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Toxics May 2024From 2019 to 2020, antihistamines were found in 15% of all US drug overdose deaths, often co-administered with fentanyl, with 3.6% of overdose deaths due to... (Review)
Review
From 2019 to 2020, antihistamines were found in 15% of all US drug overdose deaths, often co-administered with fentanyl, with 3.6% of overdose deaths due to antihistamines alone. The most common antihistamine found in all these reported deaths is diphenhydramine, a ubiquitous, over-the-counter and clinically important medication. Currently, there is no antidote for diphenhydramine overdose. This review summarizes the adverse health effects and current emergency medicine treatments for diphenhydramine. Several emergency medicine case reports are reviewed, and the efficacy and outcomes of a variety of treatments are compared. The treatments reviewed include the more traditional antihistamine overdose therapeutics physostigmine and sodium bicarbonate, as well as newer ones such as donepezil, dexmedetomidine, and lipid emulsion therapy. We conclude that more study is needed to determine the ideal therapeutic approach to treating antihistamine overdoses.
PubMed: 38922056
DOI: 10.3390/toxics12060376 -
Biosensors May 2024Glucosamine-chitosan synthesized by the Maillard reaction was combined with montmorillonite to obtain a nanohybrid composite to immobilize horseradish peroxidase. The...
Glucosamine-chitosan synthesized by the Maillard reaction was combined with montmorillonite to obtain a nanohybrid composite to immobilize horseradish peroxidase. The material combines the advantageous properties of clay with those of the chitosan derivative; has improved water solubility and reduced molecular weight and viscosity; involves an eco-friendly synthesis; and exhibits ion exchange capacity, good adhesiveness, and a large specific surface area for enzyme adsorption. The physicochemical characteristics of the composite were analyzed by infrared spectroscopy and X-ray diffraction to determine clay-polycation interactions. The electrochemical response of the different polyphenols to glassy carbon electrodes modified with the composite was evaluated by cyclic voltammetry. The sensitivity and detection limit values obtained with the biosensor toward hydroquinone, chlorogenic acid, catechol, and resorcinol are (1.6 ± 0.2) × 10 µA mM and (74 ± 8) nM; (1.2 ± 0.1) × 10 µA mM and (26 ± 3) nM; (16 ± 2) µA mM and (0.74 ± 0.09) μM; and (3.7± 0.3) µA mM and (3.3 ± 0.2) μM, respectively. The biosensor was applied to quantify polyphenols in pennyroyal and lemon verbena extracts.
Topics: Bentonite; Biosensing Techniques; Polyphenols; Chitosan; Horseradish Peroxidase; Enzymes, Immobilized; Electrochemical Techniques; Glucosamine; Electrodes
PubMed: 38920582
DOI: 10.3390/bios14060278 -
Rhode Island Medical Journal (2013) Jul 2024The molecular pathogenesis of exocrine pancreatic cancer involves mutations K-RAS, TP53, CDKN2A, and SMAD4. The KRAS oncogene leads to constitutively active tumor cell... (Review)
Review
The molecular pathogenesis of exocrine pancreatic cancer involves mutations K-RAS, TP53, CDKN2A, and SMAD4. The KRAS oncogene leads to constitutively active tumor cell proliferation and is present in 90% of unresectable or metastatic pancreatic adenocarcinomas. Of these, the G12C variant of K-RAS genes accounts for 1-2% of mutations. A 65-year-old woman initially diagnosed with T3N0M0 pancreatic adenocarcinoma, underwent six cycles of neoadjuvant chemotherapy with mFOLFIRINOX followed by Whipple procedure. Her pathological stage was T4N2. She then received adjuvant mFOLFIRINOX but unfortunately her disease progressed through multiple lines of chemotherapy. Molecular analysis by Next Generation Sequence(NGS) panel revealed KRAS G12C mutation. Based on this mutational status, she was started on Sotorasib to which she had clinical response lasting for about 11 months prior to disease progression. Off-label use of Sotorasib as fourth-line treatment in our patient with KRAS G12C mutated pancreatic cancer was efficacious and relatively well tolerated.
Topics: Humans; Pancreatic Neoplasms; Female; Aged; Adenocarcinoma; Triazoles; Antineoplastic Combined Chemotherapy Protocols; Proto-Oncogene Proteins p21(ras); Pyrimidines; Mutation; Antineoplastic Agents; Irinotecan; Oxaliplatin; Fluorouracil; Leucovorin; Off-Label Use; Piperazines; Pyridines
PubMed: 38917307
DOI: No ID Found -
BioRxiv : the Preprint Server For... Jun 2024Toxin-antidote systems are selfish genetic elements composed of a linked toxin and antidote. The toxin-antidote system in consists of a transmembrane toxin protein...
