Breaking Down Cachexia: A Narrative Review on the Prevalence of Cachexia in Cancer Patients and Its Associated Risk Factors.

Cachexia is an irreversible condition that involves a significant loss of body weight, muscle mass, and adipose tissue. It is a complex condition that involves a variety of metabolic, hormonal, and immune-related factors, with the precise mechanisms not yet fully understood. In this review, the prevalence of cachexia in different types of cancer as well as the potential risk factors was evaluated from literature retrieved from databases such as ScienceDirect, PubMed and Scopus. Potential risk factors evaluated here include tumor-related factors such as location, and stage of the cancer, as well as patient-related factors such as age, gender, and comorbidities. Several findings were observed where cachexia is more prevalent in male cancer patients than females, with higher incidences of weight loss and poorer outcomes. This may be due to the different muscle compositions between gender. Additionally, cachexia is more prevalent at the later stages, which may be brought about by the late-stage diagnosis of certain cancers. The anatomical location of certain cancers such as the pancreas and stomach may play a significant factor in their high prevalence of cachexia. These are sites of the synthesis of digestive enzymes and hormones regulating appetite. Cachexia is an issue faced by cancer patients which could affect their recovery. However, it is poorly understood, which limit therapeutic options. Hence, understanding this disease from different perspectives (clinical and pre-clinical), and bridging those findings could further improve our comprehension and consequently improve therapeutic options.

Utilization of the UAE date palm leaf biochar in carbon dioxide capture and sequestration processes.

This paper evaluates the potential use of date palm leaf biochar as a climate change solution through CO2 capture and sequestration. The pyrolysis of date palm leaf was performed at different temperatures 300°, 400°, 500°, and 600 °C. The physicochemical characteristics of the synthesized biochar were examined using Scanning Electron Microscopy (SEM) with Energy Dispersive X-Ray Analysis (EDX), Fourier transforms infrared spectroscopy (FTIR), Thermogravimetric analysis (TGA), and X-ray diffraction analysis (XRD). Direct gas-solid interaction was carried out in an integrated Fluidized Bed Reactor (FBR), connected with a gas analyzer for maximum and effective mixing between the biochar and CO2. LabView program was used as data acquisition for an instantaneous calculation of CO2 adsorption. This study showed that the date palm biochar as porous carbon-based materials has high CO2 adsorption capacity through physisorption and chemisorption progressions. The adsorption results showed a maximum CO2 capture percentage of 0.09 kg CO2/kg, 0.15 kg CO2/kg, 0.20 kg CO2/kg, and 0.25 kg CO2/kg palm biochar synthesized at 300 °C, 400 °C, 500 °C, and 600 °C, respectively. This paper paid attention to the inexpensive technology applied in CO2 sequestration, where fluidization provides well mixing of biochar particles with low operation cost.

Integrated Framework of the Immune-Defense Transcriptional Signatures in the Arabidopsis Shoot Apical Meristem.

The growing tips of plants grow sterile; therefore, disease-free plants can be generated from them. How plants safeguard growing apices from pathogen infection is still a mystery. The shoot apical meristem (SAM) is one of the three stem cells niches that give rise to the above ground plant organs. This is very well explored; however, how signaling networks orchestrate immune responses against pathogen infections in the SAM remains unclear. To reconstruct a transcriptional framework of the differentially expressed genes (DEGs) pertaining to various SAM cellular populations, we acquired large-scale transcriptome datasets from the public repository Gene Expression Omnibus (GEO). We identify here distinct sets of genes for various SAM cellular populations that are enriched in immune functions, such as immune defense, pathogen infection, biotic stress, and response to salicylic acid and jasmonic acid and their biosynthetic pathways in the SAM. We further linked those immune genes to their respective proteins and identify interactions among them by mapping a transcriptome-guided SAM-interactome. Furthermore, we compared stem-cells regulated transcriptome with innate immune responses in plants showing transcriptional separation among their DEGs in Arabidopsis. Besides unleashing a repertoire of immune-related genes in the SAM, our analysis provides a SAM-interactome that will help the community in designing functional experiments to study the specific defense dynamics of the SAM-cellular populations. Moreover, our study promotes the essence of large-scale omics data re-analysis, allowing a fresh look at the SAM-cellular transcriptome repurposing data-sets for new questions.

