Application Of Vinegar Research Articles

A New Alternative Nutritional Source Hawthorn Vinegar: How It Interacts with Protein, Glucose and GLP-1.

(1) Background: There is a balance between nutrition, glycemic control, and immune response. Their roles in physiological mechanisms are essential for maintaining life quality. This study aimed to evaluate hawthorn vinegar's metabolic effects, and describe its possible mechanism. We also pointed out several vinegar production methods to clarify the antioxidant features. (2) Methods: In the study, three vinegar techniques were applied to vinegar: traditional production of hawthorn vinegar (N), thermal pasteurization (P), and ultrasound method (U). Thirty-two female adult Wistar albino rats were randomly separated into four groups: Control, N1 (regular vinegar; 1 mL/kg bw), P1 (pasteurized vinegar; 1 mL/kg bw), and U1(ultrasound treated vinegar; 1 mL/kg bw). Vinegar was administered by oral gavage daily for 45 days. Initial and final weights, the percentage changes of body weight gains, and Gamma-Glutamyl Transferase (GGT) values of plasma and liver were measured. The total protein, globulin, and albumin values of plasma, liver, and intestinal tissue were determined. In addition, plasma glucagon-like peptide-1 (GLP-1) and glucose concentrations were evaluated. (3) Results: There was a statistical increase in total intestinal protein value and an increasing tendency in total protein in plasma and liver in group U1 compared to group Control. However, the GGT concentrations in plasma and liver were slightly lower in group U1 than in group Control. In addition, there were significant increases in plasma GLP-1 values in all experimental groups compared to the Control group (p: 0.015; 576.80 ± 56.06, 773.10 ± 28.92, 700.70 ± 17.05 and 735.00 ± 40.70; respectively groups control, N1, P1, and U1). Also, liver GLP-1 concentrations in groups P1 and U1 were higher than in group Control (p: 0.005; 968.00 ± 25.54, 1176 ± 17.54 and 1174.00 ± 44.06, respectively groups control, P1 and U1). On the other hand, significant decreases were found in plasma glucose concentrations in groups N1 and U1 as to the Control group (p: 0.02; Control: 189.90 ± 15.22, N1: 133.10 ± 7.32 and U1: 142.30 ± 4.14). Besides, liver glucose levels were lower in all experimental groups than in group Control statistically (p: 0.010; 53.47 ± 0.97, 37.99 ± 1.46, 44.52 ± 4.05 and 44.57 ± 2.39, respectively groups control, N1, P1, and U1). (4) Conclusions: The findings suggest that hawthorn vinegar can balance normal physiological conditions via intestinal health, protein profiles, and glycemic control. Additionally, ultrasound application of vinegar may improve the ability of hawthorn vinegar, and have positive effects on general health.

Protective mechanism of fruit vinegar polyphenols against AGEs-induced Caco-2 cell damage.

Accumulation of advanced glycation end products (AGEs) is linked with development or aggravation of many degenerative processes or disorders. Fruit vinegars are rich in polyphenols that can be a good dietary source of AGEs inhibitors. In this study, eight kinds of vinegars were prepared. Among them, the highest polyphenol and flavonoid content were orange vinegar and kiwi fruit vinegar, respectively. Ferulic acid, vanillic acid, chlorogenic acid, p-coumaric acid, caffeic acid, catechin, and epicatechin were main polyphenols in eight fruit vinegars. Then, we measured the inhibitory effect of eight fruit vinegars on fluorescent AGEs, and found that orange vinegar had the highest inhibitory rate. Data here suggested that orange vinegar and its main components catechin, epicatechin, and p-coumaric acid could effectively reduce the level of ROS, RAGE, NADPH and inflammatory factors in Caco-2 cells. Our research provided theoretical basis for the application of orange vinegar as AGEs inhibitor.

Effects of Spray Application of Lactic Acid Solution and Aromatic Vinegar on the Microbial Loads of Wild Boar Carcasses Obtained under Optimal Harvest Conditions

Solutions of lactic acid 2% and aromatic vinegar were investigated for microbial load reduction on the surfaces of wild boar carcasses. The animals were hunted and processed according to production specifications to obtain the best hygiene for carcasses. The solutions were sprayed on carcass surfaces after skinning, and sites of 5 × 5 cm were sampled 2 h and 48 h post-treatment, with the carcasses under refrigeration conditions. The values of the microbial loads were lower for lactic-acid-treated sites, compared with control, after both 2 and 48 h. Nonetheless, the differences in the microbial loads were only higher than 1 Log/CFU 25 cm2 for the aerobic colony count. The aromatic vinegar resulted in lower values than in controls only after 48 h for the aerobic colony count, Staphylococcus count, and Lactobacillus count, with values always below 1 Log/CFU 25 cm2. The implementation of a lactic acid solution could represent a valuable strategy to reduce microbial growth on wild boar carcasses, thus becoming a relevant critical control point in this peculiar and niche meat production process.

