Association of Inherited Thrombophilia with Recurrent Pregnancy Loss in Palestinian Women

Objective. This study aimed at analyzing the association between recurrent pregnancy loss (RPL) and factor V G1691A (FVL), prothrombin G20210 (FII); and MTHFR C677T (MTHFR) in Palestinian women. Method. We studied 329 Palestinian women with RPL and/or stillbirth (SB); and compared them to 402 healthy reproductive Palestinian women. Cases and controls were tested for the above mutations. Odds ratio (OR) at confidence interval (CI) of 95% was used as a measure of association between the mutations and RPL. Results. Our statistical analysis showed a slightly increased association, which was not significant between FVL and RPL (OR 1.32, 95% CI 0.90–1.94), and no association between FII (OR 0.84, 95% CI 0.38–1.92), MTHFR (OR 0.58, 95% CI 0.32–1.03), and RPL. Further analysis of RPL subgroups revealed an association between FVL and first-trimester loss (OR 1.33, 95% CI 0.892–1.989), and second-trimester loss (OR 1.13, 95% CI 0.480–2.426), both were not statistically significant. Furthermore, the only statistically significant association was between FVL and SB (OR 2.0, 95% CI 1.05–3.70). Conclusion. Our analysis had failed to find a significant association between FVL, FII, MTHFR; and RPL in either the first or second trimester. FVL was significantly associated with fetal loss if the loss was a stillbirth

The effect of retinoic acid on the activation of the human H19 promoter by a 3′ downstream region

AbstractThe human H19 is paternally imprinted (maternally expressed). It is transcribed by RNA pol II, but has no protein product. Its function is unknown. We showed that the transcription of the human H19 gene is under the simultaneous control of both a 5′ upstream (promoter) region and a 3′ downstream region in cell lines derived from human choriocarcinomas. Moreover, the activation of the H19 promoter by retinoic acid in cells derived from human testicular germ cell tumors is dependent upon the 3′ downstream region. The possibility that the action of retinoic acid on the H19 promoter is an indirect one and involves a member of the AP2 transcription factor family is discussed

Prevalence and risk factors of hepatitis B and C viruses among haemodialysis patients in Gaza strip, Palestine

<p>Abstract</p> <p>Background</p> <p>The prevalence of hepatitis B virus (HBV) and hepatitis C virus (HCV) and its associated risk factors among haemodialysis (HD) patients in Gaza strip was investigated using serological and molecular techniques.</p> <p>Results</p> <p>The overall prevalence of HBV among the four HD centers was 8.1%. The main risk factors were HD center (p = 0.05), history of blood transfusion (p < 0.01), and treatment abroad (p = 0.01). The overall prevalence of HCV among the four HD centers was 22%. The main risk factors were HD center (p < 0.01), time duration on HD (p < 0.01), history of blood transfusion (p < 0.01), treatment abroad (p < 0.01), and history of blood transfusion abroad (p < 0.01). Serum aminotransferases levels decreased in HD patients compared with normal population but still there was a direct association between the activity of liver enzymes and both HBV (p < 0.01) and HCV (p < 0.01) infection.</p> <p>Conclusion</p> <p>The much higher prevalence of Hepatitis viruses among HD patients compared to the normal population of Gaza strip indicates a causative relation between HD and hepatitis viruses transmission. Therefore extremely careful observation of preventive infection control measures is essential to limit Hepatitis viruses' transmission in HD centers.</p

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

Background Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide.Methods A multimethods analysis was performed as part of the GlobalSurg 3 study-a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital.Findings Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3.85 [95% CI 2.58-5.75]; p&lt;0.0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63.0% vs 82.7%; OR 0.35 [0.23-0.53]; p&lt;0.0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer.Interpretation Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised

Effect of Zn and Ni substitution on structural, morphological and magnetic properties of tin oxide nanoparticles

Structural, morphological, optical and magnetic properties of Zn and Zn–Ni co-doped tin oxide (SnO2) nanoparticles synthesized by sol-gel method. The influence of doping concentration on phase and particle size of the nanoparticles was determined by X-ray diffraction. The XRD study reveals that the lattice constant and crystallite size of the samples decrease with the increase of doping concentration. The change in the band gap energy of SnO2 nanoparticles influenced more by doping with Zn and Ni. The external morphology and particle size were recorded by SEM and TEM. The results indicated that Ni2+ ions would uniformly substituted into the Zn2+ sites of SnO2 lattice. The substitution of Ni creates a vital change in magnetic properties that has been measured by vibrating sample magnetometer (VSM).Scopu

Structure of oxidized bismuth nanoclusters

Synchrotron X-ray diffraction has determined that beta-Bi2O3 is the dominant oxide phase covering hexagonal bismuth nanoclusters produced in an inert gas aggregation source. Simulated Debye-Scherrer patterns have indicated that the oxide is 20 5 Å thick on average, at the surface of 320 40 Å diameter clusters. A Williamson-Hall analysis of the peak broadening was used to measure the non-uniform strain in clusters. The oxidized clusters were in -0.11 0.06% uniform compressive strain compared with other clusters without oxides detectable by X-ray diffraction which only have a small tensile uniform strain. High-resolution transmission electron microscopy (HRTEM) and multislice image simulations indicated a beta-Bi2O3 thickness of 20-50 Å. The HRTEM micrographs show the relative orientation between the oxide and the cluster core

A comprehensive review on harvesting of microalgae using Polyacrylamide-Based Flocculants: Potentials and challenges

Microalgae biomass is touted as a highly promising source of renewable third-generation biofuels that could enable a lucrative transition from conventional fossil fuels to more sustainable and environment-friendly energy alternatives. A significant limiting step for large-scale microalgae production and utilization is harvesting and dewatering the cultivated biomass, which comprise 20–30% of the total production expenses. Compared to traditional physical harvesting methods, coagulation-flocculation techniques using polyacrylamide-based flocculants have garnered attention as promising alternatives due to their high harvesting efficiencies, cost-effectiveness, convenience, and scalability. This paper delivers an up-to-date progress in the harvesting of microalgae suspensions using various polyacrylamide flocculants. For the first time, a comprehensive evaluation of existing harvesting studies for freshwater and marine microalgae species using polyacrylamide-based flocculants was conducted. The impact of polyacrylamide-based flocculant characteristics (e.g., charge type, charge density, polymer architecture, molecular weight) on flocculation efficiencies was examined. The effect of the culture medium properties (e.g., pH, salinity, microalgae species, microalgae growth phase, cell density, flocculation aids) on polyacrylamide-induced flocculation was also evaluated. Existing pilot-scale and large-scale polyacrylamide-based flocculation studies were explored. The review further identifies the research gaps, key challenges and future prospects for optimizing microalgae flocculation studies