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1.
Healthcare (Basel) ; 12(7)2024 Mar 25.
Artigo em Inglês | MEDLINE | ID: mdl-38610143

RESUMO

Many patients require administering one or more blood components during hospitalisation in the Intensive Care Unit (ICU). Therefore, nurses' knowledge of who is responsible for immediately administering blood transfusions, monitoring patients, and identifying and managing transfusion reactions is crucial. This cross-sectional descriptive-analytical study aimed to assess the knowledge of ICU nurses in tertiary healthcare institutions about blood transfusion procedures. The questionnaire about the transfusion procedure was designed and reviewed by experts. The questionnaire consisted of 29 items divided into three domains. The scores on the knowledge test ranged from 10 to 27. Generally, 57.7% of nurses had moderate, 23.4% low, and 18.9% high levels of knowledge about the transfusion procedure. Most nurses answered correctly about refreezing fresh frozen plasma, verifying the transfusion product, and identifying the patient. Of the nurses, 91.0% would recognise mild allergic reactions, and 98.2% knew about the supervision of sedated patients. Nurses showed poor knowledge of the length of usage of the same transfusion system for red blood cells, labelling, and transfusion administration in febrile patients. Nurses with higher education and longer working experience had significantly better outcomes (p = 0.000) on the knowledge test. Continuous education of ICU nurses on safe transfusion usage is recommended.

2.
Plant Foods Hum Nutr ; 78(1): 221-227, 2023 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-36701074

RESUMO

The objective of this work was the valorisation of sour cherry (Prunus cerasus L.) pomace as a source of biologically active compounds. To formulate microcapsules, polyphenolic compounds were extracted and encapsulated with maltodextrin as wall material, by freeze-drying. An in vitro digestion study was carried out on obtained encapsulates but also on sour cherry pomace extract and sour cherry pomace freeze-dried powder. The results indicated that encapsulation, as well as freeze-drying, provided a good protective effect on bioactive compounds during digestion. Furthermore, the potential antiproliferative and cytotoxic activities of encapsulates and sour cherry pomace extract were evaluated using breast adenocarcinoma MCF7 cell lines, colon adenocarcinoma HT-29 cell lines, and noncancer cell line. Encapsulates and sour cherry pomace extract showed variable anti-proliferative activity towards all cell lines. Obtained results showed that encapsulation of sour cherry pomace could be useful for improving the stability of polyphenolic compounds in the gastrointestinal tract. The results highlight the bioactive potential of sour cherry pomace as a nutraceutical resource and the protective effects of microencapsulation on the digestion of bioactive compounds.


Assuntos
Adenocarcinoma , Neoplasias do Colo , Prunus avium , Humanos , Extratos Vegetais , Fenóis , Células MCF-7 , Digestão
3.
Food Technol Biotechnol ; 61(4): 485-493, 2023 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-38205054

RESUMO

Research background: The aim of this study is to determine and compare the antioxidant and antiproliferative activities of juices and extracts of the peel, aril and membrane of the cultivated and wild pomegranate fruits. Experimental approach: The content of total phenols, total flavonoids, total flavonols, total flavan-3-ols and total anthocyanins was determined spectrophotometrically. The individual phenolics were quantified by HPLC. Antioxidant activity was determined by DPPH and ABTS tests and neutralisation of hydroxyl radical, while the antiproliferative activity was measured in vitro by sulforhodamine B (SRB) assay. Results and conclusions: Total phenolics were statistically highest in wild pomegranate peel extract, expressed in gallic acid equivalents, 340.92 mg/g (p<0.05), while total flavonoid content was the highest in cultivated pomegranate peel extract, expressed in quercetin equivalents, 31.84 mg/g (p<0.05). The sample of wild pomegranate peel extract showed the highest antioxidant activity with respect to free DPPH and ABTS radicals. The samples of cultivated pomegranate peel and membrane extracts had almost identical and the strongest effect on the inhibition of hydroxyl radicals (41.24 and 41.23 µg/mL, respectively). The sample of wild pomegranate peel extract showed the strongest effect on the growth inhibition of all tested tumour cell lines. Novelty and scientific contribution: In this study, the bioactivity of different parts of cultivated and wild pomegranates was determined and compared. In the available literature, the individual antioxidant and antiproliferative activity of only some parts of the pomegranate fruit was investigated. All parts of the pomegranate fruit were investigated, including the membrane, which was barely analysed in other works. The wild pomegranate has also been less analysed in previous studies. Future research should focus on in vivo studies of the obtained pomegranate samples.