The Potential of Bamboo Vinegar from PT. Bukit Asam Tbk-Pelabuhan Tarahan to Reduce Leaf Eating - Caterpillars of Caisim (Brassica Juncea L)

The liquid smoke that potentially controls the attacks of leaf-eating caterpillars on caisim is bamboo liquid smoke. PT. Bukit Asam Tbk-Pelabuhan Tarahan, through their CSR program, produces liquid smoke from bamboo plant waste known as bamboo vinegar with the dominant compound component are 31.28% acetic acid; phenol 2-methoxy-guaiacol (12.95%); carbamic acid (11.23%); 2-heptanamine (6.75%) and phenol 4-methoxy-p-cresol (5.56%). This study aims to determine the effect of the application method and concentration of bamboo vinegar on the attack of leaf-eating caterpillars and plant yields of caisim (Brassica juncea L.). This study is a 2 x 4 factorial experiment using a randomized block design with three replications. The first factor is the method of application; pour and spray. The second factor was the concentration of bamboo vinegar; 0 (control); 5 ml/1; 10 ml/1 and 15 ml/1. Data analysis used the F test and LSD test at 5%. The results showed that applying bamboo vinegar by pouring it cannot reduce the level and intensity of attacks by leaf-eating caterpillars on caisim. While the application of bamboo vinegar by spraying can reduce the level and attack intensity of leaf-eating caterpillars on caisim. Bamboo vinegar which is sprayed in concentrations of 5, 10 and 15 ml/1, can reduce the attack rate of a leaf-eating caterpillars by 31.65%, 31.65% and 37.62%, respectively and reduce the intensity of leaf damage symptoms by 43.60%, 52.56% and 55.13% respectively. The application of bamboo vinegar with the concentration of 15 ml/1 either by pouring or spraying resulted in the highest wet weight and dry weight of the caisim crown, 114.67 g and 119.67 g, respectively. In comparison, the application of bamboo vinegar either by pouring or spraying with different concentrations did not affect the roots’ wet weight and the caisim roots’ dry weight.

NUTRIENT REMOVAL PATTERN OF WEEDS DUE TO TRADITIONAL WEED MANAGEMENT PRACTICES IN MAIZE

Weeds compete with crops for nutrients and nutrient removal by weeds is a serious problem in a widely spaced crop like maize. Traditional weed management methods offer a wide scope for reducing the nutrient removal by weeds by effective management methods. The field experiment was conducted to study the influence of traditional weed management methods on nutrient removal by weeds in maize at Tamil Nadu Agricultural University, Coimbatore during Kharif 2017. Common salt (30%), vinegar (20%), and a traditional formulation containing cow urine, lemon fruit, dried fruits of Indian walnut (Terminalia chebula) in two concentrations @7.5 and 10 l ha-1 were used as a post-emergence spray with or without hand weeding on 45 DAS. Hand weeding at 20 and 45 DAS and weedy checks were also maintained for comparison. At 30 DAS, lower nitrogen, phosphorus, and potassium removal by weeds (0.68, 0.08, and 0.45 kg ha-1 ) were observed in hand weeding twice on 20 and 45 DAS. Hand weeding twice on 20 and 45 DAS registered significantly lower nitrogen (0.2 and 1.40 kg ha-1), phosphorus (0.02 and 0.19 kg ha-1) and potassium (0.21 and 1.48 kg ha-1 ) removal which was merely comparable with postemergence application of vinegar 20% + hand weeding on 45 DAS (0.71 and 1.83 kg ha-1; 0.07 and 0.25 kg ha-1; 0.73 and 1.94 kg ha-1) at 60 DAS and harvest. All the traditional weed management methods resulted in lower nutrient removal by weeds compared to the weedy check.

