Eugenia supra-axillaris Essential Oil and Its Nanoemulsion: Chemical Characterization, In Vivo Anti-Inflammatory, Analgesic, and Antipyretic Activities

The use of standard synthetic medications to treat inflammatory illnesses is associated with several negative effects. It has been shown that medicinal plants and their by-products are useful for safely treating inflammation. Herein, the essential oil of Eugenia supra-axillaris (family: Myrtaceae, ESA-EO) was isolated and further chemically characterized by GC-MS, and then, its nanoemulsion (ESA-EO-NE) was prepared. In addition, the anti-inflammation against the carrageenan-induced rats, the analgesic, and antipyretic activities of ESA-EO and ESA-EO-NE were evaluated in rats. Forty-three compounds were identified via GC-MS and categorized as mono- (61.38%) and sesquiterpenes (34.86%). d-limonene (32.82%), α-pinene (24.33%), germacrene-D (4.88%), α-humulene (4.73%), α-cadinol (3.39%), and trans-caryophyllene (3.15%) represented the main components. The administration of ES-EO and ES-EO-NE (50 and 100 mg/kg) demonstrated strong, dose-dependent inflammation inhibition capabilities in the model of rat paw edema, in comparison with both the reference drug and control. Reduced levels of malondialdehyde (MDA), increased levels of glutathione (GSH), and decreased levels of the proinflammatory cytokines (TNF-α), nitrosative (NO), and prostaglandin E2 (PGE2) in paw tissues all contributed to these substantial reductions in inflammation. Moreover, the oral administration of ESA-EO and ESA-EO-NE (50 and 100 mg/kg) exhibited potent analgesic and antipyretic activities in rats. Although the higher dose of ESA-EO and ESA-EO-NE (100 mg/kg) displayed delayed anti-inflammatory activity, they have long-lasting inflammation inhibition with fast onset and long-standing analgesic effects better than reference drugs. Furthermore, the most effective antipyretic efficacy was provided by ESA-EO-NE (100 mg/kg). These results provide insight into the possible therapeutic application of ESA-EO and its nanoemulsion against various inflammatory and painful illnesses as well as hyperthermia ailments

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication

A new route for the synthesis of self-acidified and granulated mesoporous alumina catalyst with superior Lewis acidity and its application in cumene conversion

International audienceSelf-acidified and granulated mesoporous alumina (SAGMA) with dendritic-like microscopic shape was prepared by a new route that involves: (a) direct dehydration of AlCl3 (in the presence of capping petroleum wax), and (b) oxidation of intermediary AlCl3-nanorods. The AlCl3 solution dispersed in petroleum wax (capping media) was firstly dehydrated at 100 degrees C under inert atmosphere for manufacturing anhydrous AlCl3-nanorods (length: 50-100nm; diameter: 5-10nm). In a second step, this support was oxidized into -alumina at 300 degrees C, under air atmosphere. In the course of the manufacturing process, released chlorine was deposited at the surface of the nanorods (more specifically during the oxidation step). The binding of chlorine (5.35%, w/w at the surface) onto -alumina was demonstrated by both electron dispersive X-ray analysis (SEM-EDX) and Fourier-transformed infrared spectroscopy. Specific surface area reached 230m(2) g(-1); the average pore size was 7.8nm. Material characterization was completed by measuring the surface acidity through both temperature-programmed desorption and pyridine desorption. The morphology and the phase structure were investigated using scanning electron microscopy and X-ray diffraction analysis, respectively. SAGMA (-alumina) can be described as a strong Lewis (1.713mmolg(-1); i.e., about 93% of total acid sites) and BrOnsted acid catalyst supported on a mesoporous structure (self-granular size of 177-250 mu m). Cumene conversion (through a dealkylation pathway) was tested on SAGMA: maximum catalytic activity reached 87% at 300 degrees C. The conversion is highly selective: the reaction produces benzene and only traces of ethylbenzene (mass fraction below 4% compared to benzene). Apart from this good catalytic efficiency, the material is characterized by its strong stability in terms of both catalytic activity (loss less than 2%, for optimum conditions) and surface acidity (loss less than 3%), even for long reaction times (i.e., 24h) under severe conditions (i.e., T 300 degrees C). This new material, easily manufactured, is characterized by high efficiency and selectivity in cumene conversion into benzene, associated with high acidity and good stability

Synthesis of polyaminophosphonic acid-functionalized poly(glycidyl methacrylate) for the efficient sorption of La(III) and Y(III)

International audienceAfter synthesis of parent PGMA micro-particles by dispersion polymerization method, diethylenetriamine (DETA) is grafted on the polymer (DETA-PGMA). In the last step, methylene phosphonic groups are grafted on DETA-PGMA by reaction of phosphonic acid groups onto amine functions in the presence of formaldehyde to produce polyaminophosphonic acid sorbent (PPA-PGMA). The sorbent is characterized by elemental analysis, FTIR spectrometry, XPS, XRD, TG-TDA and SEM-EDX analyses. The sorption properties of the material are tested for the sorption of La(III) and Y(III): the effect of pH on sorption performance is investigated before studying uptake kinetics, sorption isotherms (and thermodynamics), metal desorption and sorbent recycling. Maximum sorption capacities reach up to 0.79 mmol La g(-1) and 0.73 mmol Y g(-1) at pH 5 (optimum initial pH value). Sorption isotherms are characterized by a saturation plateau: the Langmuir equation fits well data. The sorption on micron-sized particles is fast and equilibrium is reached within 3-4 h: the kinetic profiles are modelled by the Crank equation (resistance to intraparticle diffusion) though the pseudo-first order rate equation fits well experimental data. Nitric acid (0.5 M) solutions can be used for metal recovery and the sorbent is re-used for at least 6 cycles of sorption and desorption with limited decrease in performance (less than 7%). The sorbent has a preference at pH 5 for La(III) vs. Y(III) but the selectivity coefficient is not high enough for potentiating the selective separation of the two metals

Photoassisted Desulfurization Induced by Visible-Light Irradiation for the Production of Ultra-Low Sulfur Diesel Fuel Using Nanoparticles of CdO

The heterogeneous photocatalytic desulfurization processes have been paid wide attention due to their effectiveness in removing the condensed organo-sulfur compounds. Such methods may gain greater consideration via utilizing the visible light in general and sun spectrum in particular. This research work aims to produce low sulfur diesel fuel through a catalyzed photochemical route using nanoparticles of CdO under the visible-light irradiation. Two various structures of CdO were prepared in this study by both the chemical precipitation and autoignition techniques. The structural and morphological characteristics of the obtained cadmium oxides were determined via different tools of analyzes. The production of a low sulfur diesel fuel was then investigated under various operating parameters, such as type of light source, catalyst-to-feed dosage, and reaction time. The effect of adding oxidizing agents at different concentrations on the desulfurization process was also studied. After the maximum sulfur removal had been detected under the optimum conditions, the ultimate removal of sulfur was attained through a subsequent solvent extraction step. A diesel fuel with a sulfur content of 45 ppm was acquired at the end of this research study. A total sulfur removal of 99.6 wt % was obtained because the original diesel fuel feedstock has an overall concentration of the sulfur compounds of 11 500 ppm

Surgical site infection after gastrointestinal surgery in children : an international, multicentre, prospective cohort study

Introduction Surgical site infection (SSI) is one of the most common healthcare-associated infections (HAIs). However, there is a lack of data available about SSI in children worldwide, especially from low-income and middle-income countries. This study aimed to estimate the incidence of SSI in children and associations between SSI and morbidity across human development settings. Methods A multicentre, international, prospective, validated cohort study of children aged under 16 years undergoing clean-contaminated, contaminated or dirty gastrointestinal surgery. Any hospital in the world providing paediatric surgery was eligible to contribute data between January and July 2016. The primary outcome was the incidence of SSI by 30 days. Relationships between explanatory variables and SSI were examined using multilevel logistic regression. Countries were stratified into high development, middle development and low development groups using the United Nations Human Development Index (HDI). Results Of 1159 children across 181 hospitals in 51 countries, 523 (45 center dot 1%) children were from high HDI, 397 (34 center dot 2%) from middle HDI and 239 (20 center dot 6%) from low HDI countries. The 30-day SSI rate was 6.3% (33/523) in high HDI, 12 center dot 8% (51/397) in middle HDI and 24 center dot 7% (59/239) in low HDI countries. SSI was associated with higher incidence of 30-day mortality, intervention, organ-space infection and other HAIs, with the highest rates seen in low HDI countries. Median length of stay in patients who had an SSI was longer (7.0 days), compared with 3.0 days in patients who did not have an SSI. Use of laparoscopy was associated with significantly lower SSI rates, even after accounting for HDI. Conclusion The odds of SSI in children is nearly four times greater in low HDI compared with high HDI countries. Policies to reduce SSI should be prioritised as part of the wider global agenda.Peer reviewe