The growth performance, antioxidant and immune responses, and disease resistance of Litopenaeus vannamei fed on diets supplemented with Indian ginseng (Withania somnifera).

In the current study, white-leg shrimp (Litopenaeus vannamei) were fed on diets containing varying doses of Withania somnifera aqueous extract (WSAE) at a rate of 0 (control), 0.5, 1.0, and 2.0 g/kg feed for 56 days. After the feeding trial, shrimps in all groups were challenged with the exposure to Vibrio harveyi for ten days during which animals' mortality was observed. It is noted that the dietary WSAE linearly and quadratically stimulated shrimp's growth indices particularly at the treatment of 2.0 g/kg feed. Compared to the control group, the WSAE-fed L. vannamei had significantly higher villi length, villi width, and absorption area particularly in the treatment of 2.0 g/kg feed. Furthermore, L. vannamei fed on WSAE-enriched diets consumed more feed and exhibited higher total proteolytic activity, lipase, and α-amylase activities as compared with the control group. The dietary WSAE at escalating levels linearly and quadratically enhanced the antioxidant activity (serum superoxide dismutase (SOD), catalase (CAT), glutathione peroxidase (GPx), total antioxidant capacity, and reduced glutathione) and the immune response (total hemocyte counts, total protein, lysozyme, and phagocytic activity). Similarly, the mRNA expression levels of cMn-SOD, CAT, and GPx genes were linearly and quadratically upregulated in the hepatopancreas of L. vannamei fed on WSAE-enriched diets (especially in the 2.0 g/kg feed treatment), while their lowest levels were significantly observed in the control group. On the other hand, malondialdehyde levels were significantly decreased in WSAE-supplemented shrimp groups, and its highest levels were observed in animals fed on the control diet. After the bacterial exposure, the survival rates of L. vannamei fed on 1.0 and 2.0 g WSAE/kg feed (61.3% and 66.7%, respectively) were higher than those in the control animals. Taken together, the results obtained herein indicate that inclusion of WSAE in diets of L. vannamei effectively enhanced the growth, antioxidant biomarkers, immune response, and resistance to the V. harveyi infection, particularly at the treatment of 2.0 g/kg feed.

Ni-alginate hydrogel beads for establishing breakthrough curves of lead ions removal from aqueous solutions.

The scientific impact of this work is the protection of the environment from hazardous pollutants using a column technique. Besides its higher stability at working pH and its time persisting, Ni-alginate has a higher ability to remove lead ions compared to the other prepared beads (Sr-alginate, Co-alginate, and Ca-alginate). Also, Ni-alginate possessed a higher removal percent, 93.3%, toward Pb2+ than the other ions, taking the sorption order of Pb2+ > Sr2+ > Co2+ > Cd2+ > Zn2+. Therefore, this study focused on using Ni-alginate as a selective sorbent for lead ions. Fixed-bed column was employed for the sorption process. The results for that efficiency are presented as breakthrough curves in view of the impact of various parameters; influent flow rate (1.5, 3.0, and 5.0 mL/min), lead concentration (100, 150, and 200 mg/L), and bed depth of sorbent (3.0, 5.0, and 7.0 cm). Breakthrough modeling including Thomas and Yan models was employed. The outcomes indicated that Thomas theory is more applicable. The overall outcomes indicated that Ni-alginate is recommended for selective removal of Pb2+ from waste solutions.

The in vitro cytotoxicity, antioxidant and antibacterial potential of Satureja hortensis L. essential oil cultivated in Egypt.

This study was designed to evaluate the antioxidant, antibacterial and cytotoxicity effects of Satureja hortensis (S. hortensis) essential oil (EO). The GC-MS analysis of S. hortensis EO (SEO) has identified seven compounds, representing 96.84% of the oil. The two main constituents of the oil were; carvacrol (48.51%) and γ-terpinene (36.63%). The total phenolics and flavonoids contents of SEO were 199.1 ± 0.5 µg GAE/mg (GAE-gallic acid equivalent) and 161.5 ± 0.9 µg CE/mg (CE-catechin equivalent), respectively. SEO showed superior antioxidant potential (ABTS, 1038.66 and DPPH, 12.679 mg Trolox/g), and exhibited antibacterial activity against five food born bacterial strains, exerting the minimum inhibitory concentration (MIC) ranging from 2 to 4 mg/mL. On the other hand, using of SEO at inhibiting concentrations for pathogenic bacteria can affect the beneficial bacteria negatively. Moreover, SEO showed toxicity on normal cells (WI-38, THLE2, and phoenx-eco) and consequently, it is worthwhile for extensive toxicity studies in normal cells and animal models. As our-knowledge, this is the first study on antioxidant, antimicrobial and cytotoxicity of Egyptian S. hortensis.

