Proper Dose Research Articles

TEKNOLOGI REKLAMASI LAHAN BEKAS TAMBANG TIMAH MELALUI PEMBERIAN BAHAN AMELIORAN DAN PEMILIHAN JENIS TANAMAN: STUDI KASUS KEPULAUAN BANGKA BELITUNG

Indonesia, besides being the country with the largest nickel reserves in the world, also holds the largest tin reserves globally in 2023. Meanwhile, in terms of production, Indonesia ranks second after China. Tin mining in Indonesia has led to serious environmental damage, illustrated by the numerous open pits and inadequately restored tin mining sites. The characteristics of soil in these post-mining lands generally include sandy texture, low pH, nutrient deficiencies, low organic carbon content, and low water holding capacity. This study aims to improve the soil chemical properties in post-mining lands by utilizing the KOMFABA technology, which consists of a mixture of compost and fly ash-bottom ash with appropriate dosages tailored to the type of crops to be planted, along with revegetation strategies involving suitable plant selections. The research methodology consists of field experiments to test the application of KOMFABA with various dosages and crop types, as well as a literature review to identify suitable revegetation strategies. The research result show that Indonesia holds tin reserves of 800,000 tons, making it the largest in the world, with a production of 74,000 tons, placing it second after China. Additionally, the results of KOMFABA testing demonstrate its effectiveness in improving soil chemical properties such as soil pH, organic carbon content, cation exchange capacity (CEC), nutrient content, and soil base saturation. The success of reclaiming post-mining lands also dependent on proper fertilization dosages and suitable plants selection.

Controversies and Clarifications Regarding the Role of Aspirin in Preeclampsia Prevention: A Focused Review.

Preeclampsia is one of the leading causes of maternal and perinatal morbidity and mortality worldwide. In recent decades, many studies have evaluated different interventions in order to prevent the occurrence of preeclampsia. Among these, administration of low-dose aspirin from early pregnancy showed consistent evidence of its prophylactic role. In this article, we review the scientific literature on this topic, highlighting the rationale for aspirin use, who should be treated, the timing of initiation and cessation of therapy, the importance of proper dosing, and its role in the prevention of other adverse outcomes.

Predictive Modelling for Diabetes and Insulin Dosage Using Machine Learning

Now a days diabetes has become a chronic disease and managing this requires strict regular diet and workout to avoid various health issues and high blood glucose levels. To keep blood glucose at normal level in human body, diabetic patients have to be suggested with proper insulin dosage. It becomes difficult to predict the right amount of insulin to diabetes patients. To do this, Machine Learning(ML) method is used for identifying weather a person is suffering from diabetic and if he/she is suffering, right amount of insulin should be suggested to that patient. k-nearest neighbors(KNN) technique is employed to predict weather a patient is diabetic or not and Random Forest Regression technique is utilized for suggesting appropriate quantity of insulin dosage for the diabetic patient. Results are generated using the above-mentioned techniques.

Single intravenous and oral dose pharmacokinetics of the antiseizure medication brivaracetam in healthy cats.

The number of available antiseizure medications with demonstrated efficacy in cats is limited. As such, there is a need to evaluate the pharmacokinetics of newer medications so that proper dosing regimens can be made. Brivaracetam (BRV) is a more potent analogue of levetiracetam, and is Food and Drug Administration approved for use in people. The goal of this study was to describe the pharmacokinetics of intravenous and oral doses of BRV in healthy cats. A cross-over study involving eight healthy cats, that were administered 10 mg of BRV intravenously as a bolus and orally in the fasted state. Blood samples were collected over 24 h. Analysis was performed using liquid chromatography-mass spectrometry. Data were subjected to non-compartmental analysis. Median (min-max) of maximal concentration, time to maximal concentration, area under the curve, elimination half-life and oral absolute bioavailability were 902 (682-1036) ng/mL, 0.6 (0.5-2.0) h, 6.4 (5.2-7.2) h, 8145 (6669-9351) ng × h/mL and 100% (85-110) respectively. BRV appeared to be well tolerated by all cats. A single dose of BRV is well tolerated both orally and intravenously. Maximal concentrations are produced rapidly and within the human reference interval considered to be therapeutic.

The Impact of the COVID-19 Pandemic and Lockdown on the Outcome of Glioblastoma.

