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1.
Clin Chim Acta ; 564: 119917, 2025 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-39181292

RESUMEN

Hemolysis is the most prevalent pre-analytical interfering factor and a major source of error in laboratory analysis. The examination of samples post-centrifugation can provide valuable information regarding pre-analytical interferences. In this unusual case, a patient's plasma specimen was cherry-red after centrifugation, which is most usually indicative of hemolysis. However, subsequent investigations ruled out common hemolysis causes. We eventually determined that the patient's cherry-red plasma was most likely caused by other factors in the patient's medical history, including cancer treatment with PV-10 (rose bengal disodium 10%). We then conducted an interference study to comprehensively assess the effects of PV-10 on various biochemical tests, especially liver function tests and bilirubin levels. The findings indicate that PV-10 has varying effects on different biochemical assays and test results should be examined individually. This report underlines the need for awareness of potential drug interference on laboratory tests for better result interpretation and making clinical decisions.


Asunto(s)
Hemólisis , Humanos , Masculino , Plasma/química , Plasma/metabolismo
2.
Food Chem ; 462: 141015, 2025 Jan 01.
Artículo en Inglés | MEDLINE | ID: mdl-39216375

RESUMEN

Various strategies are being explored to reduce the formation of undesirable compounds during the thermal processing of foods. This study investigates the impact of incorporating annatto seed powder (Bixa orellana L.) into beef patties to reduce the formation of heterocyclic amines (HAs) during charcoal-grilling and pan-frying. A three-level full factorial design was used to assess the effect of both annatto seed powder concentration and cooking times on HAs formation. The results showed that HA formation increased with longer cooking times and decreased with higher concentrations of annatto seed powder. A significant reduction in HA content was observed in both charcoal-grilled and pan-fried beef patties when annatto seed powder was added, with a particularly notable 91 % reduction at the 1 % addition level. These findings demonstrate that the addition of annatto seed powder is a highly effective strategy for reducing HA formation in beef patties. CHEMICAL COMPOUNDS STUDIED IN THIS ARTICLE: 2-amino-3,8-dimethylimidazo[4,5-f]quinoxaline (MeIQx) (PubChem CID: 62275); 2-amino-3,4,8-trimethylimidazo[4,5-f]quinoxaline (4,8-DiMeIQx) (PubChem CID: 104739); 2-amino-3,7,8-trimethylimidazo[4,5-f]quinoxaline (7,8-DiMeIQx) (PubChem CID: 104855); 2-amino-1-methyl-6-phenylimidazo[4,5-b]pyridine (PhIP) (PubChem CID: 1530); 3-amino-1,4-dimethyl-5H-pyrido[4,3-b]indole (Trp-P-1) (PubChem CID: 5284474); 3-amino-1-methyl-5H-pyrido[4,3-b]indole (Trp-P-2) (PubChem CID: 5284476); 2-amino-9H-pyrido[2,3-b]indole (AαC) (PubChem CID: 62805); 2-amino-3-methyl-9H-pyrido[2,3-b]indole (MeAαC) (PubChem CID: 62244); Bixin (PubChem CID: 5281226).


Asunto(s)
Aminas , Carbón Orgánico , Culinaria , Extractos Vegetales , Semillas , Semillas/química , Bovinos , Animales , Aminas/química , Aminas/análisis , Carbón Orgánico/química , Extractos Vegetales/química , Bixaceae/química , Polvos/química , Compuestos Heterocíclicos/química , Compuestos Heterocíclicos/análisis , Calor , Productos de la Carne/análisis , Carotenoides
3.
J Environ Sci (China) ; 148: 1-12, 2025 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-39095148

RESUMEN

In present work, blue carbon dots (b-CDs) were derived from ammonium citrate and guanidine hydrochloride, and red carbon dots (r-CDs) were stemmed from malonate, ethylenediamine and meso­tetra (4-carboxyphenyl) porphin based on facile hydrothermal method. Eco-friendly ratiometric fluorescence probe was innovatively constructed to effectively measure Hg2+ utilizing b-CDs and r-CDs. The developed probe displayed two typical emission peaks at 450 nm from b-CDs and 650 nm from r-CDs under the excitation at 360 nm. Mercury ion has strong quenching effect on the fluorescence intensity at 450 nm due to the electron transfer process and the fluorescence change at 450 nm was used as the response signal, whereas the fluorescence intensity at 650 nm kept unchangeable which resulted from the chemical inertness between Hg2+ and r-CDs, serving as the reference signal in the sensing system. Under optimal circumstances, this probe exhibited an excellent linearity between the fluorescence response values of ΔF450/F650 and Hg2+ concentrations over range of 0.01-10 µmol/L, and the limit of detection was down to 5.3 nmol/L. Furthermore, this probe was successfully employed for sensing Hg2+ in practical environmental water samples with satisfied recoveries of 98.5%-105.0%. The constructed ratiometric fluorescent probe provided a rapid, environmental-friendly, reliable, and efficient platform for measuring trace Hg2+ in environmental field.