Long-term trends in ambient fine particulate matter from 1980 to 2016 in United Arab Emirates.

This paper presents the most comprehensive datasets of ambient fine particulate matter (PM2.5) for the UAE from 1980 to 2016. The long-term distributions of PM2.5 showed the annual average PM2.5 concentrations constantly exceeded the EPA and WHO guidelines. They varied from 77 to 49 µg/m3 with an overall average of 61.25 µg/m3. While the inter-annual variability in PM2.5 concentrations showed relatively a cyclic pattern, with successive ups and downs, it broadly exhibited an increasing trend, particularly, over the last 14 years. PM2.5 concentrations displayed a strong seasonal pattern, with greatest values observed during warm summer season, a period of high demand of electricity and dust events. The lowest values found in autumn are attributable to reduced demand of energy. Decreased atmospheric temperatures and high relative humidity coinciding with this period are likely to reduce the secondary formation of PM2.5. The spatial changes in PM2.5 concentrations exhibited gradual downward trends to the north and northeast directions. Airborne PM2.5 is prevalent in the southern and western regions, where the majority of oil and gas fields are located. PM2.5/PM10 ratio indicated that ambient aerosols are principally associated with anthropogenic sources. Peaks in PM2.5/CO ratio were frequently observed during June, July, and August, although few were concurrent with March. This indicates that secondary formation plays an important role in PM2.5 levels measured in these months, especially as the photochemical activities become relatively strong in these periods. The lowest PM2.5/CO ratios were found during September, October, and November (autumn) suggesting a considerable contribution of primary combustion emissions, especially vehicular emissions, to PM2.5 concentration. PM2.5 concentrations are positively correlated with sulfate levels. In addition to sea and dust aerosols, sulfate concentration in the coastal region is also related to fossil fuel burning from power plants, oil and gas fields, and oil industries. The population-weighted average of PM2.5 in UAE was 63.9 µg/m3, which is more than three times greater than the global population-weighted mean of 20 µg/m3.

Cytochrome P450 2J2, a new key enzyme in cyclophosphamide bioactivation and a potential biomarker for hematological malignancies.

The role of cytochrome P450 2J2 (CYP2J2) in cyclophosphamide (Cy) bioactivation was investigated in patients, cells and microsomes. Gene expression analysis showed that CYP2J2 mRNA expression was significantly (P<0.01) higher in 20 patients with hematological malignancies compared with healthy controls. CYP2J2 expression showed significant upregulation (P<0.05) during Cy treatment before stem cell transplantation. Cy bioactivation was significantly correlated to CYP2J2 expression. Studies in HL-60 cells expressing CYP2J2 showed reduced cell viability when incubated with Cy (half maximal inhibitory concentration=3.6 mM). Inhibition of CYP2J2 using telmisartan reduced Cy bioactivation by 50% and improved cell survival. Cy incubated with recombinant CYP2J2 microsomes has resulted in apparent Km and Vmax values of 3.7-6.6 mM and 2.9-10.3 pmol/(min·pmol) CYP, respectively. This is the first study demonstrating that CYP2J2 is equally important to CYP2B6 in Cy metabolism. The heart, intestine and urinary bladder express high levels of CYP2J2; local Cy bioactivation may explain Cy-treatment-related toxicities in these organs.

Transmission of infection to liver transplant recipients from donors with infective endocarditis: lessons learned.

Donors not meeting standard criteria, such as those with bacteremia, are now being used in response to the increasing need for organs for transplantation. Recommended strategies to prevent the occurrence of donor-derived bacteremia include the use of directed antibiotic prophylaxis. However, this approach does not eliminate the risk of infection transmission. Similarly, the management of organ recipients from donors with infective endocarditis (IE) remains uncharacterized. We report 2 cases of donor-derived bacterial infections in liver transplant recipients despite pathogen-specific antibiotic prophylaxis. In both instances, the donors had documented IE treated with appropriate antimicrobial therapy and clearance of bacteremia. Recipients had very distinctive clinical outcomes likely related to pathogen virulence and the extent of donor infection. Persistent infection in the transplanted liver should be suspected in organ recipients of a liver from donors with IE, despite the absence of bacteremia at the time of death and organ procurement. For eradication, recipients may require prolonged pathogen-directed antimicrobial therapy, such as is used for endovascular infections. Prompt recognition of donors with IE, appropriate notification, and prolonged antibiotic prophylaxis are key to reducing the risk of such donor-derived infections.

