Lubrication and Lubricants

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Current management of advanced and metastatic renal cell carcinoma.

Introduction:Unresectable renal cell carcinoma (RCC) is a technically incurable condition. Historically, RCC is resistant to chemotherapy and radiotherapy. Cytokine therapy was until recently considered the mainstay of treatment. However, responses are modest. Improvement in the understanding of the biology of RCC, particularly the hereditary types, is providing the basis for novel therapeutic targets. Our aim was to review the clinical utility of various systemic agents and surgery in the management of advanced RCC and suggest practice guidelines in the light of current literature. Materials and Methods: Evidence was collected by review of current literature, guidelines of the American and European associations and the national comprehensive cancer network. Results: Treatment of advanced RCC has recently undergone a major change with the development of targeted agents and potent angiogenesis inhibitors. Small-molecule multikinase inhibitors that target vascular endothelial growth factor receptors have a favorable toxicity profile and can prolong time to progression and preserve quality of life when used in newly diagnosed or previously treated Patients, bevacizumab enhances the response rate and prolongs disease control when added to interferon-alpha. Temsirolimus, a mammalian target of rapamycin inhibitor, prolongs the survival duration of Patients with poor-risk disease. All currently available agents have variable toxicity profile and they, at best, improve survival by a few months. Surgery still has a significant role in the management of stage IV RCC. Conclusions: Supportive care and surgery remain the mainstay of treatment even in the management of advanced and metastatic RCC. Systemic therapeutic agents are showing promising results

Current Review of Medical Research in Developing Countries: A Case Study from Egypt

It is amazing to see how medical science has progressed. Medical research is now cross-national and cross-cultural, the relentless progress of globalization poses complex ethical questions for those wishing to do medical research in developing countries. In developing countries, poverty, endemic diseases, and a low level of investment in health care systems influence both the ease of performing and the selection of trials that can benefit the people of the countries. In this chapter, we present an overview of medical research situation in developing countries with critique of different clinical trials that was conducted in Egypt after review. Egypt has 41 universities and 94 health related medical schools. There are 24 faculties of medicine with up to 34 departments in each. Clinical research is an essential mandate for getting Master, Doctorate Degrees, and for promotion of faculty members. In Egypt, the Profession Ethics Regulations issued by the Ministry of Health (MOH) No. 238/2003 was endorsed and maintained in Law 71/2009. Beside these regulations, more than 56 Institutional Review Board (IRB) have been registered. The Egyptian Network of Research Ethics Committees (ENREC) was created in 2008. Yet, in the absence of robust legislative constraints, there is no clear way to avoid violations. Our experience in Tanta Faculty of Medicine is also highlighted in this chapter

Synthesis and Molluscicidal Activity of Some Newly Substituted Chromene and Pyrano[2,3-c]pyrazole Derivatives

The arylidene derivatives 3a-f react with 1,3-cyclohexanedioneand dimedone 4a,b to afford the 4-(2- or 3-pyridyl) or 4-pipronyl-chromene derivatives 6a-l. The arylidene derivatives 3a-c react with the pyrazolone derivatives 7a,b to afford the pyrano[2,3-c]pyrazole derivatives 9af.The molluscicidal activity of the synthesized compounds towards Biomphalaria alexandrina snails, the intermediate host of Schistosoma mansoni, was investigated and most of them showed weak to moderate activity.

