Laparoscopic transperitoneal ureterolithotomy for large ureteric stones

Objectives: To evaluate the efficacy and safety of laparoscopic transperitoneal ureterolithotomy for management of large proximal ureteric stones. Materials and Methods: Medical records of patients who underwent laparoscopic transperitoneal ureterolithotomy for proximal ureteral stones ≥2 cm were reviewed retrospectively. Patients′ characteristics, stone characteristics, perioperative and follow-up data were studied. Patients with stones <2 cm in size, previous transperitoneal surgical procedure, or follow-up duration <6 months were excluded from the study. Results: Twelve patients (mean age = 52.9 ± 12 years) with large upper ureteric stones (mean stone largest diameter = 39 ± 13 mm) were included. Nine patients had single stone, 2 patients had two stones, and 1 patient had large impacted stone with 2 small stones floating above. Mean operative time was 107 ± 49.5 min with mean blood loss of 60.5 ± 19.2 cc. Mean total pain score was 38.4 ± 5.5 (100 point scale) and mean time till resuming oral intake was 3.6 ± 0.5 h. Mean duration of hospital stay was 2.6 ± 1.4 days and mean duration of stenting was 7.3 ± 2 weeks. Throughout a mean duration of follow-up of 14.8 ± 7.6 months, 100% stone clearance rate was achieved with no recurrence. One patient developed a ureteric stricture treated by laser endoureterotomy and stenting for 6 weeks and responded without re-stricture formation. Conclusion: Laparoscopic transperitoneal ureterolithotomy is a safe and effective approach for selected patients with large proximal ureteric stones with reduced postoperative pain and short hospital stay, and should be considered as a treatment option for such stones

Association between Dietary Habits and Helicobacter pylori Infection among Bahraini Adults

Helicobacter pylori (H. Pylori) infection is the main bacterial cause of several gastrointestinal disorders. This study aims to estimate the prevalence of H. pylori infection in a population of Bahraini adults seeking care in gastroenterology clinics in a tertiary care hospital in the Kingdom of Bahrain and examine the association between dietary habits and other factors with H. pylori infection. The study is a hospital-based retrospective, cross-sectional analytical study that included 200 participants. H. pylori infection prevalence among the studied group was 55.5%, and it was significantly higher among participants with a high school education or less (44.1%). Among dietary habits, the mean of frequency of green tea, coffee and honey intake was significantly lower among the H. pylori infected participants compared to their non-infected counterparts. H. pylori infection was significantly higher among participants with vitamin D deficiency (63.6%) compared to participants with normal vitamin D (30%) (p = 0.001) and each unit decrease in serum vitamin D was associated with an increased risk of infection by 1.1 times (OR = 1.1; 95% CI: 1.05, 1.18; p &lt; 0.001). The study revealed that high educational levels, consumption of honey, green tea, and coffee, as well as normal serum vitamin D level, were independent protectors against H. pylori infection. Additional studies are needed to estimate the prevalence and predisposing factors of H. pylori infection in the general population

Protective Role of Mycosynthesized Bimetallic ZnO-CuO Nanoparticles as Therapeutic Nutrients to Enhance the Resistance of <i>Vicia faba</i> against <i>Fusarium</i> Wilt Disease

The exacerbation of climatic changes helped to increase the risk of plant diseases in the world. The novelty of this study lies in the manufacture of therapeutic nutrients using nanotechnology with strong effectiveness against plant disease. Based on this concept, we mycosynthesized bimetallic ZnO-CuO nanoparticles (NPs), alternatives to reduce the spread of Vicia faba Fusarium wilt disease, which is one of the world’s most imperative cultivated crops. The article’s uniqueness comes in the utilization of ZnO-CuO nanoparticles to carry out two crucial tasks: therapeutic nutrients and managing Fusarium disease. To evaluate the resistance of infected plants, disease index (DI), photosynthetic pigments, osmolytes, oxidative stress and yield parameters were assessed. NPs of ZnO, CuO, and ZnO-CuO were mycosynthesized using a biomass filtrate of Aspergillus fumigatus OQ519856. DI reached 87.5%, due to Fusarium infection, and, as a result, a severe decrease in growth characters, photosynthetic pigments, total soluble carbohydrates, and proteins as well as yield parameters was observed. Infected plants produced more of the studied metabolites and antioxidants. On the other hand, the treatment with CuO-ZnO NPs led to a great decline in the DI by 22.5% and increased the protection by 74.28%. A clear improvement in growth characters, photosynthetic pigments and a high content of carbohydrates and proteins was also observed in both healthy and infected plants as a result of CuO-ZnO NPs treatment. Remarkably, CuO-ZnO NPs significantly increased the yield parameters, i.e., pods/plant and pod weight, by 146.1% and 228.8%, respectively. It could be suggested that foliar application of NPs of ZnO, CuO, and ZnO-CuO could be commercially used as antifusarial agents and strong elicitors of induced systemic resistance

Effect of drill quality on biological damage in bone drilling

Bone drilling is a universal procedure in orthopaedics for fracture fixation, installing implants, or reconstructive surgery. Surgical drills are subjected to wear caused by their repeated use, thermal fatigue, irrigation with saline solution, and sterilization process. Wear of the cutting edges of a drill bit (worn drill) is detrimental for bone tissues and can seriously affect its performance. The aim of this study is to move closer to minimally invasive surgical procedures in bones by investigating the effect of wear of surgical drill bits on their performance. The surface quality of the drill was found to influence the bone temperature, the axial force, the torque and the extent of biological damage around the drilling region. Worn drill produced heat above the threshold level related to thermal necrosis at a depth equal to the wall thickness of an adult human bone. Statistical analysis showed that a sharp drill bit, in combination with a medium drilling speed and drilling at shallow depth, was favourable for safe drilling in bone. This study also suggests the further research on establishing a relationship between surface integrity of a surgical drill bit and irreversible damage that it can induce in delicate tissues of bone using different drill sizes as well as drilling parameters and conditions.</p