4.
Antioxidants (Basel) ; 11(6)2022 Jun 06.
Artigo em Inglês | MEDLINE | ID: mdl-35740017

RESUMO

This paper presents the physicochemical characteristics and antioxidative, antibacterial and antiproliferative effects of nineteen samples of different honey types (acacia, linden, heather, sunflower, phacelia, basil, anise, sage, chestnut, hawthorn, lavender and meadow) collected from different locations in the Western Balkans (Republic of Serbia, Kosovo, Bosnia and Herzegovina, and Northern Macedonia). Physicochemical parameters (moisture, pH, electrical conductivity, free acidity, and hydroxymethylfurfural [HMF]) were analysed. Based on the obtained results, all tested honey samples were in agreement with EU regulation. The antioxidant potential of honey samples was assessed by determination of total phenolic content (TPC) and evaluation of scavenging activity towards diphenilpicrylhydrazyl radicals (DPPH·). The highest phenolic content was found in basil honey (101 ± 2.72 mg GAE/100 g), while the lowest was registered in rapeseed honey (11.5 ± 0.70 mg GAE/100 g). Heather, anise, phacelia, sage, chestnut and lavender honey samples were also rich in TP, containing 80−100 mg GAE/100 g. DPPH scavenging activity varied among the samples being the highest for lavender honey (IC50 = 88.2 ± 2.11 mg/mL) and the lowest for rapeseed honey (IC50 = 646 ± 8.72 mg/mL). Antibacterial activity was estimated in vitro using agar diffusion tests and measuring minimal inhibitory concentration (MIC). Among investigated bacterial strains following resistant potencies were determined: Escherichia coli > Escherichia coli ATCC 8739 > Enterococcus faecalis > Proteus mirabilis > Staphylococcus aureus > Staphylococcus epidermidis. The linden honey from Fruska Gora (MIC values of 3.12% and 6.25% against Staphylococcus aureus and Staphylococcus epidermidis, respectively) and phacelia honey (MIC values of 6.25% and 3.12% against S.Staphylococcus aureus and Staphylococcus epidermidis, respectively) showed the strongest antibacterial activity. Antiproliferative activity was evaluated using the colorimetric sulforhodamine B (SRB) assay. The highest antiproliferative activity was obtained from linden honey sample 1 (IC50MCF7 = 7.46 ± 1.18 mg/mL and IC50HeLa =12.4 ± 2.00 mg/mL) and meadow sample 2 (IC50MCF7 = 12.0 ± 0.57 mg/mL, IC50HeLa = 16.9 ± 1.54 mg/mL and IC50HT−29 = 23.7 ± 1.33 mg/mL) towards breast (MCF7), cervix (HeLa) and colon (HT-29) cancer cells. Active components other than sugars contributed to cell growth activity.

5.
Int J Food Sci Nutr ; 73(5): 638-649, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-35067154

RESUMO

Aim of this research was to evaluate durum-wheat pasta enriched with encapsulated carrot waste extracts in oil, obtained by freeze drying (FDE) or spray drying techniques (SDE). Five pastas (control, enriched with 10% FDE, or 10% SDE, or 20% FDE, or 20% SDE) were evaluated for furosine, carotenoids, tocols, colour, in vitro bioactivities, cooking performance, texture and sensory quality. The encapsulates added to the enriched pastas α-carotene (0.58-1.24 mg/kg), ß-carotene (1.43-3.29 mg/kg), cis-ß-carotene (0.51-1.11 mg/kg) and total tocols (10.9-33.6 mg/kg). The carotenes were stable and the tocols diminished (-13%) during pasta manufacturing; both decreased (2-18% and 4-15%, respectively) during cooking, but they were still more abundant in the enriched pastas. Antioxidant, anti-hyperglycaemic, anti-inflammatory and anti-proliferative activities after in vitro digestion of cooked pastas improved, while sensory acceptability of control and 10% enriched pastas were similar. The encapsulates addition significantly improved the nutritional and technological qualities of durum-wheat pasta.


Assuntos
Daucus carota , Triticum , Culinária , Digestão , Farinha/análise , Extratos Vegetais/farmacologia , beta Caroteno
6.
Geriatr Nurs ; 44: 8-14, 2022.
Artigo em Inglês | MEDLINE | ID: mdl-34999368

RESUMO

OBJECTIVES: To determine the predictors and level of social participation and depressive symptoms within the context of isolation during the COVID-19 pandemic and investigate if the residence and type of housing had a moderating role in the relationship between social participation and depressive symptoms. METHODS: This cross-sectional, comparative, and correlational study was conducted on a sample of 299 participants. Research instruments used in this study included: socio-demographic questionnaire, the Geriatric Depression Scale, the Maastricht Social Participation Profile, and Mini-Mental State Exam. RESULTS: Social participation was found to contribute negatively to symptoms of depression (ß = -0.245, p < .01), with a higher level of depression being found in older adults living in nursing homes (ß = -0.152, p < .05). CONCLUSIONS: The study confirmed a strong relationship between social participation and depressive symptoms in the COVID-19 pandemic.


