Sacrococcygeal teratoma excision: a vertical rather than transverse wound closure

Background: The chevron incision has been the standard approach for sacrococcygeal teratoma (SCT) excision. Here, we are reporting our experience of shifting to the vertical posterior sagittal approach.Patients and methods: During the period 2011 through 2016, we operated on 17 (16 female and one male) cases of SCT. Their age at presentation ranged from day 1 to 26 months (mean=4.8 months, median=2 months). The chevron incision was used in five, whereas the vertical posterior sagittal approach was used in 12 patients.Results: In this series, we had one case of perioperative mortality, in addition to another case of perineal wound disruption (in the group of vertical wound closure), which was managed conservatively (to heal by secondary intention) with a very satisfactory hidden scar at 6-month follow-up. Overall, we did not find the vertical approach to add any extra limitations to the surgical exposure or dissection; meanwhile, it provided a well-recognized cosmetic advantage.Conclusion: The vertical posterior sagittal approach for excision of SCT is both feasible and advantageous in terms of the cosmetic outcome. It provides a well-hidden scar in the natal cleft and preserves normal contouring of the buttocks.Keywords: buttock, cosmesis, posterior sagittal, reconstruction, sacrococcygeal teratom

Synthesis, Characterization and Application of Nano-adsorbent Materials in the Sorption of Pb(II), Ni(II), Co(II), Mn(II), Li(I) from Aqueous Solution

In this study, nano-adsorbent materials were synthesized from two different precursors by thermal activation technique. The first was the synthesizing of nano-zinc silicate from chemical reagents of zinc oxide and commercial silica gel. The second was the preparation of nano-pore size activated carbon from different biomass. The synthesized nano-adsorbent materials were characterized by different techniques; Surface Area, FTIR, XRD and SEM. The prepared nano-adsorbent materials were applied in the sorption and separation of some heavy metals from aqueous solution. These metals includes; Pb (II), Ni(II), Co(II), Mn(II) and Li(I). Some factors affecting on the sorption process (e.g. contact time and pH) were investigated. It was found that: the nano-zinc silicate (of ratio 1:1 thermally treated at 700 0C) and nano-pores activated carbon (prepared from saw dust impregnated with 70% H3PO4 overnight, then heated to 500 0C in presence of steam for 80 min.) were the best samples for sorption and separation of concerned heavy metals

EFFECT OF ADDITIVES ON IN-VITRO RELEASE OF ORODISPERSIBLE DOSAGE FORM

Objective: The aim of this investigation was to prepare orodispersible tablets of meloxicam using various concentrations of superdisintegrants like Ac-DI-Sol, crospovidone, sodium starch glycolate by the direct compression method. Methods: Nine formulae of Meloxicam orodispersible tablets were prepared. These tablets were evaluated for their drug content, weight variation, friability, hardness, wetting time, In-vitro disintegration time and drug release.Results: All the formulation exhibited hardness between 4.21–4.55 kg/cm2. The tablets were disintegrating within 8.3 to 21.9 sec. Dissolution studies revealed that formula containing 7.5 % sodium starch glycolate showed 100% of drug release, at the end of six minutes. Among the formulated tablets, formula F9 containing 7.5 % sodium starch glycolate showed superior organoleptic properties along with excellent In-vitro disintegration time and drug release as compared to other formulae. The concentration of superdisintegrants had an effect on disintegration time and In-vitro drug dissolution whereas hardness and friability of resulting tablets were found to be independent of disintegrant concentration. It was concluded that the superdisintegrants addition technique is a useful method for preparing orodispersible tablets by the direct compression method.Â

Humoral and cellular immune responses to modified hepatitis B plasmid DNA vaccine in mice

Purpose: To evaluate the immunogenicity and types of immune response of a quality-controlled modified recombinant hepatitis B surface antigen (HBsAg) plasmid encoding HBsAg in mice.Methods: The characterized plasmid DNA was used in the immunization of Balb/c mice. Three groups of mice were intramuscularly injected with three different concentrations (50, 25 and 10 μg/100 μL) of the modified plasmid. Humoral immune response was monitored by enzyme-linked immunosorbent assay (ELISA), while cellular immune response was investigated by analysis of spleen cytokine profile (TNFα, IFN γ and IL2) as well as CD69 expression level in CD4 and CD8 positive cells.Results: In general, the activated CD4 cells showing intracellular cytokines were higher than CD8 positive population of cells (p < 0.05). These findings indicate that the vaccine induced both a humoral and cellular immunity. Cytokine profile also showed high levels of TNFα, IFN γ and IL2 and CD69 expression in the group of animals immunized at a dose of 10 μg when compared to control group (p < 0.05).Conclusion: A 10 μg dose intramuscular injection of the modified DNA-based vaccine encoding HBsAg in mice induces both high humoral and cellular immune responses.Keywords: Hepatitis B virus, Plasmid DNA, Vaccine, Spleen cytokines, Humoral and cellular immune response

Pramipexole protective effect on rotenone induced neurotoxicity in mice

Introduction: 
Pramipexole is a new dopaminergic drug which has been approved for PD treatment. However, we tried to find a new capacity for this drug rather than symptomatic effect. 

