Impact of LaZnFe2O4 supported NiWO4@D400-MMT@CMS/MMA nanocomposites as a catalytic system in remediation of dyes from wastewater.

Herein, a novel nanocomposite based on lanthanum zinc ferrite and nickel tungstate was created by incorporation between (MMT-jeffamine-400) nanoparticles (NPs), chloromethyl styrene as a binder and polymethyl methacrylate monomer using solution polymerization. The as-designed nanocomposites were employed to confiscate xylenol orange "X.O" as an acidic dye and rhodamine B "RhB" as "an amphoteric dye" from colored wastewater. The impact of several parameters such as solution pH, initial dye concentration, the effect of time, and the effect of temperature was explored. The consequences indicated that the pure organoclay had negligible adsorption while that composed of organoclay with PMMA@CMS-polymer incorporated with LaZnFe2O4@NiWO4 particles detached more than 90% for xylenol orange (XO) and 93% for "rhodamine B" molecules. Electrostatic interactions are the predominant factor in the adsorption of cationic and amphoteric adsorbates, as proven by zeta-potential measurement. Additionally, the adsorbent may be regenerate and utilized up to five times with good adsorption capabilities by adding sodium hydroxide. As a result, the removal can be effectively accomplished using the nanocomposite as an adsorbent. The actual and theoretical adsorption capacity values for both dyes at all doses were closely matched, which supported the adsorption kinetics data that fit the pseudo-first order rate model well. The adsorption data's correlation values (0.995 for XO and 0.98 for RhB) indicated that both dyes' Langmuir adsorption would perform well. Furthermore, the adsorption of XO and RhB dyes on the adsorbent is confirmed to be a viable reaction by the negative values of ΔGo. The enhanced adsorbent material for the removal of amphoteric and anionic dyes from waste water is the synthesized LaZnFe2O4 supported NiWO4@D400-MMT@CMS/MMA nanocomposites, which exhibits a reusability affinity of up to five cycles.

Engagement of private health sector in communicable disease and immunization programmes in Pakistan

Background:In Pakistan, where the burden of communicable diseases remains high, the private sector accounts for 62% of health care provision.Aim:To describe the role of the private sector in communicable disease management in Pakistan and inform a more effective engagement towards achieving Universal Health Coverage.Methods:We searched the literature and available documents on policies, regulations and experiences in private health sector engagement in Pakistan. We interviewed policy level experts regarding the formulation of national health policies and plans and a sample of private providers using a structured questionnaire to assess their awareness of and engagement in communicable disease programmes.Results:Published reports described initiatives to engage the private sector in improving coverage for a package of care and programme-specific initiatives. Pakistan did not have a national policy for structural engagement, and regulations were limited. Policy level experts interviewed perceived the private sector as market-driven and poorly regulated. Thirty-nine percent of private sector providers interviewed were aware or had been trained in procedures or guidelines, and 23% of them had had their performance monitored by government.Conclusion:We recommend that the Ministry of Health provide overall vision for the operations of the public and private health sectors so that both sectors can complement each other towards the achievement of Universal Health Coverage, including for communicable diseases.

Translating political commitments into actions to enhance Universal Health Coverage in the Eastern Mediterranean Region

Background:Many countries in the Eastern Mediterranean Region (EMR) have developed packages of services for achieving Universal Health Coverage (UHC), however, policymakers, especially in resource-constrained countries, still face challenges in delivering equitable, efficient and sustainable health services.Aims:To provide guidance for EMR countries and develop packages of services for UHC.Methods:We used information gathered from narrative reviews, national experiences and expert consultations to develop step-by-step guidance for the development of national packages of services for the achievement of UHC by countries in the EMR.Results:The processes used to develop packages of services varied between EMR countries and these processes may not have involved all relevant stakeholders. We highlight in this paper the iterative processes, including several phases and steps, to be used by EMR countries for developing packages of services for UHC. These processes also make provision for continuous monitoring and revision to make necessary improvements as morbidity patterns evolveConclusion:Developing a package of services for the achievement of UHC is a significant milestone for EMR countries and it is central to shaping the healthcare system for effective delivery of services.

Penetrating thorn in the heart complicated by infective endocarditis.

A 3-year-old child presented with recurrent chest pain for 3 months, echocardiography showed a thorn inside the left ventricle, the patient was diagnosed with foreign body complicated with infective endocarditis and received proper treatment, and operation was performed after inflammatory reaction subsided.

Determination of natural radioactivity material concentrations consumed widely during Corona pandemic in Thi Qar province.

