Electrospun probiotics: an alternative for encapsulation.

Electrospinning has emerged as a potential method to fabricate nonwoven nanofibers. It has application in different fields of biomedicine as it has potential to carry antimicrobial and bioactive agents. The present investigation was conducted to optimize the process conditions and determine the viability of probiotics after being electrospun in fibers. Poly(vinyl alcohol) (PVA) was utilized as electrospun material because it possesses generally recognized as safe (GRAS) status and in dry form it acts as a high oxygen barrier and has high water solubility. This characteristic allows the easy recovery of the bacteria from electrospun fibers. The viability tests, carried out at three different temperatures (room temperature, 4°C and -20°C) showed Bifidobacterium animalis subsp. Lactis Bb12 (probiotic 1) and combination of Streptococcus thermophilus (TH-4®), Lactobacillus paracasei 431® and Bb-12 (probiotic 2) within the electrospun PVOH fibers remained viable after 1 week at room temperature and refrigeration temperature. The nanofibers containing probiotics prepared with 9% poly venyl alcohol showed homogenous, uniform, bead-free and smooth texture. Probiotic 1 demonstrated growth as 1.85×108, 1.57×108 and 1.71×108 before, 0 hour and after 1 week of encapsulation. While probiotic 2 exhibited a growth of 2.1×108 before electrospinning, 1.3 ×108 at 0 hour and 1.97×108 after one week of electrospinning. There was no change in CFU/mL count and remained 108 CFU/mL. The encapsulation efficiency was 84.07% and 85.73% at 0 and one week, respectively, for Probiotic 1, while probitic 2 showed 90.09% and 93.59 % encapsulation efficiency before and after one week, respectively. Considering the prolonged viability of nanofibers containing probiotics noted at room temperature, this technology can be implemented for prolonged viability of probiotics.

Increased mortality from complications of pulmonary hypertension in patients undergoing transcatheter aortic valve replacement.

Aortic stenosis (AS) leads to pulmonary hypertension (PH) and right ventricle (RV) failure. Our goal was to describe mortality related to postoperative complications in PH patients undergoing transcatheter aortic valve replacement (TAVR). Ninety-three TAVR patients were analyzed (controls, sPAP < 50 mmHg; cases, sPAP ≥ 50 mmHg). Significant findings in cases included increased mortality (365 days), post-TAVR atrioventricular block (AVB) and acute kidney injury (AKI), and increased mean length of stay (LOS). This novel study highlights complications of PH as independent risk factors for death and significant morbidity post TAVR. Optimization of preoperative volume status and RV afterload reduction, while addressing AVB and AKI, may play a vital role in reducing mortality and LOS.

Hijab (headscarf) headache.

Hijab (headscarf) headache is well known among wearers and is a common topic of discussion. It has never previously been reported in the medical literature. Five women described bilateral headache either prompted by or worsened by donning the hijab, or headscarf. The headache always resolved soon after removal of the headscarf. Hijab headache may also be alleviated by minimal modifications in style while allowing women to maintain their moral conviction. It likely represents an extracranial etiology of headache, and recognition may prevent unnecessary evaluation and suffering in hijab wearers.

Texture, flavor, and sensory quality of buffalo milk Cheddar cheese as influenced by reducing sodium salt content.

The adverse health effects of dietary sodium demand the production of cheese with reduced salt content. The study was aimed to assess the effect of reducing the level of sodium chloride on the texture, flavor, and sensory qualities of Cheddar cheese. Cheddar cheese was manufactured from buffalo milk standardized at 4% fat level by adding sodium chloride at 2.5, 2.0, 1.5, 1.0, and 0.5% (wt/wt of the curd obtained). Cheese samples were ripened at 6 to 8 °C for 180 d and analyzed for chemical composition after 1 wk; for texture and proteolysis after 1, 60, 120, and 180 d; and for volatile flavor compounds and sensory quality after 180 d of ripening. Decreasing the salt level significantly reduced the salt-in-moisture and pH and increased the moisture-in-nonfat-substances and water activity. Cheese hardness, toughness, and crumbliness decreased but proteolysis increased considerably on reducing the sodium content and during cheese ripening. Lowering the salt levels appreciably enhanced the concentration of volatile compounds associated with flavor but negatively affected the sensory perception. We concluded that salt level in cheese can be successfully reduced to a great extent if proteolysis and development of off-flavors resulted by the growth of starter and nonstarter bacteria can be controlled.

Descriptive sensory profile of cow and buffalo milk Cheddar cheese prepared using indigenous cultures.

The objective of the study was to compare the sensory profile of Cheddar cheese prepared from cow and buffalo milk using indigenous and commercial cultures. Commercially available and locally isolated, indigenous starter cultures were used to prepare cow and buffalo milk Cheddar cheese. The cheese was ripened at 4 and 12°C and analyzed for descriptive sensory profile by a panel of 10 assessors after 60 and 120 d of ripening. On evaluation, the mean scores for odor, flavor, and texture attributes obtained for buffalo milk cheese were significantly higher than those obtained for cow milk cheese. For most of the traits, cheese samples prepared from indigenous cultures and ripened at higher temperature received higher descriptive scores compared with those of commercial cultures and ripened at lower degrees. Milk sources highly significantly affected the "creamy" and "sour" traits of odor; the "creamy," "smoky," and "soapy" flavors; and all the texture attributes except "maturity." Starter cultures considerably influenced the production of "acidic," "bitter," "sweet," and "sour" characteristics. The use of elevated ripening temperature showed noticeable effect on all the characteristics except the "creamy" odor and flavor. Principal component analysis and hierarchical cluster analysis also showed that milk sources, starter cultures, and ripening temperatures significantly influenced the sensory characteristics.

Ten-year follow-up of 360 degrees intrastromal corneal rings for myopia.

PURPOSE: To determine the safety, efficacy, and stability of intrastromal corneal rings 10 years after placement for myopia. METHODS: Ten eyes with myopia treated with the placement of 360 degrees complete intrastromal corneal rings with the ends sutured together were evaluated at 10-year follow-up for the following: uncorrected visual acuity (UCVA), best spectacle-corrected visual acuity (BSCVA), manifest refraction spherical equivalent (MRSE), induced manifest refractive cylinder, keratometry readings, slit-lamp findings, and ultrasound central pachymetry. Ten-year data were compared to 1-year results to assess visual stability over time. RESULTS: No statistically significant difference was noted between UCVA at 1 year and 10 years. At the 10-year examination, 90% of patients had BSCVA > or = 20/25 and 100% had BSCVA > or = 20/30. There was no statistically significant difference between MRSE at 1 year and 10 years. At the 10-year examination, induced manifest refractive cylinder was >1.00 diopter (D) in 0% of eyes and < or = 0.25 D in 60% of eyes. There was no statistically significant difference between mean central keratometric power at 1-year follow-up compared with 10-year follow-up. No statistically significant difference was noted in central corneal thickness between 1 and 10 years in the eyes studied. CONCLUSIONS: Intrastromal corneal rings are an effective and stable method of correcting mild myopia based on optic parameters.

Intrastromal corneal ring implantation (360 degrees ring) for myopia: a 5-year follow-up.

PURPOSE: Stability of correction is a major factor for successful refractive surgery. Intrastromal corneal rings were placed for the correction of low to moderate myopia beginning 10 years ago. The purpose of this study was to evaluate findings in patients 5 years after ring placement and to compare these findings with 1-year results to assess the stability of effect. METHODS: Seventy-two patients (113 eyes) with myopia (range, -0.75 to -4.50 diopters [D]) were treated with the placement of intrastromal corneal rings (360 degrees ), in a multicenter clinical trial between 1993 and 1994 under U.S. Food and Drug Administration phase II and phase III clinical trials. Six insert sizes were evaluated: 0.21, 0.25, 0.30, 0.35, 0.40, and 0.45 mm. The long-term results that were evaluated were uncorrected visual acuity, best spectacle-corrected visual acuity, cycloplegic refraction spherical equivalent at 5 years and proximity of this value to the target refraction determined preoperatively, induced manifest refraction cylinder, and slitlamp findings. RESULTS: Data at the 5-year follow-up showed that uncorrected visual acuity was 20/40 or better in 83% of eyes and 20/20 or better in 64% of eyes, compared to 88% and 43%, respectively, at the first year of follow-up. Only 7% of eyes lost two or more lines of preoperative best spectacle-corrected visual acuity at 5 years, compared to 11% at the first year. No eyes at the 1- or 5-year follow-up had a best spectacle-corrected visual acuity worse than 20/40. Cycloplegic refraction spherical equivalent was within 1.00 D of target refraction in 68% of eyes at 5 years, compared to 71% at the 1-year follow-up. Induced manifest refraction cylinder greater than 1.00 D was reduced to 5% of eyes in the fifth year, compared to 12% of eyes at year 1. CONCLUSIONS: Intrastromal corneal rings are a safe, effective, and stable method of correcting mild to moderate myopia, and most patients continue to be satisfied with the results after 5 years. There was no clinically significant change in refractive effect and the central corneas remained clear at the 5-year follow-up in all eyes studied. Further data are currently being collected for 10-year follow-up periods. It is hypothesized that the use of intrastromal corneal rings as a refractive option for mild to moderate myopia will be supported by these additional longitudinal data.