Effect of medium type and foliar spray with concentrations of nano zinc, chelated iron and normal on the mineral content for strawberry seedlings Duch. Fragaria×ananassa

The study was conducted in a greenhouse at the department of Horticulture and Landscape Gardening, College of Agriculture, University of Anbar for the growing season 2019-2020 and 2020-2021 to study the effect type of the growth media and spraying with nano and normal zinc and iron on mineral content of Strawberry leaves. First factor (M) included three of agricultural media: (River soil and Peat moss 3:1), (River soil and 50% Coantail + 50% Alfalfa 3:1) and (River soil and poultry waste 3:1). The second factor (S) consisted of spraying with zinc and iron nano and normal with the following concentrations (0 mg L-1 spraying with distilled water, normal-Zn 50 mg L-1 , nano-Zn 10 and 20 mg L-1 , normal-Iron 150 mg L-1 , and nano-iron 20 and 40 mg L-1 ) in addition to the control treatment (distilled water) at dates (1/12, 20/12, 10/1 and 1/2).The test media culture showed a significant influence of mineral content of Strawberry leaves for both seasons except for the content of the leaves of zinc for first season. The medium (M3) has contributed to achieving the best results for leaves content of N, P, K and Fe ( for the two seasons and zinc for the second season. On the other hand, the treatments of spraying with Nano and ordinary zinc and iron showed a significant effects, while the treatments (S6 and S4) for two seasons achieved the highest values of Nitrogen, the treatments (S6 and S4) for first season and the treatment (S5) for second season achieved the highest values of Phosphor, the treatments (S2, S6, S1, S3 and S5) for first season and the treatments (S6 and S3) for second season achieved the highest values of potassium, the treatment (S3) for first season and the treatments (S3, S1 and S2) for second season achieved the highest values of Zink, while the treatments (S6 and S4) for two seasons achieved the highest values of Iron

Acute otitis externa: Consensus definition, diagnostic criteria and core outcome set development.

OBJECTIVE: Evidence for the management of acute otitis externa (AOE) is limited, with unclear diagnostic criteria and variably reported outcome measures that may not reflect key stakeholder priorities. We aimed to develop 1) a definition, 2) diagnostic criteria and 3) a core outcome set (COS) for AOE. STUDY DESIGN: COS development according to Core Outcome Measures in Effectiveness Trials (COMET) methodology and parallel consensus selection of diagnostic criteria/definition. SETTING: Stakeholders from the United Kingdom. SUBJECTS AND METHODS: Comprehensive literature review identified candidate items for the COS, definition and diagnostic criteria. Nine individuals with past AOE generated further patient-centred candidate items. Candidate items were rated for importance by patient and professional (ENT doctors, general practitioners, microbiologists, nurses, audiologists) stakeholders in a three-round online Delphi exercise. Consensus items were grouped to form the COS, diagnostic criteria, and definition. RESULTS: Candidate COS items from patients (n = 28) and literature (n = 25) were deduplicated and amalgamated to a final candidate list (n = 46). Patients emphasised quality-of-life and the impact on daily activities/work. Via the Delphi process, stakeholders agreed on 31 candidate items. The final COS covered six outcomes: pain; disease severity; impact on quality-of-life and daily activities; patient satisfaction; treatment-related outcome; and microbiology. 14 candidate diagnostic criteria were identified, 8 reaching inclusion consensus. The final definition for AOE was 'diffuse inflammation of the ear canal skin of less than 6 weeks duration'. CONCLUSION: The development and adoption of a consensus definition, diagnostic criteria and a COS will help to standardise future research in AOE, facilitating meta-analysis. Consulting former patients throughout development highlighted deficiencies in the outcomes adopted previously, in particular concerning the impact of AOE on daily life

