Breaking Down Cachexia: A Narrative Review on the Prevalence of Cachexia in Cancer Patients and Its Associated Risk Factors.

Cachexia is an irreversible condition that involves a significant loss of body weight, muscle mass, and adipose tissue. It is a complex condition that involves a variety of metabolic, hormonal, and immune-related factors, with the precise mechanisms not yet fully understood. In this review, the prevalence of cachexia in different types of cancer as well as the potential risk factors was evaluated from literature retrieved from databases such as ScienceDirect, PubMed and Scopus. Potential risk factors evaluated here include tumor-related factors such as location, and stage of the cancer, as well as patient-related factors such as age, gender, and comorbidities. Several findings were observed where cachexia is more prevalent in male cancer patients than females, with higher incidences of weight loss and poorer outcomes. This may be due to the different muscle compositions between gender. Additionally, cachexia is more prevalent at the later stages, which may be brought about by the late-stage diagnosis of certain cancers. The anatomical location of certain cancers such as the pancreas and stomach may play a significant factor in their high prevalence of cachexia. These are sites of the synthesis of digestive enzymes and hormones regulating appetite. Cachexia is an issue faced by cancer patients which could affect their recovery. However, it is poorly understood, which limit therapeutic options. Hence, understanding this disease from different perspectives (clinical and pre-clinical), and bridging those findings could further improve our comprehension and consequently improve therapeutic options.

Investigating the Health Implications of Whey Protein Consumption: A Narrative Review of Risks, Adverse Effects, and Associated Health Issues.

This narrative review critically examines the current research on the health implications of whey protein (WP) supplementation, with a focus on potential risks and adverse effects. WP, commonly consumed for muscle building and weight loss, has been associated with various health concerns. Our comprehensive analysis involved a thorough search of multiple databases, resulting in the inclusion of 21 preclinical and human studies that collectively offer a detailed overview of WP's health impacts. The review reveals significant findings, such as WP's potential link to liver and kidney damage, alterations in gut microbiota, increased acne incidence, impacts on bone mass, and emotional and behavioural changes. These findings underscore the complexity of WP's effects on human health, indicating both beneficial and detrimental outcomes in relation to different posologies in a variety of settings. Our study suggests caution for the protein intake in situations of hepatic and renal compromised functions, as well as in acne susceptibility, while possible beneficial effects can be achieved for the intestinal microbiota, humoral and behavioural level, and finally bone and muscle mass in elderly. We emphasizes the importance of balanced WP consumption and call for more in-depth research to understand its long-term health effects. Health professionals and individuals considering WP supplementation should be aware of these potential risks and approach its use with informed caution.

Suspected tick-borne flavivirus meningoencephalomyelitis in dogs from the UK: six cases (2021).

OBJECTIVES: Tick-borne encephalitis virus and louping ill virus are neurotropic flaviviruses transmitted by ticks. Epidemiologically, tick-borne encephalitis is endemic in Europe whereas louping ill's predominant geographical distribution is the UK. Rarely, these flaviviruses affect dogs causing neurological signs. This case series aimed to describe the clinical, clinicopathological, and imaging findings, as well as the outcomes in six dogs with meningoencephalitis and/or meningomyelitis caused by a flavivirus in the UK in 2021. MATERIALS AND METHODS: Observational retrospective case-series study. Clinical data were retrieved from medical records of dogs with positive serological or immunohistochemical results from three different institutions from spring to winter 2021. RESULTS: Six dogs were included in the study. All dogs presented an initial phase of pyrexia and/or lethargy followed by progressive signs of spinal cord and/or intracranial disease. Magnetic resonance imaging showed bilateral and symmetrical lesions affecting the grey matter of the thalamus, pons, medulla oblongata, and thoracic or lumbar intumescences with none or mild parenchymal and meningeal contrast enhancement. Serology for tick-borne encephalitis virus was positive in five dogs with the presence of seroconversion in two dogs. The viral distinction between flaviviruses was not achieved. One dog with negative serology presented positive immunohistochemistry at post-mortem examination. Three dogs survived but presented neurological sequelae. Three dogs were euthanased due to the rapid progression of the clinical signs or static neurological signs. CLINICAL SIGNIFICANCE: These cases raise awareness of the presence of tick-borne encephalitis as an emergent disease or the increased prevalence of louping ill virus affecting dogs in the UK.

