Oxygen saturation improvement after adenotonsillectomy in children.

The goal of this study was to establish whether adenotonsillectomy is effective on the severity of oxygen desaturation or improve oxygen saturation in children with sleep breathing disorders. Thirty-two children, aged 4-7 years, with clinical indication for adenotonsillectomy were enrolled in a non-controlled clinical trial. Pre- and postoperative nocturnal oxygen saturation monitoring was done and oxygen desaturation index as well as desaturation events were analyzed using Wilcoxon and paired Student's t-tests. Snoring was the most prevalent (87.5%) complaint before operation. The study revealed a significant improvement in the postoperative oxygen desaturation index (1.60 +/- 3.22) compared with the preoperative oxygen desaturation index (3.98 +/- 4.93) (p < 0.01). Oxygen desaturation events at the level of oxygen saturation 85-89% was significantly improved after operation (p < 0.01). No significant differences were seen in the desaturation events at the levels of oxygen saturation lower than 85%. Nocturnal oxygen saturation improves mildly after adenotonsillectomy in children with sleep breathing disorders

Antibacterial effects of medicinal plant extracts against Lactococcus garvieae, the etiological agent of rainbow trout lactococcosis

Eight medicinal plants were assessed for antimicrobial activity against Lactococcus garvieae isolate obtained from diseased Oncorhynchus mykiss collected from rainbow trout fish farms in Iran. Lactococcus garvieae is among the major pathogens of a large number of fish species cultured in fresh and marine recirculating and net pen production systems. The antibacterial activity of the medicinal plants against L. garvieae was evaluated using disc diffusion, well diffusion and minimum inhibitory concentration. Results showed that the extracts and essential oils had a relatively high antibacterial activity against L. garvieae. Of the plants studied, the most active extracts were those from the methanol extract of Peganum harmala, the essential oil of Satureja bachtiarica, the ethanol extract of Juglans regia and Trachyspermum copticum with minimum inhibitory concentration (MIC) of 105, 126, 510 and 453 μg/ml, respectively. Conversly, some of the extracts such as Quercus branti Lindley and Glycyrrhiza glabra L. had lower activity against L. garvieae with MIC values of 978 and 920 μg/ml respectively. Plant extracts as natural and environment- friendly compounds can be an important source of antibacterial agents against L. garvieae. They may be used for disinfection of instruments and rainbow trout raceways or treatment of the fish

The effects of hand-stripping on some epidermal mucus immune parameters in rainbow trout, Oncorhynchus mykiss

Fish epidermis functions as the first defense barrier against physical, chemical, and biological stressors. However, the effects of hand-stripping on fish mucosal immune responses have been hardly investigated. The present study investigated the effects of stripping procedures on skin mucosal immune responses of rainbow trout (Oncorhynchus mykiss) breeders. The skin mucus was sampled from six male and six female trout before and one week after the stripping handling. The results showed that stripping had significant effect on all parameters except protease activity, but gender had a significant effect only on the mucosal protease and alkaline phosphatase activity. The results did not show any effect of the interaction between stripping and gender on mucosal lysozyme activity. The data revealed that enzymatic activities of alkaline phosphatase, lysozyme, esterase, as well as the total immunoglobulin level and bactericidal activity were significantly reduced in the skin mucus of fish one week after the stripping. The reduction of immune parameters in the skin mucus could be related to immunosuppression caused by stripping stress which, in turn, might have made the fish more susceptible to microbial infections and diseases. Therefore, care should be taken during stripping to minimize the manipulation stress.

Effects of florfenicol on skin mucus immune parameters and immune related genes expression in zebrafish (Danio rerio)

Florfenicol (FF) is a common, inexpensive antibiotic with relatively low toxicity. The present study investigates the possible effects of Florfenicol on cutaneous mucus immune parameters and immune related genes expression in Danio rerio. After two weeks adaptation, fish were stocked in experimental units at density of 20 fish per aquaria and fed with experimental diets containing 0, 10, 30 and 50 mg/kg FF per for 11 days. Evaluation of immune parameters at the end of trial showed that the control group had a significantly lower level of lysozyme activity when compared with those treated with antibiotic. However, the skin mucus total immunoglobulins level of fish fed diets containing antibiotics did not show any significant difference compared to the control group. The highest expression level of TNF-α, IL1β and lysozyme was observed in fish treated with 10 mg/kg FF while the lowest expression was noticed in those fish treated with 30 and 50 mg/kg FF. The present results indicate the relatively positive effects of this antibiotic on the immune system of zebrafish, and it seems that the appropriate dosage of the drug can serve as an immunostimulant for zebrafish

