Laparoscopic ventral onlay ureteroplasty with buccal mucosa graft for complex proximal ureteral stricture

ABSTRACT Introduction: There is lack of papers dedicated to the laparoscopic buccal mucosa graft (BMG) ureteroplasty of the complex upper ureteral stricture. The aim of this study is to evaluate the results of laparoscopic BMG ureteroplasty in patients with complex proximal ureteral stricture. Material and methods: Twenty-four patients underwent laparoscopic ventral onlay BMG ureteroplasty for long or recurrent proximal ureteral stricture not amenable to uretero-ureteral anastomosis over 2019-2022. Patient demographics, operative time, estimated blood loss, length of stay, follow-up, intra- and postoperative complication rate and percentage of stricture-free at last visit were analyzed. Results: The mean stricture length was 3.6 cm. The mean operative time was 208.3 min, while mean blood loss was 75.8 mL. The length of hospital stay was 7.3 days. No intraoperative complications were observed. Postoperatively, seven patients developed complications (29.2%). Five patients experienced a Grade II (according to Clavien nomenclature). Two patients developed a Grade IIIa complication, which included leakage of the anastomosis site. The mean follow-up was on the 22 months with stricture free rate 87.5%. Conclusion: Patients with proximal ureteral strictures could be effectively treated by laparoscopic ventral onlay ureteroplasty with a buccal mucosa graft.

Proximate and Mineral Composition of Some Foreign and Local Rice Varieties Sold in Mile 3 Market, Port Harcourt, Rivers State, Nigeria

Rice is a staple food in many countries of Africa and it is nutritionally beneficial. This research work compared the proximate composition and mineral composition of some local and foreign rice varieties. Four varieties of rice were analyzed; two types of local rice designated as (L1 and L2) and two types of foreign rice (F1 and F2). The proximate composition such as moisture content, ash content, carbohydrate content, crude protein, crude fiber and total fat were evaluated using standard methods. The result of the analysis showed that the moisture content was lowest in L1 (8.56 ± 0.26g) and highest in sample L2 (9.47 ± 0.48g). All the four varieties recorded high carbohydrate content. The fat content of L1 and L2 (1.19±0.20 - 2.48±0.90) were significantly higher (p<0.05) when compared to F1 and F2 (1.69±0.30 – 1.99± 0.20a). Crude fiber content for L1 and L2 (1.49±0.09 -1.69±0.09) were statistically higher compared to F1 and F2 (0.29±0.09b -0.39±0.01b). Crude protein for L1 and L2 (7.89±0.09 – 8.09±0.22) were significantly higher when compared to F1 and F2 (6.34± 0.22b – 7.22± 0.66). Ash content for L1 and L2 (0.60± 0.01-0.68±0.32) were statistically lower compared to F1 and F2 (0.62±0.08 – 1.20± 0.20) Potassium and Zinc showed no significant difference in all samples apart from F1 where Potassium and Zinc were significantly different. Calcium values for foreign rice showed significant difference when compared to the values for local rice. Local rice appeared to have a relatively higher level of iron when compared to all the foreign rice samples. The values obtained from this study indicates that Nigerian local rice varieties are nutritionally better compared to foreign rice varieties.

Distribution, abundance and seasonality of scale insects in sugarcane crops in the state of São Paulo / Distribuição, abundância e sazonalidade de cochonilhas em culturas de cana-de-açúcar no estado de São Paulo

In the state of São Paulo, the main sugarcane producing region of the world, two species of scale insects have frequently occurred, Aclerda takahashii (Kuwana, 1932) (Hemiptera: Aclerdidae) and Saccharicoccus sacchari (Cockerell, 1895) (Hemiptera: Pseudococcidae). To map the distribution and abundance of these species, 17 sugarcane producing fields, distributed in six mesoregions in São Paulo, were evaluated in August 2017 and, January, February, June and July 2018 during the ripening phase. The study on the seasonality of these species, by the presence or absence of the scale insects during the phenological cycle of the plant, was conducted between August 2017 and July 2018 in two sugarcane producing fields in the municipality of Jaboticabal, São Paulo, Brazil. The presence of S. sacchari was found in all the analyzed locations, and A. takahashii in twelve. Both scale insects showed significant difference of infestation in the node’s region of the stems during the ripening phase in one of the studied locations. The aclerdid presented significant difference by infestation in one site during the ripening phase of the plant. The pseudococcid infested a greater number of nodes in the following phases of development; vegetative, grand growth and ripening in both studied areas, but it was in one site during the ripening phase that presented the greatest difference. Although the pink sugarcane mealybug was more abundant than A. takahashii in both studies, there were no patterns of relationships between the numbers of individuals to geographical locations and temperature.

