Abstract: Hyaluronic acid (HA) consists of linear heteropolysaccharides repeat of D-glucuronic acid and N-acetyl-D-glucosamine. HA has various useful properties to maintain skin elasticity and moisture, reduce inflammation, and lubricate the movement of various body parts without causing immunogenic allergy. HA can be found in several animal tissues as well as in the capsule component of some bacteria including Pasteurella multocida. This study aimed to modify a genome-scale metabolic model of Escherichia coli using computational simulation and flux analysis methods to predict HA productivity under different carbon sources and nitrogen supplement by the addition of two enzymes (GLMU2 and HYAD) from P. multocida to improve the HA production under the specified amount of carbon sources and nitrogen supplements. Result revealed that threonine and aspartate supplement raised the HA production by 12.186%. Our analyses proposed the genome-scale metabolic model is useful for improving the HA production and narrows the number of conditions to be tested further.
Abstract: Palynology is a field of interest for many disciplines. It has multiple applications such as chronological dating, climatology, allergy treatment, and even honey characterization. Unfortunately, the analysis of a pollen slide is a complicated and time-consuming task that requires the intervention of experts in the field, which is becoming increasingly rare due to economic and social conditions. So, the automation of this task is a necessity. Pollen slides analysis is mainly a visual process as it is carried out with the naked eye. That is the reason why a primary method to automate palynology is the use of digital image processing. This method presents the lowest cost and has relatively good accuracy in pollen retrieval. In this work, we propose a system combining recognition and grouping of pollen. It consists of using a Logistic Model Tree to classify pollen already known by the proposed system while detecting any unknown species. Then, the unknown pollen species are divided using a cluster-based approach. Success rates for the recognition of known species have been achieved, and automated clustering seems to be a promising approach.
Abstract: The paper declares effects of exercise intervention of the research project “Basic research of balance changes in seniors”, granted by the Czech Science Foundation. The objective of the presented study is to define predictors, which influence bio-psycho-social consequences and effects of balance ability in senior 65 years old and above. We focused on the Fall-Efficacy Scale changes evaluation in seniors. Comprehensive hypothesis of the project declares, that motion uncertainty (dyskinesia) can negatively affect the well-being of a senior in bio-psycho-social context. In total, random selection and testing of 100 seniors (30 males, 70 females) from Prague and Central Bohemian region was provided. The sample was divided by stratified random selection into experimental and control groups, who underwent input and output testing. For diagnostics the methods of Medical Anamnesis, Functional anthropological examinations, Tinetti Balance Assessment Tool, SF-36 Health Survey, Anamnestic comparative self-assessment scale were used. Intervention method called "Life in Balance" based on yoga techniques was applied in four-week cycle. Results of multivariate regression were verified by repeated measures ANOVA: subject factor, phase of intervention (between-subject factor), body fluid (within-subject factor) and phase of intervention × body fluid interaction). ANOVA was performed with a repetition involving the factors of subjects, experimental/control group, phase of intervention (independent variable), and x phase interaction followed by Bonferroni multiple comparison assays with a test strength of at least 0.8 on the probability level p < 0.05. In the paper results of the first-year investigation of the three years running project are analysed. Results of balance tests confirmed no significant difference between females and males in pre-test. Significant improvements in balance and walking ability were observed in experimental group in females comparing to males (F = 128.4, p < 0.001). In the females control group, there was no significant change in post- test, while in the female experimental group positive changes in posture and spine flexibility in post-tests were found. It seems that females even in senior age react better to incentives of intervention in balance and spine flexibility. On the base of results analyses, we can declare the significant improvement in social balance markers after intervention in the experimental group (F = 10.5, p < 0.001). In average, seniors are used to take four drugs daily. Number of drugs can contribute to allergy symptoms and balance problems. It can be concluded that static balance and walking ability of seniors according Tinetti Balance scale correlate significantly with psychic and social monitored markers.
Abstract: eHealth is undoubtedly emerging as a promising vehicle to provide information for individual self-care management. However, the accessing ability, reading strategies and navigating behavior between higher literacy users and lower literacy users are significantly different. Yet, ways to tailor audiences’ health literacy and develop appropriate eHealth to feed their need become a big challenge. The purpose of this study is to compare the educational effectiveness of eHealth to deliver health knowledge between higher literacy users and lower literacy users, thus establishing useful design strategies of eHealth for users with different level of health literacy. The study was implemented in four stages, the first of which developed a website as the testing media to introduce health care knowledge relating to children’s allergy. Secondly, a reliability and validity test was conducted to make sure that all of the questions in the questionnaire were good indicators. Thirdly, a pre-post knowledge test was conducted with 66 participants, 33 users with higher literacy and 33 users with lower literacy respectively. Finally, a usability evaluation survey was undertaken to explore the criteria used by users with different levels of health literacy to evaluate eHealth. The results demonstrated that the eHealth Intervention in both groups had a positive outcome. There was no significant difference between the effectiveness of eHealth intervention between users with higher literacy and users with lower literacy. However, the average mean of lower literacy group was marginally higher than the average mean of higher literacy group. The findings also showed that the criteria used to evaluate eHealth could be analyzed in terms of the quality of information, appearance, appeal and interaction, but the users with lower literacy have different evaluation criteria from those with higher literacy. This is an interdisciplinary research which proposes the sequential key steps that incorporate the planning, developing and accessing issues that need to be considered when designing eHealth for patients with varying degrees of health literacy.
Abstract: Erythema Multiforme Exudativum Major (EMEM) is one of the drug allergy diseases. Drug allergies caused by isoniazid rarely causes EMEM. Cutaneous reactions caused by isoniazid were obtained in 0.98% of patients, but the precise occurrence of Steven Johnson’s Syndrome (SJS) and Toxic Epidermolisis Necrolisis (TEN) due to isoniazid is not known for certain. We present this case to show hypersensitivity of isoniazid in a child. Based on the history of drug intake, physical diagnostic tests, drug elimination and provocation; we established the diagnosis of isoniazid hypersensitivity. The child showed improvement on skin manifestation after stopped isoniazid therapy.
Abstract: Children are more susceptible to medication errors
than adults. Medication administration process is the last stage in the
medication treatment process and most of the errors detected in this
stage. Little research has been undertaken about medication errors in
children in the Middle East countries. This study was aimed to
evaluate how the paediatric nurses adhere to the medication
administration policy and also to identify any medication preparation
and administration errors or any risk factors. An observational,
prospective study of medication administration process from when
the nurses preparing patient medication until administration stage
(May to August 2014) was conducted in Saudi Arabia. Twelve
paediatric nurses serving 90 paediatric patients were observed. 456
drug administered doses were evaluated. Adherence rate was variable
in 7 steps out of 16 steps. Patient allergy information, dose
calculation, drug expiry date were the steps in medication
administration with lowest adherence rates. 63 medication
preparation and administration errors were identified with error rate
13.8% of medication administrations. No potentially life-threating
errors were witnessed. Few logistic and administrative factors were
reported. The results showed that the medication administration
policy and procedure need an urgent revision to be more sensible for
nurses in practice. Nurses’ knowledge and skills regarding to the
medication administration process should be improved.
Abstract: Background. Food-related allergies and intolerances are frequently occurring in dogs. Diagnosis and monitoring according ‘Golden Standard’ of elimination efficiency is, however, time consuming, expensive, and requires expert clinical setting. In order to facilitate rapid and robust, quantitative testing of intolerance, and determining the individual offending foods, a serological test is implicated for Alimentary Induced Diseases and manifestations. Method. As we developed Medisynx IgG Human Screening Test ELISA before and the dog’ immune system is most similar to humans, we were able to develop Medisynx IgG Dog Screening Test ELISA as well. In this randomized, double-blind, split-sample, retro perspective study 47 dogs suffering from Canine Atopic Dermatitis (CAD) and several secondary induced reactions were included to participate in serological Medisynx IgG Dog Screening Test ELISA (within < 0,02 % SD). Results were expressed as titers relative to the standard OD readings to diagnose alimentary induced diseases and monitoring efficacy of an individual eliminating diet in dogs. Split sample analysis was performed by independently sending 2 times 3 ml serum under two unique codes. Results. The veterinarian monitored these dogs to check dog’ results at least at 3, 7, 21, 49, 70 days and after period of 6 and 12 months on an individual negative diet and a positive challenge (retrospectively) at 6 months. Data of each dog were recorded in a screening form and reported that a complete recovery of all clinical manifestations was observed at or less than 70 days (between 50 and 70 days) in the majority of dogs (44 out of 47 dogs =93.6%). Conclusion. Challenge results showed a significant result of 100% in specificity as well as 100% positive predicted value. On the other hand, sensitivity was 95,7% and negative predictive value was 95,7%. In conclusion, an individual diet based on IgG ELISA in dogs provides a significant improvement of atopic dermatitis and pruritus including all other non-specific defined allergic skin reactions as erythema, itching, biting and gnawing at toes, as well as to several secondary manifestations like chronic diarrhoea, chronic constipation, otitis media, obesity, laziness or inactive behaviour, pain and muscular stiffness causing a movement disorders, excessive lacrimation, hyper behaviour, nervous behaviour and not possible to stay alone at home, anxiety, biting and aggressive behaviour and disobedience behaviour. Furthermore, we conclude that a relatively more severe systemic candidiasis, as shown by relatively higher titer (class 3 and 4 IgG reactions to Candida albicans), influence the duration of recovery from clinical manifestations in affected dogs. These findings are consistent with our preliminary human clinical studies.
Abstract: Chitosan is a derivative of chitin, a compound usually
isolated from the shells of some crustaceans such as crab, lobster and
shrimp. It has biocompatible, biodegradable, and antimicrobial
properties. To use these properties of chitosan in biomedical fields,
chitosan films (1%, 2%, 3% and 4%) were prepared by using l%
lactic acid as solvent. The effects of chitosan films on tensile
strength, elongation at break, degree of swelling, thickness,
morphology, allergic and irritation reactions and antibacterial
property were evaluated. Staphylococcus aureus and Escherichia coli
were used as tested microorganisms. In vivo wound healing activities
of chitosan films were investigated using mice model. As results,
Chitosan films have similar appearance and good swelling properties
and 4% chitosan film showed the better swelling activity and the
greatest elongation ratio than the other chitosan films. They also
showed their good activity of wound healing in mice model.
Moreover, the results showed that the films did not produce any
unwilling symptoms (allergy or irritation). In conclusion, it is evident
that the chitosan film has the potentiality to use as wound healing
biofilms in the biomedical fields.
Abstract: Exposure to ambient air pollution has been linked to a
number of health outcomes, starting from modest transient changes in
the respiratory tract and impaired pulmonary function, continuing to
restrict activity/reduce performance and to the increase emergency
rooms visits, hospital admissions or mortality. The increase of
allergenic symptoms has been associated with air contaminants such
as ozone, particulate matter, fungal spores and pollen.
Considering the potential relevance of crossed effects of nonbiological
pollutants and airborne pollens and fungal spores on
allergy worsening, the aim of this work was to evaluate the influence
of non-biological pollutants (O3 and PM10) and meteorological
parameters on the concentrations of pollen and fungal spores using
multiple linear regressions.
The data considered in this study were collected in Oporto which
is the second largest Portuguese city, located in the North. Daily
mean of O3, PM10, pollen and fungal spore concentrations,
temperature, relative humidity, precipitation, wind velocity, pollen
and fungal spore concentrations, for 2003, 2004 and 2005 were
considered. Results showed that the 90th percentile of the adjusted
coefficient of determination, P90 (R2aj), of the multiple regressions
varied from 0.613 to 0.916 for pollen and from 0.275 to 0.512 for
fungal spores. O3 and PM10 showed to have some influence on the
biological pollutants. Among the meteorological parameters
analysed, temperature was the one that most influenced the pollen
and fungal spores airborne concentrations. Relative humidity also
showed to have some influence on the fungal spore dispersion.
Nevertheless, the models for each pollen and fungal spore were
different depending on the analysed period, which means that the
correlations identified as statistically significant can not be, even so,
consistent enough.
Abstract: The major source of allergy in home is the house dust
mite (Dematophagoides farina, Dermatophagoides pteronyssinus)
causing allergic symptom include atopic dermatitis, asthma, perennial
rhinitis and even infant death syndrome.
Control of this mite species is dependent on the use of chemical
methods such as fumigation treatments with methylene bromide,
spraying with organophosphates such as pirimiphos-methyl, or
treatments with repellents such as DEET and benzyl benzoate.
Although effective, their repeated use for decades has sometimes
resulted in development of resistance and fostered environmental and
human health concerns. Both decomposing animal parts and the
protein that surrounds mite fecal pellets cause mite allergy. So it is
more effective to repel than to kill them because allergen is not living
house dust mite but dead body or fecal particles of house dust mite.
It is important to find out natural repellent material against house
dust mite to control them and reduce the allergic reactions. Plants may
be an alternative source for dust mite control because they contain a
range of bioactive chemicals.
The research objectives of this paper were to verify the acaricidal
and repellent effects of cinnamon essential oil and to find out it-s most
effective concentrations. We could find that cinnamon bark essential
oil was very effective material to control the house dust mite.
Furthermore, it could reduce chemical resistance and danger for
human health.
Abstract: In Indonesia, goat milk is often consumed and
believed as anti-allergy. The objective of this research was to study
the effect of goat milk and their fractions (casein and whey)
supplementation on total serum IgE concentrations and leukocytes
count in rat sensitized with contact allergen dinitrochlorobenzene
(DNCB). Female Wistar rats 6-8 weeks old were divided into four
groups: 1) whey, 2) casein, 3) whole milk supplementation and 4)
phosphate-buffered saline/PBS (control). The results showed that
supplementation of goat milk on rats did not affects on total serum
IgE concentrations and number of leukocytes. After sensitized with
DNCB, the monocyte percentage in rats was higher (P
Abstract: This work presents the design of an expert system that aims in the procurement of patient medial background and in the search for suitable skin test selections. Skin testing is the tool used most widely to diagnose allergies. The language of expert systems CLIPS is used as a tool of designing. Finally, we present the evaluation of the proposed expert system which was achieved with the import of certain medical cases and the system produced with suitable successful skin tests.
Abstract: Asthma is a condition that causing chronic health problems in children. In addition to basic therapy against disease, we must try to reduce the impact of chronic health problems and also optimize their medical aspect of growth and development. A boy with mild asthma attack frequent episode did not showed any improvement with medical treatment and his asthma control test was 11. From radiologic examination he got hyperaerated lung and billateral sinusitis maxillaris; skin test results were house dust, food and pet allergy; an overweight body; bad school grades; psychological and environmental problem. We followed and evaluated this boy in 6 months, treated holistically. Even we could not do much on environmental but no more psychological and school problems, his on a good bodyweight and his asthma control test was 22. A case of a child with mild asthma attack frequent episode was reported. Asthma clinical course show no significant improvement when other predisposing factor is not well-controlled and a child’s growth and development may be affected. Improving condition of the patient can be created with the help of loving and caring way of nurturing from the parents and supportive peer group. Therefore, continuous and consistent monitoring is required because prognosis of asthma is generally good when regularly and properly controlled.
Abstract: The main objective of our study is to collect data
about the profile of the asthmatic patients in Assam and thereby have
a comprehensive knowledge of the factors influencing the asthmatic
patients of the state and their medication pattern. We developed a
search strategy to find any publication about the community based
survey asthma related and used. These to search the MEDLINE
(1996 to current literature) CINAHL DOAJ pubmed databases using
the key phrases, Asthma, Respiratory disorders, Drug therapy of
Asthma, database decision support system and asthma. The
appropriate literature was printed out from the online source and
library (Journal) source. The study was conducted through a set of
structured and non-structured questionnaires targeted on the
asthmatic patients belonging to the rural and urban areas of Assam,
during the month of Dec 2006 to July 2007, 138 cases were studied
in Gauwathi Medical College & Hospital located in Bhangagarh,
Assam in India. The demographic characteristics a factor in 138
patients with asthma with allergic rhinitis (cases) gives the detail
profile of asthmatic patient-s distribution of Assam as classified on
the basis of age and sex. It is evident from the study that male
populations (66%) are more prone to asthma as compared to the
females (34%).Another striking features that emerged from this
survey is the maximum prevalence of asthma in the age group of 20-
30 years followed by infants belonging to the age group of 7 (0.05%)
0-10years among both male and female populations of Assam. The
high incidence of asthma in the age group of 20-30 years may
probably be due to the allergy arising out of sudden exposure to dust
and pollen which the children face while playing and going to the
school. The rural females in the age group of 30-40 years are more
prone to asthma than urban females in the same age group may be
due to sex differentiation among the tribal population of the state.
Pharmacists should educate the asthmatics how to use inhalers
considering growing menace of asthma in the state. Safer drugs
should be produced in the form of aerosol so that easy administration
by the asthmatic patients and physicians of the state is possible for
curing asthma. The health centers should be more equipped with the
medicines to cure asthma in the state like Assam.