Historical evolution and research advance in processing adjuvant--vinegar

Processing of Chinese medicinals with vinegar is one of the characteristic processing techniques. Vinegar is vital for the quality of vinegar-processed decoction pieces. However, there have been no specified standards for adjuvants. Through consulting relevant literature and monographs, we comprehensively reviewed the historical evolution of processing with vinegar in records, selection and application of vinegar, and summarized the relevant standards and current status of vinegar as an adjuvant in China. According to the records in literature, vinegar is effective in activating blood, moving qi, dispersing blood stasis, removing toxin, promoting appetite, and nourishing the liver. Traditionally, rice vinegar is chosen in processing. Nowadays, the vinegar made from rice under solid-state fermentation should be chosen. At present, only food standards can be taken for reference for vinegar in the processing. Integrative and specific inspection indicators are lacking, so the standards for adjuvants need to be improved urgently. In addition, the inadequacy in quality control and management is also a major problem to be solved. Through literature research, we reviewed the historical evolution and research advance in vinegar to provide a reference for the standardization and further research of vinegar used in the Chinese medicinal processing.

Influence of high-dose continuous applications of pyroligneous acids on soil health assessed based on pH, moisture content and three hydrolases.

Pyroligneous acids can be used in herbicides, but the dosage used often more than 1000kgha-1. Five treatments including the application of bamboo, wood, straw vinegar, acetic acid and sulphuric acid at high dosages sprayed once every 6days, for a total of 3 times. We then continuously monitored the changes in soil pH, moisture content and the activities of three soil hydrolase enzymes involving in urease, protease and sucrase. We found that after 1~3days of spraying with all 5 kinds of acid, the soil pH was not immediately reduced, but from 3days after application onward it was reduced by a maximum of 1.54~1.75, which showed that the soil had some buffering capacity. Over time, the pH began to return to the water control pH value, which showed that the soil also had good restorative capacity. After the second and third times of spraying, the pH change measured showed no cumulative effect, which demonstrated that the soil had adaptive capacity. We accidentally found that bamboo vinegar could improve the soil pH by a maximum of 0.65~1.02, while the other four acids reduced its pH. Bamboo vinegar was found to contain the 6 compounds while wood and straw vinegar contained none of these compounds. These compounds may be a new potential reagent(s) for improving the pH. Three soil sample processing methods tested for determining pH, including the moist soil test, oven-dry soil test and air-dried soil test, all produced extremely and significantly different pH values. Five acids were unable to significantly improve the water holding capacity of the soil; they had adverse effects on the activity of the urease enzymes while beneficial effects on the protease and sucrase enzymes. Therefore, pyroligneous acid and acetic acid have no effects on soil health as herbicides.

Polymer Composite Film Based on Polyethylene and Organoclay

Clay is an inorganic material with hydrophilic surface which cannot interact well with hydrophobic polymer as a reinforcement filler phase. However, surface modification allows useful applications as fillers in composite fabrication with most hydrophobic polymers. To achieve this, native clay was activated by mineral acids, modified through acetylation using commercial vinegar to convert the hydrophilic clay surface to hydrophobic one, capable of interaction with polyethylene. The formulated composite films were biodegraded after one month of test experiment carried out at different locations. Scanning electron microscopy analysis of composite films evidently showed that surface compatible, dispersible and exfoliated type composites were formed. FT-IR spectroscopy revealed the presence of C=O, -COO-, -CH3 and -C-CH3 due to acetylation. Absorption studies using water, acid/base show that the composite films exhibited good resistance to these solvents. Biodegradation studies showed high microbial activities with samples buried at refuse dump sites. EDX results revealed the presence of kaolinite and montmorillonite as major minerals, whereas radioactive elements were detected in the studied clay. This study demonstrated the useful application of commercial vinegar for the modification of clay for better surface interaction with polyethylene for composite formulation.

THE EFFECT OF TOPICAL APPLICATION OF APPLE VINEGAR ON STRIAE GRAVIDARUM: A RANDOMIZED CLINICAL TRIAL

Objective: Striae happen to 50–90% of pregnant women and never disappears completely. It is, therefore, a major aesthetic concern for most women, which can cause psychological distress and disturbed body image. This study was conducted to examine the effectiveness of the topical use of apple vinegar on striae gravidarum.Methods: This randomized controlled clinical trial study was conducted on 23 women referred to health centers in Gonabad city, selected according to inclusion criteria and systematic random method. The right half of the abdomen in each participant was considered as a trial group and the left half as the control. On the trial side, apple vinegar was massaged onto striae twice daily for 1 month. Data were collected using a demographic questionnaire, checklist of striae aesthetic change, a pair of calipers and a camera and analyzed in SPSS-20 using descriptive statistics, paired t, and Wilcoxon tests at significance level p<0.05.Results: No significant change was observed in mean length and width of striae in either trial or control sides after the intervention (p>0.05). However, on the trial side, the difference between striae length and width before and after the intervention was statistically significant (p<0.001). A significant difference was observed during intervention in the reduction in striae length and width on trial side (p<0.001).Conclusion: Topical application of apple vinegar effectively reduces the size of striae. Further and longer studies with larger sample size are recommended.