Rapid spread of the SARS-CoV-2 pandemic in 2020 led to an indirect effect on non-COVID patients. Since neuro-oncology cases are unique and brain tumors need a specific therapeutic protocol at proper doses and at the right times, the effects of the pandemic on health care services for patients with glioblastomas (GBs) and their impact on overall survival (OS) and quality of life are not yet known. We conducted a retrospective study of 142 GB patients who underwent surgery, radiation, and chemotherapy before and after the lockdown period, aiming to determine the differences in access to care, treatment modality, and adjuvant therapies, and how the lockdown changed the prognosis. The number of procedures performed for GB during the pandemic was comparable to that of the prepandemic period, and patients received standard care. There was a significant difference in the volume of lesions measured at diagnosis with a decreased number of "accidental" diagnoses and expression of a reduced use by the patient for a checkup or follow-up examinations. Patients expressed a significantly lower performance index in the lockdown period with longer progression-free survival (PFS) in the face of a comparable mean time to OS. Patients treated surgically for GB during the pandemic period had a more pronounced and earlier reduction in performance status than patients treated during the same period the year before. This appears to be primarily due to lower levels of care in the rehabilitation centers and more frequent discontinuation of adjuvant care.

O-031 Tacrolimus treatment significantly improved IVF outcomes with euploid embryo transfer in women with repeated implantation failures (RIF) and elevated T helper (Th)1/Th2 cell ratios

Abstract Study question Dose tacrolimus improve implantation rate for RIF women showing elevated T helper (Th)1/Th2 cell ratios, particularly those undergoing IVF/ET with euploid blastocysts? Summary answer Tacrolimus improved the implantation rate in RIF women with elevated Th1/Th2 cell ratios undergoing IVF/ET using euploid blastocysts. What is known already The peripheral blood Th1 and Th2 cells determine immune inflammatory responses at the maternal-fetal interface. Previously, we reported that about 40% of women with RIF (≥4) had elevated Th1/Th2 cell ratios (≥10.3). The pregnancy rate was significantly improved when they were treated with tacrolimus, an immunosuppressive agent [AJRI 2015]. However, genetic embryonic concerns of RIF could not be ruled out since not all transferred embryos were genetically screened. Recently, we reported an adjusted cut-off value of the Th1/Th2 cell ratios (≥11.8) [AJRI 2021] for women with RIF based on the retrospective analysis. However, the prospective study has not been performed. Study design, size, duration A prospective cohort study was performed, including 569 infertile women with more than 4 times of RIF. The study participants received ET with euploid blastocysts from September 2020 to November 2021. All transferred blastocysts were confirmed as euploid or low-frequency mosaic by preimplantation genetic testing for aneuploidy, and the endometrial preparation for ET was made by using either hormone replacement cycle or natural ovulatory cycle. Participants/materials, setting, methods Before ET, all participants were measured for their peripheral blood Th1/Th2 (CD4+IFN-γ+/ CD4+IL-4+) cell ratios in the secretory phase. Women who had elevated Th1/Th2 cell ratios (≥10.3) received tacrolimus (2-4 mg daily). Tacrolimus was started 2 days before ET, and the hCG and gestational sac (GS) rates were calculated in women with or without tacrolimus. Main results and the role of chance Of 569 participants, 174 (30.6%) women showed elevated Th/Th2 cell ratios (≥10.3), whereas the remaining 395 women served as control (Control group). Among 174 women, 148 women received tacrolimus (Tac group), while 26 did not receive tacrolimus (no-Tac group). The hCG and GS rates of the Tac group were 73.0% and 64.2%, respectively, similar to the no-Tac group (69.2% and 57.7%, respectively, P=NS). Meanwhile the hCG and GS rates of the control group were 70.6% and 60.0%, respectively (P=NS). When the Th1/Th2 cell ratio cut-off value was set to ≥ 11.8, 123 women of the 569 participants (21.6%) had elevated Th1/Th2 cell ratios (≥11.8). Among them, 112 received tacrolimus (Tac2 group), and 11 did not tacrolimus (no-Tac2 group). The remaining 410 women were as a control group (Control2 group). The GS rate of the Tac2 group was 67.0%, which was significantly higher than that of the no-Tac group (36.3%, p < 0.05), while the GS rate of the Control2 group was 60.5% (P=NS, vs Control2 group). Tacrolimus dosing data was as follows; 11.8 or more but less than 15.8 of Th1/Th2 cell ratios were needed for 2 mg of tacrolimus daily, and 15.8 pr more was needed for 3 mg of tacrolimus. Limitations, reasons for caution The study was a controlled trial with a limited number of study population. Additionally, the endometrial changes or peripheral immune responses after tacrolimus were not evaluated thoroughly. Further study is needed for the tacrolimus effect on systematic immune responses and local endometrial immune milieu. Wider implications of the findings Before ET, screening for increased Th1/Th2 ratios (Cut-off value ≥11.8) may significantly improve IVF outcomes by selecting proper candidates for tacrolimus treatment and detecting the proper tacrolimus doses. Notably, a significant proportion of women with RIF have additional implantation failures, even with euploid embryos, when immune-inflammatory conditions were not controlled. Trial registration number not applicable

