Sex Differences in Recognition of Face Expressions

الملخص: القدرة على قراءة تعابير الوجه من المهارات الأساسية في التفاعل الإنساني. اهتمت الدراسة الحالية بدراسة تأثير نوع المفحوص: ذكرا أم أنثى على التعرف على تعابير الوجه الانفعالية المختلفة. 125 مشارك أكمل أداء مهمة التعرف على الوجوه أون لاين. من خلال تصميم تجريبي تم من خلاله عرض صور لوجوه تُظهر انفعالات مختلفة وعلى المشارك اكمال التجربة من خلال تحديد الانفعال الصحيح المناسب لصورة الوجه المعروض. أظهرت النتائج في المجمل أن الذكور كانوا أسرع من الأناث في التعرف على الوجوه بالانفعالات المختلفة، ولكن ذلك لم يمتد إلى درجة الدقة في التعرف على هذه الانفعالات، كما لم تظهر النتائج أية تفاعلات محتملة بين جنس المشارك ونوع الجنس المعروض في الصورة. نوقشت هذه النتائج في ضوء الأدبيات المتاحة، كما نوقشت بعض جوانب القصور في الدراسة الحالية لأخذها بعين الاعتبار في الدراسات اللاحقة ذات الصلة.Abstract: Emotional facial expressions are a crucial non-verbal communication skill for humans’ interactions. The current study assessed the impact of sex on emotional face recognition. A total of 125 individuals per-formed an online emotional face recognition task. The stimuli were created recutting male and female Saudi volunteers. Results showed that, except of the male participants having faster responses compared to females in general, no main significant differences between the sex group in accuracy nor any significant interaction between participant sex and the sex of the faces. Our findings suggests that the effect of sex on emotional face recognition needs further investigation with well calibrated stimuli. Limitations and the direction of future research in this area were discussed

Location of the Sphenoid Sinus Ostium in Relation to Adjacent Anatomical Landmarks

Purpose: The variability of sphenoid pneumatization and its relationship with the surrounding structures has been suggested. The aim of this study was to examine the effect of the surrounding bony structures on the position of the sphenoid ostium (SO). Methods: A prospective radiological review of computed tomography images of paranasal sinuses of 150 patients (300 sides) was conducted. Parameters investigated included the presence of Onodi cells, sphenoid rostrum pneumatization, and the type of sphenoid pneumatization on the coronal and sagittal planes. Their effect was studied on the vertical and horizontal plane using lines of measurement 1 through 5. Results: The most common location of the SO on the horizontal plane was found to be in the middle third and was significantly affected by the rostrum pneumatization ( P value <.001) and sphenoid pneumatization on the coronal plane ( P value = .018). The location of the SO on the vertical plane was most commonly in the middle third. It was significantly affected by Onodi cell pneumatization ( P value = .021) as well as the sphenoid height ( P value <.001). Conclusions: Pneumatization of the sphenoid sinus and adjacent bony structures can affect the location of the SO. Presence of rostrum pneumatization and lateral sphenoid pneumatization shift the SO laterally. Presence of Onodi cell and low sphenoid roof shift the SO inferiorly. These variations need to be studied carefully before surgery in order to avoid operative complications

Predicting breast cancer recurrence using principal component analysis as feature extraction: an unbiased comparative analysis

Breast cancer recurrence is among the most noteworthy fears faced by women. Nevertheless, with modern innovations in data mining technology, early recurrence prediction can help relieve these fears. Although medical information is typically complicated, and simplifying searches to the most relevant input is challenging, new sophisticated data mining techniques promise accurate predictions from high-dimensional data. In this study, the performances of three established data mining algorithms: Naïve Bayes (NB), k-nearest neighbor (KNN), and fast decision tree (REPTree), adopting the feature extraction algorithm, principal component analysis (PCA), for predicting breast cancer recurrence were contrasted. The comparison was conducted between models built in the absence and presence of PCA. The results showed that KNN produced better prediction without PCA (F-measure = 72.1%), whereas the other two techniques: NB and REPTree, improved when used with PCA (F-measure = 76.1% and 72.8%, respectively). This study can benefit the healthcare industry in assisting physicians in predicting breast cancer recurrence precisely