Sustainable Strategies for Increasing Legume Consumption: Culinary and Educational Approaches.

Legumes are nutrient-dense crops with health-promoting benefits. However, several barriers are associated with their consumption. Emerging issues including food neophobic tendencies or taboos, unclear dietary guidelines on legume consumption, health concerns, and socio-economic reasons, as well as long cooking procedures, adversely affect legume consumption frequency. Pre-treatment methods, including soaking, sprouting, and pulse electric field technology, are effective in reducing the alpha-oligosaccharides and other anti-nutritional factors, eventually lowering cooking time for legumes. Extrusion technology used for innovative development of legume-enriched products, including snacks, breakfast cereals and puffs, baking and pasta, represents a strategic way to promote legume consumption. Culinary skills such as legume salads, legume sprouts, stews, soups, hummus, and the development of homemade cake recipes using legume flour could represent effective ways to promote legume consumption. This review aims to highlight the nutritional and health effects associated with legume consumption, and strategies to improve their digestibility and nutritional profile. Additionally, proper educational and culinary approaches aimed to improve legumes intake are discussed.

Prevalence and Impact of Fatigue on Quality of Life (QOL) of Cancer Patients Undergoing Chemotherapy: A Systematic Review and Meta-Analysis.

BACKGROUND: Fatigue is a typical consequence of cancer that can affect one's quality of life (QOL). The goal of this review is to provide comprehensive data on the impact of fatigue on QOL of cancer patients. METHODS: An electronic data search in Web of Science, SCOPUS, and PubMed for relevant papers; those written in English; those reporting quantitative data; and those including more than one hundred patients who received just chemotherapy were included. Studies involving participants that received other kinds of anti-neoplastic therapies were excluded. RESULTS: A total of 35 papers published between January 2000 and December 2021 were retrieved from the search databases of which (11612 patients) met the inclusion criteria. Findings showed that fatigue negatively affected QOL with a pooled prevalence of 49% (95% CI; 25.00-74.00) and the significant heterogeneity between articles was (I²=98%, P <0.001). Further, breast cancer contributed to the majority of selected articles with about 55 % (95%CI; 9:00- 94:00), followed by cancer (unspecified) 44% (95%CI; 5:00 - 92:00). Most studies (71%) (95%CI; 4:00 - 99:00) used the brief fatigue inventory (BFI) tool to assess severity of fatigue and 39% (95%CI; 17:00 -68:00) employed the European Organisation for the Research and Treatment of Cancer Quality of Life Questionnaire to evaluate QOL among cancer survivors. CONCLUSION: The prevalence of fatigue in cancer patients is high and fatigue has a negative impact on QOL of cancer patients receiving chemotherapy. Directionality, fatigue needs to be addressed and treated properly for better improvement of health status and QOL in cancer patients.

Factors Associated with Knowledge and Attitude towards E-Cigarettes among Undergraduate Students in Thailand: A Cross-Sectional Study.

BACKGROUND: Thailand government has enacted a ban on vaping for eight years, but the number of vapers has continued to increase, particularly among teenagers. This study aimed to evaluate undergraduate pharmacy students' knowledge and attitudes toward e-cigarette use in Thailand. METHOD: This descriptive cross-sectional study was performed between January and March 2022. The participants were selected from 14 universities of Thailand. For data collection, a questionnaire was developed online using Google Form. The participants had to complete the questionnaire within 5 to 10 days the via s. Chi-square and binary logistic analysis were used to assess the association between variables. RESULTS: A total of 507 participants were recruited, The participants' mean age was 20.6 ± 1.9 years. About 98.6% of the participants knew about e-cigarette, and 74.4% had never been taught about e-cigarettes. Moreover, 68.8% of the participants declared that people around them were smokers. Logistic regression analysis indicated that the participants who declared that they were not sure if e-cigarettes contains nicotine or not were 10.5 more likely to consume e-cigarettes (AOR = 10.5; 95 % CI 3.130-35.181; P ˂0.001). Male participants who were at the academic year of three and four were more likely to use e-cigarettes than female students who were at the academic year of five and six (AOR 2.9; 95 % CI 1.599-5.214; P ˂0.001; AOR = 4.5; 95 % CI 1.412-14.571; P ˂0.001; AOR = 3.9; 95 % CI 1.263-12.511; p = 0.018). CONCLUSION: OOur study findings showed that pharmacy students lacked knowledge about e-cigarettes and misunderstood about e-cigarettes substances. Future research is necessary to develop educational programs for health professionals to be ready to advise patients about e-cigarettes.

