Seasonal Abundance and the Efficiency of Yeast Liquid Culture (Candida tropicalis) as Bait for Capturing the Oriental Wasps (Vespa orientalis L.) Under Egyptian Environment

Abstract: Seasonal abundance and the efficiency of liquid culture of yeast (Candida tropicalis) as bait to capture the oriental wasps (Vespa orientalis L.), were studied at Dirut location, Assiut governorate during 2003 seasons. The oriental wasps started to appear in the first week of April and gradually decreased to the minimum levels during June (late spring) and July (earlier summer). Then, the activity of wasps increased gradually from the second week of August to the fourth week of September. Total numbers of wasps reached the highest values in October followed by September and November and then the number of oriental wasps decreased until disappeared at the fourth week of December. The modified traps recommended by Ministry of Agriculture were baited with 100% of 1.26×10 5 freshly prepared yeast liquid culture (Candida tropicalis) captured the highest mean numbers of oriental wasps after 24 hr. and 7 days during the active period of wasps (September, October and November). Using liquid yeast culture at 25% concentration recorded the lowest mean numbers of wasps captured in the traps

Update in Pathophysiology and Management of Helicobacter pylori in Children

Abstract: Objective: The aim of this study is to review Helicobacter pylori in children describing its epidemiology, pathophysiology, clinical presentations and management. Data summary Helicobacter pylori is one of the most common chronic bacterial infection worldwide. Helicobacter pylori infection is the main etiological factor for chronic gastritis, most peptic ulcers and gastric adenocarcinoma and lymphoma. Recently a potential role of Helicobacter pylori in other gastrointestinal as well as several extra-intestinal pathologies is being evaluated. Standard triple therapy should be abandoned in areas of high clarithromycin resistance. Conclusion: Several diseases have been reported to be associated with Helicobacter pylori infection. Its role in some hematologic conditions has been fully validated and included in the current guidelines. Further studies are still needed to evaluate the role of Helicobacter pylori in other diseases. Choice of the diagnostic test for each patient depends on several factors. Clarithromycin is critically important as it negatively impacts the efficacy of the chosen therapeutic regimen

In vitro evaluation of sodium butyrate on the growth of three Salmonella serovars derived from pigs at a mild acidic pH value

Foodborne zoonotic diseases can be transferred into the food chain at the stage of livestock farming. As an emerging public health challenge, practicable reduction measures in porcine health management for Salmonella are constantly being investigated. This in vitro study aimed to determine the influence of six different sodium butyrate (SB) concentrations (0, 5, 10, 20, 40, and 80 mM) on the growth of three different Salmonella enterica serovars at a constant pH value of 6.0, corresponding to conditions in the pig's hindgut. S. Derby and S. Typhimurium, isolated from a pig farm, and S. Typhimurium DSM 19587, which served as control, were used. Broth microdilution assay was applied to record Salmonella growth in the presence of different SB-concentrations over six different incubation periods (0, 1, 2, 4, 6, and 24 h). Results were quantified in the log colony-forming units (log10 CFU/mL). For 1 h incubation, the addition of SB showed no significant differences in the range of initial Salmonella dose of about 5.7 log10 between concentrations (0–80 mM, 5.26 ± 0.10–5.60 ± 0.07 log10, p > 0.05). After 6 h, for SB addition, the range of Salmonella counts was significantly lower compared to no addition of SB (5–80 mM, p < 0.05), 6.78 ± 0.84–7.90 ± 0.10 log10 for 5 mM, and 7.53 ± 0.04–8.71 ± 0.22 log10 for 0 mM. Moreover, for SB concentrations of 40 and 80 mM, no difference in the range of Salmonella counts over 6 h was obtained (5.23 ± 0.11–5.38 ± 0.05 log10, p > 0.05), and minor Salmonella growth was recorded at the earliest after 24 h incubation. Growth rates for varying SB concentrations and incubation times were confirmed in a similar manner for the three serovars. Obtained results suggest that increasing SB concentrations suppress Salmonella growth for concentrations of 5–20 mM over a 6 h incubation period and for 40 and 80 mM over a 24 h incubation period. When transferring these in vitro findings to the porcine organism, it may be assumed that Salmonella reduction can be achieved by increased butyrate content in the chyme of the large intestine

Towards Understanding The Hepatoprotective effect of Grape Seeds Extract on Cholesterol-Fed Rats