Pattern of Monthly Percentage of Hemodialysis Children Achieving the KDIGO Recommended Hemoglobin Targets: A Twelve-Month Prospective Study to Assess the Trend of Anemia

Abstract Background Anemia is one of the common problems in children on maintenance hemodialysis (HD). It leads to poor quality of life and when severe, it is associated with cardiovascular dysfunction, cardiomyopathy, and death. Proper treatment of anemia in these patients results in better physical and mental performance. So, our study aimed to assess the trend of anemia among HD children by following the monthly percentage of patients capable of achieving Hb level between 11-12g/dl. Methods For optimum treatment of anemia, the Kidney Disease Improving Global Outcomes (KDIGO) guidelines (2012) recommended to measure Hb every month in HD children targeting monthly Hb concentration of 11-12 g/dl. So, we conducted this 12-months prospective study to assess the trend of anemia among HD children at Pediatric Dialysis Unit of Ain Shams University by following the monthly percentage of patients capable of achieving Hb level between 11-12g/dl. Results This study was done over 12 month-period from April 1st, 2020, till March 31st, 2021. A total of 78 patients were included with a mean age at the time of enrollment in the study of 12.16 ± 3.3 years. They were 45 (57.7%) males and 33 (42.3%) females. All patients were receiving 3 hours every other day HD session for 3 sessions a week with a HD duration range of 3.0 - 140.88 months and a median of 16.51 months. All patients were receiving proper doses of recombinant human erythropoietin (rHuEPO) and intravenous iron therapy. Our study showed that the monthly reported percentages of patients achieved Hb level between 11-12g/dl ranged from 14.7% to 40.8% and that of patients with Hb level <11g/dl ranged between 51.4 – 73.5%. It also revealed statistical evidence of significant association between the presence of anemia in our patients at the time of enrollment in the study and HD durations < 6 months (p < 0.05). Conclusion Despite proper HD treatment and proper doses of recombinant human erythropoietin (rHuEPO) and intravenous iron therapy, anemia is still a prevalent problem among our HD children.

Influence of Admixture Source on Fresh Properties of Self-Consolidating Concrete.

The study presented herein was intended to (1) compare the optimum (minimum) dosage requirements of four different sources of polycarboxylate-based high-range water-reducing admixtures (HRWRAs) and viscosity-modifying admixtures (VMAs) in attaining slump flows of 508 mm, 635 mm, and 711 mm, and a visual stability index (VSI) of 0 (highly stable concrete) or 1 (stable concrete), and (2) assess the flowability/viscosity, stability, passing ability, and filling ability of the resulting self-consolidating concretes. The test results showed that the optimum dosage requirements to obtain a uniform slump flow and visual stability index varied among the four selected admixture sources. The required dosage amount for HRWRAs was highest for the polycarboxylate-ester (PCE) type and lowest for the polycarboxylate-acid (PCA) type. Acceptable flowability plastic viscosity dynamic and static stability, passing ability, and filling ability of self-consolidating concrete can be achieved with the proper dosing of the four studied admixture sources.

Optimizing Livestock Nutrition Through Mineral Supplementation: Empowering Cendana Farmer Group in Pesisir Selatan, West Sumatera

The community service program aims to improve the productivity of cattle farming in the Cendana farmer group in Pesisir Selatan Regency, West Sumatra. The program focuses on raising awareness about the importance of providing minerals as a crucial component of animal feed. Minerals such as calcium, phosphorus, and magnesium play a significant role in the growth and health of cattle. The program results reflect an improvement in farmers' understanding of the role of minerals in animal nutrition. It is expected that they will be able to enhance cattle productivity by ensuring the fulfillment of mineral requirements in their feed. This program has the potential to support sustainable farming efforts by preventing mineral deficiencies in cattle. The training imparted theoretical knowledge and taught proper mineral selection, correct dosages, and cattle's health and productivity benefits. This program encourages livestock owners to apply their newfound knowledge in their day-to-day farming practices. This community service program has the potential to significantly improve the quality and well-being of farmers in the region and support the overall growth of the livestock sector.

Aqua drugs and chemicals used in commercial aquaculture in Mymensingh, Bangladesh

Mymensingh is a division in north-central Bangladesh renowned for its lush landscapes and agricultural productivity, with a strong focus on aquaculture as a key part of its economy. The study was performed to investigate the aqua drugs companies and their products used in commercial aquaculture farms in Mymensingh division. Questionnaire based data were collected from representatives of various aqua drug companies, district and upazila fisheries offices, chemical vendors, farmers, and hatchery owners of the Mymensingh division. The present study found aquaculture practices in Mymensingh rely heavily on various antibiotics, probiotics, disinfectants, and feed additives to prevent the spread of diseases, maintain water quality, and increase growth of culture fishes. Drugs from various companies are widely utilized across the Mymensingh division. Fishtech BD contributing the highest percentage (12%), followed by Eon Pharmaceutical Ltd. (11%) and ACI Animal Health (10%), while AVON Animal Health made the lowest contribution (2%). Among the various drugs from different companies, Renamycin (antibiotic), Timsen and Emsen (disinfectants), Pond Care (probiotics), Zeolite Gold, Gasonex, and Mega Zeo Plus (zeolite) are commonly preferred by the farmers. The study also found that many farmers lack knowledge about chemical ingredients, proper dosages, and appropriate application methods. Therefore, adequate training and implementation of government rules and regulations are necessary to ensure responsible use.

Molecularly imprinted polymer-based extended-gate field-effect transistor chemosensors for selective determination of antiepileptic drug.

Ultrathin molecularly imprinted polymer (MIP) films were deposited on the surfaces of ZnO nanorods (ZNRs) and nanosheets (ZNSs) by electropolymerization to afford extended-gate field-effect transistor sensors for detecting phenytoin (PHT) in plasma. Molecular imprinting efficiency was optimized by controlling the contents of functional monomers and the template in the precursor solution. PHT sensing was performed in plasma solutions with various concentrations by monitoring the drain current as a function of drain voltage under an applied gate voltage of 1.5V. The reliability and reproducibility of the fabricated sensors were evaluated through a solution treatment process for complete PHT removal and PHT adsorption-removal cycling, while selectivity was examined by analyzing responses to chemicals with structures analogous to that of PHT. Compared withthe ZNS/extracted-MIP sensor and sensors with non-imprinted polymer (NIP) films, the ZNR/extracted-MIP sensor showed superior responses to PHT-containing plasma due to selective PHT adsorption, achieving an imprinting factor of 4.23, detection limit of 12.9ng/mL, quantitation limit of 53.0ng/mL, and selectivity coefficients of 3-4 (against tramadol) and ~ 5 (against diphenhydramine). Therefore, we believe that the MIP-based ZNR sensing platform is promising for the practical detection of PHT and other drugs and evaluation of their proper dosages.

