Seroprevalence of antibodies to SARS-CoV-2 among blood donors in the early month of the pandemic in Saudi Arabia

Background: Serologic testing provides better understanding of SARS-CoV-2 prevalence and its transmission. This study was an investigation of the prevalence of antibodies to SARS-CoV-2 among blood donors in Saudi Arabia. Objective: To estimate the seroprevalence of anti-SARS-CoV-2 antibodies among blood donors in Saudi Arabia during the early phase of the COVID-19 pandemic. Methods: Serology results and epidemiological data were analyzed for 837 adult blood donors, with no confirmed SARS-CoV-2 infection, in Saudi Arabia from 20th to 25th May 2020. Seroprevalence was determined using electrochemical immunoassay to detect anti-SARS-CoV-2 antibodies. Results: The overall seroprevalence of anti-SARS-CoV-2 antibodies was 1.4% (12/837). Non-citizens had higher seroprevalence compared with citizens (OR 13.6, p = 0.001). Secondary education was significantly associated with higher seroprevalence compared with higher education (OR 6.8, p = 0.005). The data showed that the highest seroprevalence was in Makkah (8.1%). Uisng Makkah seroprevalence as the reference, the seroprevalence in other areas was: Madinah 4.1% (OR 0.48, 95% CI 0.12-1.94), Jeddah 2.3% (OR 0.27, 95% CI 0.31-2.25), and Qassim 2.9 % (OR 0.34, 95% CI 0.04-2.89) and these were not statistically different from seroprevalence in the Makkah region. Conclusions: At the early months of the COVID-19 pandemic in Saudi Arabia, the seroprevalence of antibodies to SARS-CoV-2 among blood donors was low, but was higher among non-citizens. These findings may indicate that non-citizens and less educated individuals may be less attentive to preventive measures. Monitoring seroprevalence trends over time require repeated sampling

Physicians’ Practices in Diabetic Nephropathy in Primary Healthcare Centers in Jazan City, Saudi Arabia, 2023

Background and Objectives: Diabetes is one of the most common diseases dealt with by physicians in primary healthcare centers (PHCs). The disease is associated with macrovascular and microvascular complications, especially in those with long disease duration and uncontrolled diabetic nephropathy, which is one of the most common microvascular complications among diabetic patients. This investigation assessed the practices of physicians working at PHCs in terms of diabetic nephropathy screening, management, and referral. Materials and Methods: This study is a cross-sectional investigation targeting physicians working at PHCs in the Jazan region of Saudi Arabia between March and August of 2023. Data were collected via a self-administered questionnaire, which was distributed via online platforms. The questionnaire included sections measuring physicians’ demographic data and associated factors regarding training, the availability of resources, and practices in diabetic nephropathy, including screening, management, and referral. Chi-squared tests were used to assess associations between the practices of physicians and the measured demographics. Result: A total of 234 physicians participated in the investigation. The median age of the participants was 35 years. The adherence level of practice toward diabetic nephropathy according to American Diabetes Association (ADA) guidelines ranged from 40 points (the highest adherence level of participants) to 19 points (the lowest adherence level of participants), with a median of 33 points. Higher adherence levels were noted among physicians in Saudi Arabia, physicians with higher education levels, physicians specializing as family physicians or diabetologists, physicians who reported attending online and on-site training at diabetic centers, physicians who reported continuous access to urine and serum creatinine tests, and physicians who reported continuous access to the American Diabetes Association guidelines (p Conclusions: There are several factors associated with the level of adherence in diabetic nephropathy practice, such as physicians’ education level, specialty, training, and access to guidelines. The findings suggest the need for more training for PHC physicians in the care of patients affected by or at risk of diabetic nephropathy

A decade of experience in prescribing hydroxychloroquine and azithromycin: A retrospective analysis of medication queries in a Saudi drug and poison information center