Studies on Isolation, Modification, Characterization and Evaluation of Some Physicochemical Parameters of Potato Starch

Objectives: To isolate and modify starch using new and non-commonly used commercially available, cost-effective reagents and study the changes in functionality and physicochemical properties. Methods/Statistical Analysis: An outline and modification of the method: Addition of 100 mL of a 500 mL solution of 3.5 % hypochlorite (household bleach commonly known as hypo) in 2 L of water at interval of 1 min during grinding. Hypo substituted sodium metabisulphite, prevented browning and enhanced rasping and acted as bleach. Mucilage obtained by the modified method was nonsticky to starch cake. FT-IR results confirmed the direct formation of oxidized starch. Findings: Acetyl content (0.01-0.89 %) and DS (0.011-0.2) obtained by the modified method was in agreement with the approved DS by the Food and Drug Administration for food use. Proximate results showed that the isolated starch was rich in mineral content, fibre, fat and energy. Thermoplasticity of high temperature mercerized starch was revealed by SEM images. These properties will influence their use in composites and other applications where strength needs to be improved as documented. Mercerized starches as flocculants in water cleaning as ion changers or retention agents in the paper industry. The C=O absorption bands were observed at 1634, 1650, 1647 and 1646 cm-1 for mercerized starch. Bands observed at 1640, 1641, 1640, 1640 and 1642 cm-1 and 2932, 2926, 2920 and 2929 cm-1 and 1358, 1389, and 1385 cm-1 are assigned CO, C-H of methylene and -CH2 stretching vibrations in ester group due to acetylation. Results of these findings showed the application of hypo and vinegar for isolation and acetylation of starch respectively. Application/Improvements: The feasibility of the modified method for starch isolation and modification using readily available, cost effective and eco-friendly chemicals for obtainment of food and pharmaceutical grade starch. Keywords: Characterization, Modification, Potato, Starch, FT-IR, SEM

To Pee, or Not to Pee: A Review on Envenomation and Treatment in European Jellyfish Species.

There is a growing cause for concern on envenoming European species because of jellyfish blooms, climate change and globalization displacing species. Treatment of envenomation involves the prevention of further nematocyst release and relieving local and systemic symptoms. Many anecdotal treatments are available but species-specific first aid response is essential for effective treatment. However, species identification is difficult in most cases. There is evidence that oral analgesics, seawater, baking soda slurry and 42–45 °C hot water are effective against nematocyst inhibition and giving pain relief. The application of topical vinegar for 30 s is effective on stings of specific species. Treatments, which produce osmotic or pressure changes can exacerbate the initial sting and aggravate symptoms, common among many anecdotal treatments. Most available therapies are based on weak evidence and thus it is strongly recommended that randomized clinical trials are undertaken. We recommend a vital increase in directed research on the effect of environmental factors on envenoming mechanisms and to establish a species-specific treatment. Adequate signage on jellyfish stings and standardized first aid protocols with emphasis on protective equipment and avoidance of jellyfish to minimize cases should be implemented in areas at risk.

The Effect of External Apple Vinegar Application on Varicosity Symptoms, Pain, and Social Appearance Anxiety: A Randomized Controlled Trial.

Aim. We aimed to determine the effect of external apple vinegar application on the symptoms and social appearance anxiety of varicosity patients who were suggested conservative treatment. Method. The study was planned as an experimental, randomized, and controlled study. 120 patients were randomly selected and then were randomly allocated to either experimental or control group by simple blind random sampling method. In the collection of research data, a questionnaire questioning sociodemographic and clinical characteristics, the Visual Analog Scale (VAS) for pain, and the Social Appearance Anxiety Scale (SAAS) were used. The patients in the study group were suggested to apply apple vinegar to the area of the leg with varicosity alongside the treatment suggested by the doctor. The patients in the control group received no intervention during the study. Results. The sociodemographic and clinic characteristics of both groups were found to be similar (p > 0.05). The patients were evaluated with regard to cramps, pain, leg fatigue perception, edema, itching, pigmentation, and weight feelings in the leg, VAS, and SAAS averages in the second evaluation; the control group had a decrease in such symptoms (p > 0.05) although the decrease in the application group was higher and statistically meaningful (p < 0.05). Conclusion. We determined that the external application of apple vinegar on varicosity patients, which is a very easy application, increased the positive effects of conservative treatment.