Asunto(s)
Carbono , Colorantes Fluorescentes , Mercurio , Puntos Cuánticos , Contaminantes Químicos del Agua , Mercurio/análisis , Carbono/química , Colorantes Fluorescentes/química , Contaminantes Químicos del Agua/análisis , Puntos Cuánticos/química , Monitoreo del Ambiente/métodos , Espectrometría de Fluorescencia/métodos , Límite de Detección , Fluorescencia
4.
Artículo en Inglés | MEDLINE | ID: mdl-38746904

RESUMEN

Image-enhanced endoscopy (IEE) has advanced gastrointestinal disease diagnosis and treatment. Traditional white-light imaging has limitations in detecting all gastrointestinal diseases, prompting the development of IEE. In this review, we explore the utility of IEE, including texture and color enhancement imaging and red dichromatic imaging, in pancreatobiliary (PB) diseases. IEE includes methods such as chromoendoscopy, optical-digital, and digital methods. Chromoendoscopy, using dyes such as indigo carmine, aids in delineating lesions and structures, including pancreato-/cholangio-jejunal anastomoses. Optical-digital methods such as narrow-band imaging enhance mucosal details and vessel patterns, aiding in ampullary tumor evaluation and peroral cholangioscopy. Moreover, red dichromatic imaging with its specific color allocation, improves the visibility of thick blood vessels in deeper tissues and enhances bleeding points with different colors and see-through effects, proving beneficial in managing bleeding complications post-endoscopic sphincterotomy. Color enhancement imaging, a novel digital method, enhances tissue texture, brightness, and color, improving visualization of PB structures, such as PB orifices, anastomotic sites, ampullary tumors, and intraductal PB lesions. Advancements in IEE hold substantial potential in improving the accuracy of PB disease diagnosis and treatment. These innovative techniques offer advantages paving the way for enhanced clinical management of PB diseases. Further research is warranted to establish their standard clinical utility and explore new frontiers in PB disease management.

5.
Artículo en Español | LILACS-Express | LILACS | ID: biblio-1569588

RESUMEN

está disponible en el texto completo


Introduction: Anemia is a highly prevalent disorder. Preoperative anemia is associated with higher mortality, more complications, longer hospital stays, and higher healthcare costs. Red blood cell transfusion (RBC) does not improve these outcomes. The World Health Organization recommends implementing Patient Blood Management (PBM) programmes, as they can improve these clinical outcomes, reduce unnecessary RBC transfusions, and save costs. Despite compelling evidence, the implementation of these measures has yet to be effectively achieved. The objective of this study is to conduct a situational analysis to raise awareness about this issue and encourage the implementation of these measures. Methodology: An observational, longitudinal, retrospective cohort study was conducted at a single center. All patients undergoing elective surgery from 01/01/2022 to 01/04/2022 at the Hospital de Clínicas were included. Exclusion criteria: absence of a complete blood count in the three months prior to surgery and refusal to participate in the study. Results: A total of 329 surgeries were analyzed. 52 out of 100 procedures were performed on patients with anemia. A statistically significant association was found between preoperative anemia and receiving RBC transfusion during hospitalization. OR 11.746 (4.518 - 30.540). Anemia and RBC transfusions significantly prolonged hospital stay. Length of hospitalization based on patient condition: No anemia: 10.1 ± 1.1 days, with anemia: 27.2 ± 2.3 days. Value of p < 0.001. Non-transfused: 14.5 ± 1.3 days, transfused: 41.8 ± 4.4 days. Value of p < 0.001. Only 49 (28.6%) of the 171 patients with anemia had iron metabolism assessed before surgery. Among the 140 patients with Hb < 12 g/dL undergoing surgeries with non-insignificant bleeding, only 4 received specific treatment to optimize Hb. A total of 185 units of red blood cells (RBC) were administered during hospitalization. 49 to unstable patients (intraoperative or acute hemorrhage) and 136 to stable patients. From the analysis of the latter group, 42.5% of the patients received 3 or more RBC units. The average pre-transfusion hemoglobin was 7.0 ± 0.1. A statistically significant association was found between receiving RBC units and dying during hospitalization. OR 17.182 (3.360 - 87.872). Conclusiones: A situational analysis was conducted, revealing a high prevalence of preoperative anemia, scarce study and treatment of anemia before surgeries, and an excessive amount of blood transfusions received by some patients. This work establishes the need to implement Patient Blood Management programs to reduce the prevalence of preoperative anemia and improve our transfusion practices. It also sets a comparative framework to evaluate the progress of these measures and indicates possible indicators to assess the benefits of their implementation.


