Suspension Formulation Research Articles

Evaluating pediatric antimicrobial dosing of β-lactam antibiotics for upper respiratory tract infections in emergency and primary care settings

Abstract Disclaimer In an effort to expedite the publication of articles, AJHP is posting manuscripts online as soon as possible after acceptance. Accepted manuscripts have been peer-reviewed and copyedited, but are posted online before technical formatting and author proofing. These manuscripts are not the final version of record and will be replaced with the final article (formatted per AJHP style and proofed by the authors) at a later time. Purpose Pediatric prescribing is often weight and indication specific and has been associated with high rates of error. The aim of this study was to evaluate outpatient β-lactam suspension dosing practices for pediatric upper respiratory tract infections (URIs), to characterize the rate of error and to describe common error types. Methods This retrospective cohort study was conducted at a community health system with 2 emergency departments and 20 outpatient family medicine practices. Pediatric patients treated from these settings with oral suspension formulations of amoxicillin, amoxicillin/clavulanate, cefdinir, or cephalexin for streptococcal pharyngitis or otitis media between June 1, 2020, and May 31, 2023, were eligible for inclusion. Doses were evaluated against indication-specific best-practice guidelines and assessed for guideline concordance. Results Of the 200 patients evaluated, 100 were treated for streptococcal pharyngitis and 100 were treated for otitis media. Of the prescribed β-lactam doses, 32% were discordant with best-practice guideline recommendations. Dosing errors were more common for pharyngitis than for otitis media (47% vs 17%; P < 0.001). Overdosing was the most frequently observed error in pharyngitis prescriptions (93.6% of errors) and most commonly occurred in patients weighing more than the 20-kg weight associated with the dosing maximum (80.9% of overdosing errors). All patients receiving an inappropriate dose for otitis media were underdosed. Conclusion Outpatient pediatric dosing errors for URI indications are common among both emergency medicine and family medicine prescribers. Patients weighing over the weight corresponding to the dosing maximum are at highest risk for error. Antimicrobial stewardship interventions targeting the point of prescribing are urgently needed to provide safe dosing practices for pediatric patients.

Oral Suspension as Versatile Galenic Formulation in Pediatry

In the last years increased the prescription of drugs in pediatry as pharmaceutical form of oral suspension. The same in commerce there are various producer that provide specific ready for use excipeints to make more easy to prepare OS in the galenic laboratory. Aim of this work is to verify the advantages of this pharmaceutical form to cover pediatrics dosages vs other form and also to overcome shortcomings of some crucial registered drugs. In this work are reported also scientific literature relates some ready for use product as bases- veicle for suspension and some formulations of interest.

Seasonal Variations in Ochreous Precipitates and Drainage Waters in the Grantcharitsa Tungsten Deposit, Western Rhodopes, Bulgaria

Seasonal variations of drainage waters and ochreous products of their discharge from the closed abandoned old gallery at the Grantcharitsa scheelite deposit (Bulgaria) were studied by field and laboratory methods for the period 2019–2023. The drainage is generated under anoxic conditions and is inherently diluted (EC = 100–202 µS/cm) with S (6–12 mg/L), Si (6–22 mg/L), Na (6–10 mg/L), Fe (0.2–3.3 mg/L), and W (0.19–3.5 µg/L), at a pH 4.4–6.5 and temperature 7–11.5 °C, with dissolved oxygen DO (2.1–7.7 mg/L). The concentrations of Fe and W and the pH of the water are variable and reach their maximum values during the dry (autumn) season. It was found that such parameters as pH, Eh, DO, Fe and W content change dramatically at a distance of up to 3 m from the water outlet; the values of pH, DO and Eh are sharply increased with a simultaneous nearly 5–6-times reduction in iron and tungsten content. The decrease in the contents of these elements is associated with the precipitation of ochreous material consisting of nanoscale ferrihydrite with an intermediate structural ordering between 2-line and 6-line ferrihydrite (major phase), hematite, goethite, quartz, montmorillonite and magnetite. The formation of ferrihydrite occurs as a result of abiotic and biotic processes with the participation of iron-oxidizing bacteria. Besides Fe2O3 (55.5–64.0 wt.%), the ochreous sediment contains SiO2 (12.0–16.4 wt.%), SO3 (1.3–2.4 wt.%), Al2O3 (3.1–6.8 wt.%) and WO3 (0.07–0.11 wt.%). It has been shown that drainage waters and ochreous sediments do not inherently have a negative impact on the environment. The environmental problem arises with intense snowmelt and heavy rainfall, as a result of which the accumulated sediments are washed away and carried in the form of suspensions into the water systems. It is suggested that by providing atmospheric oxygen access to the closed gallery (via local boreholes), it is possible to stop the generation of iron-enriched drainage.

An Updated Survey of Trends in the Surgical Management of Thumb Carpometacarpal Arthritis - The Increasing Popularity of the Suture Suspension Arthroplasty.

Background: The purpose of this study was to conduct an updated survey of American Society for Surgery of the Hand (ASSH) membership to evaluate current preferences for surgical management of thumb CMC arthritis. Past surveys have demonstrated LRTI to be the most preferred surgical technique. We hypothesised that current surgical preferences for thumb CMC arthritis have changed over the last several years due to rising popularity of high-strength suture implants. Methods: A 22-question survey inquired about the preferences for the surgical management of basal joint arthritis and was sent to the ASSH membership. Descriptive statistics were calculated on all survey questions. Chi-squared analysis was used to compare differences in thumb CMC arthroplasty preferences across respondents. Results: A total of 1,499 responses were available for analysis, yielding a response rate of 29.9%. For surgical management of basal joint arthritis in the primary setting, the largest percentage of respondents preferred open trapeziectomy with suture suspension arthroplasty (39.2%); amongst them, over half (56%) used a high-strength suture implant. This was followed by open trapeziectomy with LRTI (38.3%). In the revision setting, most respondents preferred open trapeziectomy with suture suspension arthroplasty (53.5%), followed by LRTI (24.6%). In determining the choice of procedure, respondents felt some form of metacarpal suspension and implant cost to be more important factors than ligament reconstruction and interposition. A higher proportion of international members (16.2%) utilised implant arthroplasty than US/Canadian members (1.1%; p<0.01). Conclusions: Past surveys have demonstrated LRTI to be the most preferred surgical technique. The current survey demonstrates open trapeziectomy and suture suspension arthroplasty, especially using high-strength suture implants, gaining popularity amongst surgeons, while open trapeziectomy and LRTI decreasing in preference. Suture suspension arthroplasty is now the preferred surgical technique in both the primary and revision setting. Level of Evidence: Level IV (Therapeutic).

Injectability of high concentrated suspensions using model microparticles

Administration of high-concentrated suspension formulations (i.e., solid particles dispersed in a liquid vehicle) can be limited due to their greater propensity for needle occlusion. The physical interaction between the solid phase (i.e., particles), the vehicle (i.e., flow field), and injection devices could result in the formation of particle bridging or filtering, posing a major risk in dose delivery accuracy and injectability. Here, given the limited understanding on how clogging initiates in syringe and needle delivery systems, we report an experimental approach to fully characterize the transient injection behavior of suspensions. In particular, we first established a custom fluorescence tagging and imaging technique with integrated force sensor to enable visual observation of local particle concentrations and plunger force monitoring throughout injection. Then, we investigated the effects of key formulation properties and device parameters including particle concentration and morphology, carrier viscosity, injection rate, needle and syringe sizes, and tissue backpressure on the incidence of suspension particle jamming and needle clogging. We performed systematic benchmark studies demonstrating that increasing needle inner diameter (ID) and particle density considerably reduced clogging risk, while increasing vehicle viscosity, particle size, and tissue backpressure significantly increased clogging. The experimental framework presented is amenable to quantifying clogging risk in drug-loaded particle suspensions and provides a guideline to make informed decisions on the tradeoffs between creating particles for pharmaceutical impact and feasibility of injection delivery.

Comparison of oven drying and freeze drying methods for the production of fast melt films containing quetiapine fumarate

Background Quetiapine fumarate (QTP) is commonly prescribed for schizophrenic patient, typically available in tablet or oral suspension form, presenting challenges such as administration difficulties, fear of choking and distaste for its bitter taste. Fast melt films (FMF) offer an alternative dosage form with a simple development process, ease of administration and rapid drug absorption and action onset. Objective This study aims to prepare FMF with different formulations using solvent casting methods and to compare the effects of different drying methods, including oven drying and freeze drying, on the properties of the films. Methods Various formulations were created by manipulating polymer types (starch, hydroxypropyl methylcellulose (HPMC) and guar gum) at different concentrations, along with fixed concentrations of QTP and other excipients. Characterisation tests including surface morphology, weight, thickness, pH, tensile strength, elongation length, Young’s modulus, folding endurance and disintegration time were conducted. The optimal FMF formulation was identified and further evaluated for moisture and drug content, dissolution behaviour, accelerated stability, X-ray diffraction (XRD), and palatability. Results FMF containing 10 mg guar gum/film developed using oven drying emerged as the optimum choice, exhibiting desirable film appearance, ultra-thin thickness (0.453 ± 0.002 mm), appropriate pH for oral intake (pH 5.0), optimal moisture content of 11.810%, rapid disintegration (52.67 ± 1.53 seconds), high flexibility (folding endurance > 300 times) and lower Young’s modulus (1.308 ± 0.214). Conclusion Oven drying method has been proven to be favourable for developing FMF containing QTP, meeting all testing criteria and providing an alternative option for QTP prescription.

Bioequivalence of two oral formulations of nitazoxanide in healthy volunteers

Objective: This study evaluated the bioequivalence (BE) between two Nitazoxanide 20mg/ml oral suspension formulations. Methods: We carried out a single-center, open-label, randomized, single-dose, two-sequence, two-period. Subjects received single oral doses of 500 mg Nitazoxanide oral suspension. Whole blood samples were collected pre-dose and at specified intervals up to 12 h post-dose to assess pharmacokinetic parameters. Results: Thirty healthy adult subjects completed the study. We found the 90% confidence intervals for the geometric mean ratios for the Tixozanide area under the curve AUC0‐t and AUC0‐∞ and maximum plasma concentration (Cmax) were within the established limits of 80% to 125 % of BE. Conclusion: The criteria for BE were met for the nitazoxanide formulations from Eurofarma Laboratórios S.A.

Therapeutic efficacy of a three-component anthelmintic drug against cestodosis and nematodosis of small domestic animals

The purpose of the study therapeutic efficacy of combined anthelmintic drug on dogs and cats of different age groups naturally infected with cestodes and nematodes.Materials and methods. The study drug in the suspension form contains oxantel pamoate, pyrantel pamoate, praziquantel, and additives as active ingredients. The therapeutic efficacy of the drug was evaluated on 228 animals naturally infected with nematodes or cestodes in the Podolsk Experimental Production Base of the VNIIP – FSC VIEV. The animals were divided into experimental and control groups of 6 animals each. The experimental dogs and cats were administered the study drug while the control animals were not given the drug. Clinical examinations and laboratory tests of fecal samples were performed on days 10, 20 and 30 after the start of the experiment. The method of helminthoscopy was used to detect segments and helminthoovoscopy as per Fülleborn to detect helminth eggs/cocoons in animal fecal samples with their subsequent differentiation. The results were statistically processed by the Student method using Microsoft Excel 2016.Results and discussion. It was found that anthelmintic drug based on oxantel pamoate, pyrantel pamoate and praziquantel had high therapeutic efficacy against parasitism in dogs and cats of nematodes Toxocara spp., Toxascaris leonina, Trichuris vulpis, Uncinaria stenocephala, Ancylostoma spp. and cestodes Echinococcus spp. (except for cats), Mesocestoides spp., Taenia spp., Dipylidium caninum, and Diphyllobothrium latum. When the drug was used in the animals of different age groups, no side effects or complications were recorded.

Oral Suspension as Versatile Galenic Formulation in Pediatry

In the last years, there has been an increase in the prescription of drugs in pediatry as a pharmaceutical form of oral suspension. The same is true in commerce there are various producers that provide specific ready-for-use excipients to make more easier to prepare OS in the galenic laboratory. The aim of this work is to verify the advantages of this pharmaceutical form to cover pediatric dosages vs. other forms and also to overcome shortcomings of some crucial registered drugs. In this work scientific literature is reported that also relates to some ready-for-use products as bases-vehicle for suspension and some formulations of interest.

Исследование параметров системы аспирации рельсошлифовального поезда

The rail-grinding technology is used for the railway network of the JSC RZhD to eliminate rail defects and extend the lifecycle of the railway track. In order to implement the rail-grinding technology, currently, rail-grinding trains RShP-48 are used. Rails are ground with special grinding wheels made of zirconium electro-corundum manufactured based on aluminum oxide and zirconium oxide, with bakelite organic bond as a binder. In addition, the abrasive wheel composition includes various chemical components. When an abrasive tool is destructed, grinding waste in the form of suspensions is generated during its mechanic work. The suspensions spread over long distances and negatively affect both the environment and the working conditions of the rail-grinding train maintenance personnel. Today, the company «Sinara — Transport Machines» is developing a new rail-grinding train RShP 2.0 with a pre-installed aspiration system to collect grinding wastes for further utilization. When developing the technical design of RShP 2.0, the main characteristics of the aspiration system have been determined. In order to confirm the efficiency of the obtained parameters of the aspiration system, laboratory tests have been conducted on a special rail-grinding unit. According to the results, the aspiration system with the stated technical characteristics absorbs the fine fraction of grinding products which is about 50 % of the total lost mass of the grinding wheel. Considering a large abrasive that sticks to the spark arrestors together with metal chips, the aspiration system RShP 2.0 will enable removing up to 90 % of grinding waste.

Development and Validation of a Simple HPLC–UV‐Based Bioanalytical Method for Estimation of Acalabrutinib in Rat Plasma and Its Application in Evaluation of Drug‐Loaded Nanocrystal Formulation

ABSTRACTA robust and reproducible HPLC–UV‐based bioanalytical method for acalabrutinib (ACP) was developed and validated in rat plasma using prednisone as internal standard. The samples were prepared by single‐step protein precipitation method using methanol with 1% v/v formic acid. A polar C18 stationary phase was used with a combination of 10 mM ammonium acetate (pH 3.5) and methanol (60:40 ratio), flow rate 1.1 mL/min, and 50 µL injection volume. ACP and internal standard were retained at ∼5.96 and 8.29 min, respectively. The method was validated according to the United States Food and Drug Administration and ICH M10 bioanalytical method validation guidelines. It was linear in the calibration range (0.08–5 µg/mL) with as 0.9989; accurate (% bias ≤ 0.50 ± 0.67), and precise (%RSD ≤ 0.986) for any quality control standard. Further, the method was applied in estimating ACP in rat plasma samples collected during in vivo pharmacokinetic study of the bulk drug as well as a nanocrystal (NC) suspension formulation. ACP‐NCs were formulated by bottom‐up solvent–antisolvent precipitation with mean particle size 266.32 ± 29.90 nm, 0.25 ± 0.05 PDI, with 92.7% ± 2.3% yield. The NC formulation improved both in vitro dissolution and in vivo absorption, supporting a further development of ACP‐loaded nanodrug delivery systems.

Formulation and Evaluation of Herbal Suspension by Using Factorial Design

Herbal remedies serve a vital role in developing therapeutic agents due to their proven effectiveness in treating various ailments. However, identifying active compounds from plant sources presents significant challenges in herbal medicine research. Authenticating these compounds and studying interactions between different herbs, in addition to between herbs and drugs, especially in polypharmacy, are crucial steps. This leads to the re-evaluation and enhancement of agents for improved efficacy and reduced side effects, promoting the development of safer drugs for different disorders. This study employed a 2² factorial design to optimize a polyherbal suspension formulation using Bael (Aegle marmelos) and Bay (Cinnamomum tamala) leaves. This design enabled the exploration of interactions between two key factors: the concentrations of sodium CMC and Tween 20. The study assessed phytochemical properties, sedimentation volume, redispersibility, rheology, viscosity, pH, and crystal growth. Based on optimisation results batch 2 was considered to be optimised batch, demonstrating excellent stability, redispersibility, appropriate viscosity, and stable physicochemical properties. This study underscores the importance of using suitable excipients to enhance the stability of herbal formulations, offering a model for future herbal product development. Key words: Polyherbal, Suspension, Factorial Design, Optimization

A Bayesian framework for virtual comparative trials and bioequivalence assessments.

In virtual bioequivalence (VBE) assessments, pharmacokinetic models informed with in vitro data and verified with small clinical trials' data are used to simulate otherwise unfeasibly large trials. Simulated VBE trials are assessed in a frequentist framework as if they were real despite the unlimited number of virtual subjects they can use. This may adequately control consumer risk but imposes unnecessary risks on producers. We propose a fully Bayesian model-integrated VBE assessment framework that circumvents these limitations. We illustrate our approach with a case study on a hypothetical paliperidone palmitate (PP) generic long-acting injectable suspension formulation using a validated population pharmacokinetic model published for the reference formulation. BE testing, study power, type I and type II error analyses or their Bayesian equivalents, and safe-space analyses are demonstrated. The fully Bayesian workflow is more precise than the frequentist workflow. Decisions about bioequivalence and safe space analyses in the two workflows can differ markedly because the Bayesian analyses are more accurate. A Bayesian framework can adequately control consumer risk and minimize producer risk . It rewards data gathering and model integration to make the best use of prior information. The frequentist approach is less precise but faster to compute, and it can still be used as a first step to narrow down the parameter space to explore in safe-space analyses.

Conductive water-based graphene suspension for electromagnetic interference shielding via spray coating on SiP module

Conductive inks have been widely used to develop electronic devices, such as sensors, RFID antennas, and transistors. Electronic utilization is a coating that forms conductive films for electromagnetic interference shielding (EMI Shielding). This process also can be employed to cover electronic modules called System in Package (SiP). A technology known as conformal shielding utilizes spray coating with metallic inks to form a conductive layer over the SiP. Traditionally, copper or silver inks have been the primary materials employed due to their high electrical conductivity. Conversely, these metallic inks are associated with significant costs, environmental impacts, and complex production methods. In this context, water-based graphene dispersion could be an alternative to EMI Shielding for electronic chips. Graphene is attractive due to its excellent electrical and thermal properties, reduced cost, and being an environmentally friendly material. In this study, a water-based graphene suspension was developed and applied via spray coating to form films for electromagnetic shielding. The graphene dispersion in water utilized Carboxymethyl cellulose (CMC). Characterizations of the graphene suspension, including morphology, particle size distribution, and chemical analysis, were conducted. The resistivity of the resulting films and their shielding effectiveness (SE) were measured. Electronic chip modules were painted to assess coverage. The study demonstrated the successful formulation of a stable water-graphene suspension exhibiting favorable electrical resistivity (2.8 × 10−2 Ω.cm) after drying at 300 °C for 1 h. The resulting film achieved a shielding effectiveness of −9 dB at 1.0 GHz. Graphene film completely covered the electronic chips, indicating an alternative conformal shielding.

Yacon powder mix: Effects of the composition and the process of microencapsulation by spray drying

Yacon is a tuber known as a healthy food due to its effects as an antidiabetic, anti-inflammatory, anticancer, and prebiotic agent; it is rich in fructooligosaccharides (FOS) and antioxidants, and due to its sweet taste and low-calorie content, it is used as a substitute for ordinary sugar. This research aimed to evaluate the influence of the composition of the feed and the microencapsulation process by spray drying (SD) on the properties of a yacon powder mixture (YP). Response surface methodology with a central composite design with a face-centered composition (α = 1) was used, considering the independent variables: inulin (IN) (3–5% w/w), maltodextrin (MD) (3–5% w/w), air inlet temperature (AIT) (140–160 °C), air outlet temperature (AOT) (75–85 °C) and atomizer disc speed (ADS) (18000–22000 rpm), and the dependent variables: moisture (Xw), water activity (aw), hygroscopicity (Hy), solubility (S), particle size (percentile D10, D50, and D90), total phenols (TP), antioxidant capacity (ABTS and DPPH), color (CIE-Lab*) and yield (Yi). The suspension formulation contained xanthan gum (0.167 %) and a mixture of ascorbic and citric acids (0.3 %). The aw and Xw values of the YP guarantee its microbiological stability; however, the process formulation produces a complex matrix (FOS- sugars- MD - IN) with high affinity for water, which favors adsorption phenomena (hygroscopic material) and high reconstitution (high solubility). The independent variables that best fit the experimental optimization criteria were: IN = 3.0 %, MD = 5.0 %, AIT = 143.7 °C, AOT = 80.1 °C, ADS = 22000 rpm, where Yi = 84.2 %, and the quality of the YP: Xw = 2.4 %, aw = 0.220, Hy = 23.0 %, S = 96.9 %, D10 = 10.6 μm, D50 = 23.4 μm and D90 = 169.3 μm, TP = 1228.2 mg gallic acid equivalent/100 g, ABTS = 2295.9 mg Trolox equivalent (TE)/100 g, DPPH = 5192.3 mg TE/100 g, L* = 80.5, a* = 5.1 and b* = 17.4. SD is an effective technology that positively impacts the development of new food products. In addition, the YP could have multipurpose applications for the industry, generating value in this agri-chain.

Comparative analysis of 3D printing of Portland cement mortars with hydroxypropyl methylcellulose and microfibrillated cellulose as viscosity modifying agents

The most used viscosity-modifying agents (VMAs) in 3D concrete printing (3DCP) are typically in powder form, which may pose challenges in dispersion and handling due to their low concentration and dust generation. This study explores the viability of using microfibrillated cellulose (MFC) in suspension and paste forms as a VMA in 3D-printable Portland cement mortars. The performance of these developed mortars was compared to a cement mortar containing hydroxypropyl methylcellulose (HPMC) in powder form. The mortars containing MFC in suspension and paste forms showed slightly higher workability, mechanical strength, and denser microstructure than those with HPMC. The MFC samples showed a higher viscosity and yield stress than the ones containing HPMC. A large-scale concrete 3D printer was used for the printability test. The HPMC mortars showed slightly superior extrudability and printability; however, the shape stability was inferior to that of the MFC mortars. The compressive strength of the 3D-printed samples was 40% lower compressive strength than the mold-cast samples; however, the flexural strength was comparable. Overall, the MFC in paste form outperformed the other VMAs studied here, providing better shape stability, while maintaining acceptable printability.

Highly stable reinforced nanostructure of silver-decorated on graphene oxide phytosynthesized through central composite design for antibacterial activity: Green and eco-friendly method

In this study, the simultaneous effects of reaction time, reaction temperature, and ratio of AgNO3 and Curcuma longa extract on the nanoparticle size in the silver nanoparticles@graphene oxide (Ag@GO) nanocomposite were thoroughly investigated via the central composite design model (CCD). The obtained results showed that all parameters played a crucial role in the change in the AgNPs size. Indeed, the synthesis conditions were determined to be 31.9 min, 60.22 °C, and volume ratio between AgNO3 and extract of 0.96 (mL/mL) according to the simulated model, while these were determined at 32 min, 60 °C, and 1.0 (mL/mL) of AgNO3:extract volume ratio in empirical experiments. Under these conditions, the average particle size of the AgNPs was determined to be 22.19 nm, which showed a negligible deviation as compared to the experimental result (23.47 nm). Furthermore, the characterization of the Ag@GO was also assessed, in which the AgNPs affirmed the presence of spherical shapes evenly distributed on the GO sheets through XPS spectra, XRD pattern, TEM, and AFM images results. In addition, the as-prepared material also shows a great antibacterial performance against both Escherichia coli and Staphylococcus aureus strains with the IC50 values of 2.70 and 2.86 μg/mL at the bacteria density of 108 CFU/mL. Besides, the stability of the Ag@GO material in the form of suspension after 3 months was also evaluated, in which insignificant changes in the morphological structure were observed as compared to the initial sample. The aforementioned results exerted the great potential of the as-prepared material as an antibacterial agent in medicinal applications.