No estado de São Paulo, principal região produtora de cana-de-açúcar do mundo, duas espécies de cochonilhas têm ocorrido frequentemente, Aclerda takahashii (Kuwana, 1932) (Hemiptera: Aclerdidae) e Saccharicoccus sacchari (Cockerell, 1895) (Hemiptera: Pseudococcidae). Para mapear a distribuição e abundância destas espécies, 17 regiões produtoras de cana-de-açúcar, distribuídas em seis mesorregiões de São Paulo, foram avaliadas em agosto de 2017 e janeiro, fevereiro, junho e julho de 2018, durante a fase de maturação. O estudo da sazonalidade destas espécies, pela presença ou ausência das cochonilhas durante o ciclo fenológico da planta, foi conduzido entre agosto de 2017 e julho de 2018 em duas regiões produtoras de cana-de-açúcar no município de Jaboticabal, São Paulo, Brasil. Saccharicoccus sacchari foi encontrada em todas as localidades analisadas, e A. takahashii em 12. Ambas cochonilhas mostraram diferença significativa de infestação na região dos nós dos colmos durante a fase de maturação em uma das localidades estudadas. O aclerdídeo apresentou diferença significativa pela infestação em uma localidade durante a fase de maturação da planta. O pseudococcídeo infestou um grande número de nós nas seguintes fases de desenvolvimento; perfilhamento, crescimento vegetativo e maturação em ambas áreas estudadas, mas foi em uma localidade durante a fase de maturação que apresentou a maior diferença. Embora a cochonilha rosada da cana-de-açúcar foi mais abundante do que A. takahashii em ambos estudos, não houve padrões de relações entre o número de indivíduos com a localização geográfica e temperatura.

Distribution, abundance and seasonality of scale insects in sugarcane crops in the state of São Paulo

Abstract In the state of São Paulo, the main sugarcane producing region of the world, two species of scale insects have frequently occurred, Aclerda takahashii (Kuwana, 1932) (Hemiptera: Aclerdidae) and Saccharicoccus sacchari (Cockerell, 1895) (Hemiptera: Pseudococcidae). To map the distribution and abundance of these species, 17 sugarcane producing fields, distributed in six mesoregions in São Paulo, were evaluated in August 2017 and, January, February, June and July 2018 during the ripening phase. The study on the seasonality of these species, by the presence or absence of the scale insects during the phenological cycle of the plant, was conducted between August 2017 and July 2018 in two sugarcane producing fields in the municipality of Jaboticabal, São Paulo, Brazil. The presence of S. sacchari was found in all the analyzed locations, and A. takahashii in twelve. Both scale insects showed significant difference of infestation in the nodes region of the stems during the ripening phase in one of the studied locations. The aclerdid presented significant difference by infestation in one site during the ripening phase of the plant. The pseudococcid infested a greater number of nodes in the following phases of development; vegetative, grand growth and ripening in both studied areas, but it was in one site during the ripening phase that presented the greatest difference. Although the pink sugarcane mealybug was more abundant than A. takahashii in both studies, there were no patterns of relationships between the numbers of individuals to geographical locations and temperature.

Resumo No estado de São Paulo, principal região produtora de cana-de-açúcar do mundo, duas espécies de cochonilhas têm ocorrido frequentemente, Aclerda takahashii (Kuwana, 1932) (Hemiptera: Aclerdidae) e Saccharicoccus sacchari (Cockerell, 1895) (Hemiptera: Pseudococcidae). Para mapear a distribuição e abundância destas espécies, 17 regiões produtoras de cana-de-açúcar, distribuídas em seis mesorregiões de São Paulo, foram avaliadas em agosto de 2017 e janeiro, fevereiro, junho e julho de 2018, durante a fase de maturação. O estudo da sazonalidade destas espécies, pela presença ou ausência das cochonilhas durante o ciclo fenológico da planta, foi conduzido entre agosto de 2017 e julho de 2018 em duas regiões produtoras de cana-de-açúcar no município de Jaboticabal, São Paulo, Brasil. Saccharicoccus sacchari foi encontrada em todas as localidades analisadas, e A. takahashii em 12. Ambas cochonilhas mostraram diferença significativa de infestação na região dos nós dos colmos durante a fase de maturação em uma das localidades estudadas. O aclerdídeo apresentou diferença significativa pela infestação em uma localidade durante a fase de maturação da planta. O pseudococcídeo infestou um grande número de nós nas seguintes fases de desenvolvimento; perfilhamento, crescimento vegetativo e maturação em ambas áreas estudadas, mas foi em uma localidade durante a fase de maturação que apresentou a maior diferença. Embora a cochonilha rosada da cana-de-açúcar foi mais abundante do que A. takahashii em ambos estudos, não houve padrões de relações entre o número de indivíduos com a localização geográfica e temperatura.

