Identification of Methicillin Resistant Staphylococcus Aureus Isolated from Chronic Suppurative Otitis Media

Introduction: Staphylococcus aureus  isolated from prolonged suppurative otitis media was the focus on the current investigation. Aims: The goal of this study is the identification of methicillin resistant Staphylococcus aureus isolated from chronic suppurative otitis media. Material and methods: The research population is made up of 100 medical samples were taken from individual with chronic otitis media infection who visited Alfurat Al-Awsat Hospital and AL-Zahra Teaching Hospital for Children in the province of Al-Najaf between January 1, 2023, and March 20, 2023. Results: The samples were injected onto mannitol salt agar (MSA) and then subcultured on blood agar after being incubated for (24 to 48 hours at 37°C). Characterization of colonies, Gram's staining, and conventional biochemical testing. A genomic investigation of MRSA isolates was accompanied using PCR affecting the mecA gene. Staphylococcus aureus bacteria were create in 34.5% of specimens. Genotyping complete polymerase chain reaction and biochemical examination presented 58% correctness in recognizing detaches. 20 bacterial specimens were found to encompass the mecA gene, representative a joining among chronic suppurative otitis media and MRSA resounding the mecA gene. Conclusion: this study show Staphylococcus aureus is more causative agent for  suppurative otitis media and resistant for some antibiotic because resistant to  mecA gene

Mechanics Controls Collective Cancer Invasion

Cancer cell migration in three-dimensional extracellular matrix is a major cause of death for cancer patients. Although extensive studies have elucidated detailed mechanism of single cell 3D invasion and cell-ECM interaction, 3D collective cancer invasion is still poorly understood. 3D collective migration models have unveiled unexpected degrees of diversity and adoption in migration and have an advantage over the 2D collective models by mimicking in vivo conditions. To probe 3D collective cancer migration, diverse in vitro methods have been designed to explore the physical factors that regulate the multicellular processes. The role of ECM geometry and microstructure has been poorly understood in 3D collective cancer migration. To capture collective cancer invasion, we developed a novel 3D invasion assay, Diskoid In Geometrically Micropatterned ECM (DIGME). DIGME allows us to independently control the shape of tumor organoids, microstructure, spatial heterogeneity of the extracellular matrix and fiber alignment of collagen –based ECM all at the same time. Using fluorescence and confocal microscopy, we probe the invasion front of different geometry and morphology phenotypes. We conclude that DIGME provides a simple yet powerful tool to probe the 3D dynamics of tissue orgnoids in physically patterned microenvironments. To probe the cooperativity of force generation in the collective invasion of breast cancer cells, we conduct experiments using 3D in vitro tumor models and develop a phenomenological model. In our model, cell–cell communication is characterized by a single parameter that quantifies the correlation length of cellular migration cycles. We devise a stochastic reconstruction method to generate realizations of cell colonies with specific contraction phase correlation functions and correlation length a. We find that as a increases, the characteristic size of regions containing cells with similar contraction phases grows. For small a values, the large fluctuations in individual cell contraction phases smooth out the temporal fluctuations in the time-dependent deformation field in the ECM. For large a values, the periodicity of an individual cell contraction cycle is clearly manifested in the temporal variation of the overall deformation field in the ECM. Through quantitative comparisons of the simulated and experimentally measured deformation fields, we find that the correlation length for collective force generation in the breast cancer diskoid in geometrically micropatterned ECM (DIGME) system is ≈ 25, which is roughly twice the linear size of a single cell. One possible mechanism for this intermediate cell correlation length is the fiber-mediated stress propagation in the 3D ECM network in the DIGME system. We conclude that the geometrical properties of the ECM and microstructure play a role in regulating the 3D collective cancer invasion

Small airways dysfunction:The importance of utilising Z-scores to define MMEF abnormalities in clinical practice

BACKGROUND: The small airways comprise the largest cross-sectional area of the lungs, however, assessing and reporting abnormalities for this region of the bronchial tree has been practically and scientifically uncertain.METHODS: Using routinely collected spirometry data for patients with either asthma or COPD, the accuracy of % predicted values for defining small airways dysfunction was assessed. A z-score of ≤ -1.645 of the maximal-mid expiratory flow (MMEF) was used as the gold standard for defining abnormality in the small airways.RESULTS: Records of 3396 patients were included in the analysis. The false positive (FP) rates were 24.6 %, 16.1 %, 11.5 %, or 7.9 % when the % predicted value of 80 %, 70 %, 65 %, or 60 % were used, respectively. Sex, age, and BMI were associated with FP rates. Males were more likely to be categorised as FP with odds ratio (OR) between 1.10 and 1.49 across % predicted groups. Age was associated with FP rates with an OR between 1.01 and 1.08. The BMI was also associated with FP rates with an OR of 1.03 across all % predicted groups. Assessing the association of age groups with FP rate showed that those above 60 years old were more likely to be categorised as FP with an OR between 1.23 and 73.2 compared to those less than 30 years old.CONCLUSION: When assessing the small airways in clinical practice or for scientific purposes, the % predicted values overestimate the actual impairment leading to FP interpretation. Utilising z-score values are recommended to assess the small airways using the spirometric index, MMEF.</p

The prevalence of bronchodilator responsiveness of the small airway (using mid-maximal expiratory flow) in COPD - a retrospective study

