The antibacterial activity of crude extracts of leaves coated with wax and other de-waxed leaves of Tamarix nilotica, against nine human pathogenic bacteria were evaluated using the agar plate well-diffusion method with plant extract concentration of 100 mg/ml. The minimum inhibitory concentration (MIC) was determined. The antibacterial activity was found in the least MIC, as 7.5 mg/ml, belonged to Staphylococcus aureus and Pseudomonas aeruginosa. Most susceptible gram-negative bacteria were P. aeruginosa and least susceptible gram-negative bacteria were E. coli and S. typha. In gram-positive bacteria, most and least susceptible were S. aureus and B. cereus, respectively. These findings should stimulate the research for novel, natural product such as many anti-bacterial agents. The percentage yield of epicuticle wax from Tamarix nilotica leaves, extracted with n-hexane was 0.7%. The results of the preliminary phytochemical analyses of the ethanol extract of the leaves coated with wax and de-waxed leaves of Tamarix nilotica were performed. Steroids, phenolic compounds, saponins, tannins, flavonoids and sugars are present in all of the two samples analyzed except sugars in de-waxed leaves.

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Background Periodic limb movements during sleep (PLMS) and obstructive sleep apnea syndrome (OSAS) are two frequent coincident sleep disorders. The association of PLMS with OSAS severity and predictors of PLMS in OSAS patients were investigated. Material and method This is a retrospective study that enrolled adult patients ≥ 16 years old who visited the sleep unit at Mouwasat Hospital, Saudi Arabia, between January 2021 and October 2021. All were subjected to full medical history, clinical examination, Epworth Sleepiness (ESS), STOP-Bang questionnaires, and standard overnight polysomnography. Subjects were subdivided into two groups based on PSG findings: group I, OSA patients (153). Patients were classified into mild n = 57 (AHI ≥ 5 and < 15), moderate n = 35 (AHI ≥ 15 and < 30), and severe n = 61 (AHI ≥ 30). Group II, control group included 100 subjects. Result There was a higher frequency of PLMS in OSA patients vs control group (with a statistically significant value). The study showed a statistically significantly positive correlation between PLMI and each of AHI, hypopnea index, desaturation index, and PLMs with arousal index, in contrast; it had a statistically significantly negative correlation with BMI among the OSA group. By performing multivariate logistic regression to predict the possible factors associated with the existence of PLMS among the OSA group, it was showed that the apnea index and desaturation index were statistically significant predictors. Conclusion The present study showed that OSA patients with PLM were older; had greater AHI, hypopnea index, desaturation index, and PLMs with arousal index; and had lower BMI. Further studies are needed for better understanding this complex relationship.

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