The Balanced Two-String Technique for Sulcus Intraocular Lens Implantation in the Absence of Capsular Support

Purpose. To describe and explore an alternative approach for sulcus intraocular lens (IOL) implantation in the absence of capsular support. Methods. The commonly available one-piece poly(methyl methacrylate) (PMMA) lens is stabilized in the sulcus by two intraocular horizontal strings of 10/0 polypropylene suture passed through the lens dialing holes in opposite directions to achieve a mechanical balance. The horizontal strings of 10/0 polypropylene work as a rail track for the IOL optics, allowing some side to side lens adjustment even following wound closure. The stability of the IOL was tested in vitro. Six aphakic patients underwent in-sulcus IOL secondary implantation using the balanced two-string technique. Patients were followed up for a minimum of six months. Best spectacle corrected vision was assessed. Lens centration and lens tilt were measured by anterior segment optical coherence tomography (AS-OCT). Results. All patients had successful lens insertion. Best spectacle corrected visual acuity (BSCVA) improved in all patients. Lens decentration ranged between 0.21 mm and 0.9 mm (average 0.53 mm). Lens tilt ranged between 1.2° and 2.8° (average 2.17°). Conclusion. The mechanically balanced two-string technique is an alternative option for sulcus IOL implantation in absence of capsular support, allowing lens centration adjustment with no additional risks

Measuring the Impact of Service Quality Dimensions and Product Quality on Customer Satisfaction: The Case of Retail Market in Egypt

Customer satisfaction importance is increasing, as it is a key factor in any business success story. Retailers are very careful regarding the customer satisfaction factor, as it is a key determinant in customer’s decision whether to continue or discontinue their association with the retailer. In the recent years, the number and size of retailers in Egypt increased due to the swift growth in Egyptian population. Foreign hypermarkets such as Spinneys, Carrefour, Lulu, Makro, Panda,etc.have created a severe competition with the local modern hypermarkets and traditional markets. Retailers need for a reliable measure or model to test their service quality and product quality and their impact on customer satisfaction to ensure asustainable competitive advantage. Therefore, theaim of this researchisto measure the impact of service quality dimensions (physical aspects, reliability, personal interaction, policy, and problem solving) and product quality on customer satisfaction in the hypermarket sector in Alexandria, Egypt. In order to achievethis aim, a questionnaire has been created and distributed over a sample of 450 respondents to hypermarket buyers in Alexandria, Egypt. 390 questionnaires were collected with 86.7% response rate from the participants and were analysed by using the SPSS. The results of this research showed that there is a significant positive impact offive variables (physical aspects, personal interaction, policy, problem solving, and product quality) on customer satisfaction. Particularly, the hypermarket policy has the strongest impact on customer satisfaction in hypermarket sector followed by personal interaction, product quality, and physical aspects, where problem-solving factor has the least effect on customer satisfaction. Keywords: Service quality dimensions, product quality, retail market, hypermarket sector, customer satisfaction, Egyp

The effect of different positions during non-stress test on maternal hemodynamic parameters, satisfaction, and fetal cardiotocographic patterns