Introdução : A anemia é um distúrbio altamente prevalente. A anemia pré-operatória está associada a maior mortalidade, mais complicações, tempo prolongado de internação e maiores custos de saúde. A transfusão de glóbulos vermelhos (TGV) não melhora esses resultados. A Organização Mundial da Saúde recomenda a implementação de medidas de Gerenciamento de Sangue do Paciente (GSP), pois permitem melhorar esses resultados clínicos, reduzir TGV desnecessárias e economizar custos. Apesar da evidência contundente, a implementação dessas medidas ainda está aquém de ser efetivada. O objetivo deste trabalho é realizar uma análise da situação para conscientizar sobre o problema e incentivar a implementação dessas medidas. Metodologia: Foi realizado um estudo observacional, longitudinal, retrospectivo de coorte histórica, unicêntrico. Foram incluídos todos os pacientes submetidos a cirurgias de coordenação de 01/01/2022 a 01/04/2022 no Hospital de Clínicas. Critérios de exclusão: ausência de hemograma nos três meses anteriores à cirurgia e recusa em participar do estudo. Resultados: Foram analisadas um total de 329 cirurgias. 52 a cada 100 procedimentos foram realizados em pacientes com anemia. Foi encontrada uma associação estatisticamente significativa entre a anemia pré-operatória e a recepção de TGR durante a internação. OR 11,746 (4,518 - 30,540). A anemia e as TGR prolongaram significativamente a internação hospitalar. Dias de internação em função da condição do paciente: Sem anemia: 10,1 ± 1,1 dias, com anemia: 27,2 ± 2,3 dias. Valor p < 0,001. Não transfundidos: 14,5 ± 1,3 dias, transfundidos: 41,8 ± 4,4 dias. Valor p < 0,001. Apenas 49 (28,6%) dos 171 pacientes com anemia tinham metabolismo do ferro antes da cirurgia. Dos 140 pacientes com Hb < 12 mg/dL submetidos a cirurgias com sangramento não insignificante, 4 receberam tratamento específico para otimizar a Hb. Foram administradas um total de 185 unidades de glóbulos vermelhos (UGV) durante a internação. 49 em pacientes instáveis (intraoperatório ou hemorragia aguda) e 136 em pacientes estáveis. Da análise desses últimos, 42,5% dos pacientes receberam 3 ou mais UGV. A hemoglobina pré-transfusional média foi de 7,0 ± 0,1. Foi encontrada uma associação estatisticamente significativa entre receber UGV e falecer durante a internação. OR 17,182 (3,360 - 87,872). Conclusões: Foi realizado uma análise da situação na qual foi observada uma elevada prevalência de anemia pré-operatória, um estudo e tratamento escasso da anemia antes das cirurgias e uma quantidade excessiva de UGV recebidas por alguns pacientes. Este trabalho estabelece a necessidade de implementar programas de Gerenciamento de Sangue do Paciente para reduzir a prevalência de anemia pré-operatória e melhorar nossas práticas transfusionais. Além disso, estabelece um quadro comparativo para avaliar o progresso dessas medidas e aponta possíveis indicadores para avaliar os benefícios de sua implementação.

6.
J Colloid Interface Sci ; 678(Pt C): 298-299, 2024 Sep 14.
Artículo en Inglés | MEDLINE | ID: mdl-39298981

RESUMEN

Laha et al. studied the diffusive behavior of a whole-blood drop on filter paper using the generalized capillary bundle model. However, some model parameters should be further refined to accurately reflect the physics involved in this diffusion process. Moreover, citations are missing for some key equations. Addressing these aspects will improve the model applicability to this application and benefit readers in accessing more accurate and detailed information.

