Wheat Germ Oil Restores Testicular Function Through Modulation of Oxidative Stress in Male Adult Rats Exposed to Chromium VI

This research was outlined to assess the protective and therapeutic role of wheat germ oil against chromium VI -induced oxidative stress and testicular dysfunction in male adult rats through evaluation of semen picture, measuring the sex hormone levels, oxidative stress markers, DNA fragmentation percentage and histopathological changes in the testes. Twenty-eight adult Wister male rats were assigned into four equal groups: Group 1; Control, group 2; Cr VI, group 3; Cr VI + WGO, and group 4; WGO. WGO showed a significant increment in the RBC, Hb, Ht, WBC and Plts. WGO restored the levels of testicular antioxidant enzymes, NO, MDA as well as GSH. Also, WGO in-combination with Cr VI showed a significant (p<0.05) increase in the levels of testosterone, LH, GnRH hormones and 17β-HSD enzyme, while, FSH was decreased. Data showed that treatment of male rats with WGO and Cr VI caused an increase in sperm count, motility, and decrease in sperm abnormality. Combination of WGO with Cr VI revealed a decrease in the levels of TL, TC, TG and LDL–C, while, HDL–C was increased. Rats administrated with WGO in-combination with Cr VI exhibited a slight improvement in testicular DNA integration compared to Cr VI-treated group. Further, co-administration of WGO + Cr VI revealed a slight improvement in the pathological alterations; the cellular layers of the seminiferous tubules more or less near to the normal structure. It was concluded that wheat germ oil can be an effective antioxidant in modulating Cr VI-induced male infertility, and may lead to improve the male reproductive performance

Strengthening of Concrete Beams Using FRP Composites

Finite element analysis (FEA) is used to predict the behavior of reinforced concrete beams strengthened with fiber reinforced polymer (FRP). To verify and measure the accuracy of the FEM model, the current model results were compared with both experimental and theoretical available results. Four beams were studied simulating the Horsetail Creek Bridge, Oregon, USA. The first one is a control beam with no strengthening fiber.The second beam is strengthened with carbon fiber reinforced polymer (CFRP) oriented along the length of the beam to reinforce the flexure behavior. The third beam is wrapped with glass fiber reinforced polymer(GFRP) laminates representing the shear beam. The fourth one is strengthened with CFRP and GFRP laminates representing the flexure-shear beam.The load-strain for concrete, steel and fiber as well were represented and compared. In addition, the load deflection curves and crack patterns were developed and represented. The results showed that the modeling process was accurate in simulating the tested beams. It was also clear that using FRP in strengthening reinforced concrete beams is an effective method in improving both shear and flexural behavior of the beams

International security after the cold war: Utilization of the network technique to prioritize world threats

The past century witnessed major events of historical magnitude. In the first fifty years of the 20th century, the world suffered two World Wars and several regional conflicts that were very costly in lives and property. A promising future based on information technology and the computer science era provided man with unlimited hope for a healthier future, better job opportunities, medical treatments of serious diseases and much-improved standards of living. The 1990s will be remembered as the years of the death of an old system and the birth of a new one. Those years marked the transition from a world governed by the Cold War issues to new and unclear security arrangements and challenges. The main objectives of this paper are to describe the threats and dangers that would shape the future of the world, to identify the main factors that will bring change to the international order and to utilize engineering tools and techniques in an attempt to study their relative relationship and ranking with respect to each other

Right mini-thoracotomy versus median sternotomy for mitral valve replacement

Background: The advantages of minimally invasive mitral valve surgery over the conventional approach is still debated. This study aimed to evaluate early outcomes after mitral valve replacement (MVR) using the right mini-thoracotomy (RMT) versus median sternotomy (MS). Methods: We prospectively included 60 patients who had MVR from May 2015 to June 2017. We classified patients into two groups; Group A (n= 30) had RMT, and Group B (n= 30) had MS. Postoperative pain score, wound satisfaction, and clinical and echocardiographic outcomes were compared between both groups. Results: The mean age was 39.90 ± 12.34 years in Group A and 45.75 ± 13.10 years in Group B (p= 0.08). Preoperative and echocardiographic data showed no statistical significance difference between the groups. Group A had longer aortic cross-clamp (118.85 ± 40.56 vs. 70.75 ± 24.81 minutes, p<0.001) and cardiopulmonary bypass times (186.70 ± 67.44 vs. 104.65 ± 42.60 minutes, p<0.001).  Group B had more blood loss (565 ± 344.3 vs. 241.5 ±89.16 ml/24 hours, p<0.001). The median pain score was 1 (range: 1- 3) in Group A and 4 (2- 8) in Group B (p<0.001), and the median wound satisfaction was 1.5 (1- 4) in Group A and 4 (1- 7) in Group B (p<0.001).  Wound infection occurred in 1 (3.3%) patient in Group A and 6 (20%) patients in Group B (p=0.04). Conclusion: Mitral valve replacement through the right mini-thoracotomy could be a safe alternative to median sternotomy. The right mini-thoracotomy was associated with longer operative times but better pain and wound satisfaction scores and lower wound infection

Airport level of service perceptions before and after September 11: A neural network analysis

Physical infrastructure is constructed to provide services to it users. The perceptions of users regarding the level of service are not necessarily constant, however, making it necessary to adapt both the infrastructure and its attending services to adjust to new user demands. The tragic events of September 11, 2001 had just such a disruptive effect on the perception of service levels at airports. This paper uses neural network analysis to examine passenger survey data before and after the September 11th attacks to identify shifts in level of service perceptions at Ottawa Airport. The analysis suggests a significant change occurred in the components that comprised passenger satisfaction levels, even though the overall level of satisfaction was largely unaffected. The results have clear implications for airport authorities in terms of maintaining or improving service provision in the presence of continuing security concerns

