Efficacy of Corn and Rice Seed-borne Mycoflora in Controlling Aflatoxigenic Aspergillus flavus

Food commodities such as cereals are subjected to spoilage and bio-deterioration during storage by mycotoxigenic fungi such as Aspergillus flavus. Efforts are done to biologically control toxigenic A. flavus and subsequently prevent or at least minimize its aflatoxin production ability, without the need of using synthetic fungicides. Antifungal activity of corn and rice seed-borne mycoflora was tested against aflatoxigenic A. flavus in vitro, using bioassays such as dual culture technique; ability to produce volatile and non-volatile metabolites; ability to inhibit germination and reduce germ tube length of A. flavus conidia; in vivo reduction of aflatoxins level in corn seeds co-inoculated with the pathogen and antagonists. Penicillum crustosum, Aspergillus giganteus, Fusarium verticillioides and Aspergillus fumigatus isolates showed promising antifungal activities and varying efficiencies of reducing aflatoxins level; however, only A. fumigatus isolate was non-aflatoxigenic. It could be concluded that A. fumigatus could be used effectively as a biopreservative to increase shelf life of cereals during storage, but after testing its tendency to produce other mycotoxins or causing human Aspergillosis

Etiology of stipe necrosis of cultivated mushrooms (Agaricus bosporus) in Egypt

Internal stipe necrosis of cultivated button mushrooms (Agaricus bisporus) is caused by the bacterium Ewingella americana (Enterobacteriaceae), which is part of the endogenous bacterial population in mushroom sporocarp tissues. Isolation of the causal agent of stipe necrosis led to the recovery of three bacterial morphotypes. Ewingella americana was isolated from 90% of mushroom samples showing mild stipe browning, while Pseudomonas fluorescens and P. tolaasii were also isolated. Inoculation with E. americana into button mushroom sporocarps yielded typical browning symptoms which were distinguishable from those of the bacterial soft rot. This bacterium was re-isolated and its identification was verified, thus fulfilling Koch’s postulates. However, inoculations with P. fluorescens and P. tolaasii caused no stipe browning. The strain identities were verified by biochemical identification and through analysis of their 16S rRNA gene sequences. This study has outlined the etiology of stipe necrosis of cultivated button mushroom in Egypt, and is the first report of E. americana in this country

Stone clearance in lower pole nephrolithiasis after extra corporeal shock wave lithotripsy – the controversy continues

BACKGROUND: To determine factors influencing the clearance of fragments after extra-corporeal shock wave lithotripsy (ESWL) for lower pole calyceal (LPC) stones. METHODS: In the period between July 1998 and Oct 2001, 100 patients with isolated lower polar calyceal calculi ≤ 20 mm, in patients aged ≥ 14 years, were included in the study. Intravenous urograms (IVU) were reviewed to define the LPC anatomy (width of the infundibulum and pelvicalyceal angle). Study end points i.e. stone free status; number of shock waves used and number of sessions were correlated with variables like LPC anatomy, body mass index and stone size. RESULTS: At three months follow up the clearance for stone size ≤ 10 mm, 11–15 mm and 16–20 mm were 95, 96 and 90% respectively. Patients with acute LPC (<90°) and obtuse angle (>90°) had stone clearance of 94 and 100% respectively. For the infundibular width of < 4 mm, the stone clearance was 93% were as for > 4 mm, it was 100%. For body mass index (BMI) less than and > 30 kg/m(2), the stone clearance was 92 and 95% respectively. CONCLUSIONS: There is a trend towards more ESWL sessions and shock wave requirement in patients with acute pelvi-calyceal angle and narrow infundibulum but it is not statistically significant. Size (≤ 20 mm) and BMI has no relation with stone clearance. With modern lithotripter, stones up to 20 mm could primarily be treated by ESWL, irrespective of an un-favorable lower polar calyceal anatomy and body habitus

Sialyl Lewis X Expression and Lymphatic Microvessel Density in Primary Tumors of Node-negative Colorectal Cancer Patients Predict Disease Recurrence

