Characterizing the effect of new and emerging tobacco products on airway innate mucosal defense

Airway mucus/mucins serve as a barrier against smoke and other harmful substances that the respiratory tract is exposed to. In addition, airways exosomes have a role in the dynamic regulation of the airway tract response to a broad range of different possible environmental exposure of the body to such substances as smoke. This study ventured to characterize the effects of multiple brands of New and Emerging Tobacco Products (NETPs) on the airway epithelia at multiple levels using in vitro model. Accordingly, the viability and integrity of tight junctions of smoke-exposed epithelia were evaluated. Apical secretions from NETP-exposed cultures were collected and subjected to label-free quantification mass spectrometric analysis. Additionally, chemical composition analysis of different cigarillo brands was also performed. Furthermore, part of the collected apical secretions from NETP-exposed culture secretions were processed for isolation of the exosome using sequential differential centrifugation. The airway exosomal miRNA profile was identified by using HTG EdgeSeq technology and next-generation sequencing platforms. The differential expression analysis was performed by using a bioinformatics tool. Results showed that NETPs, in the form of little cigars, cigarillos, and waterpipe, collectively have greater effects than control air and cigarette smoke in terms of reduced cell viability and altered protein expression patterns. NETPs were also found to induce oxidative stress proteins and cause more profound alterations in the lung innate immune response. Furthermore, the analysis of different cigarillo tobacco products revealed compositional differences and greater nicotine delivery to cells that may be linked to the differential effects of these products on cellular viability and protein expression profiles, which are associated with a range of health risks in the context of airway biology. These study findings contradict the popular belief that NETPs are safer and less harmful than cigarettes. Instead, results indicated that NETP smoke leads to potential health risks and causes damage to the airways to an extent similar to or greater than that of cigarette smoke. These results could serve as a basis for the regulation of tobacco and NETPs and should inform considerations related to health risks and public perceptionDoctor of Philosoph

Summary of investigations of engine response to distorted inlet conditions

A survey is presented of experimental and analytical experience of the NASA Lewis Research Center in engine response to inlet temperature and pressure distortions. This includes a description of the hardware and techniques employed, and a summary of the highlights of experimental investigations and analytical modeling. Distortion devices successfully simulated inlet distortion, and knowledge was gained about compression system response to different types of distortion. A list of NASA research references is included

Students’ Motivations for Enrolling in Universities in Jordan In The Light of Some Variables

This study aims to identify students’ motivations for enrolling in universities in Jordan, in the light of  some variables whether they are career, financial, social or academic motivations. The current study also seeks to determine the impact of gender, major and academic year on these motivations. The study sample consisted of (188) male and female students. Results indicate that the most important career and financial motivations were to get a more prestigious job, while the most important social and personal motivation was ‘because I feel a sense of joy and satisfaction when learning new things’. Whereas the most important academic motivation was ‘the joy I get when I learn things I did not previously know’. Furthermore, the results indicate that there are no statistically significant differences at (?> 0.5) attributable to the variables of gender, major, and academic year on students’ motivations to enroll in universities in Jordan. The study recommends the need to provide career counseling to students and their parents during the last stages of school so that they would be able to determine the majors they want to study at the undergraduate level. Keywords: Motivations, Universities

Adherence of Healthcare Professionals to Evidence-based Clinical Practice Guidelines in the Management of Hemodialysis Patients, Khartoum State, Sudan

Introduction: Hemodialysis (HD) is a complex procedure with many specifications and requires adherence to a set of particular clinical practice guidelines. These guidelines had already been established by globally acclaimed renal authorities and their implementation was shown to correlate with patients’ morbidity and mortality. This study was conducted to evaluate the adherence of healthcare professionals to the evidence-based clinical practice patterns in Khartoum State HD units.Methods: A cross-sectional study was conducted in Khartoum State HD units during the period from September 2010 to January of 2011. Data was collected from the healthcare professionals using a specially designed checklist. The checklist included the evidence-based clinical practice guidelines for the HD vascular access, HD adequacy, anemia of chronic kidney disease (CKD), nutrition, cardiovascular risk assessment, and hepatitis B and C virus infection control. Implementation of these guidelines was evaluated, and further graded using a Likert-type scale.Results: Four randomly selected HD units were included in the study. The rate of implementation of the HD vascular access guidelines was 54.8%, adequacy guidelines 57%, anemia of CKD 68.8%, nutrition 58.4%, cardiovascular risk assessment 57%, and hepatitis B and C infection control guidelines was 79.2%. Overall, the four HD units assessed showed moderate deviations from the practice guidelines of anemia of CKD and hepatitis B and C infection control. Extreme deviations from the clinical practice guidelines were seen in HD vascular access practices, adequacy assessments, nutrition and cardiovascular risk assessment.Conclusion: Hemodialysis services in Khartoum State are in need of great improvements regarding adherence to protocols and the standards of care.Key words: Clinical practice guidelines; Hemodialysis; Suda

Fragment screening reveals salicylic hydroxamic acid as an inhibitor of <em>Trypanosoma brucei</em> GPI GlcNAc-PI de-N-acetylase

The zinc-metalloenzyme GlcNAc-PI de-N-acetylase is essential for the biosynthesis of mature GPI anchors and has been genetically validated in the bloodstream form of Trypanosoma brucei, which causes African sleeping sickness. We screened a focused library of zinc-binding fragments and identified salicylic hydroxamic acid as a GlcNAc-PI de-N-acetylase inhibitor with high ligand efficiency. This is the first small molecule inhibitor reported for the trypanosome GPI pathway. Investigating the structure activity relationship revealed that hydroxamic acid and 2-OH are essential for potency, and that substitution is tolerated at the 4- and 5-positions

A comparative study between magnesium sulphate and dexmedetomidine for deliberate hypotension during middle ear surgery

AbstractBackgroundThis study was designed to compare magnesium sulphate with dexmedetomidine, regarding their efficiency in inducing deliberate hypotension and providing a better surgical field exposure during middle ear surgery. It also compared the influence of their use on postoperative pain and recovery time.MethodsEighty-eight adult patients undergoing middle ear surgery were included. Patients were randomly divided into two equal groups. Patients were assigned to receive either magnesium sulphate (M group) or dexmedetomidine (D group). Anaesthesia was induced by propofol 2mg/kg iv and fentanyl 1μg/kg. Patients in the M group received an iv bolus of magnesium sulphate 50mg/kg in a total of 100ml saline over 10min followed by infusion of 15mg/kg/h until the end of surgery. Similarly, patients in the D group received dexmedetomidine 1μg/kg over 10min followed by 0.4–0.8μg/kg/h until the end of operation. The target MAP during operation was between 60 and 70mmHg. The surgeon who was blinded of the selected hypotensive agent was asked to assess the quality of the surgical field. In the postanaesthesia care unit (PACU), postoperative pain was assessed and recovery time was recorded.ResultsBoth study drugs succeeded to reach the target MAP. The quality of the surgical field was not different between the two groups. Postoperative pain was not different between the two group and only eight patients in the M group and seven patients in the D group required analgesics. Recovery time was significantly longer for the patients in group D (p<0.05).ConclusionWe concluded that both magnesium sulphate and dexmedetomidine successfully induced deliberate hypotension in patients undergoing middle ear surgery but magnesium sulphate was associated with shorter recovery time and earlier discharge from the PACU

Effects of Acute or Chronic Ethanol Exposure during Adolescence on Behavioral Inhibition and Efficiency in a Modified Water Maze Task

Ethanol is well known to adversely affect frontal executive functioning, which continues to develop throughout adolescence and into young adulthood. This is also a developmental window in which ethanol is misused by a significant number of adolescents. We examined the effects of acute and chronic ethanol exposure during adolescence on behavioral inhibition and efficiency using a modified water maze task. During acquisition, rats were trained to find a stable visible platform onto which they could escape. During the test phase, the stable platform was converted to a visible floating platform (providing no escape) and a new hidden platform was added in the opposite quadrant. The hidden platform was the only means of escape during the test phase. In experiment 1, adolescent animals received ethanol (1.0g/kg) 30min before each session during the test phase. In experiment 2, adolescent animals received chronic intermittent ethanol (5.0g/kg) for 16 days (PND30 To PND46) prior to any training in the maze. At PND72, training was initiated in the same modified water maze task. Results from experiment 1 indicated that acute ethanol promoted behavioral disinhibition and inefficiency. Experiment 2 showed that chronic intermittent ethanol during adolescence appeared to have no lasting effect on behavioral disinhibition or new spatial learning during adulthood. However, chronic ethanol did promote behavioral inefficiency. In summary, results indicate that ethanol-induced promotion of perseverative behavior may contribute to the many adverse behavioral sequelae of alcohol intoxication in adolescents and young adults. Moreover, the long-term effect of adolescent chronic ethanol exposure on behavioral efficiency is similar to that observed after chronic exposure in humans

Diagnosis of acquired generalized lipodystrophy in a single patient with T-cell lymphoma and no exposure to Metreleptin

Abstract Background Metreleptin, a recombinant methionyl -human -leptin, was approved to treat patients with generalized lipodystrophy (GL) in February 2014. However, leptin therapy has been associated with the development of lymphoma. We present a unique case of a patient with prior history of T cell lymphoma in remission, who was diagnosed with Acquired Generalized Lipodystrophy (AGL) during the following year after a clinical remission of her lymphoma without receiving leptin therapy. Case presentation A 33-year-old woman with a diagnosis of stage IV subcutaneous panniculitis like T-cell lymphoma in 2011, underwent chemotherapy. Shortly after completion therapy, she had a relapse and required more chemotherapy with complete response, followed by allogenic stem cell transplant on June 28, 2012. Since that time, she has been on observation with no evidence of disease recurrence. Subsequent to the treatment, she was found to have high triglycerides, loss of fat tissue from her entire body and diagnosis of diabetes. Constellation of these findings led to the diagnosis of AGL in 2013. Her leptin level was low at 3.4 ng/mL (182 pmol/mL). She is currently not receiving any treatment with Metreleptin for her AGL. Conclusions Causal association between exogenous leptin therapy and T-cell lymphoma still remains unclear. We hereby present a case of a young woman who was diagnosed with AGL after going into remission from T-cell lymphoma and who has never been treated with Metreleptin. Steroid therapy and chemotherapy might have masked the diagnosis of AGL in this patient. We believe that patients can develop these 2 conditions independent of each other.https://deepblue.lib.umich.edu/bitstream/2027.42/148289/1/40842_2019_Article_76.pd