Evaporation losses and dispersion of volatile organic compounds from tank farms.

The present study is an application of a Gaussian dispersion model to evaluate volatilization losses from tank farms. It reports methodology to estimate evaporation losses of volatile organic compounds (VOCs) from organic liquid in storage tanks. This study used fixed roof and floating roof equations for breathing and working losses. Total loss, the breathing loss, vapor pressure, molecular weight of the product, tank diameter, diurnal temperature, paint factor, tank capacity, and number of turnovers were considered and factored in the calculation. AERMOD and ALOHA softwares were used to simulate the dispersion of VOCs under normal and accidental scenarios. For the modeling purposes, meteorological data such as annual average ambient temperature, annual average atmospheric pressure, daily minimum ambient temperature, daily maximum ambient temperature, solar insulation factor, and average wind speed were included as input in the calculation and modeling activities. The study took place in Sharjah Emirate in United Arab Emirates, which borders Dubai to the south and Ajman to the north, and the three form a conurbation. The reported method was used to estimate evaporation losses for baseline and hypothetical leak scenarios. Results of this research show that liquid storage tanks in the study area emit a low concentration of VOC under the studied and assumed conditions, e.g., new tanks with high performance sealing as well as the noted earlier climatic conditions. The dispersion of those concentrations is controlled by the prevailing wind direction. The predicted VOCs concentrations were within the range of the measured VOCs values in air. The study found that the spatial distributions of the predicted concentration attenuate with time and distance. Under the reported accidental spill scenario, the Gaussian model indicates that the danger area starts within the zone of less than 10 m. The danger area is subjected to flame pockets, and the VOC concentrations in this area will exceed 19,800 ppm.

Short communication: Ischemia increases cortical Na⁺,K⁺-ATPase activity (K-Pase) in a model of kidney auto-transplantation in the large white pig.

Acute renal failure (ARF) induced by Ischemia-Reperfusion (I-R) is associated with a significant impairment of tubular sodium reabsorption. Na⁺,K⁺-ATPase has a crucial role in tubular sodium reabsorption and maintenance of water and ion homeostasis. In this study, we examined whether renal I-R affects Na⁺,K⁺-ATPase activity in a renal auto graft model (Large White Pig) with controlateral nephrectomy. Kidney samples were obtained from medulla (n = 4) and cortex (n = 3) after one hour of warm ischemia in autotransplanted models. These experimental groups were compared with a controlateral nephrectomy group (Control). Na⁺,K⁺-ATPase activity in purified membrane fractions was measured as ouabain-sensitive K⁺ -stimulated paranitrophenyl phosphatase (pNPPase) activity. The Na⁺,K⁺-ATPase activities of control, ischemia and ischemia -reperfusion were significantly higher in the medulla than in the cortex, irrespective of the experimental group (P<0.05). In cortices, Na⁺,K⁺-ATPase activity increased significantly (P<0.05) by 35% after ischemia compared to control group. In medullae, there was only a trend toward an activation of Na⁺,K⁺-ATPase activity after Ischemia (increased by 25%) and after Ischemia-Reperfusion (increased by 30%) compared to control group, and these differences did not reach statistical significance. These data suggest that renal ischemia induces a significant alteration of Na⁺,K⁺-ATPase by increasing its ouabain-sensitive K⁺-stimulated paranitrophenyl phosphatase (pNPPase) activity in isolated membrane from cortical renal tissues after one hour of ischemia. This change of activity seems to be a new regulation mechanism of an important membrane ion transporter during renal I-R in the large pig model of renal transplantation.

Docosahexaenoic acid (DHA) injection in spinal cord transection stimulates Na⁺,K⁺-ATPase in skeletal muscle via ß 1 subunit.

