Determination of Berberine Content of Ethanol Extract of Root and Stem of “Sekunyit” (Fibraurea Tinctoria Lour) Using High Performance Liquid Chromatography (HPLC) Method

Determination of berberine content of ethanol extract of root and stem of “sekunyit” (Fibraurea tinctoria Lour) has been conducted. “Sekunyit” is one of medicinal plant that has been used to treat several diseases traditionally. Its root and stem could relieve jaundice, diarrhea, conjunctivitis as well as antidiabetic agent. Based on previous study, it is known that Fibraurea tinctoria contains isoquinoline alkaloid, berberine. This present study aims to determine berberine content which was done by HPLC (High Performance Liquid Chromatography) method using C-18 reverse phase column, methanol : phosphate buffer (pH 6,8) as its mobile phase with flow rate of 1 ml/min and UV detector. The analysis was performed at wavelength 346 nm. The result showed that the ethanol extract contains 25.8% of berberin

Man Up: Integrating Fatherhood and Community Engagement

In recent years, there has been an increase in programs designed to promote involved and responsible fatherhood. While the literature provides insight into how existing organizations serving fathers can improve the quality of their service delivery, little is known about starting a fatherhood program from the ground up. This article contributes to the needed discussion on such programs by exploring the development of the Man Up fatherhood program. Featured in this discussion is Man Up’s program development model, which combines parent education and community engagement events and activities and engages fathers at a level that transcends their involvement as program participants or research subjects. Engaging and promoting responsible fatherhood through community events is one of the ways that distinguishes Man Up from other fatherhood programs

Coastal oceanography and sedimentology in New Zealand, 1967-91.

This paper reviews research that has taken place on physical oceanography and sedimentology on New Zealand's estuaries and the inner shelf since c. 1967. It includes estuarine sedimentation, tidal inlets, beach morphodynamics, nearshore and inner shelf sedimentation, tides and coastal currents, numerical modelling, short-period waves, tsunamis, and storm surges. An extensive reference list covering both published and unpublished material is included. Formal teaching and research programmes dealing with coastal landforms and the processes that shape them were only introduced to New Zealand universities in 1964; the history of the New Zealand Journal of Marine and Freshwater Research parallels and chronicles the development of physical coastal science in New Zealand, most of which has been accomplished in last 25 years

Oral rehydration versus intravenous therapy for treating dehydration due to gastroenteritis in children: a meta-analysis of randomised controlled trials

BACKGROUND: Despite treatment recommendations from various organizations, oral rehydration therapy (ORT) continues to be underused, particularly by physicians in high-income countries. We conducted a systematic review of randomised controlled trials (RCTs) to compare ORT and intravenous therapy (IVT) for the treatment of dehydration secondary to acute gastroenteritis in children. METHODS: RCTs were identified through MEDLINE, EMBASE, CENTRAL, authors and references of included trials, pharmaceutical companies, and relevant organizations. Screening and inclusion were performed independently by two reviewers in order to identify randomised or quasi-randomised controlled trials comparing ORT and IVT in children with acute diarrhea and dehydration. Two reviewers independently assessed study quality using the Jadad scale and allocation concealment. Data were extracted by one reviewer and checked by a second. The primary outcome measure was failure of rehydration. We analyzed data using standard meta-analytic techniques. RESULTS: The quality of the 14 included trials ranged from 0 to 3 (Jadad score); allocation concealment was unclear in all but one study. Using a random effects model, there was no significant difference in treatment failures (risk difference [RD] 3%; 95% confidence intervals [CI]: 0, 6). The Mantel-Haenzsel fixed effects model gave a significant difference between treatment groups (RD 4%; 95% CI: 2, 5) favoring IVT. Based on the four studies that reported deaths, there were six in the IVT groups and two in ORT. There were no significant differences in total fluid intake at six and 24 hours, weight gain, duration of diarrhea, or hypo/hypernatremia. Length of stay was significantly shorter for the ORT group (weighted mean difference [WMD] -1.2 days; 95% CI: -2.4,-0.02). Phlebitis occurred significantly more often with IVT (number needed to treat [NNT] 33; 95% CI: 25,100); paralytic ileus occurred more often with ORT (NNT 33; 95% CI: 20,100). These results may not be generalizable to children with persistent vomiting. CONCLUSION: There were no clinically important differences between ORT and IVT in terms of efficacy and safety. For every 25 children (95% CI: 20, 50) treated with ORT, one would fail and require IVT. The results support existing practice guidelines recommending ORT as the first course of treatment in appropriate children with dehydration secondary to gastroenteritis

Vector-free microfluidic platform for intracellular delivery of macromolecules

Thesis (Ph. D.)--Massachusetts Institute of Technology, Dept. of Chemical Engineering, 2013."June 2016." Cataloged from PDF version of thesis.Includes bibliographical references (p. 158-165).Intracellular delivery of material is a long-standing challenge for both therapeutic and research applications. Existing technologies rely on a variety of mechanisms to facilitate delivery. Vector-based methods, such as polymeric nanoparticles and liposomes, form complexes with the target material and subsequently facilitate its uptake by the cell of interest, often through endocytosis. Although effective in some applications, these methods have had difficulty translating to patient-derived primary cells, especially stem cells and immune cells. Moreover, these vectors are often limited in the range of target materials they can deliver and leave much material trapped in endocytotic vesicles. Physical methods, such as electroporation and sonoporation, have been able to address some of the challenges with vector-based methods by providing a platform for physical disruption of the cell membrane. By eliminating the need for vector materials and circumventing the endocytotic pathway, these methods have shown an advantage in some applications, especially those involving primary cells that are recalcitrant to vector-based methods. However, both electroporation and sonoporation suffer from high cell toxicity and have had limited success in delivering materials such as proteins and nanomaterials. Electroporation in particular has been shown to damage certain target materials, such as quantum dots. Microinjection, an alternative method in which cells are punctured by a microneedle, can address a variety of target materials and cell types however its low throughput has hindered its adoption for most applications. There is thus a need for more effective intracellular delivery methods. This dissertation describes a microfluidic approach to intracellular delivery that seeks to embody the advantages of a physical method, while mitigating issues related to toxicity and damage to the target material. In our method, the cells of interest are prepared in suspension with the target delivery material and flown through a parallel network of microfluidic channels. Each channel contains a constriction point where the cells are rapidly deformed, or squeezed, as they pass through. This process induces temporary disruption of the cell membrane thereby enabling diffusive transport of material from the surrounding buffer into the cell cytosol. These disruptions persist for less than 5min before membrane integrity is fully restored. This method has thus far been demonstrated in over 15 cell types and has been able to deliver a variety of functional materials including, DNA, RNA, proteins, quantum dots, carbon nanotubes, and small molecules. Our cell squeezing technology has further illustrated its enabling potential in a number of applications detailed herein. Quantum dots are a promising alternative to organic fluorescent dyes due to their superior spectral properties and stability. These nanoparticles have much potential as imaging agents in vitro and in vivo. Delivery of undamaged quantum dots to the cell cytoplasm has been a challenge with existing techniques. Vector-based methods have resulted in aggregation and endosomal sequestration of quantum dots while electroporation can damage the semi-conducting particles and aggregate delivered dots in the cytosol. In our work, we demonstrated efficient cytosolic delivery of quantum dots without inducing aggregation, trapping material in endosomes, or significant loss of cell viability. Moreover, we have shown that individual quantum dots delivered by this approach are detectable in the cell cytosol, thus illustrating the potential of this technique for single molecule tracking studies. These results indicate that our method could potentially be implemented as a robust platform for quantum dot based imaging in a variety of applications. The reprogramming of somatic cells into induced pluripotent stem cells (iPSCs) has much potential in its ability to address existing challenges in regenerative medicine by providing a patient-specific source of pluripotent stem cells to generate new tissue. The mechanism of this reprogramming process, however, is still poorly understood and existing technologies suffer from chronically low reprogramming efficiencies (<4%). Moreover, many existing approaches to reprogramming rely on viral vectors to facilitate the delivery of the target transcription factors - these vectors are considered inappropriate for clinical applications due to safety concerns. Cytosolic delivery of protein transcription factors is a possible alternative to viral and plasmidbased reprogramming techniques. Direct protein delivery would negate the current safety concerns with viral and plasmid-based methods as it could not cause potentially tumorigenic changes in the genome. In our work, we implemented the cell squeezing technology as a method to deliver protein transcription factors to the cytosol of primary human fibroblasts. These studies yielded colonies of pluripotent stem cells that appeared to be fully functional. Moreover, the efficiency of this procedure was 10-100x higher than the current state-of-the-art protein reprogramming methods. The versatility of our delivery technology thus provides a promising platform for further study of the reprogramming process and the development of more efficient, clinically applicable, reprogramming procedures. Finally, the technology described herein has been implemented in cancer vaccine applications. Some recent immunotherapies against cancer have focused on the use of dendritic cells as antigen presenting cells. These cells are capable of presenting cancer antigens to other immune cell subsets and prompting a powerful immune response against the target cell type. A significant challenge for these therapies, however, is that current methods to induce antigen presentation in dendritic cells are often inefficient and can potentially induce a parallel regulatory response that reduces treatment efficacy. In our work, we have implemented the device as a platform for direct cytosolic delivery of the target antigen to dendritic cells. This approach could enable effective presentation of the target antigen while minimizing the development of a regulatory response. Our results indicate that this approach can produce effective antigen presentation in vitro, as measured by CD8 T cell coculture assays. Moreover, we have demonstrated effective antigen presentation in B cells, a more desirable clinical alternative to dendritic cells. These results thus illustrate the potential of this technology to be implemented as an enabling, patient-specific vaccination platform with minimal side-effects. In summary, we have developed a robust, high-throughput approach to intracellular delivery. In the described technique, cytosolic delivery is facilitated by the temporary disruption of the cell membrane in response to rapid mechanical deformation of the cell in a microfluidic channel. This technology seeks to addresses some of the challenges of existing vector-based and physical poration methods, such as endocytosis, translation to primary cells, and cell toxicity. Our results in quantum dot, cell reprogramming, and cancer vaccine applications illustrate the strengths of this system. Although in its infancy, this technology has demonstrated the potential to enable a range of clinical and research applications. In the future, better understanding of the underlying mechanism and improvements to the system could produce substantial gains in performance and allow this technique to be widely adopted by researchers and clinicians.by Armon R. Sharei.Ph.D