Abstract: In our previous studies, a phenolic-rich extract of grape seed was prepared under optimal conditions. The antioxidant activity of grape seed extract (GSE) was determined in addition to 50 determination of acute oral LD toxicity. The current work studies the protective effect of GSE on hypercholesterolemia, where, W istar rats fed a standard laboratory diet (control group-CG) or a cholesterol-rich diet (hypercholesterolemic group-HCD) and to see the effect of GSE, another group fed on cholesterol-rich diet enriched with 0.3% GSEW /W-PG) for 8 weeks. Serum lipid levels, serum antioxidant status, Liver and kidney function were analysed in addition to histopathological examination of the liver. The hypocholesterolemic effects of GSE is confirmed by lowering the serum total cholesterol (TC) by 31%, low-density lipoprotein cholesterol LDL-C by 41% and elevated the high-density lipoprotein cholesterol HDL-C by 25% compared to TC, LDL-C and HDL-C of HCD group . Furthermore, the liver function expressed as glutamic pyruvate transaminase (GPT) and Albumin serum levels, decreased significantly and reached to normal level in case of oral administration of GSE. The kidney function showed no adverse effect in all groups. In addition, the antioxidant status serum level was increased as compared to those of rats fed only on cholesterol-rich diet. Histological examination of liver sections confirmed the serum analysis where GSE had a protective effect on animals fed on HCD, the liver of these animals showed mild affection in the form of microvesicular vacuolation of hepatocytes in the peripheral zone of the hepatic lobule (<50%) in comparison to the fatty change observed as microvesicular and macrovesicular vacuolation in >50% and <70% of the liver sections in HCD group. T hese results suggested that the GSE has a hypocholesterolemic effect which might be due to its ability to lower serum TC and LDL-C levels as well as slowing the lipid peroxidation process by enhancing antioxidant enzyme activity

Comparación de los tratamientos por irradiación γ y microondas en los lípidos y aspectos microbiológicos del hígado de vaca

The effects of γ-irradiation (0, 2.5, 5 and, 10 kGy) and microwaves (generated from an oven at low and defrost settings for 0.5, 1 and 2 min) treatments on the chemical composition and microbiological aspects of beef liver samples were studied. The chemical and microbiological analyses were performed on the non-treated and treated beef liver immediately after treatments and during frozen storage (-18ºC) for 3 months. The chemical analyses of beef liver lipids showed that acid, peroxide and TBA values were slightly increased after irradiation treatments and also during frozen storage (-18ºC). On the contrary, iodine value of the treated beef liver was decreased. Irradiation treatments remarkably reduced the total bacterial counts in beef liver. The percent reduction of bacterial load for beef liver exposed to microwaves generated from an oven at defrost mode for 2 min and after 3 months at -18ºC was 62%. The bacterial load for beef liver exposed to γ-irradiation at 10 kGy after 3 months at -18ºC was decreased by 98%. Hence, γ-irradiation treatment was far better than microwave treatment for reduction of the associated microorganisms with beef liver. Salmonellae was not detected in non-irradiated and irradiated beef liver throughout the storage period.Se estudiaron los efectos de los tratamientos por irradiación γ (0, 2.5, 5 y 10 kGy) y microondas (generados en un horno a nivel bajo y de descongelación durante 0.5, 1 y 2 min) sobre la composición química y aspectos microbiológicos de las muestras de hígado de vaca. Los análisis químicos y microbiológicos se llevaron a cabo en hígado de vaca tratado y no tratado al inicio y durante el almacenamiento en congelador a -18ºC durante 3 meses. Los análisis químicos de los lípidos de hígado de vaca mostraron que los índices de acidez, peróxido y TBA se incrementaron ligeramente después de los tratamientos por irradiación y durante el almacenamiento en congelador (-18ºC). Por el contrario, el índice de yodo disminuyó en el hígado de vaca tratado. Los tratamientos de irradiación redujeron considerablemente el recuento de bacterias totales en hígado de vaca. El porcentaje de reducción de carga bacteriana por el hígado de vaca expuesto a microondas generados de un horno con un modo de descongelación de 2 min y después de 3 meses a -18ºC fue del 62%. La carga bacteriana por el hígado de vaca expuesto a irradiación γ a 10 kGy después de 3 meses y -18ºC disminuyó al 98%. Por lo tanto, los tratamientos de irradiación γ fueron mejores que los tratamientos por microondas para la reducción de los microorganismos asociados con el hígado de vaca. La Salmonellae no se detectó en hígado de vaca no-irradiado e irradiado a través del período de almacenamiento

Laparoscopy in management of appendicitis in high-, middle-, and low-income countries: a multicenter, prospective, cohort study.