Distribution, abundance and seasonality of scale insects in sugarcane crops in the state of São Paulo / Distribuição, abundância e sazonalidade de cochonilhas em culturas de cana-de-açúcar no estado de São Paulo

Abstract In the state of São Paulo, the main sugarcane producing region of the world, two species of scale insects have frequently occurred, Aclerda takahashii (Kuwana, 1932) (Hemiptera: Aclerdidae) and Saccharicoccus sacchari (Cockerell, 1895) (Hemiptera: Pseudococcidae). To map the distribution and abundance of these species, 17 sugarcane producing fields, distributed in six mesoregions in São Paulo, were evaluated in August 2017 and, January, February, June and July 2018 during the ripening phase. The study on the seasonality of these species, by the presence or absence of the scale insects during the phenological cycle of the plant, was conducted between August 2017 and July 2018 in two sugarcane producing fields in the municipality of Jaboticabal, São Paulo, Brazil. The presence of S. sacchari was found in all the analyzed locations, and A. takahashii in twelve. Both scale insects showed significant difference of infestation in the node's region of the stems during the ripening phase in one of the studied locations. The aclerdid presented significant difference by infestation in one site during the ripening phase of the plant. The pseudococcid infested a greater number of nodes in the following phases of development; vegetative, grand growth and ripening in both studied areas, but it was in one site during the ripening phase that presented the greatest difference. Although the pink sugarcane mealybug was more abundant than A. takahashii in both studies, there were no patterns of relationships between the numbers of individuals to geographical locations and temperature.

Resumo No estado de São Paulo, principal região produtora de cana-de-açúcar do mundo, duas espécies de cochonilhas têm ocorrido frequentemente, Aclerda takahashii (Kuwana, 1932) (Hemiptera: Aclerdidae) e Saccharicoccus sacchari (Cockerell, 1895) (Hemiptera: Pseudococcidae). Para mapear a distribuição e abundância destas espécies, 17 regiões produtoras de cana-de-açúcar, distribuídas em seis mesorregiões de São Paulo, foram avaliadas em agosto de 2017 e janeiro, fevereiro, junho e julho de 2018, durante a fase de maturação. O estudo da sazonalidade destas espécies, pela presença ou ausência das cochonilhas durante o ciclo fenológico da planta, foi conduzido entre agosto de 2017 e julho de 2018 em duas regiões produtoras de cana-de-açúcar no município de Jaboticabal, São Paulo, Brasil. Saccharicoccus sacchari foi encontrada em todas as localidades analisadas, e A. takahashii em 12. Ambas cochonilhas mostraram diferença significativa de infestação na região dos nós dos colmos durante a fase de maturação em uma das localidades estudadas. O aclerdídeo apresentou diferença significativa pela infestação em uma localidade durante a fase de maturação da planta. O pseudococcídeo infestou um grande número de nós nas seguintes fases de desenvolvimento; perfilhamento, crescimento vegetativo e maturação em ambas áreas estudadas, mas foi em uma localidade durante a fase de maturação que apresentou a maior diferença. Embora a cochonilha rosada da cana-de-açúcar foi mais abundante do que A. takahashii em ambos estudos, não houve padrões de relações entre o número de indivíduos com a localização geográfica e temperatura.

Antimicrobial resistance of Pseudomonas aeruginosa isolated from patients with pneumonia during the COVID-19 pandemic and pre-pandemic periods in Northeast Brazil

Healthcare-related infections caused by resistant microorganisms are a severe public health problem and are becoming increasingly prevalent in the hospital environment, especially Pseudomonas aeruginosa. This work aimed to evaluate the resistance profile of Pseudomonas aeruginosa to antimicrobials before the COVID-19 pandemic and during the pandemic period. Bacteria strains were obtained from tracheal aspiration, sputum, and bronchoalveolar lavage for diagnosis and phenotypic characterization. Matrix assisted laser-desorption ionization-time of flight mass spectrometry (MALD-TOF MS) was used to identify strains. Automated Phoenix and VITEK® 2 Compact system and the disc diffusion method were performed to determine the antimicrobial susceptibility profile. A total of 41,000 medical reports from adult patients with pneumonia were analyzed. Of these, 951 patients were positive for P. aeruginosa, of which 373 were related to the pre-pandemic period and 578 to the pandemic period. Older men (≥60 years) were more prevalent in both periods. P. aeruginosa strains were resistant to imipenem in both periods: 38.8 and 42.5%, respectively, followed by meropenem (34.2 and 39.2%), ciprofloxacin (33.6 and 36.7%), and levofloxacin (34.9 and 43.5%). Intensive care units had the highest percentage of affected patients (62 and 65%) compared with other sectors, with a prevalence of 71% in the public network before COVID-19 and 59% during the pandemic. Our data showed a prevalence of P. aeruginosa in elderly patients in both the pre-pandemic and pandemic periods. In addition, an increase in P. aeruginosa resistance to beta-lactams, quinolones, carbapenems, and cephalosporins was observed during the COVID-19 pandemic compared with the period before the pandemic, especially in ICUs.

