Saudi SCD patients’ symptoms and quality of life relative to the number of ED visits

Background Individuals living with sickle cell disease (SCD) have significantly increased emergency department (ED) use compared to the general population. In Saudi Arabia, health care is free for all individuals and therefore has no bearing on increased ED visits. However, little is known about the relationship between quality of life (QoL) and frequency of acute care utilization in this patient population. Methods A cross-sectional study was conducted on 366 patients with SCD who attended the outpatient department at King Fahad Hospital, Hofuf, Saudi Arabia. Data were collected through self-administered surveys, which included: demographics, SCD-related ED visits, clinical issues, and QoL levels. We assessed the ED use by asking for the number of SCD-related ED visits within a 6-month period. Results The self-report survey of ED visits was completed by 308 SCD patients. The median number of SCD-related ED visits within a 6-month time period (IQR) was four (2-7 visits). According to the unadjusted negative binomial model, the rate of SCD-related ED visits increased by (46, 39.3, 40, and 53.5 %) for patients with fever, skin redness with itching, swelling, and blood transfusion, respectively. Poor QoL tends to increase the rate of SCD-related ED visits. Well education and poor general health positively influenced the rate of SCD-related ED visits. Well education tends to increase the rate of SCD-related ED visits by 50.2 %. The rate of SCD-related ED visits decreased by 1.4 % for every point increase in general health. Conclusion Saudi patients with sickle cell disease reported a wide range of SCD-related ED visits. It was estimated that six of 10 SCD patients had at least three ED visits within a 6-month period. Well education and poor general health resulted in an increase in the rate of SCD-related ED visits

Endovascular coiling versus surgical clipping in the treatment of ruptured anterior communicating artery aneurysm in Cairo University Hospitals

AbstractIntroductionAneurysmal Subarachnoid Hemorrhage (SAH) remains a devastating and often fatal form of stroke. The aneurysm is targeted for obliteration to prevent re-bleeding and to manage the possible complications from the event. Endovascular coiling has emerged as a less invasive alternative to conventional surgical clipping to treat aneurysms.Patients and methodsThis study was done prospectively in the Cairo University (Kasr El-Eini) hospitals to evaluate the outcome of both modalities used in the treatment of ruptured anterior communicating artery (Acom) aneurysm. 30 patients with Hunt and Hess grade I, II or III. were classified into two groups of microsurgical clipping (Endoscopic assistance used in five cases) and endovascular coiling.ResultsMortality rate was higher in the clipping group (26.7%) compared to the coiling group while recurrence rate was high in the coiling group (26.7%). Complications including hydrocephalus, hemiparesis and failed procedures occurred in (6.7%).ConclusionWe concluded that coiling is better for treating cases of ruptured Acom aneurysms being less invasive and achieving a favorable outcome compared to surgery. While Endoscope-Assisted Microsurgical Clipping (EAM) gives better control during clipping provided that a well-trained, competent and experienced neurosurgeon is available

New Precision Limit on the Strange Vector Form Factors of the Proton

The parity-violating cross-section asymmetry in the elastic scattering of polarized electrons from unpolarized protons has been measured at a four-momentum transfer squared Q(2) = 0.624 GeV2 and beam energy E-b = 3.48 GeV to be A(PV) = -23.80 +/- 0.78(stat) +/- 0.36(syst) parts per million. This result is consistent with zero contribution of strange quarks to the combination of electric and magnetic form factors G(E)(s) + 0.517G(M)(s) = 0.003 +/- 0.010(stat) +/- 0.004(syst) +/- 0.009(ff), where the third error is due to the limits of precision on the electromagnetic form factors and radiative corrections. With this measurement, the world data on strange contributions to nucleon form factors are seen to be consistent with zero and not more than a few percent of the proton form factors

Comparison of CDMS [100] and [111] oriented germanium detectors

The Cryogenic Dark Matter Search (CDMS) utilizes large mass, 3" diameter $\times$ 1" thick target masses as particle detectors. The target is instrumented with both phonon and ionization sensors and comparison of energy in each channel provides event-by-event classification of electron and nuclear recoils. Fiducial volume is determined by the ability to obtain good phonon and ionization signal at a particular location. Due to electronic band structure in germanium, electron mass is described by an anisotropic tensor with heavy mass aligned along the symmetry axis defined by the [111] Miller index (L valley), resulting in large lateral component to the transport. The spatial distribution of electrons varies significantly for detectors which have their longitudinal axis orientations described by either the [100] or [111] Miller indices. Electric fields with large fringing component at high detector radius also affect the spatial distribution of electrons and holes. Both effects are studied in a 3 dimensional Monte Carlo and the impact on fiducial volume is discussed.Comment: Low Temperature Detector 14 conference proceedings to be published in the Journal of Low Temperature Physic

Screening Surface Contamination with BetaCage

Existing screening facilities are insufficiently sensitive to meet the needs of rare‐event experiments for low‐energy electron emitters and alpha‐decaying isotopes. To provide such screening, the BetaCage will be a low‐background, atmospheric‐pressure neon drift chamber with unprecedented sensitivity to emitters of low‐energy electrons and alpha particles. Minimization of the detector mass and use of radiopure materials reduce background events. The chamber design accepts nearly all alphas and low‐energy electrons from the sample surface while allowing excellent rejection of residual backgrounds. A non‐radiopure prototype is under construction to test the design. The BetaCage will provide new infrastructure for rare‐event science as well as for a wider community that uses radioactive screening for areas including archaeology, biology, climatology, environmental science, geology, planetary science, and integrated‐circuit quality control

Measurement of Parity-Violating Asymmetry in Electron-Deuteron Inelastic Scattering

The parity-violating asymmetries between a longitudinally polarized electron beam and an unpolarized deuterium target have been measured recently. The measurement covered two kinematic points in the deep-inelastic scattering region and five in the nucleon resonance region. We provide here details of the experimental setup, data analysis, and results on all asymmetry measurements including parity-violating electron asymmetries and those of inclusive pion production and beam-normal asymmetries. The parity-violating deep-inelastic asymmetries were used to extract the electron-quark weak effective couplings, and the resonance asymmetries provided the first evidence for quark-hadron duality in electroweak observables. These electron asymmetries and their interpretation were published earlier, but are presented here in more detail

First genome sequences of buffalo coronavirus from water buffaloes in Bangladesh

AbstractWe report the complete genome sequences of a buffalo coronavirus (BufCoV HKU26) detected from the faecal samples of two domestic water buffaloes (Bubalus bubalis) in Bangladesh. They possessed 98–99% nucleotide identities to bovine coronavirus (BCoV) genomes, supporting BufCoV HKU26 as a member of Betacoronavirus 1. Nevertheless, BufCoV HKU26 possessed distinct accessory proteins between spike and envelope compared to BCoV. Sugar-binding residues in the N-terminal domain of S protein in BCoV are conserved in BufCoV HKU26