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1.
Polymers (Basel) ; 16(7)2024 Apr 02.
Article in English | MEDLINE | ID: mdl-38611221

ABSTRACT

This work studies the direct current breakdown characteristics of unfilled epoxy and epoxy nonconductive nanocomposites (SiO2,MgO and Al2O3). It also examines the variation of electrical properties in epoxy nanocomposites. The novel aspect of this study is that the samples of Epoxy nanocomposite were exposed to high voltages of up to six kilo volts for three hours using field electron microscopy under high vacuum conditions (10-5 mbar). The current emitted from these samples was measured at three different intervals of time. In addition, the influence of high voltage on the permittivity, loss factor (tan(δ)), and conductivity of the epoxy nanocomposite was studied. This evaluation was conducted before and after applying the voltage at room temperature, The frequency range extends from 10-2-10-7 Hz using the Novo Control Alpha-A analyzer. Current-voltage characterization was performed through field electron microscopy. The samples were characterized by scanning electron microscopy-energy dispersive X-ray spectroscopy and Fourier Transform Infrared Spectroscopy. The unfilled epoxy exhibited structural degradation, resulting in the formation of holes when exposed to high voltages of up to six kilo volts, leading to a reduction in electrical properties. Nevertheless, the addition of nanoparticles shows a significant increase in the operational lifetime of the epoxy nanocomposite. The degree of increase in the lifetime of epoxy composite varied depending on several factors such as the type of NPs introduced and their respective sizes. The epoxy/Al2O3 nanocomposite comparing with epoxy/MgO and epoxy/SiO2 nanocomposite showed elevated resistance to direct current breakdown strength and maintaining its dielectric.

2.
Med J Malaysia ; 78(5): 589-593, 2023 09.
Article in English | MEDLINE | ID: mdl-37775484

ABSTRACT

INTRODUCTION: Monitoring of impedance field telemetry is crucial to maintaining optimal function of cochlear implants. This study aims to investigate impedance changes in cochlear implant electrodes one year after switch on. MATERIALS AND METHODS: A retrospective repeated crosssectional study was conducted by recruiting patients with cochlear implants presenting to the Dr. Cipto Mangunkusumo National General Hospital, Jakarta, Indonesia between 2017 and 2021. Basal (b1, b2) and apical (a1, a2) electrodes, representing the outermost and innermost parts of the cochlear implant electrodes, were measured at switch on and at 1 year post-implantation. RESULTS: A total of 123 patients, with a total of 123 cochlear implant samples, were included in the analysis. We found a substantial change in electrical impedance between switch on and follow-up periods, where the impedance levels of basal electrodes decreased (b1: mean difference (MD) -1.13 [95% confidence interval (CI): -1.71, -0.54], p<0.001; b2: MD -0.60 [95%CI: -1.17, -0.03], p=0.041) and those of apical electrodes increased (a1: MD 0.48 [95%CI: -0.28, 0.99], p=0.064; a2: MD 0.67 [95%CI: 0.12, 1.22], p=0.017). We also found that the choice of surgical approaches for implant insertion may affect the electrode impedance. Cochleostomy approach resulted in a higher impedance than round window in basal (b1) and apical (a2) electrodes both at switch on and follow-up (b1 at switch on and at follow-up: p=0.019 and p=0.004; a2 at follow-up: p=0.012). Extended round window approach also resulted in a higher impedance than round window in basal (b1) and apical (a2) electrodes at follow-up (p=0.013 and p=0.003, respectively). CONCLUSION: Electrical impedance of cochlear implant electrodes may change over time, highlighting the importance of regular impedance assessments for cochlear implant users to ensure optimal device function. The round window approach resulted in better initial and long-term impedance levels compared to cochleostomy, and better long-term impedance levels than extended round window. Extended round window approach also gives better impedance level than cochleostomy. Further research should investigate the potential interplay between surgical approach and other factors that may impact impedance levels to confirm our findings.