7.
Dig Liver Dis ; 2024 Sep 18.
Artículo en Inglés | MEDLINE | ID: mdl-39299813

RESUMEN

BACKGROUND AND AIM: Suboptimal disease control (SDC) and its contributing factors in IBD according to STRIDE-II criteria is unclear. IBD-PODCAST was a non-interventional, international, multicenter real-world study to assess this. METHODS: Data from the Italian IBD cohort (N=220) are presented here. Participants aged ≥19 with confirmed IBD diagnosis of ≥1 year were consecutively enrolled. A retrospective chart review and cross-sectional assessment by physicians and patients within the past 12 months were performed. SDC or optimal disease control was assessed using adapted STRIDE-II criteria. RESULTS: At the index date, 53.4 % of 116 CD patients and 49.0 % of 104 UC patients had SDC, mainly attributed to a Short Inflammatory Bowel Disease Questionnaire score <50, failure to achieve endoscopic remission, and the presence of active extra-intestinal manifestations in both diseases. Disease monitoring with imaging and/or endoscopy during the previous year was conducted in ∼50 % of patients, with endoscopy performed in ∼40 %. Potential therapeutic adjustments were reported for half of the patients. CONCLUSIONS: This study highlights SDC in a significant portion of IBD Italian patients. These results emphasize the need for more proactive management strategies in both CD and UC patients.

8.
BMC Urol ; 24(1): 205, 2024 Sep 19.
Artículo en Inglés | MEDLINE | ID: mdl-39300493

RESUMEN

PURPOSE: A retrospective study was conducted to determine the value of shear wave elastography (SWE) and red blood cell distribution width (RDW) in the diagnosis of various forms of erectile dysfunction (ED). METHODS: With the method of Nocturnal Penile Tumescence and Rigidity (NPTR) and the screening method of Color Duplex Doppler Ultrasound (CDDU), hematological data were collected from 131 individuals, among whom 24 are with psychogenic ED, 48 are with non-arterial ED(NAED) and 59 are with arterial ED(AED) with erectile dysfunction. SWE value of penile corpus cavernosum(CCP) and cavernous arterial flow velocity were measured before (flaccid state) and after (erect state) intracavernous injection (ICI) in all patients. RESULTS: Among the AED patients and other types of ED patients, there were statistically significant differences in the abridged five-item International Index of Erectile Function (IIEF-5), red blood cell distribution width-coefficient of variation (RDW-CV), red blood cell distribution width-standard deviation (RDW-SD), and SWE values (all P < 0.01). In the AED patients, the IIEF-5 scores had a significant negative relationship with RDW-CV, RDW-SD, and SWE values, with SWE values having the strongest correlation. (p < 0.001, r=-0.638). CONCLUSION: The combination of RDW level and SWE value demonstrated the greatest performance in diagnosing AED, according to the receiver-operator characteristic(ROC) curve analysis (AUC = 0.870, p < 0.0001, cut-off value of 0.75, sensitivity of 74.6%, specificity of 91.7%).RDW and SWE value may develop into an incredibly simple, practical tool for predicting and diagnosing AED. TRIAL REGISTRATION: retrospectively registered.


Asunto(s)
Diagnóstico por Imagen de Elasticidad , Disfunción Eréctil , Índices de Eritrocitos , Humanos , Masculino , Diagnóstico por Imagen de Elasticidad/métodos , Estudios Retrospectivos , Persona de Mediana Edad , Adulto , Disfunción Eréctil/sangre , Disfunción Eréctil/diagnóstico por imagen , Anciano , Pene/irrigación sanguínea , Pene/diagnóstico por imagen , Impotencia Vasculogénica/diagnóstico por imagen , Impotencia Vasculogénica/sangre
9.
Artículo en Inglés | MEDLINE | ID: mdl-39280995

RESUMEN

Thelazia callipaeda, also known as the "oriental eye worm", is a zoonotic parasitic nematode with a wide range of hosts, particularly wild and domestic carnivores, but also lagomorphs and humans. Currently, ocular thelaziosis presents an expanding distribution range throughout Europe, including Portugal. This study provides an update on T. callipaeda infection reports (30 studies) in European wildlife comprising 54 host-locality records in 10 host species from nine European countries. The prevalence of T. callipaeda varied widely, with ranges from around 1% in red foxes and European hares to almost 50% in red foxes. The lowest mean intensity was 2.7 nematodes/host in European wildcats and the highest was 38.0 nematodes/host in wolves. In addition, a massive infection with T. callipaeda in a juvenile male red fox from eastern-central Portugal is also described, representing the southernmost report in a wild animal in this country. A total of 188 nematodes (139 females and 49 males) were collected from both eyes and were submitted to morphological and molecular characterization. Collected nematodes were morphologically identified as T. callipaeda. Given the endemicity of T. callipaeda in eastern-central Portugal, surveillance system should be implemented to monitor its presence among wild and domestic animals.

10.
One Health ; 19: 100877, 2024 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-39281344

RESUMEN

Background: Rabies in Turkey is maintained by dogs, but following a sustained spill-over, red fox mediated rabies had spread from the Aegean region to the central part of Türkiye. During the past four years from 2019 to 2023 large scale efforts used oral rabies vaccination (ORV) to control rabies in red foxes. Here, we present the results of the largest ORV campaign on the Asian continent. Methods: ORV campaigns were carried out twice a year in spring and autumn with a targeted bait density of 20-23 baits/km2. Monitoring of ORV campaigns included the GIS-based analyses of bait distribution, the assessment of bait uptake through biomarker detection and the determination of seroconversion (sero-positivity in ELISA) in the target species collected within the vaccination area. For determination of fox rabies incidence in vaccination areas as the main indicator of the performance of the ORV campaigns, epidemiological data was obtained from the national passive surveillance program. Results: Aerial bait distribution was highly accurate, with >99 % of baits being recorded from targeted zones, thus meeting the desired bait densities. Although the overall bait uptake (28.1 %; 95 %CI: 23.2-32.8) and seroprevalance (36.3 %; 95 %CI: 30.0-43.2) were low, rabies incidence drastically decreased in ORV areas and rabies was eliminated from western and central parts of Turkey, with no reported cases in foxes from ORV areas in 2022 and 2023. Conclusions: A large-scale ORV campaign against fox rabies using high quality vaccine baits and the GIS-aided and monitored bait distribution was able to control fox mediated rabies in the western and central parts of Türkiye. Rabies control both in dogs and foxes should be expanded to cover also the eastern parts of Türkiye, to become eventually rabies free.

11.
J Inflamm Res ; 17: 6265-6276, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39281773

RESUMEN

Purpose: To explore the relationship between Red cell distribution width/albumin ratio (RAR) and vascular complications, including atherosclerosis of the lower limbs, diabetic nephropathy(DN), and diabetic retinopathy(DR), in patients with type 2 diabetes mellitus(T2DM). Patients and Methods: The study included 427 patients with type 2 diabetes mellitus who were hospitalized in the Department of Endocrinology of the First Affiliated Hospital of Jinan University (Guangzhou, China) between April 1, 2022 and May 31, 2023. Baseline characteristics were displayed according to the quartiles of the RAR. Logistic regression analysis and receiver operating characteristic curves (ROC) were used to analyze the data. Results: After adjusting for confounders, a higher RAR quartile(the fourth quartile) was associated with an increased risk of atherosclerosis of the lower limbs(OR: 2.973, 95% CI 1.281-6.906, p = 0.011), and diabetic nephropathy(OR: 2.876, 95% CI 1.315-6.287, p = 0.008) compared to the lowest RAR quartile. The patients were further divided into two groups according to urinary albumin to creatinine ratio (UACR≥30mg/g and UACR < 30mg/g) and Glomerular Filtration Rate (eGFR<60 mL·min⁻¹ (1.73 m²) ⁻¹ and eGFR≥60 mL·min⁻¹ (1.73 m²) ⁻¹). Similar results were observed. However, We found that RAR quartile did not significantly increase the likelihood of developing diabetic retinopathy(OR: 1.183, 95% CI 0.633-2.211, p = 0.598). Conclusion: The RAR ratio is associated with an increased risk of atherosclerosis of the lower limbs and diabetic nephropathy in patients with T2DM. The RAR ratio may be an important clinical marker of vascular complications in T2DM.