Purpose: To analyze drug information queries related to treatment with hydroxychloroquine (HCQ), chloroquine (CQ), and azithromycin submitted to a local drug and poison information center in Riyadh, Saudi Arabia. Methods: This retrospective study explored HCQ-, CQ-, and azithromycin-related inquiries submitted to the Drug and Poison Information Center at the Security Forces Hospital Program, Riyadh, Saudi Arabia. These inquiries were analyzed quantitatively and qualitatively. The quantitative analysis included the frequency of each request per year, the profession of the requesters, and the source material classification. A thematic analysis was also performed to categorize requests from healthcare professionals. Results: The Drug and Poison Information Center received 10,685 usable inquiries between 2005 and 2018. There were 160 CQ-, HCQ-, and azithromycin-related queries. Most requests were made by pharmacists (61.25 %). The main sources used to answer the queries were tertiary (92.31 %) and primary (7.69 %) sources. In the dataset, three major topics were identified: administration and dosing, safety, and pregnancy and lactation, each associated with a query subset. Conclusion: These results emphasize the importance of continued education on antimicrobial agents in general, and HCQ, CQ, and azithromycin in particular. The three items have been identified as focus areas that policymakers can us to ensure the quality of future medication prescriptions

The Effect of Counterions on the Detection of Cu²⁺ Ions in Aqueous Solutions Using Quartz Tuning Fork (QTF) Sensors Modified with L-Cysteine Self-Assembled Monolayers: Experimental and Quantum Chemical DFT Study

In this study, a sensing device employing a gold-coated quartz tuning fork (QTF) modified with a self-assembled monolayer (SAM) of L-cysteine was evaluated for the sensitive detection of Cu2+ ions in aqueous solutions. Three copper (II) salts, CuSO4, CuCl2, and Cu(NO3)2, at four different concentrations (10−12, 10−10, 10−8, and 10−6 M) in small (100 μL) water sample amounts were each used as analytes to investigate the influence of their counterions in the detection of the Cu2+ ions. It was found that, among the counterions, the sulfate anion had the largest effect upon the detection of Cu2+ in water, in the following order: SO42− > Cl− > NO3−. The lower limit of detection of the Cu2+ ions detected was in the 10−12 M range. The frequency shifts measured with the QTFs relative to deionized water were inversely proportional to the concentration/mass of the analytes. Density functional theory calculations were conducted to understand the effect of the counterions on the respective electronic interaction energies for the apparent host–guest binding of the analytes with L-cysteine and with gold surface-bound L-cysteine molecules. Gas phase (both with and uncorrected BSSE) and solution phase interaction energies (ΔIE) calculated at the B3LYP/LANL2DZ and ωB97XD levels of theory showed that the stability for the complexes were in the following order: [L-cysteine]⊃[CuSO4] > [L-cysteine]⊃[CuCl2] > [L-cysteine]⊃[Cu(NO3)2], which supports our experimental findings, as they were in the same order as the experimentally observed order for the copper salts tested: CuSO4 > CuCl2 > Cu(NO3)2

The Effect of Counterions on the Detection of Cu2+ Ions in Aqueous Solutions Using Quartz Tuning Fork (QTF) Sensors Modified with L-Cysteine Self-Assembled Monolayers: Experimental and Quantum Chemical DFT Study

In this study, a sensing device employing a gold-coated quartz tuning fork (QTF) modified with a self-assembled monolayer (SAM) of L-cysteine was evaluated for the sensitive detection of Cu2+ ions in aqueous solutions. Three copper (II) salts, CuSO4, CuCl2, and Cu(NO3)2, at four different concentrations (10−12, 10−10, 10−8, and 10−6 M) in small (100 μL) water sample amounts were each used as analytes to investigate the influence of their counterions in the detection of the Cu2+ ions. It was found that, among the counterions, the sulfate anion had the largest effect upon the detection of Cu2+ in water, in the following order: SO42− > Cl− > NO3−. The lower limit of detection of the Cu2+ ions detected was in the 10−12 M range. The frequency shifts measured with the QTFs relative to deionized water were inversely proportional to the concentration/mass of the analytes. Density functional theory calculations were conducted to understand the effect of the counterions on the respective electronic interaction energies for the apparent host–guest binding of the analytes with L-cysteine and with gold surface-bound L-cysteine molecules. Gas phase (both with and uncorrected BSSE) and solution phase interaction energies (ΔIE) calculated at the B3LYP/LANL2DZ and ωB97XD levels of theory showed that the stability for the complexes were in the following order: [L-cysteine]⊃[CuSO4] > [L-cysteine]⊃[CuCl2] > [L-cysteine]⊃[Cu(NO3)2], which supports our experimental findings, as they were in the same order as the experimentally observed order for the copper salts tested: CuSO4 > CuCl2 > Cu(NO3)2

Detection of Volatile Alcohol Vapors Using PMMA-Coated Micromechanical Sensors: Experimental and Quantum Chemical DFT Analysis