The present study was carried out to assess the potential radiation hazards to the public, especially the persons who consumed onion and garlic plants widely during coronavirus disease in Thi Qar province South of Iraq. Nine samples collected from the market (5 samples onion and 4 sample Garlic), which classified according to their origin. Using 3″x3″ NaI (Tl) gamma ray spectroscopy system, the radioactivity concentrations of the natural radionuclides radium-226, thorium-232 and potassium-40 were determined. The results obtained showed that the average concentration of radioactivity of radium-226, thorium-232 and potassium-40 is 3.398 Bqkg-1, 4.667 Bqkg-1 and 216.738 Bqkg-1, respectively, for onion and 2.808 Bqkg-1, 3.524 Bqkg-1, and 172.064 Bqkg-1 for garlic. The results also showed that the average annual total effective dose of the three nuclides is 122.955 µ S v . y - 1 for onion and 97.231 µ S v . y - 1 for garlic. Other relevant risk parameters were also calculated, such as equivalent activity concentrations, absorbed dose, excess lifetime cancer risks, and other health risk parameters. One of the most important conclusions reached by this study is that the natural radioactive elements in onions and garlic do not pose a great danger to their consumers, especially those infected with the COVID-19. Because the concentrations of these radioactive elements do not exceed the permissible limits recommended by recognized scientific organizations and agencies such as International Commission on Radiological Protection (ICRP), United Nations Scientific Committee on the Effects of Atomic Radiation (UNSCEAR), and World Health Organization (WHO).

Choroidal Thickness and microRNA146 in Lupus Nephritis Patients.

PURPOSE: To evaluate the choroidal thickness (CT) in the macular area in patients with lupus nephritis and to compare the results with both non-nephritic patients and normal control. To assess the relation of CT to serum microRNA146, disease duration, activity index, and medications. PATIENTS AND METHODS: Thirty-five SLE patients and thirty normal healthy controls were enrolled for this cross-sectional prospective study. All participants have undergone optical coherence tomography using RTVue OCT (Optovue Inc., Fremont, CA, USA). The scan used was the macular cross 6-mm line. We measured CT from the posterior edge of the retinal pigment epithelium (RPE) to the choroid-sclera junction at subfovea, and 750 µm both temporal and nasal to the fovea. RESULTS: The mean central subfoveal CT in patients was 275.7 ± 41.0 µm (214-374 µm), and the mean central subfoveal CT in the control group was 364.5± 23.0 µm (323-411µm). There was a significant thinning at all three points in patients compared to the control group (p<0.001, Mann-Whitney U-test). In the patients group, subfoveal choroid in non-nephritic subgroup showed significant thinning compared to nephritic subgroup (p=0.032, Mann-Whitney U-test). Drusen-like deposits (DLDs) were detected in 22.9% (8/35) of patients and none in control (p=.023). MiRNA146 showed a significant positive correlation with nephritic lupus patients (r=0.036, P=0.04). CONCLUSION: The choroidal thickness was significantly thicker among the nephritic lupus patients as compared to the non-nephritic subgroup. Both SLE patients' subgroups are thinner than normal control. Subfoveal choroidal thickening can be considered a biomarker in nephritic lupus especially in conjunction with an increase in miRNA146a. All SLE patients are at risk of small Drusen-like deposits.

Impact of Titanium in Controlling Silver Particle Size on Enhancement of Catalytic Performance of AgMoO3/Ti-HMS for Direct Epoxidation of Propylene.

In this work, direct gas-phase epoxidation of propylene (DPO) to propylene oxide by molecular oxygen has been studied by using Ag-MoO3 supported on titanium-containing hexagonal mesoporous silica (Ti-HMS n ) of different Si/Ti molar ratios. The promotion effect of NaCl on the synthesized catalysts has also been investigated. Among the studied supports, the hexagonal mesoporous silica (HMS) with a Si/Ti ratio of 10 was the most suitable one for production of propylene oxide (PO). The optimal performance of the AgMo/Ti-HMS10 catalyst in DPO exhibited a selectivity to PO of 43.2% with a propylene conversion of 14.1%, at 400 °C, 0.1 MPa, and a space velocity of 12,000 h-1. The catalyst verified good stability over at least 20 h on stream. Only 2.7% PO selectivity with a propylene conversion of 10.1% was achieved over the AgMo/HMS sample. The incorporation of Ti into the HMS frame could optimize the particle size distribution of Ag, producing Ag nanoparticles with an average size of 6.8 nm compared with that of Ag/HMS (24.3 nm). The in situ Raman spectrum of AgMo/Ti-HMS10 heated in a stream of C3H6/He at 400 °C showed new bands at 616, 390, and 210 cm-1, characteristic of the Ag x Mo y O z intermediate phase. The obtained results suggested that this formed AgMo/Ti-HMS10 phase could most likely be relevant for selective epoxidation of propylene. However, during the reaction of C3H6 with AgMo/HMS, the formation of this intermediate was hardly detected. On the other hand, the hydrogen temperature-programmed reduction measurements indicated improved reducibility of MoO3 in the AgMo/Ti-HMS10 catalyst, which acknowledged the role of Mo6+ in gaining electrons from silver to form positively charged Ag. This could reduce the effective charge of the adsorbed oxygen on silver sites and in turn favor the epoxidation path of propylene rather than the combustion route. Also, during the reaction of C3H6 with NaAgMo/Ti-HMS10 at 400 °C, two new Raman bands were detected at 277 and 350 cm-1, characteristic of Ag2MoO4.