Pigment epithelium-derived factor inhibits retinal microvascular dysfunction induced by 12/15-lipoxygenase-derived eicosanoids

We recently demonstrated that 12/15-lipoxygenase (LOX) derived metabolites, hydroxyeicosatetraenoic acids (HETEs), contribute to diabetic retinopathy (DR) via NADPH oxidase (NOX) and disruption of the balance in retinal levels of the vascular endothelial growth factor (VEGF) and pigment epithelium-derived factor (PEDF). Here, we test whether PEDF ameliorates retinal vascular injury induced by HETEs and the underlying mechanisms. Furthermore, we pursue the causal relationship between LOX–NOX system and regulation of PEDF expression during DR. For these purposes, we used an experimental eye model in which normal mice were injected intravitreally with 12-HETE with/without PEDF. Thereafter, fluorescein angiography (FA) was used to evaluate the vascular leakage, followed by optical coherence tomography (OCT) to assess the presence of angiogenesis. FA and OCT reported an increased vascular leakage and pre-retinal neovascularization, respectively, in response to 12-HETE that were not observed in the PEDF-treated group. Moreover, PEDF significantly attenuated the increased levels of vascular cell and intercellular adhesion molecules, VCAM-1 and ICAM-1, elicited by 12-HETE injection. Accordingly, the direct relationship between HETEs and PEDF has been explored through in-vitro studies using Müller cells (rMCs) and human retinal endothelial cells (HRECs). The results showed that 12- and 15-HETEs triggered the secretion of TNF-α and IL-6, as well as activation of NFκB in rMCs and significantly increased permeability and reduced zonula occludens protein-1 (ZO-1) immunoreactivity in HRECs. All these effects were prevented in PEDF-treated cells. Furthermore, interest in PEDF regulation during DR has been expanded to include NOX system. Retinal PEDF was significantly restored in diabetic mice treated with NOX inhibitor, apocynin, or lacking NOX2 up to 80% of the control level. Collectively, our findings suggest that interfering with LOX–NOX signaling opens up a new direction for treating DR by restoring endogenous PEDF that carries out multilevel vascular protective functions.National Eye Institute 5R01EY023315-02, Qatar National Research Fund NPRP 4-1046-3-284, and Vision Discovery Institute (MA), Mr. and Mrs. Richards travel award (ASI)

A lipidomic screen of hyperglycemia-treated HRECs links 12/15-Lipoxygenase to microvascular dysfunction during diabetic retinopathy via NADPH oxidase

Retinal hyperpermeability and subsequent macular edema is a cardinal feature of early diabetic retinopathy (DR). Here, we investigated the role of bioactive lipid metabolites, in particular 12/15-lipoxygenase (LOX)-derived metabolites, in this process. LC/MS lipidomic screen of human retinal endothelial cells (HRECs) demonstrated that 15-HETE was the only significantly increased metabolite (2.4 ± 0.4-fold, P = 0.0004) by high glucose (30 mM) treatment. In the presence of arachidonic acid, additional eicosanoids generated by 12/15-LOX, including 12- and 11-HETEs, were significantly increased. Fluorescein angiography and retinal albumin leakage showed a significant decrease in retinal hyperpermeability in streptozotocin-induced diabetic mice lacking 12/15-LOX compared with diabetic WT mice. Our previous studies demonstrated the potential role of NADPH oxidase in mediating the permeability effect of 12- and 15-HETEs, therefore we tested the impact of intraocular injection of 12-HETE in mice lacking the catalytic subunit of NADPH oxidase (NOX2). The permeability effect of 12-HETE was significantly reduced in NOX2−/− mice compared with the WT mice. In vitro experiments also showed that 15-HETE induced HREC migration and tube formation in a NOX-dependent manner. Taken together our data suggest that 12/15-LOX is implicated in DR via a NOX-dependent mechanism.National Institutes of Health Grant 5R01EY023315 and National Priorities Research Program Grant 4-1046-3-284 from the Qatar National Research Fund (a member of Qatar Foundation). This study was also supported in part by the National Center for Research Resources, National Institutes of Health Grant S10RR027926

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<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<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

Erratum: The genomic architecture of NLRP7 is Alu rich and predisposes to disease-associated large deletions

NLRP7 is a major gene responsible for recurrent hydatidiform moles. Here, we report 11 novel NLRP7 protein truncating variants, of which five deletions of more than 1-kb. We analyzed the transcriptional consequences of four variants. We demonstrate that one large homozygous deletion removes NLRP7 transcription start site and results in the complete absence of its transcripts in a patient in good health besides her reproductive problem. This observation strengthens existing data on the requirement of NLRP7 only for female reproduction. We show that two other variants affecting the splice acceptor of exon 6 lead to its in-frame skipping while another variant affecting the splice donor site of exon 9 leads to an in-frame insertion of 54 amino acids. Our characterization of the deletion breakpoints demonstrated that most of the breakpoints occurred within Alu repeats and the deletions were most likely mediated by microhomology events. Our data define a hotspot of Alu instability and deletions in intron 5 with six different breakpoints and rearrangements. Analysis of NLRP7 genomic sequences for repetitive elements demonstrated that Alu repeats represent 48% of its intronic sequences and these repeats seem to have been inserted into the common NLRP2/7 primate ancestor before its duplication into two genes