Design, synthesis, in vitro antiproliferative effect and in situ molecular docking studies of a series of new benzoquinoline derivatives

Quinoline derivatives have been reported to possess multi-therapeutic potential owing to the manifestations of different pharmacological effects. The current research work describes about the design and synthesis of a series of novel benzoquinoline analogues with an objective to evaluate their antiproliferative structure–activity relationship against colon, breast and hepatocellular cancers. Upon synthesis, all derivatives’ chemical structures were elucidated through FTIR, 1 HNMR and 13CNMR spectroscopic analysis. All derivatives were investigated for their in vitro anti-proliferative property against three different cancer cell lines (viz., colon carcinoma HT29, Caucasian breast adenocarcinoma MCF7, hepatocellular carcinoma HepG2) and a normal non-transformed human foreskin fibroblast Hs27 cell line. All derivatives demonstrated varied degrees of strong anticancer effect against all of the cell lines with the 2-Amino-4-(4-nitrophenyl)-5,6-dihydrobenzo[h]quinoline-3-carbonitrile (CNMP, 2) exhibited the most potent antiproliferative effect viz. LC50 21.23 lM for breast, 8.24 lM for colon, and 26.15 lM for the hepatocellular, respectively. Molecular docking studies against all the the target crystal structures of cancer proteins (1HK7, 3EQM, 3IG7 and 4FM9) revealed significant binding affinities via hydrophobic and H-bonding interactions with all the compounds in conformity with the wet lab results. CNMP showed the highest binding energy of �7.55 in the HT29, �6.9 (both in MCF7 HepG2) kcal/mol. Based on the results obtained from wet lab and dry lab experiments, it can be proposed that CNMP might prove to be a potential lead structure for the design and synthesis of more potent anticancer candidates

Validation and adaptation of the hospital consumer assessment of healthcare providers and systems in Arabic context: Evidence from Saudi Arabia

One of the main purposes of healthcare organizations is to serve patients by providing safe and high-quality patient-centered care. Patients are considered the most appropriate source to assess the quality level of healthcare services. The objectives of this paper were to describe the translation and adaptation process of the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey for Arabic speaking populations, examine the degree of equivalence between the original English version and the Arabic translated version, and estimate and report the validity and reliability of the translated Arabic HCAHPS version.The translation process had four main steps: (1) qualified bilingual translators translated the HCAHPS from English to Arabic; (2) the Arabic version was translated back to English and reviewed by experts to ensure content accuracy (content equivalence); (3) both Arabic and English versions were verified for accuracy and validity of the translation, checking for the similarities and differences (semantic equivalence); (4) finally, two independent bilinguals reviewed and made the final revision of both the Arabic and English versions separately and agreed on one final version that is similar and equivalent to the original English version in terms of content and meaning.The study findings showed that the overall Cronbach’s α for the Arabic HCAHPS version was 0.90, showing good internal consistency across the 9 separate domains, which ranged from 0.70 to 0.97 Cronbach’s α. The correlation coefficient between each statement for each separate domain revealed a highly positive significant correlation ranging from 0.72 to 0.89.The results of the study show empirical evidence of validity and reliability of HCAHPS in its Arabic version. Moreover, the Arabic version of HCAHPS in our study presented good internal consistency and it is highly recommended to be replicated and applied in the context of other Arab countries. Keywords: HCAHPS psychometrics, Reliability, Validity, Patient experience, Arabic language, Saudi Arabi

Improving the care of sepsis: Between system redesign and professional responsibility: A roundtable discussion in the world sepsis day, September 25, 2013, Riyadh, Saudi Arabia

This paper summarizes the roundtable discussion in September 25, 2013, Riyadh, Saudi Arabia as part of the World Sepsis Day held in King Abdulaziz Medical City, Riyadh. The objectives of the roundtable discussion were to (1) review the chasm between the current management of sepsis and best practice, (2) discuss system redesign and role of the microsystem in sepsis management, (3) emphasize the multidisciplinary nature of the care of sepsis and that improvement of the care of sepsis is the responsibility of all, (4) discuss the bundle concept in sepsis management, and (5) reflect on the individual responsibility of the health care team toward sepsis with a focus on accountability and the moral agent

Building capacity for quality and safety in critical care: A roundtable discussion from the second international patient safety conference in April 9-11, 2013, Riyadh, Saudi Arabia

This paper summarizes the roundtable discussion from the Second International Patient Safety Conference held in April 9-11, 2013, Riyadh, Saudi Arabia. The objectives of the roundtable discussion were to: (1) review the conceptual framework for building capacity in quality and safety in critical care. (2) examine examples of leading international experiences in building capacity. (3) review the experience in Saudi Arabia in this area. (4) discuss the role of building capacity in simulation for patient safety in critical care and (5) review the experience in building capacity in an ongoing improvement project for severe sepsis and septic shock

Modeling and Experimental Investigation of U-R Relationship of AA6061-T6 Tubes Manufactured via Free Bending Forming Process

Forming tubes with various bending radii without changing the bending dies is much easier for the 3D free bending forming (FBF) process. In the 3D-FBF process, different bending radii were realized by adapting the eccentricities of the bending dies. The accuracy of the U-R curve is crucial for the precision forming of complex bending components. In this study, the U-R relation curve of the Al alloy tube with a specific friction coefficient, fixed geometry size, clearance between tubes, and bending die was fitted first based on the forming results of AA6061-T6 tubes under different eccentricities. Second, the U-R relationship curve based on the experiment is used to propose the U-R relationship’s mathematical formula based on many hypotheses. Finally, the modified U-R mathematical formula was applied in the finite element (FE) simulation and the actual FBF experiments for the AA6061-T6 Al alloy complex shape space bending members. The U-R relationship curve’s reliability was verified by comparing the simulation and experimental results. The results obtained from the modified U-R relationship align well with the FE modeling results and can be directly applied to the bending process for the intended components

Cladding of Carbon Steel with Stainless Steel Using Friction Stir Welding: Effect of Process Parameters on Microstructure and Mechanical Properties

The aim of this study is to investigate friction stir welding (FSW) to join A304 austenitic stainless steel and low carbon steel A283 Gr. C in-lap configuration to clad the carbon steel with highly corrosion-resistant stainless steel. Thus, a wide range of FSW parameters were investigated such as FSW tool rotation rate from 200 to 400 rpm, tool traverse speed from 25 to 75 mm/min, and vertical forces of 20 to 32 KN. The FSW parameters combination of high welding rotation rate (400 rpm) and high vertical forces (32 KN) results in rejected joints in terms of surface appearance and clear surface defects. On the other hand, rotation rates of 200 and 300 rpm with different welding speeds and vertical forces resulted in some sound joints that were further investigated for microstructure and mechanical properties. The sound lap joints were examined via optical microstructure, SEM, and EDS investigations. For the mechanical properties, both tensile shear testing and hardness testing were used. The transverse macrographs showed intermixing between the two dissimilar materials with an almost irregular interface. The hardness profile in both materials showed a significant increase across the different regions from the Base Material (BM) to the nugget zone, with a maximum value of 260 Hv in the stainless steel and 245 Hv in the carbon steel. This increase is mainly attributed to the grain refining in the weld region due to the dynamic recrystallization and transformations upon the thermomechanical cycle. The tensile shear load of the joints varied from 20 to 27 KN for the FSWed joints, with the highest joint tensile shear load of 27 KN for that produced at 300 rpm tool rotation and 25 mm/min welding speed

Application of biochar derived from rice straw for the removal of Th(IV) from aqueous solution

<p>Biochar is increasingly used as a low-cost and effective adsorbent for heavy metals in wastewater. Herein, biochar pyrolyzed from rice straw was employed as an adsorbent for the removal of Th(IV) from aqueous solutions. The sorption of Th(IV) on biochar was strongly dependent on pH, but independent on ionic strength at pH < 6.4. The inner-sphere complexation dominated the sorption mechanism of Th(IV) on biochar. The competition for Th(IV) between aqueous or surface-adsorbed cations/anions and functional groups of biochar was pivotal for Th(IV) sorption. The thermodynamic data suggested that Th(IV) sorption was a spontaneous and endothermic process.</p