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Background: Effective medication management, disposal, and donation are vital for public health and environmental sustainability. Improper handling of medications can lead to drug misuse, accidental poisoning, and environmental damage. This study examines current practices and challenges in Saudi Arabia, identifying opportunities for improvement. Method: A cross-sectional survey conducted in October and November 2023 targeted the general population in Saudi Arabia. This study employed convenience sampling to explore medication usage, storage, disposal practices, and awareness of donation procedures. Data were analyzed through both descriptive and inferential statistical methods. Results: This study involved 430 respondents. Of these, 73.0% held a university degree, yet 66.3% were unaware of drug donation programs, and 84.2% lacked knowledge about proper medication disposal. Despite this, 71.4% believed that drug donation programs positively impact healthcare, and 87.9% saw them as reducing drug waste and environmental pollution. However, 48.1% expressed concerns about the potential misuse of donated medicines. Awareness and knowledge were significantly higher among participants aged 30 and above. Conclusions: The findings highlight the need for enhanced public awareness, clear medication disposal guidelines, and ethically governed donation practices in Saudi Arabia. These measures can improve healthcare outcomes, protect the environment, and support global health and sustainability goals. [ABSTRACT FROM AUTHOR]

Introduction: Professional certification programs play a crucial role in helping pharmacists develop specialized skills and establish their expertise in the field. This study explores how pharmacists in Saudi Arabia engage with these programs by examining their levels of awareness, attitudes, and participation. It also identifies the key barriers and motivators that influence their decision to pursue certification. Methods: An online survey was conducted among pharmacists in Saudi Arabia to assess participants' knowledge of certification programs, their perceived benefits, the actual participation rates, and their preferences regarding certification areas and assessment methods. Results: Out of 394 participating pharmacists, around 47% had never participated in a professional certification program, and about 27% of our sample were unaware of such programs in Saudi Arabia. Financial constraints and a lack of awareness were noted as the primary barriers to participation. Almost 55% showed an interest in Clinical Pharmacy Specialties certification, while 54% were inclined toward Pharmacy Management and Leadership certifications. A preference for practical assessments in certification programs was suggested by 55% of participants. Conclusions: This study highlights a significant need for increased awareness and accessibility to professional certification programs among pharmacists in Saudi Arabia. Addressing participation barriers is vital to foster professional development and meet the healthcare sector's evolving demands in Saudi Arabia. [ABSTRACT FROM AUTHOR]

ZnO nanostructured materials have been widely utilized in several environmental depollution applications. In the current work, ZnO nanorods were grown using the electrodeposition method with different precursor concentrations. A variation in the dimensions of the nanorods grown with the different precursor concentrations was noticed, as expected. The ability of the fabricated nanorods to remove water pollutants under UV irradiation and their photocatalytic performance stability was also evaluated over a prolonged period of time. Interestingly, the samples grown in different conditions exhibited different capabilities to maintain their morphology and their photocatalytic performance after they were kept in contaminated water for a long time. Moreover, some samples also were found to remain photocatalytically active for approximately 47% longer than other samples. These findings indicate that the performance stability of ZnO nanorods for pollutants removal and their robustness can be greatly improved by controlling their growth parameters, which will favorably impact the use of ZnO nanorods for water-treatment applications and their economic aspects. [ABSTRACT FROM AUTHOR]

Nanocomposite materials have demonstrated excellent performance in many application fields. Metal nanoparticle/graphene oxide composites are among the most promising composite materials for catalytic applications. In this study, nanocomposites of Au-Pd bimetallic particles/graphene oxide were prepared from an aqueous bath and used as catalysts in the oxidation reactions of some chemical compounds. The oxidation and exfoliation of graphite were controlled by varying the acid treatment time. The effects of the treatment time on the properties and performance of the prepared bimetallic-nanoparticle-supported graphene oxide catalysts were very obvious. Depending on the treatment time, a significant improvement in the conversion efficiency ranging from 65% to about 480%, along with a high oxidation selectivity, were achieved. The obtained findings show that the catalytic performance of metal/graphene oxide nanocomposites can be easily maximized by controlling the oxidation and exfoliation of graphene sheets. [ABSTRACT FROM AUTHOR]