Cost of lost productivity from acute respiratory infections in South America / Costo de la pérdida de productividad por infecciones respiratorias agudas en América del Sur / Custo da perda de produtividade devido a infecções respiratórias agudas na América do Sul

ABSTRACT Objectives. To estimate the burden of permanent productivity losses caused by acute respiratory infections in South American countries in 2019. Methods. Mortality data from the Global Burden of Disease Study 2019 were analyzed to estimate the burden of disease attributable to acute respiratory infections. An approach based on the human capital method was used to estimate the cost of permanent productivity losses associated with respiratory diseases. To calculate this cost, the sum of the years of productive life lost for each death was multiplied by the proportion in the workforce and the employment rate, and then by the annual minimum wage or purchasing power parity in United States dollars (US$) for each country in the economically active age groups. Separate calculations were done for men and women. Results. The total number of deaths from acute respiratory infections in 2019 was 30 684 and the years of productive life lost were 465 211 years. The total cost of permanent productivity loss was about US$ 835 million based on annual minimum wage and US$ 2 billion in purchasing power parity, representing 0.024% of the region's gross domestic product. The cost per death was US$ 33 226. The cost of productivity losses differed substantially between countries and by sex. Conclusion. Acute respiratory infections impose a significant economic burden on South America in terms of health and productivity. Characterization of the economic costs of these infections can support governments in the allocation of resources to develop policies and interventions to reduce the burden of acute respiratory infections.

RESUMEN Objetivos. Estimar la carga de la pérdida permanente de productividad causada por infecciones respiratorias agudas en países sudamericanos en el 2019. Métodos. Se analizaron los datos de mortalidad del estudio sobre carga mundial de enfermedad del 2019 para estimar la carga de enfermedad atribuible a las infecciones respiratorias agudas. Se empleó un enfoque basado en el método del capital humano para estimar el costo de las pérdidas permanentes de productividad relacionadas con las enfermedades respiratorias. Para ello, la suma de los años perdidos de vida productiva por cada muerte se multiplicó por la proporción de la fuerza de trabajo y la tasa de empleo y, a continuación, por el salario mínimo anual o la paridad del poder adquisitivo en dólares estadounidenses en los grupos etarios económicamente activos de cada país. Se realizaron cálculos separados para hombres y mujeres. Resultados. El número total de muertes por infecciones respiratorias agudas en el 2019 fue de 30 684 y se perdieron 465 211 años de vida productiva. El costo total de la pérdida permanente de productividad fue de aproximadamente US$ 835 millones según el salario mínimo anual y de US$ 2000 millones en cuanto a la paridad de poder adquisitivo, lo que representa el 0,024% del producto interno bruto de la región. El costo por muerte fue de US$ 33 226. El costo de la pérdida de productividad difirió sustancialmente entre los países y según el sexo. Conclusión. Las infecciones respiratorias agudas suponen una carga económica significativa para América del Sur en términos de salud y productividad. La caracterización de los costos económicos de estas infecciones puede ayudar a los gobiernos en la asignación de recursos para elaborar políticas e intervenciones que permitan reducir la carga de las infecciones respiratorias agudas.

RESUMO Objetivos. Estimar a carga de perdas permanentes de produtividade causadas por infecções respiratórias agudas em países da América do Sul em 2019. Métodos. Dados de mortalidade do estudo Carga Global de Doença 2019 foram analisados para estimar a carga de doença atribuível a infecções respiratórias agudas. Utilizou-se uma abordagem baseada no método do capital humano para estimar o custo das perdas permanentes de produtividade associadas às doenças respiratórias. Para calcular esse custo, a soma dos anos de vida produtiva perdidos devido a cada morte foi multiplicada pela proporção da força de trabalho e da taxa de emprego. Em seguida, esse valor foi multiplicado pelo salário mínimo anual ou pela paridade do poder de compra, em dólares dos Estados Unidos (US$), de cada país nas faixas etárias economicamente ativas. Foram feitos cálculos separados para homens e mulheres. Resultados. O número total de mortes por infecções respiratórias agudas em 2019 foi de 30 684, com 465 211 anos de vida produtiva perdidos. O custo total da perda permanente de produtividade foi de cerca de US$ 835 milhões com base no salário mínimo anual e US$ 2 bilhões em paridade de poder de compra, o que representa 0,024% do produto interno bruto da região. O custo por morte foi US$ 33 226. O custo da perda de produtividade diferiu substancialmente entre os países e por sexo. Conclusão. As infecções respiratórias agudas impõem uma carga econômica significativa à América do Sul em termos de saúde e produtividade. A caracterização dos custos econômicos dessas infecções pode fundamentar as decisões de alocação de recursos tomadas pelos governos para desenvolver políticas e intervenções com o intuito de reduzir a carga das infecções respiratórias agudas.

Sintomas Cardiopulmonares Pós-COVID-19: Preditores e Características de Imagem de Pacientes após a Alta Hospitalar / Post-COVID-19 Cardiopulmonary Symptoms: Predictors and Imaging Features in Patients after Hospital Discharge