Mortality rate and immune responses of rainbow trout (Oncorhynchus mykiss) infected with Yersinia ruckeri subsequent to feeding on diet supplemented with Ducrosia anethifolia essential oil

Application of the immunostimulant is the most promising method for controlling diseases in aquaculture. In this study, the mortality rate and immune responses of rainbow trout (Oncorhynchus mykiss) fed on diet supplemented with Ducrosia anethifolia essential oil was investigated after challenging with Yersinia ruckeri. The essential oil mixed with sunflower oil at different concentrations (0.001, 0.01 and 0.1%) and the commercial food was coated with this oil. Fish were fed with diets for 8 weeks and infected with Y. ruckeri at the ending of feeding trial. Serum protein, albumin, globulin and lysozyme and bactericidal activity of challenged fish were evaluated one week after injection and mortality were counted till day 10. The results showed that albumin had not differed among treatments. The highest level of the protein and globulin were found in control group. Serum lysozyme activity showed no difference between groups. The highest and lowest serum bactericidal activity was observed in 0.001% and control group, respectively. The mortality rates in infected fish were as 55% in control group, 40% in 0.001%, 70% in 0.01% and 70% in 0.1% treatment. Lowest rate of mortality was observed in group 0.001%, while began two days earlier than other groups

Effects of the aromatase inhibitor Letrozole on serum immunoglobulin and lysozyme levels in immunized rainbow trout (Oncorhynchus mykiss Walbaum) females

Letrozole is a synthetic aromatase inhibitor and interfere in the committed step in the synthesis of endogenous estrogens from androgens. Also estrogens regulate the immune system in teleost. Changes of 17- β- esrtradiol (E2), serum immunoglobulin and lysozyme levels were measured using a method based on the ability of lysozyme to lyse the bacterium Micrococcus lysodeikticus, enzyme-linked immunosorbent assay (ELISA) and ELISA respectively. Twelve broodstocks were injected weekly with 2.5 mg kg-1 letrozole (an endocrine disrupter component) two months before spawning season and vaccinated intraperitoneally (i.p) with a bacterin (inactivated L. garviae) one month before spawning. Twelve broodstocks for vaccination and twelve female rainbow trout as control group were also immiunised (i.p) with the bacterin and injected (i.p) with PBS, respectively. In the group received 2.5 mg AI kg-1 per week, serum E2 levels were significantly lower than that of other groups. Total immunoglobulin level and lysozyme activity were significantly higher in the parents received 2.5 mg kg-1 per week and were immunized with 10-9 cells ml-1 Lactococcus garvieae  compared to the group which immunized with L. garvieae and the control (non- immunized). The present study, suggests that aromatase inhibitors such as letrozole may be a potential tool to regulate the synthesis of E2, is involved in the hormone- immune system interaction in rainbow trout

The effect of oral administration of lactic acid bacteria isolated from kefir on intestinal microbiota, growth performance and survival in juvenile rainbow trout, Oncorhynchus mykiss

Lactic acid bacteria (LAB) are used in the aquaculture industry to improve growth indices and nutrition efficiency of farmed fish. Kefir is a natural probiotic that largely consists of these microorganisms. This study aimed to isolate LAB strains from kefir grains and investigate their effects on the intestinal microbiota and growth indices of juvenile rainbow trout. Based on the results, one isolate was identified as Lactobacillus faraginis (LF) and other one as Enterococcus durans (ED), both were gram positive, non-hemolytic, catalase and oxidase negative. Both strains showed resistance to acidic environments and gastric juice and were able to grow against bile salts i.e. the hydrophobicity potential of both strains was evaluated above 50%. The results showed that both strains had appropriate and acceptable probiotic properties. A total of 480 juvenile fish with were randomly divided into eight groups viz. Control (basal diet), LF1 and LF2 receiving diets supplemented with L. faraginis at  107 and 108 cfu/g, respectively, ED1 and ED2 diets supplemented with E. durans at 107 and 108 cfu/g, respectively, Bactocell group receiving a diet supplemented with commercial probiotic Bactocell PA-10 (1010 cfu/g), combined treatments LF1+ED1 (5í—106 cfu/g) and LF2+ED2 (5í—107 cfu/g). The strains were prepared in the form of lyophilized powder and added to the basal diet as supplements. Sampling was performed after 0, 30, 15, and 45 days feeding with the diets. In the in vivo investigation, the highest LAB colony counts were obtained for the ED2, Bactocell, LF2+ED2 and LF2 groups, respectively. The highest BWI, SGR, DWG, PER, and CF, and the lowest FCR were observed in the LF2+ED2, Bactocell, ED2, and LF2 groups, respectively. On the other hand, the LF2+ED2, Bactocell and LF2 treatments also had the highest survival rate. Apparently, the use of the tested LAB strains as probiotic in high doses (LF2, ED2) and in combination (LF2+ED2) could improve growth indices, the intestinal LAB population and survival rate in juvenile rainbow trout

Global, regional, and national burden of disorders affecting the nervous system, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021

BackgroundDisorders affecting the nervous system are diverse and include neurodevelopmental disorders, late-life neurodegeneration, and newly emergent conditions, such as cognitive impairment following COVID-19. Previous publications from the Global Burden of Disease, Injuries, and Risk Factor Study estimated the burden of 15 neurological conditions in 2015 and 2016, but these analyses did not include neurodevelopmental disorders, as defined by the International Classification of Diseases (ICD)-11, or a subset of cases of congenital, neonatal, and infectious conditions that cause neurological damage. Here, we estimate nervous system health loss caused by 37 unique conditions and their associated risk factors globally, regionally, and nationally from 1990 to 2021.MethodsWe estimated mortality, prevalence, years lived with disability (YLDs), years of life lost (YLLs), and disability-adjusted life-years (DALYs), with corresponding 95% uncertainty intervals (UIs), by age and sex in 204 countries and territories, from 1990 to 2021. We included morbidity and deaths due to neurological conditions, for which health loss is directly due to damage to the CNS or peripheral nervous system. We also isolated neurological health loss from conditions for which nervous system morbidity is a consequence, but not the primary feature, including a subset of congenital conditions (ie, chromosomal anomalies and congenital birth defects), neonatal conditions (ie, jaundice, preterm birth, and sepsis), infectious diseases (ie, COVID-19, cystic echinococcosis, malaria, syphilis, and Zika virus disease), and diabetic neuropathy. By conducting a sequela-level analysis of the health outcomes for these conditions, only cases where nervous system damage occurred were included, and YLDs were recalculated to isolate the non-fatal burden directly attributable to nervous system health loss. A comorbidity correction was used to calculate total prevalence of all conditions that affect the nervous system combined.FindingsGlobally, the 37 conditions affecting the nervous system were collectively ranked as the leading group cause of DALYs in 2021 (443 million, 95% UI 378–521), affecting 3·40 billion (3·20–3·62) individuals (43·1%, 40·5–45·9 of the global population); global DALY counts attributed to these conditions increased by 18·2% (8·7–26·7) between 1990 and 2021. Age-standardised rates of deaths per 100 000 people attributed to these conditions decreased from 1990 to 2021 by 33·6% (27·6–38·8), and age-standardised rates of DALYs attributed to these conditions decreased by 27·0% (21·5–32·4). Age-standardised prevalence was almost stable, with a change of 1·5% (0·7–2·4). The ten conditions with the highest age-standardised DALYs in 2021 were stroke, neonatal encephalopathy, migraine, Alzheimer's disease and other dementias, diabetic neuropathy, meningitis, epilepsy, neurological complications due to preterm birth, autism spectrum disorder, and nervous system cancer.InterpretationAs the leading cause of overall disease burden in the world, with increasing global DALY counts, effective prevention, treatment, and rehabilitation strategies for disorders affecting the nervous system are needed

Antibacterial effects of medicinal plant extracts against Lactococcus garvieae, the etiological agent of rainbow trout lactococcosis

Eight medicinal plants were assessed for antimicrobial activity against Lactococcus garvieae isolate obtained from diseased Oncorhynchus mykiss collected from rainbow trout fish farms in Iran. Lactococcus garvieae is among the major pathogens of a large number of fish species cultured in fresh and marine recirculating and net pen production systems. The antibacterial activity of the medicinal plants against L. garvieae was evaluated using disc diffusion, well diffusion and minimum inhibitory concentration. Results showed that the extracts and essential oils had a relatively high antibacterial activity against L. garvieae. Of the plants studied, the most active extracts were those from the methanol extract of Peganum harmala, the essential oil of Satureja bachtiarica, the ethanol extract of Juglans regia and Trachyspermum copticum with minimum inhibitory concentration (MIC) of 105, 126, 510 and 453 μg/ml, respectively. Conversly, some of the extracts such as Quercus branti Lindley and Glycyrrhiza glabra L. had lower activity against L. garvieae with MIC values of 978 and 920 μg/ml respectively. Plant extracts as natural and environment- friendly compounds can be an important source of antibacterial agents against L. garvieae. They may be used for disinfection of instruments and rainbow trout raceways or treatment of the fish