehicles. Conclusions: This study shows the potential of polyurethane structures with rose extracts for use in biomedical applications and cosmetics. However, more research is needed to examine the clinical testing of polyurethane delivery systems and optimize release kinetics and permeation rates for particular therapeutic uses. Full article

The aim of this study was to describe the frequency, clinical signs, management, and outcomes of snakebite patients admitted to the envenomation treatment center of the Institut de Recherche en Biologie Appliquée de Guinée (IRBAG). This was a retrospective review combining aggregated annual statistics (2011–2015) and routine data (from January to October 2021) from the IRBAG treatment center. There were 1345 (57.2%) snakebite victims out of a total of 2352 consultations at the center during the study period. Males (67.7%), persons aged ≥45 years (29%) and ≤14 years (27.7%), farmers/housewives (44.5%), workers (23.9%), and those residing in the Kindia Prefecture (53.5%) were the most commonly affected. The majority of victims (84.5%) were admitted three hours after snakebite, with bites mainly occurring in rural areas (86.5%) and during the rainy season (83.2%). Pain (100%), edema (76.8%), and bleeding (65.2%) were the most common clinical presentations. Almost all victims received antivenom serum (98%), antibiotics (87.7%), and analgesics or anti-inflammatory drugs (88.4%). Six out of the one hundred and fifty-five patients died. Snakebites are a frequent public health problem in rural Guinea. The majority of victims seek medical attention too late. There is an urgent need to include snakebite in the country’s list of priority NTDs in order to promote access to antivenom serum. Full article

The aims of the present research include (1) optimization of extraction from Vaccinium myrtillus leaf waste via investigation of plant material:medium ratio, extraction medium, and extraction period, employing extractions at room and high temperatures, or using ultrasound and microwaves (M, HAE, UAE, and MAE, respectively), (2) physicochemical characterization, and (3) investigation of extract biological potential. The statistical analysis revealed that optimal levels of parameters for the greatest polyphenolic yield were a proportion of 1:30 g/mL, ethyl alcohol 50% (v/v) during 2 min of microwave irradiation. By LC-MS analysis, 29 phenolic components were detected; HAE showed the highest richness of almost all determined polyphenols, while chlorogenic acid and quercetin 3-O-glucuronide were dominant. All extracts showed a high inhibition of Staphylococcus aureus growth. The effect of different parameters on extracts’ antioxidant capacity depended on the used tests. The extracts also showed a stimulative influence on keratinocyte viability and anti-inflammatory activity (proven in cell-based ELISA and erythrocyte stabilization assays). The extraction procedure significantly affected the extraction yield (MAE ≥ maceration ≥ UAE ≥ HAE), whereas conductivity, density, surface tension, and viscosity varied in a narrow range. The presented research provides evidence on the optimal extraction conditions and technique, chemical composition, and antioxidant, antimicrobial, anti-inflammatory, and keratinocyte viability properties of bilberry extracts for potential applications in pharmacy and cosmetics. Full article

The Zoomeron equation plays a significant role in many fields of physics, especially in soliton theory, such as helping to reveal new distinctive properties in different physical phenomena such as fluid dynamics, laser physics, and nonlinear optics. By using the Riccati–Bernoulli sub-ODE approach and the Backlund transformation, we search for soliton solutions of the fractional Zoomeron nonlinear equation. A number of solutions have been put forth, such as kink, anti-kink, cuspon kink, lump-type kink solitons, single solitons, and others defined in terms of pseudo almost periodic functions. The (2 + 1)-dimensional fractional Zoomeron equation given in a form undergoes precise dynamics. We use the computational software, Matlab 19, to express these solutions graphically by changing the value of various parameters involved. A detailed analysis of their dynamics allows us to obtain completely better insights necessarily with the elementary physical phenomena controlled by the fractional Zoomeron equation. Full article