Toxin-antidote systems are selfish genetic elements composed of a linked toxin and antidote. The toxin-antidote system in consists of a transmembrane toxin protein PEEL-1 which acts cell autonomously to kill cells. Here we investigate the molecular mechanism of PEEL-1 toxicity. We find that PEEL-1 requires a small membrane protein, PMPL-1, for toxicity. Together, PEEL-1 and PMPL-1 are sufficient for toxicity in a heterologous system, HEK293T cells, and cause cell swelling and increased cell permeability to monovalent cations. Using purified proteins, we show that PEEL-1 and PMPL-1 allow ion flux through lipid bilayers and generate currents which resemble ion channel gating. Our work suggests that PEEL-1 kills cells by co-opting PMPL-1 and creating a cation channel.
PubMed: 38915716
DOI: 10.1101/2024.06.11.598564 -
Scientific Reports Jun 2024Deliberate open burning of crop residues emits greenhouse gases and toxic pollutants into the atmosphere. This study investigates the environmental impacts (global...
Deliberate open burning of crop residues emits greenhouse gases and toxic pollutants into the atmosphere. This study investigates the environmental impacts (global warming potential, GWP) and economic impacts (net cash flow) of nine agricultural residue management schemes, including open burning, fertilizer production, and biochar production for corn residue, rice straw, and sugarcane leaves. The environmental assessment shows that, except the open burning schemes, fossil fuel consumption is the main contributor of the GWP impact. The fertilizer and biochar schemes reduce the GWP impact including black carbon by 1.88-1.96 and 2.46-3.22 times compared to open burning. The biochar schemes have the lowest GWP (- 1833.19 to - 1473.21 kg CO-eq/ton). The economic assessment outcomes reveal that the biochar schemes have the highest net cash flow (222.72-889.31 US$/ton or 1258.15-13409.16 US$/ha). The expenditures of open burning are practically zero, while the biochar schemes are the most costly to operate. The most preferable agricultural residue management type is the biochar production, given the lowest GWP impact and the highest net cash flow. To discourage open burning, the government should tailor the government assistance programs to the needs of the farmers and make the financial assistance more accessible.
Topics: Crops, Agricultural; Agriculture; Charcoal; Global Warming; Fertilizers; Zea mays; Oryza; Open Waste Burning
PubMed: 38909099
DOI: 10.1038/s41598-024-65389-3 -
World Journal of Microbiology &... Jun 2024Tannery effluents contain high amounts of polluting chemicals, such as salts and heavy metals released often to surface waters. New economic and eco-friendly...
Tannery effluents contain high amounts of polluting chemicals, such as salts and heavy metals released often to surface waters. New economic and eco-friendly purification methods are needed. Two adsorbing materials and five salt-tolerant fungal isolates from mangrove habitat were studied. Purification experiments were carried out using the pollutant adsorbents biochar and the biomass of vetiver grass (Chrysopogon zizanioides) roots and the fungi Cladosporium cladosporioides, Phomopsis glabrae, Aspergillus niger, Emericellopsis sp., and Scopulariopsis sp., which were isolated from mangrove sediment. They efficacy to reduce pollutants was studied in different combinations. Salinity, turbidity, total dissolved solids, total suspended solids, phenols, nitrogen, ammonia. Biological and chemical oxygen demand (BOD, COD) and several heavy metals were measured. The adsorbents were efficient reducing the pollutants to 15-50% of the original. The efficiency of the combination of biochar and roots was generally at the same level as the adsorbents alone. Some pollutants such as turbidity, COD and ammonium were reduced slightly more by the combination than the adsorbents alone. From all 14 treatments, Emericellopsis sp. with biochar and roots appeared to be the most efficient reducing pollutants to < 10-30%. BOD and COD were reduced to ca 5% of the original. The treatment was efficient in reducing also heavy metals (As, Cd, Cr, Mn Pb, Zn). The fungal species originating from the environment instead of the strains present in the tannery effluent reduced pollutants remarkably and the adsorbents improved the reduction efficiency. However, the method needs development for effluents with high pollutant concentrations to fulfil the environmental regulations.