Spinal cord injuries (SCI) induce a loss of skeletal muscle mass and functional capacity. The muscle excitability and contractility depend on the plasma membrane potential, regulated by transmembrane ion gradients, and thus necessarily on the Na⁺,K⁺-ATPase activity. The aim of this work was to evaluate the consequences of a spinal cord transection (SCT) on the skeletal muscle Na⁺,K⁺-ATPase and the impact of collateral GlyceroPhosphoLipids enriched in DocosaHexaenoic Acid (GPL-DHA) administration. The Na⁺,K⁺-ATPase activity and membrane expression of Na⁺,K⁺-ATPase α1, α2 and ß1 isoforms were assessed by K⁺-stimulated paranitrophenyl phosphatase (pNPPase) measurements and Western Blotting, respectively. The results show that spinal cord transection increased significantly (p<0.05) Na⁺,K⁺-ATPase activity in muscle by 25% and decreased the amounts of α1 isoform and α2 isoform expressions by 50% (p<0.05) respectively compared to controls. The results also show that early injection of GPL-DHA after SCT decreases in membrane skeletal muscle the α1 and α2 isoforms expression but increases the membrane Na⁺,K⁺-ATPase activity. This treament partially restores the membrane expression of the ß1 subunit of the Na⁺,K⁺-ATPase. These data suggest that the increase of ß1 subunit expression is probably the main trigger to the membrane Na⁺,K⁺-ATPase activation following a trans-synaptic denervation.

An accurate paradigm for denoising degraded ultrasound images based on artificial intelligence systems.

Ultrasound images are susceptible to various forms of quality degradation that negatively impact diagnosis. Common degradations include speckle noise, Gaussian noise, salt and pepper noise, and blurring. This research proposes an accurate ultrasound image denoising strategy based on firstly detecting the noise type, then, suitable denoising methods can be applied for each corruption. The technique depends on convolutional neural networks to categorize the type of noise affecting an input ultrasound image. Pre-trained convolutional neural network models including GoogleNet, VGG-19, AlexNet and AlexNet-support vector machine (SVM) are developed and trained to perform this classification. A dataset of 782 numerically generated ultrasound images across different diseases and noise types is utilized for model training and evaluation. Results show AlexNet-SVM achieves the highest accuracy of 99.2% in classifying noise types. The results indicate that, the present technique is considered one of the top-performing models is then applied to real ultrasound images with different noise corruptions to demonstrate efficacy of the proposed detect-then-denoise system. RESEARCH HIGHLIGHTS: Proposes an accurate ultrasound image denoising strategy based on detecting noise type first. Uses pre-trained convolutional neural networks to categorize noise type in input images. Evaluates GoogleNet, VGG-19, AlexNet, and AlexNet-support vector machine (SVM) models on a dataset of 782 synthetic ultrasound images. AlexNet-SVM achieves highest accuracy of 99.2% in classifying noise types. Demonstrates efficacy of the proposed detect-then-denoise system on real ultrasound images.

Investigating the Health Implications of Whey Protein Consumption: A Narrative Review of Risks, Adverse Effects, and Associated Health Issues.

This narrative review critically examines the current research on the health implications of whey protein (WP) supplementation, with a focus on potential risks and adverse effects. WP, commonly consumed for muscle building and weight loss, has been associated with various health concerns. Our comprehensive analysis involved a thorough search of multiple databases, resulting in the inclusion of 21 preclinical and human studies that collectively offer a detailed overview of WP's health impacts. The review reveals significant findings, such as WP's potential link to liver and kidney damage, alterations in gut microbiota, increased acne incidence, impacts on bone mass, and emotional and behavioural changes. These findings underscore the complexity of WP's effects on human health, indicating both beneficial and detrimental outcomes in relation to different posologies in a variety of settings. Our study suggests caution for the protein intake in situations of hepatic and renal compromised functions, as well as in acne susceptibility, while possible beneficial effects can be achieved for the intestinal microbiota, humoral and behavioural level, and finally bone and muscle mass in elderly. We emphasizes the importance of balanced WP consumption and call for more in-depth research to understand its long-term health effects. Health professionals and individuals considering WP supplementation should be aware of these potential risks and approach its use with informed caution.

The Role of Adipose Tissue and Nutrition in the Regulation of Adiponectin.

Adipose tissue (AT), composed mainly of adipocytes, plays a critical role in lipid control, metabolism, and energy storage. Once considered metabolically inert, AT is now recognized as a dynamic endocrine organ that regulates food intake, energy homeostasis, insulin sensitivity, thermoregulation, and immune responses. This review examines the multifaceted role of adiponectin, a predominant adipokine released by AT, in glucose and fatty acid metabolism. We explore the regulatory mechanisms of adiponectin, its physiological effects and its potential as a therapeutic target for metabolic diseases such as type 2 diabetes, cardiovascular disease and fatty liver disease. Furthermore, we analyze the impact of various dietary patterns, specific nutrients, and physical activities on adiponectin levels, highlighting strategies to improve metabolic health. Our comprehensive review provides insights into the critical functions of adiponectin and its importance in maintaining systemic metabolic homeostasis.

