Facilitation of infectious and non-infectious wound healing using Morus nigra fruit extract ointment: An in vitro and in vivo study.

Accelerating wound healing, as well as preventing infection and scar formation are among the most important medical challenges. This study aims to examine the antimicrobial, immunomodulatory, and anticancer properties of Morus nigra. The antimicrobial activities of ripe and unripe M. nigra fruit (MNF) extracts were tested. HPLC was employed to measure the components in the extract. Oserin ointment was made with 8 % extract. To test the ointment, 48 Wistar rats were randomly assigned into eight groups. The ointment was used daily by treating the wounds. Tissue histology and wound healing were assessed over nine days. Comparative evaluation of wound healing was conducted by analyzing TGF-ß, TNF-α, and IL-1 mRNA levels. Finally, cytotoxic effects on AGS cancer and NIH-3 T3 fibroblast cells were examined. The ANOVA test and Prsim program were used for statistical analysis. Unripe MNF extract had good antimicrobial properties in standard and nosocomial strains. The most abundant compound in the extract was ascorbic acid (0.0441 mg/10 mg extract), followed by naringenin and gallic acid. In all groups treated with MNF extract ointment, a significant reduction in wound area was observed compared to other groups (p < 0.05). After six days of treatment, the microbial load was uncountable. In the microscopic studies of the wounds, a significant increase was observed in fibroblasts, angiogenesis, and in neutrophils in the first days as well as a decrease in the final days. The treatment caused a significant decline in the expression of IL-1 and TNF-α genes, as well as an increase in the expression of TGF-ß (p < 0.05). This extract had no significant cytotoxic effects on human fibroblast cells (p > 0.05). In general, it can be concluded that the unripe MNF extract ointment can be a suitable option for the treatment of infectious and non-infectious skin wounds.

Nasal Septal Abscess as a Complication of COVID-19 Nasal Swab Test: A Case Report.

Nasal swab tests are widely used to screen for coronavirus disease 2019 (COVID-19). Pain, discomfort, and the urge to sneeze are the most common complications of this screening method. We report a case of a 55-year-old female patient with beta-thalassemia major suffering from a nasal septal abscess (NSA) as a complication of a COVID-19 nasal swab test. Following the test, the patient only had mild nasal congestion. However, three days later, her clinical condition deteriorated, and she developed fever, and her level of consciousness decreased to lethargy and drowsiness. Physical examinations revealed a bilateral nasal abscess. She underwent surgical intervention, and the abscess was removed. For the first time in Iran, a case of NSA after a COVID-19 nasal swab test is reported. It is strongly recommended to exercise caution while performing nasal swab tests, especially in the elderly and patients at risk of bleeding or hemoglobinopathy.

Hydatid Cyst in Left Sub-Mandibular Space, an Unusual Location.

Hydatid cysts in the neck area are considered as very rare and few cases have been reported in endemic areas. In the present study, we reported a 38-year-old female that underwent surgical operation for extraction of simple cyst in the submandibular area and the diagnosis of hydatid cyst was established by laboratory examinations. The patient was later diagnosed with hepatic hydatid cyst and received systemic treatments. We recommend that physicians should pay more attention to the possibilities of hydatid cysts in unusual areas in endemic regions especially Middle East.

Improvement in broiler performance by feeding a nutrient-dense diet after a mild feed restriction / Mejora del rendimiento en pollos de engorde mediante una dieta rica en nutrientes tras una ligera restricción alimenticia / Melhoria dos rendimentos de frangos de corte de uma dieta rica em nutrientes após uma restrição ligeira