Graphene derivatives have demonstrated high potential for various applications, including environmental ones. In this work, graphene oxide nano-sheets were obtained by utilizing a simple chemical method and were tested for water treatment applications. The pollutant adsorption ability of the produced GO was adjusted through a proper oxidation treatment of the graphene nano-sheets. The GO treatment time was systematically varied to control the oxidation level of the graphene nano-sheets and was found to considerably affect the GO's properties and performance in removing methylene blue. The microscopic studies showed well-exfoliated, few-layer GO nano-sheets. EDS and FTIR techniques were used to probe the presence of oxygen functional groups on the GO surface. The XRD investigations revealed various crystallinity levels of the prepared GO nano-sheets depending on the treatment time. The MB degradation efficiency was maximized by optimizing the GO treatment time. The results showed that the oxidation treatment parameters of GO play a major role in adjusting its properties and can be effectively utilized to boost its performance for water purification applications. [ABSTRACT FROM AUTHOR]

In this study, we assess healthcare providers' adherence to therapeutic drug monitoring (TDM) guidelines for gentamicin in neonates. Conducted at the Maternity and Children's Hospital in Makkah, Saudi Arabia, from July 2020 to July 2022, it retrospectively analyzed the compliance of healthcare workers in managing neonates treated with gentamicin. Covering 410 neonates, primarily diagnosed with respiratory distress (56%) and sepsis (32%), the study revealed that while a majority of trough and peak levels conformed to guidelines, substantial deviations were noted in cases of respiratory distress. This underlines the necessity for targeted TDM strategies, particularly in managing respiratory distress in neonates, to ensure optimal treatment efficacy and safety. The findings urge stringent compliance with TDM guidelines, emphasizing personalized approaches in neonatal gentamicin therapy for improved healthcare outcomes. [ABSTRACT FROM AUTHOR]

Background: Coagulation disorders are frequently encountered among patients infected with coronavirus disease 2019 (COVID-19), especially among admitted patients with more severe symptoms. This study aims to determine the mortality rate and incidence and risk factors for venous thromboembolism (VTE) in hospitalized patients with COVID-19. Methods: This retrospective observational cohort study was conducted from March to July 2020 using a hospital database. All adult patients (>18 years old) with laboratory-confirmed COVID-19 were included. Laboratory data and the real-time reverse transcriptase-polymerase chain reaction (rRT-PCR) for SARS-CoV-2 were obtained from medical records. The mortality rate and the incidence of VTE were established as study results. A multivariate logistic regression analysis was performed to identify predictors of thrombotic events. Results: rA total of 1024 confirmed COVID-19 patients were treated, of whom 110 (10.7%) were deceased and 58 patients (5.7%) developed VTE. Death occurred more frequently in patients older than 50 years and those admitted to the intensive care unit (ICU, 95%) and who received mechanical ventilation (62.7%). Multivariate analysis revealed that cancer patients were two times more likely to have VTE (adjusted odds ratio = 2.614; 95% CI = (1.048–6.519); p = 0.039). Other chronic diseases, such as diabetes, hypertension, and chronic kidney disease, were not associated with an increased risk of VTE. Conclusions: One-tenth of hospitalized COVID-19 patients were deceased, and VTE was prevalent among patients with chronic conditions, such as cancer, despite anticoagulation therapy. Healthcare professionals should closely monitor individuals with a high risk of developing VTE to prevent unwanted complications. [ABSTRACT FROM AUTHOR]

Gold nanoparticles have gained popularity as an effective drug delivery vehicle due to their unique features. In fact, antibiotics transported via gold nanoparticles have significantly enhanced their potency in the recent past. The present study used an approach to synthesize gold nanoparticles in one step with the help of cefoxitin antibiotic as a reducing and stabilizing agent. Cefoxitin is a second-generation cephalosporin that loses its potential due to modification in the porins (ompK35 and ompK36) of Gram-negative pathogens. Thus, the present study has developed an idea to revive the potential of cefoxitin against clinical Gram-negative pathogens, i.e., Escherichia coli and Klebsiella pneumoniae, via applying gold nanoparticles as a delivery tool. Prior to antibacterial activity, characterization of cefoxitin–gold nanoparticles was performed via UV–visible spectrophotometry, dynamic light scattering, and electron microscopy. A characteristic UV–visible scan peak for gold nanoparticles was observed at 518 nm, ζ potential was estimated as −23.6 ± 1.6, and TEM estimated the size in the range of 2–12 nm. Moreover, cefoxitin loading efficiency on gold nanoparticles was calculated to be 71.92%. The antibacterial assay revealed that cefoxitin, after loading onto the gold nanoparticles, become potent against cefoxitin-resistant E. coli and K. pneumoniae, and their MIC50 values were estimated as 1.5 μg/mL and 2.5 μg/mL, respectively. Here, gold nanoparticles effectively deliver cefoxitin to the resistant pathogens, and convert it from unresponsive to a potent antibiotic. However, to obtain some convincing conclusions on the human relevance, their fate and toxicity need to be evaluated. [ABSTRACT FROM AUTHOR]

Social differences are evident in both developed and developing countries. During adolescence, there are limited differences in morbidity and mortality, but differences do appear in terms of health behaviours. This study aims to examine the relationship(s) between social differences and students' health behaviours. A cross-sectional study was conducted in 2020 with a sample of high school students (N = 2741, aged 13–18 years) in Jordan. Besides descriptive statistics, bivariate logistic regression analysis was used to detect the odds risk for each social difference indicator. Females were engaged in more healthy dietary and hygienic behaviours and less engaged in smoking. Males were more physically active. Adolescents with a higher parental education level were more engaged in healthy behaviours; however, they drank carbonated soft drinks and ate fast food more often. Higher SES (socioeconomic status) self-evaluation was positively associated with eating breakfast and fruit and vegetables, being physically active, drinking carbonated soft drinks, eating fast food, and smoking. Our findings suggest that socioeconomic differences are important to understanding Jordanian adolescents' health behaviours. While females tend to engage in more healthy behaviours, the role of parental education and perceived family affluence is not always beneficial in terms of adolescents' dietary habits, hygienic behaviour, or smoking. [ABSTRACT FROM AUTHOR]

The improvement of the surface properties of ferrous metallic materials has become a crucial criterion for advanced engineering applications. The interfacial microstructure and corrosion behaviour of mild steel coated with alumina nanoparticles doped in tin composite using the direct tinning technique were investigated. A coating layer of tin composite containing different loads of Al2O3 nanoparticles (0.25 wt.%, 0.50 wt.%, 1.00 wt.% and 1.5 wt.%) was prepared and directly deposited on a mild steel substrate. This type of a direct tinning process is considered to be a simple and low-cost route for protecting metallic materials from corrosion. It was found that the thickness of both the composite layer and Fe-Sn intermetallic layer at the coated interfaces was highly affected by the presence of alumina nanoparticles that effectively inhibit the diffusion of Sn atoms into the Fe substrate. For the samples coated with lower content of alumina nanoparticles (0.25 wt.% and 0.50 wt.%), the thickness of the Fe-Sn intermetallic coating (IMC) layer is decreased due to Fe-Sn IMC suppression. Otherwise, for the addition of more alumina nanoparticles (1.00 wt.% and 1.50 wt.%), the thickness of the Fe-Sn IMC layer is slightly increased because of nanoparticle's agglomeration and flotation. It can be reported that the presence of alumina nanoparticles in the coating layer improves, to a great extent, the corrosion resistance of Sn-composites surface on mild steel substrates. Although the tin composite coating layer with a high quantity of alumina nanoparticles (1.0 wt.%) exhibited better corrosion resistance than the other tested samples, such nanoparticle additions have become increasingly difficult to obtain. It was observed that the Al2O3 nanoparticles agglomeration and flotation that were detected in the coating surface may be related to high fraction nanoparticles loading and to the difference in the gravity for Sn and Al2O3 nanoparticles. However, based on our investigation, a coating layer that contains 0.50 wt.% alumina nanoparticles is highly recommended for achieving long lasting and high-performance corrosion resistance for coated mild steel with minimal coating layer defects. [ABSTRACT FROM AUTHOR]