キビ酢液施用によるリンの吸収がサトウキビの生育および養分吸収に与える影響

キビ酢液施用によるリンの吸収がサトウキビの生育および養分吸収に与える影響

Unusual burn injury due to application of white vinegar and aspirin mixture

Traditional medicine remedies are believed to provide relief from pain; nevertheless, it can be a risky procedure if these remedies are prepared inappropriately. Here, we describe a patient who suffered from a split-thickness leg burn after applying a self-inflicted mixture consisting of white vinegar and aspirin prepared for knee pain. This case report highlights a rare cause of a chemical burn that could become more common with increasing use of traditional remedies worldwide.

Jellyfish Stings and Their Management: A Review

Jellyfish (cnidarians) have a worldwide distribution. Despite most being harmless, some species may cause local and also systemic reactions. Treatment of jellyfish envenomation is directed at: alleviating the local effects of venom, preventing further nematocyst discharges and controlling systemic reactions, including shock. In severe cases, the most important step is stabilizing and maintaining vital functions. With some differences between species, there seems to be evidence and consensus on oral/topical analgesics, hot water and ice packs as effective painkillers and on 30 s application of domestic vinegar (4%–6% acetic acid) to prevent further discharge of unfired nematocysts remaining on the skin. Conversely, alcohol, methylated spirits and fresh water should be carefully avoided, since they could massively discharge nematocysts; pressure immobilization bandaging should also be avoided, as laboratory studies show that it stimulates additional venom discharge from nematocysts. Most treatment approaches are presently founded on relatively weak evidence; therefore, further research (especially randomized clinical trials) is strongly recommended. Dissemination of appropriate treatment modalities should be deployed to better inform and educate those at risk. Adequate signage should be placed at beaches to notify tourists of the jellyfish risk. Swimmers in risky areas should wear protective equipment.

Peanut pod, seed, and oil yield for biofuel following conventional and organic production systems

Peanut (Arachis hypogaea L.) is a crop that can enter the human diet in various forms or be used as an alternative feedstock for livestock or industrial applications. Increased use of organic production systems and peanut's potential use as a biodiesel feedstock makes it increasingly necessary to develop organic methods in their production. Corn gluten meal (CGM) and vinegar are materials used in organic weed control. These were used alone, or in conjunction with cultivation, to evaluate their efficacy for weed control in peanut that had followed winter cover crops of red clover (Trifolium pratense L.) or wheat (Triticum vulgaris L.). Comparisons were made to conventional weed control (Dual®, S-metolachlor) and cultivation. Pod and oil yields and seed oil percentages were determined over 2 years in high oil cultivars Olin and Tam Runner. In 2009, cover crop, cultivar, and weed control treatments resulted in significant interactions impacting pod, seed oil yields, and seed oil percentages. Conventional weed control produced greater pod yields with clover (8220kgha−1) and wheat (7800kgha−1) cover crops, compared to all alternative weed control treatments. When averaged across cover crops, the conventional treatment produced greater seed oil yields (295.9Lha−1) and few differences in seed oil percentages. In 2010, the conventional weed control treatment produced superior seed oil yield and oil percentage for both cover crops and cultivars, and greater pod yields when the wheat cover crop was used for both cultivars; and Tam Runner with clover as a cover crop. Application of CGM and vinegar did not produce pod or oil yields at levels produced with conventional weed control, and/or reduced seed oil percentage. Further research should investigate additional alternative weed control systems that would increase weed control efficacy for organic peanut production systems.