Evaluation of Neurological Manifestations of Systemic Lupus Erythematosus

  Abstract Background: Neuropsychiatric symptoms are typical consequences in patients with systemic lupus erythematosus (SLE). There is no apparent link between the clinical parameters of SLE patients and the development of neuropsychiatric symptoms. Objectives: to determine the incidence of neurological manifestations and the risks associated with them in SLE patients. Patients and Methods: This is a case-series study comprised 65 patients who visited the rheumatology Department at Baghdad Teaching Hospital/Medical City between January 2022 and February 2023. All patients' demographic and clinical data, including age, gender, disease duration, type and duration of treatment, general signs of the disease, and neurological and psychiatric manifestations of SLE, were collected. Laboratory data comprised plasma anti-phospholipid antibodies (aPL), anti-double stranded DNA (anti-dsDNA), erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP). The cognitive dysfunction was assessed using the six-item cognitive impairment test (6CIT). Results: Out of 65 patients, 34 (52.3%) were found to have at least one neuropsychiatric SLE (NPSLE) manifestation. Headache and depression were the most common NPSLE manifestation encountered in 36 patients (55.4%) followed by psychosis (21.5%), neuropathy (16.9%) and stroke and seizure (13.5%). In multivariate analysis, each of age >35 years (OR= 2.92, 95%CI= 1.12-34.2, p= 0.10), disease duration >5 years (4.45, 95%CI=1.23-28.43, p= 0.001), anti-phospholipid Abs (OR= 4.22, 95%CI= 1.17-89.38, p= 0.036), lupus nephritis (OR= 6.34, 95%CI= 1.27- 64.98, p= 0.029) and 6CIT>3 (OR= 5.83, 95%CI= 1.55- 21.87, p= 0.009) are independent predictors for NPSLE in patients with SLE. Conclusions: Neuropsychiatric manifestations developed in more than half of the SLE cases studied within up to six-year of disease duration. Headache and depression, psychosis and neuropathy are the most common NPSLE manifestations. Older age and longer disease duration are risk factors for development of NPSLE. Clinically, anti-phospholipid antibodies, lupus nephritis and a high score of the six-item cognitive impairment test (>8) are predictors for NPSLE. Received: May, 2023 Accepted: Sept., 2023 Published: Jan., 2024

Compaction and Collapse Characteristics of Dune Sand Stabilized with Lime-Silica Fume Mix

The purpose of this research is to assess the suitability of dune sands as construction materials. Moreover, such a goal is considered beneficial in determining appropriate methods for soil stabilization or ground improvement and to assessing the suitability of dune sands as subgrade layer for carrying roads and rail foundation. Dune sand samples were collected from a region in Baiji area in Salah-Aldeen governorate, North of Iraq. A grey-colored densified silica fume (SF) and lime (L) are used. Three percentages are used for lime (3%, 6%, and 9%), and four rates are used for silica fume (3%, 6%, 9% and 12%) and the maximum percentage of silica fume is mixed with the proportions of lime. Unsoaked California Bearing Ratio (CBR) on compacted dune sands treated dune sands with L-SF by mixing and cured for one day. The increasing in CBR ranged between 443 – 707% at 2.54 mm penetration and 345 – 410% at 5.08 mm penetration.     Resumen El propósito de esta investigación es evaluar el uso de arena de dunas como materiales de construcción. Además, este objetivo permite determinar los métodos apropiados para la estabilización del suelo, el mejoramiento del terreno y la evaluación de pertinencia de la arena de dunas en capas subbase para carreteras y cimientos férreos. Se recolectaron muestras de arena de dunas en el área de Baiji, del comisionado Salah-Aldeen, al norte de Irak. Se utilizó vapor de óxido de silicio (SF, en inglés), grisáceo y densificado, y óxido de calcio (L). Se utilizaron tres porcentajes para el óxido de calcio (3 %, 6 % y 9 %), y cuatro para el óxido de silicio (3 %, 6 %,  9% y 12%) y el máximo porcentaje del óxido de silicio se mezcló con las proporciones de óxido de calcio. Se realizó en seco el Ensayo de Relación de Soporte de California (del inglés California Bearing Ratio, CBR) en arena de dunas compactada y tratada con la mezcla L-SF curada durante un día. El incremento en el ensayo CBR osciló entre 443-707 % en la penetración de 2.5 mm y 345-410 % en la penetración de 5.08 mm

Imaging of trauma in a pregnant patient.