Suspected tick-borne flavivirus meningoencephalomyelitis in dogs from the UK: six cases (2021).

OBJECTIVES: Tick-borne encephalitis virus and louping ill virus are neurotropic flaviviruses transmitted by ticks. Epidemiologically, tick-borne encephalitis is endemic in Europe whereas louping ill's predominant geographical distribution is the UK. Rarely, these flaviviruses affect dogs causing neurological signs. This case series aimed to describe the clinical, clinicopathological, and imaging findings, as well as the outcomes in six dogs with meningoencephalitis and/or meningomyelitis caused by a flavivirus in the UK in 2021. MATERIALS AND METHODS: Observational retrospective case-series study. Clinical data were retrieved from medical records of dogs with positive serological or immunohistochemical results from three different institutions from spring to winter 2021. RESULTS: Six dogs were included in the study. All dogs presented an initial phase of pyrexia and/or lethargy followed by progressive signs of spinal cord and/or intracranial disease. Magnetic resonance imaging showed bilateral and symmetrical lesions affecting the grey matter of the thalamus, pons, medulla oblongata, and thoracic or lumbar intumescences with none or mild parenchymal and meningeal contrast enhancement. Serology for tick-borne encephalitis virus was positive in five dogs with the presence of seroconversion in two dogs. The viral distinction between flaviviruses was not achieved. One dog with negative serology presented positive immunohistochemistry at post-mortem examination. Three dogs survived but presented neurological sequelae. Three dogs were euthanased due to the rapid progression of the clinical signs or static neurological signs. CLINICAL SIGNIFICANCE: These cases raise awareness of the presence of tick-borne encephalitis as an emergent disease or the increased prevalence of louping ill virus affecting dogs in the UK.

Updates on the Association Between Anemia and Heart Failure: A Systematic Review.

This systematic review aims to investigate the potential relationship between anemia and heart failure (HF) by summarizing existing literature on the topic. A comprehensive search was performed using four major databases, PubMed, Scopus, Web of Science, and ScienceDirect, to find the relevant literature. Ten studies, including a total of 2,828 participants, with 1,451 (51.3%) males, were included in this review. Iron deficiency anemia was the most prevalent type in the included studies; however, two studies included megaloblastic anemia. The prevalence of anemia in patients diagnosed with HF ranged from 33.3% to 69.8%, with a total prevalence of 1,643 (58.1%). Hypertension, diabetes mellitus, chronic kidney disease, and atrial fibrillation were the most commonly associated comorbidities in patients with HF. Anemia patients had a considerably higher risk of mortality than those without anemia. Anemia served as a marker of disease severity rather than an independent predictor of death in congestive individuals. Anemia was substantially correlated with elevated serum creatinine, left ventricular hypertrophy, and left atrial enlargement. According to the findings of this review, anemia has a significant impact on the prognosis of HF. In patients with HF, anemia may be a reliable indicator of both short- and long-term all-cause mortality as well as the rates of all-cause HF events. Future and ongoing research may provide vital information that may help guide clinical judgments in the future.

Group 1 LEA proteins, an ancestral plant protein group, are also present in other eukaryotes, and in the archeae and bacteria domains.

Water is an essential element for living organisms, such that various responses have evolved to withstand water deficit in all living species. The study of these responses in plants has had particular relevance given the negative impact of water scarcity on agriculture. Among the molecules highly associated with plant responses to water limitation are the so-called late embryogenesis abundant (LEA) proteins. These proteins are ubiquitous in the plant kingdom and accumulate during the late phase of embryogenesis and in vegetative tissues in response to water deficit. To know about the evolution of these proteins, we have studied the distribution of group 1 LEA proteins, a set that has also been found beyond the plant kingdom, in Bacillus subtilis and Artemia franciscana. Here, we report the presence of group 1 LEA proteins in green algae (Chlorophyita and Streptophyta), suggesting that these group of proteins emerged before plant land colonization. By sequence analysis of public genomic databases, we also show that 34 prokaryote genomes encode group 1 LEA-like proteins; two of them belong to Archaea domain and 32 to bacterial phyla. Most of these microbes live in soil-associated habitats suggesting horizontal transfer from plants to bacteria; however, our phylogenetic analysis points to convergent evolution. Furthermore, we present data showing that bacterial group 1 LEA proteins are able to prevent enzyme inactivation upon freeze-thaw treatments in vitro, suggesting that they have analogous functions to plant LEA proteins. Overall, data in this work indicate that LEA1 proteins' properties might be relevant to cope with water deficit in different organisms.

