Magmatic Evolution and Rare Metal Mineralization in Mount El-Sibai Peralkaline Granites, Central Eastern Desert, Egypt: Insights from Whole-Rock Geochemistry and Mineral Chemistry Data

The Ediacaran peralkaline granites, which were emplaced during the post-collisional tectonic extensional stage, have a limited occurrence in the northern tip of the Nubian Shield. In this contribution, we present new mineralogical and geochemical data of Mount El-Sibai granites from the Central Eastern Desert of Egypt. The aim is to discuss their crystallization condition, tectonic setting, and petrogenesis as well as the magmatic evolution of their associated mineralization. Mount El-Sibai consists of alkali-feldspar granites (AFGs) as a main rock unit with scattered and small occurrences of alkali-amphibole granites (AAGs) at the periphery. The AAG contain columbite, nioboaeschynite, zircon and thorite as important rare metal-bearing minerals. Geochemically, both of AFG and AAG exhibit a highly evolved nature with a typical peralkaline composition (A/CNK = 0.82–0.97) and formed in within-plate anorogenic setting associated with crustal extension and/or rifting. They are enriched in some LILEs (Rb, K, and Th) and HFSEs (Ta, Pb, Zr, and Y), but strongly depleted in Ba, Sr, P and Ti with pronounced negative Eu anomalies (Eu/Eu* = 0.07–0.34), consistent with an A-type granite geochemical signature. The calculated TZrn (774–878 °C) temperatures indicate that the magma was significantly hot, promoting the saturation of zircon. The texture and chemistry of minerals suggest that they were crystallized directly from a granitic magma and were later subject to late- to post-magmatic fluids. Both granitic types were most likely generated through partial melting of a juvenile crustal source followed by magmatic fractionation. The lithospheric delamination is the main mechanism which causes uplifting of the asthenospheric melts and hence provides enough heat for crustal melting. The produced parent magma was subjected to prolonged fractional crystallization to produce the different types of Mount El-Sibai granites at different shallow crustal levels. During magma fractionation, the post-magmatic fluids (especially fluorine) contribute significantly to the formation of rare metal mineralization within Mount El-Sibai granites

Development of new thiazolidine-2,4-dione hybrids as aldose reductase inhibitors endowed with antihyperglycaemic activity: design, synthesis, biological investigations, and in silico insights

This research study describes the development of new small molecules based on 2,4-thiazolidinedione (2,4-TZD) and their aldose reductase (AR) inhibitory activities. The synthesis of 17 new derivatives of 2,4-TZDs hybrids was feasible by incorporating two known bioactive scaffolds, benzothiazole heterocycle, and nitro phenacyl moiety. The most active hybrid (8b) was found to inhibit AR in a non-competitive manner (0.16 µM), as confirmed by kinetic studies and molecular docking simulations. Furthermore, the in vivo experiments demonstrated that compound 8b had a significant hypoglycaemic effect in mice with hyperglycaemia induced by streptozotocin. Fifty milligrams per kilogram dose of 8b produced a marked decrease in blood glucose concentration, and a lower dose of 5 mg/kg demonstrated a noticeable antihyperglycaemic effect. These outcomes suggested that compound 8b may be used as a promising therapeutic agent for the treatment of diabetic complications

Evaluation of Combined Use of Temocillin Disk and Mastdisks Inhibitor Combination Set Against Polymerase Chain Reaction for Detection of Carbapenem-Resistant Enterobacteriaceae