The present study explored the effectiveness of bile-salt-based nano-vesicular carriers (bilosomes) for delivering anti-psychotic medication, Sulpiride (Su), via the skin. A response surface methodology (RSM), using a 3³ Box–Behnken design (BBD) in particular, was employed to develop and optimize drug-loaded bilosomal vesicles. The optimized bilosomes were assessed based on their vesicle size, entrapment efficiency (% EE), and the amount of Sulpiride released. The Sulpiride-loaded bilosomal gel was generated by incorporating the optimized Su-BLs into a hydroxypropyl methylcellulose polymer. The obtained gel was examined for its physical properties, ex vivo permeability, and in vivo pharmacokinetic performance. The optimum Su-BLs exhibited a vesicle size of 211.26 ± 10.84 nm, an encapsulation efficiency of 80.08 ± 1.88% and a drug loading capacity of 26.69 ± 0.63%. Furthermore, the use of bilosomal vesicles effectively prolonged the release of Su over a period of twelve hours. In addition, the bilosomal gel loaded with Su exhibited a three-fold increase in the rate at which Su transferred through the skin, in comparison to oral-free Sulpiride. The relative bioavailability of Su-BL gel was almost four times as high as that of the plain Su suspension and approximately two times as high as that of the Su gel. Overall, bilosomes could potentially serve as an effective technique for delivering drugs through the skin, specifically enhancing the anti-psychotic effects of Sulpiride by increasing its ability to penetrate the skin and its systemic bioavailability, with few adverse effects. Full article

Offshore platforms are important infrastructures that often face severe environmental conditions, such as corrosion, throughout their lifetime. This can continuously decrease their structural robustness. Despite the availability of many anti-corrosion strategies, there is still a need for a sound management scheme that can systematically address the lifetime operation of offshore platforms under corrosion. To address this, the work here proposes a corrosion- and repair-based reliability framework for the lifetime operation of offshore platforms. A fixed offshore platform is designed based on current design codes for severe environmental conditions in a given return period, and the effect of corrosion on the structure’s serviceability is modeled. The results show that the extent of the corrosion depth and damage in different years highly affects the ability of a repair to restore a damaged element to its original design strength. The results also show that the residual reliability of the structural members under the splash zone becomes almost zero after the first 10 years of the operation period, implying that these members require quick repair strategies. This study establishes a management program for fixed offshore platforms subjected to long-term corrosion by performing reliability analyses on the components of the platforms and evaluating the maintenance of the components in the splash zone. In the absence of commonly accepted contemporary industry practice standards, this study proposes a corrosion growth model based on API-RP-2A, DNV, and NORSOK standards that can effectively evaluate code-based structural designs. The framework developed here can help offshore platform owners in their decision-making process for corrosion-based safety analysis. Full article

A three-arm, randomized, placebo-controlled clinical study was conducted to assess the impact of lyophilized pineapple extract with titrated bromelain (Brome-Inf^®) and purified bromelain on pain, swelling, trismus, and quality of life (QoL) following the surgical extraction of the mandibular third molars. Furthermore, this study examined the need for Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) by comparing their effects with a placebo group. This study enrolled 42 individuals requiring the extraction of a single mandibular third molar under local anesthesia. The patients were randomly assigned to receive Brome-Inf^®, purified bromelain, or a placebo orally, initiating treatment on the day of surgery and continuing for the next 7 days. The primary outcome measured was the requirement for NSAIDs in the three groups. Pain, swelling, and trismus were secondary outcome variables, evaluated postoperatively at 1, 3, and 7 days. This study also assessed the comparative efficacy of freeze-dried pineapple extract and single-component bromelain. Ultimately, the placebo group showed a statistically higher need for ibuprofen (from days 1 to 7) at the study’s conclusion (p < 0.0001). In addition, reductions in pain and swelling were significantly higher in both the bromelain and pineapple groups (p < 0.0001 for almost all patients, at all intervals) than in the placebo group. The active groups also demonstrated a significant difference in QoL compared to the placebo group (p < 0.001). A non-significant reduction in trismus occurred in the treatment groups compared to the placebo group. Therefore, the administration of pineapple extract titrated in bromelain showed significant analgesic and anti-edema effects in addition to improving QoL in the postoperative period for patients who had undergone mandibular third molar surgery. Moreover, both bromelain and Brome-Inf^® supplementation reduced the need for ibuprofen to comparable extents, proving that they are good alternatives to NSAIDs in making the postoperative course more comfortable for these patients. A further investigation with larger samples is necessary to assess the pain-relieving and anti-inflammatory impacts of the entire pineapple phytocomplex in surgical procedures aside from mandibular third molar surgery. Full article