Subject(s)
Cochlear Implants , Humans , Electric Impedance , Cochlea/surgery , Cohort Studies , Retrospective Studies , Indonesia , Tertiary Care Centers
3.
SAGE Open Nurs ; 9: 23779608231160473, 2023.
Article in English | MEDLINE | ID: mdl-36895711

ABSTRACT

Introduction: Creative art therapy is a psychotherapeutic approach used to enhance the mental health status of patients. Objectives: This study aimed to evaluate the effect of creative art therapy on the levels of depression, anxiety, and stress in Jordanian patients following stroke. Methods: One-group pretest-posttest design was used; it included four sessions of creative art therapy which were conducted as two sessions for two weeks. This study recruited 85 participants who were within three months poststroke diagnosis. The Depression, Anxiety, and Stress Scale was used to assess the levels of psychological reactions pre and post creative art therapy intervention. Results: The data showed that there was a statistically significant improvement in the levels of depression (t = 37.98; p < .001), anxiety (t = 20.59, p < .001), and stress (t = 35.52, p < .001) post-intervention. There was a statistically significant improvement in the study-related psychological aspects following creative art therapy. Conclusion: The findings of this study suggest that creative art therapy is a valuable method to complement other types of treatments among patients with stroke, resulting in positive patient mental health outcomes. Creative art therapy could be used as a psychotherapeutic approach to manage mental health complexities among patients with stroke. Health policymakers are invited to use the findings of this study to establish tailored counselor services using this new psychotherapeutic approach.

4.
Sci Rep ; 13(1): 2237, 2023 02 08.
Article in English | MEDLINE | ID: mdl-36754974

ABSTRACT

SARS-CoV-2 interacts with cellular cholesterol during many stages of its replication cycle. Pantethine was reported to reduce total cholesterol levels and fatty acid synthesis and potentially alter different processes that might be involved in the SARS-CoV-2 replication cycle. Here, we explored the potential antiviral effects of pantethine in two in vitro experimental models of SARS-CoV-2 infection, in Vero E6 cells and in Calu-3a cells. Pantethine reduced the infection of cells by SARS-CoV-2 in both preinfection and postinfection treatment regimens. Accordingly, cellular expression of the viral spike and nucleocapsid proteins was substantially reduced, and we observed a significant reduction in viral copy numbers in the supernatant of cells treated with pantethine. In addition, pantethine inhibited the infection-induced increase in TMPRSS2 and HECT E3 ligase expression in infected cells as well as the increase in antiviral interferon-beta response and inflammatory gene expression in Calu-3a cells. Our results demonstrate that pantethine, which is well tolerated in humans, was very effective in controlling SARS-CoV-2 infection and might represent a new therapeutic drug that can be repurposed for the prevention or treatment of COVID-19 and long COVID syndrome.


Subject(s)
COVID-19 , SARS-CoV-2 , Animals , Chlorocebus aethiops , Humans , Antiviral Agents/pharmacology , Post-Acute COVID-19 Syndrome , Virus Replication , Vero Cells
5.
Braz J Biol ; 84: e269583, 2023.
Article in English | MEDLINE | ID: mdl-36722681

ABSTRACT

Diabetes is a metabolic disorder with no definite treatment, but it can be controlled by changing lifestyle and diet. Consumption of high-fiber and nutrient-rich foods including vegetables have been shown to reduce risks of obesity and Type II Diabetes Mellitus (T2DM). Also, many herbal plants have been associated with reduced risks of T2DM because of their composition of secondary metabolites. Antioxidant activities of some secondary metabolites have potent inhibitory effects against inflammation linked with insulin resistance and oxidative stress. More than 800 known medicinal plants are used to control diabetes and its relevant complications. However, variations in preharvest factors including plant genotype, growing medium properties, climatic factors, and management practices can influence plant growth and their accumulation of phytochemicals with health-promoting properties. However, the effects of these preharvest factors on the antidiabetic properties of plant secondary metabolites are neither explicit nor easily accessible in the literature. Therefore, this review aims to document recent studies that reported on under-exploited medicinal plants with antidiabetic properties. We reviewed several important preharvest factors that can potentially affect the synthesis of phytoconstituents which possess antidiabetic properties. This review will help identify gaps for future research in phytomedicine and functional foods.