Trauma is the number one nonobstetric cause of maternal death. This chapter presents the latest consensus from the literature on the best approach to radiographic imaging of these patients. The central issues of discussion include the rationale and protocols for screening for pregnancy in trauma setting; the effects of radiation and its risks to the fetus; obtaining informed consent; how to estimate fetal dose; and the role of ultrasound, computed tomography, and magnetic resonance imaging, including the intravenous contrast agents used for the assessment of abdominal trauma. The team approach to the management of these patients is also highlighted

Compaction and Collapse Characteristics of Dune Sand Stabilized with Lime-Silica Fume Mix

The purpose of this research is to assess the suitability of dune sands as construction materials. Moreover, such a goal is considered beneficial in determining appropriate methods for soil stabilization or ground improvement and to assessing the suitability of dune sands as subgrade layer for carrying roads and rail foundation. Dune sand samples were collected from a region in Baiji area in Salah-Aldeen governorate, North of Iraq. A grey-colored densified silica fume (SF) and lime (L) are used. Three percentages are used for lime (3%, 6%, and 9%), and four rates are used for silica fume (3%, 6%, 9% and 12%) and the maximum percentage of silica fume is mixed with the proportions of lime. Unsoaked California Bearing Ratio (CBR) on compacted dune sands treated dune sands with L-SF by mixing and cured for one day. The increasing in CBR ranged between 443 – 707% at 2.54 mm penetration and 345 – 410% at 5.08 mm penetration.   ResumenEl propósito de esta investigación es evaluar el uso de arena de dunas como materiales de construcción. Además, este objetivo permite determinar los métodos apropiados para la estabilización del suelo, el mejoramiento del terreno y la evaluación de pertinencia de la arena de dunas en capas subbase para carreteras y cimientos férreos. Se recolectaron muestras de arena de dunas en el área de Baiji, del comisionado Salah-Aldeen, al norte de Irak. Se utilizó vapor de óxido de silicio (SF, en inglés), grisáceo y densificado, y óxido de calcio (L). Se utilizaron tres porcentajes para el óxido de calcio (3 %, 6 % y 9 %), y cuatro para el óxido de silicio (3 %, 6 %,  9% y 12%) y el máximo porcentaje del óxido de silicio se mezcló con las proporciones de óxido de calcio. Se realizó en seco el Ensayo de Relación de Soporte de California (del inglés California Bearing Ratio, CBR) en arena de dunas compactada y tratada con la mezcla L-SF curada durante un día. El incremento en el ensayo CBR osciló entre 443-707 % en la penetración de 2.5 mm y 345-410 % en la penetración de 5.08 mm

Weight-bearing in ankle fractures: An audit of UK practice.

INTRODUCTION: The purpose of this national study was to audit the weight-bearing practice of orthopaedic services in the National Health Service (NHS) in the treatment of operatively and non-operatively treated ankle fractures. METHODS: A multicentre prospective two-week audit of all adult ankle fractures was conducted between July 3rd 2017 and July 17th 2017. Fractures were classified using the AO/OTA classification. Fractures fixed with syndesmosis screws or unstable fractures (>1 malleolus fractured or talar shift present) treated conservatively were excluded. No outcome data were collected. In line with NICE (The National Institute for Health and Care Excellence) criteria, "early" weight-bearing was defined as unrestricted weight-bearing on the affected leg within 3 weeks of injury or surgery and "delayed" weight-bearing as unrestricted weight-bearing permitted after 3 weeks. RESULTS: 251 collaborators from 81 NHS hospitals collected data: 531 patients were managed non-operatively and 276 operatively. The mean age was 52.6 years and 50.5 respectively. 81% of non-operatively managed patients were instructed for early weight-bearing as recommended by NICE. In contrast, only 21% of operatively managed patients were instructed for early weight-bearing. DISCUSSION: The majority of patients with uni-malleolar ankle fractures which are managed non-operatively are treated in accordance with NICE guidance. There is notable variability amongst and within NHS hospitals in the weight-bearing instructions given to patients with operatively managed ankle fractures. CONCLUSION: This study demonstrates community equipoise and suggests that the randomized study to determine the most effective strategy for postoperative weight-bearing in ankle fractures described in the NICE research recommendation is feasible