The role of intraoperative ultrasound in the assessment of hepatic deposits in intra-abdominal malignancies

Introduction/backgroundThe liver is the most common site of metastatic disease with up to 40-50% of all cancers having the potentiality for sending liver metastasis during the disease. Consequently, there has been increasing value for surgical resection of hepatic deposits of different types of cancers. The need for accurate evaluation of the extent of hepatic metastasis was established for choosing the most suitable patients for surgery and in planning the extent of hepatic resection.AimThe aim of this study was to evaluate the role of intraoperative ultrasound (IOUS) in the detection of hepatic deposits in intra-abdominal malignancies with special emphasis on its accuracy, sensitivity, and specificity.Patients and methodsThis study was carried out on 30 patients who were admitted to the Gastrointestinal Surgery Unit, Main Alexandria University Hospital, with intra-abdominal malignancies for whom elective open surgical intervention was recommended in the period from 1 September 2017 till the 31 March 2018.ResultsThis study consisted of 17 (56.7%) men and 13 (43.3%) women. Their mean age at admission was 52.77 +/- 9.12 years. Six (20%) of the included patients were found to have hepatic lesions by using IOUS including the four (13.3%) cases already detected by preoperative imaging. Two (6.67%) cases were newly discovered in the operative room by using IOUS.ConclusionThis study has proved that IOUS demonstrates superior lesion detection over the various noninvasive preoperative imaging modalities causing significant impact on change of the planned surgical strategy

Kynurenine 3-Monooxygenase gene associated with Nicotine initiation and addiction: Analysis of novel regulatory features at 5' and 3'-Regions

© 2018 Aziz, Abdel-Salam, Al-Obaide, Alobydi and Al-Humaish. Tobacco smoking is widespread behavior in Qatar and worldwide and is considered one of the major preventable causes of ill health and death. Nicotine is part of tobacco smoke that causes numerous health risks and is incredibly addictive; it binds to the α7 nicotinic acetylcholine receptor (α7nAChR) in the brain. Recent studies showed α7nAChR involvement in the initiation and addiction of smoking. Kynurenic acid (KA), a significant tryptophan metabolite, is an antagonist of α7nAChR. Inhibition of kynurenine 3-monooxygenase enzyme encoded by KMO enhances the KA levels. Modulating KMO gene expression could be a useful tactic for the treatment of tobacco initiation and dependence. Since KMO regulation is still poorly understood, we aimed to investigate the 5' and 3'-regulatory factors of KMO gene to advance our knowledge to modulate KMO gene expression. In this study, bioinformatics methods were used to identify the regulatory sequences associated with expression of KMO. The displayed differential expression of KMO mRNA in the same tissue and different tissues suggested the specific usage of the KMO multiple alternative promoters. Eleven KMO alternative promoters identified at 5'-regulatory region contain TATA-Box, lack CpG Island (CGI) and showed dinucleotide base-stacking energy values specific to transcription factor binding sites (TFBSs). The structural features of regulatory sequences can influence the transcription process and cell type-specific expression. The uncharacterized LOC105373233 locus coding for non-coding RNA (ncRNA) located on the reverse strand in a convergent manner at the 3'-side of KMO locus. The two genes likely expressed by a promoter that lacks TATA-Box harbor CGI and two TFBSs linked to the bidirectional transcription, the NRF1, and ZNF14 motifs. We identified two types of microRNA (miR) in the uncharacterized LOC105373233 ncRNA, which are like hsa-miR-5096 and hsa-miR-1285-3p and can target the miR recognition element (MRE) in the KMO mRNA. Pairwise sequence alignment identified 52 nucleotides sequence hosting MRE in the KMO 3' UTR untranslated region complementary to the ncRNA LOC105373233 sequence. We speculate that the identified miRs can modulate the KMO expression and together with alternative promoters at the 5'-regulatory region of KMO might contribute to the development of novel diagnostic and therapeutic algorithm for tobacco smoking

Classification of sedimentary and igneous rocks by laser induced breakdown spectroscopy and nanoparticle-enhanced laser induced breakdown spectroscopy combined with principal component analysis and graph theory

In this work, results are presented on the application of standard LIBS and Nanoparticle-Enhanced LIBS (NELIBS) to the classification of rocks (igneous and sedimentary). The classification of the spectra obtained with the two methods was performed using Principal Component Analysis (PCA) and Graph Theory method. The results obtained confirmed the advantages of the LIBS technique in geological applications, showing that excellent classification of the rocks analyzed (more than 99% of the spectra correctly classified) can be obtained using standard LIBS coupled to Graph Theory analysis, while NELIBS spectra, analyzed with the same technique, provide acceptable results, but with 10% of the spectra not classified. These findings are particularly interesting given the application of the LIBS technique in investigating natural samples having porous and/or rough surfaces

Antibacterial and antifungal activities of the extract and fractions of aerial parts of Heliotropium bacciferum