Resumo Fundamento A maioria da evidência sobre o impacto da síndrome COVID pós-aguda (PACS, do inglês, post-acute COVID-19 syndrome) descreve sintomas individuais sem correlacioná-los com exames de imagens. Objetivos Avaliar sintomas cardiopulmonares, seus preditores e imagens relacionadas em pacientes com COVID-19 após alta hospitalar. Métodos Pacientes consecutivos, que sobreviveram à COVID-19, foram contatados 90 dias após a alta hospitalar. A equipe de desfechos clínicos (cega quanto aos dados durante a internação) elaborou um questionário estruturado avaliando sintomas e estado clínico. Uma análise multivariada foi realizada abordando a evolução da COVID-19, comorbidades, ansiedade, depressão, e estresse pós-traumático durante a internação, e reabilitação cardíaca após a alta. O nível de significância usado nas análises foi de 5%. Resultados Foram incluídos 480 pacientes (idade 59±14 anos, 67,5% do sexo masculino) que receberam alta hospitalar por COVID-19; 22,3% necessitaram de ventilação mecânica. A prevalência de pacientes com sintomas cardiopulmonares relacionados à PACS (dispneia, cansaço/fadiga, tosse e desconforto no peito) foi de 16,3%. Vários parâmetros de tomografia computadorizada do tórax e de ecocardiograma foram similares entre os pacientes com e sem sintomas cardiopulmonares. A análise multivariada mostrou que sintomas cardiopulmonares foram relacionados de maneira independente com sexo feminino (OR 3,023; IC95% 1,319-6,929), trombose venosa profunda durante a internação (OR 13,689; IC95% 1,069-175,304), nível elevado de troponina (OR 1,355; IC95% 1,048-1,751) e de proteína C reativa durante a internação (OR 1,060; IC95% 1,023-1,097) e depressão (OR 6,110; IC95% 2,254-16,558). Conclusão Os sintomas cardiopulmonares relacionados à PACS 90 dias após a alta hospitalar são comuns e multifatoriais. Além dos marcadores trombóticos, inflamatórios e de lesão miocárdica durante a internação, sexo feminino e depressão foram associados independentemente com sintomas cardiopulmonares relacionados à PACS. Esses resultados destacaram a necessidade de uma abordagem multifacetada direcionada a pacientes susceptíveis.

Abstract Background Most of the evidence about the impact of the post-acute COVID-19 Syndrome (PACS) reports individual symptoms without correlations with related imaging. Objectives To evaluate cardiopulmonary symptoms, their predictors and related images in COVID-19 patients discharged from hospital. Methods Consecutive patients who survived COVID-19 were contacted 90 days after discharge. The Clinic Outcome Team structured a questionnaire evaluating symptoms and clinical status (blinded for hospitalization data). A multivariate analysis was performed to address the course of COVID-19, comorbidities, anxiety, depression, and post-traumatic stress during hospitalization, and cardiac rehabilitation after discharge. The significance level was set at 5%. Results A total of 480 discharged patients with COVID-19 (age: 59±14 years, 67.5% males) were included; 22.3% required mechanical ventilation. The prevalence of patients with PACS-related cardiopulmonary symptoms (dyspnea, tiredness/fatigue, cough, and chest discomfort) was 16.3%. Several parameters of chest computed tomography and echocardiogram were similar in patients with and without cardiopulmonary symptoms. The multivariate analysis showed that PACS-related cardiopulmonary-symptoms were independently related to female sex (OR 3.023; 95% CI 1.319-6.929), in-hospital deep venous thrombosis (OR 13.689; 95% CI 1.069-175.304), elevated troponin I (OR 1.355; 95% CI 1.048-1.751) and C-reactive protein during hospitalization (OR 1.060; 95% CI 1.023-1.097) and depression (OR 6.110; 95% CI 2.254-16.558). Conclusion PACS-related cardiopulmonary symptoms 90 days post-discharge are common and multifactorial. Beyond thrombotic and markers of inflammation/myocardial injury during hospitalization, female sex and depression were independently associated with cardiopulmonary-related PACS. These results highlighted the need for a multifaceted approach targeting susceptible patients.

In vitro effects of lapachol and β-lapachone against Leishmania amazonensis

Leishmaniasis is a neglected disease that affects millions of people worldwide, and special attention should be given to treatment because the available drugs have limitations, which can lead to low therapeutic adherence and parasitic resistance. This study evaluated the activity of the bioactive naphthoquinones, lapachol and β-lapachone, against Leishmania amazonensis. The cell alterations were evaluated in vitro on promastigote and amastigote forms. The lethal dose (LD50) at 24, 48, and 72 h on the promastigote's forms using lapachol was 75.60, 72.82, and 58.85 μg/mL and for β-lapachone was 0.65, 1.24, and 0.71 μg/mL, respectively. The naphthoquinones significantly inhibited the survival rate of L. amazonensis amastigotes at 83.11, 57.59, and 34.95% for lapachol (82.28, 41.14, and 20.57 µg/mL), and 78.49, 83.25, and 80.22% for β-lapachone (3.26, 1.63, and 0.815 µg/mL). The compounds on the promastigote's forms led to the loss of mitochondrial membrane potential, induced changes in the integrity of the membrane, caused damage to cells suggestive of the apoptotic process, and showed inhibition of tumor necrosis factor (TNF)-α and interleukin (IL)-6 production. The results showed that these naphthoquinones are promising candidates for research on new drugs with anti-Leishmania activity derived from natural products.