Maternal position is one of the most important factors to be considered during Non-Stress Test (NST). It should be a part of practice guidelines, where the appropriate maternal position reduces test-related errors and false-positive results. This study aimed to investigate the effect of different maternal positions during NST on maternal hemodynamic parameters, satisfaction, and fetal Cardiotocographic (CTG) pattern. A quasi-experimental research design was conducted at NST clinic, outpatient department/ Maternal and Children hospital at Najran city, Saudi Arabia. The study comprised a convenience sample of 118 low-risk pregnant women in their third trimester of pregnancy. Data was collected from January to June 2020. All women were assessed in the three different positions; supine, left lateral, and semi-fowler position concerning CTG pattern, maternal hemodynamic parameters, and satisfaction. The study results indicated a higher Fetal Heart Rate (FHR), increased accelerations, and fetal movement in the left lateral position, followed by a semi-fowler position compared to the supine position with statistically significant differences. No statistically significant differences (P>0.05) were observed regarding FHR variability and NST reactivity in the three positions. In addition, there were statistically significant differences (P<0.05) between the different maternal positions regarding maternal heart rate, systolic Blood pressure (BP), diastolic BP, and maternal satisfaction. The current study concluded that left lateral and semi-fowler positions were associated with a more favorable CTG pattern, maternal hemodynamic parameters, and satisfaction than the supine position. Left lateral and semi-fowler positions during the NST test should be standardized to reduce practical variations among health care providers, which, in turn, may reduce the need for unnecessary, expensive, and even hazardous interventions. La position de la mère est l'un des facteurs les plus importants à prendre en compte lors du test sans stress (NST). Cela devrait faire partie des directives de pratique, où la position maternelle appropriée réduit les erreurs liées aux tests et les résultats faussement positifs. Cette étude visait à étudier l'effet de différentes positions maternelles pendant le NST sur les paramètres hémodynamiques maternels, la satisfaction et le schéma cardiotocographique fœtal (CTG). Une conception de recherche quasi-expérimentale a été menée à la clinique du NST, au service de consultation externe / à l'hôpital maternel et infantile de la ville de Najran, en Arabie saoudite. L'étude comprenait un échantillon de convenance de 118 femmes enceintes à faible risque dans leur troisième trimestre de grossesse. Les données ont été recueillies de janvier à juin 2020. Toutes les femmes ont été évaluées dans les trois postes différents; position couchée, latérale gauche et semi-fowler concernant le schéma CTG, les paramètres hémodynamiques maternels et la satisfaction. Les résultats de l'étude ont indiqué une fréquence cardiaque fœtale (FCF) plus élevée, des accélérations accrues et des mouvements fœtaux en position latérale gauche, suivis d'une position semi-fowler par rapport à la position couchée avec des différences statistiquement significatives. Aucune différence statistiquement significative (P> 0,05) n'a été observée concernant la variabilité FHR et la réactivité du NST dans les trois positions. De plus, il y avait des différences statistiquement significatives (P <0,05) entre les différentes positions maternelles concernant la fréquence cardiaque maternelle, la tension artérielle systolique (TA), la TA diastolique et la satisfaction maternelle. L'étude actuelle a conclu que les positions latérales gauches et semi-fowler étaient associées à un modèle CTG plus favorable, des paramètres hémodynamiques maternels et une satisfaction que la position couchée. Les positions latérales gauche et semi-fowler pendant le test NST doivent être standardisées pour réduire les variations pratiques entre les prestataires de soins de santé, ce qui, à son tour, peut réduire le besoin d'interventions inutiles, coûteuses et même dangereuses

Protective Effect of Humic acid and Chitosan on Radish (Raphanus sativus, L. var. sativus) Plants Subjected to Cadmium Stress

BackgroundHumic acid or chitosan has been shown to increase plant growth, yield and improving physiological processes in plant, but its roles on alleviating the harmful effect of cadmium on plant growth and some physiological processes in plants is very rare. Pot experiments were conducted to study the role of 100 and 200 mg/kg dry soil from either humic acid or chitosan on counteracted the harmful effects of cadmium levels (100 and 150 mg/kg dry soil) on radish plant growth and some physiological charactersResultsCadmium at 100 and 150 mg kg-1 soil decreased significantly length, fresh and dry weights of shoot and root systems as well as leaf number per plant in both seasons. Chlorophyll, total sugars, nitrogen, phosphorus, potassium, relative water content, water deficit percentage and soluble proteins as well as total amino acids contents were also decreased. Meanwhile, cadmium concentration in plants was increased. On the other hand, application of chitosan or humic acid as soil addition at the concentration of 100 or 200 mg kg-1 increased all the above mentioned parameters and decreased cadmium concentrations in plant tissues. Chitosan at 200 mg kg-1 was the most effective than humic acid at both concentrations in counteracting the harmful effect of cadmium stress on radish plant growth.ConclusionIn conclusion, both natural chelators, in particular, chitosan at 200 mg/kg dry soil can increase the capacity of radish plant to survive under cadmium stress due to chelating the Cd in the soil, and then reduced Cd bio-availability

COVID-19 Outbreak: Effect of an Educational Intervention Based on Health Belief Model on Nursing Students' Awareness and Health Beliefs at Najran University, Kingdom of Saudi Arabia

This study aimed to investigate the effect of an educational intervention based on the health belief model (HBM) about COVID-19 on nursing  students' awareness and health beliefs. A true-experimental research design was conducted at nursing college, Najran University, KSA. A  comprehensive sampling was followed to include all female students at the colleges (164 students). The sample was divided randomly into  intervention (82) and control group (82). The educational intervention was designed and conducted based on the HBM through four sequential phases: assessment, planning, implementation, and evaluation. The current study results indicated no statistically significant differences between intervention and control groups concerning their demographic characteristic, awareness, and health beliefs before intervention. After intervention, significant differences (p< 0.05) were observed between intervention and control groups in their awareness and all HBM constructs regarding COVID19. There were positive, statistically significant correlations (P< 0.05) between participants' total HBM score and their total awareness score. This study concluded that HBM is effective in increasing nursing students' awareness regarding COVID-19. It also increases their perceived  susceptibility, severity, and benefits. Besides, it may increase their self-efficacy to overcome perceived barriers to practice protective and preventive actions while dealing with COVID-19. Keywords: Awareness, COVID-19, Health belief model, Nursing students, Saudi Arabia   Cette étude visait à étudier l'effet d'une intervention éducative basée sur le modèle de croyance en santé (HBM) à propos du COVID-19 sur la sensibilisation des étudiants en soins infirmiers et leurs croyances en matière de santé. Une conception de recherche véritablement expérimentale a été menée au collège d'infirmières de l'Université de Najran, en Arabie Saoudite. Un échantillonnage complet a été suivi pour inclure toutes les étudiantes des collèges (164 étudiantes). L'échantillon a été divisé au hasard en groupe d'intervention (82) et groupe témoin (82). L'intervention éducative a été conçue et menée sur la base du HBM à travers quatre phases séquentielles: évaluation, planification, mise en oeuvre et évaluation. Les résultats de l'étude actuelle n'ont indiqué aucune différence statistiquement significative entre les groupes d'intervention et de contrôle concernant leurs caractéristiques démographiques, leur sensibilisation et leurs croyances en matière de santé avant l'intervention. Aprèsl'intervention, des  différences significatives (p <0,05) ont été observées entre les groupes d'intervention et de contrôle dans leur connaissance et tutes les constructions HBM concernant COVID19. Il y avait des corrélations positives et statistiquement significatives (P <0,05) entre le score HBM total des participants et leur score total de sensibilisation. Cette étude a conclu que HBM est efficace pour sensibiliser les étudiants en sciences infirmières au COVID-19. Cela augmente également leur sensibilité, leur gravité et leurs avantages perçus. En outre, cela peut augmenter leur efficacité personnelle pour surmonter les obstacles perçus à la pratique d'actions de protection et de prévention tout en traitant le COVID-19. Mots-clés: Sensibilisation, COVID-19, modèle de croyance en matière de santé, étudiants en sciences infirmières, Arabie saoudit

Simple Spectrophotometric Method for Determination of Paroxetine in Tablets Using 1,2-Naphthoquinone-4-Sulphonate as a Chromogenic Reagent

Simple and rapid spectrophotometric method has been developed and validated for the determination of paroxetine (PRX) in tablets. The proposed method was based on nucleophilic substitution reaction of PRX with 1,2-naphthoquinone-4-sulphonate (NQS) in an alkaline medium to form an orange-colored product of maximum absorption peak (λmax) at 488 nm. The stoichiometry and kinetics of the reaction were studied, and the reaction mechanism was postulated. Under the optimized reaction conditions, Beer's law correlating the absorbance (A) with PRX concentration (C) was obeyed in the range of 1–8 μg mL−1. The regression equation for the calibration data was: A = 0.0031 + 0.1609 C, with good correlation coefficients (0.9992). The molar absorptivity (ε) was 5.9 × 105 L mol−1 1 cm−1. The limits of detection and quantitation were 0.3 and 0.8 μg mL−1, respectively. The precision of the method was satisfactory; the values of relative standard deviations did not exceed 2%. The proposed method was successfully applied to the determination of PRX in its pharmaceutical tablets with good accuracy and precisions; the label claim percentage was 97.17 ± 1.06 %. The results obtained by the proposed method were comparable with those obtained by the official method

Effects of short term feeding of some marine microalgae on the microbial profile associated with Dicentrarchus labrax post larvae

AbstractThis study investigates the microbial profile and antimicrobial activity of four marine microalgae species, Tetraselmis chuii, Nannochloropsis salina, Isochrysis galbana and Chlorella salina used in aquaculture of Dicentrarchus labrax in the post larval stage to estimate which was the best algal species that could be used as a green water technique and achieving the maximum rate of growth and survival of D. labrax post larvae. The results represented a significant increase in the length and width of D. labrax at p<0.05 recorded in the case of enrichment with I. galbana followed by N. salina, and the most weight was recorded in the case of N. salina as compared with the control. Significant increase in percentage of survival of D. labrax was recorded in the case of C. salina and T. chuii (70% and 60.1%, respectively) as compared with the control (22%). The antibacterial activity (AU) of the different microalgal ethanolic extracts against fish indicator pathogens was determined. The results indicated that the ethanolic extracts of C. salina and T. chuii have the most positive records against the fish indicator pathogens (Escherichia coli, Pseudomonas aeruginosa, Vibrio damsela, Vibrio fluvialis and Aeromonas hydrophila). The current study was extended to determine the GC–MS of ethanolic extract of C. salina and T. chuii. The main constituents detected in the ethanolic extract were organic acids like hexadecanoic acid, octadecanoic acid, and an acyclic diterpene alcohol like phytol