The Efficacy and Safety of High-Frequency Deep Sclerotomy in Treatment of Chronic Open-Angle Glaucoma Patients.

PURPOSE: Highlights the high-frequency deep sclerotomy as a competing ab interno surgery in open-angle glaucoma patients and evaluates the efficacy of high-frequency deep sclerotomy in lowering IOP of chronic open-angle glaucoma patients, in addition to the evaluation of the safety of the procedure on the corneal endothelium. DESIGN: A prospective study. It was performed in the Research Institute of Ophthalmology, Cairo. PARTICIPANTS: 43 eyes were enrolled for the study. All eyes were diagnosed with chronic open-angle glaucoma. METHODS: The procedure was performed using the abee® glaucoma tip of Oertli phacoemulsification machine (OS3, Switzerland) and goniolens performing nasal six pockets penetrating 1 mm deep into the trabecular meshwork and Schlemm's canal. Patients were followed up regarding vision and intraocular pressure (IOP) for 9 months. Endothelial cell count and coefficient of variation were calculated using specular microscopy preoperatively and 9 months postoperatively. RESULTS: The mean preoperative IOP was 31.4 ± 4.71 mmHg (range: 22 to 42 mmHg). All patients were followed up for nine months. The mean IOP was 19.06 ± 1.907 mmHg (range: 15 to 26 mmHg) by the end of the study. The reduction across the follow-ups was statistically significant (P < 0.0001). The percentage of total success was 90.7% (39 eyes). Four eyes (9.3%) had IOP > 21 (failed) after surgery and continued on antiglaucoma therapy. CONCLUSION: High-frequency deep sclerotomy is a safe and promising minimally invasive procedure which successfully achieves a lower IOP for chronic open-angle glaucoma patients, but not adequate for advanced glaucoma patients. This trial is registered with PACTR201910823824561.

Brain Cortical and Hippocampal Dopamine: A New Mechanistic Approach for Eurycoma longifolia Well-Known Aphrodisiac Activity and Its Chemical Characterization.

Eurycoma longifolia Jack (Fam.: Simaroubaceae), known as Tongkat Ali (TA), has been known as a symbol of virility and sexual power for men. Metabolic profiling of the aqueous extract of E. longifolia (AEEL) using UPLC-MS/MS in both positive and negative modes allowed the identification of seventeen metabolites. The identified compounds were classified into four groups: quassinoids, alkaloids, triterpenes, and biphenylneolignans. AEEL is considered safe with oral LD50 cut-off >5000 mg/kg. Oral administration of 50, 100, 200, 400, or 800 mg/kg of AEEL for 10 consecutive days to Sprague-Dawley male rats caused significant reductions in mounting, intromission, and ejaculation latencies and increased penile erection index. AEEL increased total body weight and relative weights of seminal vesicles and prostate. Total and free serum testosterone and brain cortical and hippocampal dopamine content was significantly elevated in treated groups with no significant effects on serotonin or noradrenaline content.

Modulatory effect of Prosopis juliflora leaves on hepatic fibrogenic and fibrolytic alterations induced in rats by thioacetamide.