Abstract Background: The use of early nutrient-restriction programs in broilers can prevent complications such as increased body fat deposition and its consequences. However, feed restriction not always gives the expected results. Objective: To assess the effect of two levels of feed restriction followed by a re-alimentation period with five increasing nutrient levels on growth performance and immune response of broiler chickens. Methods: A total of 330 animals were used. The treatments were: 25 (T25) and 35% (T35) quantitative feed restriction during the starting period, and 0, 2.5, 5, 7.5, 10, and 15% increased energy and protein contents during the growing and finishing periods. Results: For all the T25 treatments, except for T25-0, feed intake (FI) and body weight gain (BWG) were higher, and feed conversion rate (FCR) was lower (p<0.05) compared to the control treatment. In that group, the response of FI and BWG to the increased nutrient density was mostly quadratic (p<0.001), whereas that of FCR was linear (p<0.001). The FI and BWG results were less homogeneous in the T35 treatments, but FCR was lower compared to the control treatment (p<0.05) in all of them. The FCR showed no differences (p>0.05) between treatments during the finishing period. Conclusion: Feeding a nutrient-dense diet after a period of mild feed restriction gives the best results, while increasing nutrient density after a more severe feed restriction does not improve productive results compared to a standard diet. Carcass traits and immune function were not affected by restriction level or nutrient density.

Resumen Antecedentes: El uso de programas de restricción alimenticia temprana en pollos de engorde puede prevenir el incremento de la deposición de grasa corporal y sus consecuencias. Sin embargo, la restricción alimenticia no proporciona siempre los resultados esperados. Objetivo: Investigar los efectos de dos niveles de restricción alimenticia seguida por un período de realimentación con cinco niveles crecientes de nutrientes sobre el rendimiento productivo y la respuesta inmune de pollos de engorde. Métodos: Se utilizaron 330 animales. Los tratamientos fueron: restricción cuantitativa del 25 (T25) y del 35% (T35) durante el periodo de iniciación y aumento de la energía y contenido proteico de la dieta del 0, 2,5, 5, 7,5, 10 y 15% durante los periodos de crecimiento y finalización. Resultados: Para casi todos los T25 el consumo de alimento (FI) y el aumento de peso corporal (BWG) fueron mayores y el índice de conversión (FCR) menor (p<0,05) en comparación con el control. La respuesta del FI y el BWG al aumento de la densidad de nutrientes en este grupo fue mayoritariamente cuadrática (p<0,001), mientras que en el caso del FCR fue lineal (p<0,001). Los resultados del FI y el BWG fueron menos homogéneos en los T35, pero el FCR fue menor que en el control (p<0,05). El FCR no mostró diferencias (p>0,05) entre tratamientos durante el periodo de acabado. Conclusión: La alimentación con una dieta rica en nutrientes después una restricción ligera proporciona los mejores resultados, mientras que el incremento de la densidad de la dieta después de una restricción severa no mejora los resultados productivos en comparación con una dieta estándar. Las características de la canal y la respuesta inmune no se vieron afectadas por el nivel de restricción o la densidad de nutrientes de la dieta.

Resumo Antecedentes: O uso de programas de restrição precoce de nutrientes em frangos de corte tem o potencial de prevenir complicações como o aumento da deposição de gordura corporal e suas consequências. No entanto, a restrição alimentar nem sempre dá os resultados esperados. Objetivo: Investigar os efeitos de dois níveis de restrição alimentar seguidos de um período de re-alimentação com cinco níveis crescentes de nutrientes no rendimento produtivo e na resposta imune de frangos de corte. Métodos: Foram utilizados 330 animais. Os tratamentos foram: restrição quantitativa de 25 (T25) e 35% (T35) durante o período inicial e aumento do conteúdo energético e proteico da dieta de 0, 2,5, 5, 7,5, 10 e 15% durante os períodos de crescimento e finalização. Resultados: Para todos os tratamentos T25, menos para T25-0, consumo de ração (FI) e ganho de peso corporal (BWG) foram maiores e a taxa de conversão (FCR) foi menor (p<0,05) o controle. A resposta do FI e do BWG ao aumento da densidade de nutrientes nesse grupo foi principalmente quadrática (p<0,001), enquanto no caso da FCR foi linear (p<0,001). Os resultados do FI e do BWG foram menos homogêneos nos tratamentos T35, mas o FCR foi menor que no tratamento controle (p<0,05). O FCR não apresentou diferenças (p>0,05) entre os tratamentos durante o período de terminação. Nenhuma tendência clara foi observada no peso relativo dos órgãos linfóides ou na resposta imune devido aos tratamentos testados. Conclusão: A alimentação de uma dieta rica em nutrientes após um período de restrição leve proporcionou os melhores resultados, enquanto o aumento da densidade de nutrientes na dieta após uma restrição severa não melhorou os resultados produtivos em comparação com uma dieta padrão.

