Addressing Climate Change Impacts on Health

Climate change is a global health emergency, with impacts felt most acutely by vulnerable populations and communities. This paper explores health risks from climate change in a global context, setting out key risks and actions towards addressing these. In the context of COP27, it draws in a focus on Egypt as a case study throughout to exemplify the risks faced by countries which are particularly vulnerable to the health impacts of climate change. This policy working paper has been produced by the Academy of Scientific Research and Technology in Egypt, with contributions from the UK Universities Climate Network, through an academic collaboration ahead of COP27 in Egypt in 2022

Factors Affecting Outcomes of COVID-19 Infection among Older Adults with Type 2 Diabetes: A Single Center, Cross-Sectional Study

Objective: COVID-19 infection and the factors affecting it are major concerns worldwide. This retrospective study aimed to investigate clinical, laboratory and radiological characteristics associated with disease severity and hospitalization among older adults with type 2 diabetes mellitus (T2D) with COVID-19. Materials and methods: A retrospective case series study was conducted to review the records of older adults with T2D infected with COVID-19. Sociodemographic, COVID-19-related data, laboratory tests at the time of COVID-19 diagnosis and CT findings were collected. Bivariate and multivariate regression analysis were done to determine the predictors of the studied outcome, either hospitalization or complete recovery. Results: A total of 343 patients’ records were reviewed, with a mean age of 73.6 ± 6.4 years. Most of patients had fever and cough at the time of diagnosis and ground glass opacities was found on CT in 62.1% of patients. Hospitalized patients had higher duration of diabetes, suffered more from dyspnea, body aches and chest pain, had higher HbA1c, CRP and ferritin and lower lymphocytes and hemoglobin. Fasting plasma glucose and HbA1c positively affected the duration from onset of symptoms till resolution, while hemoglobin level negatively affected it. Logistic regression analysis revealed that duration of diabetes, HbA1c, ferritin and dyspnea were significant predictors of hospitalization. Conclusions: Among older adults with T2D infected with COVID-19, poor glycemic control is associated with higher risk of hospitalization and longer duration till recovery of symptoms. Longer duration of diabetes, high serum ferritin and the presence of dyspnea are associated with higher risk for hospitalization among these patients

Using systematic data categorisation to quantify the types of data collected in clinical trials: the DataCat project.

BACKGROUND: Data collection consumes a large proportion of clinical trial resources. Each data item requires time and effort for collection, processing and quality control procedures. In general, more data equals a heavier burden for trial staff and participants. It is also likely to increase costs. Knowing the types of data being collected, and in what proportion, will be helpful to ensure that limited trial resources and participant goodwill are used wisely. AIM: The aim of this study is to categorise the types of data collected across a broad range of trials and assess what proportion of collected data each category represents. METHODS: We developed a standard operating procedure to categorise data into primary outcome, secondary outcome and 15 other categories. We categorised all variables collected on trial data collection forms from 18, mainly publicly funded, randomised superiority trials, including trials of an investigational medicinal product and complex interventions. Categorisation was done independently in pairs: one person having in-depth knowledge of the trial, the other independent of the trial. Disagreement was resolved through reference to the trial protocol and discussion, with the project team being consulted if necessary. KEY RESULTS: Primary outcome data accounted for 5.0% (median)/11.2% (mean) of all data items collected. Secondary outcomes accounted for 39.9% (median)/42.5% (mean) of all data items. Non-outcome data such as participant identifiers and demographic data represented 32.4% (median)/36.5% (mean) of all data items collected. CONCLUSION: A small proportion of the data collected in our sample of 18 trials was related to the primary outcome. Secondary outcomes accounted for eight times the volume of data as the primary outcome. A substantial amount of data collection is not related to trial outcomes. Trialists should work to make sure that the data they collect are only those essential to support the health and treatment decisions of those whom the trial is designed to inform

Natural Radionuclide Concentrations by γ-Ray Spectrometry in Granitic Rocks of the Sol Hamed Area, Southeastern Desert of Egypt, and Their Radiological Implications

