Composición química, actividad antioxidante y antimicrobiana del aceite esencial y extractos de metanol de limoncillo egipcio Cymbopogon proximus Stapf.

The present study was conducted to evaluate the in vitro antimicrobial and antioxidant properties of the essential oil (Eo) and methanol extract from a unique, Egyptian endemic plant, Cymbopogon proximus STAPF. The chemical composition of a hydrodistilled Eo of C. proximus was analyzed by a GC and GC/MS system. A total of 19 constituents representing 95.47% of the oil were identified: piperitone (72.44%), elemol (9.43%), α - eudesmol (4.34%), limonene (2.45%) and β- eudesmol (1.26%) were the main components comprising 88.92% of the oil. The antimicrobial test results showed that the Eo of C. proximus strongly inhibited the growth of the test bacteria studied, except for yeast species while the methanol extract had moderate antibacterial, but no anti-candida activity. Bacillus cereus and Salmonella choleraesuis were proven to be the most susceptible against Eo. The exposure time of Eo for complete inhibition of cell viability of B. cereus and S. choleraesuis were found to be 5 % at 10 min and 1% at 10 min, respectively. The antioxidative potential of the samples was evaluated using methods of inhibition of the free radical 2,2-diphenyl-1- picrylhydrazyl (DPPH) system. The methanol extract was able to reduce the stable free radical DPPH with an IC50 of 48.66±3.1 μg/ml. The results presented here may suggest that the Eo and extracts of C. proximus possess antimicrobial and antioxidant properties, and therefore, can be used as natural preservative ingredients in food and/or pharmaceuticals.El presente estudio fue llevado a cabo para evaluar las propiedades antioxidantes y antimicrobianas in vitro del aceite esencial (Eo) y extractos de metanol de una genuina y endémica planta egipcia, Cymbopogon proximus Stapf. La composición química de un hidrodestilado Eo de C. proximus fue analizado por GC y GC/MS. Un total de 19 constituyentes representando el 95.47% del aceite fueron identificados; piperitona (72.44%), elemol (9.43%), α-eudesmol (4.34%), limoneno (2.45%) and β-eudesmol (1.26%) fueron los principales componente, que comprenden el 88.92% del aceite. Los resultados de los ensayos antimicrobianos mostraron que el Eo de C. proximus inhibió fuertemente el crecimiento de las bacterias ensayadas, aunque no el de las especies de levaduras, mientras que el extracto de metanol tuvo una moderada actividad antibacteriana, pero ninguna actividad anti-candida. Bacillus cereus and Salmonella choleraesuis fueron las más susceptibles con Eo. El tiempo de exposición con Eo para una completa inhibición de la viabilidad celular de B. cereus y S. choleraesuis fue de 10 min con un 5% y 10 min con 1%, respectivamente. El potencial antioxidante de las muestra fue evaluado usando el método de inhibición del radical libre 2,2-difenil-1- picrilhidrazyil (DPPH). Los extractos de metanol fueron capaces de reducir el radical libre estable DPPH con un IC50 de 48.66±3.1 μg/ml. Los resultados presentados aquí pueden sugerir que el Eo y los extractos de C. proximus poseen propiedades antioxidantes y antimicrobianas, y además, ellos pueden ser usados como ingrediente en la conservación de alimentos y/o en la industria farmacéutica

PRODUCTION OF INDUSTRIALLY IMPORTANT ENZYMES BY THERMOBACILLI ISOLATED FROM HOT SPRINGS OF INDIA

Enzymes from thermophilic bacteria have received great attention for their potential applications in various industrial sectors. The present study deals with the production of five thermozymes (amylase, lipase, xylanase, protease and cellulase) from 10 thermophilic bacterial species, originally isolated from two hot springs namely Soldhar and Ringigad in Uttarakhand Himalaya, India. The bacterial isolate GBPI_25 produced maximum amylase (1217.86 U/ml) at 45 °C and 5 pH, GBPI 3 produced maximum lipase (22.59 U/ml) at 65 °C and 9 pH, GBPI_25 produced maximum xylanase (98.07 U/ml) at45 °C and 9 pH, GBPI_35 produced maximum protease (16.66 U/ml) at 55 °C and 9 pH, and GBPI 4 produced maximum cellulose (108.68 U/ml) at 45 °C and 5 pH. Crude enzyme preparations showed thermal and pH activities at broad temperature and pH range between 10-100 °C and 3-11 pH, respectively, with different temperature and pH optima. Amylase, xylanase and cellulase showed maximum activity at 50 °C while lipase and protease showed higher activity at 40 and 60 °C, respectively. Enzyme activity at wide temperature range-cellulase and protease from 10-100 °C, amylase and xylanasefrom10-90 °C, and lipase activity from 10-80 °C were the remarkable records from this study. Similarly, pH range for amylase and lipase activity was recorded from 4-11, for xylanase from 3-9, and for protease and cellulase from 3-10. All the thermozymes showed maximum stability at 40 °C and pH 5 except cellulase that showed higher stability at40 °C and neutral pH

MULTI-DRUG RESISTANT (MDR) ESCHERICHIA COLI ORIGINATED FROM CLINICAL AND ENVIRONMENTAL SOURCES IN ISMAILIA-EGYPT

ABSTRACT The exaggerated use of antibiotics has led to the selection of new strains of bacteria that resist to antibiotics, a situation which is found in the case of Escherichia coli strains. This study was conducted to evaluated the antibiotic resistance profiles of Escherichia coli (E. coli), isolated from different Clinical and Environmental sources in Egypt. A total of 384 samples from human, animal and environmental sources were collected from different locations in Ismailia, Egypt. E. coli isolates (n = 283) were identified by conventional microbiology culture and were phenotypically characterized using biochemical and motility tests. From the overall number of E. coli isolates, 31.4% (89/283) were isolated from stools of humans with diarrhea, 17.3% (49/283) from stools of sheep, cattle and chicken with diarrhea, 16.6% (47/283) from urine of humans with urinary tract infection, 17.3% (49/283) from surfaces water, 6.4% (18/283) from sea-food, 6% (17/283) from processed meat products, 3.9% (11/283) from dairy products and 1.1% (3/283) from poultry products (liver). The antibiotic resistance patterns showed that the isolates carried multi-drug resistance (MDR) phenotype to at least four commonly used antibiotics belonging to different classes: Erythromycin (E), Gentamicin (CN), Cefazolin (CZ), Thiampinicol (TP), Vancomycin (VA), Ciprofloxacin (CIP) and Ampicillin (AM)

Vermicompost Supply Modifies Chemical Composition and Improves Nutritive and Medicinal Properties of Date Palm Fruits From Saudi Arabia

To meet the increased demand for phytochemicals, plant cultivation in soil amended with biofertilizers has been developed. Here, we aimed to use vermicompost as an environmentally safe biofertilizer to enhance the nutritive and medicinal value of five common cultivars of Saudi date palm; namely Phoenix dactylifera L. var. Ajwa, Hulwa, Ruthana, Sefri, and Luban. To determine changes in the fruit nutritive composition, primary metabolites, antioxidants, phenolic compounds and mineral profiles were analyzed in the fruits from non-fertilized and vermicompost-fertilized date palms. We also tested how changes in the fruit chemical compositions due to vermicompost fertilization affected their medicinal potentials. Applying vermicomposts generally increased primary metabolites, vitamins, and mineral content as well as the medicinal potential of the date palm fruits. This positive effect is possibly explained by the role of vermicomposts in improving soil health and fertility. Furthermore, clustering analyses and principal component analysis (PCA) indicated cultivar-specific responses. PCA analysis also revealed that the bioactivities of the date palm fruit extracts and their antioxidants tended to display correlated output values. One of the highly accumulated phenolic compounds, β-D-glucogallin, was extracted and purified from P. dactylifera L. var. Ajwa fruits and showed significant antioxidant, anticancer, antibacterial, antimutagenic, and antiprotozoal activities. Overall, applying vermicompost is an innovative approach to increase the nutritive quality and medicinal potential of date palm fruits

Bioactive Lipids and Cationic Antimicrobial Peptides as New Potential Regulators for Trafficking of Bone Marrow-Derived Stem Cells in Patients with Acute Myocardial Infarction

