Acute hydrops followed by corneal perforation five years after corneal cross-linking for keratoconus.

We report a case of acute corneal hydrops followed by corneal perforation five years after corneal cross-linking for keratoconus. A healthy 24-year-old female patient underwent Dresden protocol cross-linking in her left eye due to advanced keratoconus. After five years of a stable cornea, she returned with epiphora, blurred vision, and a soft left eye. Acute hydrops and corneal perforation were diagnosed. There was no history of pregnancy, atopy, eye rubbing, trauma, or contact lens use. Local antibiotic and eye patching were applied. Three months after the resolution of the acute episode, she retained useful visual acuity with no need for further surgery. Although cross-linking efficiently halts keratoconus, progression can occur, leading to corneal hydrops and perforation, even in the absence of any risk factors

Karakterizacija i odabir autohtonih bakterija mliječno-kiselog vrenja kao starter kultura u zanatskoj proizvodnji vlasinskog sira iz svježeg kozjeg mlijeka

The aim of this study is the isolation, characterization and identification of autochthonous lactic acid bacteria (LAB) from artisanal Vlasina raw goat\u27s milk cheese for the selection of potential starter cultures. Soft white Vlasina cheese was manufactured at a household on the Stara Planina Mountain using traditional techniques without starter cultures. One hundred and forty nine LAB isolates were collected from two samples of Vlasina cheese, designated as BGVL2 (5 days old) and BGVL2a (15 days old). The population of LAB in the cheese samples was characterized by phenotype-based assays and presumptively identified using repetitive element palindromic polymerase chain reaction (rep-PCR) with the primer (GTG)5. Results were confirmed by 16S rDNA sequencing. Among the BGVL2 isolates (56), the most numerous LAB species were Leuconostoc pseudomesenteroides (27) and Lactococcus lactis (26). In 15-day-old BGVL2a (93 isolates), Lactobacillus plantarum (33), Enterococcus durans (26) and Pediococcus pentosaceus (14) were predominant. Lc. lactis ssp. lactis BGVL2-8 showed good acidification ability and the ability to produce antimicrobial compounds, Lb. plantarum BGVL2a-18 had good proteolytic ability and produced exopolysaccharides, while BGVL2-29 and BGVL2-63, which belonged to the species Ln. pseudomesenteroides, utilized citrate and produced diacetyl and acetoin. They appeared to be suitable candidates for inclusion in the starter culture. This study contributed to the understanding of the role of autochthonous LAB in the quality of artisanal cheese and the possibility of using the selected LAB as potential starter cultures for cheese making under controlled conditions.Svrha je ovoga rada bila izolirati, karakterizirati i identificirati autohtone bakterije mliječno-kiselog vrenja koje se mogu upotrijebiti kao starter kulture u zanatskoj proizvodnji vlasinskog sira iz svježeg kozjeg mlijeka. Meki je bijeli vlasinski sir bio izrađen u domaćinstvu na Staroj Planini tradicionalnim postupkom bez dodatka starter kultura. Iz dvaju je uzoraka vlasinskih sireva, označenih kao BGVL2 (sir star 5 dana) i BGVL2 (sir star 15 dana) prikupljeno 149 izolata bakterija mliječno-kiselog vrenja. Populacija je bakterija iz uzoraka sireva okarakerizirana pomoću fenotipskih testova i primarno identificirana primjenom metode rep-PCR s početnicom (GTG)5. Rezultati su potvrđeni sekvenciranjem 16S rDNA. Među izolatima iz sira BGVL2 (njih 56) najbrojnije su bile bakterije Leuconostoc pseudomesenteroides (27) i Lactococcus lactis (26). U siru BGVL2a (93 izolata), starom 15 dana, prevladavale su vrste Lactobacillus plantarum (33), Enterococcus durans (26) i Pediococcus pentosaceus (14). Izolat Lc. lactis ssp. lactis BGVL2-8 pokazao je dobru sposobnost zakiseljavanja i proizvodnje antimikrobnih spojeva. Izolat Lb. plantarum BGVL2a-18 imao je dobru proteolitičku aktivnost i sposobnost proizvodnje egzopolisaharida, dok su izolati BGVL2-29 i BGVL2-63 vrste Ln. pseudomesenteroides za rast koristili citrate, a proizvodili diacetil i acetoin. Stoga su navedeni izolati odabrani kao starter kulture. Ovo je istraživanje pridonijelo razumijevanju uloge autohtonih bakterija mliječno-kiselog vrenja u zanatskoj proizvodnji kvalitetnog sira, te je potvrdilo mogućnost primjene odabranih izolata kao starter kultura pri izradi vlasinskog sira u kontroliranim uvjetima

Optimization of technological procedure for amygdalin isolation from plum seeds (Pruni domesticae semen)

The process of amygdalin extraction from plum seeds was optimized using central composite design (CCD) and multilayer perceptron (MLP). The effect of time, ethanol concentration, solid-to-liquid ratio, and temperature on the amygdalin content in the extracts was estimated using both mathematical models. The MLP 4-3-1 with exponential function in hidden layer and linear function in output layer was used for describing the extraction process. MLP model was more superior compared with CCD model due to better prediction ability. According to MLP model, the suggested optimal conditions are: time of 120 min, 100% (v/v) ethanol, solid-to liquid ratio of 1:25 (m/v) and temperature of 34.4 degrees C. The predicted value of amygdalin content in the dried extract (25.42 g per 100 g) at these conditions was experimentally confirmed (25.30 g per 100 g of dried extract). Amygdalin (>90%) was isolated from the complex extraction mixture and structurally characterized by FT-IR, UV, and MS methods

The Consequences of Political Party Inadequate Management

Political parties belong to organizational systems and they must be guided. Defining the aims, the way they are put in practice, constan control, mаnagement team choice, cooperation with the environment are just some of the activities political party management is involved in. Management efficiancy depends on how long and in what way political party is going to last. Successful management can lead political party to unexpected heights (achievements)

Treatment of perforated cornea with an autologous lamellar scleral graft: histologic findings

We report a case of central corneal perforation treated with an autologous lamellar scleral graft and histologic findings obtained after a subsequent penetrating keratoplasty. A corneal perforation within a large Pseudomonas ulcer in a 55-year-old male rigid gas permeable contact lens wearer was sealed by a lamellar scleral graft from the same eye, followed by an uneventful penetrating keratoplasty 6 months later. Histology of the excised button revealed that the well-apposed graft, which maintained the irregular arrangement of the scleral collagen fibers, was embedded in the corneal stroma over the deep blood vessels and a rupture in Descemet's membrane. The clinical and histologic findings showed that autologous lamellar scleral grafts can be successfully used for the emergency treatment of corneal perforation when a corneal transplant is not available. The distinctive scleral structure revealed by histology and the inadequate graft transparency indicate that visual rehabilitation of eyes with a central corneal perforation can be achieved only by a subsequent optic penetrating keratoplasty