Background: Strategies for diagnosing celiac disease (CD) include case-finding and population-screening programs. Case finding consists of testing individuals at increased risk for the disease due to symptoms or associated conditions. Screening programs are widespread campaigns, which definitely perform better in terms of unveiling CD diagnoses but nowadays are still debatable. The global prevalence of CD is around 1% but it almost doubles when considering screening programs among school children. Within this framework, we aimed to estimate the prevalence of CD among hospitalized children in the Pediatric Department of a Southern Italy University Hospital in the period from January 2018 through December 2021. In addition, we attempted to explore, at the time of diagnosis, the prevalence of leading clinical alerts due to malabsorption/malnutrition such as anemia or failure to thrive or due to systemic inflammation/immune dysfunction as hypertransaminasemia and thyroid dysfunction. Methods: Data records of pediatric patients admitted as inpatients and tested by anti-transglutaminase IgA antibodies (TGA-IgA) were retrospectively analyzed. CD was diagnosed according to either 2012 or 2020 ESPGHAN guidelines, depending on the year of diagnosis. CD autoimmunity (CDA) was a wider group defined within our protocol if patients had elevated TGA-IgA on at least one occasion, regardless of anti-endomysial antibodies (EMA-IgA) and without biopsy confirmation. Results: During the observation period, 3608 pediatric patients were admitted and 1320 were screened for CD (median age 5 years, IQR 2–9 years; CD test rate: 36.6% out of all admissions). The available prevalence of newly diagnosed CD was 1.59% (21 patients diagnosed) and the available prevalence of CDA was 3.86% (51 subjects). Among CD patients, underweight/malnourished children accounted for 28.6% (6 out of 21). Conclusions: The estimated prevalence of CD diagnoses within our setting was comparable to the most recent population-screening programs. The estimated prevalence of CDA was even higher. A hospital-admission CD testing during routine blood draws might be a non-invasive, cost-effective and valuable approach to reduce discrepancy of prevalence between case-finding and population-screening programs. Full article

(1) Background: The recent epidemiological events were high-stress level generators for humanity, particularly for pregnant women, influencing their attitude, behavior, and decisions regarding vaccination during pregnancy or regarding their future child. The aim of this study was to analyze the anti-pertussis vaccination decision-shaping factors in pregnant women during two epidemiological periods: the measles epidemic and the COVID-19 pandemic. (2) Methods: Two groups of pregnant women were invited to be part of a medical education program, having as the main theme the infectious disease risks and their prevention through vaccination. Before launching the program, participants received a 12-item questionnaire. From a total number of 362 pregnant women enrolled in the study, 182 participated in 2019, and 180 participated in 2022. (3) Results: The socio-demographic data revealed that the age of pregnant women participating in medical education programs increased in 2022 by 1.7 years (p < 0.01). In vitro fertilization was reported in a significantly higher proportion (20% in 2022 vs 9.8% in 2019, p < 0.01). Participation in community-initiated educational programs almost doubled during the pandemic time from 18.7% in 2019 to 33.9% in 2022 (p < 0.01). Pertussis vaccine acceptancy (VA) dropped from 85% in 2019 to 44.4% in 2022 (p < 0.01) (4) Conclusions: In this study, we reported fast-growing vaccine hesitancy and severe declared vaccine reluctance. The results of this complex long-term study, which evaluated pregnant women over several years, showed a five-fold increase in the percentage of pregnant women who disagreed with personal pertussis vaccination. This draws attention to the risks of pertussis epidemic outbreaks in pregnant women and their future infants in the first couple of months of life before the initiation of vaccination. Full article

Laser-induced periodic surface structures (LIPSS) enable advanced surface functionalization with broad applications in various fields such as micro- and nanoelectronics, medicine, microbiology, tribology, anti-icing systems, and more. This study demonstrates the possibility of achieving anisotropy in the tribological behavior of C45-grade steel structured by nanosecond laser radiation using the LIPSS method. The lateral surface of the steel roller was irradiated with a pulsed Nd:YAG laser at an optimum intensity I = 870 MW/cm² for the formation of LIPSS. Two sets of samples were formed with LIPSS that were perpendicular and parallel to the roller’s rotational motion direction. The Raman intensity maps revealed that the LIPSS structure consisted of periodically arranged oxides at the top of hills. At the same time, the valleys of the LIPSS structures were almost not oxidized. These results correlated well with scanning electron microscopy energy dispersive X-ray spectroscopy mapping and atomic force microscopy measurements. A comparison of Raman and X-ray photoelectron spectroscopy spectra revealed that both the magnetite phase and traces of the hematite phase were present on the surface of the samples. Tribological tests were performed in two cycles with periodic changes in the normal clamping force and sliding speed. It was found that the LIPSS structures which were formed perpendicularly to the sliding direction on the roller had a significantly greater impact on the friction processes. Structures oriented perpendicular to the direction of motion had a positive influence on reducing the energy consumption of a friction process as well as increasing the wear resistance compared to LIPSS formed parallel to the direction of motion or ones having a non-texturized surface. Laser texturing to produce LIPSS perpendicular to the direction of motion could be recommended for friction pairs operating under low-load conditions. Full article