AIMS: To evaluate the diagnostic performance of MDI and temocillin disk (30 μg) for detection of carbapenem-resistant Enterobacteriaceae in comparison to real-time PCR.METHODS AND RESULTS: Fifty specimens submitted to the Microbiology Laboratory of Ain Shams University Hospitals and showed resistance to carbapenem drugs through routine culture and susceptibility testing, were assessed by both temocillin disk (30 μg) and MDI set to detect carbapenem-resistant Enterobacteriaceae. Results were compared to real-time PCR for detection of carbapenemase genes blaKPC, blaNDM, blaOXA–48-like, blaVIM, and blaIMP. Our work revealed that most of the CPE isolates were Klebsiella species (62%) followed by E. coli (24%), Serratia (10%) and Citrobacter (4%). Phenotypic detection of carbapenem-resistant classes revealed OXA - 48 in 96% of isolates, followed by MBLs (82%), and KPC (34%).  All isolates were negative for AmpC.  Detection of the genes by real-time PCR showed that the predominance was for the blaOXA-48 gene (96%) then blaVIM (94%) followed by blaNDM (54%), blaKPC (46%) and finally blaIMP (40%). Evaluation of the MDI set against PCR showed sensitivity (82.1%) and specificity (70%). The temocillin disk had 97.9% sensitivity and 50% specificity.  The evaluation of Temocillin disk and MDI in combination for detection of carbapenem-resistant Enterobacteriaceae showed 99.7% sensitivity and 35% specificity.CONCLUSIONS: Adding Temocillin disk to Mastdisks ID inhibitor combination set provides a simple, easy, rapid and highly sensitive test that can be used for screening and classification of carbapenem-resistant Enterobacteriaceae. However, it still needs confirmation by molecular techniques

Spatial Prediction of Groundwater Withdrawal Potential Using Shallow, Hybrid, and Deep Learning Algorithms in the Toudgha Oasis, Southeast Morocco

peer reviewedWater availability is a key factor in territorial sustainable development. Moreover, groundwater constitutes the survival element of human life and ecosystems in arid oasis areas. Therefore, groundwater potential (GWP) identification represents a crucial step for its management and sustainable development. This study aimed to map the GWP using ten algorithms, i.e., shallow models comprising: multilayer perceptron, k-nearest neighbor, decision tree, and support vector machine algorithms; hybrid models comprising: voting, random forest, adaptive boosting, gradient boosting (GraB), and extreme gradient boosting; and the deep learning neural network. The GWP inventory map was prepared using 884 binary data, with “1” indicating a high GWP and “0” indicating an extremely low GWP. Twenty-three GWP-influencing factors have been classified into numerical data using the frequency ration method. Afterwards, they were selected based on their importance and multi-collinearity tests. The predicted GWP maps show that, on average, only 11% of the total area was predicted as a very high GWP zone and 17% and 51% were estimated as low and very low GWP zones, respectively. The performance analyses demonstrate that the applied algorithms have satisfied the validation standards for both training and validation tests with an average area under curve of 0.89 for the receiver operating characteristic. Furthermore, the models’ prioritization has selected the GraB model as the outperforming algorithm for GWP mapping. This study provides decision support tools for sustainable development in an oasis area

Landslide Susceptibility Assessment of a Part of the Western Ghats (India) Employing the AHP and F-AHP Models and Comparison with Existing Susceptibility Maps