12.
Indian J Microbiol ; 64(3): 1009-1024, 2024 Sep.
Artículo en Inglés | MEDLINE | ID: mdl-39282165

RESUMEN

Biofuels are considered to be among the primary alternatives to the use of fossil fuels. These fuels, made from feedstock or waste raw materials, have the advantage of being renewable and contributing much less to global warming. Microalgae are a promising biodiesel source. Microalgae, unlike traditional crops that are now used to make commercialized biodiesel, may be grown on non-agricultural land and has a greater capacity for growth and yield. Cultivation has been considered as a critical stage in the generation of biofuels. The goal of the present study is to learn that Scenedesmus quadricauda has a potential for biodiesel production in the near future. Optimization studies revealed that BG-11 medium, temperature of 25 °C, pH 7.0, glucose and sucrose (as carbon sources), static condition (for lipid accumulation) & shaking condition (for biomass yield), cultivation days of 18, 21, and 24 day, NaNO3 dosing of 1.0 mM followed by 0.8 mM (on 5th day of cultivation), 3% yeast extract dosing, 3000 lx light intensity, photoperiod cycles of 24L/0D (for biomass yield) and 18L/6D (for lipid production) and 10 mM concentration of NaCl (salinity stress) can be regarded as best suited physio-biochemical parameters for efficient biomass and lipid yield from S. quadricauda. FTIR indicated presence of various stretching of carbohydrates and lipids that again is supporting biodiesel production capability of S. quadricauda. SEM showed that cells of S. quadricauda under stress conditions became fragmented separated from coenobium and were not so compactly arranged. Present optimization studies along with Nile red fluorescence, FTIR and SEM revealed that S. quadricauda could be a suitable candidate to produce good quality biofuel and that also in stress conditions.

13.
Curr Res Food Sci ; 9: 100828, 2024.
Artículo en Inglés | MEDLINE | ID: mdl-39286431

RESUMEN

Pigmented Thai rice varieties, including purple (Riceberry) and red (Hommali), are gaining popularity due to their health benefits as a source of polyphenols that may exert a hypoglycemic effect through specific inhibition of amylolytic enzymes. This study determined the free phenolic extract from purple rice bran (PFE) to exhibit notably greater content of phytochemical compounds than did phenolic extracts from red rice bran, whether free (RFE) or bound fractions. This phytochemical content correlated with increased antioxidant activity and strong inhibition capacity against amylolytic enzymes, suppressing the conversion of carbohydrates into glucose. Several polyphenol compounds were identified in pigmented rice bran extracts, including benzoic acid, chlorogenic acid, ferulic acid, apigenin, and rutin; among these, flavonoids exhibited greater effect on inhibition capacity. Mechanistically, PFE was found to act as a competitive and uncompetitive inhibitor of α-amylase and α-glucosidase respectively, while RFE showed respective uncompetitive and competitive inhibitory modes.

14.
Eur J Neurol ; : e16484, 2024 Sep 17.
Artículo en Inglés | MEDLINE | ID: mdl-39287050

RESUMEN

BACKGROUND AND PURPOSE: Patients presenting at the emergency room (ER) with headache often encounter a hostile atmosphere and experience delays in diagnosis and treatment. The aim of this study was to design a protocol for the ER with the goal of optimizing the care of patients with urgent headache to facilitate diagnosis and expedite treatment. METHODS: A narrative literature review was conducted via a MEDLINE search in October 2021. The "Code Headache" protocol was then developed considering the available characteristics and resources of the ER at a tertiary care center within the Spanish National Public Health system. RESULTS: The Code Headache protocol comprises three assessments: two scales and one checklist. The assessments identify known red flags and stratify patients based on suspected primary/secondary headaches and the need for pain treatment. Initial assessments, performed by the triage nurse, aim to first exclude potentially high morbidity and mortality etiologies (HEAD1 scale) and then expedite appropriate pain management (HEAD2 scale) based on scoring criteria. HEAD1 evaluates vital signs and symptoms of secondary serious headache disorders that can most benefit from earlier identification and treatment, while HEAD2 assesses symptoms indicative of status migrainosus, pain intensity, and vital signs. Subsequently, ER physicians employ a third assessment that reviews red flags for secondary headaches (grouped under the acronym 'PEACE') to guide the selection of complementary tests and aid diagnosis. CONCLUSIONS: The Code Headache protocol is a much needed tool to facilitate quick clinical assessment and improve patient care in the ER. Further validation through comparison with standard clinical practice is warranted.

15.
Heliyon ; 10(17): e35418, 2024 Sep 15.
Artículo en Inglés | MEDLINE | ID: mdl-39296013

RESUMEN

The present review assessed the effect of heat processing on red peppers' (Capsicum annum L.) bioactive compounds and antioxidant capacity. The Google Scholar and Scopus databases were used to search the existing literature. Out of 422 articles accessed based on the inclusion and exclusion criterias included, only 15 studies were qualified for detailed review. The studies examined effects of processing on red hot peppers' bioactive compounds and antioxidant capacity. Information on type of heat applied for individual processes and the conditions used, countries in which the studies were carried out and effect of heat processing's were assessed. The review showed many studies were incomprehensive to details of processing condition constraining the validity of the results obtained from various cooking effects on bioactive compounds and antioxidant capacity. Further studies aimed at gaining a better understanding of the heat processing conditions and factors that influence the bioactive compounds and antioxidant capacity of red peppers are needed.