Most of the existing intelligent anti-jamming communication algorithms model sensing, learning, and transmission as a serial process, and ideally assume that the duration of sensing and learning timeslots is very short, almost negligible. However, when the jamming environment changes rapidly, the sensing and learning time can no longer be ignored, and the adaptability of the wireless communication system to the time-varying jamming environment will be significantly reduced. To solve this problem, this paper proposes a parallel Q-learning (PQL) algorithm. In the case of long sensing and learning time, by modeling sensing, learning, and transmission as parallel processes, the time that the transmitter remains silent during sensing and learning is reduced. Aiming at the situation that the PQL algorithm is susceptible to jamming when the jamming changes faster, this paper proposes an intelligent anti-jamming algorithm for wireless communication based on Slot Cross Q-learning (SCQL). In the case of rapid change of jamming channel, the system can sense and learn the jamming patterns in multiple successive jamming periods at the same time in the same timeslot, and use multiple Q-tables to learn the jamming patterns in different jamming periods, so as to achieve the effect of reliable communication in the environment with rapid change of jamming. The simulation results show that the jamming collision rate of the proposed algorithm under the condition of intelligent blocking jamming is equivalent to that of the traditional Q-learning (QL), but the timeslot utilization rate is higher. Compared with PQL, the proposed algorithm has the same slot utilization and lower jamming collision rate. Compared with random frequency hopping (RFH) anti-jamming, the proposed algorithm not only has higher timeslot utilization, but also has lower jamming collision rate. Full article

This study aimed to examine the difference in health-related quality of life (HRQOL) and diabetes-related healthcare events (HCEs) among adults with diabetes who were on metformin, sulfonylurea, insulin, or thiazolidinedione (TZD) monotherapy. The data were sourced from the Medical Expenditure Panel Survey (MEPS). Diabetes patients ≥18 years old who had a complete record of physical component score and mental component scores in round 2 and round 4 of the survey were included. The primary outcome was HRQOL of diabetes patients as measured by the Medical Outcome Study short-form (SF-12v2^TM). Multinomial logistic regression and negative binomial regression were conducted to determine associated factors of HRQOL and HCE, respectively. Overall, 5387 patients were included for analysis. Nearly 60% of patients had unchanged HRQOL after the follow-up, whereas almost 15% to 20% of patients showed improvement in HRQOL. The relative risk of declined mental HRQOL was 1.5 times higher relative to unchanged mental HRQOL in patients who were on sulfonylurea 1.55 [1.1–2.17, p = 0.01] than metformin users. The rate of HCE decreased by a factor of 0.79, [95% CI: 0.63–0.99] in patients with no history of hypertension. Patients on sulfonylurea 1.53 [1.20–1.95, <0.01], insulin 2.00 [1.55–2.70, <0.01], and TZD 1.78 [1.23–2.58, <0.01] had increased risk of HCE compared to patients who were on metformin. In general, antidiabetic medications modestly improved HRQOL in patients with diabetes during the follow-up period. Metformin had a lower rate of HCE as compared to other medications. The selection of anti-diabetes medications should focus on HRQOL in addition to controlling glucose level. Full article

