Effect of Using and Preparing of Food on Diarrhea Disease for Children

Introduction: In Iraq diarrhea is the main cause for clinical presentation among under 5-years child population next to pneumonia and it's also more common in rural than in capital Baghdad. Method: A community based cross-sectional study was conducted in urban Baghdad Hospital Central for Children and in Al-Mohmmodia Hospital which was in rural city. Data were collected from the patient's record registration for each hospital (age, No. of child who is infected with diarrhea, Nutritional status, breast-feeding and water supply, and socio-economic status). Also, precoded questionnaires with sociodemographics, maternal and child characteristics, child feeding, and environmental conditions. Result: Total diarrhea percent under-10 years children in the urban capital Baghdad were lower than Baghdad's rural, that were 13.73 and 69.68 respectively. The difference in diarrhea percent among males and female for both hospitals was big and the difference was statically significant (p<0.01). Children in the age group less than one year had the higher prevalence of diarrhea to the extent of 51.16% in rural Al-Mohmmodia than capital Baghdad 14.34%, followed by the age 1 year and above had the lowest prevalence. The difference in the prevalence of diarrhea in different age groups was showed to be statically significant (p<0.01). Similarity, decreasing birth weight, immunization and vitamin A consumption, personal hygiene, overcrowding, garbage and exceta disposal, source of water, and caregiver status were found associated with increased diarrhea incidence (p<0.01). Conclusion: in this study the prevalence of diarrhea was higher in under-five children in rural Baghdad than capital Baghdad which was significantly associated with child's sex, child's age, maternal education level, and socio-economic parameter. Therefore, this study to show the differences between Baghdad city and its rural of diarrheal incidence in children less than 10 years, and to see which season effect diarrhea incidence more. The other objective is to find out association between certain risk factors and diarrhea among children less than 10 years. Keywords: Diarrhea- risk factors- nutrition status- stunting- parasites and bacterial infection.

Evolution of long-term vaccine-induced and hybrid immunity in healthcare workers after different COVID-19 vaccine regimens

BACKGROUND: Both infection and vaccination, alone or in combination, generate antibody and T cell responses against severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). However, the maintenance of such responses-and hence protection from disease-requires careful characterization. In a large prospective study of UK healthcare workers (HCWs) (Protective Immunity from T Cells in Healthcare Workers [PITCH], within the larger SARS-CoV-2 Immunity and Reinfection Evaluation [SIREN] study), we previously observed that prior infection strongly affected subsequent cellular and humoral immunity induced after long and short dosing intervals of BNT162b2 (Pfizer/BioNTech) vaccination. METHODS: Here, we report longer follow-up of 684 HCWs in this cohort over 6-9 months following two doses of BNT162b2 or AZD1222 (Oxford/AstraZeneca) vaccination and up to 6 months following a subsequent mRNA booster vaccination. FINDINGS: We make three observations: first, the dynamics of humoral and cellular responses differ; binding and neutralizing antibodies declined, whereas T and memory B cell responses were maintained after the second vaccine dose. Second, vaccine boosting restored immunoglobulin (Ig) G levels; broadened neutralizing activity against variants of concern, including Omicron BA.1, BA.2, and BA.5; and boosted T cell responses above the 6-month level after dose 2. Third, prior infection maintained its impact driving larger and broader T cell responses compared with never-infected people, a feature maintained until 6 months after the third dose. CONCLUSIONS: Broadly cross-reactive T cell responses are well maintained over time-especially in those with combined vaccine and infection-induced immunity ("hybrid" immunity)-and may contribute to continued protection against severe disease

SARS-CoV-2-specific immune responses and clinical outcomes after COVID-19 vaccination in patients with immune-suppressive disease

Severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) immune responses and infection outcomes were evaluated in 2,686 patients with varying immune-suppressive disease states after administration of two Coronavirus Disease 2019 (COVID-19) vaccines. Overall, 255 of 2,204 (12%) patients failed to develop anti-spike antibodies, with an additional 600 of 2,204 (27%) patients generating low levels (<380 AU ml−1). Vaccine failure rates were highest in ANCA-associated vasculitis on rituximab (21/29, 72%), hemodialysis on immunosuppressive therapy (6/30, 20%) and solid organ transplant recipients (20/81, 25% and 141/458, 31%). SARS-CoV-2-specific T cell responses were detected in 513 of 580 (88%) patients, with lower T cell magnitude or proportion in hemodialysis, allogeneic hematopoietic stem cell transplantation and liver transplant recipients (versus healthy controls). Humoral responses against Omicron (BA.1) were reduced, although cross-reactive T cell responses were sustained in all participants for whom these data were available. BNT162b2 was associated with higher antibody but lower cellular responses compared to ChAdOx1 nCoV-19 vaccination. We report 474 SARS-CoV-2 infection episodes, including 48 individuals with hospitalization or death from COVID-19. Decreased magnitude of both the serological and the T cell response was associated with severe COVID-19. Overall, we identified clinical phenotypes that may benefit from targeted COVID-19 therapeutic strategies

COVID-19 Pharmacy Response Across A Multi-Region Health-System: Lessons Learned and the Future of Pharmacy

The national COVID-19 pandemic has challenged health care systems, creating opportunities to respond swift and safely to mitigate risks and impact. As pharmacy leaders and caregivers across the nation continue to manage the COVID-19 pandemic, there is an opportunity to share an example of how a multi-regional health system responded to the public health crisis, share lessons learned to date, and discussing the future of pharmacy practice