The proper assessment of trace element concentrations in the north Nile Delta of Egypt is needed in order to reduce the high levels of toxic elements in contaminated soils. The objectives of this study were to assess the risks of contamination for four trace elements (nickel (Ni), cobalt (Co), chromium (Cr), and boron (B)) in three different layers of the soil using the geoaccumulation index (I-geo) and pollution load index (PLI) supported by GIS, as well as to evaluate the performance of partial least-square regression (PLSR) and multiple linear regression (MLR) in estimating the PLI based on data for the four trace elements in the three different soil layers. The results show a widespread contamination of I-geo Ni, Co, Cr, and B in the three different layers of the soil. The I-geo values varied from 0 to 4.74 for Ni, 0 to 6.56 for Co, 0 to 4.11 for Cr, and 0 to 4.57 for B. According to I-geo classification, the status of Ni, Cr, and B ranged from uncontaminated/moderately contaminated to strongly/extremely contaminated. Co ranged from uncontaminated/moderately contaminated to extremely contaminated. There were no significant differences in the values of I-geo for Ni, Co, Cr, and B in the three different layers of the soil. According to the PLI classification, the majority of the samples were very highly polluted. For example, 4.76% and 95.24% of the samples were unpolluted and very highly polluted, respectively, in the surface layer of the soil profiles. Additionally, 14.29% and 85.71% of the samples were unpolluted and very highly polluted, respectively, in the subsurface layer of the soil profiles. Both calibration (Cal.) and validation (Val.) models of the PLSR and MLR showed the highest performance in predicting the PLI based on data for the four studied trace elements, as an alternative method. The validation (Val.) models performed the best in predicting the PLI, with R2 = 0.89–0.93 in the surface layer, 0.91–0.96 in the subsurface layer, 0.89–0.94 in the lowest layers, and 0.92–0.94 across the three different layers. In conclusion, the integration of the I-geo, PLI, GIS technique, and multivariate models is a valuable and applicable approach for the assessment of the risk of contamination for trace elements, and the PLSR and MLR models could be used through applying chemometric techniques to evaluate the PLI in different layers of the soil. [ABSTRACT FROM AUTHOR]