Landslides are prevalent in the Western Ghats, and the incidences that happened in 2021 in the Koottickal area of the Kottayam district (Western Ghats) resulted in the loss of 10 lives. The objectives of this study are to assess the landslide susceptibility of the high-range local self-governments (LSGs) in the Kottayam district using the analytical hierarchy process (AHP) and fuzzy-AHP (F-AHP) models and to compare the performance of existing landslide susceptible maps. This area never witnessed any massive landslides of this dimension, which warrants the necessity of relooking into the existing landslide-susceptible models. For AHP and F-AHP modeling, ten conditioning factors were selected: slope, soil texture, land use/land cover (LULC), geomorphology, road buffer, lithology, and satellite image-derived indices such as the normalized difference road landslide index (NDRLI), the normalized difference water index (NDWI), the normalized burn ratio (NBR), and the soil-adjusted vegetation index (SAVI). The landslide-susceptible zones were categorized into three: low, moderate, and high. The validation of the maps created using the receiver operating characteristic (ROC) technique ascertained the performances of the AHP, F-AHP, and TISSA maps as excellent, with an area under the ROC curve (AUC) value above 0.80, and the NCESS map as acceptable, with an AUC value above 0.70. Though the difference is negligible, the map prepared using the TISSA model has better performance (AUC = 0.889) than the F-AHP (AUC = 0.872), AHP (AUC = 0.867), and NCESS (AUC = 0.789) models. The validation of maps employing other matrices such as accuracy, mean absolute error (MAE), and root mean square error (RMSE) also confirmed that the TISSA model (0.869, 0.226, and 0.122, respectively) has better performance, followed by the F-AHP (0.856, 0.243, and 0.147, respectively), AHP (0.855, 0.249, and 0.159, respectively), and NCESS (0.770, 0.309, and 0.177, respectively) models. The most landslide-inducing factors in this area that were identified through this study are slope, soil texture, LULC, geomorphology, and NDRLI. Koottickal, Poonjar-Thekkekara, Moonnilavu, Thalanad, and Koruthodu are the LSGs that are highly susceptible to landslides. The identification of landslide-susceptible areas using diversified techniques will aid decision-makers in identifying critical infrastructure at risk and alternate routes for emergency evacuation of people to safer terrain during an exigency

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

Track D Social Science, Human Rights and Political Science

Peer Reviewedhttps://deepblue.lib.umich.edu/bitstream/2027.42/138414/1/jia218442.pd

Elective Cancer Surgery in COVID-19-Free Surgical Pathways During the SARS-CoV-2 Pandemic: An International, Multicenter, Comparative Cohort Study.

PURPOSE: As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19-free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS: This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19-free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS: Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19-free surgical pathways. Patients who underwent surgery within COVID-19-free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19-free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score-matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19-free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION: Within available resources, dedicated COVID-19-free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks

Elective cancer surgery in COVID-19-free surgical pathways during the SARS-CoV-2 pandemic: An international, multicenter, comparative cohort study

PURPOSE As cancer surgery restarts after the first COVID-19 wave, health care providers urgently require data to determine where elective surgery is best performed. This study aimed to determine whether COVID-19–free surgical pathways were associated with lower postoperative pulmonary complication rates compared with hospitals with no defined pathway. PATIENTS AND METHODS This international, multicenter cohort study included patients who underwent elective surgery for 10 solid cancer types without preoperative suspicion of SARS-CoV-2. Participating hospitals included patients from local emergence of SARS-CoV-2 until April 19, 2020. At the time of surgery, hospitals were defined as having a COVID-19–free surgical pathway (complete segregation of the operating theater, critical care, and inpatient ward areas) or no defined pathway (incomplete or no segregation, areas shared with patients with COVID-19). The primary outcome was 30-day postoperative pulmonary complications (pneumonia, acute respiratory distress syndrome, unexpected ventilation). RESULTS Of 9,171 patients from 447 hospitals in 55 countries, 2,481 were operated on in COVID-19–free surgical pathways. Patients who underwent surgery within COVID-19–free surgical pathways were younger with fewer comorbidities than those in hospitals with no defined pathway but with similar proportions of major surgery. After adjustment, pulmonary complication rates were lower with COVID-19–free surgical pathways (2.2% v 4.9%; adjusted odds ratio [aOR], 0.62; 95% CI, 0.44 to 0.86). This was consistent in sensitivity analyses for low-risk patients (American Society of Anesthesiologists grade 1/2), propensity score–matched models, and patients with negative SARS-CoV-2 preoperative tests. The postoperative SARS-CoV-2 infection rate was also lower in COVID-19–free surgical pathways (2.1% v 3.6%; aOR, 0.53; 95% CI, 0.36 to 0.76). CONCLUSION Within available resources, dedicated COVID-19–free surgical pathways should be established to provide safe elective cancer surgery during current and before future SARS-CoV-2 outbreaks

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely