Glasgow Coma Scale versus Full Outline of Unresponsiveness Scale in Predicting Discharge Outcomes of Traumatic Brain Injury

Context: Neurological assessment is an essential element of early warning scores used to recognize and early save the lives of critically ill patients.Aim: This study aimed to compare the Full Outline of Unresponsiveness Scale and the Glasgow Coma Scale in predicting discharge outcomes in patients with traumatic brain injury Method: A comparative research design was conducted at the Neurosurgery Intensive Care Unit in El Fayoum University Hospital. The Study recruited a purposive sample of 100 adult patients with TBI. They assessed using three tools (Patients Profile Data Form, Level of Consciousness Assessment," and Tool Discharge Data Assessment Record).Results: GCS is superior to the FOUR score in predicting length of stay and full recovery without any squeal, while they are the same in predicting motor disability and sensory impairment (physical impairment). FOUR score is superior to GCS in the prediction of mortality Conclusion: The FOUR score provides more neurologic details than the GCS and is a valid predictor of outcome in patients with TBI; thus, it could be considered a future prognostic model. It is recommended to use a FOUR score for predicting outcomes in patients with traumatic brain injuries as a valid predictor of discharge outcomes after traumatic brain injury

Moving the needle—what does RSAP look for and what does it aim to do?

Peer reviewe

Lymphangiogenesis in Oral Squamous Cell Carcinoma: Correlation with VEGF-C Expression and Lymph Node Metastasis

Background. Oral squamous cell carcinoma (OSCC) is the most common oral malignancy that preferentially spreads to the cervical lymph node which, when involved, complicates the anticancer therapy and threatens the patient life. It was suggested that lymph node metastasis may be facilitated by lymphangiogenesis. VEGF-C is one of the most important lymphangiogenic inducers that promotes the lymphatic vessels growth and supports the survival of adult lymphatic endothelial cells. Methods. Lymphatic vessels density (LVD) and LV morphometry were digitally evaluated using D2-40. The expression of VEGF-C was also assessed using immunohistochemistry and real-time polymerase chain reaction in 6 normal oral mucosa cases and 72 cases of OSCC. The correlation between LVD and LV morphometry, VEGF-C, and lymph node metastasis was statistically assessed. Results. A positive cytoplasmic expression of VEGF-C was detected in both epithelial and connective tissue cells in 97% of OSCC, while all normal tissues reacted negatively. A greater expression of VEGF-C was associated with larger and more dilated LV and lymph node metastasis but not with LVD. Conclusion. VEGF-C is actively involved in the invasion and metastasis of OSCC via inducing morphological changes in LV. VEGF-C may be a promising target for anticancer therapy

Some Ecological Aspects on the Striped Mealybug Ferrisia virgata (Cockerell) Infesting Acalypha Shrubs in Qalyubiya Governorate, Egypt

Acalypha shrubs Acalypha wilkesiana Mull.(Euphorbiaceae) found to be favorable host for the striped mealybug Ferrisia virgate (Cockerell)( Pseudococcidae) . This mealybug species is attacked all plant parts and caused considerable damages to this host. Some ecological aspects were carried out on F. virgata infesting acalypha shrubs throughout two successive years (2014-2015) and (2015-2016) in Qalyubiya Governorate. Results obtained showed that population density was more abundant during the second year than the first one, the annual means of total population were 62.02 and 52.01 individuals/leaf), respectively. Also, results revealed that, seasonal abundance of F. virgata found to be active from June to January of next year. The population density was reached its maximum activity on October during both years being 123.0 and 145.2 individuals /leaf for the first and second year, respectively. The prevailing main average temperature and relative humidity were ranging between 22.8°C, 24.2°C and 67%, 64% for the 1st and 2nd years, respectively. These conditions seemed to be favorable conditions for insect activity. After this activity period all stages of this species were disappeared from all plant parts. This phenomenon indicate that this mealybug species was overwinter during winter and spring seasons till the next summer. From these findings it could be stated that any control measurements must be early applied during June, at the beginning of activity period of this mealybug species. Also, results clarified that F. virgate was passed through two annual overlapping field generations on acalypha shrubs. Duration of the first generation was ranged between 80-85 days which occurred during summer months. While the second generation was lasted 75 days and occurred during autumn. Statistical analysis revealed that separate effect of each mean, two weeks earlier of the four selected weather factors on changes in population density of F. virgata most factors had insignificant effects except mean minimum temperature which had positive significant effects throughout the both years (r coefficient values were 0.589 and 0.677). While the combined effects of the four selected factors (mean minimum, maximum temperature, average temperature and mean percentage of relative humidity), two weeks earlier, had significant effects, as a group on the change in population density especially during (2014-2015) , the explained variance was 79.2% and F value 14.4

EVALUATING EFFECT OF PEPPER MINT OIL (Mentha pipreta) AND ITS NANO-FORMULATIONS ON SOME ENZYMATIC ACTIVITIES AND BIONOMICS OF COTTON LEAF WORM Spodoptera littoralis (BOISD.) [

Different formulations of pepper mint oil, i.e. bulk, nano-emulsion and nano-encapsulation were evaluated against 2nd and 4th instar larvae of the cotton leafworm Spodoptera littoralis (Boisd.). Their effects on enzymatic activities and bionomics were also investigated. Transmission Electron Microscopy (TEM) showed that the mean particle size of the prepared nano-emulsion ranged between 20-90nm. The encapsulation efficiency and loaded capacity percentages exhibited that distilled H2O was more suitable than ethanol in preparation of nano-encapsulation particles. Bioassay treatments showed LC50's on 2nd instars larvae were 70.59, 12.23 and 21.72 ppm for pepper mint oil, pepper mint nano-emulsion and loaded nanoemulsion, respectively. While on 4th instars these values were 80.47, 26.14 and 67.69 ppm, respectively. LC90's on 2nd instars were 104.75, 33.97 and 30.14 for pepper mint oil, pepper mint nanoemulsion and loaded nano-emulsion, respectively. While on 4th instars these values were 177.66, 71.37 and 102.29 ppm. Toxicity index and relative potency proved that nano-emulsion was more effective than loaded nano-emulsion, while the bulk preparation was the least effective one. Results of enzymatic activities showed marked effects of the three formulations of mint oil, significant inhibitions  were recorded for amylase, invertase, trehalase, protease and alkaline phosphatase, while significant increase in activities of cuticle phenoloxidase and chitinase. Effects of adding the three formulations to artificial diet of 2nd instar showed significant effects of the insect bionomics. Larvae durations, percentage mortalities, were increased as well as larval malformations. Also, pupal duration, percentage pupal mortality and pupal malformation were increased, while pupal weight was decreased. Adults longevity showed insignificant effects, while female fecundity and egg % fertility showed significant responce

Comparative Toxicity of Neem and Peppermint Oils Nano Formulations against Agrotis ipsilon (Hufn.) Larvae (Lepidoptera: Noctuidae)

Applications of nanotechnology in agriculture will result in the development of efficient and potential approaches towards the management of insect pests. The toxicity effects of four essential oils peppermint, thyme, camphor and sage oils were tested against the fourth instar larvae of Agrotis ipsilon to select the most effective essential oil to be converted to the nano form. According to the results obtained, peppermint oil was the most toxic compound, which has been used in the present investigation  compared  with neem oil. The toxicity of  bulk and nano- formulations of neem  and pepper mint oils were tested  against  2nd and 4th instar  larvae of A. ipsilon under laboratory conditions of 25±2 °C& 65 -70 % R.H.relative humidity The results show that the LC50 value (the concentration used which kill 50% of the tested individuals)of loaded neem or pepper mint were lower (0.62 and 36.47 ppm) compared with neem or pepper mint oil nano-emulsion and bulk neem for the second larval instar. The different formulations of neem are more potent than in case of peppermint oil, as LC50 and LC90 values were significantly lower.The same trend was found concerning the 4th larval instar. Age of treated larvae had a detrimental effect on the response to the compounds tested. It was noticed that the younger larvae were much more sensitive to the prepared compounds compared to the older ones. The least LC50 value for loaded neem nano-emulsion was 6.68 ppm compared with the highest value for  bulk neem oil (16.68 ppm ). Also,  LC90  values followed the same trend as in  case ofLC50.  Again, the toxicity of loaded peppermint oil had the most insecticidal activity as expressed by the lowest LC50 value (51.9 ppm) with more insecticidal effect than the bulk(125.43 ppm)  or nano-emulsion (85.43 ppm).  The present results indicated that these novel systems could be used in integrated pest management program for A. ipsilon control

