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Abstract The impact of LRRK2 variants on the risk of Parkinson’s disease in Egyptians remains unknown. We examined 1210 Egyptians (611 PD patients and 599 controls) from 16 governorates across Egypt for 12 LRRK2 pathogenic variants. The p.Gly2019Ser was the only variant detected, with a prevalence of 4.1% in sporadic cases, 6.5% in familial cases, and 0.68% in controls. Among p.Gly2019Ser carriers, all were heterozygous bar one homozygous patient, and all shared the common haplotype 1. Demographics and UPDRS scores did not differ between carriers and non-carriers, with most patients being males and developed PD in their fifties. Young and Early-onset PD prevalence was 37.5% in carriers and 33% in non-carriers. Familial cases were 16.6% in carriers and 11.5% in non-carriers. This study affirms that like other Mediterranean populations, Egyptians with PD have a higher prevalence of the p.Gly2019Ser variant compared to the global average. LRRK2 inhibitors could be promising therapeutic options for further exploration in this population.

Abstract A series of high-density polyethylene and a statistical copolymer of poly(propylene-co-ethylene) blends in a wide range, namely (0, 10, 20, 30, 40, 50, 60,70, 80, 90, 100) abbreviated as HDPE/VM were systematically investigated by using a rheometer, differential scanning calorimetry (DSC) measurements, polarized optical microscopy (POM) and tensile tests. Rheometer results show that adding VM decreases dynamic viscosity, storage, and loss modulus. Han plot shows that HDPE and VM are compatible and miscible in the range from 20 to 60 VM % in the molten state. DSC results show little nucleation effect of VM on HDPE (HDPE’s melt crystallization temperature shifts 2 °C higher). Moreover, a linear composition dependence of ∆cp ∆Hc, ∆Hm shows that PE and VM are most probably compatible in the molten state in composition range from 20 to 60%. However, upon crystallization, the VM and PE domains occur distinctively. The results of the tensile tests demonstrated a decrease in elastic modulus, yield stress, and ultimate tensile strength as VM content increased. At low VM content (less than 20%), high elongation at break was detected for the blends, and very fine spherulites of HDPE were found across the sample by POM.

Introduction: Immune checkpoint inhibitors (ICIs) have substantially advanced the treatment of patients with malignant melanoma. However, improving therapeutic efficacy requires identifying drug combinations that elicit durable responses without inducing intolerable toxicity. Within that context, selinexor emerges as a possible combination option that has been shown in preclinical studies to enhance the efficacy of ICI therapy. Methods: In this phase 1b study, we investigated selinexor in combination with pembrolizumab in 25 patients with advanced non-uveal melanoma. Patients received selinexor at a dosage of 60 mg taken orally twice weekly, and pembrolizumab intravenously at a dosage of 200 mg every 3 weeks. Results: Despite the high incidence of adverse events (96%), most treatment-related toxicities were manageable with supportive care and dose reductions. The most common adverse events of any grade were nausea (n = 20; 80%), decreased white blood cell count (n = 15; 60%), vomiting (n = 14; 56%), anemia (n = 12; 48%), fatigue (n = 12; 48%), and decreased platelet count (n = 12; 48%). The 10 patients with treatment-naïve evaluable disease had an objective response rate (ORR) of 70% (n = 7, including three patients with complete response), which was significantly higher than that of the 14 patients with prior anti–programmed cell death protein 1 (anti-PD-1) therapy, whose ORR was 7% (n = 1; p = 0.002). Stable disease was observed in two patients (20%) with treatment-naïve disease and seven patients (50%) with prior anti-PD-1 therapy. Conclusion: Selinexor combined with pembrolizumab showed promising antitumor activity in patients with treatment-naïve metastatic melanoma. The toxicity profile of the combination was consistent with that reported for individual agents, with no additional safety concerns.

This paper deals with optimizing Simple Exponential Smoothing for time series forecasting in supply chain management, particularly in the transport and automotive sectors. This paper attempts to enhance the accuracy of the forecast by estimating an optimal smoothing constant α with the Mean Squared Error as the objective function. This optimization exercise will be done using MATLAB's fminsearch function. Indeed, results realize substantial improvements in the accuracy of the forecast, validated using different error metrics and graphical representations.

Abstract Background To compare the impacts of different remineralizing agents on demineralized enamel, we focused on chitosan nanoparticles (ChiNPs) and silver nanoparticles (AgNPs). Methods This study was conducted on 40 extracted human premolars with artificially induced demineralization using demineralizing solution. Prior to the beginning of the experimental procedures, the samples were preserved in artificial saliva solution. The nanoparticles were characterized by transmission electron microscopy (TEM) and teeth were divided into four equal groups: Group A was utilized as a control group (no demineralization) and received no treatment. Group B was subjected to demineralization with no treatment. Group C was subjected to demineralization and then treated with ChiNPs. Group D was subjected to demineralization and then treated with AgNPs. The teeth were evaluated for microhardness. The enamel surfaces of all the samples were analysed by scanning electron microscopy (SEM) for morphological changes and energy dispersive X-ray analysis (EDX) for elemental analysis. Results The third and fourth groups had the highest mean microhardness and calcium (Ca) and phosphorous (P) contents. SEM of these two groups revealed relative restoration of homogenous remineralized enamel surface architecture with minimal micropores. Conclusion Chitosan nanoparticles (NPs) and silver NPs help restore the enamel surface architecture and mineral content. Therefore, chitosan NPs and AgNPs would be beneficial for remineralizing enamel.

Abstract Background By the end of December 2019, a new coronavirus, termed severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), emerged, and the cause of the disease was named coronavirus disease 2019 (COVID-19). Several genetic factors have been implicated in diverse responses to SARS-CoV-2 infection, such as the C-X-C chemokine receptor 4 (CXCR4) rs2228014 polymorphism, which has been previously studied in various diseases but has not been explored in the context of COVID-19 severity. The current study aimed to assess the association between the rs2228014 polymorphism in the CXCR4 gene and the severity of COVID-19, which has not been previously reported. Method This cross-sectional study analyzed 300 adult Egyptian COVID-19 patients (156 with mild or moderate and 144 with severe or critical symptoms) admitted to Assiut University Quarantine Hospital from June to September 2022 during the omicron variant. The rs2228014 polymorphism in the CXCR4 gene was detected using real-time PCR with a TaqMan assay probe. Receiver operating characteristic (ROC) curve analysis was used to determine the best cutoff values for C-reactive protein (CRP) that can be used to estimate the severity of COVID-19. P values less than 0.05 were considered to indicate statistical significance. Results No significant differences in the allelic or genotypic frequencies of CXCR4 rs2228014 were detected between the severity groups. However, the exclusive presence of the AA genotype in mild or moderate cases suggests its potential protective role. Additionally, significant differences in myalgia presentation, leukocyte counts and antibiotic use, were observed among different genotypes. Statistical data showed that the severity of COVID-19 could be predicted at a cutoff value of CRP > 30 mg/L, with a sensitivity of 74.3% and a specificity of 42.9%. Conclusion The present findings suggest a potential protective role of the AA genotype and A allele of CXCR4 rs2228014 against severe COVID-19. Additionally, factors such as lack of vaccination and comorbidities such as hypertension, renal disease, and diabetes mellitus were associated with increased disease severity.

Abstract As a result of its high reactivity, furan-2(3H)-one derivative 2 can be selected as a versatile and suitable candidate for building of novel nitrogen heterocyclic compounds. Consequently, furan-2(3H)-one derivative 2 and some nitrogen nucleophiles were utilized as starting materials for the formation of new pyridazinone and pyrrolone derivatives bearing naphthalene moiety. The continuous buildup of insecticide resistance is the main obstacle facing pest control measures. Pyrrole-based insecticides are a favourable choice due to their unique mode of action and no cross-resistance with traditional neurotoxic insecticides. The larvicidal activities of pyrrolone derivatives were assessed against field and laboratory strains of Culex pipiens larvae in comparison with chlorfenapyr (pyrrole insecticide). Compounds 17 (21.05 µg/mL) > 9 (22.81 µg/mL) > 15 (24.39 µg/mL) > 10 (26.76 µg/mL) > 16 (32.09 µg/mL) were most effective against lab strain of C. pipiens larvae relative to chlorfenapyr (25.43 µg/mL). While in field strain, 17 and 15 were the most toxic compounds followed by 9 > 10 > 16 > 2 with LC50 of 9.87, 10.76, 11.52, 12.68, 15.32 and 18.37 µg/mL, respectively, compared with chlorfenapyr with 14.03 µg/mL. The cytochrome P-450 monooxygenase activities were significantly increased in treated larvae of lab and field strains relative to untreated. The great variations in toxicity of the synthesized compounds were interpreted by structure-activity relationship study. The pyrrolone derivatives are effective against field and insecticide-resistant strains. Therefore, they are considered promising compounds to be integrated into pest management programs.