Tuberculosis (TB) recurrence following successful treatment is a significant challenge in TB control programs. However, the rate of TB recurrence varies among studies. It depends on several factors, including the country/region where the investigation occurs, the study design, sample characteristics, and the anti-TB regimen used. In Yemen, a few previous studies examined the rate of TB recurrence and reported high recurrence rates, with a 5-year recurrence rate of approximately 9.5%. However, they were conducted before 2010 using the previous anti-TB regimen which was phased out and replaced with the World Health Organization’s (WHO) standard 6-month TB regimen. Consequently, this study aimed to examine the rate of TB recurrence after the implementation of the WHO standard 6-month regimen in Yemen. A prospective observational study was conducted with patients diagnosed with drug-susceptible pulmonary TB. The patients were recruited from five health centers with TB units in five governorates from January to December 2011. All the patients were followed up for five years after treatment completion. A total of 439 patients who completed the anti-TB regimen met the inclusion criteria and were included in the study. During the 5-year follow-up period, 8 patients (1.8%) died, and 13 patients (2.96%) were lost to follow-up, resulting in a final cohort of 418 patients. Of the cohort, 50.5% (n = 211) were male, while 49.5% (n = 207) were female patients. Of the patients, 129 patients (30.9%) were illiterate, 56 (13.4%) had cavitary pulmonary disease, and 6.2% (n = 26) had diabetes. The overall 5-year rate of TB recurrence in this study for the patients receiving the standard 6-month regimen was 2.9% (12/418). Moreover, almost half of the recurrent cases (41.7%; n = 5) were seen during the first year of the follow-up period. Some patient groups with risk factors recorded a higher recurrence rate, including patients with diabetes (15.4%), non-compliant patients (14.3%), pre-treatment lung cavitation patients (8.9%), illiterate patients (7.8%), and underweight patients (5.1%). In conclusion, the overall TB recurrence rate with the standard 6-month regimen was lower than that with the previous TB regimens. However, more efforts are needed to decrease TB recurrence rates further and achieve a durable cure for TB. In addition, healthcare professionals and TB control programs should consider potential risk factors of recurrence and address them to provide optimal care. Full article

“Wave turbopause” is defined as the mesospheric altitude level where the temperature fluctuation field indicates a substantial increase in wave amplitude in the vertical direction. It is similar to turbopause in seasonal and latitudinal variations, providing an almost global analysis of turbopause on the basis of satellite measurements rather than localized detection. Previous studies of “wave turbopause” were based on standard deviation of temperature, which is an integrated measure of wave activity. In this study, we distinguish different atmospheric waves and investigate their influences on “wave turbopause”. By comparing the altitude of “wave turbopause” with peak height of amplitude (PHA) for gravity waves and 6.5 days waves (6.5 DWs), whose period is approximately 6.5 days in the mesosphere and lower thermosphere, we find that the seasonal variation in altitude of “wave turbopause” is higher at the winter pole and lower at the summer pole, correlated with PHA for 6.5 DWs but anti-correlated with PHA for gravity waves. We infer that gravity waves reach saturation and break at lower altitudes in the winter when Brunt–Vaisala frequency is also lower between 80 and 100 km altitudes. Finally, the results may imply that seasonal variations of the “wave turbopause” are driven mainly by 6.5 DWs. Full article

An outbreak of coronavirus disease 2019 (COVID-19) occurred in a nursing home in Niigata, Japan, November 2020, with an attack rate of 32.0% (63/197). The present study was aimed at assessing the pre-vaccination seroprevalence almost half a year after the COVID-19 outbreak in residents and staff in the facility, along with an assessment of the performance of the enzyme-linked immunosorbent assay (ELISA) and the chemiluminescent immunoassay (CLIA), regarding test seropositivity and seronegativity in detecting immunoglobulin G (IgG) anti-severe acute respiratory syndrome 2 (SARS-CoV-2) antibodies (anti-nucleocapsid (N) and spike (S) proteins). A total of 101 people (30 reverse transcription PCR (RT-PCR)-positive and 71 RT-PCR-negative at the time of the outbreak in November 2020) were tested for anti-IgG antibody titers in April 2021, and the seroprevalence was approximately 40.0–60.0% for residents and 10.0–20.0% for staff, which was almost consistent with the RT-PCR test results that were implemented during the outbreak. The seropositivity for anti-S antibodies showed 90.0% and was almost identical to the RT-PCR positives even after approximately six months of infections, suggesting that the anti-S antibody titer test is reliable for a close assessment of the infection history. Meanwhile, seropositivity for anti-N antibodies was relatively low, at 66.7%. There was one staff member and one resident that were RT-PCR-negative but seropositive for both anti-S and anti-N antibody, indicating overlooked infections despite periodical RT-PCR testing at the time of the outbreak. Our study indicated the impact of transmission of SARS-CoV-2 in a vulnerable elderly nursing home in the pre-vaccination period and the value of a serological study to supplement RT-PCR results retrospectively. Full article