Role of gum Arabic combined with cinnamic acid coating on quality and cell wall degradation enzymes of mango fruits at low temperature.

Mango exhibits a short shelf life when kept under ambient conditions. Therefore, this study was carried out to assess the synergistic effect of gum Arabic (GA) and cinnamic acid (CA) coatings on mango fruits stored for 28 days at 12 ± 1 °C. The treatments included GA 10 and 20 % sole and its formulation with CA 0.2 % while the uncoated fruits were used as control. The results revealed that GA + CA coatings exhibited reduced weight loss, flesh firmness, delayed respiratory peak, retained soluble solids content (SSC), titratable acidity (TA) and skin colour, retarded spoilage, and decreased electrolyte leakage of fruit as compared to uncoated fruit during storage. Among all, the coating GA 20 % + CA 0.2 % maintained higher firmness (16.6 N), SSC (20.1 %), TA (0.71 %), total flavonoid content (152 mg/kg) and total carotenoids content (45.1 mg/kg) and retained the higher sensory quality of mango fruit at the end of storage. Additionally, the GA 20 % + CA 0.2 % coating suppressed activities of polygalacturonase (PG), cellulase (CL) and pectin methyl esterase (PME) in stored mango fruits.

The Diagnostic Yield, Safety, and Impact of Flexible Bronchoscopy in Non-HIV Immunocompromised Critically Ill Patients in the Intensive Care Unit.

BACKGROUND: Flexible bronchoscopy (FB) and bronchoalveolar lavage (BAL) have major roles in the evaluation of parenchymal lung diseases in immunocompromised patients. Given the limited evidence, lack of standardized practice, and variable perception of procedural safety, uncertainty still exists on what constitutes the best approach in critically ill patients with immunocompromised state who present with pulmonary infiltrates in the era of prophylactic antimicrobials and the presence of new diagnostic tests. OBJECTIVE: To evaluate the diagnostic yield, safety and impact of FB and BAL on management decisions in immunocompromised critically ill patients admitted to the intensive care unit (ICU). METHODS: A prospective, observational study of 106 non-HIV immunocompromised patients admitted to the intensive care unit with pulmonary infiltrates who underwent FB with BAL. RESULTS: FB and BAL established the diagnosis in 38 (33%) of cases, and had a positive impact on management in 44 (38.3%) of cases. Escalation of ventilator support was not required in 94 (81.7%) of cases, while 18 (15.7%) required invasive and 3 (2.6%) required non-invasive positive pressure ventilation after the procedure. Three patients (2.6%) died within 24 h of bronchoscopy, and 46 patients (40%) died in ICU. Significant hypoxemia developed in 5% of cases. CONCLUSION: FB can be safely performed in immunocompromised critically ill patients in the ICU. The yield can be improved when FB is done prior to initiation of empiric antimicrobials, within 24 h of admission to the ICU, and in patients with focal disease.

Improved Bowel Preparation with Multimedia Education in a Predominantly African-American Population: A Randomized Study.

Background and Aim. Inadequate bowel preparation is a major impediment in colonoscopy quality outcomes. Aim of this study was to evaluate the role of multimedia education (MME) in improving bowel preparation quality and adenoma detection rate. Methods. This was an IRB-approved prospective randomized study that enrolled 111 adult patients undergoing outpatient screening or surveillance colonoscopy. After receiving standard colonoscopy instructions, the patients were randomized into MME group (n = 48) and control group (n = 46). The MME group received comprehensive multimedia education including an audio-visual program, a visual aid, and a brochure. Demographics, quality of bowel preparation, and colonoscopy findings were recorded. Results. MME group had a significantly better bowel preparation in the entire colon (OR 2.65, 95% CI 1.16-6.09) and on the right side of the colon (OR 2.74, 95% CI 1.12-6.71) as compared to control group (p < 0.05). Large polyps (>1 cm) were found more frequently in the MME group (11/31, 35.5% versus 0/13; p < 0.05). More polyps and adenomas were detected in MME group (57 versus 39 and 31 versus 13, resp.) but the difference failed to reach statistical significance. Conclusion. MME can lead to significant improvement in the quality of bowel preparation and large adenoma detection in a predominantly African-American population.

Important clinician information needs about family members in the intensive care unit.

PURPOSE: Clinicians often lack key information regarding intensive care unit (ICU) families. Our objective was to identify (1) important information for clinicians to know about ICU families when making decisions and (2) important information for families to know about patients from clinicians. MATERIALS AND METHODS: We identified important information items through a literature review and semistructured interviews. A separate cohort of family members, nurses, and physicians from 2 ICUs in a single institution were asked to prioritize the identified information as necessary for decision making. RESULTS: We identified 21 items important for clinicians to know about families and 32 items important for families to know about patients from clinicians. Themes important for clinicians to know about family members included family background, questions, understanding, goals, concerns, well-being, and requests for additional help. Themes important for families to know about the patient included diagnosis, treatments, prognosis, clinical status, schedule, comfort, goals of care, medical team, and family participation. CONCLUSIONS: Through qualitative and quantitative analysis, we identified important information for ICU clinicians to know about family members and for family members to know about patients. The identified information can be used to guide strategies and tools to improve assessment of and communication with families.

Kinetic and equilibrium studies on the removal of Cd2+ ions from water using polyacrylamide grafted rice (Oryza sativa) husk and (Tectona grandis) saw dust.

The increase in the use of heavy metals has resulted in an increased flux of metallic substances into the aquatic environment which poses a danger to human health. The present work relates to the removal of cadmium ions by treatment with polyacrylamide grafted rice (Oryza sativa) husk/saguan (Tectona grandis) saw dust. The drinking water guideline value recommended by WHO for cadmium is 0.005 ppm.The adsorbent has been prepared by treatment of rice husk/saw dust with acrylamide. Removal has been studied at various pH values for different times of contact and adsorbate concentrations and is found to be pH-dependent, maximum removal occurs at pH 9 and at a contact time of 180 min for both the adsorbents. The results were found to be consistent with both the Langmuir and Freundlich isotherm models. The value of n (rate constant) determined at pH 9 has been found to be 1 (within experimental limits). This is further substantiated by applying the Lagergren model. The intra-particle diffusion constants were determined by the Morris-Weber model. Continuous flow column studies have also been undertaken and the breakthrough characteristics were determined. Desorption has been affected with 0.5M HCl. The results suggest that both polyacrylamide grafted rice husk/saw dust can be used as efficient and cost effective adsorbents for cadmium ion removal.