16.
Heliyon ; 10(17): e37469, 2024 Sep 15.
Artículo en Inglés | MEDLINE | ID: mdl-39296208

RESUMEN

As the textile industry expands, more industrial waste effluents are released into natural water streams, prompting the research and development of innovative materials for the remediation of environmental issues. In this research, a direct precipitation and hydrolysis method were used to synthesize ZnO and TiO2 nanoparticles, respectively that were utilized to investigate the photocatalytic activity of Congo Red (CR) dye. Afterward, the crystallite size was computed from the data of the X-ray diffractometer (XRD), and utilizing several models (Scherrer equation, LSLMSE, Monshi-Scherrer equation, Williamson-Hall model, Size-strain plot method, Halder-Wagner model, Sahadat-Scherrer model). Among these models, the size-strain plot model yields the most accurate crystal size (45.31 nm) for ZnO nanoparticles and the Halder-Wagner model (2.44 nm) for TiO2 nanoparticles. Scanning Electron Microscope exhibited the spherical shape of nanoparticles (ZnO, and TiO2) with particle size (less than 151 nm). The absorption spectrum from Fourier transform infrared (FTIR) spectroscopy confirmed the formation of nanoparticles (ZnO, and TiO2). Thereafter, the photocatalytic activity of the ZnO-TiO2 nanocomposite was evaluated by using Congo Red (CR) dye under different process variables, such as catalyst dose, time, initial dye concentration, pH, radical scavenging ability, and reusability. The best degradation (90 %) was recorded at 180 min time intervals using a 0.2 g catalyst dose with a 20 ppm CR concentration at pH 9.

17.
Heliyon ; 10(17): e37369, 2024 Sep 15.
Artículo en Inglés | MEDLINE | ID: mdl-39296222

RESUMEN

Grouper fish are among the most important components of the fisheries of many countries because they are found in warm water throughout the world. There are 15 genera and 159 species known worldwide; 8 genera and 66 species are exclusively found in the western Indian Ocean, Red Sea, and Arabian Gulf. The Summan grouper, Epinephelus summana, constitutes a considerable portion of these fisheries; therefore, this study aimed to evaluate the reproductive strategy of this important fish species. The fish samples were collected monthly for one year (from November 2020 to October 2021), and 217 fish were collected from the Red Sea of Jeddah, Saudi Arabia. The sex ratio, sexual maturation process, and spawning season were analyzed. Across all samples, landing consisted of 36.2 ± 4.7 % males, 64.0 ± 5.0 % females, and 3.4 ± 1.8 % transitional-stage fish, with an overall significantly different male-to-female sex ratio of 1:3.3. Furthermore, males were larger than females. The maturation index (MI), gonadosomatic index (GSI), and ovarian maturation rate (OMR) values fluctuated throughout the year, indicating that E. summana has extended spawning and spawns in batches during different months of the year. However, April to May is the main spawning season, with the highest female GSI recorded. Based on the microscopic histological examination of gonads, the maturation process can be classified into five stages in both males and females. In conclusion, this fish species has a complex reproductive biology. It undergoes sexual transformation and protogynous hermaphroditism, during which individuals mature first as female and then change sex to male. The obtained data is essential for successful fishery stock conservation, management, and aquaculture development.

