Effectiveness of cannabidiol (CBD) on histopathological changes and gene expression in hepatocellular carcinoma (HCC) model in male rats: the role of Hedgehog (Hh) signaling pathway.

The third most prevalent malignancy to cause mortality is hepatocellular carcinoma (HCC). The Hedgehog (Hh) signaling pathway is activated by binding to the transmembrane receptor Patched-1 (PTCH-1), which depresses the transmembrane G protein-coupled receptor Smoothened (SMO). This study was performed to examine the preventative and therapeutic effects of cannabidiol in adult rats exposed to diethyl nitrosamine (DENA)-induced HCC.A total of 50 male rats were divided into five groups of 10 rats each. Group I was the control group. Group II received intraperitoneal (IP) injections of DENA for 14 weeks. Group III included rats that received cannabidiol (CBD) orally (3-30 mg/kg) for 2 weeks and DENA injections for 14 weeks. Group IV rats received oral CBD for 2 weeks before 14 weeks of DENA injections. Group V included rats that received CBD orally for 2 weeks after their last injection of DENA. Measurements were made for alanine aminotransferase (ALT), aspartate aminotransferase (AST), gamma glutamyl transferase (GGT), superoxide dismutase (SOD), catalase (CAT), malondialdehyde (MDA), and alpha fetoprotein (AFP). Following total RNA extraction, Smo, Hhip, Ptch-1, and Gli-1 expressions were measured using quantitative real-time polymerase chain reaction (qRT-PCR). A histopathological analysis of liver tissues was performed.The liver enzymes, oxidant-antioxidant state, morphological, and molecular parameters of the adult male rat model of DENA-induced HCC showed a beneficial improvement after CBD administration. In conclusion, by focusing on the Hh signaling system, administration of CBD showed a beneficial improvement in the liver enzymes, oxidant-antioxidant status, morphological, and molecular parameters in the DENA-induced HCC in adult male rats.

Exploring technology readiness and practices of kindergarten student-teachers in Saudi Arabia: A mixed-methods study.

This study aims to explore kindergarten student teachers' readiness to integrate technology into their future classrooms and factors affect their integration. A mixed-methods, sequential explanatory design was utilized to achieve the research purposes. There were two phases. The first phase conducted a survey to assess technical and pedagogical readiness levels as well as participants' pedagogical attitude and opinion toward technology integration. The second phase conducted follow-up interviews to understand how participants intended to transfer their intentions into practice and factors affect their technology integration. The first-phase results showed that participants were ready to implement technologies while having positive attitudes toward technology integration. The second-phase results confirmed all participants were able to transfer their technical skills into professional practice. However, few were ready to practically apply their pedagogies. The results indicate three main factors, including technological resources, the school infrastructure, and the number of students in their classrooms. It is recommended to improve teacher preparation program to develop teacher technology readiness.

Green biosynthesis of silver nanoparticles by Aspergillus niger and its antiamoebic effect against Allovahlkampfia spelaea trophozoite and cyst.

BACKGROUND: Fungi represent an interesting candidate for the synthesis of nanoparticles. The biosynthesis of silver nanoparticles (AgNPs) has many industrial and biomedical indications. We aimed in this work to biologically synthesize silver nanoparticles using Aspergillus niger and to evaluate its effect against the newly identified Allovahlkampfia spelaea that causes resistant human keratitis. MATERIAL AND METHODS: Aspergillus niger (soil isolate) was treated with silver nitrate to produce silver nanoparticles. AgNPs were characterized by Ultraviolet-Visible Spectroscopy, Transmission Electron Microscopy, and Fourier Transform Infrared Spectroscopy. The effect of the synthesized nanoparticles against Allovahlkampfia spelaea growth, encystation, excystation, and toxicity in host cells was evaluated. RESULTS: AgNPs exhibited significant inhibition of Allovahlkampfia spelaea viability and growth of both trophozoites and cysts, with a reduction of amoebic cytotoxic activity in host cells. CONCLUSION: AgNPs may give a promising future to the treatment of Allovahlkampfia spelaea infections in humans.

Forgotten Right Ventricle in Pediatric Dilated Cardiomyopathy.

To evaluate the right ventricular (RV) function in relation to that of the left ventricle (LV) in patients with dilated cardiomyopathy (DCM). Echocardiographic examination was done using tissue Doppler imaging (TDI) and two-dimensional speckle tracking echocardiography (2D-STE) for 32 pediatric patients with DCM comparing them to another 32 normal matched controls. The global longitudinal strain (GLS) derived from 2D-STE was used to reflect the LV systolic function. Tricuspid annular plan systolic excursion (TAPSE) and the following RV TDI derived indexes: peak systolic velocity (S'), peak early diastolic velocity E', peak late diastolic velocity A', isovolumic acceleration (IVA) and myocardial performance index (MPI) were measured. RV had significant systolic and diastolic dysfunction; TAPSE, S' velocity, IVA, peak early diastolic velocity (E') and peak early diastolic velocity/peak late diastolic velocity (E'/A') ratio were significantly decreased while MPI was significantly prolonged compared to controls. Moreover, TAPSE, S', IVA, E', E'/A' and RV MPI were significantly correlated to LV GLS. For prediction of LV dysfunction among patients, the area under the receiver operating characteristic curve was 0.98 for RV MPI, 0.906 for RV IVA. For identifying severe LV dysfunction; RV MPI  > 0.29 had 100% sensitivity and 93.7% specificity, while the RV IVA  ≤ 3 had 84.4% sensitivity and 90.6% specificity. In pediatric patients with DCM the RV systolic and diastolic functions are affected beside the LV dysfunction. Non-conventional echocardiographic evaluation of RV function is recommended in among this cohort.

Impact of COVID-19 on the Health-Related Quality of Life of Patients during Infection and after Recovery in Saudi Arabia.

This study evaluated the impact of COVID-19 and other factors on the health-related quality of life (HRQoL) of Saudi patients during infection and after recovery using the EQ-5D-5L and EQ-VAS instruments. An observational prospective study was conducted in November 2022, during which 389 COVID-19 patients were surveyed during their visit to a medical center. Two weeks after their recovery, they were contacted again to re-evaluate their HRQoL (192 patients either refused to participate or withdrew). The mean of the EQ-5D-5L index and EQ-VAS scores significantly increased from (0.69 ± 0.29 and 63.16 ± 24.9) during infection to (0.92 ± 0.14 and 86.96 ± 15.3) after recovery. Specifically, COVID-19 patients experienced improvement of several HRQoL dimensions post recovery, such as better mobility, enhanced self-care, returning to usual activities, less pain/discomfort, and alleviated anxiety/depression. Multiple linear regression analyses showed that having a normal weight, being employed, not being anemic, and previously taking the BCG vaccine were positively associated with a greater change in the HRQoL. An interaction between being asthmatic and taking the influenza vaccine positively predicted a lower change in the HRQoL. Having a normal weight positively predicted a greater change in the perceived health state after recovery. Increasing the consumption of natural supplements (honey and curcuma) did not improve the HRQoL or the perceived health state. Based on these findings, COVID-19 mildly impacted the HRQoL of Saudis with varying effects depending on some socio-demographic/clinical characteristics of the patients.

Analyzing the Effects of Nano-Titanium Dioxide and Nano-Zinc Oxide Nanoparticles on the Mechanical and Durability Properties of Self-Cleaning Concrete.

The goal of this paper is to investigate the impact of nano-materials on the mechanical and electrochemical properties of self-cleaning concrete. Nano-titanium dioxide and nano-zinc oxide were used as additives for this purpose. Additionally, a comparative study on the effect of using these materials on the self-cleaning concrete's characteristics was conducted. The dosages of nano-titanium dioxide (nps-TiO2) and nano-zinc oxide (nps-ZnO) used were 0, 0.5, 1, 1.5, 2, and 2.5% and 0, 1, 2, and 3% of the weight of the cement, respectively. The results showed that the optimum compressive strength and the lowest corrosion rate were fulfilled at 2.5% of nps-TiO2 and 1% of nps-ZnO, and using 2.5% of nps-TiO2 achieved the highest improvement in the corrosion rate. However, 1% for nps-TiO2 mixtures and 1% for nps-ZnO mixtures were the best ratios for flexural strength. On the other hand, for the corrosion rate, the samples were tested at 2 and 6 months. When nps-TiO2 and nps-ZnO samples were compared to the control sample, 2.5% and 1% of nps-TiO2 and nps-ZnO, respectively, showed the largest improvement in resistance to corrosion. Also, the self-cleaning property of the samples containing nano-materials (nps-TiO2 and nps-ZnO) was tested. As the results illustrated, the self-cleaning property of the samples was increased over time due to photocatalytic degradation. Furthermore, the results of the photocatalytic tests showed that nps-TiO2 samples outperformed nps-ZnO samples overall.

A Novel Nutrient- and Antioxidant-Based Formulation Can Sustain Tomato Production under Full Watering and Drought Stress in Saline Soil.

As a result of the climate changes that are getting worse nowadays, drought stress (DS) is a major obstacle during crop life stages, which ultimately reduces tomato crop yields. So, there is a need to adopt modern approaches like a novel nutrient- and antioxidant-based formulation (NABF) for boosting tomato crop productivity. NABF consists of antioxidants (i.e., citric acid, salicylic acid, ascorbic acid, glutathione, and EDTA) and nutrients making it a fruitful growth stimulator against environmental stressors. As a first report, this study was scheduled to investigate the foliar application of NABF on growth and production traits, physio-biochemical attributes, water use efficiency (WUE), and nutritional, hormonal, and antioxidative status of tomato plants cultivated under full watering (100% of ETc) and DS (80 or 60% of ETc). Stressed tomato plants treated with NABF had higher DS tolerance through improved traits of photosynthetic efficiency, leaf integrity, various nutrients (i.e., copper, zinc, manganese, calcium, potassium, phosphorus, and nitrogen), and hormonal contents. These positives were a result of lower levels of oxidative stress biomarkers as a result of enhanced osmoprotectants (soluble sugars, proline, and soluble protein), and non-enzymatic and enzymatic antioxidant activities. Growth, yield, and fruit quality traits, as well as WUE, were improved. Full watering with application of 2.5 g NABF L-1 collected 121 t tomato fruits per hectare as the best treatment. Under moderate DS (80% of ETc), NABF application increased fruit yield by 10.3%, while, under severe DS (40% of ETc), the same fruit yield was obtained compared to full irrigation without NABF. Therefore, the application of 60% ETc × NABF was explored to not only give a similar yield with higher quality compared to 100% ETc without NABF as well as increase WUE.