RUTIN RESTORE BIOCHEMICAL CHANGES, OXIDATIVE STRESS AND BETATROPHIN LEVEL IN STZ-INDUCED DIABETIC RATS

Objective: Diabetes mellitus (DM) is associated with long-term damage, dysfunction, of various organs. Study aims to assessrole of rutin on experimentally induced diabetes. Methods: 50 adult male albino rats divided into 5 groups. Group I (control group, rats were orally administered with 1 ml saline daily). Group II (DMSO group, rats were orally administered with 0.2 % DMSO for 60 d orally). Group III (positive control, animals were injected intraperitoneally with 60 mg/kg b. wtstreptozotocin followed by intraperitoneal injection with 120 mg/kg b. wt of Nicotinamide after 15 min). Group IV (therapeutic group, diabetic rats treated with 100 mg/kg b. wt of rutin for 60 d orally). Group V (standard group, diabetic animals treated with 100 mg/kg b. wt of metformin for 60 d orally). At the end of the experimental period blood serum and plasma, liver, kidney and pancreatic tissues were collected. Results: Diabetic rats showed a significant increase in plasma glucose, serum urea, creatinine, cholesterol and triglyceride. Also, induced oxidative stress as pointed out an increase in MDA level, decrease in GSH level, GST and CAT activities in compared to control group. Also, showed an increase in plasma and tissues levels of betatrophin. Oral administration of rutin cause decrease in elevated biochemical and oxidative stress parameters. Also, decrease betatrophin level when compared with diabetic rats. Our results were confirmed by histopathological examination of different tissues. Conclusion: This study suggests thatrutinexihibitsantihyperglycemic and antioxidant activity in streptozotocin-induced diabetic rats

Production and Characterization of Pectic Enzymes of Xanthomonas campestris pv. sesami

إنتاج ودراسة خصائص الإنزيمات البكتينية للبكتيريا Xanthomonas campestris pv. sesami   ملخص الدراسة            البكتيريا  Xanthomonas campestris pv. sesami ، هي المسبب لمرض تبقع أوراق نبات السمسم. الأنزيمات البكتينية التي تنتج بواسطة العديد من البكتيريا الممــرضة للنبات اتضـح أنها تلعب دوراً هاماً في عمــلية الأمراض. هنالك ثلاث أنواع رئيـسـية من الإنزيمات البكــتينية (بوليجلاكتيورونيز، PG وبوليجلاكتيورونيت ترانس - امنيز، PTE و بكتين ميثايل - اٍستريز، PME). هـدف هذا البحث على دراسة قدرة البكتيريا، X.  campestris pv. sesami  على إنتاج الإنزيمات البكتينية المختلفة. استخدم في هذه الدراسة وسط غذائي من الأملاح مضافاً إليه مواد بكتينية مختلفة كمصدر للكربون. الإنزيمات المنتجة تمت دراسة خصائصها باستخدام اختبارات محددة. أوضحت النتائج أن البكتيريا كانت قادرة إنتاج الإنزيم بوليجلاكتيورونيت ترانس - اٍمنيز ((PTE فقط ولم تنتج الانزيم بكتين ميثايل - اٍستريز، PME)). أشارت النتائج الى أن ملح بولي بكتات الصوديوم وحمض البولي جلاكتيورونيك  هي الأفضل لإنتاج هذا الإنزيم حيث أعطت  9 .26 و 19.8 وحدات لزوجة إنزيمية، على التوالي. . كان أعلى إنتاج للإنزيم في اليوم السادس (9.3 وحدات لزوجة)  ثم انخفض الإنتاج مع زيادة فترة التحضين. اختبار تأثير درجة الأس الهيدروجيني أوضح أن الدرجة المثلى لنشاط  الإنزيم كانت 9.0. أظهرت دراسة اختبار تاثيز ايونات لمعادن مختلفة على نشاط الانزيم أن أيونات الكالسيوم هي التي أعطت اكبر نشاط 12.2  وحدة لزوجة. وعند اختبار تراكيز مختلفة من  ايونات الكالسيوم ووجد ان اعلى نشاط كان على التركيز  50 ملج / مل حيث أعطى 18.0 وحدة لزوجة. توصي الدراسة على اختبار قدرة البكتيريا على انتاج إنزيمات السليولوز وشبه السليولوز والتي لها دور ايضاً في عملية الاٍمراض.       The bacterium Xanthomonas campestris pv. sesami, is the causal organism of the leaf spot disease (Marad eldum) in sesame plants. Pectic enzymes which were reported to be produced by many plant pathogenic bacteria,  were found to play an important role in pathogenesis. There are three main types of pectic enzymes (Polygalacturonase, PG, Polygalacturonate trans-eliminase PTE and Pectin methylesterase PME). The present study was conducted to investigate the capacity of the bacterium X. campestris pv. sesami,  to produce the different types of pectic enzymes. A salt medium supplemented with different pectic materials as carbon sources were tested for the production of the enzymes. The produced enzymes were characterized using different selective tests, both the viscosity and reducing group methods were used to measure the enzyme activity. The results showed that no pectin methylestrease (PME) was produced and only the Polygalacturonase trans-eliminase (PTE) was produced by the bacterium. Sodium polypectate and polygalacturonic acid were found as the best substrates giving 26.9 and 19.8 viscosity enzyme units, respectively. The enzyme activity was maximum at the 6th day (9.3 viscosity units), then the activity was decreasing with further incubation time. The test of the effect of the pH indicated that the  pH optimum of the enzyme activity was at pH 9.0. The effects of different metallic ions to the enzyme activity showed that,= a higher activity was found with Ca++ which gave 12.2 viscosity    units. When different concentrations of Ca++ were tested, the maximum activity of the enzyme was found at 50 mg/ ml concentration, which gave 18.0 viscosity units. It could be recommended that the tested bacterium should be investigated for the production of the cellulases and hemi-cellulases which also have a role in the pathogenesis process

Counterfeit drugs in India: significance and impact on pharmacovigilance

Counterfeit drugs have emerged as a major global problem. This issue has been brought to the centre of the Indian media due to the death of 15 women attending a sterilization camp in Chhattisgarh. India’s pharmaceutical industry exports drugs worth 15 billion dollars, which means a high prevalence of counterfeiting in India’s drug industry has global repercussions. However, accurate figures on the extent of counterfeit drugs in India are not available. The scientific literature as well as media reports often quotes figures of 10-35%, though studies done by the Indian Government dispute this. Counterfeit drug numbers have been known to be under represented by Governments due to fear of undermining their economy and health systems. On the other hand, rival companies in other countries may have an incentive to over hype India’s counterfeit problem to dent India’s growing status as the leading global supplier of generic medicines. Lack of clear definitions and differences between laws of countries further complicate reporting. A high prevalence of counterfeit drugs has a large impact on both health and economic indicators. Additionally, counterfeit drugs provide significant challenges to Pharmacovigilance programmes. Hence, here we discuss the significance of use of counterfeit drugs in India and challenges faced by Pharmacovigilance due to the extensive use of counterfeit drugs

The Effect of Different Irrigant Activation Methods on Postoperative Pain After Endodontic Retreatment

Objective: This study was designed to evaluate the effect of different irrigant activation methods on post operative pain after endodontic retreatment. Materials and Methods : Seventy eight patients need non surgical retreatment in mandibular first molar were involved in the study. The retreatment was performed in two visits ,at first visit cases were randomly divided into three groups according to methods of irrigant activation after root canal retreatment with protaper next rotary Ni-TI system. Group A (n=26) Root canals were irrigated using 2.6% sodium hypochlorite (NaOCl) with manual dynamic agitation using master cone Group B (n=26) Root canals were irrigated using 2.6% sodium hypochlorite (NaOCl) using ultrasonic machine (ultra-x) for 60 seconds. Group C (n=26) Root canals were irrigated using 2.6% sodium hypochlorite (NaOCl) with NaviTip (29-gauge 27 mm) with double side tip. At second visit after one week, obturation was performed using modified single cone technique ans access cavity was filled with coronal restoration. After two visits root canal treatment and a specific method of agitation, depending on each group, the patients were given a questionnaire on which the patient would mark the degree of pain in a scale from 0 to 10 at 6, 12, 24, 48 72 hrs and one week post-obturation. Data were statistically analyzed with a significance level of P ≤0.05. Results: At 6,12,24 hrs, there was significant difference between the groups in pain intensity where control group C (Navitip with side vented needle) showed more pain scores than in the intervention groups (Ultra X and manual dynamic agitation). On the other hand, at 48, 72 hours and 7 days post- operative ,there was no statistically significant difference in pain among tested groups. Conclusion: Agitation of the irrigation is reliable safe to clinican and effective as final step irrigation protocol with successful management of postoperative pain in retreatment cases. The intensity of postoperative pain decreased with time regardless of final irrigation protocol used