Assuntos
COVID-19 , Depressão , Idoso , COVID-19/epidemiologia , Estudos Transversais , Depressão/epidemiologia , Humanos , Pandemias , Sérvia , Participação Social
7.
Foods ; 12(1)2022 Dec 28.
Artigo em Inglês | MEDLINE | ID: mdl-36613375

RESUMO

The primary aim of this experiment was to investigate the bioactivity potential and polyphenolic profile of defatted raspberry seeds (DRS) extracts from three varieties (Willamette, Meeker, and Polka) using the in vitro tests HPLC-DAD and UHPLC-Triple-TOF-MS. Extracts were obtained using ultrasound-assisted extraction (UAE) or hydrolysis. The antioxidant activity of the extracts was tested using 1,1-diphenyl-2-picrylhydrazyl (DPPH), 2,2'-azinobis-(3-ethylbenzothiazoline-6-sulfonic) cation (ABTS), and ferric reducing antioxidant power (FRAP) assays. Furthermore, the extracts were tested for antimicrobial activity using the disk diffusion method for four bacterial cultures (Staphylococcus aureus, Escherichia coli, Listeria monocytogenes, and Salmonella enterica subsp. enterica Enteritidis). In vitro antiproliferative activity was tested using cervical carcinoma (HeLa), breast adenocarcinoma (MCF7), and fetal lung (MRC-5) human cell lines. In total, 32 phenolic compounds were detected in DRS extracts. A small quantity of ellagic acid (EA) was in free form, while EA content increased after the hydrolysis process. The extracts from the Meeker variety exhibited the highest antioxidant activity, analyzed with DPPH and FRAP assays, while extracts from the Polka variety had the highest activity towards ABTS•+ radical scavenging activity. The UAE samples expressed higher antiproliferative activity in comparison to hydrolysis extracts. The results indicate that DRS extracts have certain bioactivity, and their use in the food, cosmetic, and pharmaceutical industries is recommended.

8.
Environ Sci Pollut Res Int ; 28(38): 53917-53925, 2021 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-34041664

RESUMO

Although fumonisins are toxic and carcinogenic mold products that contaminate feed, food, and water, their photodegradation has not yet been reported. In this work, the efficiency of photolysis (UV, UV/H2O2, and UV/[Formula: see text]) and photocatalysis (TiO2 (Degussa P25/Wackherr) and ZnO) for the degradation of fumonisins in an aqueous medium were investigated. In the case of fumonisin B1 (FB1) optimal conditions in terms of pH, the initial concentrations of H2O2/[Formula: see text] for UV, UV/H2O2, and UV/[Formula: see text] treatments were investigated. The photocatalytic degradation using TiO2 Wackherr as catalyst at natural pH (about 8) proved to be the most efficient treatment for removal of FB1 and FB3. Namely, during the first 30 min of irradiation, 99% of FB1 (1.39 µM) was degraded, while FB3 (0.425 µM) was completely removed during the first 20 min of irradiation. In the case of FB2 (0.687 µM), UV/[Formula: see text] was the most efficient treatment, and complete removal occurred in the first 90 min of irradiation. All applied treatments for fumonisins removal have followed pseudo-first-order kinetics under the relevant experimental conditions. Toxicity of fumonisins and their mixtures formed during photodegradation were investigated using mammalian cell lines (BHK, H-4-II-E, Neuro-2a, and MRC-5). The BHK cell line was the most sensitive to fumonisins, especially FB2 and FB3, and its photodegradation mixtures.


Assuntos
Fumonisinas , Animais , Peróxido de Hidrogênio , Cinética , Fotólise , Água
9.
Nurse Educ Pract ; 53: 103089, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-34049090

RESUMO

AIM: The objective of this study to research medical and nursing students' level of knowledge of patient safety. BACKGROUND: Patient safety represents the foundation of health care quality, while education represents a requirement which has to be fulfilled to achieve and maintain that quality. DESIGN: The research was conducted as a descriptive/analytical cross-sectional survey, with medical and nursing students being the sample (n = 370). METHODS: The research instrument was the WHO questionnaire "What is Patient Safety? ", which displayed good psychometric characteristics. RESULTS: The research results indicate that the study department has a significant influence on the level of students' knowledge and attitudes to patient safety. Nursing students in their final academic year show statistically significantly higher level of knowledge in relation to the first year students. Medical students are not significantly different, in terms of the level of knowledge and attitudes, in their first and final academic years. CONCLUSIONS: Knowledge and attitudes regarding patient safety shown by the students in this survey significantly contribute to the comprehension of the necessity of the implementation and development of patient safety course into the existing curricula and syllabi of all colleges and universities related to health care.