Anatomo-topographic and histo-cytological study of dromedary's spleen in Algeria.

BACKGROUND: Twenty-five spleens of adult, healthy dromedary of the local breed from the region of El Oued, Algeria, were collected at the slaughterhouse in order to carry out research to determine the macroscopic and microscopic structure of spleen in this species, macroscopic study revealed that the spleen has a rectangular shape with a triangular section, rounded edges, a little bit striated, its surface is smooth in which the aspect of the capsule and the parietal surface is shiny and smooth, the morphometric study was carried out after classifying the sampled spleen in five groups according to the animal's body weight which increases with age. MATERIALS AND METHODS: Our study revealed that the groups show a different value of mass which declines towards a drop of the index, also the indexes of length and width are following a decreasing order. RESULTS: The histological study revealed that the zone occupied by stroma did not exceed 26.81% of the total components of the capsule which is composed essentially of connective tissue and an inner layer of smooth muscle cells. Vascular and avascular trabeculae extend from the capsule. The immunohistochemistry study made it possible to visualise T lymphocytes of the splenic parenchyma using monoclonal antibodies where a statistical study was carried out to determine the composition of the various compartments of this organ. The localisation of immunocompetent cells in the splenic parenchyma has been elucidated with antibodies specific for T lymphocytes. CONCLUSIONS: The red pulp occupied a maximum area of the spleen with an average of 68.1% composed of sinusoids venous, the cords extend between the sinuses and the interlobular zone contain many cells: macrophages, plasma cells, red blood cells, white blood cells and platelets.

The impact of tumor-infiltrating lymphocytes on tumor features and pathological characteristics in breast cancer patients: the role of cytotoxic T lymphocytes and regulatory T cells.

OBJECTIVE: Though tumor-infiltrating lymphocytes (TILs) have a predictive impact in cancer patients, their association with presentation and prognosis in breast cancer is less consistent. This study aimed to assess the level of infiltrating cytotoxic T lymphocytes (CTLs) and regulatory T lymphocytes (Tregs) and their association with the clinicopathological features of breast cancer. PATIENTS AND METHODS: Tissue samples from female patients (n=153) diagnosed with primary invasive breast cancer were stained with CD8 (a CTL marker) and Foxp3 (a Treg marker) using immunohistochemistry. RESULTS: CTLs were distributed between tumor bed and stroma whereas Treg cells were mainly located in the stroma. The level of intratumoral CTLs correlated positively with Tregs in both tumor and stroma (rho=0.312, p<0.001 and rho=0.176, p=0.031; respectively). Stromal CTLs correlated positively with stromal Tregs (rho=0.319, p=0.005). Tumor size correlated inversely with the number of Treg cells in the tumor bed (rho= - 0.179, p=0.028). Tregs were associated with lymphovascular invasion status in the tumor bed (p=0.042). The ratio of intratumoral CTLs to Tregs was associated with estrogen receptor positivity and luminal subtype (p=0.029 and p=0.045, respectively). The median number of CTLs was significantly lower in patients using aspirin or antihypertensive medications compared to nonusers (p=0.024 and p=0.03, respectively). CONCLUSIONS: TILs were distributed differently in tumor tissues of breast cancer patients. CTLs infiltrates were found in both tumor bed and stroma while Tregs were dominant in the stroma. TILs were also distinctly associated with tumor features. The impact of TILs on prognosis and treatment outcomes in Jordanian breast cancer patients needs further investigation.

