Long term visual outcomes in laser treated threshold retinopathy of prematurity in Central Saudi Arabia

AbstractPurposeTo assess the long term visual outcomes and refractive status of patients who underwent diode laser for threshold retinopathy of prematurity (ROP) and to investigate the risk factors leading to poor visual outcomes.MethodsFifty-seven patients (114 eyes) with threshold ROP who underwent laser therapy were contacted for reassessment. A chart review was performed for all patients to collect data on visual acuity, retinal status and strabismus. A favorable visual outcome was defined as ⩾20/160 (Snellen acuity) for young adults (cooperative patients), and ⩾CSM for children (uncooperative patients) while unfavorable visual outcome was defined as <20/160 or <CSM. Vision in uncooperative children was graded as central, steady, maintain. Descriptive and inferential analyses were conducted. Chi2 and odds ratios were calculated whenever appropriate. A P value <0.05 was considered as statistically significant.ResultsThe mean age at reassessment was 5.2±2.5years (range, 1–10years) where 36 (63.2%) patients were males and 21 (36.8%) were females. Out Of the 114 laser treated eyes, 73 (64%) were myopic, with mean spherical equivalent (SE) of −6.69 (5.9), range (−0.25 to −21) diaopters, 8 (7%) were emmetrope, while other 33 (29%) were hyperopic with mean SE of +2.43 (3.04), range (+0.25 to +17) diaopters. Strabismus was present in 31 patients (54.4%) of whom 81% (25/31) were esotropic. Retina was found to be normal in 77.1% of the examined eyes, while the remaining eyes had either macular dragging or retinal detachment. Almost 70% of the eyes with a normal retinal examination had favorable visual outcome. Thirteen (11.4%) eyes had zone 1 retinopathy, 83 (72.8%) eyes had zone 2 retinopathy and 2 (1.8%) eyes had zone 3 retinopathy. Vitreous hemorrhage was present in 7 (6.1%) eyes prior to laser treatment. The relationship between final retinal status and visual outcome was statistically significant (P<0.0001). There was no statistically significant correlation between visual outcome and the zone of the retinopathy (P=0.448).ConclusionThe majority of patients who underwent diode laser therapy for threshold ROP had favorable anatomical and visual outcomes. However, high refractive error and strabismus may be clinically the pertinent causes of visual impairment

Complete Blood Count and Cinnamic acid activity against Cytoxan in albino mice.

The aim of study to evaluated cinnamic acid and its activity on complete blood count(RBC,WBC,HG,HCV,MCH,MCHC and Plat.)and removed the cytoxan damage which caused bone marrow failure and leukemia and other that due to linked the cytoxan in 7- nitrogen of guanine based of DNA that lead to dead cells. Two concentration from pure cinnamic acid (5.6, 2.8 mg ? mice weight) in first step to choice the perfect concentration in comparison with each negative control ,positive control of cytoxan and the comparison group represent vitamin C. The second step to understand cinnamic acid mechanism activity towards cytoxan by used pre- cytoxan and post – cytoxan in interaction with perfect concentration of cinnamic acid dose (2.8 mg ? mice weight).The analysis showed that cinnamic acid removed each kinds of anemia ,leukemia, bone marrow failure, hypoxia, cancer chemotherapy, hemolytic anemia and hormone erythropoietin from kidney failure in post-cytoxan than pre-cytoxan perfectly ,therefore, cinnamic acid has cure ability and removed cytoxan damage and can give to patient whom used cytoxan in transplanting body part surgeries to a void refused the part for 6 days after transplanting surgeries

IONS CONCENTRATION AND THEIR RATIO IN ROOTS AND SHOOTS OF TOMATO GENOTYPES ASSOCIATED WITH SALINITY TOLERANCE AT EARLY GROWTH STAGE

ABSTRACT: In order to identify the significance of Na + , Ca + , K + and Mg + concentration and ratios in plant shoots and roots as indicators for salinity tolerance, growth and biomass of seven wild, cultivated and inbred lines tomato genotypes were evaluated under stresses of saline water. The NaCl 2 was used to prepare four treatments of irrigation water salinity,2000ppm (3.12 dsm -1 ), 4000ppm (6.25 dsm -1 ), 6000ppm (9.37 dsm -1 ) and 8000ppm (12.5 dsm -1 ), while the control treatment was irrigated with tap water. The experiment was conducted in Completely Randomized design (CR) using three replications. The results indicated significant differences between tomato genotypes, irrigation water salinity levels and their interaction at all assessed growth parameters and ions concentration and their ratios in plant shoots and roots. With increasing the salinity levels, a significant reduction was observed in number of leaves/plant and plant fresh and dry weight (g) of all tested tomato genotypes

