Safety and efficacy of PDpoetin for management of anemia in patients with end stage renal disease on maintenance hemodialysis: Results from a phase IV clinical trial

Recombinant human erythropoietin (rHuEPO) is available for correcting anemia. PDpoetin, a new brand of rHuEPO, has been certified by Food and Drug Department of Ministry of Health and Medical Education of Iran for clinical use in patients with chronic kidney disease. We conducted this post-marketing survey to further evaluate the safety and efficacy of PDpoetin for management of anemia in patients on maintenance hemodialysis. Patients from 4 centers in Iran were enrolled for this multicenter, open-label, uncontrolled phase IV clinical trial. Changes in blood chemistry, hemoglobin and hematocrit levels, renal function, and other characteristics of the patients were recorded for 4 months; 501 of the patients recruited, completed this study. Mean age of the patients was 50.9 (±16.2) years. 48.7 of patients were female. Mean of the hemoglobin value in all of the 4 centers was 9.29 (±1.43) g/dL at beginning of the study and reached 10.96 (±2.23) g/dL after 4 months and showed significant increase overall (P<0.001). PDpoetin dose was stable at 50-100 U/kg thrice weekly. Hemorheologic disturbancesand changes in blood electrolytes was not observed. No case of immunological reactions to PDpoetin was observed. Our study, therefore, showed that PDpoetin has significantly raised the level of hemoglobin in the hemodialysis patients (about 1.7±0.6 g/dL). Anemia were successfully corrected in 49 of patients under study. Use of this biosimilar was shown to be safe and effective for the maintenance of hemoglobin in patients on maintenance hemodialysis. © A.N. Javidan et al., 2014

Removal of Trichloroethylene by Clay Modified with Cationic Surfactant in Aqueous Solutions: Equilibrium, Kinetic, and Thermodynamic Study

Trichloroethylene (TCE) is commonly found in ground water, and it may serve as a major source of many types of cancers such as kidney, liver, lymphatic glands, and spinal cord. In the present research, TCE uptake from aqueous media by montmorillonite (Mt) modified by tetradecyl trimethyl ammonium bromide (TTAB) surfactant was explored. Firstly, the characteristics of raw and modified montmorillonite (raw-Mt and TTAB-Mt) were analyzed by SEM, FTIR, XRD, and XRF instruments. Then, the sorption process was evaluated as a function of different factors such as surfactant loading rate, pH, ionic strength, contact time, sorbent dosage, TCE concentration, temperature, and regeneration agent. The maximum TCE sorption by the modified clay was obtained at surfactant loading rate of 120 cation exchange capacity of the clay. The maximum removal efficiency of TCE by the modified clay was 99.6 at pH 5 and 30 min contact time. The findings also exhibited that the isotherm and kinetic sorption followed the Freundlich and pseudo-second-order models, respectively. It can be concluded that TTAB-Mt, as a cheap, abundant, non-toxic, and environmental friendly adsorbent can be considered to remove TCE in aqueous phase

Assessment of lead and cadmium levels in frequently used cosmetic products in Iran

This study aims to investigate the content of lead and cadmium in most frequently used brands of cosmetic products (lipstick and eye shadow) in Iran. Fifty samples of lipstick (5 colors in 7 brands) and eye shadow (3 colors in 5 brands) were selected taken from large cosmetic stores in Isfahan (Iran) and lead and cadmium of them were analyzed. The results showed that the concentration of lead and cadmium in the lipsticks was within the range of 0.08-5.2 micro g/g and 4.08-60.20 micro g/g, respectively. The eye shadow samples had a lead level of 0.85-6.90 micro g/g and a cadmium level of 1.54-55.59 micro g/g. The content range of the heavy metals in the eye shadows was higher than that of the lipsticks. There was significant difference between the average of the lead content in the different brands of the lipsticks and eye shadows. Thus, the continuous use of these cosmetics can increase the absorption of heavy metals, especially Cd and Pb, in the body when swallowing lipsticks or through dermal cosmetic absorption. The effects of heavy metals such as lead can be harmful, especially for pregnant women and children. Therefore, effort must be made to inform the users and the general public about the harmful consequences of cosmetics

Occurrence of Giardia and Cryptosporidium in effluents of urban wastewater treatment plants: A global systematic review and meta-analysis

Natural resources have long played a prominent part in conventional treatments as a parental source due to their multifaceted functions and lesser side effects. The diversity of marine products is a significant source of possible bioactive chemical compounds with a wide range of potential medicinal applications. Marine organisms produce natural compounds and new drugs with unique properties are produced from these compounds. A lot of bioactive compounds with medicinal properties are extracted from marine invertebrates, including Peptides, Alkaloids, Terpenoids, Steroids. Thus, it can be concluded that marine ecosystems are endowed with natural resources that have a wide range of medicinal properties, and it is important to examine the therapeutic and pharmacological capabilities of these molecules. So, finding particular inhibitors of the COVID-19 in natural compounds will be extremely important. Natural ingredients, in this light, could be a valuable resource in the progression of COVID-19 therapeutic options. Controlling the immunological response in COVID-19 patients may be possible by addressing the PI3K/Akt pathway and regulating T cell responses. T cell effector activity can be improved by preventing anti-viral exhaustion by suppressing PI3K and Akt during the early anti-viral response. The diversity of marine life is a significant supply of potentially bioactive chemical compounds with a broad range of medicinal uses. In this study, some biologically active compounds from marine organisms capable of inhibiting PI3K/AKT and the possible therapeutic targets from these compounds in viral infection COVID-19 have been addresse

Determination of polycyclic aromatic hydrocarbons concentration in eight brands of black tea which are used more in Iran

Aims: The objective of this study was investigation of the polycyclic aromatic hydrocarbons (PAHs) concentration in eight brands of black tea which is used more in Iran. Materials and Methods: In the present study, PAHs content of eight brands of black tea were extracted and analyzed with gas chromatography‑mass spectrometry (GC‑MS) equipped with Selected Ion Monitoring (SIM) technique. Results: The average of total PAHs compounds in analyzed teas was in the range of 139 to 2082 µg kg−1. PAHs with 5 to 6 rings were not found in the teas samples. Four rings PAHs compounds composed 46% of the total PAHs compounds and were the most dominant compounds. The same compounds were also dominant in tea bags. Conclusion: In the tea liquor, after brewing times of 10 and 120 minutes, the maximum and minimum releasing percentage of PAHs was observed, respectively. The result of this study confirmed the presence of PAHs in the tea leaves and tea liquor. Assuming that every person use 10 g of tea leaves every day and 10 minutes take for brewing time, the daily uptake of 16 PAHs will be 1.2 µg

Simultaneous monitoring of SARS-CoV-2, bacteria, and fungi in indoor air of hospital: a study on Hajar Hospital in Shahrekord, Iran

The novel SARS-CoV-2 outbreak was declared as pandemic by the World Health Organization (WHO) on March 11, 2020. Understanding the airborne route of SARS-CoV-2 transmission is essential for infection prevention and control. In this study, a total of 107 indoor air samples (45 SARS-CoV-2, 62 bacteria, and fungi) were collected from different wards of the Hajar Hospital in Shahrekord, Iran. Simultaneously, bacterial and fungal samples were also collected from the ambient air of hospital yard. Overall, 6 positive air samples were detected in the infectious 1 and infectious 2 wards, intensive care unit (ICU), computed tomography (CT) scan, respiratory patients' clinic, and personal protective equipment (PPE) room. Also, airborne bacteria and fungi were simultaneously detected in the various wards of the hospital with concentrations ranging from 14 to 106 CFU m(-3) and 18 to 141 CFU m(-3), respectively. The highest mean concentrations of bacteria and fungi were observed in respiratory patients' clinics and ICU wards, respectively. Significant correlation (p < 0.05) was found between airborne bacterial concentration and the presence of SARS-CoV-2, while no significant correlation was found between fungi concentration and the virus presence. This study provided an additional evidence about the presence of SARS-CoV-2 in the indoor air of a hospital that admitted COVID-19 patients. Moreover, it was revealed that the monitoring of microbial quality of indoor air in such hospitals is very important, especially during the COVID-19 pandemic, for controlling the nosocomial infections