Can thyroid surgery be decided based on ultrasonographic findings, irrespective of cytopathological findings? Five-year retrospective study in a district general hospital.

AIM: To evaluate whether thyroid surgery be decided based on ultrasonographic criteria of the nodule(s), irrespective of cytopathological findings. MATERIALS AND METHODS: The histopathological findings of resected thyroid lobes were retrospectively reviewed and the findings were compared with the preoperative ultrasonographic and cytopathological findings. RESULTS: The results suggest that the decision to operate on thyroid lesions based on suspicious sonographic findings was correct in a significant number of patients irrespective of the preoperative cytopathological findings. CONCLUSION: Sonographic features suspicious for malignancy should be taken seriously even if the cytopathological results are inconclusive or are suggestive of benignity.

Non-surgical treatment of massive traumatic corpus callosum hematoma after blunt head injury: A case report.

Massive hematoma of the corpus callosum caused by blunt head trauma is an extremely rare lesion. Most frequent traumatic lesions involve the corpus callosum are diffuse axonal injuries. They might be associated with small hemorrhagic foci in the hemispheric and brain stem white matter, intraventricular hemorrhages, subarachnoid hemorrhages, traumatic lesions of the septum pellucidum and fornix. Many cases of corpus callosum injury present with permanent disconnection syndrome. We present a case of a 32-year-old female suffered blunt head trauma resulted in massive corpus callosum hematoma which was managed non-surgically. The patient initially had a reduced conscious level and symptoms of disconnection syndrome, and significant recovery was observed at 6 months follow up.

Fullerene derivative as anti-HIV protease inhibitor: molecular modeling and QSAR approaches.

A Fullerene based system is modified in order to increase its solubility and enhance its ability to carry a protein-like structure. The modified structure, which is proposed to act as HIV-1 protease inhibitor, is [C60-C2H4N-(2,4- XCOCH2OH)C6H4], where the X atom is either O, S or Se. The geometry optimization, vibrational spectra and thermodynamics were performed using semiempirical quantum mechanical PM3 method in order to study the proposed compounds. Furthermore, the quantitative structure activity relationship (QSAR) properties of the compounds are calculated at the same level of theory. Results indicate a possible use of the investigated structures as HIV-1 protease inhibitors. The compounds containing oxygen is more stable as compared to the other two compounds.

A randomized controlled study to assess patients' understanding of and consenting for clinical trials using two different consent form presentations.

BACKGROUND: Informed consent is the ethical basis for clinical research. The physical appearance of the consent document may influence patients' willingness to carefully read the consent document. We therefore tested the hypothesis that presentation of consent documents in an enhanced format improves patients' attention, understanding and therefore willingness to consent for clinical research. METHODS: Patients being asked to participate in three large clinical trials were randomly assigned to enhanced or routine presentation. The enhanced document was printed on 20-pound, cream-colored bond paper and presented in a blue folio. In contrast, patients assigned to routine presentation were given an otherwise identical stapled set of photocopied pages. The primary outcome was the effect of the enhanced format on the proportion of patients consenting; the major secondary outcome was patient's understanding of the presented procedures and risks. RESULTS: A total of 189 of 251 (75%) patients approached with standard format consenting documents consented for an underlying study, whereas 164 of 248 (66%) approached with enhanced format documents consented; the adjusted odds ratio (95% confidence interval) for consenting (comparing enhanced to standard formats) was 0.64 (0.43, 0.95), P=0.03. About 90% of the patients in each group correctly identified the major study intervention and major associated risk. Neither patients' characteristics nor understanding affected the consenting rate for the presented clinical research. CONCLUSION: Consent forms in an enhanced format (i.e., printed on fine paper and presented in a folio) did not improve patients' understanding or willingness to consent to participate in clinical trials.

Comparing ethylene glycol with glycerol for cryopreservation of buffalo bull semen in egg-yolk containing extenders.