Perceived stress in medical students and correlation of perceived stress levels with self-directed learning readiness

Background: Medical students are exposed to increased stress due to factors such as academic pressure, high expectations from parents, peer pressure, reduced leisure time, and ambitions of higher studies. Students in professional courses are expected to have skills for self-directed learning. It is the process of learning, in which the student frames his own learning goals, who chooses appropriate strategies for learning. The present study aims to look for level of perceived stress among medical students, readiness for self-directed learning and to correlate readiness for self-directed learning with level of perceived stress. Aims and Objectives: The aims if this study were to assess perceived stress and readiness for self-directed learning in medical students and to correlate stress levels with readiness for self-directed learning. Materials and Methods: The study was done by online survey using Google forms which were shared among medical students. Two hundred students participated in this study. The online survey consisted of Perceived Stress Scale (PSS) to assess the level of stress, Fisher’s Self-Directed Learning Readiness Scale (SDLRS) to assess readiness for self-directed learning. Results: Among the 200 students, who participated in the study, about 127 (63.7%) had PSS >28. The mean PSS was 31.6 (SD 6.79) and mean SDLRS was 145.22 (SD 18.5). Between SDLRS and PSS, there was a significant negative correlation (r = ?0.417), suggesting inverse relationship. Scatter plot showed presence of linear relationship between SDLRS and PSS scores. Regression analysis showed significant association between SDLRS and PSS with P < 0.001. Conclusion: Significant proportion of medical students was found to have moderate perceived stress. Students with higher SDL readiness had significantly lower perceived stress.

Polymorphism Evaluation of TLR2 Gene Associated with Endometritis Infection in Buffalo Reared in Egypt

Aims: The objective of this study is to monitor the evolution of organochlorine residues levels in kola nuts collected from various actors in the eastern producing region of Côte d'Ivoire. Study Design: Kola nuts samples were collected from farmers, collectors and urban stores in the Eastern of Côte d’Ivoire. Place and Duration of Study: Health Department of Hydrology Health and Toxicology, Training and Research Unit of Pharmaceutical and Biological Sciences, Abidjan, Côte d’Ivoire, running 2016-2019. Methodology: A total of 225 samples were analyzed using Gas chromatography–tandem mass spectrometry (Agilent 7010B Triple Quadrupole GC/MS System). Results: Data showed that all 21 pesticides analyzed were detected in kola nuts samples. Statistical analysis indicated no significant difference in OCPs sub-group used by actors during the three-crop studied. The mean levels of HCHs, DDTs and cyclodienes were ranged from 5±1– 136.67±77.3 µg/kg FW, 5±1 – 116.67±63.2 µg/kg FW and 5±1 - 145±63.2 µg/kg FW, respectively. Otherwise, farmer’s levels of OCPs were lower than those detected in kola nuts from collectors and urban stores samples. Thus, compared to the MRL set by the World Health Organization/Food and Agricultural Organization, the farmer’s samples are lower than limits fixed, unlike the contents registered with collectors and urban stores. In the latter, nearly 80% to 100% of kola nuts collected are contaminated with hexachlorinated residues (HCHs) and heptachlor. Conclusion: There is the need to keep monitoring ecotoxicological chemical substances in kola nuts produced in Côte d’Ivoire and take steps that ensure health safety of end users. Care should be taken since residues could pose chronic health risk for adults and children.

Influence of Neuropeptide Y and Neuropeptide Y 2 Receptor Variants in Acute Coronary Syndrome

Abstract Background The neuropeptide Y (NPY) is one of the most abundant neurotransmitters in the nervous system. NPY acts as a potent stimulator of angiogenesis, inflammation, and adipogenesis, through the NPY 2 receptor (NPY2R). Changes in the NPY signaling pathway have been linked to Acute Coronary Syndrome (ACS). Objectives The purpose of this study is to determine the association between variants in the NPY and NPY2R genes, as well as the severity of acute coronary syndrome (ACS). Methods Approximately 221 ACS patients and 278 healthy controls were selected for this study. Four variants in NPY and two variants in NPY2R genes were genotyped using Taqman allelic discrimination and sequencing. The Chi-square and Fisher's exact tests were used to verify the genotype frequencies. The logistic regression analyses were used for the evaluation of the studied variables. Haplotype analysis was used to evaluate the linkage disequilibrium (LD) between the variants (p<0.05). Results An association of NPY c.20T>C variant was found with the ACS group when compared to the healthy group. In the analysis between variants and risk factors in the ACS group, NPY c.84G>A was associated with hypertension. The analysis between TIMI risk showed a significance for NPY c.20T>C between the low and intermediate/high TIMI risk groups. In the haplotype analysis, strong linkage disequilibrium (LD) was found between the variants NPY c.150G>A and NPY c.-485T>C. Conclusion The NPY c.20T>C variant appears to contribute to the development of ACS. The NPY2R c.-1116A>G variant may contribute to the early development of ACS and the NPY c.84G>A variant appears to contribute to the development of hypertension. In addition, the NPY c.20T>C is associated with a protective effect in ACS severity.

