Nanolipogel Loaded with Tea Tree Oil for the Management of Burn: GC-MS Analysis, In Vitro and In Vivo Evaluation

The GC-MS analysis of tea tree oil (TTO) revealed 38 volatile components with sesquiterpene hydrocarbons (43.56%) and alcohols (41.03%) as major detected classes. TTO efficacy is masked by its hydrophobicity; nanoencapsulation can address this drawback. The results showed that TTO-loaded solid lipid nanoparticles (SLN1), composed of glyceryl monostearate (2% w/w) and Poloxamer188 (5% w/w), was spherical in shape with a core-shell microstructure. TTO-SLN1 showed a high entrapment efficiency (96.26 ± 2.3%), small particle size (235.0 ± 20.4 nm), low polydispersity index (0.31 ± 0.01), and high negative Zeta potential (−32 mV). Moreover, it exhibited a faster active agent release (almost complete within 4 h) compared to other formulated TTO-SLNs as well as the plain oil. TTO-SLN1 was then incorporated into cellulose nanofibers gel, isolated from sugarcane bagasse, to form the ‘TTO-loaded nanolipogel’ which had a shear-thinning behavior. Second-degree thermal injuries were induced in Wistar rats, then the burned skin areas were treated daily for 7 days with the TTO-loaded nanolipogel compared to the unmedicated nanolipogel, the TTO-loaded conventional gel, and the normal saline (control). The measurement of burn contraction proved that TTO-loaded nanolipogel exhibited a significantly accelerated skin healing, this was confirmed by histopathological examination as well as quantitative assessment of inflammatory infiltrate. This study highlighted the success of the proposed nanotechnology approach in improving the efficacy of TTO used for the repair of skin damage induced by burns

Association of high sensitive C reactive protein and dialysis adequacy with uremic pruritus in hemodialysis patients

Introduction: Uremic pruritus is one of the most common and complicated symptom affecting hemodialysis patients, it can be persistent, distressing and having a significant impact on the quality of life. We aimed to study the relationship between high sensitive C reactive protein and adequacy of dialysis with uremic pruritus in hemodialysis patients. Patients and Methods: In this Case control study one hundred prevalent hemodialysis patients were enrolled from hemodialysis units in Ain Shams University hospitals, fifty of them had pruritus and the other fifty patients had no pruritis, all of them underwent urea reduction ratio for dialysis adequacy assessment, pruritus assessment by using visual analog scale and high sensitive C reactive protein serum level. Results: Uremic pruritus has statistically significant negative correlation with urea reduction ratio and consequently with dialysis adequacy. However, uremic pruritus has statistically significant positive correlation with highly sensitive C reactive protein serum levels in hemodialysis patients. Conclusion: Inadequate hemodialysis and increased hsCRP serum level play an important role in aggravating intensity and severity of uremic pruritus

Synthesis and antitumor activity of novel pyrazolo[1,5-a]pyrimidine derivatives

A novel series of pyrazolo[1,5-a]pyrimidine-3-carbonitriles substituted with 7-amino, 7-substituted amino and 5-substituted amino groups was synthesized. Some of the newly synthesized compounds were tested in vitro on human colon tumor cell line (HCT116). Compound 14a displayed the highest activity among the tested compounds with IC50 that equals to 0.0020 μM

EFFECT OF SODIUM NITRITE EXPOSURE ON THE IMMUNE RESPONSES AGAINST OF RIFT VALLEY FEVER VACCINE IN MICE

Objective: Daily exposure to food preservatives constitutes a major crisis to children especially during vaccination so; the aim of the study is to assess the effect of sodium nitrite on the immune responses against Rift Valley fever vaccine (RVFV) in Swiss mice. Methods: Mice were divided into four equal groups: group 1 (control) was orally administrated with distilled water (2 ml/kg b. wt.); group 2 was orally administrated with the acceptable daily intake (ADI) of sodium nitrite 0.07 mg/kg b. wt. daily for 21 d, group 3 was vaccinated with inactivated RVFV two times and group 4 was orally given sodium nitrite and vaccinated as group 3. Blood samples were collected from all groups two weeks after booster vaccination. The leucocytic indices and the neutrophil-lymphocyte ratio (NLR) were determined to assess the cell-mediated immunity. The humoral immunity was evaluated using direct enzyme-linked immune-sorbent assay (ELISA) test and serum neutralization test (SNT). Results: Sodium nitrite significantly increased the neutrophil index and the NLR whereas; it decreased the total leucocytic count and lymphocyte index in both non-vaccinated and vaccinated mice. Moreover, sodium nitrite significantly decreased both the IgG titer and the efficiency of vaccination through increasing the ED50 value. Conclusion: Sodium nitrite existed an immune-suppressive effect on both cellular and humoral immune responses in mice