The objective of this work was to evaluate the possibility of substituting glycerol for ethylene glycol when cryopreserving buffalo semen. Semen of eight buffalo bulls was mixed, pooled, and frozen in one of these four diluents: centrifuged Tris egg yolk glycerol; centrifuged Tris egg yolk ethylene glycol; centrifuged Milk egg yolk glycerol; or centrifuged Milk egg yolk ethylene glycol. Semen quality parameters assessed after thawing were motility, survivability, livability, sperm abnormality, acrosome integrity, and plasma membrane integrity. Conception rate and pregnancy rate were calculated after insemination of 104 buffaloes by straws of different groups (26 female/extender). Improvement in livability, sperm abnormality, acrosome integrity, plasma membrane integrity, conception rate, and pregnancy rate were seen when using ethylene glycol to replace glycerol when freezing buffalo bull semen in centrifuged TRIS egg yolk 61.15 ± 0.73, 24.85 ± 0.41, 69.10 ± 0.81, 71.75 ± 0.72, 46.2%, and 46.2%, respectively, followed by centrifuged milk egg yolk extenders.

WITHDRAWN Coronary artery spasm associated with blood brain barrier disruption induced by carotid sinus stimulation.

Ahead of Print article withdrawn by publisher Blood brain barrier disruption (BBBD) is a novel technique for treating central nervous system lymphoma. This technique depends on the disruption of the tight junctions between endothelial cells (which represent the blood brain barrier) by intra-arterial injection of mannitol. The most common complications of blood brain barrier disruption are seizures and brain edema. Here, the authors present a rare complication of coronary artery spasm manifested by elevation of the ST segment and bradycardia due to carotid sinus stimulation in a 33 year-old-male during blood brain barrier disruption. To the authors' knowledge, this is the first report of a coronary artery spasm complicating blood brain barrier disruption.

Hepatitis C virus infection among paediatric patients attending University of Assiut Hospital, Egypt.

Few studies have evaluated the epidemiology and risk factors of hepatitis C virus (HCV) infection in children in Egypt. This study of 465 children attending Assiut University Hospital measured the rates of anti-HCV positivity by 3rd-generation ELISA test and of HCV-RNA positivity by PCR, with analysis of some relevant risk factors. The rate of HCV-RNA positivity among ELISA-positive cases (n = 121) was 72.2% overall: 100% in the subgroup with hepatitis, 70.8% in those with a history of multiple transfusions and 58.3% in those without hepatitis or multiple transfusions. History of blood transfusions, frequent injections, hospitalization or surgical procedures were significant risk factors for anti-HCV positivity by ELISA.

Lesional skin vascular endothelial growth factor levels correlate with clinical severity in patients with cement allergic contact dermatitis.

Allergic contact dermatitis to cement is a delayed-type hypersensitivity reaction in which cytokines interferon-gamma (IEN-y) and vascular endothelial growth factor(VEGF) may be involved in persisting erythema and oedema. VEGF and IFN-gamma levels in serum and skin lesions were measured in 32 Egyptian building workers with chronic allergic contact dermatitis due to occupational exposure to cement and 20 healthy controls. Dermatitis patients had significantly higher levels of serum and lesional skin VEGF and IFN-gamma than controls. A significant positive correlation was found between tissue VEGF and the eczema area and severity index (EASI) score in dermatitis patients (r = 0.86). VEGF and IFN-gamma may play a role in the pathogenesis of cement allergic contact dermatitis.

Cigarette smoking, hypertension and diabetes mellitus as risk factors for erectile dysfunction in upper Egypt.

Erectile dysfunction impairs the quality of life of millions of men worldwide. This study aims to determine the relationship between selected clinical risk factors and erectile dysfunction in men residing in upper Egypt. Patients were surveyed with the 5-item International Index of Erectile Function (IIEF-5) and assessed for the presence of hypertension, diabetes and smoking. Of 658 men with erectile dysfunction, 17.3% had hypertension, 21.4% had diabetes and 40.1% were smokers, whereas among 821 age-matched controls without erectile dysfunction, the corresponding figures were 2.8%, 3.7% and 28.7%. Multivariate analysis showed that hypertension (OR = 5.4), diabetes mellitus (OR = 5.4) and smoking (OR = 3.1) were significant risk factors for erectile dysfunction.

Recurrent lung collapse due to unidentified phrenic nerve injury after cardiac surgery.

