Intravenous Immunoglobulin in the Treatment of Vancomycin-Induced Toxic Epidermal Necrolysis

Toxic epidermal necrolysis (TEN), an uncommon but potentially life-threatening skin reaction, is frequently induced by drugs. The mucocutaneous reaction is characterised by bullous detachment of the epidermis and mucous membranes. We present a 9-month-old male with methylmalonic acidaemia, generalised hypotonia, and global developmental delay. He presented with a 3-day history of fever, cough, shortness of breath, and vomiting. Eruption appeared after 5 days of vancomycin treatment. The eruption involved almost 60% of the total body surface area and both eyes. He was successfully treated with intravenous immunoglobulin (IVIG), antibiotics,and appropriate wound management and made a full recovery with negligible sequelae despite the severity of his disease. Important components of successful treatment include early recognition, intensive care, prompt withdrawal of the causative agent, early administration of IVIG, appropriate fluid resuscitation, and control of infection. IVIG might be beneficial in the treatment of TEN; however, controlled studies are needed to evaluate IVIG compared to other modalities

Enhancing date seed phenolic bioaccessibility in soft cheese through a dehydrated liposome delivery system and its effect on testosterone-induced benign prostatic hyperplasia in rats

IntroductionThe consumption of dairy products, including soft cheese, has been associated with numerous health benefits due to their high nutritional value. However, the phenolic compounds bioaccessibility present in soft cheese is limited due to their poor solubility and stability during digestion. So, this study aimed to develop an innovative soft cheese enriched with date seed phenolic compounds (DSP) extracted ultrasonically and incorporated into homogeneous liposomes and study its attenuation effect on testosterone-induced benign prostatic hyperplasia (BPH) in rats.MethodsDate seed phenolic compounds were extracted using 98 and 50% ethanol along with water as solvents, employing ultrasonication at 10, 20, and 30-min intervals. The primary and secondary DSP-liposomes were prepared and dehydrated. The particle size, zeta potential, encapsulation efficiency, and morphology were measured. Incorporating dehydrated liposomes (1–3% w/w) into soft cheese and their impact on BPH using male Sprague–Dawley rats was assessed. After inducing BPH, rats were fed a cheese diet with dehydrated DSP-liposomes. Over 8 weeks, parameters including nutrition parameters, prostate enlargement analysis, biochemical parameters, hormones level, oxidative stress, and cytokines were analyzed.Results and DiscussionThe results showed that ultrasound-assisted extraction effectively reduced the extraction time and 30 min extraction EtOH 50% was enough to extract high yield of phenolic compounds (558 mg GA/g) and flavonoids (55 mg qu/g) with high antioxidant activity (74%). The biological results indicate that prostate weight and prostate index% were diminished in the treatment groups (1 and 2) compared to the BPH control group. The high antioxidant content present in the DSP-liposomes acted as the catalyst for suppressing the responses of the inflammatory cytokines, inhibiting the anti-inflammatory IL-10 production, and suppressing the elevated levels of lipid peroxidation products compared to the BPH group.ConclusionThe treatment group (2) supplemented with dehydrated secondary DSP-liposomes exhibited the most significant variance (p < 0.05) as opposed to the BPH group. Liposomal encapsulation was proved to be a feasible approach for administering DSP in soft cheese, thereby establishing new functional food category possessing prophylactic properties against the advancement of BPH in rats

Encapsulation of bioactive compounds extracted from date palm seeds (Phoenix dactylifera L.) and their use in functional food

Publisher Copyright: Copyright © 2022 Hashim, Huang, Nadtochii, Baranenko, Boulkrane and El-Messery.Liposomes have been used as a novel phytoconstituent delivery system to encapsulate lyophilized palm seed phenolic extract (PSPE) and incorporate it into yogurt as a food model to enhance the bioavailability of PSPE. Phenolic compounds were extracted with aqueous ethanol from palm seed powder using the solvent-maceration approach assisted by ultrasonication. Lyophilized PSPE (0.2–1% w/v) was enclosed in a liposome structure coated with or without chitosan (primary/secondary liposome). Particle size, zeta potential, encapsulation efficiency (EE), Fourier transform infrared spectroscopy (FTIR), and transmission electron microscopy (TEM) were applied to investigate the primary and secondary liposomes. To assess the in vitro bioaccessibility of PSPE and primary/secondary liposomes, the total phenolic content (TPC) and the antioxidant activity were studied during the oral, gastric, and intestinal digestion stages. Three concentrations of lyophilized secondary liposomes (1.25, 2.5, and 3.75% w/v) were added to the yogurt food model. During the 14 days of storage, the physical, chemical, and sensory properties were assessed. Compared to the primary liposomes (87%), the secondary liposomes (91%) showed a higher encapsulation efficiency. Comparing the secondary liposomes to the original liposomes and the non-encapsulated PSPE, the bioaccessibility of phenolic compounds was improved. Fortified yogurt with secondary liposomes had a lower syneresis and viscosity than the reference yogurt. The encapsulated PSPE provided a good level of protection, and its release increased throughout the intestinal phase. Thus, PSPE in a microencapsulated form has been proven to be a rich and cost-effective source of phenolics that can be used successfully to produce functional yogurt.Peer reviewe