Topics: Charcoal; Biomass; Poaceae; Metals, Heavy; Tanning; Biodegradation, Environmental; Plant Roots; Fungi; Water Pollutants, Chemical; Wastewater; Biological Oxygen Demand Analysis; Adsorption; Water Purification; Industrial Waste; Wetlands
PubMed: 38907753
DOI: 10.1007/s11274-024-04055-2 -
BMC Complementary Medicine and Therapies Jun 2024This study explores the medicinal plant knowledge of the Baiku Yao, a unique ethnic group in China. Despite existing research on their ethnobotanical practices, a...
BACKGROUND
This study explores the medicinal plant knowledge of the Baiku Yao, a unique ethnic group in China. Despite existing research on their ethnobotanical practices, a comprehensive understanding of their medicinal flora remains lacking. This study aims to document and analyze the species distribution, utilization, and traditional knowledge of medicinal plants used by Baiku Yao.
METHODS
Ethnobotanical surveys were conducted in various Baiku Yao villages across different seasons from 2019 to 2023. Informants were interviewed, and plant specimens were collected and identified. Statistical analyses, including the Relative Frequency of Citation (RFC), were employed to understand plant importance in Baiku Yao culture.
RESULTS
In an ethnobotanical survey conducted in the Baiku Yao region, 434 medicinal plant species were documented, highlighting significant ethnobotanical diversity and a deep cultural integration of traditional medicinal practices. The study revealed pronounced geographical variations in plant knowledge among villages, with a notable reliance on wild plants, as 85.48% were sourced from the wild, reflecting unique local ethnobotanical knowledge. Predominantly herbs and shrubs were used due to their accessibility and abundance in the local environment. High Relative Frequency of Citation (RFC) values for certain species underscored their importance for local health needs and additional economic value. The utilization of various plant parts, particularly whole plants, roots, and leaves, indicates a holistic approach to medicinal applications, adapted to combat prevalent health issues such as skin and infectious diseases. The study also uncovered the Baiku Yao's cultural practices for countering "Gu" afflictions-a range of pathogenic conditions-with 18 diverse antidote plants used for skin, digestive, and musculoskeletal disorders. The study underscores the imperative of preserving this rich medicinal heritage through innovative models that engage youth and leverage new media, ensuring the inheritance and evolution of Baiku Yao's traditional knowledge.
CONCLUSIONS
Baiku Yao's medicinal plant use reflects a deep, culturally ingrained knowledge, closely tied to local ecology. The study highlights the importance of preserving this unique ethnobotanical heritage and suggests interdisciplinary approaches for future research.
Topics: Humans; China; Ethnicity; Ethnobotany; Health Knowledge, Attitudes, Practice; Medicine, Chinese Traditional; Plants, Medicinal; Surveys and Questionnaires
PubMed: 38907195
DOI: 10.1186/s12906-024-04545-8 -
Environmental Monitoring and Assessment Jun 2024The purpose of this research is to investigate the ability of peanut shell activated carbon (PSAC) to adsorb phenol from aqueous solutions. Phenolic wastewater in...
The purpose of this research is to investigate the ability of peanut shell activated carbon (PSAC) to adsorb phenol from aqueous solutions. Phenolic wastewater in various industries and their release to the environment are environmental problems. Among the various separation methods, adsorption is an accepted method because of its efficiency, simplicity, cost-effectiveness, and possibility to use different adsorbent materials to achieve maximum adsorption efficiency. Response surface methodology (RSM) was used to minimize the required experiments, modeling, finding the optimal point, and variance analysis. Among the studied variables, pH, adsorbent dosage, and initial concentration are important. The results show that it is possible to completely remove at 300 ppm of phenol concentration and 5 min. Characterization of PSAC was done using Fourier transform infrared spectroscopy spectrum (FTIR), X-ray diffraction (XRD), transmission electron microscopy (TEM), Brunauer-Emmet-Teller (BET), and size analysis. By examining the isotherm models, it was found that the adsorption follows the Langmuir model. The maximum adsorption capacity was 250 mg g based on the Langmuir model. The three combined features of complete removal, ultra-fast adsorption, and high adsorption capacity are the unique features of this nano biocarbon for phenol removal.
Topics: Adsorption; Water Pollutants, Chemical; Kinetics; Phenol; Waste Disposal, Fluid; Charcoal; Wastewater; Arachis; Water Purification; Phenols
PubMed: 38904840
DOI: 10.1007/s10661-024-12822-9