Multisystem inflammatory syndrome in neonate with skin lesions—A rare case report

Multisystem inflammatory syndrome in children is a serious condition that occurs due to postinfectious immune-mediated hyperinflammatory reaction seen in children, which develops after 4–6 weeks of severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection; it is rare in neonates. We present here a case of a term newborn with fever, respiratory distress, and necrotic skin lesion that gradually progressed to multisystem dysfunction. Reverse transcription polymerase chain reaction for SARS-CoV-2 was negative for both mother and the baby. SARS-CoV-2 IgG titer was negative in the mother but was found to be positive in the newborn. The diagnosis of multisystem inflammatory syndrome in neonate was made and was successfully treated with intravenous immunoglobulin and corticosteroids.

Evaluation of the Nutritional Quality of Supplemental Porridges Enriched with Vegetable Cortea (Corchorus olitorius) and Cashew Kernel (Anacardium occidental) for Moderately Malnourished Children Aged 6 to 59 Months

This study aims to improve the nutritional quality of traditional porridge intended for young children with moderate malnutrition. The biochemical and nutritional characteristics of three supplement porridges enriched with dried leaves Corchorus olitorius and Anacardium occidental were determined according to standard methods. The results revealed that enrichment with these two ingredients significantly improved the proportion of dry matter of porridges enriched with high contents in those containing only Western Anacardium BC2 (17.33 ± 0.83%) and that enriched with both Corchorus olitorius and Anacardium occidental BC4 (18.0 ± 0.5%) compared to the traditional non-enriched porridge BC1 (13.23 ± 0.41%) and that enriched with Corchorus olitorius only BC3 (14.63±0.56%). With regard to fat, the three enriched porridges showed significantly high levels: 16.00±0.00% (BC2); 13.75±0.25% (BC3); 19.25±0.35% (BC4) compared to porridge BC1 (12.75±0.25%). As for carbohydrates, enrichment did not lead to a significant increase in levels. On the other hand, the levels of proteins experienced a significant increase between 2.66 ± 0.08% (BC3) and 3.08 ± 0.05% (BC4). All the porridges showed high energy densities with values ​​ranging between 463.43±1 Kcal/100 g (BC1) and 488.21±1 Kcal/100 g (BC4). Regarding micronutrients, the results indicated a significant increase in trace elements with higher mineral values ​​in the porridge BC4 (Zinc: 05.05±0.06) and BC3 (Calcium: 60.91±0.07 mg /100 g; Iron: 21.80±0.20 mg/100 g; Copper: 01.57±0.04 mg/100 g; Phosphorus: 280.41±0.48 mg/100 g). The contents of fat-soluble vitamins, in particular vitamin A (BC2: 25.10±0.14 µg/100 g; BC3: 41.00±0.45 µg/100 g; BC4: 33.59± 0.12 µg/100 g) and water-soluble vitamins B2 (BC2: 12.39±0.01 mg/ 100g; BC3: 10.81±0.01 mg/100 g; BC4: 15.01±0.01 mg/100 g) and B9 (BC2: 23.05±0.25 mg/100 g; BC3: 27.13±0.29 mg/100 g; BC4: 35.16±0.36 mg/100 g) experienced a significant increase in the enriched porridge compared to the control. There is also a significantly high content of essential amino acid (leucine) with values ​​between (37.78±0.05 and 78.31±0.9 g/100 g) in the enriched porridge compared to the control (18.51±0. 05 g/100 g). All the porridges are very rich in essential fatty acids, linoleic acid (Ω6) with contents between 19.73±0.01 and 22.59±0.01 g/100 g and linolenic acid (Ω3) with contents between 01.20±0.00 and 07.95±0.00 g/100 g, and this in accordance with the recommended values ​​for moderate acute malnutrition (MAM). This nutritional supplementation also significantly improved their antioxidant properties with DPPH values ​​varying between 47.52±3 and 56.91±1.55% compared to the control (41.58±4.34%). Enriching these porridges with Corchorus olitorius and Anacardium occidental improved their nutritional quality in accordance with the recommended dietary intakes for my moderately malnourished for most essential nutrients. These enriched porridges could then be recommended not only for the nutritional rehabilitation of MAMs and also to prevent certain chronic diseases such as obesity and cardiovascular diseases.

Selection of Lactic Acid Bacteria Isolated from Cocoa and Cassava Fermentation as Potential Probiotic for Pathogenic Microorganisms Control in Poultry Farming