This study investigated the antifibrotic effect of Prosopis juliflora leaves crude methanolic extract (PJEL) against thioacetamide (TAA)-induced liver fibrosis. The phytochemical analysis of PJEL was performed via HPLC/MS in association with evaluating its free radical scavenging and cytotoxic activities. The antifibrotic activity of PJEL was assessed by dividing Wistar rats into 8 groups: normal control, PJEL1-administered rats (2 mg/ Kg b.w.), PJEL2-administered rats (4 mg/ Kg b.w.), PJEL3-administered rats (8 mg/Kg b.w.), TAA-induced hepatic fibrosis, TTA + PJEL1, TAA + PJEL2, and TAA + PJEL3. Results indicated that PJEL crude methanolic extract is rich in polyphenolic compounds and alkaloids. PJEL exerted free radical scavenging activity with IC50 of 123.5 µg/mL and cytotoxic activity against a well-differentiated hepatocellular cell line (IC50 = 11.1 µg/mL). PJEL at a dose of 4 mg/Kg b.w. ameliorated serum ALT activity and improved serum albumin level and hepatic hydroxyproline content in association with a reduction in the fibrosis stage. PJEL elevated hepatic tumor necrosis factor-α and interleukin-6 contents with less necrosis grade. PJEL post-therapy ameliorated the relative expression of Bcl-2, Col1A1, Mmp-9, and Mmp-2 genes in liver. CONCLUSION: PJEL possesses a good therapeutic activity against TAA-induced liver fibrosis via enhancing extracellular matrix removal and stimulating hepatic regeneration to decrease hepatic necrosis.

Quality appraisal of ultra-filtered soft buffalo cheese using basil essential oil.

BACKGROUND: Preparing and producing a healthy new dairy product that attracts consumers is an important issue. Assessing the effects of supplementation of milk with an essential oil to improve the quality of ultra- filtered soft buffalo cheese was the main target of this research. METHODS: UF soft buffalo cheese was traditionally prepared to achieve four treatments: control samples (C) had no additives and (T1, T2 and T3) were supplemented with extracted basil essential oil (E-BO) at concentrations of 0.025, 0.050 and 0.075% v/v respectively. The microbiological, chemical and sensory properties of the resultant samples were determined at intervals (fresh, 15, 30 and 60 days). RESULTS: Results revealed that a high ratio of E-BO (0.075%) promoted the growth of starter culture followed by 0.050% and 0.025%. At the same time E-BO inhibited mold and yeast growth in all soft UF cheese sam- ples. The pH values decreased during the storage period as a result of starter activity. Adding E-BO improved the sensory properties of UF soft buffalo cheese samples compared with control. CONCLUSIONS: Fortification of UF soft buffalo cheese with extracted basil essential oil enhanced the growth of starter culture and inhibited mold and yeast growth. It also improved the sensory properties of the final product.

Antihypertensive Effects of Roselle-Olive Combination in L-NAME-Induced Hypertensive Rats.

This study aimed to evaluate the antihypertensive efficacy of a new combination therapy of Hibiscus sabdariffa and Olea europaea extracts (2 : 1; Roselle-Olive), using N(G)-nitro-L-arginine-methyl ester- (L-NAME-) induced hypertensive model. Rats received L-NAME (50 mg/kg/day, orally) for 4 weeks. Concurrent treatment with Roselle-Olive (500, 250, and 125 mg/kg/day for 4 weeks) resulted in a dose-dependent decrease in both systolic and diastolic blood pressure, reversed the L-NAME-induced suppression in serum nitric oxide (NO), and improved liver and kidney markers, lipid profile, and oxidative status. Furthermore, Roselle-Olive significantly lowered the elevated angiotensin-converting enzyme activity (ACE) and showed a marked genoprotective effect against oxidative DNA damage in hypertensive rats. Roselle-Olive ameliorated kidney and heart lesions and reduced aortic media thickness. Real-time PCR and immunohistochemistry showed an enhanced endothelial nitric oxide synthase (eNOS) gene and protein expression in both heart and kidney of Roselle-Olive-treated rats. To conclude, our data revealed that Roselle-Olive is an effective combination in which H. sabdariffa and O. europaea synergistically act to control hypertension. These effects are likely to be mediated by antioxidant and genoprotective actions, ACE inhibition, and eNOS upregulation by Roselle-Olive constituents. These findings provide evidences that Roselle-Olive combination affords efficient antihypertensive effect with a broad end-organ protective influence.

Pelvic hematoma resulting in obstructive uropathy.

The use of anticoagulants, for whatever indication, may carry a high risk of hematoma formation following surgery. Obstructive uropathy is a very rare but possible example of complication secondary to an extensive pelvic hematoma. We describe a case of a patient with rheumatic heart disease and aortic valve replacement, who developed a massive postoperative pelvic hematoma following bilateral tubal ligation, resulting in bilateral ureteric obstructions. This was treated with bilateral ureteric stent through cystoscopy.