Assuntos
Estudantes de Medicina , Estudantes de Enfermagem , Estudos Transversais , Currículo , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Segurança do Paciente , Inquéritos e Questionários
10.
Nanomaterials (Basel) ; 11(3)2021 Mar 03.
Artigo em Inglês | MEDLINE | ID: mdl-33802626

RESUMO

This work is focused on the kinetics, mineralization, and toxicological assessments of the antidepressant drug amitriptyline hydrochloride (AMI) in UV or solar illuminated aqueous suspensions of ZnO, TiO2 Degussa P25, and TiO2 Hombikat. ZnO was proven to be the most effective photocatalyst, and it was used for all further experiments under solar irradiation. The highest reaction rate was observed at 1.0 mg/mL of catalyst loading. In the investigated initial concentration range (0.0075-0.3000 mmol/L), the degradation rate of AMI increased with the increase of initial concentration in the investigated range. The effects of H2O2, (NH4)2S2O8, and KBrO3, acting as electron acceptors, along with molecular oxygen were also studied. By studying the effects of ethanol and NaI as a hydroxyl radical and hole scavenger, respectively, it was shown that the heterogeneous catalysis takes place mainly via free hydroxyl radicals. In the mineralization study, AMI photocatalytic degradation resulted in ~30% of total organic carbon (TOC) decrease after 240 min of irradiation; acetate and formate were produced as the organic intermediates; NH4+, NO3-, NO2- ions were detected as nitrogen byproducts. Toxicity assessment using different mammalian cell lines, showed that H-4-II-E was the most sensitive one.

11.
Sci Total Environ ; 768: 144991, 2021 May 10.
Artigo em Inglês | MEDLINE | ID: mdl-33736306

RESUMO

In this work, we have experimentally and computationally investigated the process of hydrolysis and photolysis of cephalosporin antibiotics with ceftriaxone (CEF) as a model compound. The CEF hydrolysis was investigated in ultrapure and natural water, at 25 ± 1 °C and 4 ± 1 °C in the dark. It was found that CEF after 100 and 900 days at 25 ± 1°C and 4 ± 1 °C, respectively practically completely removed from ultrapure water. The CEF hydrolysis in natural water was five and three times slower at 25 ± 1 °C and 4 ± 1 °C, respectively than in ultrapure water. Further, the efficiency of direct photolysis (solar/UVA-B) and solar/H2O2 treatment of CEF was investigated. Under UVA-B radiation 95.6% of CEF was removed after 60 min, while for the same time of solar radiation degradation was practically not observed (only 3.2%). Also, the effects of different concentrations of H2O2 (0-150 mM) in the presence/absence of solar radiation were studied. The most efficient solar/H2O2 treatment was in the presence of 90 mM H2O2, whereby 66.8% of CEF was removed after 60 min (41.8% by indirect photolysis, 21.8% by H2O2-oxidation, and 3.2% by direct photolysis). Radial distribution functions (RDF) provided information about the distribution of water around the CEF molecule. Aside from the RDF, investigation of intramolecular noncovalent interactions and calculations of bond dissociation energies for hydrogen abstraction enabled understanding of degradation mechanism of CEF. In order to investigate sensitivity of CEF towards the radical attacks, the concept of Fukui functions was used. The structures of intermediates and degradation pathways were suggested by UHPLC-LTQ OrbiTrap MS and density functional theory calculations. Toxicity assessments showed that intermediates formed during hydrolysis exerted only mild cell growth effects in selected cell lines.


Assuntos
Ceftriaxona , Poluentes Químicos da Água , Antibacterianos/toxicidade , Peróxido de Hidrogênio , Hidrólise , Cinética , Fotólise , Raios Ultravioleta , Poluentes Químicos da Água/análise , Poluentes Químicos da Água/toxicidade
12.
Arch Pharm (Weinheim) ; 354(5): e2000416, 2021 May.
Artigo em Inglês | MEDLINE | ID: mdl-33491801