A Comprehensive Overview of Recycled Glass as Mineral Admixture for Circular UHPC Solutions

This review article analyzes the influence of recycled glass (as sand and powder) beyond the durability, rheology and compressive strength of plain UHPC, even exploring flexural and direct tensile performance in fiber-reinforced UHPC. Interactions with other mineral admixtures like limestone powder, rice husk ash, fly ash, FC3R, metakaolin and slags, among others, are analyzed. Synergy with limestone powder improves rheology, reducing superplasticizer usage. Research highlights waste glass–UHPC mixtures with reduced silica fume and cement content by over 50% and nearly 30%, respectively, with compressive strengths exceeding 150 MPa, cutting costs and carbon footprints. Furthermore, with the proper fiber dosage, waste glass–UHPC reported values for strain and energy absorption capacity, albeit lower than those of traditional UHPC formulations with high cement, silica fume and quartz powder content, surpassing requirements for demanding applications such as seismic reinforcement of structures. Moreover, durability remains comparable to that of traditional UHPC. In addition, the reported life cycle analysis found that the utilization of glass powder in UHPC allows a greater reduction of embedded CO2 than other mineral additions in UHPC without jeopardizing its properties. In general, the review study presented herein underscores recycled glass’s potential in UHPC, offering economic and performance advantages in sustainable construction.

A Review of the Protective Effects of Alkaloids Against Alpha-synuclein toxicity in Parkinson's disease.

Alpha-synuclein (α-syn) aggregation products may cause neural injury and several neurodegenerative disorders (NDs) known as α-synucleinopathies. Alkaloids are secondary metabolites present in a variety of plant species and may positively affect human health, particularly α-synucleinopathy-associated NDs. To summarize the latest scientific data on the inhibitory properties of alkaloids in α- synucleinopathies, especially in Parkinson's disease. Literature search was performed using web-based databases including Web of Science, PubMed, and Scopus up to January 2024, in the English language. Harmala alkaloids, caffein, lycorine, piperin, acetylcorynoline, berberin, papaverine, squalamine, trodusquemine and nicotin have been found to be the most active natural alkaloids against synucleinopathy. The underlying mechanisms that contribute to this effect would be the inhibition of α-syn aggregation; elimination of formed aggregates; improvement in autophagy activation; promotion of the activity and expression of antioxidative enzymes; and prevention of oxidative injury and apoptosis in dopaminergic neurons. The findings of the present study highlight the inhibitory activities of alkaloids against synucleinopathy. However, no clinical data supports the reported activities in humans, which calls attention to the need for conducting clinical trials to elucidate the efficacy, safety, proper dosage, unwanted effects and pharmacokinetics aspects of alkaloids in humans.

Effects of different doses of intranasal dexmedetomidine on related complications and parents’ satisfaction in anesthetized children: a systematic review

BackgroundAgitation/delirium is commonly seen in children after anesthesia, and a proper dose of dexmedetomidine can prevent this complication. This study aimed to investigate the effects of different doses of Dexmedetomidine (DEX) on agitation/delirium and other complications in anesthetized children, providing clinical evidence for dose recommendations of DEX.MethodsThis study was conducted based on the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). A systematic search was conducted in the Cochrane Library, PubMed, Web of Science, and EMBASE. Two independent researchers performed literature screening, data extraction, and assessed the methodological quality. Data analysis was conducted using R and STATA 16.0.ResultsIn the final analysis, 20 randomized controlled trials (RCTs) involving 2521 children were included. The results showed that in comparison to normal saline, 1 µg/kg, 1.5 µg/kg, and 2 µg/kg intranasal DEX significantly reduced the incidence of post-anesthetic emergence agitation in children with the most effective dose being 2 µg/kg (SUCRA = 0.91). Compared with normal saline, 1 µg/kg, 1.5 µg/kg, and 2 µg/kg intranasal DEX reduced patient’s need for postoperative analgesia, with the most effective dose being 1.5 µg/kg (SUCRA = 0.78). However, 1 µg/kg DEX performed the best in reducing Pediatric Anaesthesia Emergence Delirium (PAED) Scale score (SUCRA = 0.88).ConclusionCompared with normal saline, intranasal administration of 2 µg/kg DEX and 1.5 µg/kg DEX are the optimal doses to reduce the incidence of agitation and the need for postoperative pain relief in children under general anesthesia. Given effectiveness and safety, intranasal use of 1 µg/kg DEX appears to be the most effective dosage for anesthetized children.

Biosensor Strip for Rapid On-site Assessment of Levodopa Pharmacokinetics along with Motor Performance in Parkinson's Disease.

While levodopa (L-Dopa) is the primary treatment for alleviating Parkinson's disease (PD), its efficacy is hindered by challenges such as a short half-life and inconsistent plasma levels. As PD progresses, the rising need for increased and more frequent L-Dopa doses coupled with symptom fluctuations and dyskinesias underscores the urgency for improved comprehension of the interplay between L-Dopa levels and PD motor symptoms. Addressing this critical need, we present a decentralized testing method using a disposable biosensor strip and a universal slope (U-slope) calibration-free approach. This enables reliable, rapid, simple, and cost-effective decentralized L-Dopa measurements from capillary blood. A pilot study with PD persons demonstrates the ability to monitor real-time L-Dopa pharmacokinetics from fingerstick blood after oral L-Dopa-Carbidopa (C-Dopa) tablet administration. Correlating capillary blood L-Dopa levels with PD motor scores revealed a well-defined inverse correlation with temporal motor fluctuations. We compared the resulting dynamic capillary blood L-Dopa levels with plasma L-Dopa levels using the traditional but clinically impractical high-performance liquid chromatography technique. By providing timely feedback on a proper L-Dopa dosing regimen in a decentralized and rapid fashion, this new biosensing platform will facilitate tailored optimal L-Dopa dosing, towards improving symptom management and enhancing health-related quality of life.

Understanding Fentanyl A Synthetic Piperidine Opioid Drug: Deciphering the Pain-Relieving Double-Edged Sword

Fentanyl is a synthetic opioid analgesic that has revolutionized pain management in various medical contexts. It has remarkable potency and effectiveness in managing severe pain, owing to its unique mechanisms of action on opioid receptors and modulation of pain perception. Fentanyl can be administered through various routes, such as transdermal patches, intravenous injections, lozenges, and nasal sprays. It is commonly utilized for post-operative pain management, cancer-related pain, and palliative care. However, fentanyl also poses significant risks of addiction, abuse, and overdose. The alarming increase in fentanyl-related fatalities underscores the importance of understanding proper dosage, monitoring patients closely, and implementing harm reduction strategies. Furthermore, the responsible use of fentanyl requires comprehensive patient assessment, individualized treatment plans, and the active involvement of healthcare providers in educating patients and obtaining informed consent. The article also discusses ongoing research efforts to improve fentanyl’s safety profile while maintaining its efficacy. These include emerging technologies, potential formulations, and alternative pain management strategies that could help reduce the dependence on fentanyl and prevent its adverse effects. The article provides a balanced perspective on fentanyl, emphasizing the balance between its pain-relieving benefits and the potential risks it poses. It also reinforces the significance of responsible prescribing, vigilant monitoring, and patient education to ensure optimal pain relief and patient safety.

Evaluating optimal quality assurance and quality control conditions of activation measurements at the accelerator-based boron neutron capture therapy system employing a lithium target

Evaluating neutron output is important to ensure proper dose delivery for patients in boron neutron capture therapy (BNCT). It requires efficient quality assurance (QA) and quality control (QC) while maintaining measurement accuracy. This study investigated the optimal measurement conditions for QA/QC of activation measurements using a high-purity germanium (HP-Ge) detector in an accelerator-based boron neutron capture therapy (AB-BNCT) system employing a lithium target. The QA/QC uncertainty of the activation measurement was evaluated based on counts, reproducibility, and standard radiation source uncertainties. Measurements in a polymethyl methacrylate (PMMA) cylindrical phantom using aluminum-manganese (Al–Mn) foils and aluminum-gold (Al–Au) foils and measurements in a water phantom using gold wire with and without cadmium cover were performed to determine the optimal measurement conditions. The QA/QC uncertainties of the activation measurements were 4.5% for Au and 4.6% for Mn. The optimum irradiation proton charge and measurement time were determined to be 36 C and 900 s for measurements in a PMMA cylindrical phantom, 7.0 C and 900 s for gold wire measurements in a water phantom, and 54 C and 900 s at 0–2.2 cm depth and 3,600 s at deeper depths for gold wire measurements with cadmium cover. Our results serve as a reference for determining measurement conditions when performing QA/QC of activation measurements using HP-Ge detectors at an AB-BNCT employing a lithium target.