Similar and Additive Effects of Ovariectomy and Diabetes on Insulin Resistance and Lipid Metabolism

Type 2 diabetes mellitus (T2DM) is among the leading causes of death in postmenopausal women. The disruption of ovarian function may contribute to the incidence of T2DM. The purpose of this study was to investigate the effects of ovariectomy and T2DM on glucose and lipid homeostasis, perilipin levels in adipose tissues, as a lipolytic regulator, and levels of certain adipokines. Ovariectomized (OVX) rats were used as a model for postmenopausal women. The study was performed on sham, OVX, sham diabetic, and OVX diabetic female rats. The results indicated that ovariectomy alters adipose tissue metabolism through reducing perilipin content in white adipose tissue (WAT); however it has no effect on perilipin level in brown adipose tissue (BAT). OVX diabetic females suffer from serious metabolic disturbances, suggested by exacerbation of insulin resistance in terms of disrupted lipid profile, higher HOMA-IR, hyperinsulinemia, higher leptin, and lower adiponectin concentrations. These metabolic derangements may underlie the predisposition for cardiovascular disease in women after menopause. Therefore, for efficient treatment, the menopausal status of diabetic female should be addressed, and the order of events is of great importance because ovariectomy following development of diabetes has more serious complications compared to development of diabetes as result of menopause

Risk Factors Associated with Mild Cognitive Impairment аmong Apparently Healthy People and the Role of MicroRNAs

BACKGROUND: Mild cognitive impairment (MCI) is a stage between the expected cognitive decline of normal ageing and the serious decline of dementia. AIM: To identify risk factors and role of miRNAs associated with mild cognitive impairment (MCI) among employees. SUBJECTS AND METHOD: A cross-sectional study was carried out on 186 employees aged between 40 and 65 years. Cognitive function was evaluated using ACEIII, MoCA, and Quick cognitive tests. Medical history and lifestyle were assessed. Family 132 & 134 miRNA expressions were assessed by real-time PCR. RESULTS: MCI was detected among 14 / 186 (7.5%). miRNA 132 expression was the only significant miRNAs to detect MCI with low sensitivity and specificity (70%). The logistic analysis revealed that higher miRNA132 expressions, low monthly intake of; vegetables, unroasted nuts, low education and higher ALT levels were predicting factors for MCI with AOR 1.1 (1.01-3.3), 1.2 (1.04-1.43), 0.8 (0.8-0.98), 2.7 (1.9-7.4) and 1.6 (1.1-2.3) respectively. CONCLUSION: MiRNAs expression showed low sensitivity and specificity in detecting MCI; only miRNA 132 might be used. Several modifiable factors seem to reduce the risk of MCI

The leaf architecture and its taxonomic significance in Capparaceae from Egypt

The paper deals with the leaf architecture of 19 species belonging to 7 genera (Capparis, Cadaba, Boscia, Maerua, Dipterygium, Cleome and Gynandropsis) of the family Capparaceae sensu lato (including Cleomaceae) from Egypt. A comprehensive description of leaf architecture for the studied taxa was provided, including venation pattern, areolation, and marginal ultimate venation. The venation pattern showed mostly pinnate brochidodromous or craspidododromous. Aeroles may be well or poorly developed. Taxonomically significant leaf features of the examined taxa showed great diversity in leaf or leaflet form, leaf surface, leaf base, leaf persistence, main venation pattern, secondary vein angle, inter secondary veins, number of veins on either side of midrib, free ending ultimate veins and marginal ultimate venation. A new free ending ultimate venation (F.E.V.S) branched with swollen ends was reported. On the basis of leaf architecture, we advocate the recognition of two separate families Capparaceae sensu lato and Cleomaceae. Multivariate analysis was carried out with the aim of solving some of the taxonomic problems existing in the family using 21 characters including 74 character states. Based on the comparison of leaf architecture, we supported the taxonomic treatment of the family Capparaceae. We supported retaining Gynandropsis gynandra as Cleome gynandra of the family Capparaceae, as it clearly nested within Cleome. Leaf architecture helped to distinguish all the species investigated and accordingly a key was provided for this purpose