Integration of Vinegar for In-Row Weed Control in Transplanted Bell Pepper and Broccoli

Vinegar can supplement the existing intrarow weed control options of organic farmers. However, there are two primary limitations to its use in vegetable crops. First, it is costly. Second, vinegar applications that contact the crop can cause injury and yield loss. The aim of this research was to use vinegar to control intrarow weeds in bell pepper and broccoli in a way that product costs would be reduced and crop injury would be minimized. Banded applications were shielded and directed below the crop canopy to reduce weed control costs and minimize contact with crop foliage. Organic paints applied to crop stems were evaluated as potential physical barriers to crop stem injury. Four field trials were conducted in 2009, two in transplanted bell pepper and two in transplanted broccoli. A single application of 200-grain vinegar (20% acetic acid) at 700 L ha−1was applied when weeds were in the cotyledon to six-leaf stage. Applications were made to crops with the lower stems coated in one of two stem protectants, or left uncoated. Hand-weeded and weedy treatments were included for comparison. One day after vinegar application, in-row weed control was 100% in both pepper trials and greater than 96% in the broccoli trials. Two weeks after application, 75% fewer weeds germinated in the vinegar-treated areas compared with the areas that were hand weeded. Neither stem protectant prevented crop injury. Despite pepper foliar injury of less than 5%, stem injury 2 wk after application contributed to a measurable yield reduction. Broccoli injury was limited to instances where overspray contacted the crop canopy. With vinegar, high levels of weed control and the extended duration of that control relative to hand weeding could facilitate improved organic intrarow weed control. However, crop injury must be reliably reduced. Alternative stem protectants may merit evaluation.

Management of Irukandji syndrome in northern Australia

Irukandji syndrome, a potentially life-threatening condition that follows the sting of small carybdeid jellyfish, occurs along the northern Australian coastline from Broome, Western Australia in the west to Rockhampton, Queensland in the east. Much of this area is classified rural or remote. Because correct patient management is essential to avoid unnecessary fatality, and stings are relatively uncommon in any specific location, it was considered important to document current approaches to Irukandji syndrome management throughout coastal northern Australia, comparing urban and more rural health facilities, and to assess the availability of management guidelines for health staff. A telephone survey of the clinicians responsible for Irukandji syndrome patient management at 34 coastal northern Australian health facilities that might encounter this patient presentation was conducted during November and December 2003. Healthcare providers responsible for Irukandji syndrome management on the day of survey were interviewed using a structured, standardized questionnaire, which included a description of a hypothetical patient with Irukandji syndrome. This was used to stimulate a spontaneous description of the usual response of the particular health facility to such a patient presentation. Additional vignettes were used to investigate further specific aspects of patient management, including first aid, and pain and blood pressure management. Respondents were also asked about the existence of Irukandji treatment guidelines at their facility. All 34 facilities contacted agreed to participate. Five health facilities were in urban centres with a population of 50,000 or greater, four were within 50 km of such centres, 20 were more remote and five facilities were on islands. Basic clinical monitoring (blood pressure, pulse, respiratory rate and oxygen saturation) was generally adequately practised. Topical application of vinegar as a first aid measure was described by 79% of respondents, with spontaneous mention of vinegar significantly associated with increasing remoteness (p = 0.023). Other sting site management was variable, with uncertainty about the use of pressure immobilisation bandaging. Intravenous opiate analgesia was administered at 91% of facilities, and magnesium sulphate, a treatment that is still being evaluated for its role in Irukandji syndrome-related pain and hypertension, was mentioned by 12% of respondents for pain relief. Twelve different pharmacological treatments were used for syndrome-associated hypertension, with magnesium sulphate being mentioned by 21% of respondents. Of the 22 facilities with guidelines, 14 used either the Primary Clinical Care Manual or the Central Australian Rural Practitioners Association Standard Treatment Manual. The remaining guidelines were independently produced protocols. The availability of guidelines was associated with appropriate use of intravenous opiate for adequate pain relief (p = 0.037). Although all urban health centres and 75% of health facilities <50 km away had guidelines, only 56% of more remote or island facilities reported the availability of guidelines. Although monitoring and pain management of patients with Irukandji syndrome were generally appropriate, a variety of inappropriate first aid and hypertension management approaches were found. In general, appropriate practice was associated with the presence of guidelines but, unfortunately, guidelines were less often present in remote health facilities. This is particularly important because the majority of respondents who reported no experience of managing Irukandji syndrome were located in more remote settings. There is a need for uniform, evidence-based guidelines, and mechanisms for effective dissemination of these guidelines with training for all health staff who may be required to manage Irukandji syndrome, particularly in remote areas of northern Australia.

最近の非食品分野への食酢利用

最近の非食品分野への食酢利用

LXXVIII. On the efficacy of yeast, and the application of vinegar in putrid fever

LXXVIII. <i>On the efficacy of yeast, and the application of vinegar in putrid fever</i>