Micromechanical sensors, in which the sensor response is created as a result of molecular interactions on the sensors’ surfaces, have been employed as a powerful technique for rapid and sensitive detection of low concentrations of chemical and biological materials. In the study reported herein, poly(methyl methacrylate) (PMMA)-coated microcantilever (MCL) sensors were used to detect the vapors of volatile alcohols (methanol, ethanol, and isopropanol) at three different concentrations. A vapor generator was used to generate and flow the alcohol vapor onto the PMMA coated MCL surface in a closed system chamber. The vapor adsorption onto the MCL surface results in a rapid and measurable deflection of the MCL. No significant deflections of the uncoated MCL occurred when the different vapors were passed through into the microcantilever chamber. Linear concentration–deflection responses were observed, with the highest sensitivity shown with methanol, followed by ethanol and then isopropanol. Density functional theory (DFT) quantum chemical calculations were conducted to estimate the electronic interaction energies (ΔIE) between the alcohol molecules and MMA and two different model tetrameric segments of PMMA. The computed ΔIEs were in the same order as the experimentally observed order: methanol > ethanol > isopropanol

Detection of Volatile Alcohol Vapors Using PMMA-Coated Micromechanical Sensors: Experimental and Quantum Chemical DFT Analysis

Micromechanical sensors, in which the sensor response is created as a result of molecular interactions on the sensors’ surfaces, have been employed as a powerful technique for rapid and sensitive detection of low concentrations of chemical and biological materials. In the study reported herein, poly(methyl methacrylate) (PMMA)-coated microcantilever (MCL) sensors were used to detect the vapors of volatile alcohols (methanol, ethanol, and isopropanol) at three different concentrations. A vapor generator was used to generate and flow the alcohol vapor onto the PMMA coated MCL surface in a closed system chamber. The vapor adsorption onto the MCL surface results in a rapid and measurable deflection of the MCL. No significant deflections of the uncoated MCL occurred when the different vapors were passed through into the microcantilever chamber. Linear concentration–deflection responses were observed, with the highest sensitivity shown with methanol, followed by ethanol and then isopropanol. Density functional theory (DFT) quantum chemical calculations were conducted to estimate the electronic interaction energies (ΔIE) between the alcohol molecules and MMA and two different model tetrameric segments of PMMA. The computed ΔIEs were in the same order as the experimentally observed order: methanol > ethanol > isopropanol

Pancreatic Pathological Changes in Murine Toxoplasmosis and Possible Association with Diabetes Mellitus

Background: Previous studies have reported involvement of Toxoplasma gondii (T. gondii) infections in the pathogenesis of some autoimmune diseases, such as polymyositis, rheumatoid arthritis, autoimmune thyroiditis, and Crohn’s disease. However, data on the association between T. gondii infections and Type 1 diabetes mellitus (T1DM) are still controversial. Therefore, in the present study, we aimed to investigate the pancreatic pathological changes in mouse models with acute and chronic toxoplasmosis and their association with T1DM. Materials and Methods: Three groups (10 mice each) of male Swiss Albino mice were used. One group of mice was left uninfected, whereas the second and third groups were infected with the acute virulent T. gondii RH strain and the chronic less virulent Me49 T. gondii strain, respectively. T. gondii-induced pancreatic pathological changes were evaluated by histopathological examination of pancreatic tissues. Moreover, the expression of insulin, levels of caspase-3, and the pancreatic infiltration of CD8+ T cells were evaluated using immunohistochemical staining. Results: Pancreatic tissues of T. gondii-infected animals showed significant pathological alterations and variable degrees of insulitis. Mice with acute toxoplasmosis exhibited marked enlargement and reduced numbers of islets of Langerhans. However, mice with chronic toxoplasmosis showed considerable reduction in size and number of islets of Langerhans. Moreover, insulin staining revealed significant reduction in β cell numbers, whereas caspase-3 staining showed induced apoptosis in islets of Langerhans of acute toxoplasmosis and chronic toxoplasmosis mice compared to uninfected mice. We detected infiltration of CD8+ T cells only in islets of Langerhans of mice with chronic toxoplasmosis. Conclusions: Acute and chronic toxoplasmosis mice displayed marked pancreatic pathological changes with reduced numbers of islets of Langerhans and insulin-producing-β cells. Since damage of β cells of islets of Langerhans is associated with the development of T1DM, our findings may support a link between T. gondii infections and the development of T1DM