Background: H. bacciferum belonging to the family Boraginaceae is an important medicinal plant. The current research was carried out to investigate the medicinal properties of this plant.Methodology: The crude (methanol fraction) and n-hexane, ethyl acetate, butanol and aqueous fractions were subjected to antibacterial and antifungal activities by using standard methodology available in literature. Bacterial strains of Salmonella typhi, Escherichia coli, Pseudomonas Aeroginosa, Staphylococcus aureus, Erwinia carotovora, Klebsiella Pneumoniae, Bacillus subtilis and Bacillus atrophaeus were used for antibacterial activity.Results: All the fractions were active against different bacterial strains but n-hexane and ethyl acetate showed (Zone of inhibition ranged from 18-30 mm) highest activity. The fungal strains, Trichoderma longibrachiantum, Aspergillus flavus, Aspergillus niger, Fusarium solani and Candida albican were used for antifungal activity. Excellent inhibitory effect was observed against all fungal strains. The minimum inhibitory concentration (MIC) against various fungal strains was determined. The minimum inhibitory concentrations (MICs) of the investigated plant fractions ranged from 0.5- 2.00 mg/ml.Conclusion: The plant showed significant antibacterial and antifungal activities. All tested plant extracts exhibit activities against different fungal strains. The result against various microorganisms shows the therapeutic potential of the plant H. bacciferumKeywords: H. bacciferum, Medicinal Plant, crude fractions, Antimicrobial activities

Receiver Function Constraints on Crustal Seismic Velocities and Partial Melting beneath the Red Sea Rift and Adjacent Regions, Afar Depression

The Afar Depression is an ideal locale for the investigation of crustal processes involved in the transition from continental rifting to oceanic spreading. To provide relatively high resolution images of the crust beneath the Red Sea rift (RSR) represented by the Tendaho graben in the Afar Depression, we deployed an array of 18 broadband seismic stations in 2010 and 2011. Stacking of about 2300 receiver functions from the 18 and several nearby stations along the ~200 km long array reveals an average crustal thickness of 22 ± 4 km, ranging from ~17 km near the RSR axis to 30 km within the overlap zone between the Red Sea and Gulf of Aden rifts. The resulting anomalously high Vp/Vs ratios decrease from 2.40 in the southwest to 1.85 within the overlap zone. We utilize theoretical Vp and melt fraction relationships to obtain an overall highly reduced average crustal Vp of ~5.1 km/s. The melt percentage is about 10% beneath the RSR while the overlap zone contains minor quantities of partial melt. The observed high Vp/Vs values beneath most of the study area indicate widespread partial melting beneath the southwest half of the profile, probably as a result of gradual eastward migration of the RSR axis. Our results also suggest that the current extensional strain in the lower crust beneath the region is diffuse, while the strain field in the upper crust is localized along narrow volcanic segments. These disparate styles of deformation imply a high degree of decoupling between the upper and lower crust

Parental awareness regarding pediatric antibiotic use in Madinah, Saudi Arabia

Purpose: To determine the level of awareness of antibiotic use in children in Madinah, Saudi Arabia, and to identify factors associated with parental decisions regarding it. Methods: Using a multiple-choice-question-based questionnaire survey, 1256 forms were distributed to visitors of major shopping malls in Madinah City to obtain socio-demographic and antibiotics knowledgebased data from October 2017 to January 2018. Differences in scores between and within groups on knowledge of parents about antibiotics were determined. Results: Most participants (67 %) had good basic knowledge of antibiotics: 69 and 40 % of respondents were aware of their side effects and antibacterial resistance, respectively. Participants in high age groups (> 46 years old) have a significantly higher mean knowledge score (55.4 ± 20.1, p < 0.05) than those in younger groups. Educational status increased the mean knowledge score by approximately 60 %, with the most educated group having a mean score of 61.2 ± 16.4 (p < 0.05). Conclusion: These results reveal the importance of awareness campaigns on antibiotic use and the role of healthcare professionals in the education of patients and parents on correct use of antibiotics, as well as the significance of antibacterial resistance. Keywords: Antibiotics misuse, Pediatrics, Patient education, Antibacterial resistanc

From Profile to Surface Monitoring: SPC for Cylindrical Surfaces Via Gaussian Processes

Quality of machined products is often related to the shapes of surfaces that are constrained by geometric tolerances. In this case, statistical quality monitoring should be used to quickly detect unwanted deviations from the nominal pattern. The majority of the literature has focused on statistical profile monitoring, while there is little research on surface monitoring. This paper faces the challenging task of moving from profile to surface monitoring. To this aim, different parametric approaches and control-charting procedures are presented and compared with reference to a real case study dealing with cylindrical surfaces obtained by lathe turning. In particular, a novel method presented in this paper consists of modeling the manufactured surface via Gaussian processes models and monitoring the deviations of the actual surface from the target pattern estimated in phase I. Regardless of the specific case study in this paper, the proposed approach is general and can be extended to deal with different kinds of surfaces or profiles

Polymorphisms associated with the risk of lung cancer in a healthy Mexican Mestizo population: Application of the additive model for cancer

Lung cancer is the leading cause of cancer mortality in Mexico and worldwide. In the past decade, there has been an increase in the number of lung cancer cases in young people, which suggests an important role for genetic background in the etiology of this disease. In this study, we genetically characterized 16 polymorphisms in 12 low penetrance genes (AhR, CYP1A1, CYP2E1, EPHX1, GSTM1, GSTT1, GSTPI, XRCC1, ERCC2, MGMT, CCND1 and TP53) in 382 healthy Mexican Mestizos as the first step in elucidating the genetic structure of this population and identifying high risk individuals. All of the genotypes analyzed were in Hardy-Weinberg equilibrium, but different degrees of linkage were observed for polymorphisms in the CYP1A1 and EPHX1 genes. The genetic variability of this population was distributed in six clusters that were defined based on their genetic characteristics. The use of a polygenic model to assess the additive effect of low penetrance risk alleles identified combinations of risk genotypes that could be useful in predicting a predisposition to lung cancer. Estimation of the level of genetic susceptibility showed that the individual calculated risk value (iCRV) ranged from 1 to 16, with a higher iCRV indicating a greater genetic susceptibility to lung cancer