Up to 30% of curatively resected colorectal cancer patients with tumor-negative lymph nodes, show disease recurrence. We assessed whether these high-risk patients can be identified by examining primary tumors for the following blood and lymphatic vasculature markers: A) sialyl Lewis X (sLeX), vascular endothelial growth factor (VEGF)-C and VEGF-D expression; B) blood and lymphatic microvessel density (BMVD/LMVD); and C) the presence of blood and lymphatic vessel invasion. Thirty-six cases (disease recurrence within 5 years) and 72 controls (no disease recurrence for at least 5 years) were selected in a case-control design. Tumor sections were stained by antibodies CSLEX1 (sLeX), anti-VEGF-C, anti-VEGF-D, anti-CD31 (BMVD) or D2–40 (LMVD) to determine the parameters as mentioned above. A multivariate analysis showed sLeX expression and high LMVD (odds ratio 5.1, 95% confidence interval 1.3–20.0 and odds ratio 3.1, 95% confidence interval 1.0–10.0, respectively) to be independent factors predicting disease recurrence. Expression of sLeX correlated with liver metastases (P = 0.015). A high LMVD was related to regional intra-abdominal or intrapelvic metastases in lymph nodes and distant metastases other than in the liver and lungs such as peritoneum, bones, brain and adrenal glands (P = 0.004). A high BMVD in the invasive front correlated with lung metastases (P = 0.018). We show that high-risk node-negative colorectal cancer patients can be identified by primary tumor assessment for sLeX expression and LMVD. Our results are consistent with the notion that both lymphatic and hematogenous metastasis play a role in colorectal cancer

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&nbsp;years; 78.2% included were male with a median age of 37&nbsp;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

Control of Fusarium wilt of tomato in the greenhouse using silver nanofungicides

Tomato (Solanum lycopersicum) is considered as one of the most economically important vegetable crops in the world. Its production is about 130 million tons, of which 88 million are specified for the fresh markets whereas, 42 million are processed (Anonymous, 2016). Fusarium oxysporum f. sp. lycopersici causes a highly destructive vascular wilt disease of tomato leading to significant crop losses in the field and in protected tomatoes, thus remains as one of the main limiting factors for production of this crop (McGovern, 2015). Control of infectious plant diseases is the most important concern of crop production. However, resistance of phytopathogenic fungi to synthetic fungicides must be considered. According to Bouwmeester et al., (2009), the use of new mechanisms for plant disease control is basically required, however, recent development of nanopesticides can help to control many plant diseases. Sekhon, (2014); Ahmed and Lee, (2015) later added that the use of nanoparticles (NP) is considered as a promising alternative way to control phytopathogens

Pfannenstiel incision for intact specimen extraction in laparoscopic transperitoneal radical nephrectomy: a longitudinal prospective outcome study

OBJECTIVES: To evaluate the intra- and postoperative outcomes of patients undergoing laparoscopic radical nephrectomy with intact specimen extraction through a Pfannenstiel transverse suprapubic incision. METHODS: Prospective follow-up of 26 laparoscopic transperitoneal radical nephrectomies for suspected renal tumors in which the kidneys were extracted via a Pfannenstiel lower abdominal transverse incision. RESULTS: The mean operating time was 152.3 (80-255) minutes, and the mean blood loss was 90 (20-300) ml. The mean extraction time was 20.4 (12-35) minutes. The mean weight of the removed specimen was 631.5 (190-1505) grams, and the mean longest diameter of the extracted specimen was 17.4 (9-25) cm. The mean extraction incision size was 10.7 (7-16) cm. No open surgical conversions were necessary. Pain control was excellent, with minimal intravenous morphine equivalent narcotic use by patients: 15.7 (0-31) mg in the recovery room, 33.8 (0-127) mg on the first postoperative day and 8.7 (0-60) mg in the first week after discharge. The patients experienced a short duration to full ambulation and normal dietary intake. Postoperative follow-up visits were recorded for at least six months. The patients reported a high cosmetic satisfaction rate of 97.7% (60-100). No late postoperative complications were observed related to the extraction site. CONCLUSIONS: The operative specimen can be extracted via a low transverse Pfannenstiel incision during radical laparoscopic nephrectomy. This incision ensures the extraction of large specimens while preserving the aesthetic and functional advantages of laparoscopy without increasing the cancer risk. The absence of muscle cutting maintains the integrity of the abdominal wall and elicits minimal pain. No postoperative incisional hernias or keloid formations were observed