Comparative Toxicity of Neem and Peppermint Oils Nano Formulations against Agrotis ipsilon (Hufn.) Larvae (Lepidoptera: Noctuidae)

Applications of nanotechnology in agriculture will result in the development of efficient and potential approaches towards the management of insect pests. The toxicity effects of four essential oils peppermint, thyme, camphor and sage oils were tested against the fourth instar larvae of Agrotis ipsilon to select the most effective essential oil to be converted to the nano form. According to the results obtained, peppermint oil was the most toxic compound, which has been used in the present investigation  compared  with neem oil. The toxicity of  bulk and nano- formulations of neem  and pepper mint oils were tested  against  2nd and 4th instar  larvae of A. ipsilon under laboratory conditions of 25±2 °C& 65 -70 % R.H.relative humidity The results show that the LC50 value (the concentration used which kill 50% of the tested individuals)of loaded neem or pepper mint were lower (0.62 and 36.47 ppm) compared with neem or pepper mint oil nano-emulsion and bulk neem for the second larval instar. The different formulations of neem are more potent than in case of peppermint oil, as LC50 and LC90 values were significantly lower.The same trend was found concerning the 4th larval instar. Age of treated larvae had a detrimental effect on the response to the compounds tested. It was noticed that the younger larvae were much more sensitive to the prepared compounds compared to the older ones. The least LC50 value for loaded neem nano-emulsion was 6.68 ppm compared with the highest value for  bulk neem oil (16.68 ppm ). Also,  LC90  values followed the same trend as in  case ofLC50.  Again, the toxicity of loaded peppermint oil had the most insecticidal activity as expressed by the lowest LC50 value (51.9 ppm) with more insecticidal effect than the bulk(125.43 ppm)  or nano-emulsion (85.43 ppm).  The present results indicated that these novel systems could be used in integrated pest management program for A. ipsilon control

Novel genetic loci associated with hippocampal volume

The hippocampal formation is a brain structure integrally involved in episodic memory, spatial navigation, cognition and stress responsiveness. Structural abnormalities in hippocampal volume and shape are found in several common neuropsychiatric disorders. To identify the genetic underpinnings of hippocampal structure here we perform a genome-wide association study (GWAS) of 33,536 individuals and discover six independent loci significantly associated with hippocampal volume, four of them novel. Of the novel loci, three lie within genes (ASTN2, DPP4 and MAST4) and one is found 200 kb upstream of SHH. A hippocampal subfield analysis shows that a locus within the MSRB3 gene shows evidence of a localized effect along the dentate gyrus, subiculum, CA1 and fissure. Further, we show that genetic variants associated with decreased hippocampal volume are also associated with increased risk for Alzheimer's disease (rg =-0.155). Our findings suggest novel biological pathways through which human genetic variation influences hippocampal volume and risk for neuropsychiatric illness

Genetic architecture of subcortical brain structures in 38,851 individuals

Subcortical brain structures are integral to motion, consciousness, emotions and learning. We identified common genetic variation related to the volumes of the nucleus accumbens, amygdala, brainstem, caudate nucleus, globus pallidus, putamen and thalamus, using genome-wide association analyses in almost 40,000 individuals from CHARGE, ENIGMA and UK Biobank. We show that variability in subcortical volumes is heritable, and identify 48 significantly associated loci (40 novel at the time of analysis). Annotation of these loci by utilizing gene expression, methylation and neuropathological data identified 199 genes putatively implicated in neurodevelopment, synaptic signaling, axonal transport, apoptosis, inflammation/infection and susceptibility to neurological disorders. This set of genes is significantly enriched for Drosophila orthologs associated with neurodevelopmental phenotypes, suggesting evolutionarily conserved mechanisms. Our findings uncover novel biology and potential drug targets underlying brain development and disease