Why honey is effective as a medicine. 1. Its use in modern medicine

Honey has been used as a medicine for thousands of years and its curative properties are well documented. However, modern medicine turned its back on honey and it is only now, with the advent of multi-resistant bacteria, that the antibiotic properties of honey are being rediscovered

The effect of baseline metabolic rate on pulmonary O₂ uptake kinetics during very heavy intensity exercise in boys and men

addresses: Children's Health and Exercise Research Centre, College of Life and Environmental Sciences, University of Exeter, UK.Copyright © 2012 Elsevier. NOTICE: this is the author’s version of a work that was accepted for publication in Respiratory Physiology and Neurobiology. Changes resulting from the publishing process, such as peer review, editing, corrections, structural formatting, and other quality control mechanisms may not be reflected in this document. Changes may have been made to this work since it was submitted for publication. A definitive version was subsequently published in Respiratory Physiology and Neurobiology, 2012, 180 (2-3), pp. 223 – 229 DOI: 10.1016/j.resp.2011.11.013This study tested the hypothesis that pulmonary VO₂ kinetics would be slowed during 'work-to-work' exercise in adults but not in children. Eight boys (mean age=12.5 ± 0.5 years) and nine men completed very heavy step transitions initiated from either 'unloaded' pedalling (U→VH) or unloaded-to-moderate cycling (i.e. U→M to M→VH). The phase II τ was significantly (p<0.05) lengthened in M→VH compared to U→M and U→VH in boys (30 ± 5 vs. 19 ± 5 vs. 21 ± 5 s) and men (49 ± 14 vs. 30 ± 5 vs. 34 ± 8 s). In U→VH, a greater relative VO₂ slow component temporally coincided with an increased linear iEMG slope in men compared boys (VO₂ slow component: 16 ± 3 vs. 11 ± 4%; iEMG slope: 0.19 ± 0.24 vs. -0.06 ± 0.14%, p<0.05). These results suggest that an age-linked modulation of VO₂ kinetics might be influenced by alterations in muscle fibre recruitment following the onset of exercise