Characterization of the immune suppressive functions of eosinophils

Eosinophils account for a significant portion of immune cells in the body. It is well known that eosinophils play a role in the pathogenesis of many diseases. In which the interaction between eosinophils and other immune cells is incompletely understood. The aim of this study is to characterize the immune suppressive functions of eosinophils. In this study, an irway allergy mouse model was established. Eosinophils were isolated from the airway tissues using flow cytometry cell sorting. The RAW264.7 cell line was used to test the immune suppressive functions of eosinophils. We observed that eosinophils had immune suppressive functions manifesting inhibiting immune cell proliferation and cytokine release from other immune cells. The eosinophil's immune suppressive functions were mediated by eosinophil-derived molecules, such as eosinophil peroxidase (EPX) and major basic protein (MBP). The expression of Ras-like protein in the brain 27a (Rab27a) was detected in eosinophils, which controlled the release of MBP and EPX by eosinophils. Eosinophil mediators had two contrast effects on inducing inflammatory responses or rendering immune suppressive effects, depending on the released amounts. Administration of an inhibitor of Rab27a at proper dosage could alleviate experimental airway allergy. To sum up, eosinophils have immune suppressive functions and are also inflammation inducers. Rab27a governs the release of EPX and MBP from eosinophils, which leads to immune suppression or inflammation. Modulation of Rab27a can alleviate airway allergy responses by modulating eosinophil’s immune suppressive functions, which has the translational potential for the management of eosinophil-related diseases.

Impact of medication dosage on Helicobacter pylori eradication rates among pediatric patients.

Helicobacter pylori rates of eradication to common first-line regimens continue to decline globally. Prescription of the appropriate medication dosage is an important consideration, particularly in the pediatric population due to medication weight-based dosing. Limited data is available on the impact of guideline-recommended weight-based dosing on the successful eradication of H. pylori in children. Retrospective study of patients with histologic evidence of H. pylori from two pediatric tertiary care centers in New England. We excluded patients who were not treated or those missing eradication data. We compared the eradication rates of patients prescribed recommended weight-based dosages, duration, and frequency of treatment with those who were not. One hundred forty-four patients were included. The overall eradication rate was 73.6% (106/144). All treatment regimens were properly prescribed for 14 days. There was a high rate of improper weight-based dosing: proton pump inhibitor (PPI) 31.2% (45/144), amoxicillin 31.7% (39/123), metronidazole (MET) 19.4% (12/62), clarithromycin (CLA) 23.9% (22/70), tetracycline 50% (6/12), bismuth 26.1% (6/23). When PPIs were properly weight-dosed, there was a 78.8% eradication rate that dropped to 62.2% with suboptimal dosing (p = 0.036, OR: 2.26, CI: 1.04-4.87). When amoxicillin was properly weight-dosed, successful eradication was achieved in 81% versus only 53.8% when improperly dosed (p = 0.002; OR: 3.64, CI: 1.58-8.37). There was no statistically significant impact on eradication rates with improper weight-based dosing of MET, CLA, tetracycline, or bismuth. Proper weight-based dosing of amoxicillin and PPI is important for the successful eradication of H. pylori among children in the New England area.

The hawthorn (Crataegus pinnatifida Bge.) fruit as a new dietary source of bioactive ingredients with multiple beneficial functions

AbstractThe discovery of new natural sources has brought increased attention to the development of functional foods. The hawthorn (Crataegus pinnatifida Bge.) fruit is an underutilized fruit due to its benefits for human health and good taste. It contains a variety of bioactive ingredients, contributing to its multiple beneficial functions and applications. This review summarized and discussed the main bioactive ingredients, beneficial functions based on in vitro, in vivo, and human studies, and different applications of the hawthorn fruit according to the updated literature in the past 3 years. Hawthorn berries contain phenolic acids, flavonoids, proanthocyanidins, pectin, and many other bioactive components, which have a variety of beneficial functions, such as antioxidant, anti‐inflammatory, antibacterial, antidiabetic, intestinal protection, cardiovascular protection, hepatoprotection, anti‐cancer, and neuroprotection. Its potential molecular mechanism and different food‐related applications such as hawthorn wine and antioxidant drink are discussed in detail in this review. Additionally, hawthorn berries are shown to be safe when consumed within the proper dosage. Collectively, this updated review indicates that the hawthorn fruit can be a new dietary source of bioactive ingredients with multiple beneficial functions and can be affordably developed into functional and medicinal foods for the prevention and management of certain chronic diseases.