Detection of vancomycin nonsusceptible strains in clinical isolates of Staphylococcus aureus in northern Iran

Glycopeptides, particularly the cell wall-acting antibiotic vancomycin, are the safest cure for methicillin-resistant Staphylococcus aureus. The aim of this study was to evaluate nonsusceptibility of clinical isolates of S. aureus to vancomycin and investigate mutations in vraSR, a cell wall synthesis regulator gene, in vancomycin-resistant strains. Susceptibility of 110 clinical strains of S. aureus to methicillin and vancomycin were determined using disc diffusion method and determination of minimum inhibitory concentration, respectively. Presence of mecA and vanA genes was determined by PCR. Determination of spa types and mutations of the vraSR gene in vancomycin nonsusceptible isolates were assessed by PCR-sequencing analyses. In total, 47 isolates (42.73%) were recognized as MRSA, three (2.73%) strains were resistant to vancomycin, and eight (7.27%) strains were vancomycin intermediates. The MIC of vancomycin was 4-64 μg/ml in these isolates. All vancomycin nonsusceptible S. aureus strains were mecA positive and one isolate was positive for the vanA gene. Spa type t030 was found as the most common type. In vraSR sequence analysis, all 11 vancomycin nonsusceptible isolates had the D59E mutation in the vraR and E45G in vraS genes. R117H, R121S, and R121I are the other identified missense mutations in the vraR gene. The identification of a high percentage of MRSA and presence of VRSA and VISA isolates is a serious warning about the treatment of future MRSA infections and reveals the need for new and effective therapeutic agents

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Therapeutic Effect of Intratympanic Injection of Dexamethasone plus Hyaluronic Acid on Patients with Meniere's disease.

INTRODUCTION: Intratympanic therapy, as a widely used treatment for inner ear diseases, is regarded as a therapeutic method in controlling the vertigo of the patients with Meniere's disease. This study was designed to evaluate the effect of the Intratympanic dexamethasone-hyaluronic acid combination on patients suffering from Meniere's disease. MATERIALS AND METHODS: This study was a clinical trial on patients with Meniere's disease during 2016-2017. Patients received two Intratympanic injections of dexamethasone plus hyaluronic acid as a mixture within a month. Before and 2 weeks after the intervention, pure tone average (PTA) at 0.5, 1, 2, and 4 KHz frequencies, speech discrimination score (SDS), dizziness handicap inventory (DHI), and tinnitus handicap inventory (THI) scores were evaluated for each patient. The obtained scores were statistically analyzed. RESULTS: This study was conducted on a total number of 25 patients with Meniere's disease. The mean age of participants in this study was 44.71±4.92 years. Gender distribution among participants revealed that 36% of patients were male. The mean values of PTA, SDS, and THI were not significantly different before and after the intervention. However, the mean score of DHI decreased significantly after the intervention (P<0.001). CONCLUSION: Intratympanic dexamethasone/hyaluronic acid had a positive effect on the vertigo of the investigated patients without any significant improvement in hearing impairment and tinnitus in the short term.

Effects of subthreshold diode micropulse laser photocoagulation on treating patients with refractory diabetic macular edema.

PURPOSE: To evaluate the effects of subthreshold diode micropulse laser photocoagulation on treating patients with refractory diabetic macular edema (DME). METHODS: This randomized clinical trial recruited patients with DME in both eyes that were resistant to treatment with intravitreal bevacizumab (IVB). The eyes were randomly divided into two groups who received laser therapy and IVB, or IVB alone. Subthreshold diode micropulse laser photocoagulation and IVB injection were administered in one eye, and an IVB injection was administered in the second eye. IVB injections were repeated in both eyes within one month and two months after the first injection. Best corrected visual acuity (BCVA) logarithm of the minimum angle of resolution (logMAR) and central macular thickness (CMT) were measured before, within a month, and three months after start of intervention. RESULTS: In this study, 42 eyes of 21 patients were evaluated. The mean age of patients was 60.86 ± 8.57 years. Ten patients (47.6%) were male. Within-group analysis showed a significant decreased in BCVA logMAR in the laser + IVB group reflecting improvement in visual acuity (VA) (P < 0.001); it increased in the control group during study reflecting more vision loss (P = 0.01). In the laser + IVB group, a significant decrease in mean ± standard deviation (SD) CMT at 3 months compared to baseline was observed (baseline: 513 ± 126.29 vs. three months: 408.1 ± 95.28; P < 0.001). The mean ± SD CMT was significantly lower in the laser + IVB group of eyes than in the control group three months after intervention (P = 0.02). CONCLUSION: Using subthreshold diode micropulse laser photocoagulation in combination with IVB can significantly reduce CMT and improve BCVA in patients with refractory DME.