A Survey on AI Techniques for Thoracic Diseases Diagnosis Using Medical Images.

Thoracic diseases refer to disorders that affect the lungs, heart, and other parts of the rib cage, such as pneumonia, novel coronavirus disease (COVID-19), tuberculosis, cardiomegaly, and fracture. Millions of people die every year from thoracic diseases. Therefore, early detection of these diseases is essential and can save many lives. Earlier, only highly experienced radiologists examined thoracic diseases, but recent developments in image processing and deep learning techniques are opening the door for the automated detection of these diseases. In this paper, we present a comprehensive review including: types of thoracic diseases; examination types of thoracic images; image pre-processing; models of deep learning applied to the detection of thoracic diseases (e.g., pneumonia, COVID-19, edema, fibrosis, tuberculosis, chronic obstructive pulmonary disease (COPD), and lung cancer); transfer learning background knowledge; ensemble learning; and future initiatives for improving the efficacy of deep learning models in applications that detect thoracic diseases. Through this survey paper, researchers may be able to gain an overall and systematic knowledge of deep learning applications in medical thoracic images. The review investigates a performance comparison of various models and a comparison of various datasets.

Skin colonization of Staphylococcus aureus harboring superantigen toxin genes and its correlation with serum IL-22 level in psoriasis patients.

Psoriasis is a chronic debilitating skin disease with an estimated prevalence reaching 2% of the worldwide population. Psoriatic disease is driven by the interactions among innate and adaptive immune systems with structural components of the skin. Interleukin (IL)-22 mediates keratinocyte proliferation and epidermal hyperplasia, and changes in the structure of skin flora can play a role in the secretion of IL-22. The aim of this study was to correlate serum levels of IL-22 and Staphylococcus aureus toxins with disease activity in plaque psoriasis. The study group included 50 patients with mild, moderate, and severe psoriasis. The control group comprised 20 sex- and age-matched apparently healthy volunteers. IL-22 concentration was assessed in sera of patients and the control group by using the ELISA technique. The serum levels of IL-22 in patients were higher than in the control group, but the difference was statistically insignificant (P=0.413). Serum IL-22 levels were positively correlated with the Psoriasis Area and Severity Index (PASI) score of psoriasis patients (P=0.0003). The IL-22 serum levels in patients colonized with toxigenic strains of S. aureus were significantly higher than in patients colonized with non-toxigenic strains (P= 0.028). In conclusion, IL-22 plays a role in the pathogenesis of psoriasis, and its secretion can be triggered by the toxins produced by S. aureus colonizing the skin of patients.

Cardiac repolarization abnormalities in children with familial Mediterranean fever.

BACKGROUND: Familial Mediterranean fever (FMF) is an autoinflammatory disease that can have conduction disturbances and cardiac rhythm disorders as manifestations of cardiac involvement. The aim of the study is to assess the susceptibility of children with FMF to cardiac repolarization abnormalities and therefore arrhythmia in children with FMF. METHODS: A cross sectional study conducted on 60 children had FMF and 40 age and sex matched healthy controls. Cardiac repolarization markers, cardiac dimensions and functions were assessed by electrocardiogram (ECG) and conventional echocardiography in patients and controls. RESULTS: The mean ± SD age of the patients was 10.43 ± 3.472 years, corrected QT (QTc) and the ratio of peak to end T wave (Tpe) over QTc interval (Tpe /QTc) increased significantly in FMF patients more than healthy control (p value 0.023 and 0.022 respectively). P wave dispersion (Pd) was significantly higher in FMF patients with amyloidosis (p value 0.030). No significant difference was found in cardiac dimensions and functions between the two groups. We found a statistically negative correlation between Pd and age of patients at time of study, age of disease onset and age at diagnosis. On the other hand, we found a statistically significant positive correlation between Pd with number of attacks per year and disease severity score. Furthermore, Tpe/QTc ratio correlated with FMF 50 score, QTc correlated with 24 hours proteinuria. QT, JT intervals correlated with fibrinogen. CONCLUSIONS: FMF Patients may have increased risk of arrhythmia and should be monitored on regular basis. Compliance to colchicine therapy and better disease control might play a role in decreasing this risk.