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Seaweeds can produce variety of bioactive components for the benefits of humans. Malaysia is one of the countries to produce red seaweeds, which are popular secondary metabolites. Kappaphycus species, largest tropical red algae exhibit the high growth rate. It was reported that its biomass can grow double in just 15 to 30 days. Therefore, this investigation emphasized on two extraction methods such as hot water and ethanolic Soxhlet extraction to extract the bioactive compounds from Kappaphycus alvarezii. Both of these extractions were screened to produce antimicrobial and antioxidants compounds. Total phenolic content and ferric reducing assays were employed to quantify antioxidant properties. Whereas, the disc diffusion assays were used to study antibacterial activity. The results reported the highest phenolic content for ethanolic extract (20.25 ± 0.03 mg gallic acid equivalents per gram of extract). On the other hand, the value of phenolic content was slightly decreased 19.1 ± 0.81 mg gallic acid equivalents per gram of extract for the hot water extract. It was also found that both the extracts were potentially capable of balancing reactive oxygen species. Disc diffusion assay results indicated that the extract of red alga K. alvarezi were more efficient against B. cereus. Among the fatty acids determined levoglucosenone and 4-Pyridinemethanol were present in high percentages in hot water extract whereas Hexamethyl- cyclotrisiloxane followed by 1, 2, 5-Thiadiazole-3-carboxamide, 4-[(2-chloroethyl) amino]-N-(2-hydroxyethyl) were present in ethanolic extract of K. alvarezi. The present study concluded that, hot water extracts of K. alvarezii can be used for large scale production of bioactive compounds utilizing an easily available potential seaweed. Future research of red seaweed will be highly important for pharmaceutical and medicinal field as well as a homogenizer in milk products, toothpaste and jellies in other industrial applications. [ABSTRACT FROM AUTHOR]

Abstract: Paratesticular mesothelioma (malignant mesothelioma arising from the tunica vaginalis of the testis) represents a small proportion of mesothelial neoplasms, and cutaneous involvement by paratesticular mesothelioma is very rare. Cutaneous involvement can manifest as scrotal subcutaneous nodules from regional spread, distant metastasis, or direct extension through surgical scars. Mesothelioma has 3 histopathologic classifications that include epithelioid, biphasic, and sarcomatoid, which is rarely seen in paratesticular mesothelioma. Given the rarity of this condition, cutaneous mesothelioma may be misdiagnosed as histologic mimics, such as metastatic adenocarcinoma or adnexal neoplasms; thus, appropriate immunohistochemical workup and clinical correlation are required to make an accurate diagnosis. In this case, a 75-year-old man with a history of paratesticular mesothelioma, status postorchiectomy, presented with right-sided scrotal swelling, erythema, and subcutaneous nodules. These nodules were identified as local recurrence with cutaneous involvement by paratesticular mesothelioma on histopathologic examination. This case highlights the clinical and histopathologic features of this diagnosis and underscores the importance of dermatopathologists being aware of this condition to ensure accurate diagnosis., Competing Interests: The authors declare no conflicts of interest., (Copyright © 2024 Wolters Kluwer Health, Inc. All rights reserved.)

The biohydrogen production from algal biomass could ensure hydrogen's sustainability as a fuel option at the industrial level. However, some bottlenecks still need to be overcome to achieve the process's economic feasibility. This review article highlights the potential of algal biomasses for producing hydrogen with a detailed explanation of various mechanisms and enzymes involved in the production processes. Further, it discusses the impact of various experimental parameters on biohydrogen production. This article also analyses the significant challenges confronted during the overall biohydrogen production process and comprehends the recent strategies adopted to enhance hydrogen productivity. Furthermore, it gives a perception of the economic sustenance of the process. Moreover, this review elucidates the future scope of this technology and delineates the approaches to ensure the viability of hydrogen production., (Copyright © 2022 Elsevier Ltd. All rights reserved.)

Phytophotodermatitis is a cutaneous reaction caused by direct contact with phototoxic agents and subsequent sunlight exposure. Furocoumarins and psoralens are 2 phototoxic agents that can cause this reaction, and these organic chemical compounds are found in many plant species consumed by humans. Following contact exposure to such foods and ultraviolet radiation exposure via direct sunlight, phytophotodermatitis can occur. Due to the etiology of these rashes relating closely to the outdoor consumption of margaritas, the rash may be known by patients as "margarita burn." There is a classically described sequence of rash progression: erythematous macules or patches, which later become vesicles and seem similar to second-degree burns, followed by an asymptomatic hyperpigmentation. This case presents a 26-year-old female diagnosed with phytophotodermatitis following use of citrus fruits for margaritas while outdoors in direct sunlight. The diagnosis of phytophotodermatitis is often made clinically but can be complicated due to its similarity in appearance to many other common cutaneous reactions. In this patient, the differential diagnosis included solar erythema, contact dermatitis (type IV hypersensitivity reaction), polymorphic light eruption, or drug-related photosensitivity. Careful history taking is essential in not only narrowing down the differential diagnosis but also in avoiding unnecessary tests or ineffective treatments., Competing Interests: Conflict of interest: None declared., (© Copyright 2021 by the American Board of Family Medicine.)