The occurrence of heavy radioactive minerals in construction supplies such as granite has drawn attention to the extraction of heavy radioactive minerals. Granitic rocks were identified to serve an essential economic role in the study area’s surrounding locations. As a result, the current study attempted to detect the activity concentrations of238 U,232 Th, and40 K in the granitic rock samples tested and estimate the radiological dangers associated with these rocks. The obtained data on activity concentrations for238 U (610 ± 1730 Bq kg−1 ),232 Th (110 ± 69 Bq kg−1 ) and40 K (1157 ± 467 Bq kg−1 ) in the granitic samples (GR) were higher than the recommended worldwide average. The radioactive levels found in the samples were caused by radioactive materials being altered and trapped inside granite faults. The exposure to gamma radiation from the granitic rocks were assessed via various radiological parameters, such as radium equivalent content (856 Bq kg−1 ), absorbed dose rate (Dair) in the air (396 nGy/h), and annual effective dose for either outdoor (0.48 mSv y−1 ) or indoor (1.9 mSv y−1 ). Statistical analysis was performed to detect the correlations between radioactive concentrations and radiological parameters. The radioactive effects contributed by the uranium minerals were associated with the granitic rocks. Based on the analysis, the radioactive levels in the examined granitic surpassed the acceptable limits; therefore, they are not safe to use in building and infrastructure applications and may cause adverse health effects. © 2022 by the authors. Licensee MDPI, Basel, Switzerland.This research project was funded by the Deanship of Scientific Research at King Khalid University (KKU) (no. RGP.1/213/42)

Detection of Candida albicans anti-mannan antibodies by enzyme linked immunosorbent assay (ELISA) for diagnosis of invasive candidiasis in human and cattle

Invasive candidiasis (IC) is an important cause of morbidity and mortality in human and animals, early diagnosis and management are a challenge. Therefore, this study was carried out to determine the usefulness of Candida albicans anti-mannan antibodies testing by using ELISA in diagnosis of invasive candidiasis in human and cattle. Sixty-nine serum samples (45 from immunocompromised patients and 24 from diseased cattle suspected to suffer from systemic candidiasis) were examined by indirect ELISA to detect anti-mannan IgG and compared with the routine culture techniques. Mycological examination of different human and cattle biological samples (n=177) was performed while, C. albicans was detected in 69 % and 83 % of human and cattle respectively. The results of ELISA were 10 (22.2%) positive, 5 (11%) equivocal cases in human patients and 15 (62.5%) positive in diseased cattle. A positive serum IgG response for mannan antigens discriminated IC from exclusively candida positive cultures. In addition, the sequential observation of anti-mannan antibodies could contribute to early diagnosis of invasive candidiasis in human and cattle. In this way, more efficient management of IC and earlier initiation of antifungal therapy can be achieved

New insight into the pathogenesis of insulin resistance in hyperthyroidism and hypothyroidism

Background and aim Thyroid hormones are linked to the different metabolic processes in the body.We evaluated the association of metabolic syndrome and different thyroid diseases. Patients and methods Eighty female patients were enrolled in this study; 40 hypothyroid (group I) and 40 hyperthyroid (group II) as well as 40 healthy females as control group. Waist circumference, BMI, fasting blood glucose, fasting insulin, HOMAIR index, adiponectin, free T3, freeT4, TSH, total cholesterol and HDL were measured in all patients. Results Adiponectin was lower in hypothyroid group (3.68 ± 0.63 ng/dl) and higher in hyperthyroid group (7.52 ± 0.68 ng/dl) than the control group (5.11 ± 0.67 ng/dl) P = 0.0001. The HOMAIR was higher in both hypothyroid (3.56 ± 0.57 ng/dl) and hyperthyroid groups (1.68 ± 0.27) compared to control group (1.33 ± 0.25) P = 0.0001. The cholesterol was also higher in both hypothyroid (161.22 ± 12.98 mg/dl) and hyperthyroid (147.02 ± 8.7 mg/dl) compared to control group (134.74 ± 6.34 mg/dl) P = 0.0001. The HDL was low in both hypothyroid group (35.86 ± 3.55 mg/dl) and hyperthyroid group (40.34 ± 3.17 mg/dl) compared with the control group (41.64 ± 3.12 mg/dl) P = 0.04. The adiponectin was positively correlated to free T3, free T4 and negatively correlated to TSH (r = 0.8, P = 0.0001; r = 0.9, P = 0.000; r = -0.9, P = 0.0001) respectively. HOMAIR was significantly correlated to the thyroid parameters (r = -0.8, P = 0.0001; r = -0.9, P = 0.0001; r = 0.8, P = 0.0001) respectively. The total cholesterol was negatively correlated with the free T3 and T4 (r = -0.5, P = 0.0001; r = -0.5, P = 0.0001) and positively correlated with the TSH (r = 0.5, P = 0.0001), It was also negatively correlated with adiponectin (r = -0.5, P = 0.0001), and positively correlated with HOMAIR (r = 0.5, P = 0.0001). The HDL was negatively correlated with TSH (r = -0.5, P = 0.000) and HOMAIR (r = -0.5, P = 0.0001), it was positively correlated with free T3, T4 (r = 0.6, P = 0.000; r = 0.5, P = 0.000) and adiponectin (r = 0.5, P = 0.0001). Conclusion Both hypo and hyperthyroidism were associated with insulin resistance and disturbances in lipid profiles