Nurses' Knowledge Concerning Early Interventions for Patients with Ventricular Tachycardia at Baghdad Teaching Hospitals

Abstract:Objectives: The study aims to assess nurses’ knowledge regarding early intervention for patient with ventricular tachycardia and finds out association with their demographic characteristics.Methodology:Descriptive design has been conducted on 50 samples of nurses. The study was carried out to identify nurses’ knowledge concerning early intervention for patients with ventricular tachycardia at Baghdad teaching hospitals.In order to obtain comprehensive data a specifically a questionnaire is constructed by the researchers according to reviewing literatures related to the topic of the study. It is consist of two parts the first part consists of socio-demographic characteristic consist of (9) items, and second Part two consists of (23) items to measures nurses knowledge concerning early intervention for patient with ventricular tachycardia.In order to determine the face validity, copies of the questionnaire was presented to panel of experts and reliability of the questionnaire was obtained through measuring internal consistency of questionnaire items which are (23 items) where result was (0.803) by Cronbach s' Coefficient alpha. A non- probability (purposive) sample of 50 nurse taken from above –mentioned hospitals. Statistical Analysis has been applied through using statistical package for social sciences (spss version 20) by utilizing descriptive and inferential analysis.Results:The overall assessment of the studied sample’s knowledge was low. There were statistically significant association between studied sample’s knowledge and marital status, age groups, and Experience years at nursing profession.Conclusion: the overall assessment of samples knowledge was lowRecommendations: the study recommends to encourage nurses to participate in sessions inside or outside the country to improve their knowledge and In addition to Place an Educational posters in the critical care units include an outline concerning early interventions or treatment for this disorder may be more beneficial for nursesKeyword: Nurses, Knowledge, Early Intervention, Patients, Ventricular Tachycardi

Management of Extremity Venous Thrombosis in Neonates and Infants: An Experience From a Resource Challenged Setting

We aimed to evaluate the outcome of different treatment modalities for extremity venous thrombosis (VT) in neonates and infants, highlighting the current debate on their best tool of management. This retrospective study took place over a 9-year period from January 2009 to December 2017. All treated patients were referred to the vascular and pediatric surgery departments from the neonatal intensive care unit. All patients underwent a thorough history-taking as well as general clinical and local examination of the affected limb. Patients were divided into 2 groups: group I included those who underwent a conservative treated with the sole administration of unfractionated heparin (UFH), whereas group II included those who were treated with UFH plus warfarin. Sixty-three patients were included in this study. They were 36 males and 27 females. Their age ranged from 3 to 302 days. Forty-one (65%) patients had VT in the upper limb, whereas the remaining 22 (35%) had lower extremity VT. The success rate of the nonsurgical treatment was accomplished in 81% of patients. The remaining 19% underwent limb severing, due to established gangrene. The Kaplan-Meier survival method revealed a highly significant increase in both mean and median survival times in those groups treated with heparin and warfarin compared to heparin-only group (P < .001). Nonoperative treatment with anticoagulation or observation (ie, wait-and-see policy) alone may be an easily applicable, effective, and a safe modality for management of VT in neonates and infants, especially in developing countries with poor or highly challenged resource settings

Angiotensin inhibition enhances drug delivery and potentiates chemotherapy by decompressing tumour blood vessels