Aim: To synthesize niosomes co-encapsulating gemcitabine (GEM) and tocotrienols, and physicochemically characterize and evaluate the antipancreatic effects of the nanoformulation on Panc 10.05, SW 1990, AsPC-1 and BxPC-3 cells. Materials & methods: Niosomes-entrapping GEM and tocotrienols composed of Span 60, cholesterol and D-α-tocopheryl polyethylene glycol 1000 succinate were produced by Handjani-Vila and film hydration methods. Results: The film hydration produced vesicles measuring 161.9 ± 0.5 nm, approximately 50% smaller in size than Handjani-Vila method, with maximum entrapment efficiencies of 20.07 ± 0.22% for GEM and 34.52 ± 0.10% for tocotrienols. In Panc 10.05 cells, GEM's antiproliferative effect was enhanced 2.78-fold in combination with tocotrienols. Niosomes produced a significant ninefold enhancement in cytotoxicity of the combination, supported by significantly higher cellular uptake of GEM in the cells. Conclusion: This study is a proof of concept on the synthesis of dual-drug niosomes and their efficacy on pancreatic cancer cells in vitro .

Although it typically presents with cough and dyspnea due to pulmonary involvement, sarcoidosis is a multisystem granulomatous disease and therefore may present with extrapulmonary manifestations. Cutaneous manifestations are common, while hepatic sarcoidosis is uncommon and osseous manifestations are exceedingly rare. This article describes osseous, hepatic, and cutaneous manifestations due to sarcoidosis. The patient was diagnosed with sarcoidosis, treated with a dynamic hip screw implant with a derotational screw, and discharged on a new medication regimen: vitamin D, calcium supplements, alendronate, methotrexate, and hydroxychloroquine., (Copyright © 2020 Baylor University Medical Center.)

Low-molecular-weight heparin, including enoxaparin, has efficacy comparable to that of unfractionated heparin and is considered the first-line option for thromboprophylaxis due to a decreased risk profile. This paper presents a rare case of epigastric artery rectus sheath hematoma following enoxaparin injection, resulting in multiorgan failure secondary to hemorrhagic shock. Discussion of this case may assist clinicians in the recognition and treatment of similar cases., (Copyright © 2020 Baylor University Medical Center.)

As the medical school admissions process becomes increasingly competitive, there is an increased mental and emotional burden on undergraduate premedical students due to uncertainty about acceptance. Mentors in Medicine is a mentoring program between Texas Tech University Health Sciences Center and Texas Tech University students; the data demonstrate that this program can alleviate some negative emotional aspects faced by premedical students on their journey to medical school. The program interventions include establishing mentor-mentee relationships between medical students and premedical students, hosting various events to encourage dialogue, and promoting communication efforts from medical mentors. These interventions were found to significantly decrease feelings of anxiety or nervousness, as well as feelings of doubt or insecurity. These results may provide a framework for similar medical-premedical mentoring programs at other institutions., (Copyright © 2020 Baylor University Medical Center.)

Cholera has been woven into human history through numerous pandemics, with the most recent ongoing since 1961. Global rates of cholera continue to decline, but outbreaks continue to pose diagnostic challenges for clinicians, which delays initiation of treatment and prolongs the disease course. Despite millions of infections and thousands of deaths worldwide each year, cholera remains rare in the United States, with the few cases each year usually being the result of pathogen acquisition while the patient traveled abroad. This article presents a unique case of cholera acquired in the United States, which emphasizes the necessary vigilance of symptom recognition, in the context of appropriate clinical investigation, in ensuring that the patient had a full recovery. Cholera in the United States is exceedingly rare, yet effective diagnosis with early initiation of treatment is known to reduce mortality and shorten disease course. While other more common diagnoses must definitely be excluded first, it is important for cholera to be kept on the differential for patients presenting with treatment refractory, watery diarrhea causing hypotension. This case of a patient with a recent travel history to Hawaii and infection with cholera underscores the importance of investigative medicine and clinical expertise in optimizing patient care, even when presented with rare illnesses.

Plant-derived phytonutrients have emerged as health enhancers. Tocotrienols from the vitamin E family gained high attention in recent years due to their multi-targeted biological properties, including lipid-lowering, neuroprotection, anti-inflammatory, antioxidant, and anticancer effects. Despite well-defined mechanism of action as an anti-cancer agent, their clinical use is hampered by poor pharmacokinetic profile and low oral bioavailability. Delivery systems based on nanotechnology were proven to be advantageous in elevating the delivery of tocotrienols to tumor sites for enhanced efficacy. To date, preclinical development of nanocarriers for tocotrienols include niosomes, lipid nanoemulsions, nanostructured lipid carriers (NLCs) and polymeric nanoparticles. Active targeting was explored via the use of transferrin as targeting ligand in niosomes. In vitro , nanocarriers were shown to enhance the anti-proliferative efficacy and cellular uptake of tocotrienols in cancer cells. In vivo , improved bioavailability of tocotrienols were reported with NLCs while marked tumor regression was observed with transferrin-targeted niosomes. In this review, the advantages and limitations of each nanocarriers were critically analyzed. Furthermore, a number of key challenges were identified including scale-up production, biological barriers, and toxicity profiles. To overcome these challenges, three research opportunities were highlighted based on rapid advancements in the field of nanomedicine. This review aims to provide a wholesome perspective for tocotrienol nanoformulations in cancer therapy directed toward effective clinical translation.