Investigation of factors affecting COVID-19 vaccine acceptance among communities of universities in the United Arab Emirates.

The COVID-19 pandemic affected the lives of people living across the world and the development of vaccines against SARS-CoV-2 is considered to be one of the most promising solutions to contain the COVID-19 pandemic. In several countries, we are witnessing hesitancy toward COVID-19 vaccines, which is a complex phenomenon influenced by a variety of factors. A cross-sectional study was performed to comprehensively investigate the impact of factors like demography, COVID-19 pandemic-induced behavior, and vaccine attitude on COVID-19 vaccine acceptance (VA) among communities of five different universities in the United Arab Emirates (UAE). To investigate the effect of demography and COVID-19 pandemic-induced behavioral factors, Analysis of Variance was perfomed. The effect of COVID-19 vaccine attitudes on COVID-19 VA was examined through partial least squares-structural equations modeling. The results of the study showed no difference among the population in accepting COVID-19 vaccines due to their demographic factors. The effect of pandemic-induced behavioral factors on COVID-19 VA suggested that the people of UAE accepted COVID-19 vaccines irrespective of the movement and travel restrictions imposed due to the pandemic. The results on the effect of vaccine attitudes on COVID-19 VA showed that vaccine benefit attitudes, safety concerns, and trust in health-care professionals (TrHP) were found to be significant factors in VA. Furthermore, TrHP was found to reduce the negative effect of safety concerns related to COVID-19 VA. The findings broadly highlight that COVID-19 VA in the UAE was not hampered by demographic factors and the pandemic-induced behavioral constraints. The study also showed that people with co-morbidities had lower level of COVID-19 VA than people with no co-morbidities. To improve COVID-19 VA, the perceived benefits with COVID-19 vaccine and TrHP must be enhanced and simultaneously safety concerns of the vaccines need to be addressed.

Prevalence and Associated Factors of Anemia among Breast Cancer Patients Undergoing Chemotherapy: A Prospective Study.

Purpose: The purpose of this study was to ascertain the prevalence and factors associated with anemia (hemoglobin [Hb] 12 g/dL) in breast cancer patients undergoing chemotherapy. Materials and Methods: We conducted a prospective longitudinal study to collect demographic and clinical data on adult breast cancer patients with or without anemia who were admitted to HKL, UMMC, and NCI. The incidence of anemia was determined by detecting whether or not anemia developed during the course of chemotherapy. Mild, moderate, or severe anemia was defined. A chi-squared and logistic regression model were used to assess the effect of demographic and clinical factors on the incidence of anemia and multiple logistic regression analysis was used to evaluate the associations of potential risk factors with the presence of CRA. Results: The study enrolled a total of 292 breast cancer patients. Anemia occurred at a rate of 41.1% (n = 120). Our findings indicated that clinical factors such as the number of chemotherapy regimens, dose reduction, and type of chemotherapy, for example, docetaxel, as well as demographic covariates such as age and BMI, all contribute to the incidence of anemia in cancer patients. Conclusions: According to this study, the prevalence of anemia in breast cancer patients is high. Patients' age, BMI, number of chemotherapy regimens, and docetaxel were risk factors; thus, protocols are needed to identify subgroups of breast cancer likely to benefit from novel management strategies.

Association Between Osteoporosis and Refracture Rate Among Patients With Hip Fractures at King Abdulaziz Medical City, Saudi Arabia.