Abstract Background Bronchodilator responsiveness (BDR) using FEV1 is often utilised to separate COPD patients from asthmatics, although it can be present in some COPD patients. With the advent of treatments with distal airway deposition, BDR in the small airways (SA) may be of value in the management of COPD. We aimed to identify the prevalence of BDR in the SA, utilizing maximal mid-expiratory flow (MMEF) as a measure of SA. We further evaluated the prevalence of BDR in MMEF with and without BDR in FEV1 and its association with baseline demographics, including conventional airflow obstruction severity and smoking history. Methods Lung function data of ever-smoking COPD patients were retrospectively analysed. BDR was evaluated 20 min after administering 2.5 mg of salbutamol via jet nebulizer. Increase in percent change of ≥ 12% and absolute change of ≥ 200 ml was used to define a BDR in FEV1, whereas an increase percent change of MMEF ≥ 30% was used to define a BDR in MMEF. Patients were classified as one of three groups according to BDR levels: group 1 (BDR in MMEF and FEV1), group 2 (BDR in MMEF alone) and group 3 (no BDR in either measure). Result BDR in MMEF was present in 59.2% of the patients. Of note, BDR in MMEF was present in all patients with BDR in FEV1 (group 1) but also in 37.9% of the patients without BDR in FEV1 (group 2). Patients in group 1 were younger than in groups 2 and 3. BMI was higher in group 1 than in group 3. Baseline FEV1% predicted and FVC % predicted were also higher in groups 1 and 2 than in group 3. Conclusion BDR in the SA (evaluated by MMEF) is common in COPD, and it is also feature seen in all patients with BDR in FEV1. Even in the absence of BDR in FEV1, BDR in MMEF is detected in some patients with COPD, potentially identifying a subgroup of patients who may benefit from different treatment strategies

Relationships of academic expectation stress & self-efficacy, efficacy for self-regulated learning with academic performance during Covid pandemic

Background: Academic expectation stress & self-efficacy and efficacy for self-regulated learning may affect academic performance. The Covid pandemic has affected the physical and psychological well-being of all, including students. However, there is a paucity of studies examining these variables in college students in Saudi Arabia. Objectives: This study was conducted to explore the levels and relationships of academic expectation stress & self-efficacy, self-regulated learning, and its relationships with academic performance in college students of ---- University during the Covid pandemic. Material and Methods: A total of 302 students were recruited in this cross-sectional study. They were assessed with sociodemographic and academic proforma designed for this study, the Academic expectation stress inventory (ASE), the Academic self-efficacy scale (AES), and the efficacy of the self-regulated learning scale (SRL). Results: Results revealed that the mean score of AES, SRL, and ASE was 29.18, 35.38, and 41.11, respectively. On linear regression analysis exam score was statistically significant positively predicted by the score on SRL, and the Score of AES was statistically significantly predicted by the score of SRL (+ve) and the score of ASE (-ve). Conclusions: It may be concluded that efficacy for self-regulated learning may mediate academic performance and academic self-efficacy during the Covid pandemic. Enhancing self-regulated learning may improve academic performance during the pandemic

WEB ATTACKS AND DEFENSES

Because of the limited data that web applications collect from users, they are subject to information security risks. The most effective way to retain data in the modern era is through online applications. The process of providing data and data systems with appropriate procedural and sophisticated security safeguards is known as cybersecurity. Threats to cyber security are increasing at times. A flaw or weakness in a computer system, security tactics, internal controls, planning, or implementation that can compromise the security policy of a framework is known as a web vulnerability. The social, economic and political spheres of governments can be disrupted due to a vulnerability in the Internet, which can have an impact on the state. An effort is made to identify the defects and weaknesses while studying the weakness in order to take advantage of these weaknesses. The aim of this study is to identify the types of intrusions, find vulnerabilities, and review regulations for vulnerable systems detected in online applications

Association Between Cytomegalovirus Infection and Bad Obstetric Outcomes in Women From Kirkuk

The human cytomegalovirus (CMV) is one of the common viral infections worldwide that represent a major causes of congenital infections. To determine the seroprevalence of CMV in women with bad obstetric history and sociodemographic characteristics that may influence the seropositivity, a case control descriptive prospective study was conducted in Kirkuk, Iraq. A 838 women with age range from 14 to 48 were included in the study. Of the total, 547 women were with bad obstetric history(BOH) and 291 women with normal previous pregnancy as control group. All the serum samples collected from the study and control groups were tested for CMV IgM and IgG antibodies by ELISA kits. CMV IgM seroprevalence was higher in women with BOH. CMV IgG seroprevalence was with no significant difference between BOH and control. CMV IgG seroprevalence significantly influenced by age, education, smoking, and family size. However, CMV IgM seroprevalence significantly associated with pregnancy, residence, and animal exposure. Odd ratio confirmed the association between CMV IgG and age, crowding index, residence, smoking, and number of abortion in women with BOH. In addition, current CMV infection significantly associated with residence in women with BOH

Analysis of Intra-Aortic Balloon Performance in Open-Heart Surgery

A failing heart can be supported in several ways, including cardiopulmonary bypass pumps (CPB), extracorporeal membrane oxygenators (ECMOs), and other types of auxiliary heart pumps. The intra-aortic-balloon-pump (IABP) is one technique of internal counter-pulsation that supports maintaining the circulatory system It continues to be used as a vascular support device to critically unwell cardiac patients. Many recent studies have focused on the problems of the (IABP) in open-heart surgery, while other researchers concentrated on the positioning and size of the balloon, some of them studied the timing of the balloon's inflation and deflation. this paper has reviewed a brief Introduction, the basic principles of the balloon, how to trigger the balloon pump as well as the use of IABP in Coronary Artery Bypass Graft (CABG), balloon mistiming of inflation and deflation, balloon timing usage within open-heart surgery and finally a balloon position and sizing