18.
Int J Parasitol Parasites Wildl ; 25: 100984, 2024 Dec.
Artículo en Inglés | MEDLINE | ID: mdl-39297146

RESUMEN

Red foxes play a crucial role in the life cycle and transmission of zoonotic pathogens, including Toxocara canis; however, comprehensive information on the prevalence of T. canis in red foxes (Vulpes vulpes) is lacking. In this meta-analysis we aimed to evaluate the global and regional prevalence of T. canis among red foxes. We searched PubMed, Scopus, and Google Scholar for studies reporting prevalence of T. canis in red foxes up to April 1, 2024. Using a random-effects model, we estimated pooled prevalences at global, regional, and national levels and assessed heterogeneity through subgroup and meta-regression analyses. The overall pooled global prevalence of T. canis infection in red foxes was 32.1% (95% CI, 28.5-35.6%), with the highest prevalence in Europe (34.6%, 30.9-38.3%) and the lowest in the Eastern Mediterranean (20.0%, 11.0-29.0%). In other regions, prevalences of Toxocara were as follows: Central Asia (33.1%, 26.8-39.4%), North America (23.6%, 10.6-36.6%), Western Pacific (21.3%, 5.2-37.4%), and Eastern Mediterranean & North Africa (20.0%, 11.0-29.0%). However, data from certain geographical regions are very limited (for example Greece, Austria, China and North Africa). Prevalence rates showed a decreasing trend over time. Subgroup analyses indicated higher prevalences in male red foxes (54.1%, 41.4-66.7%) compared to females (37.5%, 29.9-45.1%), and in juvenile red foxes (56.2%, 39.1-73.3%) compared to adults (33.4%, 23.2-43.6%). T. canis worm burdens were generally low, not exceeding an average of 4 worms per fox in most studies. Our findings reveal a substantial prevalence of T. canis infection in red fox populations worldwide (32.1%), highlighting their potentially significant role in perpetuating the transmission of infection to both companion animals and humans. Continued surveillance is essential to mitigate the risk of Toxocara transmission to companion animals and humans. However, a major remaining challenge is to assess the relative importance of the red fox as a contributor to environmental contamination with Toxocara ova. Further research is also needed to address study limitations and provide a complete global picture of T. canis epidemiology in red foxes and other wild animals, especially in underrepresented regions.

19.
Sci Rep ; 14(1): 21453, 2024 09 13.
Artículo en Inglés | MEDLINE | ID: mdl-39271740

RESUMEN

Sex and gender differences play a crucial role in health and disease outcomes. This study used data from the National Health and Nutrition Examination Survey to explore how environmental exposures affect health-related traits differently in males and females. We utilized a sex-stratified phenomic environment-wide association study (PheEWAS), which allowed the identification of associations across a wide range of phenotypes and environmental exposures. We examined associations between 272 environmental exposures, including smoking-related exposures such as cotinine levels and smoking habits, and 58 clinically relevant blood phenotypes, such as serum albumin and homocysteine levels. Our analysis identified 119 sex-specific associations. For example, smoking-related exposures had a stronger impact on increasing homocysteine, hemoglobin, and hematocrit levels in females while reducing serum albumin and bilirubin levels and increasing c-reactive protein levels more significantly in males. These findings suggest mechanisms by which smoking exposure may pose higher cardiovascular risks and greater induced hypoxia for women, and greater inflammatory and immune responses in men. The results highlight the importance of considering sex differences in biomedical research. Understanding these differences can help develop more personalized and effective health interventions and improve clinical outcomes for both men and women.


Asunto(s)
Exposición a Riesgos Ambientales , Humanos , Femenino , Masculino , Exposición a Riesgos Ambientales/efectos adversos , Persona de Mediana Edad , Adulto , Factores Sexuales , Fumar/efectos adversos , Encuestas Nutricionales , Fenotipo , Caracteres Sexuales , Cotinina/sangre
20.
Heliyon ; 10(16): e36474, 2024 Aug 30.
Artículo en Inglés | MEDLINE | ID: mdl-39253256

RESUMEN

The study's objective was to explore the chemical composition of Acanthurus sohal fish flesh and their nutritional quality. Fish samples were caught in the Red Sea, prepared, and analysed for proximate composition, fatty acid, amino acid and mineral content. The results revealed that fish flesh contained 71.1 % moisture, 20.7 % crude protein, 5 % crude lipids and 1.7 % ash. The fatty acids were dominant by 61.93 % saturated fatty acids. Palmitic was the most common (40.35 %) saturated fatty acids, while monounsaturated fatty acids and polyunsaturated fatty acids accounted for 22.59 % and 15.48 %, respectively. The fish fat consisted of appreciable amounts of odd-numbered fatty acids heptadecanoic and heptadecenoic acids standing for 1.62 % and 1.45 %, respectively. The fatty acids were predominated by C16, C18 and C20 fatty acids. The percentage of n-6/n-3 reached 2.26. Seventeen amino acids were identified in A. sohal flesh protein, eight of which were essential amino acids (EAAs); they amounted to 375.47 mg/g crude protein. Lysine was the most common EAA (64.49 mg/g crude protein). Aromatic amino acid and sulphur amino acid constituted 112.43 and 47.56 mg/g protein, respectively. The following macroelement concentration ranking was identified: Ca > P > K > Na > Mg, while the concentration of vital elements was Fe > Zn > Cu > Cr > I > Se > Co.

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