Background Hip fracture is a major medical and surgical topic and is a significant cause of morbidity and mortality. Older women, especially those with osteoporosis, are at an increased risk for hip fractures. Multiple studies have shown the effect of osteoporosis on the refracture rate among the elderly population. Therefore, selecting a targeted population for screening and treating osteoporosis has an essential role in decreasing the hip fracture rate. This study aimed to determine the association between osteoporosis treatment and refracture rate among patients with hip fractures at King Abdulaziz Medical City, Jeddah, Saudi Arabia. Methods Collected data included patient demographics (men: ≥55 years old; women: ≥50 years old), the used osteoporosis investigation method, osteoporosis treatment history, presence of comorbidities, and refracture as a primary outcome. The refracture rate among patients with hip fracture was calculated and used to determine the association between hip refracture and osteoporosis. Results Our study included a total of 292 patients who presented to our hospital due to hip fractures. The patients were divided into two groups, the osteoporotic and non-osteoporotic groups. These groups were then compared. There was no statistical significance between osteoporosis and hip refracture (p = 0.721), and there was no association between the treatment of osteoporosis and hip refracture (p = 0.493). Statistical difference was found between patients who had undergone dual-energy X-ray absorptiometry scan and were not treated for osteoporosis (p = 0.00). Lastly, the mortality of the refracture group was 10%, while it was 11% in the no-refracture group (p = 1.00). Conclusion Morbidity and mortality rates are higher among patients with hip fractures. Our study showed that there was no association between hip refracture rate and osteoporosis whether the patient is treated for osteoporosis or not. We recommend a systematic review that can include more studies in this field to acquire more definitive results regarding this topic.

Changes in the Invasion Rate of Prosopis juliflora and Its Impact on Depletion of Groundwater in the Northern Part of the United Arab Emirates.

Prosopis species were introduced to the United Arab Emirates (UAE) region for desert greening. However, the species now pose a great threat to the native plant diversity. This study used high-resolution satellite imagery (1990-2019) to understand the history and current distribution of Prosopis species and their impact on fresh groundwater. The results show that the Prosopis invasion in the study area reached its maximum expansion rate in 2019 and covered an area of about 16 km2 compared to 0.2 km2 in 1990. The areas near Sharjah Airport, Umm Fannan, and Al Talla, located at a lower elevation of the sand dune area, are heavily invaded. Prosopis groundwater requirement derived using evapotranspiration shows that groundwater consumption has changed drastically after 2010 and consumed about 22.22 million m3 of groundwater in 2019, which is about a 7372% increase in groundwater consumption from the year 1990 to 2019. The results can be useful for setting up a management plan for the sustainable use of this species in the UAE region in particular and other similar countries in the arid land regions that are suffering from freshwater depletion because of Prosopis invasion.

Utilization of the UAE date palm leaf biochar in carbon dioxide capture and sequestration processes.

This paper evaluates the potential use of date palm leaf biochar as a climate change solution through CO2 capture and sequestration. The pyrolysis of date palm leaf was performed at different temperatures 300°, 400°, 500°, and 600 °C. The physicochemical characteristics of the synthesized biochar were examined using Scanning Electron Microscopy (SEM) with Energy Dispersive X-Ray Analysis (EDX), Fourier transforms infrared spectroscopy (FTIR), Thermogravimetric analysis (TGA), and X-ray diffraction analysis (XRD). Direct gas-solid interaction was carried out in an integrated Fluidized Bed Reactor (FBR), connected with a gas analyzer for maximum and effective mixing between the biochar and CO2. LabView program was used as data acquisition for an instantaneous calculation of CO2 adsorption. This study showed that the date palm biochar as porous carbon-based materials has high CO2 adsorption capacity through physisorption and chemisorption progressions. The adsorption results showed a maximum CO2 capture percentage of 0.09 kg CO2/kg, 0.15 kg CO2/kg, 0.20 kg CO2/kg, and 0.25 kg CO2/kg palm biochar synthesized at 300 °C, 400 °C, 500 °C, and 600 °C, respectively. This paper paid attention to the inexpensive technology applied in CO2 sequestration, where fluidization provides well mixing of biochar particles with low operation cost.

Contamination Assessment of Heavy Metals in Agricultural Soil, in the Liwa Area (UAE).