The present study focuses on the risk assessment of heavy metal contamination in aquatic ecosystems by evaluating the current situation of heavy metals in seven locations (North Amer El Bahry, Amer, Bakr, Ras Gharib, July Water Floud, Ras Shokeir, and El Marageen) along the Suez Gulf coast that are well-known representative sites for petroleum activities in Egypt. One hundred and forty-six samples of surface sediments were carefully collected from twenty-seven profiles in the intertidal and surf zone. The hydrochemical parameters, such as pH and salinity (S‰), were measured during sample collection. The mineralogy study was carried out by an X-ray diffractometer (XRD), and the concentrations of Al, Mn, Fe, Cr, Cu, Co, Zn, Cd, and Pb were determined using inductively coupled plasma mass spectra (ICP-MS). The ecological risks of heavy metals were assessed by applying the contamination factor (CF), enrichment factor (EF), geoaccumulation index (Igeo), pollution load index (PLI), and potential ecological risk index (RI). The mineralogical composition mainly comprised quartz, dolomites, calcite, and feldspars. The average concentrations of the detected heavy metals, in descending order, were Al > Fe > Mn > Cr > Pb > Cu > Zn > Ni > Co > Cd. A non-significant or negative relationship between the heavy metal concentration in the samples and their textural grain size characteristics was observed. The coastal surface sediment samples of the Suez Gulf contained lower concentrations of heavy metals than those published for other regions in the world with petroleum activities, except for Al, Mn, and Cr. The results for the CF, EF, and Igeo showed that Cd and Pb have severe enrichment in surface sediment and are derived from anthropogenic sources, while Al, Mn, Fe, Cr, Co, Ni, Cu, and Zn originate from natural sources. By comparison, the PLI and RI results indicate that the North Amer El Bahry and July Water Floud are considered polluted areas due to their petroleum activities. The continuous monitoring and assessment of pollutants in the Suez Gulf will aid in the protection of the environment and the sustainability of resources. [ABSTRACT FROM AUTHOR]

Although supported bimetallic nanoparticles (Au-Pd NPs) demonstrate outstanding efficiency, challenges appear for carbon supported small and stable bimetallic nanoparticles used in liquid-phase reactions. In this work, Au-Pd NPs were supported on two types of carbon nanotubes: CNTs decorated covalently with carboxylic acid groups (O-CNTs) and non-covalently with the conductive poly(3,4-ethylenedioxythiophene) polystyrene sulfonate (PEDOT:PSS) polymer (P-CNTs). The Au-Pd NPs were prepared using the sol immobilization approach on the functionalized CNTs, and the effect of the utilized functionalization method on the properties of the immobilized metallic nanoparticles and the performance of the nanocomposite catalysts was investigated. The fabricated nanocomposites were characterized using Fourier-transform infrared spectroscopy (FTIR), Raman spectroscopy, High-resolution transmission electron microscopy (HRTEM) and scanning electron microscopy (SEM). The catalytic performance of Au-Pd/O-CNTs and Au-Pd/P-CNTs was exploited for the oxidation of both cyclooctene and benzyl alcohol. Oxidation and polymer decoration directly led to an enhancement in the performance of CNTs catalysts. The nanocomposite catalyst with oxidized CNTs (Au-Pd/O-CNTs) was also found to be much more efficient and robust than that with polymer decorated CNTs (Au-Pd/P-CNTs). The enhancement in the oxidation of both cyclooctene and benzyl alcohol on Au-Pd/O-CNTs is attributed to the well-dispersed and smaller Au-Pd NPs as active sites on the surface of O-CNTs as compared to the P-CNTs surface. [ABSTRACT FROM AUTHOR]

Assessing surface water quality for drinking use in developing countries is important since water quality is a fundamental aspect of surface water management. This study aims to improve surface water quality assessments and their controlling mechanisms using the drinking water quality index (DWQI) and four pollution indices (PIs), which are supported by multivariate statistical analyses, such as principal component analysis, partial least squares regression (PLSR), and stepwise multiple linear regression (SMLR). Twenty-two physicochemical parameters were analyzed using standard analytical methods for 55 surface water sites in the northern Nile Delta, Egypt. The DWQI results indicated that 33% of the tested samples represented good water, and 67% of samples indicated poor to unsuitable water for drinking use. The PI results revealed that surface water samples were strongly affected by Pb and Mn and were slightly affected by Fe and Cr. The SMLR models of the DWQI and PIs, which were based on all major ions and heavy metals, provided the best estimations with R2 = 1 for the DWQI and PIs. In conclusion, integration between the DWQI and PIs is a valuable and applicable approach for the assessment of surface water quality, and the PLSR and SMLR models can be used through applications of chemometric techniques to evaluate the DWQI and PIs. [ABSTRACT FROM AUTHOR]