Parents’ Acceptance to Alveolar and Nasoalveolar Molding Appliances during Early Cleft Lip and Palate Care: A Call for High-Quality Research

AIM: Acceptance and compliance of the parents are an essential pillar in the success of pre-surgical infant orthopedic (PSIO) treatment. The aim of this systematic review is to evaluate the burden of care associated with the alveolar molding (AM) and nasoalveolar molding (NAM) appliances as experienced by the parents with unilateral complete cleft lip and palate (UCLP) infants. METHODS: An electronic search was carried on by two reviewers in eight search engines, as well as a manual search till July 2019. Randomized controlled trials (RCTs) comparing AM/NAM appliances to controls in infants with UCLP were selected. Risk of bias was evaluated using Cochrane risk of bias assessment tool for RCTs. RESULTS: One RCT was included in the qualitative analysis. Non-significant differences were found in the amount of mothers’ satisfaction between the intervention and control groups. CONCLUSIONS: Insufficient low-quality evidence is available regarding the effects of AM and NAM on parents’ satisfaction and burden of care. No conclusions can be withdrawn from the existing studies. High-quality research is needed to elucidate the degree of parents’ acceptance to the molding appliances. PROSPERO registration number: CRD42016043174

Open-array analysis of genetic variants in Egyptian patients with type 2 diabetes and obesity

Background: Diabetes mellitus is considered a major public health problem worldwide. Susceptibility to diabetes is influenced by both genetic and environmental determinants.Aims/hypothesis: The aim of the present study was to test for 16 independent single nucleotide polymorphisms (SNPs) in established Type 2 diabetes (T2D) and obesity susceptibility loci by GWAS in a sample of Egyptian patients to find out if there is shared genetic background underlying both disease entities.Methods: Genotyping was performed using OpenArray protocol on the QuantStudioTM 12K Flex Real- Time PCR System. In the present case control study a custom array was designed to facilitate costeffective analysis of selected SNPs related to glycolysis, gluconeogenesis, inflammation, insulin signalling, and immune function.Results: Seven gene variants showed significant association with the risk of T2D patients including FCGRA2, STAT4, CELSR2, PPARG, EXT2 rs3740878, GCKR, PTGS1. Factors that significantly affect T2D were obesity (p < 0.001) and GCKR (p = 0.001) and PTGS1 (p = 0.001) gene variants. Gene variants that showed significant or borderline effect on obesity were MTHFD1, EXT2 rs3740878, GCKR and PTGS1 (p = 0.03, 0.017, 0.059, 0.006) respectively.Conclusions/interpretation: Overlapping genetic aspects should be considered and the presence of risk alleles of different genes together could contribute to the risk of T2D or obesity or both. The MTHFD1 and EXT2rs3740878 gene variants significantly affect obesity and not shared with T2D. Gene variants that showed combined effect on both disease entities were GCKR and PTGS1. These findings provide a basis for future studies on a larger scale. More stress on the risk gene variants that have a combined impact on both diabetes and obesity is recommended to improve risk prediction and preventive strategies

Spectrum of Neurological Disorders Encountered at The Neuropediatric Outpatient Clinic at Children’s Hospital, Cairo University

Background: The various neurological disorders pose a significant proportion of morbidity and mortality among children. They pose significant social and economic challenges as well. Aim of work: To identify the spectrum of neurological disorders among the children attending The Pediatric Neurology Clinic at Children’s Hospital, Cairo University. Methods: Analysis of data of the files of all patients attending the Pediatric Neurology Clinic over a period of 6 months from May 2019 till November 2019. All patients younger than 14 years old were included. Results: A total of 2819 patients with different neurological disorders were seen during this time interval, their mean (+/- Standard Deviation) age was 9.13 +/-7.02 years with a male predominance 59.9% vs 40.1% females. Epilepsy was the most common neurological disorder encountered accounting for about 778 cases (27.6%), whereas global developmental delay for differential diagnosis accounted for 480 cases (17.03%), followed by metabolic disorders (10.7%) and cerebral palsy (7.24%). Conclusion: There is a wide spectrum of childhood neurological disorders among our studied population that demands multidisciplinary team involvement for diagnosis, management and follow up. Our endeavor is challenged by the shortness of professionally trained manpower, as well as limited financial resources for proper access to expensive therapies, all pose great challenge in dealing with patients with neurological disorders in our country