The Liwa area is a primary food production area in the United Arab Emirates (UAE) and has intensively been used for agriculture. This study investigates the pollution levels with heavy metals in agricultural soils from the Liwa area. Thirty-two soil samples were analyzed for Mn, Zn, Cr, Ni, Cu, Pb, Cd, Co, and As. Results revealed that heavy metal levels varied in the ranges 220.02-311.21, 42.39-66.92, 43.43-71.55, 32.86-52.12, 10.29-21.70, 2.83-8.84, 0.46-0.69, 0.03-0.37 mg/kg for Mn, Zn, Cr, Ni, Cu, Pb, Cd, Co, and As, respectively. All samples presented low As concentrations with an average of 0.01 mg/kg. The variations in bulk metal contents in the soil samples were related to multiple sources, including agrochemicals, atmospheric dust containing heavy metals, and traffic-related metals. Enrichment factor analysis indicates that Cd, Ni, Zn, and Cr were highly enriched in soils, and they could originate from non-crustal sources. Based on the geo-accumulation index (Igeo), the soil samples appeared uncontaminated with Mn, Cr, Zn, Pb, Co, As, Cu, uncontaminated to moderately contaminated with Ni and moderately contaminated with Cd. The contamination factors suggest low contamination, except for Ni, which showed moderate contamination. The average pollution load index (PLI) revealed unpolluted to low pollution of all soil samples. The ecological risk assessment (PERI) showed that all heavy metals posed a low risk, except for Cd which exhibited a high ecological risk.

Integrated structural and functional analysis of the protective effects of kinetin against oxidative stress in mammalian cellular systems.

Metabolism and signaling of cytokinins was first established in plants, followed by cytokinin discoveries in all kingdoms of life. However, understanding of their role in mammalian cells is still scarce. Kinetin is a cytokinin that mitigates the effects of oxidative stress in mammalian cells. The effective concentrations of exogenously applied kinetin in invoking various cellular responses are not well standardized. Likewise, the metabolism of kinetin and its cellular targets within the mammalian cells are still not well studied. Applying vitality tests as well as comet assays under normal and hyper-oxidative states, our analysis suggests that kinetin concentrations of 500 nM and above cause cytotoxicity as well as genotoxicity in various cell types. However, concentrations below 100 nM do not cause any toxicity, rather in this range kinetin counteracts oxidative burst and cytotoxicity. We focus here on these effects. To get insights into the cellular targets of kinetin mediating these pro-survival functions and protective effects we applied structural and computational approaches on two previously testified targets for these effects. Our analysis deciphers vital residues in adenine phosphoribosyltransferase (APRT) and adenosine receptor (A2A-R) that facilitate the binding of kinetin to these two important human cellular proteins. We finally discuss how the therapeutic potential of kinetin against oxidative stress helps in various pathophysiological conditions.

Integrated Framework of the Immune-Defense Transcriptional Signatures in the Arabidopsis Shoot Apical Meristem.

The growing tips of plants grow sterile; therefore, disease-free plants can be generated from them. How plants safeguard growing apices from pathogen infection is still a mystery. The shoot apical meristem (SAM) is one of the three stem cells niches that give rise to the above ground plant organs. This is very well explored; however, how signaling networks orchestrate immune responses against pathogen infections in the SAM remains unclear. To reconstruct a transcriptional framework of the differentially expressed genes (DEGs) pertaining to various SAM cellular populations, we acquired large-scale transcriptome datasets from the public repository Gene Expression Omnibus (GEO). We identify here distinct sets of genes for various SAM cellular populations that are enriched in immune functions, such as immune defense, pathogen infection, biotic stress, and response to salicylic acid and jasmonic acid and their biosynthetic pathways in the SAM. We further linked those immune genes to their respective proteins and identify interactions among them by mapping a transcriptome-guided SAM-interactome. Furthermore, we compared stem-cells regulated transcriptome with innate immune responses in plants showing transcriptional separation among their DEGs in Arabidopsis. Besides unleashing a repertoire of immune-related genes in the SAM, our analysis provides a SAM-interactome that will help the community in designing functional experiments to study the specific defense dynamics of the SAM-cellular populations. Moreover, our study promotes the essence of large-scale omics data re-analysis, allowing a fresh look at the SAM-cellular transcriptome repurposing data-sets for new questions.