Aims: The overuse of antibiotics in animal farming sector is leading to an increase drug resistant bacteria rate. This situation makes it difficult to treat pathologies in both humans and animals. The aim of this study was to assess some probiotic profiles of lactic acid bacteria strains isolated from cocoa fermentation and traditional cassava ferment for possible use as potentially probiotic strains for the monitoring of pathogenic microorganisms in poultry farming. Methodology: Thus, a total of 267 lactic acid bacteria strains were tested for analysis of the antibacterial activity against the growth capacity of Salmonella and E. coli isolates. Probiotic properties of Lactic acid bacteria were consisted of acidification capacity, resistance to acid shock and to salt bile containing in culture medium and capacity to produce proteolytic and lipolytic enzymes. Results: Among them, 25 strains have induced the high bacterial growth inhibition against these pathogenic bacteria with inhibition zone diameters ranged from 9 to 27 mm. Among these strains, 20 isolates showed high resistance to acid shock at pH ? 4 and six strains were able to grow at pH 3.5 with survival rate range from 30 % to 89 %. Moreover, six of these strains, including four isolates of Lactobacillus plantarum (T1GB8, T11AB17, LAB26, LAB 127), one strain of Leuconostoc mesenteroides (T0AB9) and one isolate of Enterococcus facium (LAB18), have shown capacity to growth with 1 % of bile salts in the medium. Even better, these strains exhibited capacity to produce proteolytic and lipolytic enzymes with halo around the well diameters reached 29 mm for some strains. Conclusion: This study shows the possibility of use probiotics lactic acids bacteria as antibiotics alternative in poultry sector to reduce some avian pathologies affecting the poultry sector in C魌e d'Ivoire.

Phytochemical Screening and in vitro Antibacterial Activity of the Aqueous Extract of Phyllanthus niruri L. from Kasa� Oriental in DR Congo

Objectives: The aim of this work is to carry out a phytochemical study and to evaluate in vitro antibacterial potential of the aqueous extract of Phyllanthus niruri, a plant traditionally used in Kasai Oriental (DR Congo) against various bacteriosis and non-bacterial diseases. Study Design: P. niruri, was selected from a list resulting from an ethnobotanical survey carried out in Kasai Oriental because of the number of citations and recipes involving it, the level of preference of the species as well as the diversity of diseases treated and the plebiscite of its effectiveness by local traditional healers. To contribute to the enhancement of this plant traditionally used against various bacteriosis and to confirm its potential antibacterial power, it was subjected to phytochemical screening and its aqueous extract was tested in vitro on bacterial strains. Place and Duration of the Study: The period of this research went from December 2017 to February 2018. The analyzes were carried out at the physico-chemical and microbiological analysis laboratories of the Congolese Control Office of Mbujimayi (DR Congo) and at the Biology and Chemistry laboratories of the ISP Mbujimayi. Methodology: The chemical groups of the bioactive substances were sought using the classic methods of characterization in solution by precipitation, coloring and foam reactions. The diameters of the zones of inhibition, MICs and CMBs of the aqueous extract of this plant were determined in vitro against 20 bacterial strains subjected to the test. Results: P. niruri contains various bioactive chemical groups. Its aqueous extract showed antibacterial activity in vitro against several of 20 tested bacterial strains. According to the MICs and CMBs, the inhibitory action spectrum covers 12 bacterial strains out of the 20 tested. Conclusion: The results found confirm that P. niruri has antibacterial principles and a therapeutic potential by the presence of several bioactive substances and the inhibitory power of its aqueous extract on some bacterial strains tested.

Determination of Vitamin Contents of Maize (Zea mays L) Produced and Stocked from Rural Conditions in Cote D’ivoire

Aims: Maize is prized for its richness in nutrient compounds. Despite its socio-economic importance, maize faces a quality problem that is sometimes very delicate. Indeed, maize during different production, post-harvest processing, storage and transport conditions is exposed to bio-aggressors that can alter the quality of this cereal. With this in mind, this study was conducted to determinate the vitamins contents of maize produced and stored in five maize-producing regions of Côte d’Ivoire. Study Design: A total of 1 500 samples of maize as grains, epis and spathes were collected at rate of 500 samples by region (Gbêkê, Poro, Hambol, Indénié-Djuablin and Gontougo) and sent to the laboratory for analysis of the vitamin contents. Place and Duration of Study: This study was carried out during March 2016 to January 2017. Then, the analyses of the collected sample took place at the Biotechnology, Agriculture and Valorisation of Biological Ressources Laboratory of the Félix Houphouët-Boigny’s University, Abidjan. Methodology: Vitamins determination was carried by High Performance Liquid Chromatography. A total of twelve vitamins were evaluated namely 9 water-soluble vitamins (thiamin, riboflavin, niacin, choline, pantothenic acid, pyridoxine, biotin, folic acid and cobalamin) and 3 fat-soluble vitamins (β-carotene, vitamin E and K). Results: Results show a significant difference between vitamins contents of the different maize forms and regions. The mean values ranged from 0.09 ± 0.04 to 557.24 ± 10.97 mg / kg for water-soluble vitamins and from 0.31±0.25 to 4.20±1.00 mg / kg for fat-soluble vitamins. Choline was the most abundant of the water-soluble vitamins while β-carotene and vitamin E were the most abundant of the fat-soluble vitamins. Maize grains and epis had the highest levels of these vitamins all of the regions. Maize spathes samples, especially those from Indénié-Djuablin and Gontougo, showed the lowest concentrations. Conclusion: A significant variability from one region to another can be noticed at level of vitamins regardless the type of maize. Maize vitamin contents seem to be related to maize form (grains, epis, spathes), maize variety, agronomic practices, post-harvest treatments and storage structure.