BACKGROUND: Appendicitis is the most common abdominal surgical emergency worldwide. Differences between high- and low-income settings in the availability of laparoscopic appendectomy, alternative management choices, and outcomes are poorly described. The aim was to identify variation in surgical management and outcomes of appendicitis within low-, middle-, and high-Human Development Index (HDI) countries worldwide. METHODS: This is a multicenter, international prospective cohort study. Consecutive sampling of patients undergoing emergency appendectomy over 6 months was conducted. Follow-up lasted 30 days. RESULTS: 4546 patients from 52 countries underwent appendectomy (2499 high-, 1540 middle-, and 507 low-HDI groups). Surgical site infection (SSI) rates were higher in low-HDI (OR 2.57, 95% CI 1.33-4.99, p = 0.005) but not middle-HDI countries (OR 1.38, 95% CI 0.76-2.52, p = 0.291), compared with high-HDI countries after adjustment. A laparoscopic approach was common in high-HDI countries (1693/2499, 67.7%), but infrequent in low-HDI (41/507, 8.1%) and middle-HDI (132/1540, 8.6%) groups. After accounting for case-mix, laparoscopy was still associated with fewer overall complications (OR 0.55, 95% CI 0.42-0.71, p < 0.001) and SSIs (OR 0.22, 95% CI 0.14-0.33, p < 0.001). In propensity-score matched groups within low-/middle-HDI countries, laparoscopy was still associated with fewer overall complications (OR 0.23 95% CI 0.11-0.44) and SSI (OR 0.21 95% CI 0.09-0.45). CONCLUSION: A laparoscopic approach is associated with better outcomes and availability appears to differ by country HDI. Despite the profound clinical, operational, and financial barriers to its widespread introduction, laparoscopy could significantly improve outcomes for patients in low-resource environments. TRIAL REGISTRATION: NCT02179112

Influence of socioeconomic factors on pregnancy outcome in women with structural heart disease

OBJECTIVE: Cardiac disease is the leading cause of indirect maternal mortality. The aim of this study was to analyse to what extent socioeconomic factors influence the outcome of pregnancy in women with heart disease.  METHODS: The Registry of Pregnancy and Cardiac disease is a global prospective registry. For this analysis, countries that enrolled ≥10 patients were included. A combined cardiac endpoint included maternal cardiac death, arrhythmia requiring treatment, heart failure, thromboembolic event, aortic dissection, endocarditis, acute coronary syndrome, hospitalisation for cardiac reason or intervention. Associations between patient characteristics, country characteristics (income inequality expressed as Gini coefficient, health expenditure, schooling, gross domestic product, birth rate and hospital beds) and cardiac endpoints were checked in a three-level model (patient-centre-country).  RESULTS: A total of 30 countries enrolled 2924 patients from 89 centres. At least one endpoint occurred in 645 women (22.1%). Maternal age, New York Heart Association classification and modified WHO risk classification were associated with the combined endpoint and explained 37% of variance in outcome. Gini coefficient and country-specific birth rate explained an additional 4%. There were large differences between the individual countries, but the need for multilevel modelling to account for these differences disappeared after adjustment for patient characteristics, Gini and country-specific birth rate.  CONCLUSION: While there are definite interregional differences in pregnancy outcome in women with cardiac disease, these differences seem to be mainly driven by individual patient characteristics. Adjustment for country characteristics refined the results to a limited extent, but maternal condition seems to be the main determinant of outcome

Global economic burden of unmet surgical need for appendicitis

Background: There is a substantial gap in provision of adequate surgical care in many low-and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods: Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results: Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion: For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially

Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy

Background The World Health Organization (WHO) Surgical Safety Checklist has fostered safe practice for 10 years, yet its place in emergency surgery has not been assessed on a global scale. The aim of this study was to evaluate reported checklist use in emergency settings and examine the relationship with perioperative mortality in patients who had emergency laparotomy. Methods In two multinational cohort studies, adults undergoing emergency laparotomy were compared with those having elective gastrointestinal surgery. Relationships between reported checklist use and mortality were determined using multivariable logistic regression and bootstrapped simulation. Results Of 12 296 patients included from 76 countries, 4843 underwent emergency laparotomy. After adjusting for patient and disease factors, checklist use before emergency laparotomy was more common in countries with a high Human Development Index (HDI) (2455 of 2741, 89.6 per cent) compared with that in countries with a middle (753 of 1242, 60.6 per cent; odds ratio (OR) 0.17, 95 per cent c.i. 0.14 to 0.21, P <0001) or low (363 of 860, 422 per cent; OR 008, 007 to 010, P <0.001) HDI. Checklist use was less common in elective surgery than for emergency laparotomy in high-HDI countries (risk difference -94 (95 per cent c.i. -11.9 to -6.9) per cent; P <0001), but the relationship was reversed in low-HDI countries (+121 (+7.0 to +173) per cent; P <0001). In multivariable models, checklist use was associated with a lower 30-day perioperative mortality (OR 0.60, 0.50 to 073; P <0.001). The greatest absolute benefit was seen for emergency surgery in low- and middle-HDI countries. Conclusion Checklist use in emergency laparotomy was associated with a significantly lower perioperative mortality rate. Checklist use in low-HDI countries was half that in high-HDI countries.Peer reviewe