RESUMO

Pinus nigra Arn. bark extracts from Mokra gora (MG) and Tara mountains were analyzed with regard to their polyphenolic profile and antioxidative and antiproliferative activity. The ethanol extract from MG showed the highest phenolic, flavonoid, tannin, and proanthocyanidin content when compared with the acetone and methanol extracts from both sites. The same extract exhibited the highest ABTS (2,2'-azinobis(3-ethylbenzothiazoline-6-sulfonic acid) diammonium salt) and ferric reducing antioxidant power (FRAP) radical scavenging ability and total antioxidant activity (TAA). On the basis of high-performance liquid chromatography analysis, catechin, caffeic, syringic, p-coumaric, and ferulic acids were predominantly present in the MG extracts. The ethanol extract from MG was rich in syringic acid, epicatechin and its derivatives, and ferulic acid and its derivatives. The bark extracts also exerted a high cytotoxic bioactivity against all evaluated cell lines (HeLa, MCF7, HT-29, and MRC-5). The antiproliferative activity of P. nigra bark is probably related to the ferulic acid content and its synergistic activity to caffeic acid and taxifolin. The antioxidative role of the presented phenols was confirmed through the obtained significant linear correlation between the total phenolic content and DPPH (r = .934) as well as the FRAP% of the extracts (r = .948). Also, the TAA significantly depended on the proanthocyanidins (r = .902) and tannin contents (r = .914). The composition of the presented compounds could be related to promising antioxidant and antiproliferative efficacy of MG bark.


Assuntos
Antineoplásicos Fitogênicos/farmacologia , Antioxidantes/farmacologia , Compostos Fitoquímicos/farmacologia , Pinus/química , Extratos Vegetais/farmacologia , Antineoplásicos Fitogênicos/química , Antineoplásicos Fitogênicos/isolamento & purificação , Antioxidantes/química , Antioxidantes/isolamento & purificação , Compostos de Bifenilo/antagonistas & inibidores , Linhagem Celular Tumoral , Proliferação de Células/efeitos dos fármacos , Relação Dose-Resposta a Droga , Ensaios de Seleção de Medicamentos Antitumorais , Humanos , Estrutura Molecular , Compostos Fitoquímicos/química , Compostos Fitoquímicos/isolamento & purificação , Picratos/antagonistas & inibidores , Casca de Planta/química , Extratos Vegetais/química , Extratos Vegetais/isolamento & purificação , Relação Estrutura-Atividade
13.
J Hazard Mater ; 393: 122490, 2020 07 05.
Artigo em Inglês | MEDLINE | ID: mdl-32197201

RESUMO

In this work, we have investigated the stability of pindolol (PIN), a non-selective ß1-blocker detected in the river and wastewater of hospitals, in water solution under solar irradiation. Further, detailed insights into the stability of PIN were obtained by the density functional theory (DFT) calculations and molecular dynamics simulations. The kinetics of PIN photocatalytic degradation and mineralization has been studied using four commercial photocatalysts ZnO and TiO2 (P25, Hombikat, and Wackherr). It was found that the major role in degradation of PIN play the reactive hydroxyl radicals. The structures of degradation intermediates were suggested by LC-ESI-MS/MS and DFT calculations. Also, DFT calculations were used to refine molecular structures of intermediates and obtain their geometries. Toxicity of PIN and its mixtures formed during photocatalytic degradation were investigated using mammalian cell lines (H-4-II-E, HT-29, and MRC-5). The H-4-II-E cell line was the most sensitive to PIN and its photodegradation mixtures. The computational results were combined with the experimental data on the amounts of degradation intermediates for determination of the intermediates that were principally responsible for the toxicity. Intermediate with two hydroxyl groups, positioned on indole ring in meta and para positions, was proposed as the one with the highest contribution to toxicity.


Assuntos
Pindolol/química , Luz Solar , Titânio/efeitos da radiação , Poluentes Químicos da Água/química , Óxido de Zinco/efeitos da radiação , Animais , Catálise , Linhagem Celular , Humanos , Cinética , Modelos Moleculares , Fotólise , Pindolol/toxicidade , Ratos , Titânio/química , Poluentes Químicos da Água/toxicidade , Óxido de Zinco/química
14.
Food Res Int ; 121: 151-160, 2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-31108736