Detection of vancomycin nonsusceptible strains in clinical isolates of Staphylococcus aureus in northern Iran.

Glycopeptides, particularly the cell wall-acting antibiotic vancomycin, are the safest cure for methicillin-resistant Staphylococcus aureus. The aim of this study was to evaluate nonsusceptibility of clinical isolates of S. aureus to vancomycin and investigate mutations in vraSR, a cell wall synthesis regulator gene, in vancomycin-resistant strains. Susceptibility of 110 clinical strains of S. aureus to methicillin and vancomycin were determined using disc diffusion method and determination of minimum inhibitory concentration, respectively. Presence of mecA and vanA genes was determined by PCR. Determination of spa types and mutations of the vraSR gene in vancomycin nonsusceptible isolates were assessed by PCR-sequencing analyses. In total, 47 isolates (42.73%) were recognized as MRSA, three (2.73%) strains were resistant to vancomycin, and eight (7.27%) strains were vancomycin intermediates. The MIC of vancomycin was 4-64 µg/ml in these isolates. All vancomycin nonsusceptible S. aureus strains were mecA positive and one isolate was positive for the vanA gene. Spa type t030 was found as the most common type. In vraSR sequence analysis, all 11 vancomycin nonsusceptible isolates had the D59E mutation in the vraR and E45G in vraS genes. R117H, R121S, and R121I are the other identified missense mutations in the vraR gene. The identification of a high percentage of MRSA and presence of VRSA and VISA isolates is a serious warning about the treatment of future MRSA infections and reveals the need for new and effective therapeutic agents.

A comparison of the effects of antibiotics, probiotics, synbiotics and prebiotics on the performance and carcass characteristics of broilers.

Routine use of the antibiotic flavomycin in broiler production may lead to resistance, and alternative growth promoters are used to enhance performance. Two hundred day-old male Ross 308 broiler chicks were allocated to five dietary supplements included from d 1-42: flavomycin, three possible alternatives, a probiotic, prebiotic and a synbiotic, as well as a control treatment. There were four replicate cages of 10 birds each in each treatment. Compared with the control and antibiotics treatments, the probiotic, prebiotic and synbiotic treatments increased (p = 0.001) weight gain (64, 66, 73, 70 and 74 g/d, respectively). The synbiotic treatment reduced (p = 0.004) the feed conversion ratio, compared with the control and antibiotic treatments (1.70, 1.84, 1.83, respectively). Compared with the control and antibiotic treatments, the birds fed the synbiotic treatment had greater relative gizzard (+47%) and spleen weights (+115%), and lighter kidneys (-47%). The birds fed the symbiotic treatment also had thinner walls of the caudal gut segments. The prebiotic had the most beneficial effect on cecal microbiota, stimulating aerobic and lactic acid producing bacteria and reducing Escherichia coli bacteria. Enterococci were increased in the antibiotic treatment. We conclude that there were significant performance and health benefits of using prebiotics, probiotics and synbiotics for broilers, rather than antibiotics.

Antimicrobial resistance, biofilm-forming ability and virulence potential of Pseudomonas aeruginosa isolated from burn patients in northern Iran.