Partial or complete recurrent lung collapse after cardiac surgery is one cause of failure to wean from ventilator support, and frequently leads to multiple reintubations and prolonging intensive care unit and hospital stays. A 79-year-old female underwent uneventful coronary artery bypass surgery and was extubated on the first postoperative day (POD). On POD 2, a routine portable chest X-ray (CXR) revealed complete opacification of the left hemithorax. The patient was readmitted to the Cardiovascular Intensive Care Unit (CVICU) and electively intubated, and bronchoscopy revealed a left mainstem bronchus mucous plug. The patient was extubated uneventfully the same day. A CXR on the next day revealed recurrent total collapse of the left lung, which this time was successfully treated non-invasively with intermittent CPAP mask, percussive therapy, and respiratory treatments using acetylcysteine solution. After several days, the left lung collapsed again, necessitating reintubation and repeat bronchoscopy. With Pulmonary medicine present, the patient was subsequently extubated so that bronchoscopy could be performed while the patient was breathing spontaneously. This examination revealed dynamic collapse of the left lower lobe bronchus. A sniff test was performed and revealed an immobile left hemi-diaphragm. The patient gradually became stronger, and as the airway edema subsided, she was able to be managed on the regular nursing floor with intermittent CPAP mask treatments and mucolytics. Although uncommon, one documented cause of failure to wean from mechanical ventilation is diaphragmatic dysfunction. This finding is often delayed because it requires a sniff test in an extubated patient to make the diagnosis.

Pattern and possible contributing factors to dialysis-associated arrhythmia in young patients.

We studied dialysis-associated arrhythmia in 48 uraemic patients < 35 years on chronic haemodialysis (HD) (> 3 months). Holter findings showed only minor arrhythmia; atrial in 42% of patients and ventricular in 38%. ST-segment depression > 1 mm was observed in 58% of patients; 80% had arrhythmia, and 36% experienced anginal pain. HD caused a significant increase in QTc, QTdc and Ca2+ level, while K+ level was significantly decreased. Patients who experienced arrhythmia during HD had higher left ventricular mass and left ventricular mass index, lower post-dialysis K+ level, higher QTc and QTdc both before and after HD. They were more frequently hypertensive. ST-segment depression was significantly related to ventricular arrhythmia.

Dosimetry study comparing NCS report-2 versus IAEA report TRS-398 for high energy photon beams.

In this work a dosimetry study is presented in which the results of absorbed dose data determined under reference condition according to the IAEA TRS-398 protocol and the NCS report-2 are compared. The IAEA TRS-398 protocol for absorbed dose calibration is based on ionization chamber having an absorbed dose to water calibration factor N(D,W), while the NCS-2 report for absorbed dose calibration is based on an ionization chamber having an air- kerma calibration factor N(K). This study shows that the absorbed dose calculated with the IAEA TRS-398 formalisms is higher than that calculated with the NCS Report-2 formalism within a range of 0.4 to 0.9% in a cobalt-60 beam, and from 0.2 to 1.1% for photon beams of 6, 8 and 18 MV. The chambers used are PTW 30001, 30004, and NE-2571, which have calibration factors N(K) and N(D,W) traceable to the BIPM (Bureau International des Poids et Mesures).

Characteristics of low-angle x-ray scattering from some biological samples.

Design of medical imaging devices based on the detection of low-angle coherent scattering is a subject of increasing interest. The technique is based on the differences in the distribution of photons coherently scattered from different body tissues. Coherent scattering is also useful in monitoring changes that may occur in a healthy tissue (e.g. carcinoma). In this work, low angle scattering properties of some tissues and tissue-equivalent materials are studied. Special care is given to the possibility of distinguishing between tissues of similar water content (e.g. muscle and blood). For this purpose, a Monte Carlo simulation is updated, introducing molecular form factor data, which include molecular interference effects. This program is used to simulate the angular distribution of scattered photons from two tissue-equivalent materials (lucite and water) and three biological samples (muscle, fat and blood). Simulation results agree well with previously measured angular distributions of scattered photons at 59.54 keV. Scattering from water and lucite is also measured at 8.047 keV. The effects of scattering geometry, sample thickness, incident photon energy and tissue type on the angular distribution of scattered photons are investigated. Results reveal the potential of measuring the full width at half maximum (FWHM) of the scattered photon distribution for tissue characterization. Energies up to 13 keV and sample thickness of 0.3 cm reported maximum differences between investigated samples. These conditions are expected to maximize the potential of using coherent scattering set-ups to monitor changes in biological samples even if their water contents are similar. Present results may act as a guide for the optimization of coherent scattering imaging systems.