RESUMO

Merlot are worldwide recognized red wines. Several studies show that red wines have health benefits, mainly due to their phenolic constituents. This study evaluates twelve Serbian and other five European (French, Italian, Macedonian, Slovenian, Spanish) Merlot wines in respect of their phenolic composition and biological activity. The latter was evaluated through a set of in vitro experiments related to common benefits of moderate red wine consumption in the prevention of cardiovascular diseases. Among the examined phenolics, the most abundant acid in all samples was the gallic acid (14.3-58.3 mg/L), catechin (9.1-49.3 mg/L) was the dominant flavonoid, malvidin-3-O-glucoside (2.63-66.5 mg/L) leading anthocyanin, whereas resveratrol was found in a usual concentration (0.18-4.67 mg/L). Differences determined in phenolic profiles, mainly in content of quercetin, rutin and p-coumaric acid, leaded to separation of Serbian from foreing Merlot wines. Results of standard antioxidant assays (DPPH•, ABTS•+ and •NO scavenger capacity reducing power (FRAP), lipid peroxidation) revealed French Merlot as the most potent, but also pointed out some Serbian samples. The correlation between the content of dominant phenolics and antioxidant activity was sporadic, but samples with the highest overall phenolic content, generally had higher antioxidant potential. Concentration of wines and number of cells in ant-inflammatory assay were chosen to mimic in vivo conditions. So, the potency of examined wines to decrease the production of macrophage-derived PGE2 and TXA2 (up to 65.5 and 47.9%, respectively), could be considered as in vitro evidence of positve health effect. Regarding the phenolic content and anti-inflammatory contribution of the most abundant compounds, no correlation was witnessed. In general, this study showed interesting potential of Serbian Merlot wines, comparable to health-promoting effects of renewed Eurepean ones.


Assuntos
Anti-Inflamatórios/análise , Antioxidantes/análise , Inflamação/metabolismo , Vinho/análise , Linhagem Celular Tumoral , Dinoprostona/análise , Dinoprostona/metabolismo , Flavonoides/análise , Humanos , Macrófagos/efeitos dos fármacos , Macrófagos/metabolismo , Oxirredução , Fenóis/análise , Tromboxano A2/análise , Tromboxano A2/metabolismo
15.
Food Chem ; 286: 686-695, 2019 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-30827664

RESUMO

Chemical composition and bioactivity of eight edible Vitis vinifera L. leaf varieties originating from Fruska Gora, Serbia, including two autochthonous varieties, were evaluated. The LC-MS/MS analysis confirmed the presence of 28 natural products in leaf samples, among which most abundant were glycosylated flavonoids, ellagic and chlorogenic acids. The highest amounts of most of the tested compounds were detected in leaves of autochthonous variety Sila. Bioactivity was assessed by a set of in vitro antioxidant, neuroprotective and cytotoxic assays. Leaves of all examined varieties exhibited average bioactivity, with leaves of autochthonous variety Zupljanka standing out as the most promising sample. To conclude, investigated grapevine leaves proved to be a rich source of nutraceuticals, primarily antioxidants, and their further employment as medicinal food in human diet and beneficial raw material for food, pharmaceutical and cosmetic industries should be supported.


Assuntos
Antineoplásicos Fitogênicos/farmacologia , Antioxidantes/análise , Fármacos Neuroprotetores/farmacologia , Folhas de Planta/química , Vitis/química , Antioxidantes/farmacologia , Linhagem Celular Tumoral , Cromatografia Líquida , Avaliação Pré-Clínica de Medicamentos/métodos , Flavonoides/análise , Humanos , Peroxidação de Lipídeos/efeitos dos fármacos , Sérvia , Espectrometria de Massas em Tandem
16.
J Clin Nurs ; 28(9-10): 1585-1599, 2019 May.
Artigo em Inglês | MEDLINE | ID: mdl-30589945

RESUMO

AIMS AND OBJECTIVES: To determine the incidence, severity and risk factors of peripheral intravenous cannula-induced complications. BACKGROUND: Peripheral venous cannulation in hospitalised patients may cause complications such as phlebitis, infiltration, occlusion and dislodgement. A review of the literature reveals the discrepancy in their incidence and identification of a wide range of risk factors, whereas the data on the occurrence and degree of severity are insufficient. DESIGN: An observational prospective study. METHODS: The study observed 1,428 peripheral intravenous cannula insertion among 368 adult patients hospitalised at the tertiary healthcare clinics. The data collection and analysis included patients' medical data and the data related to each cannula (including placement, monitoring and the reasons for removal), as well as the data on the type of administered medications and solutions. Reporting of this research adheres to the STROBE guidelines. RESULTS: Phlebitis ranked first among complications with occurrence of 44%, followed by infiltration of 16.3%, while the incidence of occlusion and catheter dislodgement was 7.6% and 5.6%, respectively. In assessing the occurrence of phlebitis, multivariate analysis highlighted the presence of comorbidity, current infection, catheter size, time in situ and the number of administrations of infusion solutions associated with risk, whereas 20-gauge catheter, two or more attempts at cannulation and administration of a high-risk solutions during the first day have been singled out with regard to infiltration. As for the severity, the most common was medium stage of phlebitis, whereas grade 2 was most commonly observed for infiltration. CONCLUSION: The incidence of infiltration, occlusion and dislodgment is almost congruent with the average incidence of previous studies. However, the incidence and degree of severity associated with the occurrence of phlebitis were significantly higher. RELEVANCE TO CLINICAL PRACTICE: The results of the study draw attention to vulnerable groups of patients, cannula-specific and pharmacological risk factors for the development of peripheral intravenous cannula-induced complications.


Assuntos
Infecções Relacionadas a Cateter/etiologia , Cateterismo Periférico/efeitos adversos , Cateterismo/efeitos adversos , Flebite/etiologia , Administração Intravenosa , Adulto , Idoso , Idoso de 80 Anos ou mais , Infecções Relacionadas a Cateter/epidemiologia , Feminino , Humanos , Incidência , Infusões Intravenosas , Injeções Intravenosas , Masculino , Pessoa de Meia-Idade , Análise Multivariada , Flebite/epidemiologia , Estudos Prospectivos , Fatores de Risco
17.
Environ Pollut ; 239: 457-465, 2018 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-29679943

RESUMO

A comprehensive study of the removal of selected biologically active compounds (pharmaceuticals and pesticides) from different water types was conducted using bare TiO2 nanoparticles and TiO2/polyaniline (TP-50, TP-100, and TP-150) nanocomposite powders. In order to investigate how molecular structure of the substrate influences the rate of its removal, we compared degradation efficiency of the initial substrates and degree of mineralization for the active components of pharmaceuticals (propranolol, and amitriptyline) and pesticides (sulcotrione, and clomazone) in double distilled (DDW) and environmental waters. The results indicate that the efficiency of photocatalytic degradation of propranolol and amitriptyline was higher in environmental waters: rivers (Danube, Tisa, and Begej) and lakes (Moharac, and Sot) in comparison with DDW. On the contrary, degradation efficacy of sulcotrione and clomazone was lower in environmental waters. Further, of the all catalysts applied, bare TiO2 and TP-100 were found to be most effective in the mineralization of propranolol and amitriptyline, respectively, while TP-150 appeared to be the most efficient in terms of sulcotrione and clomazone mineralization. Also, there was no significant toxicity observed after the irradiation of pharmaceuticals or pesticides solutions using appropriate catalysts on rat hepatoma (H-4-II-E), mouse neuroblastoma (Neuro-2a), human colon adenocarcinoma (HT-29), and human fetal lung (MRC-5) cell lines. Subsequently, detection and identification of the formed intermediates in the case of sulcotrione photocatalytic degradation using bare TiO2 and TP-150 showed slightly different pathways of degradation. Furthermore, tentative pathways of sulcotrione photocatalytic degradation were proposed and discussed.


Assuntos
Compostos de Anilina/química , Nanocompostos/química , Processos Fotoquímicos , Titânio/química , Poluentes Químicos da Água/química , Animais , Catálise , Cicloexanonas , Humanos , Cinética , Mesilatos , Modelos Químicos , Praguicidas , Ratos , Poluentes Químicos da Água/toxicidade
18.
Nurse Educ Today ; 65: 74-80, 2018 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-29533837

RESUMO

BACKGROUND: There is an implicit expectation for medical sciences students to work together effectively as members of health-care team, and interprofessional education is therefore widely accepted. Students' attitudes, which are affected by various factors, have been recognized as the most important predictors of successful implementation of interprofessional education with the aim of developing collaborative practice. The Readiness for Interprofessional Learning Scale has often been used in studies to measure these perspectives. OBJECTIVES: To describe the psychometric properties of the Serbian cross-culturally adapted version of the original Readiness for Interprofessional Learning Scale, to assess the attitudes of undergraduate health science students towards interprofessional education and to evaluate whether a professional group and student characteristics have influence on attitudes towards collaborative practice and shared learning. DESIGN: A descriptive/analytical and comparative cross-sectional study. SETTINGS: Faculty of Medicine in Serbia. PARTICIPANTS: Nursing and medical students after completed first clinical rotations (n = 257). METHODS: The Readiness for Interprofessional Learning Scale for assessing attitudes among students towards interprofessional learning, Professional Identity Questionnaire for Nursing Students for assessing professional identity in nursing students, Professional Nursing Image Survey for assessing attitudes of medical students towards the nursing profession, as well as a socio-demographic questionnaire were the instruments used in this research study. The data were analysed using descriptive and inferential statistics. RESULTS: Exploratory factor analysis on 19 items revealed two-factors accounting for 51.1% of the total variance with the internal reliability α = 0.90. The mean total score of the Readiness for Interprofessional Learning Scale was 73.5 (SD = 11.5) indicating that students are ready for interprofessional learning. Nursing students, female students; students in their first years of studies, and those with previously completed education in the field of health care, have been more ready for interprofessional learning and collaborative practice. In the multiple linear regression analysis, gender and assessing professional nursing skills and abilities were significant predictors of medical students' readiness for interprofessional learning, whereas professional identity was for nursing students. CONCLUSION: The Serbian version of the Readiness for Interprofessional Learning Scale has proven to be reliable and valid for the "teamwork, collaboration and shared learning" subscale, while the "role and responsibilities" subscale showed lower stability. The results of this study revealed positive students' attitudes towards interprofessional learning, which is important for Serbia, as a candidate country for European Union membership, and thus making our educational system more inclusive for joining the European Higher Education Area.


