Frequency of headache in emergency department patients with anaphylaxis: A cross-sectional study.

BACKGROUND: Multiple anaphylaxis mediators have been demonstrated to provoke migraine-like attacks following intravascular infusion, suggesting that anaphylaxis could cause headache; however, headache is rarely noted in anaphylaxis and is not included among diagnostic criteria. OBJECTIVE: Our study objectives were to estimate the frequency of headache among prospectively enrolled emergency department (ED) patients with anaphylaxis and assess the association of headache with patient and anaphylaxis characteristics. METHODS: A cross-sectional study of ED patients aged ≥5 years who met anaphylaxis diagnostic criteria from January 8, 2020 to September 9, 2022 was conducted. The primary outcome of interest was headache frequency among patients who met at least one anaphylaxis criterion. We explored the association of headache with patient characteristics and anaphylaxis characteristics. RESULTS: We included 63 patients with anaphylaxis. In all, 17 (27%, 95% confidence interval [CI] 17%-40%) patients reported the presence of a headache. Female patients had more than a nine times increased odds of having headache (odds ratio [OR] 9.3, 95% CI 1.14-77.1, p = 0.016). Presentation with headache was associated with the presence of dyspnea (OR 5.5, 95% CI 1.56-19.7, p = 0.006). CONCLUSION: Headache in anaphylaxis may be more common than previously recognized, especially in females. Larger prospective studies are needed to characterize headache as a marker of neurological involvement in anaphylaxis.

Regulation of NF-κB/MAPK signaling pathway attenuates the acute lung inflammation in Klebsiella pneumonia rats by mollugin treatment.

Present study evaluates the protective effect of mollugin against Klebsiella pneumonia (KP) and also postulates the possible mechanism of its action. Klebsiella pneumoniae (2.4 × 108 CFU/ml) was used for the induction of KP. PMNs and WBC count was determined in the blood and bronchoalveolar lavage fluid (BALF) of Klebsiella pneumonia rat. Level of inflammatory cytokines in the blood of Klebsiella pneumonia rat was determined by ELISA methods. Moreover effect of mollugin was estimated by Western blot assay and RT-PCR method. Result of the study suggests that water content in lung was reduced in the mollugin treated group compared to pneumonia control group of rats. Count of PMNs and WBC were found to be reduced in mollugin treated group compared to pneumonia control group of rats. Level of inflammatory cytokines was also found to be reduced in the blood of mollugin treated group than pneumonia control group. Moreover treatment with mollugin attenuates the altered expression of p-MAPK, p-JNK and p-ERK protein and mRNA expression of NF-κB in the lung tissues of Klebsiella pneumonia rat. In conclusion, data of the study reveals that treatment with mollugin ameliorates Klebsiella pneumonia rat by reducing the lung inflammation. Inflammation of lung tissue was reduced by regulating the NF-κB/MAPK signaling pathway in mollugin treated group.

Effect of Palygorskite on the Sintering Process and Kinetics of Bone China.

The sintering process of bone china bodies containing 0, 2, 4, and 6 wt % palygorskite was studied by X-ray diffraction (XRD), differential scanning calorimetry and thermogravimetry (DSC/TG), and dilatometric tests. According to the XRD and DSC/TG results, the increment of palygorskite increased the content of the amorphous phase and reduced the formation temperature of the early liquid phase in the bone china bodies. The shrinkage data showed that the starting sintering temperature and maximum shrinkage temperature of bone china bodies in the stage of liquid-phase sintering decreased by 20 and 15 °C via adding 6 wt % palygorskite, respectively. Also, the maximum shrinkage rose with increasing amount of palygorskite. Moreover, the kinetic analysis of shrinkage data was conducted by the Salem model. The value of the mechanism-characteristic exponent, m, rose from 0.62 to 0.91 by adding 6 wt % palygorskite. In addition, with increasing palygorskite, the value of activation energy, E a, linearly reduced, and the value of rate constant A increased.

The Preparation and Properties of Porous Sepiolite Ceramics.

In this paper, a new type of porous ceramics was prepared using the raw sepiolite mineral. The porous ceramics was shaped by the dry pressing method and sintered in the range of 700 ~ 1200 °C. The temperature-microstructure evolution and the properties of porous sepiolite ceramics were investigated by thermo gravimetric and differential thermal analyses (TG-DTA), X-ray diffraction (XRD), bending strength, compressive strength, scanning electron microscopy (SEM) and mercury intrusion porosimeter (MIP). The sintering kinetics of the porous ceramics from sepiolite was investigated by means of stepwise isothermal dilatometry (SID). The mechanical properties improved with the increasing sintering temperature, and the bending strength and compression strength reached a maximum of 52 MPa and 32 MPa respectively at 1200 °C. The porosity increased with the sintering temperature until 1100 °C attaining the value of 55.40% and then decreased to a value of 46.48% at 1200 °C. The main crystal phases of the porous ceramics were akermanite and diopside. At 1200 °C, the pores inside the ceramics basically follows a unimodal distribution, which was mainly located near 553 nm. The sintering activation energy of porous sepiolite ceramics was measured by step isothermal thermal expansion with a value of 791.42 kJ/mol in the range of 1000 °C to 1200 °C.

The sintering kinetics of shellfish porcelain reinforced by sepiolite nanofibres.

The work investigated the effect of sepiolite nanofibres on mechanical properties and sintering behaviour of shellfish porcelain. Samples of shellfish porcelain reinforced by sepiolite nanofibres were fired in an electric furnace at 1150, 1200 and 1250°C for a period of 80, 100, 120 and 140 min. Sintered samples were characterized by flexural strength, fracture toughness, scanning electron microscopy, transmission electron microscopy and X-ray diffraction. The results showed that 2 wt% sepiolite nanofibres could increase the flexural strength and fracture toughness of the porcelain bodies through the fibre pullout and the weak interface mechanisms. Sintering activation energies were determined according to the linear shrinkage results. It is found that the liquid-phase sintering mechanism of shellfish porcelain with sepiolite nanofibres is a diffusion mechanism. Porcelain without sepiolite is controlled by volume diffusion, and eventually, the grain boundary diffusion began to appear with the increase of sepiolite addition.