Knowledge and Practice Assessment among Dental Practitioners in Southern Region About Diagnosis and Treatment of Dental Caries – A Cross-Sectional Study

Aim and Background: Dental caries and periodontal diseases represent critical public health concerns in contemporary times. The proficiency and approach of dental practitioners in diagnosing and treating dental caries can greatly influence the efficacy of management or treatment outcomes. Thus, this study aimed to evaluate the knowledge and practice level of dental practitioners in Southern, Saudi Arabia, on the adoption of diagnostic and treatment methodologies for managing dental caries. Methodology: a descriptive questionnaire-based cross-sectional study involved 398 dental practitioners affiliated with the Department of Restorative Dentistry across four distinct universities. The questionnaire focused on assessing participants\u27 knowledge and practices concerning dental caries. Subsequently, the collected data underwent statistical analysis employing appropriate software. Results: The findings revealed that while clinical experience did not notably impact the knowledge and practices of the participants, the educational level of the practitioners exhibited a significant correlation with both their knowledge and practices (P=004 and 0.001 respectively). Conclusion: In conclusion, enhancing knowledge could be achieved by integrating systematic protocols for caries detection and management into the dental curriculum. Moreover, future emphasis should be placed on the didactic teaching of ICDAS and ICCMS to further augment proficiency in this domain

Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication

In vitro anti-inflammatory and acetylcholinesterase inhibition efficiency of plant extracts from Sinai-Egypt

635-641Ten plant extracts were prepared and tested in in vitro assays against COX-2, COX-1 and acetylcholinesterase with evaluation of their antioxidant properties. The tested extracts exhibited varied anti COX-2 effect and they were superior to celecoxibe (inhibition percentage was 42.67% at 50 µg/mL), reference drug. Lavandula coronopifolia and Scrophularia Libanotica extracts were the efficient inhibitors (100% and 91% at 50 µg/mL respectively). Launaeaspinosa and Pulicaria undulata were the powerful AChE inhibitor (IC50 values were 16.69 and 29.06 µg/mL, respectively) followed with L. coronopifolia and S.libanotica extracts (IC50 values were 61.89 and 49.83 µg/mL, respectively) and they were efficient in scavenging superoxide radicals and metal ions, nitric oxide formation inhibition, as well as, lipid peroxide production suppression. L. coronopifolia and S. Libanotica extracts can be introduced as natural cyclooxygenase-2 inhibitors without affecting cyclooxygenase-1 whereas L. spinosa and P. undulata extracts were potent suppressor for AChE with robust antioxidant properties which suggest the possibility of using the four extracts, L. coronopifolia, S. libanotica, L. spinosa and P. undulata as natural agent in treating neurodegenerative disorder

In vitro anti-inflammatory and acetylcholinesterase inhibition efficiency of plant extracts from Sinai-Egypt

Ten plant extracts were prepared and tested in in vitro assays against COX-2, COX-1 and acetylcholinesterase with evaluation of their antioxidant properties. The tested extracts exhibited varied anti COX-2 effect and they were superior to celecoxibe (inhibition percentage was 42.67% at 50 µg/mL), reference drug. Lavandula coronopifolia and Scrophularia Libanotica extracts were the efficient inhibitors (100% and 91% at 50 µg/mL respectively). Launaeaspinosa and Pulicaria undulata were the powerful AChE inhibitor (IC50 values were 16.69 and 29.06 µg/mL, respectively) followed with L. coronopifolia and S.libanotica extracts (IC50 values were 61.89 and 49.83 µg/mL, respectively) and they were efficient in scavenging superoxide radicals and metal ions, nitric oxide formation inhibition, as well as, lipid peroxide production suppression. L. coronopifolia and S. Libanotica extracts can be introduced as natural cyclooxygenase-2 inhibitors without affecting cyclooxygenase-1 whereas L. spinosa and P. undulata extracts were potent suppressor for AChE with robust antioxidant properties which suggest the possibility of using the four extracts, L. coronopifolia, S. libanotica, L. spinosa and P. undulata as natural agent in treating neurodegenerative disorder

