Honey, a Gift from Nature to Health and Beauty: A Review

Benefits of honey are contributed by the composition of its elements such as glucose, fructose, glucose oxidase, vitamins and phenolic compounds. For health, honey can be used to treat wounds due to the antibacterial activity conferred by the hydrogen peroxide produced by glucose oxidase in honey. Anti-inflammatory, anti-oxidant, deodorizing and tissue regeneration activities in honey also help in the wound healing process. It can also be an alternative sweetener for diabetic patients to ensure compliance to a healthy diet. Moreover, honey exerts several effects such as lowering low density lipids and increasing high density lipids, thus reducing risk of atherosclerosis. In terms of beauty, honey can be used on skin and hair. It moisturizes skin through its natural humectant properties contributed by high contents of fructose and glucose. Honey treats acne on the skin due to its antibacterial activity, anti-inflammatory action and tissue repair. The hair can benefit from honey in such a way that the hair has abundance, and becomes easier to comb. However, there have not been as many studies regarding the use of honey in skin in comparison to its use for health. Therefore, future studies on honey could research its use, action and benefits in both cosmetics and dermatology

Evaluation of appendicitis risk prediction models in adults with suspected appendicitis

Background Appendicitis is the most common general surgical emergency worldwide, but its diagnosis remains challenging. The aim of this study was to determine whether existing risk prediction models can reliably identify patients presenting to hospital in the UK with acute right iliac fossa (RIF) pain who are at low risk of appendicitis. Methods A systematic search was completed to identify all existing appendicitis risk prediction models. Models were validated using UK data from an international prospective cohort study that captured consecutive patients aged 16–45 years presenting to hospital with acute RIF in March to June 2017. The main outcome was best achievable model specificity (proportion of patients who did not have appendicitis correctly classified as low risk) whilst maintaining a failure rate below 5 per cent (proportion of patients identified as low risk who actually had appendicitis). Results Some 5345 patients across 154 UK hospitals were identified, of which two‐thirds (3613 of 5345, 67·6 per cent) were women. Women were more than twice as likely to undergo surgery with removal of a histologically normal appendix (272 of 964, 28·2 per cent) than men (120 of 993, 12·1 per cent) (relative risk 2·33, 95 per cent c.i. 1·92 to 2·84; P < 0·001). Of 15 validated risk prediction models, the Adult Appendicitis Score performed best (cut‐off score 8 or less, specificity 63·1 per cent, failure rate 3·7 per cent). The Appendicitis Inflammatory Response Score performed best for men (cut‐off score 2 or less, specificity 24·7 per cent, failure rate 2·4 per cent). Conclusion Women in the UK had a disproportionate risk of admission without surgical intervention and had high rates of normal appendicectomy. Risk prediction models to support shared decision‐making by identifying adults in the UK at low risk of appendicitis were identified

An epidemiological survey of Cupressaceae pollenosis in Italy

Abstract Allergic reaction to Cupressaceae and Taxodiaceae pollens appears to be on the increase in the last years in Italy. An epidemiological survey on this pollenosis was conducted in 12 Italian centers. The diagnostic panel consisted of seven Cupressaceae and Taxodiaceae genus (Cupressus sempervirens, Cupressus arizonica, Cryptomeria japonica, Chamaecyparis obtusa, Thuja orientalis, Taxus baccata, and Juniperus oxycedrus). A total of 3057 pollen-sensitized outpatients were examined. The study took place from November 1999 to March 2000. At the same time pollen counts were carried out. The prevalence of positive skin tests to the diagnostic panel is different in northern (9.2%), central (28.2%), and southern (20.1%) Italy, the general average being 18.4%. The average age of sensitized patients was 36.99. Monosensitized patients represent only 14.7% of total Cupressaceae-sensitized patients, their average age being higher than the polysensitized ones (43.3 versus 35.86). Distribution of symptoms is as follows: rhinitis (49%), conjunctivitis (32%), asthma (16%), and dermatitis (3%). Months with the highest levels of symptoms are February and March. The more frequent allergens at prick tests are Cupressus sempervirens (90%) and Cupressus arizonica (88.9%). The more reactive allergens are the Cupressus arizonica and Juniperus oxycedrus. The clinical data suggest that, in Italy at least, this pollenosis is on the increase. The use of more than one extract of Cupressaceae and Taxodiaceae genus increases the diagnostic sensitivity of the diseas