Taro leaves extract and probiotic lactic acid bacteria: A synergistic approach to improve antioxidant capacity and bioaccessibility in fermented milk beverages

Taro leaves extract (TLE) was used to manufacture two fermented milk beverages in concentrations of 250 and 500 mg/L (FMTLE 250 and FMTLE 500). The polyphenolic profile via HPLC, volatile compounds via GC-MS, antioxidant, antimicrobial activities of TLE, physicochemical properties, probiotic survival, and bioaccessibility of the supplemented beverages were also evaluated. TLE presented phenolic and flavonoid levels of 130.56 ± 1.55 μg GAE/g and 53 ± 1.15 CE μg/g, respectively. Sulfated polysaccharides, triterpenoids, and tannins were recorded (26.5 ± 0.8 μg/g, 7.30 ± 0.37 μg/g, 0.26 ± 0.03 μg/g). IC50 of the TLE measured using DPPH. assay was 144.83 ± 2.19 μg/mL, while the ABTS*+ assay was 100.48 ± 1.45 for determination antioxidant activity. The highest antimicrobial activity of TLE was observed against Salmonella enterica and Listeria monocytogenes with an inhibition zone of 15.5 and 13.6 mm, respectively. The survival of Lactobacillus paracasei showed no statistical difference between the control and FMTLE 250 and FMTLE 500 (P > 0.05). Antioxidant potential increased, with probiotics were stable through the digestion processes of the supplemented beverages and the increasing polyphenol concentration in the beverages. Sensory evaluation showed the acceptance of FMTLE 250 and FMTLE 500 for consumer consumption. In sum, combining TLE and probiotics in fermented beverages provides an excellent food model with many health benefits.Universidade de Vigo/CISU

Latent tuberculosis among pregnant mothers in a resource poor setting in Northern Tanzania: a cross-sectional study

Untreated latent TB infection (LTBI) is a significant risk factor for active pulmonary tuberculosis, hence predisposing to adverse pregnancy outcomes and mother to child transmission. The prevalence of latent tuberculosis in pregnancy and its association, if any, with various socio-demographic, obstetric and clinical characteristics was evaluated. Northern Tanzania was chosen as the study site. In a cross-sectional study, a total of 286 pregnant women from 12 weeks gestational age to term were assessed. Screening was undertaken using an algorithm involving tuberculin skin testing, symptom screening in the form of a questionnaire, sputum testing for acid fast bacilli followed by shielded chest X-rays if indicated. HIV serology was also performed on consenting participants.\ud Prevalence of latent infection ranged between 26.2% and 37.4% while HIV sero prevalence was 4.5%. After multivariate logistic analysis it was found that age, parity, body mass index, gestational age, and HIV sero status did not have any significant association with tuberculin skin test results. However certain ethnic groups were found to be less vulnerable to LTBI as compared to others (Chi square = 10.55, p = 0.03). All sputum smears for acid fast bacilli were negative. The prevalence of latent tuberculosis in pregnant women was found to be relatively high compared to that of the general population. In endemic areas, socio-demographic parameters alone are rarely adequate in identifying women susceptible to TB infection; therefore targeted screening should be conducted for all pregnant women at high risk for activation (especially HIV positive women). As opposed to the current policy of passive case detection, there appears to be an imminent need to move towards active screening. Ethnicity may provide important clues into genetic and cultural differences which predispose to latent tuberculosis, and is worth exploring further

Design and Synthesis of New Dihydropyrimidine Derivatives with a Cytotoxic Effect as Dual EGFR/VEGFR-2 Inhibitors

We developed and synthesized tetrahydropyrimidine derivatives as possible cytotoxic agents to inhibit EGFR and VEGFR-2 in the present study. Our study completely assesses the cytotoxic efficiency of pyrimidine-based derivatives 4–15 against various cancer cell lines, revealing derivatives 12 and 15 for their remarkable activity with GI50 values of 37 and 35 nM, respectively, when compared to the reference erlotinib (33 nM). In vitro enzyme assays showed that target compounds, particularly 12, 14, and 15, effectively inhibited EGFR and VEGFR-2. In vitro enzyme testing revealed that compound 15 was the most promising, with IC50 values of 84 and 3.50 nM for EGFR and VEGFR-2, respectively. Additionally, an in vitro assessment of the novel targets’ apoptotic potential revealed that both pro-apoptotic and antiapoptotic behaviors were promising, indicating that the apoptotic induction pathway is a strongly proposed action method for the newly developed targets. Finally, molecular docking experiments are elaborately discussed to corroborate the exact binding interactions of the most active hybrids 12 and 15 with the EGFR and VEGFR-2 active sites

Non-linear adsorption characteristics of modified pine wood sawdust optimised for adsorption of Cd(II) from aqueous systems

A chemically-modified adsorbent (SDTMA), produced from the treatment of pinewood sawdust with maleic acid, was tested in batch adsorption experiments to remove Cd(II) ions from aqueous solution. SDTMA was characterised for the pH of zero point charge (pHZPC), spectroscopic evaluation of the surface functionalisation, structural and morphological features. Factors affecting adsorption behaviour, such as adsorbent dose, pH of solution, contact time and Cd(II) ion concentration were investigated. Results obtained show that adsorption rate to be comparatively fast, with equilibrium achieved after ~35 min. Subsequent analysis, showed Langmuirian behaviour and a monolayer adsorption capacity of 180.4 mg g-1, at pH 6; while data derived from two-parameter (Langmuir, Freundlich, Temkin and Dubinin-Radushkevich (D-R)) and three-parameter (Redlich-Peterson (R-P), Toth Khan and Sips) isotherm models was evaluated using non-linear regression methods, with error analysis, to determine the most appropriate model and allow prediction of optimum parameters. The Sips isotherm model proved the most appropriate in describing the experimental data obtained in the study. Additionally, the rate of adsorption was analysed using a range of kinetic models (pseudo-first-order, pseudo-second-order, intra-particle diffusion, Bangham and Elovich) in their non-linear forms to provide insight into the adsorption mechanism and showing pseudo-second order behaviour is observed. In conclusion, the SDTMA adsorbent material produced in this study offers high potential for the removal of Cd(II) ions from aqueous solution due to the carboxylic functionalities incorporated into the material, which is optimised by solution pH and adsorbent dose

Highly efficient adsorption of Cd(II) onto carboxylated camelthorn residues : applicability of three-parameter isotherm models, kinetics, and mechanism

A series of malonic acid treated camelthorn (MATC) sorbents were produced via the reaction of camelthorn biomass with malonic acid, and factors affecting the extent of modification were investigated, including malonic acid concentration, dehydration time and temperature. The optimum sorbent, by carboxylic acid content, was subsequently characterised for surface charge behaviour (pHPZC), surface chemical functionalities (FTIR), morphological structure (SEM), and available surface area. The sorbent was subsequently utilised for adsorption of Cd(II) ions from aqueous media, and parameters influencing adsorption at 30 °C, such as sorbent dose, initial solution pH, exposure time, metal concentration, were investigated. Isothermal analyses were performed using eight models, including two and three parameter equations, with appropriateness of fit assessed via non-linear regression analysis. The adsorption data indicated that the Langmuir model gives the most appropriate fit to experimental curves, with the models ordered as Langmuir >Hill > Toth >Sips > Jossens > Khan > Redlich-Peterson >Freundlich. The highest uptake (qmax) of 582.6 mg g-1 was determined at pH 6. The Freundlich constants, KF and n, at 30 °C were found to be 24.94 mg/g and 2.33, respectively. The value of n (2.33), being in the range 0–10, indicates that adsorption of Cd(II) ions onto malonic acid treated camelthorn biomass is favourable. Evaluation of a series of kinetic models, allowed elucidation of the adsorption mechanism, as a pseudo-second order model gave the most appropriate fit, indicating that chemisorption processes are involved. Cd(II) ions adsorption onto MATC is enhanced by a higher level of active surface sites but was show to be independent of surface area. The work presented here indicates that this sorbent offers effective adsorption potential for Cd(II) ions from water, with potential in wastewater processing

Good's Buffer Ionic Liquids as Relevant Phase-Forming Components of Self-Buffered Aqueous Biphasic Systems

A series of new self-buffering ionic liquids (ILs) based on Good's buffers (GBs) anions and the tetrabutylphosphonium cation ([P4444]+) was here synthesized and characterized. The self-buffering behaviour of the GB-ILs was confirmed by measuring their protonation constants by potentiometry. Further, their ability to form aqueous biphasic systems with the biodegradable potassium citrate salt was evaluated, and further investigated for the extraction of proteins, using bovine serum albumin (BSA) as a model protein. If these ionic structures display self-buffering characteristics as well as a low toxicity towards the luminescent bacteria Vibrio fischeri, they were additionally found to be highly effective in the formation of ABS and in the extraction of BSA - extraction efficiencies of 100% to the IL-rich phase obtained in a single-step. The BSA secondary structure in the aqueous IL-rich solutions was evaluated through infrared spectroscopic studies revealing the protein-friendly nature of the synthesized ILs. Dynamic light scattering (DLS), "COnductor-like Screening MOdel for Real Solvents" (COSMO-RS), and molecular docking studies were finally carried out to better understand the main driving forces of the extraction process. The results suggest that van der Waals and hydrogen-bonding interactions are important driving forces of the protein migration towards the GB-IL-rich phase, while the molecular docking investigations demonstrated a stabilizing effect of the studied ILs over the protein.publishe

Genome-wide analysis identified candidate variants and genes associated with heat stress adaptation in Egyptian sheep breeds

Heat stress caused by climatic changes is one of the most significant stresses on livestock in hot and dry areas. It has particularly adverse effects on the ability of the breed to maintain homeothermy. Developing countries are advised to protect and prepare their animal resources in the face of potential threats such as climate change. The current study was conducted in Egypt’s three hot and dry agro-ecological zones. Three local sheep breeds (Saidi, Wahati, and Barki) were studied with a total of 206 ewes. The animals were exercised under natural heat stress. The heat tolerance index of the animals was calculated to identify animals with high and low heat tolerance based on their response to meteorological and physiological parameters. Genomic variation in these breeds was assessed using 64,756 single nucleotide polymorphic markers (SNPs). From the perspective of comparative adaptability to harsh conditions, our objective was to investigate the genomic structure that might control the adaptability of local sheep breeds to environmental stress under hot and dry conditions. In addition, indices of population structure and diversity of local breeds were examined. Measures of genetic diversity showed a significant influence of breed and location on populations. The standardized index of association (rbarD) ranged from 0.0012 (Dakhla) to 0.026 (Assuit), while for the breed, they ranged from 0.004 (Wahati) to 0.0103 (Saidi). The index of association analysis (Ia) ranged from 1.42 (Dakhla) to 35.88 (Assuit) by location and from 6.58 (Wahati) to 15.36 (Saidi) by breed. The most significant SNPs associated with heat tolerance were found in the MYO5A, PRKG1, GSTCD, and RTN1 genes (p ≤ 0.0001). MYO5A produces a protein widely distributed in the melanin-producing neural crest of the skin. Genetic association between genetic and phenotypic variations showed that OAR1_18300122.1, located in ST3GAL3, had the greatest positive effect on heat tolerance. Genome-wide association analysis identified SNPs associated with heat tolerance in the PLCB1, STEAP3, KSR2, UNC13C, PEBP4, and GPAT2 genes

Global economic burden of unmet surgical need for appendicitis

Background: There is a substantial gap in provision of adequate surgical care in many low-and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods: Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results: Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion: For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

Background Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide.Methods A multimethods analysis was performed as part of the GlobalSurg 3 study-a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital.Findings Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3.85 [95% CI 2.58-5.75]; p<0.0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63.0% vs 82.7%; OR 0.35 [0.23-0.53]; p<0.0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer.Interpretation Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised