Physiochemical composition and antioxidant activities of underutilized Mangifera pajang fruit

Underutilized plant species are defined by their unexploited economic potential, making them an appropriate focus for commercialization. The physiochemical composition and antioxidant activities of underutilized Mangifera pajang Kosterm fruit pulp and fruit juice powder were studied. The average kernel weight and length of M. pajang fruits was higher compared to Mangifera india. Chemical composition revealed that M. pajang juice powder (MPJP) was high in protein, carbohydrate, ascorbicacid, and ash whereas M. pajang pulp (MPP) was rich in fiber, gross energy, phenolic and -carotene content. Additionally, MPJP extract exhibited the highest free radical scavenging activities by 1,1-diphenyl-2-picrylhydrazyl (DPPH) and ferric reducing antioxidant power (FRAP) methods. The antioxidant capacity of MPP and MPJP extracts were significantly correlated with the ascorbic acid and -carotene but not with phenolic content. The high antioxidant activity with high ascorbic acid,proteins and carbohydrate content suggested that the MPJP can be used as a good source for preparation of health drink.&#160

Flavonoid, hesperidine, total phenolic contents and antioxidant activities from Citrus species

Citrus has long been regarded as a food and also as a medicinal plant. Fruits of four species of citrus which are commonly available in Malaysia, namely C. hystrix (wild lime), C. aurantifolia (common lime), C. microcarpa (musk lime) and C. sinensis (orange), were chosen to investigate their total phenolic, flavonoid and hesperidine contents. Additionally, the antioxidant activities were also determined by ferric reducing antioxidant power (FRAP) and 1,1-diphenyl-2-picryl hydrazyl (DPPH) radical scavenging activity. C. hystrix had the highest flavonoid and total phenolic contents while C. aurantifolia had the highest hesperidine content. The antioxidant activity of C. hystrix was highest determined by FRAP and DPPH assays compared to other citrus species. A strong positive correlation of R2 = 0.9090 between total phenolic content and FRAP values was observed in this investigation. This study indicated that C. hystrix exhibited the highest antioxidant, flavonoid and phenolic content and can be used potentially as a readily accessible source of natural antioxidant

Selection of the solvent and extraction conditions for maximum recovery of antioxidant phenolic compounds from coffee silverskin

The extraction of antioxidant phenolic compounds from coffee silverskin (CS) was studied. Firstly, the effect of different solvents (methanol, ethanol, acetone, and distilled water) on the production of antioxidant extracts was evaluated. All the extracts showed antioxidant activity (FRAP and DPPH assays), but those obtained with methanol and ethanol had significantly higher (p < 0.05) DPPH inhibition than the remaining ones. Due to the lower toxicity, ethanol was selected as extraction solvent, and further experiments were performed in order to define the solvent concentration, solvent/solid ratio, and time to maximize the extraction results. The best condition to produce an extract with high content of phenolic compounds (13 mg gallic acid equivalents/g CS) and antioxidant activity [DPPH = 18.24 μmol Trolox equivalents/g CS and FRAP = 0.83 mmol Fe(II)/g CS] was achieved when using 60 % ethanol in a ratio of 35 ml/g CS, during 30 min at 60–65 °C.This work was supported by the Portuguese Foundation for Science and Technology (FCT). The authors gratefully acknowledge Teresa Conde, student of Biological Engineering, for the help and interest in this work

Quantitative imaging of concentrated suspensions under flow

We review recent advances in imaging the flow of concentrated suspensions, focussing on the use of confocal microscopy to obtain time-resolved information on the single-particle level in these systems. After motivating the need for quantitative (confocal) imaging in suspension rheology, we briefly describe the particles, sample environments, microscopy tools and analysis algorithms needed to perform this kind of experiments. The second part of the review focusses on microscopic aspects of the flow of concentrated model hard-sphere-like suspensions, and the relation to non-linear rheological phenomena such as yielding, shear localization, wall slip and shear-induced ordering. Both Brownian and non-Brownian systems will be described. We show how quantitative imaging can improve our understanding of the connection between microscopic dynamics and bulk flow.Comment: Review on imaging hard-sphere suspensions, incl summary of methodology. Submitted for special volume 'High Solid Dispersions' ed. M. Cloitre, Vol. xx of 'Advances and Polymer Science' (Springer, Berlin, 2009); 22 pages, 16 fig

A study on prescription analysis and utilization of antibiotics in geriatric in-patients admitted in Shimoga institute of medical sciences tertiary care hospital, Shimoga, Karnataka, India

Background: Geriatrics is concerned with population aged 60 and above. Elderly suffer from various problems of the old age and hence prone to suffer from various adverse effects due to multiple drug use. In this regard rational use of drugs assumes importance. Hence the present study was conducted to study the rationality of prescriptions and utilization of antibiotics in the geriatric age group.Methods: 126 inpatient prescriptions were chosen and analysed for their rationality according to WHO core drug use indicators. The prescriptions were chosen randomly during the months of July to November 2013 from inpatients at district Mcgann teaching hospital. Descriptive statistics were used to analyse data.Results: 97% of total drugs prescribed were from essential drug list (EDL). Cephalosporins were the most commonly prescribed group of antibiotics. Respiratory diseases were the maximum cause of admission to the hospital followed by cardiovascular diseases. Prescription by brand name was 57.93% while generic drug prescription was 40.65% of total drugs prescribed. 7.81% of total drugs were prescribed as fixed drug combination average of 6.25 drugs were prescribed per person and 1.39% of prescriptions were illegible.Conclusions: Most of drugs prescribed were from WHO model list of essential drugs which conforms to WHO rational drug use. Also prescription by generic name has to be emphasized to promote rationality of prescriptions. Antibiotic prescriptions should be preceded by microbiological testing wherever indicated and illegible prescriptions should be prevented at all costs. Adherence to guidelines regarding drug use in the elderly can help in rational drug use in elderly

Practice Patterns of Usage of Glimepiride and Metformin FDC Along with Other OADs: A New Age Approach to Diabetes Management in Indians

Diabetes is a progressive disease managed by different oral antidiabetic drugs(OADs) with or without glimepiride/metformin. As diabetes continues to be a significant healthconcern in India, novel therapeutic strategies are essential to effectively control the disease andimprove patient outcomes. New drugs like sodium-glucose cotransporter-2 inhibitors (SGLT2i)and dipeptidyl peptidase-4 inhibitors (DPP-4i) have intermediate efficacy. Understanding clinicians’ prescription patterns is crucial for optimizing treatment strategies for better long-term type 2 diabetes mellitus (T2DM) control. Methods: This was a retrospective, multicenter, observational case-based questionnaire study on T2DM patients undergoing pharmacotherapy. Itaimed to collect data on clinical utilization patterns of glimepiride and metformin FDC (fixed-dosecombination) with other OADs and comorbidities. The study included responses from 500 healthcare professionals (HCPs) across India. Statistical analysis was performed using SPSS® Version 23.0software. Independent t-test was used to compare the change in fasting plasma glucose (FPG),postprandial plasma glucose (PPG), and glycated hemoglobin (HbA1c) between two groups andFisher’s exact and Chi-square tests were used to compare categorical variables. P-value &lt;0.05 wasconsidered statistically significant. Results: The study analysis included responses from 500 HCPs.It showed that 6,250 patients received glimepiride/metformin FDC. The HbA1c was found to be8.81% before treatment, which decreased to 7.75% after treatment. Among the 6,250 patients, 1,704patients also recieved other OADs, where some patients recieved more thn one OADs. DPP4i wasprescribed the most (1,064 patients followed by sodium-glucose cotransporter 2 inhibitors (SGLT2i)(573 patients), pioglitazone (229 patients), alpha-glucosidase inhibitor (AGI) (207 patients), insulin(178 patients), and lastly glucagon-like peptide 1 receptor agonist (GLP1RA) being prescribed in35 patients along with the combination. Hypoglycemia was observed in very few patients (4.49%).Hypertension was the most prevalent (60.5%) comorbidity in the studied patient population.Conclusion: Use of glimepiride and metformin FDC along with other OADs offer optimizedglycemic control, promote weight loss, and help to reduce complications in patients with T2DM

Laparoscopy in management of appendicitis in high-, middle-, and low-income countries: a multicenter, prospective, cohort study.