Baseline marine investigation and impact of fish farming on the marine environment in Jebel Ali, Dubai, United Arab Emirates.

Scattered seashells were observed on the seabed with no marine corals. The baseline studies indicate that biodiversity decreased from the northeast to southwest direction. The dominant groups of phytoplankton were diatoms followed by dinoflagellates, with insignificant vertical variations in species composition and population due to shallow water. The benthic diversity over the majority of the study area was relatively low compared with other nearshore areas in the region. All subtidal habitats showed evidence of disturbance to varying degrees, with no fish species recorded at these locations. The soft sediment habitat was found to cover much of the area footprint, and faunal diversity was very low. Fish diversity and abundance were equally poor with only a few demersal species recorded. No evidence of coral colonization was recorded although the presence of a low-profile, encrusting species was recorded in close proximity, to the east of the study area. Mangrove, coral, and seagrass were absent in the study area and its immediate vicinity. Modelling of waste plume suggested that the harbor water is fairly well-mixed, and the dispersion of ammonia attenuates with distance.

Determinants of health-related quality of life among warfarin patients in Pakistan.

INTRODUCTION: The effect of anticoagulation control on overall Health-Related Quality of Life (HRQoL) in patients taking warfarin in Pakistan has not been explored yet. Therefore, this study aimed to evaluate HRQoL among warfarin patients in Pakistan. METHODS: This cross-sectional study was conducted among patients on warfarin in Pakistan. By purposive sampling, data were collected using demographic data collection form and the World Health Organization Quality of Life: Brief Version (WHOQOL-BREF). The WHOQOL-BREF is comprised of four domains; physical, psychological, social relationships, and environment. Descriptive and inferential statistical analysis was done using SPSS version 22. RESULTS: Out of 295 warfarin patients, more females than males (<0.001) were observed (n = 184, 62.4%, and n = 111, 37.6% respectively). One hundred and eighteen (40.0%) patients were less than 30-years of age, whereas one hundred and seventy-seven (60.0%) patients were above 30-years of age. Mean scores for the physical (62.44±15.36), psychological (67.84±15.54), social (64.27±26.28) and environment domains (63.45±17.66) were observed. CONCLUSION: Patients had overall lower to moderate but satisfactory HRQoL scores in all four domains. Age, gender, employment status, education level, the indication of use and duration of warfarin therapy was associated with one or more domains of HRQoL among warfarin patients. The findings of this study would serve as a primary database for future studies. This study highlights how non-clinical factors could impact HRQoL in studied patients.

Accurate automatic detection of acute lymphatic leukemia using a refined simple classification.

An improved classification technique is presented to identify automatically the acute lymphatic leukemia (ALL) subtypes. An adaptive segmentation procedure is performed on peripheral blood smear images to extract the main features (10 geometric features) from the segmented images of white blood cell (WBC), nucleus, and cytoplasm. To show the importance of the different extracted features for the diagnostic accuracy, a comprehensive study is made on all the possible permutation cases of the features using powerful classifiers which are K-nearest neighbor (KNN) at different metric functions, support vector machine (SVM) with different kernels, and artificial neural network (ANN). This procedure enables us to construct a feature map depending only on least number of features which lead to the highest diagnostic accuracy. It is found that the features map regarding the vacuoles in the cytoplasm and the regularity of the nucleus membrane gives the highest accurate results. The automatic classification for ALL subtypes based only on these two effective features is assessed using the receiver operating characteristic (ROC) curve and F1 -score measures. It is confirmed that the present technique is highly accurate, and saves the effort and time of training.

Molecular Modeling of the Interaction Between Stem Cell Peptide and Immune Receptor in Plants.

Molecular docking enables comprehensive exploration of interactions between chemical moieties and proteins. Modeling and docking approaches are useful to determine the three-dimensional (3D) structure of experimentally uncrystallized proteins and subsequently their interactions with various inhibitors and activators or peptides. Here, we describe a protocol for carrying out molecular modeling and docking of stem cell peptide CLV3p on plant innate immune receptor FLS2.