Evaluation of inhaled nitric oxide (iNO) treatment for moderate-to-severe ARDS in critically ill patients with COVID-19: A multicenter cohort study

Background: Inhaled nitric oxide (iNO) is used as rescue therapy in patients with refractory hypoxemia due to severe COVID-19 acute respiratory distress syndrome (ARDS) despite the recommendation against the use of this treatment. To date, the effect of iNO on the clinical outcomes of critically ill COVID-19 patients with moderate-to-severe ARDS remains arguable. Therefore, this study aimed to evaluate the use of iNO in critically ill COVID-19 patients with moderate-to-severe ARDS. Methods: This multicenter, retrospective cohort study included critically ill adult patients with confirmed COVID-19 treated from March 01, 2020, until July 31, 2021. Eligible patients with moderate-to-severe ARDS were subsequently categorized into two groups based on inhaled nitric oxide (iNO) use throughout their ICU stay. The primary endpoint was the improvement in oxygenation parameters 24 h after iNO use. Other outcomes were considered secondary. Propensity score matching (1:2) was used based on the predefined criteria. Results: A total of 1598 patients were screened, and 815 were included based on the eligibility criteria. Among them, 210 patients were matched based on predefined criteria. Oxygenation parameters (PaO2, FiO2 requirement, P/F ratio, oxygenation index) were significantly improved 24 h after iNO administration within a median of six days of ICU admission. However, the risk of 30-day and in-hospital mortality were found to be similar between the two groups (HR: 1.18; 95% CI: 0.77, 1.82; p = 0.45 and HR: 1.40; 95% CI: 0.94, 2.11; p= 0.10, respectively). On the other hand, ventilator-free days (VFDs) were significantly fewer, and ICU and hospital LOS were significantly longer in the iNO group. In addition, patients who received iNO had higher odds of acute kidney injury (AKI) (OR (95% CI): 2.35 (1.30, 4.26), p value = 0.005) and hospital/ventilator-acquired pneumonia (OR (95% CI): 3.2 (1.76, 5.83), p value = 0.001). Conclusion: In critically ill COVID-19 patients with moderate-to-severe ARDS, iNO rescue therapy is associated with improved oxygenation parameters but no mortality benefits. Moreover, iNO use is associated with higher odds of AKI, pneumonia, longer LOS, and fewer VFDs

Left Main Coronary Artery Revascularization in Patients with Impaired Renal Function: Percutaneous Coronary Intervention versus Coronary Artery Bypass Grafting

Introduction: The evidence about the optimal revascularization strategy in patients with left main coronary artery (LMCA) disease and impaired renal function is limited. Thus, we aimed to compare the outcomes of LMCA disease revascularization (percutaneous coronary intervention [PCI] vs. coronary artery bypass grafting [CABG]) in patients with and without impaired renal function. Methods: This retrospective cohort study included 2,138 patients recruited from 14 centers between 2015 and 2,019. We compared patients with impaired renal function who had PCI (n= 316) to those who had CABG (n = 121) and compared patients with normal renal function who had PCI (n = 906) to those who had CABG (n = 795). The study outcomes were in-hospital and follow-up major adverse cardiovascular and cerebrovascular events (MACCE). Results: Multivariable logistic regression analysis showed that the risk of in-hospital MACCE was significantly higher in CABG compared to PCI in patients with impaired renal function (odds ratio [OR]: 8.13 [95% CI: 4.19–15.76], p &lt; 0.001) and normal renal function (OR: 2.59 [95% CI: 1.79–3.73]; p &lt; 0.001). There were no differences in follow-up MACCE between CABG and PCI in patients with impaired renal function (HR: 1.14 [95% CI: 0.71–1.81], p = 0.585) and normal renal function (HR: 1.12 [0.90–1.39], p = 0.312). Conclusions: PCI could have an advantage over CABG in revascularization of LMCA disease in patients with impaired renal function regarding in-hospital MACCE. The follow-up MACCE was comparable between PCI and CABG in patients with impaired and normal renal function