Anatomo-topographic and histo-cytological study of dromedary's spleen in Algeria.

BACKGROUND: Twenty-five spleens of adult, healthy dromedary of the local breed from the region of El Oued, Algeria, were collected at the slaughterhouse in order to carry out research to determine the macroscopic and microscopic structure of spleen in this species, macroscopic study revealed that the spleen has a rectangular shape with a triangular section, rounded edges, a little bit striated, its surface is smooth in which the aspect of the capsule and the parietal surface is shiny and smooth, the morphometric study was carried out after classifying the sampled spleen in five groups according to the animal's body weight which increases with age. MATERIALS AND METHODS: Our study revealed that the groups show a different value of mass which declines towards a drop of the index, also the indexes of length and width are following a decreasing order. RESULTS: The histological study revealed that the zone occupied by stroma did not exceed 26.81% of the total components of the capsule which is composed essentially of connective tissue and an inner layer of smooth muscle cells. Vascular and avascular trabeculae extend from the capsule. The immunohistochemistry study made it possible to visualise T lymphocytes of the splenic parenchyma using monoclonal antibodies where a statistical study was carried out to determine the composition of the various compartments of this organ. The localisation of immunocompetent cells in the splenic parenchyma has been elucidated with antibodies specific for T lymphocytes. CONCLUSIONS: The red pulp occupied a maximum area of the spleen with an average of 68.1% composed of sinusoids venous, the cords extend between the sinuses and the interlobular zone contain many cells: macrophages, plasma cells, red blood cells, white blood cells and platelets.

Sustainable Strategies for Increasing Legume Consumption: Culinary and Educational Approaches.

Legumes are nutrient-dense crops with health-promoting benefits. However, several barriers are associated with their consumption. Emerging issues including food neophobic tendencies or taboos, unclear dietary guidelines on legume consumption, health concerns, and socio-economic reasons, as well as long cooking procedures, adversely affect legume consumption frequency. Pre-treatment methods, including soaking, sprouting, and pulse electric field technology, are effective in reducing the alpha-oligosaccharides and other anti-nutritional factors, eventually lowering cooking time for legumes. Extrusion technology used for innovative development of legume-enriched products, including snacks, breakfast cereals and puffs, baking and pasta, represents a strategic way to promote legume consumption. Culinary skills such as legume salads, legume sprouts, stews, soups, hummus, and the development of homemade cake recipes using legume flour could represent effective ways to promote legume consumption. This review aims to highlight the nutritional and health effects associated with legume consumption, and strategies to improve their digestibility and nutritional profile. Additionally, proper educational and culinary approaches aimed to improve legumes intake are discussed.

Factors Associated with Knowledge and Attitude towards E-Cigarettes among Undergraduate Students in Thailand: A Cross-Sectional Study.

BACKGROUND: Thailand government has enacted a ban on vaping for eight years, but the number of vapers has continued to increase, particularly among teenagers. This study aimed to evaluate undergraduate pharmacy students' knowledge and attitudes toward e-cigarette use in Thailand. METHOD: This descriptive cross-sectional study was performed between January and March 2022. The participants were selected from 14 universities of Thailand. For data collection, a questionnaire was developed online using Google Form. The participants had to complete the questionnaire within 5 to 10 days the via s. Chi-square and binary logistic analysis were used to assess the association between variables. RESULTS: A total of 507 participants were recruited, The participants' mean age was 20.6 ± 1.9 years. About 98.6% of the participants knew about e-cigarette, and 74.4% had never been taught about e-cigarettes. Moreover, 68.8% of the participants declared that people around them were smokers. Logistic regression analysis indicated that the participants who declared that they were not sure if e-cigarettes contains nicotine or not were 10.5 more likely to consume e-cigarettes (AOR = 10.5; 95 % CI 3.130-35.181; P ˂0.001). Male participants who were at the academic year of three and four were more likely to use e-cigarettes than female students who were at the academic year of five and six (AOR 2.9; 95 % CI 1.599-5.214; P ˂0.001; AOR = 4.5; 95 % CI 1.412-14.571; P ˂0.001; AOR = 3.9; 95 % CI 1.263-12.511; p = 0.018). CONCLUSION: OOur study findings showed that pharmacy students lacked knowledge about e-cigarettes and misunderstood about e-cigarettes substances. Future research is necessary to develop educational programs for health professionals to be ready to advise patients about e-cigarettes.

Prevalence and Impact of Fatigue on Quality of Life (QOL) of Cancer Patients Undergoing Chemotherapy: A Systematic Review and Meta-Analysis.

BACKGROUND: Fatigue is a typical consequence of cancer that can affect one's quality of life (QOL). The goal of this review is to provide comprehensive data on the impact of fatigue on QOL of cancer patients. METHODS: An electronic data search in Web of Science, SCOPUS, and PubMed for relevant papers; those written in English; those reporting quantitative data; and those including more than one hundred patients who received just chemotherapy were included. Studies involving participants that received other kinds of anti-neoplastic therapies were excluded. RESULTS: A total of 35 papers published between January 2000 and December 2021 were retrieved from the search databases of which (11612 patients) met the inclusion criteria. Findings showed that fatigue negatively affected QOL with a pooled prevalence of 49% (95% CI; 25.00-74.00) and the significant heterogeneity between articles was (I²=98%, P <0.001). Further, breast cancer contributed to the majority of selected articles with about 55 % (95%CI; 9:00- 94:00), followed by cancer (unspecified) 44% (95%CI; 5:00 - 92:00). Most studies (71%) (95%CI; 4:00 - 99:00) used the brief fatigue inventory (BFI) tool to assess severity of fatigue and 39% (95%CI; 17:00 -68:00) employed the European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire to evaluate QOL among cancer survivors. CONCLUSION: The prevalence of fatigue in cancer patients is high and fatigue has a negative impact on QOL of cancer patients receiving chemotherapy. Directionality, fatigue needs to be addressed and treated properly for better improvement of health status and QOL in cancer patients.

ω6/ω3 Polyunsaturated fatty acid supplementations in renal cell model lead to a particular regulation through lipidome for preserved ω6/ω3 ratios.

Polyunsaturated fatty acids (PUFA) supplementations modify cell lipid composition leading to a change in cell function. However, the effect of PUFA supplementations in renal model cell on the kidney epithelial cells membrane fatty acid profile is not known. Therefore, the purpose of this study was to determine the effects of PUFAs with different ω6/ω3 ratios supplementations in the kidney epithelial cells and the type of supplementation that can be used as cellular protection during kidney transplantation. For that, we used as model the LLCPK1 cell and determined their membrane fatty acid (FA) composition after supplementation with three different commercial food supplements. These supplements consist of S1: docosahexaenoic acid (DHA) and eicosapentaenoic acid (EPA) with ω6/ω3 ratio = 0.1, S2: DHA, EPA, linoleic acid (LA) and γ-linoleic acid (GLA) with ω6/ω3 ratio = 2.5, or S3: α-linolenic acid (ALA) and LA with ω6/ω3 ratio near 1. Cells were incubated for 24 hr with 30 µM of ω3 fatty acids from each supplement. Fatty acid composition of control and experimental groups was analysed by gas chromatography after extraction of lipids and fatty acids methylation. The efficiency of cell PUFA supplementation was achieved by showing 2 to 4 fold increases in cell PUFA incorporation. Whatever the supplementation used, the cell saturated fatty acids (SFA) were decreased by 50% following the three supplementations used (p<0.001) as compared to control group. These decreases in SFA were compensated in part by increasing monounsaturated fatty acid levels. All these changes were observed with constant of cell ω6/ω3 ratio whatever the supplementations used. These data suggest that the supplements, with long chain polyunsaturated fatty acids or their precursors, lead to important regulation in the lipidome (desaturases and elongases) associated to preserved ω6/ω3 ratios. The fatty acids remodeling may represent an interesting new mechanism by which renal FA homoestasis could occurred.