Acute myocardial infarction (AMI) triggers mobilization of stem cells from bone marrow (BM) into peripheral blood (PB). Based on our observation that the bioactive sphingophospholipids, sphingosine-1 phosphate (S1P), and ceramide-1 phosphate (C1P) regulate trafficking of hematopoietic stem cells (HSCs), we explored whether they also direct trafficking of non-hematopoietic stem cells (non-HSCs). We detected a 3–6-fold increase in circulating CD34+, CD133+, and CXCR4+ lineage-negative (Lin−)/CD45− cells that are enriched in non-HSCs [including endothelial progenitors (EPCs) and very small embryonic-like stem cells (VSELs)] in PB from AMI patients (P\u3c0.05 vs. controls). Concurrently, we measured a 3-fold increase in S1P and C1P levels in plasma from AMI patients. At the same time, plasma obtained at hospital admission and 6 h after AMI strongly chemoattracted human BM-derived CD34+/Lin− and CXCR4+/Lin− cells in Transwell chemotaxis assays. This effect of plasma was blunted after depletion of S1P level by charcoal stripping and was further inhibited by the specific S1P1 receptor antagonist such as W146 and VPC23019. We also noted that the expression of S1P receptor 1 (S1P1), which is dominant in naïve BM, is reduced after the exposure to S1P at concentrations similar to the plasma S1P levels in patients with AMI, thus influencing the role of S1P in homing to the injured myocardium. Therefore, we examined mechanisms, other than bioactive lipids, that may contribute to the homing of BM non-HSCs to the infarcted myocardium. Hypoxic cardiac tissue increases the expression of cathelicidin and β-2 defensin, which could explain why PB cells isolated from patients with AMI migrated more efficiently to a low, yet physiological, gradient of stromal-derived factor-1 in Transwell migration assays. Together, these observations suggest that while elevated S1P and C1P levels early in the course of AMI may trigger mobilization of non-HSCs into PB, cathelicidin and β-2 defensin could play an important role in their homing to damaged myocardium

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

Effect of surgical experience and spine subspecialty on the reliability of the {AO} Spine Upper Cervical Injury Classification System

OBJECTIVE The objective of this paper was to determine the interobserver reliability and intraobserver reproducibility of the AO Spine Upper Cervical Injury Classification System based on surgeon experience (< 5 years, 5–10 years, 10–20 years, and > 20 years) and surgical subspecialty (orthopedic spine surgery, neurosurgery, and "other" surgery). METHODS A total of 11,601 assessments of upper cervical spine injuries were evaluated based on the AO Spine Upper Cervical Injury Classification System. Reliability and reproducibility scores were obtained twice, with a 3-week time interval. Descriptive statistics were utilized to examine the percentage of accurately classified injuries, and Pearson’s chi-square or Fisher’s exact test was used to screen for potentially relevant differences between study participants. Kappa coefficients (κ) determined the interobserver reliability and intraobserver reproducibility. RESULTS The intraobserver reproducibility was substantial for surgeon experience level (< 5 years: 0.74 vs 5–10 years: 0.69 vs 10–20 years: 0.69 vs > 20 years: 0.70) and surgical subspecialty (orthopedic spine: 0.71 vs neurosurgery: 0.69 vs other: 0.68). Furthermore, the interobserver reliability was substantial for all surgical experience groups on assessment 1 (< 5 years: 0.67 vs 5–10 years: 0.62 vs 10–20 years: 0.61 vs > 20 years: 0.62), and only surgeons with > 20 years of experience did not have substantial reliability on assessment 2 (< 5 years: 0.62 vs 5–10 years: 0.61 vs 10–20 years: 0.61 vs > 20 years: 0.59). Orthopedic spine surgeons and neurosurgeons had substantial intraobserver reproducibility on both assessment 1 (0.64 vs 0.63) and assessment 2 (0.62 vs 0.63), while other surgeons had moderate reliability on assessment 1 (0.43) and fair reliability on assessment 2 (0.36). CONCLUSIONS The international reliability and reproducibility scores for the AO Spine Upper Cervical Injury Classification System demonstrated substantial intraobserver reproducibility and interobserver reliability regardless of surgical experience and spine subspecialty. These results support the global application of this classification system

Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication

Evaluate Histological Changes and Resistance to Antibiotics Profile of Bacteria Causing Burn Infection

This study analysed Pseudomonas aeruginosa and Staphylococcus aureus burn wound infections, in order to evaluation their incidence, histological change and antimicrobial susceptibilities. Out of 39 burn wound cases admitted to surgery department, 20 and 12 strains of P. aeruginosa and S. aureus respectively were isolated from pyogenic burned skin lesions. Antibiotic resistance sketches of these strains to antibiotics were strategized. All the tested strains were multiple antibiotic resistance. Developed rates of susceptibility were confirmed for P. aeruginosa isolates against cefotoxim, gentamicin and nitrofurantoin. Also this study was to examine relation between the demonstrated antibiotic resistance and the occurrence of plasmids. Molecular sizes of the noticed plasmids were 24,321 kbp in P. aeruginosa and 23,25 kbp in S. aureus. Plasmid curing in grouping with MIC purpose revealed that resistance of P. aeruginosa and S. aureus isolates was plasmid allied. Histological analysis of burn wound infection is created on the thought of microorganisms attacking viable tissue below the eschar surface. The great MAR recognised marks it required for antibiotic resistance testing to be piloted former to antibiotics remedy for burn wound infection