Effects of space plasma on an oxide coating of spacecraft's surface materials

The aim of this paper is to study the properties of the materials for spacecraft surfaces under the effects of simulated low Earth orbit (LEO) plasma environment to understand the effects of charging and discharging phenomena, which are known to take place when spacecraft is moving through space plasma in LEO. Anodized aluminum Al2O3 samples were prepared using electrochemical techniques with different thicknesses to investigate the role of the Al2O3 coating in the charging and discharging phenomena. Penning plasma source is used to generate plasma using Ar gas flowing through the vacuum chamber. The peak current and the voltage waveform associated with charging and discharging processes, when a negatively biased voltage is applied to the substrate, are discussed. The structural properties before and after plasma exposure are investigated through the morphology and optical analyses of the samples. Morphological analyses confirmed the significant contribution of space plasma in the variation of the crystalline structure, and sample characteristics are dependent on the value of the thickness. In addition, the results confirm the variation of optical properties and the microcrystalline structure over the surface of the anodic oxide film

Impact of Pavement Condition on Speed Change for Different Vehicle Classes

Pavement surface conditions have an influence on traffic safety, operating speed, maneuverability, driver comfort and service volume. Although many researchers have studied the influence of different roadway characteristics on traffic stream characteristics and performance, little research has been conducted to investigate the impact of pavement conditions on traffic stream characteristics. This research therefore investigates the impact of pavement conditions on traffic speed, the most important traffic stream characteristic. Field data were collected across 13 sites from two-lane, two-way roads in Menoufia and Gharbya governorates, Egypt. Each site included two sections, distressed and un-distressed. Road geometry and pavement condition characteristics were collected manually while traffic surveys were carried out using automatic traffic recorders. The data analysis revealed that poor pavement conditions caused a large variation in vehicle speeds and consequently made the speed distribution deviate from the normal distribution. There was a significant difference between the mean speeds for different classes of vehicles. Inspection of the standard deviations of speed for distressed and un-distressed sections showed significant differences occurring mainly in distressed sections. The corollary of this is that greater uniformity of speed can be expected under pavement conditions which are good. Several regression models were developed for change in speed and pavement condition, across different classes of vehicles. For all models, the inverse Pavement Condition Index (1/PCI) was the best mathematical form for the independent variable. This means that as the PCI decreases, the change in speed increases. The developed models can calculate changes in speed over different levels of pavement distress and class of vehicle under investigation. Ultimately, they could assist traffic and pavement engineers to justify their decisions regarding maintenance strategies, to carry out safety and operational performance analysis, to study vehicle operating cost and to perform pavement life cycle assessment

Vascular Anomalies in Children Misdiagnosed with Asthma : Case series

In most asthmatic children, inhaled steroids can relieve and control the symptoms of asthma. Persistent wheezing and respiratory symptoms in young children despite appropriate treatment may indicate other diagnostic considerations. Delays in this diagnosis can result in unnecessary investigations, inappropriate treatment and further complications. We report three patients who presented to Sultan Qaboos University Hospital, Muscat, Oman, in the period between September 2010 and May 2012 with persistent wheezing due to compression of the trachea caused by vascular anomalies. All patients had double aortic arches putting pressure on the trachea, leading to respiratory manifestations and feeding problems. Following surgery, all cases showed improvement and no longer required medication. Without clinical suspicion and appropriate imaging, congenital vascular anomalies may remain undetected for years. Infants and children with chronic wheezing should be evaluated for vascular anomalies as soon as possible. General practitioners should refer all such patients to a tertiary-level hospital for further investigations and management