Quantifying temporal variability in the metacommunity structure of stream fishes : the influence of non-native species and environmental drivers

Abstract Most studies characterize metacommunities based on a single snapshot of the spatial structure, which may be inadequate for taxa with high migratory behavior (e.g., fish). Here, we applied elements of metacommunity structure to examine variations in the spatial distributions of stream fishes over time and to explore possible structuring mechanisms. Although the major environmental gradients influencing species distributions remained largely the same in time, the best-fit pattern of metacommunity structure varied according to sampling occasion and whether or not we included non-native species in the analyses. Quasi- Clementsian and Clementsian structures were the predominant best-fit structures, indicating the importance of species turnover among sites and the existence of more or less discrete community boundaries. The environmental gradient most correlated with metacommunity structure was defined by altitude, area of artificial ponds in the catchment, and dissolved oxygen content. Our results suggest that the best-fit metacommunity structure of the native species can change in time in this catchment due to seasonal changes in distribution patterns. However, the distribution of non-native species throughout the landscape homogenizes the temporal variability in metacommunity structure of native species. Further studies are necessary from other regions to examine best-fit metacommunity structures of stream fishes within relatively short environmental gradients

Study of the mechanical properties of two organic-inorganic hybrid systems : GPTMS/colloidal silica and GPTMS/TEOS

International audienceThis work investigates the mechanical properties of different scratch resistant coatings, namely, a mixture of 3-glycidoxypropyltrimethoxysilane (GPTMS) with either colloidal silica particles or tetraethoxysilane (TEOS). Coatings were prepared by the hydrolysis and the condensation of the precursor's alkoxide (sol-gel process) with thermally catalyzed polymerization of epoxy ring of GPTMS.Dip deposition techniques were used on silicon substrate. The nanoindentation technique was used to analyze the force required to indent the coating with a diamond tip. At low forces, this technique, based on indentation depth, predicts the hardness and the elastic modulus of the coating, while at higher forces, cracks appear. Another analysis based on geometric approach, namely, the crack length, allows the determination of both coating and interface toughness

Cross-Presentation of the Oncofetal Tumor Antigen 5T4 from Irradiated Prostate Cancer Cells—A Key Role for Heat-Shock Protein 70 and Receptor CD91

Immune responses contribute to the success of radiotherapy of solid tumors; however, the mechanism of triggering CD8+ T-cell responses is poorly understood. Antigen cross-presentation from tumor cells by dendritic cells (DC) is a likely dominant mechanism to achieve CD8+ T-cell stimulation. We established a cross-presentation model in which DCs present a naturally expressed oncofetal tumor antigen (5T4) from irradiated DU145 prostate cancer cells to 5T4-specific T cells. The aim was to establish which immunogenic signals are important in radiation-induced cross-presentation. Radiation (12 Gy) caused G2–M cell-cycle arrest and cell death, increased cellular 5T4 levels, high-mobility protein group-B1 (HMGB1) release, and surface calreticulin and heat-shock protein-70 (Hsp70) expression in DU145 cells. DCs phagocytosed irradiated tumor cells efficiently, followed by upregulation of CD86 on phagocytic DCs. CD8+ 5T4-specific T cells, stimulated with these DCs, proliferated and produced IFNγ. Inhibition of HMGB1 or the TRIF/MyD88 pathway only had a partial effect on T-cell stimulation. Unlike previous investigators, we found no evidence that DCs carrying Asp299Gly Toll-like receptor-4 (TLR4) single-nucleotide polymorphism had impaired ability to cross-present tumor antigen. However, pretreatment of tumor cells with Hsp70 inhibitors resulted in a highly statistically significant and robust prevention of antigen cross-presentation and CD86 upregulation on DCs cocultured with irradiated tumor cells. Blocking the Hsp70 receptor CD91 also abolished cross-presentation. Together, the results from our study demonstrate that irradiation induces immunologically relevant changes in tumor cells, which can trigger CD8+ T-cell responses via a predominantly Hsp70-dependent antigen cross-presentation process

Unusual stoichiometry control in the atomic layer deposition of manganese borate films from manganese bis(tris(pyrazolyl)borate) and ozone

The atomic layer deposition (ALD) of films with the approximate compositions Mn3(BO3)2 and CoB2O4 is described using MnTp2 or CoTp2 [Tp ¼ tris(pyrazolyl)borate] with ozone. The solid state decomposition temperatures of MnTp2 and CoTp2 are 370 and 340 C, respectively. Preparative-scale sublimations of MnTp2 and CoTp2 at 210 C/0.05 Torr afforded >99% recoveries with <0.1% nonvolatile residues. Self-limited ALD growth was demonstrated at 325 C for MnTp2 or CoTp2 with ozone as the coreactant. The growth rate for the manganese borate process was 0.19 A˚ /cycle within the ALD window of 300–350 C. The growth rate for the cobalt borate process was 0.39–0.42 A˚ /cycle at 325 C. X-ray diffraction of the as-deposited films indicated that they were amorphous. Atomic force microscopy of 35–36 nm thick manganese borate films grown within the 300–350 C ALD window showed root mean square surface roughnesses of 0.4–0.6 nm. Film stoichiometries were assessed by x-ray photoelectron spectroscopy and time of flight-elastic recoil detection analysis. The differing film stoichiometries obtained from the very similar precursors MnTp2 and CoTp2 are proposed to arise from the oxidizing ability of the intermediate high valent manganese oxide layers and lack thereof for cobalt.peerReviewe