BACKGROUND: Appendicitis is the most common abdominal surgical emergency worldwide. Differences between high- and low-income settings in the availability of laparoscopic appendectomy, alternative management choices, and outcomes are poorly described. The aim was to identify variation in surgical management and outcomes of appendicitis within low-, middle-, and high-Human Development Index (HDI) countries worldwide. METHODS: This is a multicenter, international prospective cohort study. Consecutive sampling of patients undergoing emergency appendectomy over 6 months was conducted. Follow-up lasted 30 days. RESULTS: 4546 patients from 52 countries underwent appendectomy (2499 high-, 1540 middle-, and 507 low-HDI groups). Surgical site infection (SSI) rates were higher in low-HDI (OR 2.57, 95% CI 1.33-4.99, p = 0.005) but not middle-HDI countries (OR 1.38, 95% CI 0.76-2.52, p = 0.291), compared with high-HDI countries after adjustment. A laparoscopic approach was common in high-HDI countries (1693/2499, 67.7%), but infrequent in low-HDI (41/507, 8.1%) and middle-HDI (132/1540, 8.6%) groups. After accounting for case-mix, laparoscopy was still associated with fewer overall complications (OR 0.55, 95% CI 0.42-0.71, p < 0.001) and SSIs (OR 0.22, 95% CI 0.14-0.33, p < 0.001). In propensity-score matched groups within low-/middle-HDI countries, laparoscopy was still associated with fewer overall complications (OR 0.23 95% CI 0.11-0.44) and SSI (OR 0.21 95% CI 0.09-0.45). CONCLUSION: A laparoscopic approach is associated with better outcomes and availability appears to differ by country HDI. Despite the profound clinical, operational, and financial barriers to its widespread introduction, laparoscopy could significantly improve outcomes for patients in low-resource environments. TRIAL REGISTRATION: NCT02179112

Neurocysticercosis, a Persisting Health Problem in Mexico

Human neurocysticercosis is a severe parasitic disease caused by the installation of Taenia solium larvae in the central nervous system. Neurocysticercosis is still deeply rooted in Latin-America, Africa and Asia, where it develops its complete life cycle promoted by poor sanitary conditions. It is also emerging in developed countries due to human migration. Although hard data on the evolution of the disease incidence in endemic countries are lacking, its presence is being obscured by the growth of degenerative and metabolic diseases, creating the illusion of having disappeared

Protein kinase A regulatory subunit distribution in medulloblastoma

<p>Abstract</p> <p>Background</p> <p>Previous studies showed a differential distribution of the four regulatory subunits of cAMP-dependent protein kinases inside the brain, that changed in rodent gliomas: therefore, the distribution of these proteins inside the brain can give information on the functional state of the cells. Our goal was to examine human brain tumors to provide evidence for a differential distribution of protein kinase A in different tumors.</p> <p>Methods</p> <p>The distribution of detergent insoluble regulatory (R1 and R2) and catalytic subunits of cAMP dependent kinases was examined in pediatric brain tumors by immunohistochemistry and fluorescent cAMP analogues binding.</p> <p>Results</p> <p>R2 is organized in large single dots in medulloblastomas, while it has a different appearance in other tumors. Fluorescent cAMP labelling was observed only in medulloblastoma.</p> <p>Conclusions</p> <p>A different distribution of cAMP dependent protein kinases has been observed in medulloblastoma.</p

Prevalence of dementia and Alzheimer's disease in elders of nursing homes and a senior center of Durango City, Mexico

BACKGROUND: Epidemiological reports about dementia and Alzheimer's disease (AD) in elderly people from developing countries are scarce. Therefore, we sought to determine the prevalences of dementia and AD in a population of nursing home residents and senior center attendees of Durango City, Mexico, and to determine whether any socio-demographic characteristics from the subjects associated with dementia or AD exist. METHODS: One hundred and fifty-five residents of two nursing homes and 125 attendees of a senior center were examined for dementia and Alzheimer's disease. All subjects were tested by the mini-mental state examination, and those who scored twenty-four or less underwent psychiatric and neurological evaluations. Diagnosis of dementia, AD and vascular dementia (VaD) was based on the DSM-IV criteria. Socio-demographic characteristics from each participant were also obtained. RESULTS: Residents of nursing homes found to suffer from dementia were 25 out of 155 (16.1%). Eighteen of them (11.6%) had AD, and seven (4.5%) had VaD. None of the attendees of the senior center suffered from dementia. Dementia (pooled AD and VaD cases) correlated with white ethnicity (OR = 3.2; 95%CI = 1.28–8.31), and a history of unemployment (OR = 6.46; 95%CI = 1.42–25.97), while AD correlated with journeymen occupations (OR = 4.55; 95%CI = 1.00–19.29). CONCLUSION: Prevalence of dementia in residents of nursing homes found in this study is much lower than reported from more industrialized countries. AD was more frequent than VaD. Ethnicity and occupation showed effects on the prevalence figures. The prevalence of dementia found has implications for the optimum kind of health care that nursing homes should provide to their residents