Assuntos
Relações Interprofissionais , Aprendizagem , Psicometria/instrumentação , Psicometria/normas , Estudantes de Ciências da Saúde/psicologia , Adulto , Atitude do Pessoal de Saúde , Comportamento Cooperativo , Estudos Transversais , Feminino , Humanos , Masculino , Equipe de Assistência ao Paciente/normas , Psicometria/métodos , Reprodutibilidade dos Testes , Sérvia , Estudantes de Medicina/psicologia , Estudantes de Enfermagem/psicologia , Inquéritos e Questionários
19.
Food Chem ; 241: 290-300, 2018 Feb 15.
Artigo em Inglês | MEDLINE | ID: mdl-28958531

RESUMO

The aim of the present study was investigation of the phenolic profile, ascorbic acid content, antioxidant, anti-acetylcholinesterase, anti-inflammatory and cytotoxic activity of rose hips and the preserves (purée and jam) of three insufficiently examined Rosa species: Rosa dumalis Bechst., R. dumetorum Thuill. and R. sempervirens L. The liquid chromatography-tandem mass spectrometry analysis resulted in quantification of 14 of the 45 phenolic compounds examined, with ellagic acid as the most dominant. Notable antioxidant activity of all three species was confirmed through several assays. Moderate inhibition of acetylcholinesterase by extracts of all investigated Rosa species was observed. Several extracts of examined Rosa species demonstrated inhibition potency towards production of some monitored eicosanoids in cyclooxygenase-1 and 12-lipoxygenase pathways. Two R. sempervirens extracts exerted cytotoxic activity against HeLa and HT-29 cell lines, but were inactive towards MRC-5 and MCF7. The results support the potential of these rose hips as food with health-promoting properties.


Assuntos
Rosa , Antioxidantes , Ácido Ascórbico , Fenômenos Químicos , Compostos Fitoquímicos , Extratos Vegetais
20.
Environ Pollut ; 233: 916-924, 2018 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-29122364

RESUMO

In this work we have investigated in details the process of degradation of the 4-amino-6-chlorobenzene-1,3-disulfonamide (ABSA), stable hydrolysis product of frequently used pharmaceutical hydrochlorothiazide (HCTZ), as one of the most ubiquitous contaminants in the sewage water. The study encompassed investigation of degradation by hydrolysis, photolysis, and photocatalysis employing commercially available TiO2 Degussa P25 catalyst. The process of direct photolysis and photocatalytic degradation were investigated under different type of lights. Detailed insights into the reactive properties of HCTZ and ABSA have been obtained by density functional theory calculations and molecular dynamics simulations. Specifically, preference of HCTZ towards hydrolysis was confirmed experimentally and explained using computational study. Results obtained in this study indicate very limited efficiency of hydrolytic and photolytic degradation in the case of ABSA, while photocatalytic degradation demonstrated great potential. Namely, after 240 min of photocatalytic degradation, 65% of ABSA was mineralizated in water/TiO2 suspension under SSI, while the nitrogen was predominantly present as NH4+. Reaction intermediates were studied and a number of them were detected using LC-ESI-MS/MS. This study also involves toxicity assessment of HCTZ, ABSA, and their mixtures formed during the degradation processes towards mammalian cell lines (rat hepatoma, H-4-II-E, human colon adenocarcinoma, HT-29, and human fetal lung, MRC-5). Toxicity assessments showed that intermediates formed during the process of photocatalysis exerted only mild cell growth effects in selected cell lines, while direct photolysis did not affect cell growth.


Assuntos
Hidroclorotiazida/química , Sulfonamidas/química , Poluentes Químicos da Água/química , Animais , Catálise , Clorobenzenos , Cromatografia Líquida , Humanos , Hidroclorotiazida/análise , Hidrólise , Modelos Químicos , Fotólise , Ratos , Sulfonamidas/análise , Espectrometria de Massas em Tandem , Titânio , Água , Poluentes Químicos da Água/análise
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