Democracy in a de-civilizing age: The rise of shameless personal truths

In this paper, we articulate an argument that suggests we need to look to broad, yet often quite subtle, societal and cultural changes, in order to better understand post-truth politics. We argue that democracy, ontologically premised on the atomized individual as the legitimate social agent, (Hay 2007) is itself being destabilised. This disruption is due in part to a shift in our conception of 'self' that is both corroding the core pillars of our civilising process and altering the nature of our engagement with democratic politics. The historic processes of a civilising culture are outlined in order to argue that the power of our neoliberal consumer culture has generated a ‘decivilising turn’, characterized by the rise of shame thresholds and narcissistic personalities. We then illustrate how these cultural changes produce a climate welcoming of ‘Post-truth’, linking this most specifically to the contemporary political landscape. Civic life resides most acutely in the customs and conventions upheld through the practice of our public dealings with others. The more entrenched, the less easily it can be disrupted by maverick acts and demagogues’ deeds. However, when those in positions of high office show little self-restraint, and sufficient numbers of the populous don't care, the norms democracy depends on are vulnerable to 'charlatan' leaders and populist causes. Here, we offer a picture of democracy in a ‘decivilising’ age where shameless personal truth is privileged. Please note that the start of the introduction contains words that some readers may find offensive

Cost effectiveness of epidural steroid injections to manage chronic lower back pain

Background The efficacy of epidural steroid injections in the management of chronic low back pain is disputed, yet the technique remains popular amongst physicians and patients alike. This study assesses the cost effectiveness of injections administered in a routine outpatient setting in England. Methods Patients attending the Nottingham University Hospitals’ Pain Clinic received two injections of methylprednisolone plus levobupivacaine at different dosages, separated by at least 12 weeks. Prior to each injection, and every week thereafter for 12 weeks, participants completed the EQ-5D health-related quality of life instrument. For each patient for each injection, total health state utility gain relative to baseline was calculated. The cost of the procedure was modelled from observed clinical practice. Cost effectiveness was calculated as procedure cost relative to utility gain. Results 39 patients provided records. Over a 13-week period commencing with injection, mean quality adjusted life year (QALY) gains per patient for the two dosages were 0.028 (SD 0.063) and 0.021 (SD 0.057). The difference in QALYs gained by dosage was insignificant (paired t-test, CIs -0.019 – 0.033). Based on modelled resource use and data from other studies, the mean cost of an injection was estimated at £219 (SD 83). The cost utility ratio of the two injections amounted to £8,975 per QALY gained (CIs 5,480 – 22,915). However, at costs equivalent to the tariff price typically paid to providers by health care purchasers, the ratio increased to £27,459 (CIs 16,779 – 70,091). Conclusions When provided in an outpatient setting, epidural steroid injections are a short term, but nevertheless cost effective, means of managing chronic low back pain. However, designation of the procedure as a day case requires the National Health Service to reimburse providers at a price which pushes the procedure to the margin of cost effectiveness

Basal ganglia correlates of fatigue in young adults

Although the prevalence of chronic fatigue is approximately 20% in healthy individuals, there are no studies of brain structure that elucidate the neural correlates of fatigue outside of clinical subjects. We hypothesized that fatigue without evidence of disease might be related to changes in the basal ganglia and prefrontal cortex and be implicated in fatigue with disease. We aimed to identify the white matter structures of fatigue in young subjects without disease using magnetic resonance imaging (MRI). Healthy young adults (n = 883; 489 males and 394 females) were recruited. As expected, the degrees of fatigue and motivation were associated with larger mean diffusivity (MD) in the right putamen, pallidus and caudate. Furthermore, the degree of physical activity was associated with a larger MD only in the right putamen. Accordingly, motivation was the best candidate for widespread basal ganglia, whereas physical activity might be the best candidate for the putamen. A plausible mechanism of fatigue may involve abnormal function of the motor system, as well as areas of the dopaminergic system in the basal ganglia that are associated with motivation and reward