Subject(s)
Diabetes Mellitus, Type 2 , Hypoglycemic Agents , Hypoglycemic Agents/pharmacology , Hypoglycemic Agents/therapeutic use , Vegetables , Genotype , Obesity
6.
Front Oncol ; 13: 1251244, 2023.
Article in English | MEDLINE | ID: mdl-38192628

ABSTRACT

Objective: Urothelial cell carcinoma (UCC) is the most common type of urinary bladder. JCPyV and BKPyV have been detected in the urine and tissue of urothelial cell carcinomas (UCC) in immunocompetent patients. Here, we investigated the presence of several HPyVs in UCC samples using diverse molecular techniques to study the prevalence of HPyVs in UCC. Methods: A large single-institution database of urine cytology specimens (UCS; n = 22.867 UCS) has previously been searched for decoy cells (n = 30), suggesting polyomavirus infection. The available urine sediments and formalin-fixed paraffin-embedded (FFPE) tissue samples of UCC patients were tested for the presence of JCPyV-LTAg expression by immunohistochemistry (IHC) labeled with SV40-LTAg antibody (clone: PAb416) and subsequent PCR followed by sequencing. In addition, the presence of the oncogenic Merkel cell polyomavirus (MCPyV) and the presence of human polyomavirus 6 (HPyV6) and 7 (HPyV7) DNA were tested with DNA PCR or IHC. Results: Of the 30 patients harboring decoy cells, 14 were diagnosed with UCC of the urinary bladder (14/30; 46.6%) before presenting with decoy cells in the urine. The SV40-LTAg IHC was positive in all 14 UCC urine sediments and negative in the FFPE tissues. JCPyV-DNA was identified in all five available UCS and in three FFPE samples of UCC (three of 14; 21.4%). Two UCC cases were positive for MCPyV-DNA (two of 14; 14.3%), and one of them showed protein expression by IHC (one of 14; 7.1%). All specimens were HPyV6 and HPyV7 negative. Conclusion: Our findings show the presence of JCPyV in the urine and UCC of immunocompetent patients. Moreover, MCPyV was detected in two UCC cases. In total, five UCC cases showed the presence of either JCPyV or MCPyV. The evidence here supports the hypothesis that these viruses might sporadically be associated with UCC. Further studies are needed to confirm the relevance of JCPyV or MCPyV as a possible risk factor for UCC development.

7.
Med J Malaysia ; 77(5): 619-621, 2022 09.
Article in English | MEDLINE | ID: mdl-36169076

ABSTRACT

INTRODUCTION: The role of immunodeficiency in the development of chronic suppurative otitis media (CSOM), especially in paediatric populations, have yet to be fully elucidated. The purposesof this study is to investigate the association between immunocompromised status and CSOM among paediatric population in a tertiary hospital in Indonesia. MATERIALS AND METHODS: A cross-sectional study was performed by retrieving medical records of paediatric patients, with and without CSOM (age 0-18 years), visiting otorhinolaryngology (ENT-HNS) outpatient clinic in a tertiary hospital in Indonesia (2018-2020). We collected data on comorbidities causing immunosuppression such as HIV status, tuberculosis, and cancer. RESULTS: Among the 1018 included patients (50 immunocompromised children), HIV infection was the most common cause of immunodeficiency in the CSOM group (24 patients, 60%), and cancer in the non-CSOM group (10 patients, 100%). We found a significant association between immunocompromised hosts and CSOM (odds ratio 19.5 [95% confidence interval: 9.5-39.9], p<0.001). CONCLUSION: Immunocompromised children with HIV, tuberculosis, or cancer may be more vulnerable to CSOM. Further research is required to explore the association between other immunocompromised conditions and CSOM in paediatric populations.


Subject(s)
HIV Infections , Otitis Media, Suppurative , Adolescent , Child , Child, Preschool , Chronic Disease , Cross-Sectional Studies , HIV Infections/complications , Humans , Immunocompromised Host , Infant , Infant, Newborn , Otitis Media, Suppurative/complications , Otitis Media, Suppurative/epidemiology , Persistent Infection
8.
Saudi J Biol Sci ; 29(4): 2026-2032, 2022 Apr.
Article in English | MEDLINE | ID: mdl-35531233

ABSTRACT

Although Human Adenoviruses outbreaks are rare, there still could be a potential chance for those viruses to mutate and spread quickly in human populations with severe public health and socioeconomic consequences. Outbreaks often spread fairly quickly with considerable morbidity/mortality. Saudi Arabia's geopolitical and religious significance bring with it, millions of pilgrims, and tourists yearly. This presents a significant potential for HAdVs epidemics. This review shows that even with the mushrooming serotypes and genotypes, the scholarly knowledge on the nature, structure, transmission, and management of HAdVs is already well-established. Significant research is ongoing on pharmacological interventions, which, presently remain speculative and lacking in effectiveness. This review similarly uncovers a shortage of literature, both recent and dated, on epidemic keratoconjunctivitis in either Saudi Arabia or the Middle East.