OBJECTIVES: Pseudomonas aeruginosa is a frequent cause of infectious diseases, such as burn and wound infections, making it one of the most menacing opportunistic pathogens. The aim of this study was to investigate the antimicrobial resistance, biofilm-forming ability, and frequency of genes involved in biofilm formation and virulence of P. aeruginosa isolated from burn infections in Iran. METHODS: Resistance of 90 P. aeruginosa isolates to 12 antimicrobial agents as well as production of extended-spectrum ß-lactamase (ESBL) and metallo-ß-lactamase (MBL) enzymes were assessed phenotypically according to Clinical and Laboratory Standards Institute (CLSI) guidelines. Biofilm-forming capacity was assayed in a microtitre plate. The frequency of biofilm- and virulence-associated genes was investigated by PCR. Mutations in gyrA and parC in ciprofloxacin-resistant isolates were also determined by PCR. RESULTS: In phenotypic assays, 72.2% (65/90) of P. aeruginosa isolates were multidrug-resistant (MDR), 55.5% (50/90) and 35.6% (32/90) were positive for ESBL and MBL production, respectively, and 67.8% (61/90) were positive for biofilm formation. Biofilm- and virulence-associated genes were identified in >50% of the P. aeruginosa isolates, with toxA and lasB being the most frequent. All of the virulence genes were more common in biofilm-forming and MDR phenotypes. Two point mutations in gyrA and one in parC in high-level ciprofloxacin-resistant isolates were identified. CONCLUSIONS: The results of this study indicate that there is a high frequency of multidrug resistance and a high percentage of virulence-associated genes present in clinical P. aeruginosa isolates in Iran.

Probiotic level effects on growth performance, carcass traits, blood parameters, cecal microbiota, and immune response of broilers.

Probiotic effects on growth performance, carcass traits, blood parameters, cecal microbiota, and immune response of broilers were studied. Two hundred one-day-old male chickens were allocated to one of five treatments (four replicates of 10 birds per treatment): control, and the same control diet supplemented with 0.005%, 0.01%, 0.015% and 0.02% probiotics. Probiotics in feed at 0.01% or higher levels of supplementation improved body weight gain (+12%) and feed conversion rate (-5%) compared with the control. There were no effects on carcass traits, but the relative weights of drumsticks and wings showed increasing and decreasing linear responses, respectively, to probiotic supplementation level. Blood plasma glucose and albumin contents linearly increased (from 167.1 to 200.5 mg dl-1, and from 1.70 to 3.25 g dl-1) with increasing probiotic supplementation. Triglycerides and cholesterol contents were lower in probiotic supplemented treatments (average contents 71.3 and 125.3 mg dl-1 vs. 92.6 and 149.9 mg dl-1 in the control). Probiotics decreased cecal Escherichia coli counts, but had no effects on immunity related organs or immune response. The linear trends, either positive or negative, observed in many of the parameters studied, suggest that more studies are needed to establish the optimal concentration of probiotics in broiler feed.

Investigation on the effect of different levels of dried sweet orange (Citrus sinensis) pulp on performance, carcass characteristics and physiological and biochemical parameters in broiler chicken.

Utilization of agricultural by-products in animal nutrition is a matter of great concern. Dried sweet orange (Citrus sinensis) pulp (DCSP) is a potential source of valuable nutrients and natural antioxidants for poultry feed. In the experiment, a feeding trial was conducted in order to investigate the effect of different levels of dried orange residues in diet on broiler growth performance, carcass characteristics, blood metabolites, humoral immunity, and cecum microbial population. A total of 200 one day experimental broiler chicks were distributed into a completely randomized design (CRD) which included 5 dietary treatments with 4 replicates per each treatment and 10 birds fed in each replicate. The experimental treatments consist of a control group (without additive), 0.5%, 1.0%, 1.5%, and 2% of DCSP (residue) in diet. Weight gain, feed intake and feed conversion ratio (FCR) were measured. Blood parameters and carcass traits were measured in the postnatal 35th day. The highest level of dried orange residues in treatment 5 (T5) had significantly increased the feed intake and body weight of broilers in groups and overall during the rearing period (P > 0.05). Different levels of dried orange residues had no significant effect on chicken FCR. Using of dried orange residues significantly decreased the liver and abdominal fat of broilers (P < 0.05). T5 has also significantly lower level of triglyceride than the control (T1) and treatment 2 (T2) (P < 0.05). In conclusion, the use of dried orange residues improved some performance (e.g. feed intake and body weight gain), decreased liver and abdominal fat and also serum triglyceride level in broiler chicken.

