Retraction: Large Pleural Lipoma Manifesting With Chronic Shoulder Pain.

[This retracts the article DOI: 10.7759/cureus.21113.].

Preparation and Characterization of a Renewable Starch-g-(MA-DETA) Copolymer and Its Adjustment for Dye Removal Applications.

Maleic anhydride-diethylenetriamine grafted on starch (st-g-(MA-DETA)) was synthesized through graft copolymerization, and the different parameters (copolymerization temperature, reaction time, concentration of initiator and monomer concentration) affecting starch graft percentage were studied to achieve the maximum grafting percentage. The maximum grafting percentage was found to be 29.17%. The starch and grafted starch copolymer were characterized using XRD, FTIR, SEM, EDS, NMR, and TGA analytical techniques to describe copolymerization. The crystallinity of starch and grafted starch was studied by XRD, confirming that grafted starch has a semicrystalline nature and indicating that the grafting reaction took place typically in the amorphous region of starch. NMR and IR spectroscopic techniques confirmed the successful synthesis of the st-g-(MA-DETA) copolymer. A TGA study revealed that grafting affects the thermal stability of starch. An SEM analysis showed the microparticles are distributed unevenly. Modified starch with the highest grafting ratio was then applied to celestine dye removal from water using different parameters. The experimental results indicated that St-g-(MA-DETA) has excellent dye removal properties in comparison to native starch.

Immunotherapy Effectiveness in Treating Peanut Hypersensitivity: A Systemic Review.

Peanut hypersensitivity is one of the top causes of food-related allergic responses and death in high-income countries. As a result, the goal of this study was to see if various forms of immunotherapies can help reduce the severity of peanut hypersensitivity reactions. From 2019 to 2021, a systematic search of PubMed, Web of Science, Wiley online library, and Science Direct was done. Peanut immunotherapy (PIT) clinical trials were considered. There were 19 trials with a total of 1565 participants. Twelve were on oral immunotherapy (OIT), two on sublingual immunotherapy (SLIT), two on subcutaneous immunotherapy (SCIT), two on epicutaneous immunotherapy (EPIT), and one was a comparison of SLIT and OIT. Desensitization was achieved by 74.3% of those who received OIT, 11% of those who received SLIT, 61% of those who received SCIT, and 49% of those who received EPIT. The majority of adverse events (AE) were mild to moderate. Those requiring epinephrine, on the other hand, were moderate to severe and were more common in the therapy groups. This systematic review showed that the current PIT regimens can accomplish desensitization regardless of the route of administration, with an acceptable safety profile.

Large Pleural Lipoma Manifesting With Chronic Shoulder Pain.

Musculoskeletal symptoms related to orthopedic conditions are highly prevalent worldwide and are a leading cause of morbidity. However, non-orthopedic conditions may also present with musculoskeletal symptoms. For example, shoulder pain may be caused by gastrointestinal, hepatobiliary, cardiac, and neurological pathologies. We report the case of a 32-year-old man who presented to the orthopedic clinic with a complaint of left shoulder pain for the past three months. He described the pain as sharp in nature. The pain was constant and was not related to the shoulder movements. It was not associated with morning stiffness. He had no history of preceding trauma. On examination, both shoulders were symmetrical with no evidence of deformities. Palpation over the shoulder region did not elicit any tenderness. The range of motion in both the active and passive movements was intact. The Neer and Jobe tests were negative. Also, the sensory examination was intact, and laboratory findings were normal. The patient underwent a plain frontal radiograph of the chest, which revealed a large well-circumscribed lobulated mass lesion in the left hemithorax, arising from the pleural lining. A thoracic CT scan was then performed to provide further characterization of the mass lesion and it re-demonstrated the mass as having homogeneous fat-attenuation with thin septations, probably representing pleural lipoma. The tumor was successfully resected via open thoracotomy. The patient's symptoms resolved and he had no recurrence after one year of follow-up. Pleural lipoma is a very rare benign mesenchymal tumor. The case highlights the importance of considering non-orthopedic conditions in the differential diagnosis of shoulder pain in patients with normal physical examination findings. A CT scan is vital to make the diagnosis and can show the accurate anatomic relations with respect to the tumor for surgical planning.