Abstract This paper presents a detailed kinematic and dynamic model of nonuniform skid steering for tracked vehicles on level terrain and uniform skid steering slopes. The objective is to find the required forces applied on both tracks to achieve the desired turning, aiding in determining the needed engine power for effective turning operation. The vehicle kinematics during turning is presented, followed by a complete dynamic analysis that considers the effect of centrifugal and inertia forces, as well as adhesion with the ground. The dynamic analysis of turning on slopes is developed, where the cases of turning while moving uphill and downhill are considered. Moreover, simulation analysis using MATLAB model is conducted to investigate the main turning characteristics on both level terrain and slopes. The model can accurately predict the required forces on both tracks for effective turning, and can aid in the design of more efficient tracked vehicles. Generally, the findings of this study can inform the design of more efficient tracked vehicles by providing insights into the needed driving forces and the required power to achieve the desired radius of turning at a specific vehicle speed.

Abstract Background Social accountability (SA) measures institutional responses to societal needs. For medical education to be socially accountable, institutions must be equitably accessible and commit to training physicians who can work with communities to address health disparities. This scoping review aimed to explore the integration of social accountability into undergraduate medical education and examine the various ways it is implemented. Methods The authors searched PubMed, OVID Medline, CINAHL, ERIC and Scopus electronic databases for articles published between January 1995 and June 2023 to explore how SA is integrated into undergraduate medical education. The enhanced version of Arksey's and O'Malley's six-stage protocol was used. Analysis was done using the thematic analysis approach. Results Eight hundred twenty-six articles were retrieved in the preliminary search. After the screening, 17 articles were included for final review. From the findings, three thematic areas were derived, which included strategies applied in incorporating SA into undergraduate medical education, factors influencing the adoption of SA into undergraduate medical education, and programmes used to translate SA into undergraduate medical education. Conclusion This scoping review provides a comprehensive overview of the strategies, programs, and influencing factors related to the integration of social accountability into undergraduate medical education. The implementation of SA in undergraduate medical education is still very slow across the globe, there is an urgent need for a continued push towards making medical schools socially accountable.

Abstract Natural plant extracts offer numerous health benefits for rabbits, including improved feed utilization, antimycotic and antiaflatoxigenic effect, antioxidants, immunological modulation, and growth performance. The aim of the current study was to investigate the effects of silymarin on the performance, hemato-biochemical indices, antioxidants, and villus morphology. A total of 45 Moshtohor 4 weeks old weaned male rabbits were randomly allocated into three groups (15 rabbit/each) each group with 5 replicates. The first group served as the control group feed on an infected diet by aflatoxin B1 (AFB1) 0.02 mg/kg BW, while the second and third groups received an infected diet by AFB1 (0.02 mg/kg BW) and was treated with Silymarin 20 mg/kg BW/day or 30 mg/kg BW/day, respectively. Regarding the growth performance, silymarin supplementation significantly improved the final body weight compared with the control group. Physiologically, silymarin induced high level of dose-dependent total red blood cell count, hematocrit, eosinophils, high-density lipoprotein cholesterol, superoxid dismutase, catalase activity, total antioxidant capacityand intestinal villi width and length. Moreover, silymarin significantly restricted oxidative stress indicators, malondialdehyde, Alanine aminotransferase, aspartate aminotransferase, total cholesterol, triglyceridein rabbits treated with (AFB1). In conclusion, silymarin supplementation to AFB1 contaminated rabbit diet may mitigate the negative effect of AFB1 on the rabbit performance and health status and increase growth performance, average daily gain, immunological modulation and antioxidants and provide a theoretical basis for the application of silymarin in livestock production.

Significant copper mineralization are observed to be associated, in most cases, with some radioactive anomalies related to increased uranium and thorium contents in Southern Sinai, Egypt. These mineralizations are related to intense post-magmatic, structurally controlled hydrothermal activities in many localities. Wadi Khosh El-Daba area is one of these locations which is mainly composed of monzogranites dissected by andesite dyke and pegmatite vein. This work deals with the application of ground magnetic and self-potential methods to establish the magnetic sources governing the mineralization, to interpret the significant trends that affected the study area, and to delineate the mineralized zones. The magnetic data were processed, enhanced and interpreted using advanced techniques, such as the first-order vertical derivative (FVD), the tilt derivative (TD), Euler deconvolution (ED), and source parameter image (SPI). The main structural lineaments/contacts that control the distribution of hydrothermal alterations and mineral distributions are oriented to the NW–SE, NE–SW, and NNW–SSE directions. The self-potential (SP) data show that there are numerous mineralized zones; most of them are distributed mainly along the structural lineaments deduced from the magnetic study. The quantitative interpretation revealed that the mineralized bodies are at shallow depths ranging from 5.6 m to 12.7 m, with half-width from 5 m to 13 m. These bodies are shallow to moderate dipping towards the south and north directions. Based on this study an anomaly map is originated to locate the preferred structural elements that may be controlling the mineralization in the area for further future exploration.

Abstract This study aimed to estimate the hepatic and immune ameliorating potential of extracted bovine lactoferrin (LF), Selenium nanoparticles (SeNPs) or their combination (LF/SeNPs) against bleomycin (BLM) induced hepatic injury. Fifty adult male rats (160–200 g) were equally divided into five groups: (1) the saline control group, (2) BLM-injected (15 mg/kg twice a week, ip), and (3–5) groups treated orally with LF (200 mg/kg/day), SeNPs (0.0486 mg/kg/day) or LF/SeNPs combination (200.0486 mg/kg/day) for 6 weeks post BLM-intoxication. Blood and liver samples were subjected to biochemical, histopathological, and immunohistochemical analyses. The results revealed that BLM caused a significant increase in hepatic lipid peroxidation and nitric oxide, as well as serum markers of liver functions (AST, ALT and GGT activities), and levels of GM-CSF, CD4, TNF-α, IL-1β, TGF-β1, fibronectin, triglycerides, cholesterol and LDL-C. Additionally, hepatic glutathione, Na+/K+-ATPase, and glutathione peroxidase, as well as serum HDL-C, total protein and albumin levels were significantly reduced. Moreover, BLM injection resulted in marked histopathological alterations and severe expression of caspase 3. Post-treatment of BLM-intoxicated rats with LF, SeNPs or LF/SeNPs combination obviously improved the BLM-induced hepatic damages; this was achieved from the marked modulations in the mentioned parameters, besides improving the histopathological hepatic architecture. It is worth mentioning that LF/SeNPs exerted the greatest potency. In conclusion, the obtained results demonstrated that LF, SeNPs and LF/SeNPs succeeded in attenuating the BLM-induced hepatic dysfunction. Therefore, these supplements might be used to protect against drug-associated side effects.

A global phenomenon identified 200 years ago as Urban Heat Island (UHI) effect gained popularity as the sheer contributor to the precipitous temperature gradient between rural and urban interface, instigating excess heat gain and associated ill effects on the urban dwellers. UHI is a function of many interrelated geographical, ecological, and economic parameters that require differential treatment in determining the antecedent impacts. This transdisciplinary review assessed the passive strategies (vegetation, cool roofs, cool pavements, and green roofs) from 83 studies that employed a numerical simulation approach to combat UHI. On average, vegetation and cool/green roofs can reduce ambient temperature by 3–5 ​°C, while cool pavements help to reduce surface temperature by 5 ​°C. All passive strategies also reveal it can reduce buildings' energy demand by 4–10%. However, the current methodological framework for evaluating UHI is quite fragmented, using multiple software and estimates only Surface Urban Heat Island (SUHI), ignoring Canopy Urban Heat Island (CUHI), Boundary Urban Heat Island (BUHI), and the nexus of ‘UHI-Climatology,’ which is linked to regional and global climate change, failing to model UHI and its complex connection to climate change accurately. The review found that the efficacy of passive strategies is a function of factors ranging from location, cloud cover, and soil type to simulation accuracy; hence, while these passive strategies alleviate outdoor temperature in one place, they can cause counterproductive impacts in another region. Therefore, as a postlude, the paper explores an alternative methodological framework for evaluating the nexus of UHI-Climatology using digital twin technology, thus espousing better mitigation strategies.

Abstract Since its identification in the vitreous humour of the eye and laboratory biosynthesis, hyaluronic acid (HA) has been a vital component in several pharmaceutical, nutritional, medicinal, and cosmetic uses. However, little is known about its potential toxicological impacts on aquatic inhabitants. Herein, we investigated the hematological response of Clarias gariepinus to nominal doses of HA. To achieve this objective, 72 adult fish were randomly and evenly distributed into four groups: control, low-dose (0.5 mg/l HA), medium-dose (10 mg/l HA), and high-dose (100 mg/l HA) groups for two weeks each during both the exposure and recovery periods. The findings confirmed presence of anemia, neutrophilia, leucopoenia, lymphopenia, and eosinophilia at the end of exposure to HA. In addition, poikilocytosis and a variety of cytomorphological disturbances were observed. Dose-dependent histological alterations in spleen morphology were observed in the exposed groups. After HA removal from the aquarium for 2 weeks, the groups exposed to the two highest doses still exhibited a notable decline in red blood cell count, hemoglobin concentration, mean corpuscular hemoglobin concentration, and an increase in mean corpuscular volume. Additionally, there was a significant rise in neutrophils, eosinophils, cell alterations, and nuclear abnormalities percentages, along with a decrease in monocytes, coupled with a dose-dependent decrease in lymphocytes. Furthermore, only the highest dose of HA in the recovered groups continued to cause a significant increase in white blood cells. White blood cells remained lower, and the proportion of apoptotic RBCs remained higher in the high-dose group. The persistence of most of the haematological and histological disorders even after recovery period indicates a failure of physiological compensatory mechanisms to overcome the HA-associated problems or insufficient duration of recovery. Thus, these findings encourage the inclusion of this new hazardous agent in the biomonitoring program and provide a specific pattern of hematological profile in HA-challenged fish. Further experiments are highly warranted to explore other toxicological hazards of HA using dose/time window protocols.

Abstract The contribution of shear resisted by flanges of T-beams is usually ignored in the shear design models even though it was proven by many experimental studies that the shear strength of T-beams is higher than that of equivalent rectangular cross-sections. Ignoring such a contribution result in a very conservative and uneconomical design. Therefore, the aim of this research is to investigate the capability of machine learning (ML) techniques to predict the shear capacity of reinforced concrete T-beams (RCTBs) by incorporating the contribution of the flange. Five machine learning (ML) techniques, which are the Decision Tree (DT), Random Forest (RF), Gradient Boosting Regression Tree (GBRT), Light Gradient Boosting Machine (LightGBM), and Extreme Gradient Boosting (XGBoost), are trained and tested using 360 sets of data collected from experimental studies. Among the various machine learning models evaluated, the XGBoost model demonstrated exceptional reliability and precision, achieving an R-squared value of 99.10%. The SHapley Additive exPlanations (SHAP) approach is utilized to identify the most influential input features affecting the predicted shear capacity of RCTBs. The SHAP results indicate that the shear span-to-depth ratio (a/d) has the most significant effect on the shear capacity of RCTBs, followed by the ratio of shear reinforcement multiplied by the yield strength of shear reinforcement ( $${\rho }_{{\text{v}}}{f}_{{\text{yv}}}$$ ρ v f yv ), flange thickness ( $${h}_{{\text{f}}}$$ h f ), and flange width ( $${b}_{{\text{f}}}$$ b f ). The accuracy of the XGBoost model in predicting the shear capacity of RCTBs is compared with established codes of practice (ACI 318-19, BS 8110-1:1997, EN 1992-1-2, CSA23.3-04) and existing formulas from researchers. This comparison reinforces the superior reliability and accuracy of the machine learning approach compared to traditional methods. Furthermore, a user-friendly interface platform is developed, effectively simplifying the implementation of the proposed machine-learning model. The reliability analysis is performed to determine the value of the resistance reduction factor (ϕ) that will achieve a target reliability index ( $${\beta }_{T}$$ β T = 3.5).

Abstract Background Acute knee injuries represent a prevalent cause of morbidity among athletes and, if overlooked, could potentially lead to the development of chronic functional limitations. This study aimed to identify marrow contusion patterns around the knee and find the relation between each pattern and the intra- and extra-articular soft tissue injuries. This was a retrospective cross-sectional study carried out on 109 patients who presented to the hospital where the study was held with recent knee joint injury, for which magnetic resonance imaging was requested from January 2017 to January 2019. Results The entire patient population under investigation had a mean age of 30.2 ± 9.7 years. Regarding gender distribution, the study comprised 90 males (82.6%) and 19 females (17.4%). Regarding bone marrow contusion patterns in all studied patients, it was pivot shift in 58 patients (53.2%), clip injury in 11 patients (10.1%), dashboard injury in 7 patients (6.4%), hyperextension injury in 3 patients (2.8%), lateral patellar dislocation in 15 patients (13.8%), and others in 15 patients (13.8%). In the pivot shift pattern group, anterior cruciate ligament (ACL), medial meniscus, and medial collateral ligament (MCL) injuries were most commonly seen in 94.8, 50, and 44.8% of patients, respectively. Among the clip pattern group, MCL, ACL, and medial meniscus injuries were most common in 90.9, 36.4, and 36.4%, respectively. Regarding the dashboard injury group, posterior cruciate ligament (PCL), ACL, and medial and lateral menisci were the most common injury structures (100, 57.1, 42.9, and 42.9%, respectively). Despite the hyperextension pattern being found in a small number of patients, it shows 100% medial meniscal and 66.7% PCL injuries. Within the group of lateral patellar dislocation patterns, 100% of cases exhibited injuries to the medial patellofemoral ligament. Conclusions Precise localization of the marrow contusion around the knee and defining its pattern help to anticipate the most probable associated soft tissue injuries and, thus, can increase our sensitivity in their detection. This can have a better impact on patients' management outcomes.

Abstract The novelty of this study lies in demonstrating a new approach to control wilt diseases using Jania ethyl acetate extract. In the current investigation, the potential impacts of Jania sp. ethyl acetate extract (JE) on Tomato Fusarium oxysporum wilt (FOW) have been studied. The in vitro antifungal potential of JE against F. oxysporum (FO) was examined. GC–MS investigation of the JE revealed that, the compounds possessing fungicidal action were Phenol,2-methoxy-4-(2-propenyl)-,acetate, Eugenol, Caryophyllene oxide, Isoespintanol, Cadinene, Caryophylla-4(12),8(13)-dien-5à-ol and Copaen. Jania sp. ethyl acetate extract exhibited strong antifungal potential against FO, achieving a 20 mmzone of inhibition. In the experiment, two different methods were applied: soil irrigation (SI) and foliar application (FS) of JE. The results showed that both treatments reduced disease index present DIP by 20.83% and 33.33% respectively. The findings indicated that during FOW, proline, phenolics, and the antioxidant enzymes activity increased, while growth and photosynthetic pigments decreased. The morphological features, photosynthetic pigments, total phenol content, and antioxidant enzyme activity of infected plants improved when JE was applied through soil or foliar methods. It is interesting to note that the application of JE had a substantially less negative effect on the isozymes peroxidase and polyphenol oxidase in tomato plants, compared to FOW. These reactions differed depending on whether JE was applied foliarly or via the soil. Finally, the use of Jania sp. could be utilized commercially as an ecologically acceptable method to protect tomato plants against FOW.

Abstract Background Posttreatment changes after orthodontic treatment are challenging. One of the main reasons for such a phenomenon is the lack of patient compliance with removable retainers especially in the maxillary arch, due to palatal coverage, deterioration of speech, decreased masticatory efficiency, and loss of retainers. Fixed retainers have been introduced to overcome patient compliance and provide longer stable results. However, teeth still show movements when a six-unit fixed retainer is in place. Thus, in this study, an eight-unit fixed retainer was evaluated in an attempt to eliminate unwanted movements. The aim of this research was to assess short-term positional changes associated with an eight-unit extended maxillary fixed retainer. Materials and methods A single-arm clinical trial was conducted to address the aim of the study. This research was approved by the institutional review board of the Faculty of Dentistry, Alexandria University (IORG:0008839, No-0479–8/2022). The registration date of this study was 5/06/2023. Twenty-eight patients (19.8 ± 4.5 years) who had finished the active orthodontic phase and started retention had an eight-unit extended maxillary fixed retainer that was bonded to the palatal surface of the maxillary incisors, canines, and the first premolars or the second premolars. Pre-retention and one-year post-retention intra-oral scans were made to produce STL files that were superimposed to determine the amount of tooth change. Additionally, analysis of digital casts and lateral cephalometric radiographs was performed. Results Statistically significant changes in all planes and the rotation of teeth after one year of retention were found. The upper right lateral incisor exhibited the most evident change in the vertical plane, while the upper right central incisor exhibited the greatest change overall. Minimal changes in the cast measurements were observed. Lateral cephalometric measurements showed minimal changes after one year of retention, and these changes were not statistically significant except in the interincisal angle and the angle between the upper incisor and the line connecting the A-point to the pogonion. Conclusion Increasing the extension of maxillary fixed retainers did not eliminate unwanted tooth movement in the first year of retention.

Background: Azathioprine is one of the earliest immunosuppressants prescriped for several autoimmune diseases. Yet there is a lack of research on the impact of azathioprine on pulp healing following pulp capping procedure. Aim: This study aimed to investigate the effect of azathioprine on the healing ability of mechanically exposed dogs' dental pulps following direct pulp capping with Mineral Trioxide Aggregate (MTA), Bio-Aggregates (BA), and Calcium hydroxide (Ca(OH)2). Methods: Four mongrel dogs were randomly assigned to two groups (2 dogs/30 teeth in each group): immunosuppressed (group I) and control (group II). Group I received azathioprine for two months before surgical treatments and until the dogs were euthanized. Fifteen class V buccal cavities were performed in each dog. Each group was randomly divided into three subgroups (10 teeth each) based on the pulp capping substance. The pulps in subgroups A, B, and C were immediately capped with MTA, BA, and Ca(OH)2, respectively. Inflammation and dentine bridge development were histopathologically evaluated and scored at one and two months. The data were statistically analyzed. Results: The immunosuppressed group exhibited statistically greater inflammatory cell count and decreased dentine bridge thickness, compared to the control group in all subgroups (P [Open Vet J 2024; 14(7.000): 1614-1624]

Abstract In this paper, the shear behavior of ferro-cement hollow beams is investigated experimentally and analytically. Ten reinforced concrete beams with cross-sectional dimensions of 100 × 200 × 1300 mm and a clear span of 1000 mm were cast and tested until failure under a two-point loading system. Ferrocement beams in this research contained either an autoclaved aerated lightweight brick core (AAC) or an extruded foam core (EFC) and were reinforced with either expanded metal mesh (EMM) or welded wire mesh (WWM). The structural behavior of the studied beams, including first crack, deflection, ultimate load, crack pattern, failure mode, and ductility index, was investigated. The experimental data were used to validate finite element models created with the ABAQUS finite element program. It can be concluded that the optimum performance of ferrocement beams can be achieved using beams with a second layer of expanded steel mesh as additional reinforcement, which led to an increase in the ultimate load and maximum deflection by 12.9% and 22.8%, respectively. Furthermore, the Numerical results agreed with the experimental results, where the ratio between the NLFE ultimate loads and the experimental ultimate loads varies between 1.02 and 1.07, with an average ratio of 1.04.

Abstract An experimental study on reinforced concrete one-way slabs strengthened by various methods and materials is introduced in this paper. Innovative anchorage procedures are presented and evaluated to prevent the strengthening elements with FRP system from de-bonding at the initial stages. Externally bonded embedded in concrete cover (EBECC) strengthening technology was proposed to save the fiber strips from being subjected to heat, degradation, and sabotage. Nine RC one-way slabs, including a control slab and eight strengthened slabs, were cast. One RC slab was strengthened using externally bonded embedded in concrete cover (EBECC), whereas the other tested RC slabs were strengthened using either externally bonded (EB) or near-surface mounted (NSM) procedures. The following test variables are used in this study: the proposed anchors, the area of steel, the kind of material utilized in NSM rods (carbon fiber reinforced polymer (CFRP), glass fiber reinforced polymer (GFRP), and steel), and the strengthening scheme. The ultimate and initial cracking loads, load–deformation response, cracking patterns, and failure behavior were recorded and discussed. Additionally, a comparison of the stiffness, ductility, and energy absorption of the examined slabs was reported. The strengthened slabs by various techniques showed a boost in flexural strength that varied from 67 to 107% compared to the control slab. In addition, RC slabs strengthened by NSM-CFRP bars showed a maximum flexural capacity when compared with slabs strengthened by GFRP and steel bars. Also, the results supported the superiority of a novel end anchorage. The ABAQUS program was employed to conduct a finite element analysis (FEA) employing 3-D geometries to compare and assess the numerical performance of the identical slabs under similar test settings. The results showed good agreement between the experimental and numerical findings.

Abstract Background We conducted this updated systematic review to assess the effects of corticosteroids vs. placebo or no treatment for improving patient-relevant outcomes in hemolysis, elevated liver enzymes and low platelets (HELLP) syndrome. Methods CENTRAL, MEDLINE/PubMed, Web of Science, and Scopus, from the date of inception of the databases to February 3, 2024 were searched. Reference lists of included studies and systematic reviews were thoroughly searched. We included RCTs that enrolled women with HELLP syndrome, whether antepartum or postpartum, to receive any corticosteroid versus placebo or no treatment. No language or publication date restrictions were made. We used a dual independent approach for screening titles and abstracts, full text screening, and data extraction. Risk of bias was assessed in the included studies using Cochrane’s RoB 2 tool. Pairwise meta-analyses were conducted, where two or more studies met methodological criteria for inclusion. GRADE approach was used to assess certainty of evidence for the pre-specified outcomes. Results Fifteen trials (821 women) compared corticosteroids with placebo or no treatment. The effect of corticosteroids is uncertain for the primary outcome i.e., maternal death (risk ratio [RR] 0.77, 95% confidence interval [CI] 0.25 to 2.38, very low certainty evidence). Out of 6 studies reporting maternal death, 5 were judged overall to have “low risk” of bias. The effect of corticosteroids is also uncertain for other important outcomes including pulmonary edema (RR 0.70, 95% CI 0.23 to 2.09), dialysis (RR 3, 95% CI 0.13 to 70.78), liver morbidity (hematoma, rupture, and failure; RR 0.22, 95% CI 0.03 to 1.83), or perinatal death (0.64, 95% CI 0.21 to 1.97) because of very low certainty evidence. Low certainty evidence suggests that corticosteroids have little or no effect on the need for platelet transfusion (RR 0.98, 95% CI 0.60 to 1.60) and may result in a slight reduction in acute renal failure (RR 0.67, 95% CI 0.40 to 1.12). Subgroup and sensitivity analyses showed results that were similar to the primary synthesis. Conclusions In women with HELLP syndrome, the effect of corticosteroids vs. placebo or no treatment is uncertain for patient-relevant outcomes including maternal death, maternal morbidity, and perinatal death. These uncertainties regarding this critical question should be addressed by adequately powered rigorous trials. Systematic review registration Center for Open Science, osf.io/yzku5.

Background and Aim: There is a limited amount of research conducted on quail breeding domestically and internationally, particularly at the molecular level. This study aimed to detect single-nucleotide polymorphisms in the growth hormone (GH) and insulin-like growth factor-1 (IGF-1) genes across two quail varieties and their hybrids correlate these genetic factors with body weight (BW) and growth rate at 0 and 6 weeks, and assess crossing effects. Materials and Methods: White and Japanese quail were crossed. Simultaneously producing pure varieties and crosses (genotypes) was achieved through this breeding strategy. Fifty females from each genotype were randomly selected for blood sampling. Genomic DNA was extracted and amplified from the blood using the DNeasy blood kit (Qiagen, Germany). Nucleotide polymorphism between quail genotypes was determined through DNA sequencing. Results: Two types of alleles (A and B) for the GH gene in quails showed significant genotypic differences (AA, BB, and AB). The quail carried a mutated IGF-1 gene. For growth traits, substantial positive heterosis was detected. Conclusion: The genotype AA had the highest BW and weight gain. The white variety can act as a sire, and both white and Japanese varieties can function as dams to improve growth traits. The growth characteristics of the hybrids surpassed those of the original varieties.

Abstract Various eco-friendly techniques are being researched for synthesizing ZnO-NPs, known for their bioactivity. This study aimed at biosynthesizing ZnO-NPs using Streptomyces baarnensis MH-133, characterizing their physicochemical properties, investigating antibacterial activity, and enhancement of their efficacy by combining them with a water-insoluble active compound (Ka) in a nanoemulsion form. Ka is a pure compound of 9-Ethyl-1,4,6,9,10-pentahydroxy-7,8,9,10-tetrahydrotetracene-5,12-dione obtained previously from our strain of Streptomyces baarnensis MH-133. Biosynthesized ZnO-NPs employing Streptomyces baarnensis MH-133 filtrate and zinc sulfate (ZnSO4.7H2O) as a precursor were purified and characterized by physicochemical investigation. High-resolution-transmission electron microscopy (HR-TEM) verified the effective biosynthesis of ZnO-NPs (size

Abstract Background The management of mitral valve disease in young children is challenging. Mechanical mitral valves could provide long-term durability; however, the need for anticoagulation increases the risk profile of mechanical valves. We report our experience in mechanical mitral valve replacement (MVR) in children under 2 years of age and evaluate factors affecting the outcomes. The study included all patients younger than 2 years who underwent mechanical MVR between 2000 and 2023. The study outcomes were mitral valve reoperation, bleeding, valve-related thrombosis, and survival. Results Twenty-three patients were included, with a mean age of 10.2 ± 5.9 months. The mitral valve sizes ranged from 16 to 25 mm, and 6 (26%) were placed in the supra-annular position. Complete heart block occurred in seven patients (30%), and operative mortality occurred in three patients (13%). Postoperative warfarin was used in 17 patients (74%). After discharge, bleeding occurred in five patients (22%), four were managed conservatively, and one had intracranial hemorrhage treated with craniotomy. Nine patients (39%) had valve-related thrombosis; two underwent reoperation, while seven were treated with alteplase in 26 patients. Valve-related thrombosis was more common in patients with supra-annular valves (p

Bostonite rocks are widely spread in the Central Eastern Desert (CED) of Egypt, they are found in the form of sills or dykes injected in the Precambrian rocks. Postgeosynclinal (Hammamat) sediments were intruded by Postorogenic bostonites. The study of this area, using ground geophysical methods, aimed at tracking the radioactive mineralization under the surface, based on the possible association of this radioactive mineralization with some other mineralizations such as sulphides. The application of the self-potential survey shows that the highest negative anomalies are associated with the South El-Atshan bostonite sill and its contact zones. The depths to the centres of some selected anomalies range from 5.7 m to 24 m, half-widths oscillate from 6 to 32 m, with shallow dips towards the west and east directions. The horizontal-loop electromagnetic (HLEM) survey, which was conducted using four frequencies, revealed the presence of two conductive bodies. These conductive bodies possess narrow widths and depths, ranging from 25 m to 27 m, dipping towards the west direction with shallow angles of 25° and 40°, respectively. In addition, the induced polarization (IP) profile shows high chargeability values reaching more than 7.9 mV/V at depths starting from about 10 m to about 35 m. This zone corresponds to a high-resistance zone that may reflect a subsurface disseminated mineralization. The integration of the results obtained using the three techniques makes it possible to determine the most appropriate zones for the development of exploration in the area of investigation.

Nocardiosis is an opportunistic infection that affects both immunocompromised as well as immunocompetent patients. The main infections occur as soft tissue and lung infections although they might disseminate to various organs. This is a case study aimed to reflect the severity of the disease and the patient’s risk factors associated with the infection. A sputum sample was collected from tuberculosis (TB) suspects for culture. Nocardia-like colonies were isolated, purified, and sent to BGI Company (Hongkong, China). Standard forward sequencing of 16S rRNA was done by ABI Genetic Analyzer (Applied Biosystems). Sequence alignment and nucleotide basic local alignment search tool (BLAST) were done using National Center for Bioinformatics (NCBI) Nucleotide BLAST. Biochemical identification to the colonies was done using an automation system (BD Phoenix™) to confirm the identification. Nocardia paucivorans was identified from the TB suspect. Risk factors were identified as extensive contact to dust, absence of primary care units with complete facilities, and old age. Since the infection of the lungs caused by Nocardia might be similar to pulmonary TB, this case report highlights the importance of accurate diagnosis and identification procedures to differentiate between the two.

Abstract Idling brain activity has been proposed to facilitate inference, insight, and innovative problem-solving. However, it remains unclear how and when the idling brain can create novel ideas. Here, we show that cortical offline activity is both necessary and sufficient for building unlearned inferential knowledge from previously acquired information. In a transitive inference paradigm, male C57BL/6J mice gained the inference 1 day after, but not shortly after, complete training. Inhibiting the neuronal computations in the anterior cingulate cortex (ACC) during post-learning either non-rapid eye movement (NREM) or rapid eye movement (REM) sleep, but not wakefulness, disrupted the inference without affecting the learned knowledge. In vivo Ca2+ imaging suggests that NREM sleep organizes the scattered learned knowledge in a complete hierarchy, while REM sleep computes the inferential information from the organized hierarchy. Furthermore, after insufficient learning, artificial activation of medial entorhinal cortex-ACC dialog during only REM sleep created inferential knowledge. Collectively, our study provides a mechanistic insight on NREM and REM coordination in weaving inferential knowledge, thus highlighting the power of idling brain in cognitive flexibility.

Abstract Background Cardiovascular (CVS) conditions remain the main etiology of death in individuals with chronic kidney disease (CKD) even after control of classic risk factors of cardiovascular disease (CVD). Aim This study is to detect the sequalae of serum phosphorus and calcium level abnormalities in individuals with CKD and their relation to occurrence of acute coronary syndrome (ACS) in those cases. Methods A cross-sectional work involved 100 individuals with CKD managed with or without dialysis. They were admitted to Internal Medicine Department, Coronary Care Unit of Sohag University Hospital. Each participant had been subjected to full history taking, clinical assessment, and investigations including serum calcium, phosphorus, creatinine, blood urea, parathyroid hormone level, lipid profile, troponin, CK-MB, electrocardiogram, and echocardiography. Results A substantial elevation in serum calcium and phosphorus levels was existed in individuals with CKD with ACS group compared to patients with CKD without ACS group (p = 0.026 and 0.001 respectively). The mean calcium/phosphorus ratio was 3.04 ± 2.14 in patients with CKD with ACS group, while it was 2.31 ± 1.17 in patients with CKD without ACS group. A substantial raise in calcium/phosphorus ratio was existed in CKD with ACS group as compared to patients with CKD without ACS group (p = 0.047). ROC curve analysis shows that calcium/phosphorus ratio can predict acute coronary syndrome at cutoff 1.94 with area under the curve 0.652 with sensitivity and specificity that were 77.8% and 52.1% correspondingly (p = 0.007). Conclusion A substantial raise in calcium and phosphorus levels was existed in individuals with CKD with ACS group contrasted to individuals with CKD without ACS group. Calcium/phosphorus ratio can predict acute coronary syndrome at cutoff 1.94. Clinical trial registration number NCT05134220.

الملخص : لا تزال برديات سرقة المقابر الملكية بحاجة لمزيد من الدراسات المعمقة؛ لأنها تعد أفضل مثال حي لممارسة القانون الجنائي في مصر القديمة، وهي تعود تاريخيًا إلى أواخر الأسرة العشرين، وسُجلت في عهد الملكين رعمسيس التاسع، ورعمسيس الحادي عشر، وتؤكد علي انهيار النظام الاجتماعي والاقتصادي والسياسي في نهاية الدولة الحديثة وتبشر بعدم الاستقرار في الفترة الانتقالية الثالثة، إسهاماتنا هنا تتلخص في إلقاء الضوء على فكرة من أفكار القانون الجنائي في مصر الفرعونية، وهي التحقيق الجنائي الذي تورط فيه أقارب وأتباع اللصوص سارقي المقابر الملكية من قبل السلطات الملكية في ضوء دراسة برديات سرقة المقابر؛ لمعرفة الفئات الأسرية التي تعرضت للاستجواب القانوني عندما ارتكب أحد ذويهم جريمة السرقة، وتتمحورت هذه الدراسة حول جزئيتين، هما التحقيق الجنائي مع أقارب المجرم وكذلك مع أتباعه وخدمه، وهناك فئات أسرية مختلفة وقعت تحت الشبهة والمساءلة القانونية من جراء انتهاك أحد ذويهم للمقابر الملكية في جبانة طيبة الغربية. ويتضح بالبحث أن زوجة المجرم قد عانت كثيرا أمام القضاء المصري عندما ارتكب زوجها جريمة السرقة، كذلك سئُل الابن عن جريمة أبيه اللص، أيضًا الأخت وزوجها (أي: الصهر) فجميعاً جلبوا إلي ساحة التحقيق بسبب السرقة التى اقترفها الأخ. علاوة على هذا، لم يسلم الحما من التعرض للفحص الجنائي عندما سرق زوج ابنته، أخيراً، إن العبيد والجواري الذين كانوا في ملكية اللصوص قد تعرضوا للاستجواب القانوني وجُلبوا مكبلين إلى ساحة التحقيق وبعضهم أودع بالحبس المؤقت. Abstract: The famous Tomb Robbery papyri still need more in-depth examination, because it is the most striking illustration of ancient Egyptian criminal law. They are chiefly dated to the reigns of Ramses IX and XI and emphasize the social, economic, and political breakdown at the end of the New Kingdom and herald the instability of the Third Intermediate Period. Our contribution here is to shed light on the criminal investigation that was conducted on the criminals' family and dependents to figure out the family members involved when they attacked the royal tombs and temples. This study contains two parts; the first deals with the criminal investigations of the criminals' family, and the second deals with the criminal investigations of the slaves and servants of the criminal. In this research, we discovered that the criminal’s wife suffered before the Egyptian court when her husband committed the theft, as well as the son, who was interrogated about his father’s crime. Also, the sister and her husband (brother-in-law) were brought into the field of criminal investigation when her brother took part in the crime. Furthermore, the father-in-law was picked up under suspicion of robbery when the husband of his daughter looted the contents of the royal tombs. Even the servants and slaves were not excluded from the criminal interrogation on account of their master.

This paper explores the development of a Quadcopter-Rover System specifically designed for environmental survey applications. The system combines the capabilities of a quadcopter and a rover to provide a comprehensive and versatile solution for data collection and analysis. The paper presents a detailed overview of the system's modelling, design, and manufacturing of the two main components: the quadcopter and the differential wheel robot (the rover). The quadcopter’s main task is to carry the rover to/from the ground destination and collect aerial data while the rover`s main task is ground exploration and data collection. The paper discusses the development of a robust and efficient control algorithm that enables autonomous and coordinated operation between the quadcopter and the rover. Experimental results demonstrate the system's effectiveness in conducting environmental surveys, showcasing its ability to accurately navigate challenging terrains, and collect valuable data for environmental analysis. The Quadcopter-Rover System offers significant potential in applications such as ecological monitoring, disaster management, and precision agriculture, where comprehensive and efficient data collection is crucial for informed decision-making.

Abstract Recent years have seen an increase in research on biodiesel, an environmentally benign and renewable fuel alternative for traditional fossil fuels. Biodiesel might become more cost-effective and competitive with diesel if a solid heterogeneous catalyst is used in its production. One way to make biodiesel more affordable and competitive with diesel is to employ a solid heterogeneous catalyst in its manufacturing. Based on X-ray diffraction (XRD) and Fourier Transform infrared spectroscopy (FTIR), the researchers in this study proved their hypothesis that iron oxide core–shell nanoparticles were generated during the green synthesis of iron-based nanoparticles (FeNPs) from Camellia Sinensis leaves. The fabrication of spherical iron nanoparticles was successfully confirmed using scanning electron microscopy (SEM). As a heterogeneous catalyst, the synthesised catalyst has shown potential in facilitating the conversion of algae oil into biodiesel. With the optimal parameters (0.5 weight percent catalytic load, 1:6 oil—methanol ratio, 60 °C reaction temperature, and 1 h and 30 min reaction duration), a 93.33% yield was attained. This may be due to its acid–base property, chemical stability, stronger metal support interaction. Furthermore, the catalyst was employed for transesterification reactions five times after regeneration with n-hexane washing followed by calcination at 650 °C for 3 h.

The goal of this study was to use statistical optimization to change the nutritional and environmental conditions so that Streptomyces baarensis MH-133 could make more active metabolites. Twelve trials were used to screen for critical variables influencing productivity using the Placket-Burman Design method. S. baarensis MH-133 is significantly influenced by elicitation, yeast extract, inoculum size, and incubation period in terms of antibacterial activity. A total of 27 experimental trials with various combinations of these factors were used to carry out the response surface technique using the Box-Behnken design. The analyses revealed that the model was highly significant (p

Abstract Background One of the current challenges is to secure wheat crop production to meet the increasing global food demand and to face the increase in its purchasing power. Therefore, the current study aimed to exploit a new synthesized nanocomposite to enhance wheat growth under both normal and drought regime. The effectiveness of this nanocomposite in improving the microbiological quality of irrigation water and inhibiting the snail’s growth was also assessed. Results Upon the employed one-step synthesis process, a spherical Fe/Cu/P nanocomposite was obtained with a mean particle size of 4.35 ± 1.524 nm. Cu2+, Fe2+, and P4+ were detected in the dried nanocomposite at 14.533 ± 0.176, 5.200 ± 0.208, and 34.167 ± 0.203 mg/ml concentration, respectively. This nanocomposite was found to exert antibacterial activity against Escherichia coli and Salmonella typhi. It caused good inhibition percent against Fusarium oxysporum (43.5 ± 1.47%) and reduced both its germination rate and germination efficiency. The lethal concentration 50 (LC50) of this nanocomposite against Lanistes carinatus snails was 76 ppm. The treated snails showed disturbance in their feeding habit and reached the prevention state. Significant histological changes were observed in snail digestive tract and male and female gonads. Drought stress on wheat’s growth was mitigated in response to 100 and 300 ppm treatments. An increase in all assessed growth parameters was reported, mainly in the case of 100 ppm treatment under both standard and drought regimes. Compared to control plants, this stimulative effect was accompanied by a 2.12-fold rise in mitotic index and a 3.2-fold increase in total chromosomal abnormalities. Conclusion The finding of the current study could be employed to mitigate the effect of drought stress on wheat growth and to enhance the microbiological quality of irrigation water. This is due to the increased efficacy of the newly synthesized Fe/Cu/P nanocomposite against bacteria, fungi, and snails. This methodology exhibits potential for promoting sustainable wheat growth and water resource conservation.

IntroductionLaccases are blue-multicopper containing enzymes that are known to play a role in the bioconversion of recalcitrant compounds. Their role in free radical polymerization of aromatic compounds for their valorization remains underexplored. In this study, we used a pBAD plasmid containing a previously characterized CotA laccase gene (abbreviated as Bli-Lacc) from Bacillus licheniformis strain ATCC 9945a to express this enzyme and explore its biotransformation/polymerization potential on β-naphthol.MethodsThe protein was expressed from TOP10 cells of Escherichia coli after successful transformation of the plasmid. Immobilized metal affinity chromatography (IMAC) was used to generate pure protein. The biocatalytic polymerization reaction was optimized based on temperature, pH and starting enzyme concentration. 1H and 13C solution nuclear magnetic resonance (NMR), Fourier transform infrared spectroscopy (FTIR), and solid-state NMR (ssNMR) were used to characterize the formed polymer. A one-gram conversion reaction was done to explore applicability of the reaction in a pilot-scale.ResultsThe polymerization reaction generated a brown precipitate, and its chemical structure was confirmed using 1H and 13C NMR and FTIR. SsNMR revealed the presence of two different orientational hydroxyl functional groups in the polymer in addition to the presence of a very small amount of ether linkages (< 2%). This analysis elucidated that polymerization occurred mainly on the carbons of the aromatic rings, rather than on the carbons attached to the hydroxyl groups, resulting in a condensed ring or polynuclear aromatic structure. The reaction was optimized, and the highest yield was attained under conditions of 37°C, pH 10 and a starting enzyme concentration of 440 nM in 50 mM phosphate buffer. A one-gram conversion yielded 216 mg of polymer as dry mass. The crystal structure of the enzyme was solved at 2.7 Å resolution using X-ray crystallography and presented with a hexagonal space group. The final structure was deposited in the Protein Databank (PDB) with an ID−9BD5.DiscussionThis article provides a green/enzymatic pathway for the remediation of phenolics and their valorization into potential useful polymeric materials. The comprehensive analysis of the formed polymer provides insight into its structure and functional moieties present. Based on the yield of the one-gram conversion, this synthetic method proves useful for a pilot-scale production level and opens opportunities to invest in using this polymer for industrial/environmental applications.

It is well known that over the last few decades, there has been significant growth of the aging population worldwide and especially in Europe, with an increase of more than two years per decade since the 1960’s. Currently, in Europe, people aged over 65 years old represent 20% of the population, creating many new and complex challenges for national healthcare systems. In many countries, geriatric medicine is an established medical specialty, integrated into the primary and secondary care of the older population. In some countries, such as Portugal, specialist training in geriatric medicine is not available, even though the life-expectancy in Portugal is currently 81 years due to a decrease in fertility and mortality, and people aged over 60 currently represent nearly a third of the population. There is strong evidence in the medical literature that a fracture following a fall, and especially a neck of femur fracture, is one of the most serious events that can happen in an older person’s lifetime. These fractures have been associated with increased morbidity, loss of independence, a high rate of institutionalization, and mortality. Rates of mortality after a year from femoral fractures have been proven to be three to four times higher than the expected in the general population, ranging between 15% to 36%. This emphasizes the importance of developing well-organized care pathways for these patients, which combine specialized geriatric care (also known as orthogeriatric care). This narrative review will focus on the core principles of orthogeriatric care and how medical professionals, including those who are not specialized in geriatric care, can effectively use them.

Phosphorus (P) is considered as an essential element in crop production. Besides, the study of P from the elemental and bio sources impacts on productivity and quality of orange trees could emphasize its utilization importance. This study aimed to evaluate the chemical implication of three treatments of P fertilization (Triple phosphate (TP; 620 and 900 g/tree/year), phosphate rock (PR; 1820 and 2742 g/tree/year) and 1:1 TP:PR on Valencia orange trees (Citrus sinensis L. Osbeckunder). Where, all these treatments were equipped with bio-phosphorus fertilizer (phosphorin) (0 and 5 g/tree/year added twice in the year, Feb. and Jun.). The measurements included leaves nitrogen (N), phosphorus (P) and Potassium (K), number of fruits (NoF), juice weight/volume, total soluble solids (T.S.S.), vitamin C (V.C), and acidity. The results showed that the treatment (50 % TP +50 % PR at 450 + 1371g/tree/year + phosphourin at 5g/tree/year) gave the highest values for all characters i.e. N % in tree leaves 2.61 and 2.69 %, P% in tree leaves 0.16 and 0.17 %, K in tree leaves 1.79 and 1.86 %, number of fruits/tree 412.0 and 420.0, fruit weight 267.0 and 280.0g, fruit weight/tree 110.0 and 117.60 kg, fruit size 260.41 and 272.37 cm3, juice weight 114.1 and 126.15g, fruit juice 44.33 and 44.99 %, juice volume 110.15 and 114.90 cm3, peel thickness 0.58 and 0.60 cm, T.S.S. 12.14 and 12.21 %, T.S.S./Acid ratio 9.07 and 9.41, and V.C 70.15 and 72.44 (mg/100 ml) as well as the lowest total acidity 0.93 and 0.91 %, under both the 1st season and the 2nd one, respectively. In conclusions, as the application of bio-fertilization has improved the quality charcatistics over seasons. Thus, this study opens the way towards the advanced application of bio-P element to understand the biogeochemical cycles, dynamics and function of natural ecosystems elements in agricultural and food security program.

This paper presents the power-on signature graph of analog circuits for fault classification. This graph can be attained using the simulation mechanism through the practical circuit simulator and the hardware mechanism through the mixed-signal design. The presented signature graph is influenced by changes in pass-band transmission and bandwidth as a result of device under test (DUT) component modifications. In order to exercise the frequency band of the DUT for fault stimulation, sinusoidal waveforms wiped at their frequencies are produced using the analog waveform generator (AWG). The analog compactor is devised to accumulate the output samples from the DUT for signature generation, compared with global signature boundaries derived from the worst-case analysis. The built-in self-test controller is devised to properly synchronize the process of analog test cycle for proper signature generation. Two DUTs chosen from a variety of analog circuits in frequency bands used in medical applications are subjected to this testing mechanism. Due to the difference between the wiped sinusoidal frequencies of the AWG in the simulation mechanism and the hardware mechanism, the normalized signature graphs of each component in DUTs using both mechanisms are developed to attain the approved convergences between the two mechanisms.

Background: Patients’ satisfaction with their treatment directly impacts the control of their diabetes. Quality of life is crucial for patients with diabetes mellitus to maintain long-term health and minimize complications. The current study aimed to evaluate the impact of diabetes education on quality of life (QoL) and treatment satisfaction of patients with type 2 diabetes mellitus. Methods: The current study was a randomized controlled trial. Patients with type 2 diabetes who were attending the diabetes clinic for 1 year were recruited. The overall sample in this study was 364 participants; 182 controls 182 cases. The interventional and control group participants were assigned randomly by simple random sampling technique. Controls were managed per usual care while cases were managed per usual care plus education done by the researcher. Pre-structured standardized questionnaires were used to collect the data. Data were processed and analyzed by using SPSS; version 28. Results: More than three-fourth of the participants; 76.4% were females. The average (±SD) age of the cases was 54.5 (±10) years, while was 56 (±9.8) years for controls. The overall median (IQR) years of DM diagnosis for all participants was 8 (4-14) years. The results showed a statistically significant difference between the mean satisfaction score from baseline to 12 months in the cases compared the controls ( P

Grouper fish are among the most important components of the fisheries of many countries because they are found in warm water throughout the world. There are 15 genera and 159 species known worldwide; 8 genera and 66 species are exclusively found in the western Indian Ocean, Red Sea, and Arabian Gulf. The Summan grouper, Epinephelus summana, constitutes a considerable portion of these fisheries; therefore, this study aimed to evaluate the reproductive strategy of this important fish species. The fish samples were collected monthly for one year (from November 2020 to October 2021), and 217 fish were collected from the Red Sea of Jeddah, Saudi Arabia. The sex ratio, sexual maturation process, and spawning season were analyzed. Across all samples, landing consisted of 36.2 ± 4.7 % males, 64.0 ± 5.0 % females, and 3.4 ± 1.8 % transitional-stage fish, with an overall significantly different male-to-female sex ratio of 1:3.3. Furthermore, males were larger than females. The maturation index (MI), gonadosomatic index (GSI), and ovarian maturation rate (OMR) values fluctuated throughout the year, indicating that E. summana has extended spawning and spawns in batches during different months of the year. However, April to May is the main spawning season, with the highest female GSI recorded. Based on the microscopic histological examination of gonads, the maturation process can be classified into five stages in both males and females. In conclusion, this fish species has a complex reproductive biology. It undergoes sexual transformation and protogynous hermaphroditism, during which individuals mature first as female and then change sex to male. The obtained data is essential for successful fishery stock conservation, management, and aquaculture development.

Entropy generation(EG) has attracted the attention of scientists and researchers worldwide due to its applications in the industrial and engineering sectors. Applications of entropy generation can be seen in chillers, air conditioners, air separates, air coolers, nuclear reactors, and vehicle engines. In the current investigation, we have analyzed entropy generation in Maxwell hybrid nanofluid(HNF) flow over a porous stretching sheet. Darcy Forchheimer(DF) relation is considered. Due to stretching of sheet flow generates. The thermal expression is reported taking influences of dissipation, radiation, and heat source. The second law of thermodynamics is utilized to obtain EG for considered flow. Boundary layer assumptions are considered in the modeling. Partial differential equations(PDEs) governing the flow are changed into dimensionless ordinary differential equations(ODEs) through transformations. The solution of reduced ODEs is constructed via NDSolve code in Mathematica software. Different influential flow variables impact on velocity, temperature, irreversibility, and Bejan number are discussed graphically. Physical quantities are examined numerically. The results show that velocity diminished for rising porosity and Forchheimer variables. Temperature field upsurges for an upturn in radiation and Eckert numbers, an opposite impact is noticed for higher Prandtl number. EG escalates for greater radiation, temperature, and Brinkman variables.

Abstract Ramadan fasting (RF) involves abstaining from food and drink during daylight hours; it is obligatory for all healthy Muslims from the age of puberty. Although sick individuals are exempt from fasting, many will fast anyway. This article explores the impact of RF on individuals with kidney diseases through a comprehensive review of existing literature and consensus recommendations. This study was conducted by a multidisciplinary panel of experts. The recommendations aim to provide a structured approach to assess and manage fasting during Ramadan for patients with kidney diseases, empowering both healthcare providers and patients to make informed decisions while considering their unique circumstances.

Diabetic ketoacidosis (DKA) is a life-threatening condition affecting individuals with diabetes characterised by hyperglycaemia, metabolic acidosis and ketonemia. The incidence and financial burden of DKA is still high. Thiamine deficiency is well documented in patients with DKA and could be associated with cardiac dysfunction in those patients. Thiamine deficiency leads to cardiac dysfunction, neuronal death and worsens the prognosis of DKA. There is an existing metabolic relationship between thiamine deficiency in diabetes, obesity and bariatric surgery. Careful monitoring of thiamine, along with other vitamins, is essential for diabetic patients, obese individuals and postbariatric surgery. Further research and clinical studies are urgently needed to assess the following: (1) Whether diabetes, obesity and bariatric surgery make individuals more prone to have DKA related to thiamine deficiency and (2) Whether supplementation of thiamine can protect diabetic patients, obese subjects and individuals undergoing bariatric surgery from DKA. This review summarises the biochemistry of thiamine and the existing metabolic relationships between thiamine deficiency in DKA, diabetes, obesity and bariatric surgery. Primary and family physicians have an important role in ensuring adequate replacement of thiamine in individuals with diabetes, obesity and bariatric surgery.

Abstract Chemical processing is among the significant keys to tackle agro-residues utilization field, aiming to obtain value-added materials. Extraction of cellulose nanocrystals (CNCs) is an emerging route to valorize lignocellulosic wastes into high value particles. In this investigation, effect of acidic hydrolysis duration was monitored on size and morphology of obtained crystals; namely: CNCs from Nile roses fibers (NRFs) (Eichhornia crassipes). Different acidic hydrolysis duration range or different characterization techniques set this article apart from relevant literature, including our group research articles. The grinded NRFs were firstly subjected to alkaline and bleaching pretreatments, then acid hydrolysis process was carried out with varied durations ranging from 5 to 30 min. Microcrystalline cellulose (MCC) was used as reference for comparison with NRFs based samples. The extracted CNCs samples were investigated using various techniques such as scanning electron microscopy (SEM), Atomic force microscopy (AFM), Raman spectroscopy, and thermogravimetric (TGA) analysis. The figures gotten from SEM and AFM depicted that NRFs based CNCs appeared as fibril-like shapes, with reduced average size when the NRFs underwent pulping and bleaching processes. This was indicated that the elimination of hemicellulose and lignin components got achieved successfully. This outcome was proven by chemical composition measurements and TGA/DTG curves. On the other hand, AFM-3D images indicated that CNCs topology and surface roughness were mostly affected by increasing hydrolysis durations, besides smooth and homogeneous surfaces were noticed. Moreover, Raman spectra demonstrated that the particle size and crystallinity degree of NRFs based CNCs can be affected by acidic hydrolysis durations and optimum extraction time was found to be 10 min. Thermal stability of extracted CNCs-NRFs and CNCs-MCC was measured by TGA/DTG and the kinetic models were suggested to identify the kinetic parameters of the thermal decomposition of CNCs for each acid hydrolysis duration. Increasing hydrolysis duration promoted thermal stability, particularly for NRFs based CNCs. Results showcased in this article add new perspective to Nile rose nanocellulose and pave down the way to fabricate NRFs based humidity nano-sensors.

Abstract The integration of Artificial Intelligence (AI) and Machine Learning (ML) techniques into computational science has ushered in a new era of innovation and efficiency in various fields, with particular significance in computational fluid dynamics (CFD). Several methods based on AI and Machine Learning (ML) have been standardized in many fields of computational science, including computational fluid dynamics (CFD). This study aims to couple CFD with artificial neural networks (ANNs) to predict the fluid forces that arise when a flowing fluid interacts with obstacles installed in the flow domain. The momentum equation elucidating the flow has been simulated by adopting the finite element method (FEM) for a range of rheological and kinematic conditions. Hydrodynamic forces, including pressure drop between the back and front of the obstacle, surface drag, and lift variations, are measured on the outer surface of the cylinder via CFD simulations. This data has subsequently been fed into a Feed-Forward Back (FFB) propagation neural network for the prediction of such forces with completely unknown data. For all cases, higher predictivity is achieved for the drag coefficient (CD) and lift coefficient (CL) since the mean square error (MSE) is within ± 2% and the coefficient of determination (R) is approximately 99% for all the cases. The influence of pertinent parameters like the power law index (n) and Reynolds number (Re) on velocity, pressure, and drag and lift coefficients is also presented for limited cases. Moreover, a significant reduction in computing time has been noticed while applying hybrid CFD-ANN approach as compared with CFD simulations only.

Abstract In this study, we synthesized new series of 5-oxo-2-phenyl-4-(arylsulfamoyl)sulphenyl) hydrazono)-4,5-dihydro-1H-pyrrole-3-carboxylate hybrids 4a-f with the goal of overcoming sulfonamide resistance and identifying novel therapeutic candidates by chemical changes. The chemical structures of the synthesized hybrids were established over the spectroscopic tools. The frontier molecular orbitals configuration and energetic possessions of the synthesized compounds were discovered utilizing DFT/B3LYP/6-311++ G** procedure. The 3D plots of both HOMO and LUMO showed comparable configuration of both HOMO and LUMO led to close values of their energies. Amongst the prepared analogues, the sulfonamide hybrids 4a-f, hybrid 4a presented potent inhibitory towards S. typhimurium with (IZD = 15 mm, MIC = 19.24 µg/mL) and significant inhibition with (IZD = 19 mm, MIC = 11.31 µg/mL) against E.coli in contrast to sulfonamide (Sulfamethoxazole) reference Whereas, hybrid 4d demonstrated potent inhibition with (IZD = 16 mm, MIC = 19.24 µg/mL) against S. typhimurium with enhanced inhibition against E. Coli, Additionally, the generated sulfonamide analogues’' molecular docking was estimated over (PDB: 3TZF and 6CLV) proteins. Analogue 4e had the highest documented binding score as soon as linked to the other analogues. The docking consequences were fitting and addressed with the antibacterial valuation.

Abstract Limited data exist on viral hepatitis among migrant populations. This study investigated the prevalence of current hepatitis B virus (HBV) infection and lifetime hepatitis C virus (HCV) infection among Qatar's migrant craft and manual workers (CMWs), constituting 60% of the country's population. Sera collected during a nationwide COVID-19 population-based cross-sectional survey on CMWs between July 26 and September 9, 2020, underwent testing for HBsAg and HCV antibodies. Reactive samples underwent confirmatory testing, and logistic regression analyses were employed to explore associations with HBV and HCV infections. Among 2528 specimens tested for HBV infection, 15 were reactive, with 8 subsequently confirmed positive. Three samples lacked sufficient sera for confirmatory testing but were included in the analysis through multiple imputations. Prevalence of current HBV infection was 0.4% (95% CI 0.2–0.7%). Educational attainment and occupation were significantly associated with current HBV infection. For HCV infection, out of 2607 specimens tested, 46 were reactive, and 23 were subsequently confirmed positive. Prevalence of lifetime HCV infection was 0.8% (95% CI 0.5–1.2%). Egyptians exhibited the highest prevalence at 6.5% (95% CI 3.1–13.1%), followed by Pakistanis at 3.1% (95% CI 1.1–8.0%). Nationality, geographic location, and occupation were significantly associated with lifetime HCV infection. HBV infection is relatively low among CMWs, while HCV infection falls within the intermediate range, both compared to global and regional levels.

Abstract Background and objectives OSA is a known medical condition that is associated with several comorbidities and affect patients’ quality of life. The association between OSA and lung cancer remains debated. Some studies reported increased prevalence of OSA in patients with lung cancer. We aimed to assess predictors of moderate-to-severe OSA in patients with lung cancer. Methods We enrolled 153 adult patients who were newly diagnosed with lung cancer. Cardiorespiratory monitoring was performed using home sleep apnea device. We carried out Univariate and multivariate logistic regression analysis on multiple parameters including age, gender, smoking status, neck circumference, waist circumference, BMI, stage and histopathology of lung cancer, presence of superior vena cava obstruction, and performance status to find out the factors that are independently associated with a diagnosis of moderate-to-severe OSA. Results Our results suggest that poor performance status is the most significant predictor of moderate to severe OSA in patients with lung cancer after controlling for important confounders. Conclusion Performance status is a predictor of moderate to severe OSA in patients with lung cancer in our population of middle eastern ethnicity.

Abstract The process of creating a series of 3-amino-1-aryl-8-methoxy-1H-benzo[f]chromene-2-carbonitriles (4a-q) involved reacting 6-methoxynaphthalen-2-ol (1), the appropriate aromatic aldehydes (2a-q), and malononitrile (3) in an absolute ethanol/piperidine solution under Ultrasonic irradiation. However, the attempt to create 3-amino-1-aryl-1H-benzo[f]chromene-2,8-dicarbonitrile (6a, d, e) was unsuccessful when 6-cyanonaphthalen-2-ol (5) was stirred at room temperature, reflux, Microwave irradiation, or Ultrasonic irradiation. In addition, the target molecules were screened against Staphylococcus aureus (MRSA), Staphylococcus aureus, Bacillus subtilis, Bacillus cereus, Escherichia coli and Klebsiella pneumonia, as well as a panel of three human cancer cells lines such as MCF-7, HCT-116, HepG-2 and two normal cell lines HFL-1 and WI-38. The obtained results confirmed that the pyran derivatives (4 m, i, k) which have a double chlorine at 3,4/2,3/2,5-positions, a single halogen atom 3-Cl/4-Br (4c, e) and a double bromine at 3,5-positions with a single methoxy group at 2-position (4n), of phenyl ring, and, to a lesser extent, other pyran derivatives with monoihalogenated (4a, b, d, f), dihalogenated (4 g, h, j, l) or trisubstituent phenyl ring (4o, p, q). Furthermore, compounds 4b-e, g, i, j, m, and n showed negligible activity against the two normal cell lines, HFL-1 and WI-38. Moreover, compound 4 g exhibited the strongest antimicrobial activity among the other pyran derivatives (4a-f, g-q) when compared to Ciprofloxacin. The MIC was assessed and screened for compound 4 g, revealing bactericidal effects. Lastly, SAR and molecular docking were studied.