9.
Arch Razi Inst ; 77(6): 2243-2250, 2022 12.
Article in English | MEDLINE | ID: mdl-37274895

ABSTRACT

Ascites syndrome occurs in growing broiler chickens in all parts of the world, which is one of the important causes of losses in many flocks, and its prevalence has been seen mostly in meat herds. The most important factor in the occurrence of ascites syndrome is the lack of oxygen in body tissues (hypoxia). Increasing the growth rate requires increasing the volume of blood flowing in the body to deliver nutrients to the organs and expel gases and metabolic products. Therefore, this experiment was conducted to compare the effect of peppermint extract and probiotics on the biochemical factors of the blood of chickens caused by ascites. The treatments were divided into 8 groups of 7 male chickens with 3 repetitions in each group at 21 days. The experimental treatments included control and treatments of peppermint, probiotic, peppermint and probiotic, induced ascites, induced ascites and peppermint, induced ascites and probiotics, induced ascites and peppermint and probiotics. At the end of 42 days, the blood factors of uric acid, triglyceride, glucose, cholesterol, ALT, ALP, and AST were measured by blood sampling. The experimental treatments significantly affected the investigated traits (P<0.05). Considering that in the treatment of induced ascites+ peppermint compared to the treatment of induced ascites, weight gain was significant, and in the blood factors of cholesterol, triglyceride, uric acid, glucose, and functional liver enzymes including ALT, AST, ALP recorded a significant decrease. Therefore, the effectiveness of peppermint extract in improving induced ascites in chickens was determined. Peppermint extract had a positive effect on induced ascites and improved the performance indicators of broiler chickens, and this extract can be used as a preventive of ascites.


Subject(s)
Ascites , Probiotics , Animals , Male , Ascites/drug therapy , Ascites/veterinary , Ascites/metabolism , Chickens , Mentha piperita , Uric Acid , Probiotics/pharmacology , Probiotics/therapeutic use , Cholesterol , Triglycerides , Plant Extracts/pharmacology , Plant Extracts/therapeutic use
10.
Int J Nanomedicine ; 16: 6937-6955, 2021.
Article in English | MEDLINE | ID: mdl-34703223

ABSTRACT

BACKGROUND: 6-Mercaptopurine (6-MP) is a potential anti-cancer agent which its therapeutic and limitation applicability due to its high toxicity. OBJECTIVE: Herein, 6-MP was loaded into tri-layered sandwich nanofibrous scaffold (the top layer composed of poly methyl methacrylate/polycaprolactone (PMMA/PCL), the middle layer was PCL/PMMA/6-MP, and the bottom layer was PCL/PMMA to improve its bioactivity, adjusting the release-sustainability and reduce its toxicity. METHODS: Electrospun tri-layered nanofibers composed of PCL/PMMA were utilized as nano-mats for controlling sustained drug release. Four groups of sandwich scaffold configurations were investigated with alteration of (PMMA: PCL) composition. RESULTS: The sandwich scaffold composed of 2%PCL/4%PMMA/1%6-MP showed the best miscibility, good homogeneity and produced the smoothest nanofibers and low crystallinity. All fabricated 6-MP-loaded-PCL/PMMA scaffolds exhibited antimicrobial properties on the bacterial and fungal organisms, where the cytotoxicity evaluation proved the safety of scaffolds on normal cells, even at high concentration. Scaffolds provided a sustained-drug release profile that was strongly dependent on (PCL: PMMA). As (PCL: PMMA) decreased, the sustained 6-MP release from PCL/PMMA scaffolds increased. Results established that ~18% and 20% of 6-MP were released after 23h from (4%PCL/4%PMMA/1%6-MP) and (2%PCL/4%PMMA/1%6-MP), respectively, where this release was maintained for more than 20 days. The anti-cancer activity of all fabricated scaffolds was also investigated using different cancerous cell lines (e.g., Caco-2, MDA, and HepG-2) results showed that 6-MP-loaded-nanofibrous mats have an anti-cancer effect, with a high selective index for breast cancer. We observed that viability of a cancer cell was dropped to about 10%, using nanofibers containing 2%PCL/4%PMMA/1%6-MP. CONCLUSION: Overall, the PCL: PMMA ratio and sandwich configuration imparts a tight control on long-term release profile and initial burst of 6-MP for anticancer treatment purposes.