The Combination Between Super Absorbent Polymers (SAPs) and Biofertilizers Could be an Ecofriendly Approach for Soil Chemical Properties Improving and Sustainable Wheat (Triticum Sativum) Production in Sandy Loam Soil

Sustainable agriculture aims to provide food needs while improving soil health and protecting it from degradation and contamination from excessive chemical fertilizer use. Sandy-textured soils have low fertility and water-holding capacity. This study assessed the integrated impact of super absorbent polymers (SAPs) and biofertilizer application on the soil chemical characteristics and wheat growth parameters in sandy loam soil. Two super absorbent polymers (SAPs) included Barbary plant G3 (P1) and Aqua Gool polymer (P2), and four microbial inoculations (Trichoderma harzianum (T), Actinomycetes (Streptomyces rochei and Streptomyces atrovirens) (AC1 and AC2), and Bacillus subtilis (B)) as biofertilizers were used in our pot experiment. The SAPs were applied to soil at a level of 0.2% (w/w), while biofertilizers were applied in the form of microbial cell suspensions (50 ml per pot) in addition to treating wheat seed with these suspensions during cultivation. Wheat plants were irrigated every 8 days to field capacity level. Amending soil with super absorbent polymers and microbes either individually or in combination significantly reduced pH and EC, increased organic matter level, and the availability of macro- and micronutrients in soil. Wheat growth metrics, including shoot length, tiller number, biomass accumulation, leaf area, and grain yield, exhibited considerable enhancements relative to the plants of the control treatment. The interaction between P1 polymer and Streptomyces atrovirens (AC2) showed the highest performance in improving the almost studied parameters. The application of SAPs with microbial biofertilizers offers a promising eco-friendly method for enhancing soil health and wheat yield.

Budesonide oral suspension (Eohilia) for eosinophilic esophagitis.

Eohilia (Takeda), an oral suspension formulation of the corticosteroid budesonide, has been approved by the FDA for treatment of eosinophilic esophagitis (EoE) in patients ≥11 years old. It is the first oral drug to be approved in the US for this indication. The subcutaneously injected interleukin (IL)-4 receptor antagonist dupilumab (Dupixent) is approved for treatment of EoE in patients ≥1 year old who weigh ≥15 kg.

Antibacterial mechanism of Malaysian Carey clay against food-borne Staphylococcus aureus

Depending on their chemical structure and geochemistry, clay minerals can display potent antibacterial properties against a range of bacterial pathogens. Malaysian Carey clay was evaluated for its antibacterial activity against food-borne Staphylococcus aureus ATCC 13565 strains. The minimum inhibitory concentration (MIC) and minimum bactericidal activity (MBC) of both Carey clay leachates and suspension were 125 mg/mL and 250 mg/mL, respectively. Time-kill assay revealed that 2x MIC and 4x MIC Carey clay in both leachate and suspension forms resulted in complete killing of S. aureus. Antibacterial mechanism was investigated through imaging of bacterial morphology using TEM and determination of reactive oxygen species (ROS) using NBT assay. Imaging of bacterial morphology using TEM showed abnormalities, including disrupted cell walls following exposure to Carey clay, and the antibacterial activity was associated with generation of ROS. Our study suggests that Carey clay displays promising functionality as a natural antibacterial agent in the food industry.