The Effect of Anterior Stromal Puncture Using Q-Switched Nd:YAG Laser on Corneal Wound Healing

Introduction: Recurrent corneal erosion occurs when the wounded corneal epithelium failed to adhere to the underlying stroma. Therefore, this work aimed to assess the effect of treatment of corneal injury using Q- switched Nd:YAG laser.  Method: Twenty one New Zealand male rabbits weighing 2-2.5 kg and 3 months old were classified into three main groups. The control group: did not received any treatment (n=3 rabbits). The rest of the animals (n= 18 rabbits), corneal epithelium was injured by syringe needle and blade 15 and divided into:(A) Normal healing group: which was divided into three subgroups (n=3 rabbits each), and the animals were left for normal healing for1 day, 1 week, and 4 weeks respectively, (B) Laser treated group: divided into three subgroups (n=3 rabbits each) and subjected to anterior stromal puncture using Q-switched Nd: YAG laser on corneal sub-epithelium or superficial stroma, and the animals were left for 1 day, 1 week, and 4 weeks respectively. After the demonstrated periods, the corneas were isolated for estimation of total protein content, sodium dodecyl sulfate polyacrylamide gel electrophoresis (SDS-PAGE), total antioxidative capacity (TAC), total oxidative capacity (TOC) and oxidative stress index (OSI).Results: The present results of corneal total protein showed increment in the percentage change in normal healed groups after 1 day, 1 week and 4 weeks by values of 93%, 68% and 39%. In Q-switched Nd: YAG laser treated group the results showed better improvement in corneal protein than normal healed group with percentage changes of 58%, 29%, and 7.5% respectively. In SDS- PAGE, a protein band at 110 KD appeared in the migrating epithelium for both normal healed group and Q-switched Nd:YAG laser treated group with changes in the peaks intensities at middle and  low molecular weight regions. Moreover, after 4 weeks the peak at 110 KD disappeared in the wounded epithelium treated with Q-switched Nd:YAG. After four weeks, the OSI in laser treated corneas showed pronounced balance between antioxidative capacity and oxidative capacity.Conclusion: Anterior stromal puncture by Q-switched Nd:YAG laser is an effective, simple, safe and promising procedure to treat recurrent corneal erosion than normal healing

Molecular Typing of Methicillin Resistant Staphylococcus aureus

Increased frequency of methicillin-resistant Staphylococcus aureus (MRSA) in hospitalized patients requires rapid and reliable characterization of isolates for control of MRSA spread in hospitals. This study evaluated polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) as a molecular typing technique for MRSA strains on the basis of protein A (spa) and coagulase (coa) gene polymorphisms to verify their ability in assessing the relatedness of isolates. Seventy-five MRSA isolates, from different ICUs of Alexandria University Main Hospital, were characterized using antibiotyping and PCR-RFLP analysis of coa and spa genes. Thirty-two antibiotypes were identified. coa gene PCR generated 3 types and 10 subtypes of band patterns. HaeIII restriction digestion of amplified coa gene products produced 5 major banding patterns and 12 subtypes. spa gene PCR products generated 4 major and 11 minor types, and their HaeII restriction digestion showed 5 major and 12 minor banding patterns. The combined coa and spa RFLP patterns generated 22 combined R types. Typing using coa PCR and PCR-RFLP had the same discriminatory index (DI) value (0.64), which was comparable to that of both spa PCR and PCR-RFLP techniques (0.68). The combined grouping increased the DI value to 0.836. The current study revealed that testing for multiple gene polymorphisms is more useful for local epidemiologic purposes

Burnout among surgeons before and during the SARS-CoV-2 pandemic: an international survey

Background: SARS-CoV-2 pandemic has had many significant impacts within the surgical realm, and surgeons have been obligated to reconsider almost every aspect of daily clinical practice. Methods: This is a cross-sectional study reported in compliance with the CHERRIES guidelines and conducted through an online platform from June 14th to July 15th, 2020. The primary outcome was the burden of burnout during the pandemic indicated by the validated Shirom-Melamed Burnout Measure. Results: Nine hundred fifty-four surgeons completed the survey. The median length of practice was 10 years; 78.2% included were male with a median age of 37 years old, 39.5% were consultants, 68.9% were general surgeons, and 55.7% were affiliated with an academic institution. Overall, there was a significant increase in the mean burnout score during the pandemic; longer years of practice and older age were significantly associated with less burnout. There were significant reductions in the median number of outpatient visits, operated cases, on-call hours, emergency visits, and research work, so, 48.2% of respondents felt that the training resources were insufficient. The majority (81.3%) of respondents reported that their hospitals were included in the management of COVID-19, 66.5% felt their roles had been minimized; 41% were asked to assist in non-surgical medical practices, and 37.6% of respondents were included in COVID-19 management. Conclusions: There was a significant burnout among trainees. Almost all aspects of clinical and research activities were affected with a significant reduction in the volume of research, outpatient clinic visits, surgical procedures, on-call hours, and emergency cases hindering the training. Trial registration: The study was registered on clicaltrials.gov "NCT04433286" on 16/06/2020

The evolving SARS-CoV-2 epidemic in Africa: Insights from rapidly expanding genomic surveillance

INTRODUCTION Investment in Africa over the past year with regard to severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) sequencing has led to a massive increase in the number of sequences, which, to date, exceeds 100,000 sequences generated to track the pandemic on the continent. These sequences have profoundly affected how public health officials in Africa have navigated the COVID-19 pandemic. RATIONALE We demonstrate how the first 100,000 SARS-CoV-2 sequences from Africa have helped monitor the epidemic on the continent, how genomic surveillance expanded over the course of the pandemic, and how we adapted our sequencing methods to deal with an evolving virus. Finally, we also examine how viral lineages have spread across the continent in a phylogeographic framework to gain insights into the underlying temporal and spatial transmission dynamics for several variants of concern (VOCs). RESULTS Our results indicate that the number of countries in Africa that can sequence the virus within their own borders is growing and that this is coupled with a shorter turnaround time from the time of sampling to sequence submission. Ongoing evolution necessitated the continual updating of primer sets, and, as a result, eight primer sets were designed in tandem with viral evolution and used to ensure effective sequencing of the virus. The pandemic unfolded through multiple waves of infection that were each driven by distinct genetic lineages, with B.1-like ancestral strains associated with the first pandemic wave of infections in 2020. Successive waves on the continent were fueled by different VOCs, with Alpha and Beta cocirculating in distinct spatial patterns during the second wave and Delta and Omicron affecting the whole continent during the third and fourth waves, respectively. Phylogeographic reconstruction points toward distinct differences in viral importation and exportation patterns associated with the Alpha, Beta, Delta, and Omicron variants and subvariants, when considering both Africa versus the rest of the world and viral dissemination within the continent. Our epidemiological and phylogenetic inferences therefore underscore the heterogeneous nature of the pandemic on the continent and highlight key insights and challenges, for instance, recognizing the limitations of low testing proportions. We also highlight the early warning capacity that genomic surveillance in Africa has had for the rest of the world with the detection of new lineages and variants, the most recent being the characterization of various Omicron subvariants. CONCLUSION Sustained investment for diagnostics and genomic surveillance in Africa is needed as the virus continues to evolve. This is important not only to help combat SARS-CoV-2 on the continent but also because it can be used as a platform to help address the many emerging and reemerging infectious disease threats in Africa. In particular, capacity building for local sequencing within countries or within the continent should be prioritized because this is generally associated with shorter turnaround times, providing the most benefit to local public health authorities tasked with pandemic response and mitigation and allowing for the fastest reaction to localized outbreaks. These investments are crucial for pandemic preparedness and response and will serve the health of the continent well into the 21st century

Optical Characterization of Biological Tissues Based on Fluorescence, Absorption, and Scattering Properties

Optical diagnostics methods are significantly appealing in biological applications since they are non-destructive, safe, and minimally invasive. Laser-induced fluorescence is a promising optical spectrochemical analytical technique widely employed for tissue classification through molecular analysis of the studied samples after excitation with appropriate short-wavelength laser light. On the other hand, diffuse optics techniques are used for tissue monitoring and differentiation based on their absorption and scattering characteristics in the red to the near-infrared spectra. Therefore, it is strongly foreseen to obtain promising results by combining these techniques. In the present work, tissues under different conditions (hydrated/dry skin and native/boiled adipose fat) were distinguished according to their fluorescence emission, absorption, and scattering properties. The selected tissues’ optical absorption and scattering parameters were determined via Kubelka–Munk mathematical model according to the experimental tissue reflectance and transmittance measurements. Such measurements were obtained using an optical configuration of integrating sphere and spectrometer at different laser wavelengths (808, 830, and 980 nm). Moreover, the diffusion equation was solved for the fluence rate at the sample surface using the finite element method. Furthermore, the accuracy of the obtained spectroscopic measurements was evaluated using partial least squares regression statistical analysis with 0.87 and 0.89 R-squared values for skin and adipose fat, respectively

Corrosion Mitigation of Rare-Earth Metals Containing Magnesium EV31A-T6 Alloy via Chrome-Free Conversion Coating Treatment

Magnesium alloys posses unique mechanical and physical characteristics making them attractive light-weight materials for several strategic industries such as electronics, computer, automotive and aerospace. Due to their high chemical reactivity and poor corrosion resistance, the protection of magnesium alloys from corrosion is one of the hottest topics in materials science and engineering. Addition of rare-earth metals (RE) as alloying elements to magnesium alloys is one of the common approaches to improve their mechanical properties and, sometimes, the corrosion resistance. However, the potential difference between the RE metals phase formed in the Mg matrix enhances the galvanic corrosion at the interfaces where RE metals inert phase acts as cathode and the active Mg matrix acts as anode. This paper introduces a simple one-step clean conversion coating treatment for improving the protection of RE containing magnesium EV31A-T6 alloy in Cl- media

Novel Smart Stannate Based Coatings of Self-Healing Functionality for AZ91D Magnesium Alloy

Smart stannate based coatings were used for improving the corrosion resistance of AZ91D alloy. The proposed coatings characterize with their safety compared with the process involving toxic chromate. They are also industrially applicable and economically attractive where only two steps are needed for the coating preparation and the chemicals used are just a diluted tin-oxide solution. The electrochemical behavior and the self-healing characteristics due to stannate coatings on Mg substrate has been evaluated in 3.5% NaCl solution. Polarization measurements, electrochemical impedance spectroscopy, SEM–EDS analyses were performed to assess the performance of the coatings in NaCl and to determine the optimum conditions for self-healing ability. Results showed that stannate coatings improve the resistance to localized corrosion and micro-cracks due to formation of tin oxide-rich magnesium hydroxide layer. It was confirmed that stannate are promising coatings provide a self-healing functionality for Mg substrate that heal the pitting zones and auto-repair the micro-cracks

Novel Anti-Corrosion Nano-Sized Vanadia-Based Thin Films Prepared by Sol-Gel Method for Aluminum Alloys

Chromate conversion coatings have been widely applied for the corrosion protection of aluminum alloys. However, the waste containing Cr6+ has many limitations due to the environmental consideration and health hazards. Vanadates are among the proposed alternatives to chromating. Series of specimens were prepared under the following conditions: (a) as polished, (b) directly treated with vanadia, (c) etched, (d) oxide thickened, and (e) etching followed by oxide thickening. After surface preparation, the specimens were dipped in vanadia solution prepared via sol gel method. Electrochemical impedance spectroscopy (EIS) and polarization measurements have been used to evaluate the coating performance in 3.5% NaCl. The optimum conditions under which vanadia treatments can provide good corrosion protection to the aluminum substrate were determined. The surface morphologies of the treated samples were investigated using SEM and EDS. Optical microscope was also used to investigate the occurrence of pitting corrosion. The surface preparation prior to vanadia treatment was found to have a marked effect on the corrosion protection of AA6061 T6. Generally, vanadia treatments improve the corrosion resistance due to formation of highly protective vanadium oxides. According to the EIS and polarization measurements, a combination between etching and oxide thickening prior to vanadia treatment plays an important role on the corrosion protection mechanism

Corrosion Protection Performance of Nano-Particles Thin-Films Containing Vanadium Ions Formed on Aluminium Alloys

Purpose – The paper seeks to find out new eco-environmentally friendly surface treatments based on vanadate compounds as alternatives to the process involving toxic chromates for the corrosion protection of aluminium alloys. Design/methodology/approach – A treatment process in which the surface was etched prior to vanadia treatment is being proposed. The process involves cleaning, etching in potassium hydroxide followed by treatment in vanadia prepared by sol-gel method. The effect of surface preparation prior to vanadia treatment on the corrosion resistance of AA6061 T6 in 3.5 per cent NaCl solution was measured using AC impedance spectroscopy and DC polarization techniques. Surface examination was performed by scanning electron microscopy (SEM), energy dispersive X-ray (EDS), X-ray photoelectron spectroscopy (XPS) and atomic force microscopy (AFM). Findings – It has been shown that the etching process prior to vanadia treatment enhanced formation of a uniformly distributed compact surface V-rich Al-oxide film of smooth appearance and inhibited the active surface sites and thereby preventing localized corrosion. Originality/value – Vanadate conversion coatings seem very promising as alternatives to toxic chromating for the corrosion protection of aluminium alloys in NaCl solution