Increased expression of T- cell- surface CXCR4 in asthmatic children

Background: Signals delivered through the chemokine receptor CXCR4 upon interaction with its ligand, SDF-1 α/β result in the most efficacious chemoattraction of T lymphocytes to the asthmatic airways with the resultant lung inflammation and airway hyperresponsiveness. Objective: The extensive pharmacological and physiological evidence that CXCR4 chemokine receptor influences the allergic airway disease has stimulated us to study the relation between its expression in peripheral blood T lymphocytes and the exacerbation of asthmatic attacks of varying severity. Methods: The chemokine receptor CXCR4 was assayed by flow cytometry in peripheral blood T lymphocytes from 25 asthmatic children, during asthma exacerbation and after complete remission of symptoms and physical signs. The results were compared to those of 30 healthy children. Results: The CXCR4 expression in peripheral blood T lymphocytes was significantly increased in children with acute exacerbations of bronchial asthma as compared to controls (mean ± SD = 62.27 ± 17.57% versus 24.76 ± 6.88%; p < 0.001). After remission of acute attacks, the CXCR4 expression decreased significantly as compared to the values during attacks (mean ± SD = 40.90 ± 13.25%), however, the level of expression during quiescence was still significantly higher than the values of the controls (mean ± SD = 40.90 ± 13.25%; p < 0.001). The CXCR4 expression was significantly higher in children with acute severe asthma as compared to those with either mild or moderate attacks. During remission, patients with mild intermittent asthma had less expression of CXCR4 when compared to any grade of persistent asthma, while the results were comparable between all groups of persistent asthma of varying severity. A significant positive correlation could link the CXCR4% to the absolute eosinophilic count during acute asthma attacks. Conclusion: CXCR4 is over-expressed in T lymphocytes of asthmatic children. It was found to be related to disease activity and seems to be involved in the establishment and maintenance of chronic inflammation of the airways.Keywords: Asthma, chemokine receptors, CXCR4, children, T lymphocytesEgypt J Pediatr Allergy Immunol 2003; 1(2): 80-

Stress and Burnout among Preretirement Employee in Hospital at 10th of Ramadan City

Employees are at high risk for stress and burnout. The aim of this study was to assess job stressors and burnout among employees in hospital at Tenth of Ramadan city. Design: cross-sectional descriptive design. Setting: the National Health Insurance Hospital at 10th of Ramadan city. Samples: convenience sample consisted of 100 employees. Tools: a self-administered questionnaire including scales for job stress and strain, burnout, and coping strategies, in addition to socio-demographic data was used in data collection. Results: the majority of the nurses were younger than 30 years (78%), with diploma degree (93%), and insufficient income (69%). More nurses had high exposure to stressors (49%), than strains (19%), and 20% had high burnout. Conclusion: the coping strategy most commonly used was effective behavioral confrontation. Nurses’ stress, strain, and burnout are strongly correlated and are influenced by personal factors such as age, qualification, experience, and residence, as well as job factors such as work hours, income, and the use of ineffective coping. Recommendations: the hospital administration should deal with and periodic assess the job factors underlying nurses’ stress and burnout. Further research is proposed to investigate the effectiveness of changing work environment factors and nursing care system on nurses’ burnout

EFFECT OF VARIABLE WATER APPLICATION RATES ON YIELD OF FLAX AND IRRIGATION WATER USE EFFICIENCY

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Amelioration of The Dielectric Properties of Ceramic Insulators Using Nano-alumina

Outdoor HV porcelain insulators face various environmental stresses that cause their degradation. Consequently, amelioration of their insulating properties becomes a target of recent researches to survive higher voltage levels. Investigating the impact of the addition of 0, 5, 10, and 15 wt. % nano- alumina (NA) on the dielectric and physical characteristics of porcelain materials at elevated sintering temperatures is the aim of this study. Porcelain specimens were synthesized from kaolin, feldspar, and quartz as available low-cost raw materials. The specimens were sintered at 1100, 1200, 1300, and 1400°C for 2 h. For some specimens, the microstructure and phases formed were identified using scanning electron microscopy and X-ray diffraction techniques. The changes that occur upon heating (include melting, phase transition, sublimation, and decomposition) were identified by Differential Thermogravimetric Analysis. The dielectric strength, relative permittivity, and loss tangent of different samples were measured at a large scale of frequencies. Breakdown strength values of different samples were verified by applying the Finite Element Method. The best electrical and physical properties were achieved at 1300ºC. At this temperature the porcelain sample containing 5 wt. % NA presented optimum physical characteristics as well as good insulating properties assent the feasibility of producing electro-technical porcelai

Treadmill walking exercise modulates bone mineral status and inflammatory cytokines in obese asthmatic patients with long term intake of corticosteroids.

Background: Obesity and asthma are an important public health problem in Saudi Arabia. An increasing body of data supports the hypothesis that obesity is a risk factor for asthma. Asthma appears to be associated with low bone mineral density (BMD) due to long-term use of corticosteroids. Studies recently showed that weight bearing exercise training can increase mineral bone density, reduce weight and improve metabolic control. Objective: The present study aimed to measure the effects of treadmill walking exercises on bone mineral status and inflammatory cytokines in obese asthmatic patients treated with long term intake of corticosteroids. Methods: Eighty obese asthmatic patients of both sexes, their age ranged from 41 to 53 years. Subjects were divided into two equal groups: training group (group A) received aerobic exercise training on treadmill for six months in addition to the medical treatment where, the control group (group B) received only the medical treatment. Results: The results of this study indicated a significant increase in BMD of the lumbar spine & the radius, serum calcium and high density lipoprotein cholesterol (HDL-c) & significant reduction in parathyroid hormone, leptin, tumor necrosis factor\u2013 alpha(TNF-\u3b1), interleukin-2 (IL-2), interleukin-4 (IL-4), interleukin-6 (IL-6), low density lipoprotein cholesterol (LDL-c), triglycerides (TG) and body mass index (BMI) in group (A), while these changes were not significant in group (B).Also; there was a significant difference between both groups at the end of the study. Conclusion: Treadmill walking exercise training is an effective treatment policy to improve bone mineral status and modulates inflammatory cytokines and blood lipids profile in obese asthmatic patients with long term intake of corticosteroids

Antimikrobno djelovanje nekih glukopiranozil-pirimidin karbonitrila i fuzioniranih pirimidinskih sustava

3-Amino-5-(4-chlorophenylamino)-4-cyanofuran-2-carboxamide (2) was used as the key molecule for preparation of various furo- pyrimidines 3-9 and formation of spiro-cycloalkane furopyrimidines 10, 11. Also, poly fused heterocyclic compounds 13-17 were prepared from compound 2. The synthesized compounds were screened for their antimicrobial activity.3-Amino-5-(4-klorfenilamino)-4-cijanofuran-2-karboksamid (2) upotrebljen je kao ključni spoj za pripravu različitih furo-pirimidina 3-9 i spiro-cikloalkane furopirimidina 10 i 11. Fuzionirani heterociklički spojevi 13-17 pripravljeni su također polazeći iz spoja 2. Sintetizirani spojevi ispitani su na antimikrobno djelovanje

Anemia prevalence in women of reproductive age in low- and middle-income countries between 2000 and 2018

Anemia is a globally widespread condition in women and is associated with reduced economic productivity and increased mortality worldwide. Here we map annual 2000–2018 geospatial estimates of anemia prevalence in women of reproductive age (15–49 years) across 82 low- and middle-income countries (LMICs), stratify anemia by severity and aggregate results to policy-relevant administrative and national levels. Additionally, we provide subnational disparity analyses to provide a comprehensive overview of anemia prevalence inequalities within these countries and predict progress toward the World Health Organization’s Global Nutrition Target (WHO GNT) to reduce anemia by half by 2030. Our results demonstrate widespread moderate improvements in overall anemia prevalence but identify only three LMICs with a high probability of achieving the WHO GNT by 2030 at a national scale, and no LMIC is expected to achieve the target in all their subnational administrative units. Our maps show where large within-country disparities occur, as well as areas likely to fall short of the WHO GNT, offering precision public health tools so that adequate resource allocation and subsequent interventions can be targeted to the most vulnerable populations. **Please note that there are multiple authors for this article therefore only the name of the first 30 including Federation University Australia affiliate “Muhammad Aziz Rahman” is provided in this record*

Effect of Silver Diamine Fluoride on Micro-Tensile Bond Strength of Composite to Dentin on Primary and Permanent Teeth

Aim of the Study: The aim of the current study was to investigate the effect of silver diamine fluoride on micro-tensile bond strength of composite to dentin and on the bonding mechanism of dentin surface on primary and permanent teeth. Material and methods: This study included two groups: group 1 included twenty-four primary molars and group 2 included twenty-four premolars. Each group was further subdivided equally into sub-group A and sub-group B. Sub-groups A of each group were treated with a self-etch bonding system and 4-mm thick buildups of composite were placed with increments limited to 1 mm. Subgroups B of each group were treated with 38% SDF then treated with the same self-etch bonding system used in sub-group A and composite were placed. After storage in distilled water for 24 hours at 37℃, the restored specimens were sectioned occlusogingivally into serial slabs approximately 1.0 mm thick by a slow-speed water-cooled diamond saw. Each slab was sectioned into composite/tooth structure beams measuring approximately 1.0*1.0 mm in cross-section, the beams were affixed to the test block of a micro-tensile testing machine to record maximum tensile force before failure occurred. One slab from each sub-group was evaluated under a scanning electron microscope and microphotographs were obtained. Results: Results of the study showed non-significant reduction of micro-tensile bond strength in SDF-treated subgroups and showed significant reduction of micro-tensile bond strength in primary molars when compared to premolars. Microphotographs showed significant reduction in numbers and extend of resin tags into dentin surface in SDF-treated samples. Conclusions: 1) SDF has no effect on micro-tensile bond strength of composite to dentin. 2) Micro-tensile bond strength of composite to dentin of premolars is higher than primary molars. 3) SDF has a negative effect on resin tag formation. Key words: silver diamine fluoride, dental caries, micro-tensile bond strength, composite restoration

Five insights from the Global Burden of Disease Study 2019

The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2019 provides a rules-based synthesis of the available evidence on levels and trends in health outcomes, a diverse set of risk factors, and health system responses. GBD 2019 covered 204 countries and territories, as well as first administrative level disaggregations for 22 countries, from 1990 to 2019. Because GBD is highly standardised and comprehensive, spanning both fatal and non-fatal outcomes, and uses a mutually exclusive and collectively exhaustive list of hierarchical disease and injury causes, the study provides a powerful basis for detailed and broad insights on global health trends and emerging challenges. GBD 2019 incorporates data from 281 586 sources and provides more than 3·5 billion estimates of health outcome and health system measures of interest for global, national, and subnational policy dialogue. All GBD estimates are publicly available and adhere to the Guidelines on Accurate and Transparent Health Estimate Reporting. From this vast amount of information, five key insights that are important for health, social, and economic development strategies have been distilled. These insights are subject to the many limitations outlined in each of the component GBD capstone papers

Anemia prevalence in women of reproductive age in low- and middle-income countries between 2000 and 2018

Anemia is a globally widespread condition in women and is associated with reduced economic productivity and increased mortality worldwide. Here we map annual 2000–2018 geospatial estimates of anemia prevalence in women of reproductive age (15–49 years) across 82 low- and middle-income countries (LMICs), stratify anemia by severity and aggregate results to policy-relevant administrative and national levels. Additionally, we provide subnational disparity analyses to provide a comprehensive overview of anemia prevalence inequalities within these countries and predict progress toward the World Health Organization’s Global Nutrition Target (WHO GNT) to reduce anemia by half by 2030. Our results demonstrate widespread moderate improvements in overall anemia prevalence but identify only three LMICs with a high probability of achieving the WHO GNT by 2030 at a national scale, and no LMIC is expected to achieve the target in all their subnational administrative units. Our maps show where large within-country disparities occur, as well as areas likely to fall short of the WHO GNT, offering precision public health tools so that adequate resource allocation and subsequent interventions can be targeted to the most vulnerable populations