Materials and Methods: 
A chronic rotenone model with daily oral dose of 30mg/kg was induced in mice. Pramipexole was tried in a new approach where the treatment began in the middle of rotenone course with oral dose 1mg/kg/day of pramipexole. 

Results: 
Further analysis of behavioral tests and immunohistochemistry revealed success of pramipexole in improving the rotenone intoxicated mice. 

Conclusion: 
These results showed possible beneficial effects of pramipexole against rotenone-induced neurotoxicity

Isotherm and Thermodynamic Studies of the Biosorption of Humic Acid from Aqueous Solution by Pine Sawdust based Activated Charcoal

203-209Activated charcoal was prepared from pine tree sawdust by chemical activation by means of phosphoric acid (PSDP) that was used for Humic acid bio sorption from aqueous medium. The influence of humic acid initial concentration, sorbent mass, and solution temperature on sorption process was investigated. Langmuir and Freundlich isotherm models were used to analyze the equilibrium sorption data. The maximum adsorption capacities of PSDP obtained from Langmuir were 170.9, 182.1 and 209.6 mg/g at 25°C, 45°C and 65°C, respectively. Humic acid adsorption onto PSDP was spontaneous, favorable at higher temperature and endothermic in nature. Activated charcoal from pine tree sawdust proves to have high capacity adsorptive to natural organic compound (humic acid)

Parkinson's Disease: Is It a Toxic Syndrome?

Parkinson's disease (PD) is one of the neurodegenerative diseases which we can by certainty identify its pathology, however, this confidence disappeares when talking about the cause. A long history of trials, suggestions, and theories tried linking PD to a specific causation. In this paper, a new suggestion is trying to find its way, could it be toxicology? Can we—in the future—look to PD as an occupational disease, in fact, many clues point to the possible toxic responsibility—either total or partial—in causing this disease. Searching for possible toxic causes for PD would help in designing perfect toxic models in animals

Isotherm and thermodynamic studies of the biosorption of Humic acid from aqueous solution by pine sawdust-based activated charcoal

In this work, activated charcoal was prepared from pine tree sawdust by chemical activation using phosphoric acid (PSDP) that was applied for the biosorption of Humic acid from aqueous medium. The effect of sorbent mass, humic acid initial concentration and solution temperature on the adsorption process were investigated by batch experiments. The equilibrium sorption data were analyzed by Langmuir and Freundlich isotherm models. The maximum adsorption capacities of PSDP obtained from Langmuir were 170.9, 182.1 and 209.6 mg/g at 25oC, 45oC and 65oC, respectively. The adsorption of humic acid onto PSDP was spontaneous, favorable at higher temperature and endothermic in nature. Activated charcoal from pine tree sawdust proves to have high capacity adsorptive to natural organic compound (humic acid).

Pattern of cesarean deliveries among women in an urban and rural district in Egypt

Aim: to compare patterns of delivery at an urban and a rural district in Egypt over 3 years. Methods: This retrospective study included 500 women and 50 obstetricians from each district from January, 2013 till December, 2015. Women answered a questionnaire about their deliveries. Obstetricians answered a questionnaire about their practiceof CS. Results: CS rate in the rural district was 57.2% compared to 54.8% in the urban district in 2013. In 2014 and 2015, CS rates increased to 65.3% and 69%, respectively in the rural district compared to 56% and 57.7%, respectively in the urban district. 66% of obstetricians in the rural district performed CS for more than 50% of their patients compared to 76% of obstetricians in the urban district. 52% and 4% of obstetricians in the rural and urban districts, respectively, performed CS upon maternal request. 70.3% of women in the rural district who delivered by CS preferred to deliver vaginally. 51.4% of urban women who delivered by CS preferred to deliver vaginally. Level of education was the only factor showing statistical significance. Conclusion: CS rates increased over time with higher rates in the rural area. Level of women's education was the only factor affecting delivery choice. Keywords: Cesarean sections; CS rate; urban area; rural area; Egypt; obstetricians