Environmental and mineralogical studies on the stream sediments of Baltim–El Burullus coastal plain, North Delta, Egypt

Abstract This work is mainly concerned with the effect of anthropogenic activities and natural radioactivity due to the presence of highly radioactive black sand spots, factory construction, and shipping, in addition to other activities like agriculture on human beings. Forty samples were collected along Baltim–El Burullus coastal plain to detect the effect of these problems and determine the suggested solutions. The black sand of the Baltim–El Burullus coastal plain exhibits a considerable amount of economically heavy minerals, their ratio relative to the bulk composition in the investigated samples ranges from 3.18 to 10.5% with an average of 5.45%. The most important of them are magnetite, ilmenite, rutile, leucoxene, garnet, zircon and monazite. The existence of some radioactive-bearing accessory mineral deposits like zircon and monazite led to measuring the naturally occurring radionuclides 226Ra, 232Th and 40K to evaluate the excess lifetime cancer risk (ELCR). The results showed that these concentrations are 19.1 ± 9.73, 14.7 ± 9.53 and 211 ± 71.34 Bq kg−1 were lower than the corresponding reported worldwide average of 35, 45, and 412 Bq kg−1 for each radionuclide (226Ra, 232Th, and 40 K). The gamma hazard indices such as absorbed dose rate (Dair), the annual effective dose (AED), and excess lifetime cancer risk (ELCR) factor were computed in the investigated sediments and all the results were found (Dair = 26.4 nGy h−1, AED = 0.03 mSv year−1, ELCR = 0.0001) to be lower than the values suggested by the United Nations Scientific Committee on the effect of Atomic Research (59 nGy h−1, 0.07 mSv year−1 and 0.0029 for Dair, AED and ELCR, respectively). The study suggests that the black sand is safe to use in various infrastructure applications at Baltim–El Burullus coastal plain. The levels of radioactivity are not high enough to pose a risk to human health

Geochemical Conditions and Factors Controlling the Distribution of Major, Trace, and Rare Elements in Sul Hamed Granitic Rocks, Southeastern Desert, Egypt

Egypt is mainly covered by ophiolitic rocks, muscovite, and two mica granites, in addition to different types of acidic and basic dikes. Our field observations indicated that El Sela granites were subjected to alteration types such as silicification, kaolinization, and hematitization, which is associated with uranium mineralization. Petrographic investigations clarified that these rocks were affected by saussiritization, muscovitization, and silicifications as the main alteration types associated with uranium mineralization (uranophane and autunite). We carried out chemical analyses of our samples for major oxides and trace and rare earth elements using ICP-OES and ICP-MS. The studied altered granites had high silica, titanium, and phosphorous as major components, with enhanced amounts of trace elements such as Nb, Ta, Zn, Mo, Pb, and Re, in addition to REE, especially light ones. The average REE content was higher than that of worldwide granites with LREE enrichment. One sample had a strong M-type tetrad effect in the fourth type; other samples had weak W-type in the third type, indicating the effect of hydrothermal alteration processes in the altered granites. This was confirmed by calculating the ratios of most isovalents that deviated from the chondritic ratio in many values. Variation diagrams of U and some trace elements illustrated that U had a weak positive correlation with Y and a strong positive correlation with gold, while it had weak to moderate negative correlation with Hf and Zr/U. In addition, uranium had a weakly defined correlation with the other trace elements, indicating a weak to moderate effect of magmatic processes, while the post-magmatic processes surficial or underground water greatly influenced the redistribution of uranium and other elements