Subject(s)
Anti-Infective Agents , Nanofibers , Anti-Bacterial Agents , Caco-2 Cells , Humans , Mercaptopurine , Polyesters , Polymethyl Methacrylate , Tissue Engineering , Tissue Scaffolds
11.
RSC Adv ; 11(33): 19978-19991, 2021 Jun 03.
Article in English | MEDLINE | ID: mdl-35479904

ABSTRACT

Released oxygen plays a critical role in reducing destructive tumor behavior. This study aims to utilize decomposed hydrogen peroxide as an oxygen source by conjugating it with polyvinylpyrrolidone (PVP). PVP-hydrogen peroxide complex (PHP) composed of different ratios of (PVP : H2O2) (0.5 : 1, 1 : 1, 1 : 1.5, 1 : 5, and 1 : 10) were successfully synthesized. PHP complex with a ratio of 1 : 1.5 was chosen as the optimized ratio, and it was incorporated into the polymethyl methacrylate (PMMA) nanofibrous scaffold via the electrospinning technique. Results have revealed that the PMMA-10% PHP complex provided a significant morphological structure of nanofibrous scaffolds. The mechanical properties of PMMA-10% PHP nanofibers showed the most suitable mechanical features such as Young's modulus, elongation-at-break (%), and maximum strength, in addition to the highest degree of swelling. All PHP complex scaffolds released oxygen in a sustained manner. However, the PMMA-10% PHP complex gave the highest concentration of released-oxygen with (∼8.9 mg L-1, after 2.5 h). PMMA-10% PHP nanofibers provided an ideal model for released-oxygen scaffold with anti-cancer effect and high selectivity for cancer cells, especially for breast cancer cells. Nanofibrous scaffolds with different composition revealed high cell viability for normal cells. Such outcomes support the suitability of using synthesized nanofibrous scaffolds as released-oxygen biomaterials to enhance cancer cells' sensitivity and maximize the treatment effect.

12.
Saudi Pharm J ; 28(5): 607-614, 2020 May.
Article in English | MEDLINE | ID: mdl-32435142

ABSTRACT

BACKGROUND: CTCF encodes 11-zinc finger protein which is implicated in multiple tumors including the carcinoma of the breast. The Present study investigates the association of CTCF mutations and their expression in breast cancer cases. METHODS: A total of 155 breast cancer and an equal number of adjacent normal tissue samples from 155 breast cancer patients were examined for CTCF mutation(s) by PCR-SSCP and automated DNA sequencing. Immunohistochemistry (IHC) method was used to analyze CTCF expression. Molecular findings were statistically analyzed with various clinicopathological features to identify associations of clinical relevance. RESULTS: Of the total, 16.1% (25/155) cases exhibited mutation in the CTCF gene. Missense mutations Gln > His (G > T) in exon 1 and silent mutations Ser > Ser (C > T) in exon 4 of CTCF gene were analyzed. A significant association was observed between CTCF mutations and some clinicopathological parameters namely menopausal status (p = 0.02) tumor stage (p = 0.03) nodal status (p = 0.03) and ER expression (p = 0.04). Protein expression analysis showed 42.58% samples having low or no expression (+), 38.0% with moderate (++) expression and 19.35% having high (+++) expression for CTCF. A significant association was found between CTCF protein expression and clinicopathological parameters include histological grade (p = 0.04), tumor stage (p = 0.04), nodal status (p = 0.03) and ER status (p = 0.04). CONCLUSIONS: The data suggest that CTCF mutations leading to its inactivation significantly contribute to the progression of breast cancer.