Cancer and stromal cells actively exert physical forces (solid stress) to compress tumour blood vessels, thus reducing vascular perfusion. Tumour interstitial matrix also contributes to solid stress, with hyaluronan implicated as the primary matrix molecule responsible for vessel compression because of its swelling behaviour. Here we show, unexpectedly, that hyaluronan compresses vessels only in collagen-rich tumours, suggesting that collagen and hyaluronan together are critical targets for decompressing tumour vessels. We demonstrate that the angiotensin inhibitor losartan reduces stromal collagen and hyaluronan production, associated with decreased expression of profibrotic signals TGF-β1, CCN2 and ET-1, downstream of angiotensin-II-receptor-1 inhibition. Consequently, losartan reduces solid stress in tumours resulting in increased vascular perfusion. Through this physical mechanism, losartan improves drug and oxygen delivery to tumours, thereby potentiating chemotherapy and reducing hypoxia in breast and pancreatic cancer models. Thus, angiotensin inhibitors—inexpensive drugs with decades of safe use—could be rapidly repurposed as cancer therapeutics.National Cancer Institute (U.S.) (Grant P01-CA080124)National Cancer Institute (U.S.) (Grant R01-CA126642)National Cancer Institute (U.S.) (Grant R01-CA085140)National Cancer Institute (U.S.) (Grant R01-CA115767)National Cancer Institute (U.S.) (Grant R01-CA098706)United States. Dept. of Defense. Breast Cancer Research Program (Innovator Award W81XWH-10-1-0016)Lustgarten Foundation (Dana-Farber Cancer Institute/David H. Koch Institute for Integrative Cancer Research at MIT Bridge Project Grant

Polypharmacy among patients with hypertension attending primary healthcare centres

Introduction: Saudi Arabia has several hypertensive patients who require close attention and specialised care for their medications. Polypharmacy is one of the reasons for the failure of patient compliance with antihypertensive medications. Therefore, this study aims to gain a better perspective on polypharmacy in hypertensive patients attending primary healthcare (PHC) centres in Makkah, Saudi Arabia. Methods: This was an observational, cross-sectional, descriptive study of hypertensive patients followed up at 10 PHC centres in Makkah, Saudi Arabia, from 1 July 2019 to 30 June 2022. Frequencies and percentages were used to present categorical data, and Pearson’s χ2 test was used to measure differences. A P value less than 0.05 was considered statistically significant. Results: A total of 506 patients were included in this study. The mean age of the patients was 60 years, and more than half (69%) were females. Regarding antihypertensive medication use, 64% were on antihypertensive combination therapy, 76% on dual therapy, 21% on triple therapy, and 3% on quadruple therapy. Moreover, 21% of the hypertensive patients were exposed to polypharmacy. There was a significant relationship (P&lt;0.001) between the overall number of chronic medications used per day and the duration of hypertension. Conclusion: More clinical research is needed to identify the impact of polypharmacy on the quality of healthcare in PHC centres in general and hypertensive patients specifically in different regions of Saudi Arabia

DNA binding Test, x-ray crystal structure, spectral studies, TG-DTA, and electrochemistry of [CoX2 (dmdphphen)] (dmdphphen is 2,9-dimethyl-4,7-diphenyl-1,10-phenanthroline,x = Cl, and NCS) complexes

Two new neutral mixed-ligand cobalt(II) complexes, CoCl2(dmdphphen) 1 and Co(NCS)dmdphphen) 2, where dmdphphen is 2,9-dimethyl-4,7-diphenyl-1,10-phenanthroline, were synthesized and characterized by an elemental analysis, UV-Vis, IR, TG/DTA, cyclic voltammetry CV, and single X-ray diffraction. Complex 2 crystallized as monoclinic with a space group P21/c. Co(II) ions are located in a distorted tetrahedral environment. TG/DTA result shows that these complexes are very stable and decomposed through one-step reaction. The two complexes exhibit a quasireversible one-electron response at -550 and 580 mV versus Cp2Fe/Cp2Fe+, which has been assigned to Co(I)/Co(II) and Co(II)/Co(III) couples. Absorption spectral studies reveal that such complexes exhibit hypochromicity during their interaction with CT-DNA. © 2014 Mousa Al-Noaimi et al

Search for New Physics with Jets and Missing Transverse Momentum in pp collisions at sqrt(s) = 7 TeV

A search for new physics is presented based on an event signature of at least three jets accompanied by large missing transverse momentum, using a data sample corresponding to an integrated luminosity of 36 inverse picobarns collected in proton--proton collisions at sqrt(s)=7 TeV with the CMS detector at the LHC. No excess of events is observed above the expected standard model backgrounds, which are all estimated from the data. Exclusion limits are presented for the constrained minimal supersymmetric extension of the standard model. Cross section limits are also presented using simplified models with new particles decaying to an undetected particle and one or two jets