Antimicrobial activity of methanolic extracts of Sambucus ebulus and Urtica dioica against clinical isolates of methicillin resistant Staphylococcus aureus.

BACKGROUND: Increase in the emergence of drug -resistant pathogens led to the development of natural antimicrobials. In this study the antimicrobial effect of methanolic extracts of Sambucus ebulus and Urtica dioica on 16 skin and wound infections isolates of methicillin resistant S. aureus have been studied. MATERIAL AND METHODS: Solvent extraction procedure was done using soxhlet apparatus for extracting antimicrobial agents from freeze dried plants. Antibacterial activity was measured using agar well diffusion method. RESULTS: The MIC of Sambucus ebulus and Urtica dioica extracts against the standard strain of S. aureus ATCC 6538 were determined using the micro dilution method at 15 mg and 20 mg respectively. All the test bacteria were found sensitive to the Sambucus ebulus extract and only one isolate was resistant to Urtica dioica extract. CONCLUSION: Extracts of Sambucus ebulus and Urtica dioica possess antibacterial potency against MRSA isolates and may be used as a natural antiseptics and antimicrobial agents in medicine.

Blood biochemical parameters of broilers fed differently thermal processed soybean meal / Parámetros bioquímicos en sangre de pollos alimentados con harina de soja procesada bajo distintos procesos térmicos

Objective. A 42-days feeding trial was carried out to evaluate the influences of differently thermal processed soybean meal on the broilers blood biochemical parameters. Materials and methods. A total of 200 male birds of Ross strain were allocated into five different diets formulated using differently heat-treated soybean meals, with ten birds per treatment and per replicate. Diets contained: raw soybean (controls), autoclaved for a short (121°C, 20 min; Aut1 group) or medium length period (121°C, 30 min; Aut2 group) soybean meal, micro-waved soybean meal (46°C, 540 Watt, 7 min; McW group) and browned soybean meal (120°C, 20 min; Brn group). Results. Blood serum metabolites showed that all treated diets presented lower lipid metabolism makers and higher protein metabolism markers. Broilers showed increased final body weight when fed heat-treated meals compared with control. Results suggested that thermal treatments altered the lipid metabolism in broilers that might originate a decrease in abdominal fat deposition. Conclusions. Comparison of the results for all the treated groups showed the Aut2 treatment is the most suitable method for soybean thermal treatment processing; in contrast, the Aut1 treatment had the closest results to the control group.

Objetivo. Se llevó a cabo un estudio de 42 días para determinar la influencia de la introducción de harina de soja sometida a diferentes procesos térmicos sobre los parámetros sanguíneos bioquímicos de pollos de engorde. Materiales y métodos. Un total de 200 pollos machos, de raza Ross, fueron asignados a cinco dietas equivalentes conteniendo harina de soja sometida a diferentes tratamientos térmicos, creando grupos de10 aves por cada tratamiento y por replicado. Los tratamientos térmicos fueron: harina de soja en bruto (Grupo control), harina de soja en autoclave durante un período de tiempo corto (121°C, 20 min; Grupo Aut1) o medio (121°C, 30 minutos; Grupo Aut2), harina de soja irradiado en el microondas (46°C, 540 Watts, 7 min; Grupo McW) y harina tostada de soja (120°C, 20 min; Grupo Brn). Resultados. Todos los grupos de tratamiento mostraron una disminución delos niveles de los marcadores de metabolismo de los lípidos y un aumento del metabolismo de la proteína circulante, en comparación con el grupo control. Los pollos alimentados con dietas conteniendo soja tratada mostraron además un aumento en su peso corporal final, en comparación con los del control. Los resultados sugieren que los tratamientos térmicos interfieren con el metabolismo de los lípidos, lo que puede originar una menor deposición de grasa abdominal en los pollos. Conclusiones. La comparación de los datos obtenidos para los diferentes tratamientos térmicos identifica el tratamiento en autoclave (Aut2) como el método más adecuado para el procesamiento de la soja. En contraste, el tratamiento en autoclave (Aut1) demostró ser el método con resultados más semejantes a los del control.