13.
Risk Manag Healthc Policy ; 13: 175-182, 2020.
Article in English | MEDLINE | ID: mdl-32184688

ABSTRACT

PURPOSE: The aim of this study was to analyze and evaluate dental antibiotic prescriptions in Albaha Region, Saudi Arabia. PATIENTS AND METHODS: A two-year retrospective cohort study was conducted between September 1, 2017 and September 1, 2019 in children and adults. Data collected from the patients' medical records were analyzed using SPSS. The Z-test with Bonferroni correction and descriptive proportions were utilized to compare several levels of categorical variables. RESULTS: Of the 43,255 dental visits, antibiotics were provided during 12,573 (29.1%). The commonly prescribed antibiotics were amoxicillin and amoxicillin combined with metronidazole (56.3% and 16.9%, respectively). Alarmingly, antibiotics were provided in several conditions for which they are medically neither recommended nor indicated; together, they represented 27.8% of those consultations in which antibiotics were prescribed. Female dentists prescribed more antibiotics than male dentists (30%, P = < 0.000), with male patients receiving more antibiotics than female patients (36%, P = <0.0001). CONCLUSION: Unnecessary prescription of antibiotics was observed in the present study. Improving knowledge and awareness of Saudi dentists on dental antibiotic prescription is warranted.

14.
Expert Rev Anti Infect Ther ; 18(1): 87-97, 2020 01.
Article in English | MEDLINE | ID: mdl-31834825

ABSTRACT

Background: Dispensing of antibiotics without a prescription (DAwP) has been widely practised among community pharmacies in Saudi Arabia despite being illegal. However, in May 2018, the law and regulations were enforced alongside fines. Consequently, we wanted to evaluate the impact of these changes.Methods: A study was conducted among 116 community pharmacies in two phases. A pre-law enforcement phase between December 2017 and March 2018 and a post-law enforcement phase one year later. Each phase consisted of a cross-sectional questionnaire-based survey and a simulated client method (SCM) approach. In the SCM, clients presented with either pharyngitis or urinary tract infections (UTI). In SCM, for each phase, all 116 pharmacies were visited with one of the scenarios.Results: Before the law enforcement, 70.7% of community pharmacists reported that DAwP was common with 96.6% and 87.7% of participating pharmacies dispensed antibiotics without a prescription for pharyngitis and UTI respectively. After the law enforcement, only 12.9% reported that DAwP is still a common practice, with only 12.1% and 5.2% dispensing antibiotics without prescriptions for pharyngitis and UTI respectively.Conclusion: law enforcement was effective. However, there is still further scope for improvement. This could include further educational activities with pharmacists, physicians and the public.


Subject(s)
Anti-Bacterial Agents/administration & dosage , Community Pharmacy Services/legislation & jurisprudence , Law Enforcement , Prescription Drugs/administration & dosage , Cross-Sectional Studies , Humans , Legislation, Pharmacy , Pharyngitis/drug therapy , Saudi Arabia , Surveys and Questionnaires , Urinary Tract Infections/drug therapy
15.
J Safety Res ; 71: 125-137, 2019 12.
Article in English | MEDLINE | ID: mdl-31862023

ABSTRACT

INTRODUCTION: Data from the Federal Railroad Administration show high numbers of incidents at the approximately 210,446 highway-railroad grade crossings across the United States. One cause for this unsettling trend is the problem of drivers stopping within the dynamic envelope zone (DEZ) of the train while in queue. This research seeks to study DEZ stopping behavior at highway-railroad grade crossings by evaluating regulatory signage and further analyze variables that may affect this behavior. METHOD: A comparative safety analysis is undertaken to evaluate the effectiveness of the standard "Do Not Stop on Tracks" (R8-8) sign by using percentage change calculations and chi-squared tests. The study then conducts a market basket analysis (MBA) to extrapolate on these results and to identify underlying factors associated with observed driver behavior using variables influenced by visibility, perception, and maneuverability. RESULTS: Rather low reductions in safety violations resulted from the R8-8 installation, including a 2.2% reduction in DEZ stopping behavior and only a slight 3.7% increase in compliance. The results of the MBA identified associations that affirmed assumptions about driver behavior, while other associations were not as direct but altogether helped broaden the understanding of interactions at grade crossings. CONCLUSIONS: This study concluded that the R8-8 had a positive but minimal effect on driver behavior at the grade crossings. The MBA successfully demonstrated its value by providing further insight on the safety analysis and by increasing the number of variables that can be analyzed simultaneously. The methodology offers the scientific community an innovative approach to analyzing driver behavior. Practical Applications: The results identified important variables for developing preventive measures, which will ultimately help reduce safety violations at grade crossings. The MBA can provide practical insight for railroad safety professionals and transportation engineers when determining problematic intersections and can be used to improve the education on grade crossing interactions.


Subject(s)
Accidents, Traffic/prevention & control , Railroads , Safety/statistics & numerical data , Louisiana
16.
Curr Oncol ; 26(5): e618-e623, 2019 10.
Article in English | MEDLINE | ID: mdl-31708655

ABSTRACT

Cancer is a genetic disease resulting from germline or somatic genetic aberrations. Rapid progress in the field of genomics in recent years is allowing for increased characterization and understanding of the various forms of the disease. The Ontario-wide Cancer Targeted Nucleic Acid Evaluation (octane) clinical trial, open at cancer centres across Ontario, aims to increase access to genomic sequencing of tumours and to facilitate the collection of clinical data related to enrolled patients and their clinical outcomes. The study is designed to assess the clinical utility of next-generation sequencing (ngs) in cancer patient care, including enhancement of treatment options available to patients. A core aim of the study is to encourage collaboration between cancer hospitals within Ontario while also increasing international collaboration in terms of sharing the newly generated data. The single-payer provincial health care system in Ontario provides a unique opportunity to develop a province-wide registry of ngs testing and a repository of genomically characterized, clinically annotated samples. It also provides an important opportunity to use province-wide real-world data to evaluate outcomes and the cost of ngs for patients with advanced cancer. The octane study is attempting to translate knowledge to help deliver precision oncology in a Canadian environment. In this article, we discuss the background to the study and its implementation, current status, and future directions.


Subject(s)
Neoplasms/genetics , Clinical Trials as Topic , Decision Making , High-Throughput Nucleotide Sequencing , Humans , Information Dissemination , International Cooperation , Liquid Biopsy , Neoplasms/diagnosis , Ontario , Precision Medicine
17.
Accid Anal Prev ; 128: 65-77, 2019 Jul.
Article in English | MEDLINE | ID: mdl-30980987

ABSTRACT

In the United States, there are approximately 212,000 highway-rail grade crossings, some of which experience vehicle-train incidents that often cause a massive financial burden, loss of life, and injury. In 2017, there were 2,108 highway-rail incidents resulting in 827 injuries and 307 fatalities nationwide. To eliminate collision risks, crossing grade separation and active alarm improvement are commonly used. Moreover, crossing closures are considered to be the most effective safety improvement program. While it may be very difficult, and in some cases impossible to close crossings, there are some incentive programs that facilitate the closure process. One of these programs is a working consolidation model that aims to determine crossing closure suitability. Using details of highway-rail grade crossings in the United States and applying an eXtreme Gradient Boosting (XGboost) algorithm, this paper proposes a data-driven consolidation model that takes into consideration a number of engineering variables. The results indicated an overall accuracy of 0.991 for the proposed model. In addition, the developed XGboost consolidation model reported the relative importance of the variables input to the model, offering an in-depth understanding of the model's behavior. Finally, for the practical implementation of the model, a simplified version containing fewer variables was developed. A sensitivity analysis was performed considering the aggregate gain and the different correlation threshold values between variables. This analysis developed a simplified model utilizing 14 variables, with aggregated gain values of 75% and a correlation threshold of 0.9 which would perform similarly to the full model. Based on this model, 62% of current highway-rail grade crossings should be closed.


Subject(s)
Accidents, Traffic/prevention & control , Railroads/statistics & numerical data , Accidents, Traffic/mortality , Algorithms , Environment Design/standards , Humans , Machine Learning , Models, Statistical , Motivation , Quality Improvement , United States
18.
Lett Appl Microbiol ; 67(2): 161-167, 2018 Aug.
Article in English | MEDLINE | ID: mdl-29729032

ABSTRACT

The phenolic content of methanol and water extracts of ginger fermented by Trichoderma spp. using solid-state fermentation (SSF) was evaluated and was compared with unfermented ginger. The total phenolic content in fermented ginger increased several times. The highest phenolic content in ginger was detected after SSF by T. viride. The optimal physiological conditions for the maximum production of phenolic compounds and ß-glucosidase activity of fermented ginger by T. viride were detected at day 7 incubation, pH 6·0, 30°C and 30% moisture. The SSF of ginger by T. viride greatly enhanced the antioxidant potency of phenolic compounds and was evaluated using DPPH and ABTS assays. A potent antibacterial activity of the phenolic compounds of fermented ginger was observed against all the tested human-pathogenic bacteria. SIGNIFICANCE AND IMPACT OF THE STUDY: This is the first report to investigate the optimal physiological conditions of solid-state fermentation (SSF) of ginger by Trichoderma viride for enhancing its phenolic content and antioxidant capacity. In addition, the phenolic compounds of fermented ginger could be potentially used as a dietary adjunct and an antibacterial agent.


Subject(s)
Anti-Bacterial Agents/analysis , Antioxidants/analysis , Fermentation/physiology , Phenols/analysis , Trichoderma/metabolism , Zingiber officinale/metabolism , Plant Extracts/chemistry
19.
Andrologia ; 2018 Jan 15.
Article in English | MEDLINE | ID: mdl-29336040

ABSTRACT

The reference values of human semen, published in the WHO's latest edition in 2010, were lower than those previously reported. The objective of this study was to evaluate reference values of standard semen parameters in fertile Egyptian men. This cross-sectional study included 240 fertile men. Men were considered fertile when their wives had recent spontaneous pregnancies with time to pregnancy (TTP) ≤12 months. The mean age of fertile men was 33.8 ± 0.5 years (range 20-55 years). The 5th percentiles (95% confidence interval) of macroscopic semen parameters were 1.5 ml for volume and 7.2 for pH. The 5th percentiles of microscopic parameters were 15 million/ml for sperm concentration, 30 million per ejaculate for total sperm count, 50% for total motility, 40% for progressive motility, 62% for vitality, 4% for normal sperm forms and 0.1 million/ml for seminal leucocyte counts. In conclusion, fertile Egyptian men had higher reference values of sperm total motility, progressive motility and vitality, and lower reference values for total sperm counts as compared to those determined by the latest edition of the WHO laboratory manual in 2010. Other semen parameters were identical to those defined by the WHO 2010 manual.

20.
Indian J Med Microbiol ; 36(4): 494-503, 2018.
Article in English | MEDLINE | ID: mdl-30880695

ABSTRACT

PURPOSE: Chronic hepatitis C has infected approximately 170 million people worldwide. The novel direct-acting antivirals have proven their clinical efficacy to treat hepatitis C infection but still very expensive and beyond the financial range of most infected patients in low income and even resource replete nations. This study was conducted to establish an in vitro stable human hepatoma 7 (Huh-7) cell culture system with consistent expression of the non-structural 5B (NS5B) protein of hepatitis C virus (HCV) 1a genotype and to explore inhibitory effects of sequence-specific short interference RNA (siRNA) targeting NS5B in stable cell clones, and against viral replication in serum-inoculated Huh-7 cells. MATERIALS AND METHODS: In vitro stable Huh-7 cells with persistent expression of NS5B protein was produced under gentamycin (G418) selection. siRNAs inhibitory effects were determined by analysing NS5B expression at mRNA and protein level through reverse transcription-polymerase chain reaction (PCR), quantitative real-time PCR, and Western blot, respectively. Statistical significance of data (NS5B gene suppression) was performed using SPSS software (version 16.0, SPSS Inc.). RESULTS: siRNAs directed against NS5B gene significantly decreased NS5B expression at mRNA and protein levels in stable Huh-7 cells, and a vivid decrease in viral replication was also exhibited in serum-infected Huh-7 cells. CONCLUSIONS: Stable Huh-7 cells persistently expressing NS5B protein should be helpful for molecular pathogenesis of HCV infection and development of anti-HCV drug screening assays. The siRNA was effective against NS5B and could be considered as an adjuvant therapy along with other promising anti-HCV regimens.


Subject(s)
Antiviral Agents/metabolism , Hepacivirus/enzymology , RNA Interference , RNA, Small Interfering/metabolism , Viral Nonstructural Proteins/antagonists & inhibitors , Cell Line , Gene Expression , Genotype , Hepacivirus/classification , Hepacivirus/genetics , Hepatocytes/drug effects , Humans , Viral Nonstructural Proteins/biosynthesis
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