Perspective Chapter: Reflection from the Field of Medical Education in the COVID-19 Pandemic—New Strategies and Practices in Achieving Needed Competencies for Students

The COVID-19 issue forced necessary changes in medical education that have been demanding and adjusting for different medical colleges, but they also provide a great opportunity for the betterment and possible challenging and useful transformation of medical education. This chapter examined the responses of medical organizations to this pandemic, its merits, and its challenges. It analyzed the potential effects of new strategies’ recognition and application on medical education in the post-COVID-19 period. The status of medical education before COVID-19 and the challenges of adopting competencies have been reviewed. The teaching and assessment strategies innovated in the COVID-19 era and reflections from faculty and students were discussed. Over the previous years, the pandemic has questioned concepts about how medical education should be delivered. The COVID-19 pandemic offers the medical education community a unique chance to reorient itself away from outdated standards and practices and toward more societally responsible and accountable standards and practices. All involved in medical education should all work together to prevent situations from “snapping back” to how they have always been because they were accepted practices and would be lost if the pandemic had the potential to disrupt growth and reform

Detection of HER-2/neu, c-myc amplification and p53 inactivation by FISH in Egyptian patients with breast cancer

Breast cancer is a leading cause of cancer-related deaths in women worldwide. The clinical course of this disease is highly variable and clinicians continuously search for prognostic parameters that can accurately predict prognosis, and indicate a suitable adjuvant therapy for each patient. Amplification of the two oncogenes HER-2/neu and c-myc and inactivation of the tumor suppressor gene p53 are frequently encountered in breast carcinomas. The purpose of this study was to use the fluorescence in situ hybridization (FISH) for the assessment of HER-2/neu and c-myc amplification and p53 inactivation and to relate these molecular markers with the commonly used clinical and pathological factors. The study was conducted on 34 tissue samples obtained from 33 females and 1 male with breast carcinomas and 17 samples obtained from 16 females and 1 male with benign breast lesions. Results revealed that the level of HER-2/neu, c-myc and p53 in the malignant group was significantly increased as compared to the benign group. On relating the level of the molecular markers to clinicopathological factors, p53 was significantly associated with increased patient’s age. The sensitivity of the investigated markers significantly increased with larger tumor size. Concerning tumor grade, HER-2/neu and p53 showed a significant increase in low-grade tumors whereas c-myc showed a highly significant increase in high-grade tumors. With regard to disease staging, HER-2/neu and c-myc were the only markers that showed significant increase at late stages of disease. p53 and HER-2/neu were significantly associated with positive lymph nodal status. A significant correlation was obtained between the levels of the three biomarkers to each other. Conclusively, the combination of HER-2/neu, c-myc and p53 can stratify patients into different risk groups

Dental implant imaging: What do South African dentists and dental specialists prefer?

To document the types of imaging modalities that are commonly prescribed during dental implant therapy in South Africa. The radiographic preferences were obtained from practitioners via an electronic survey that was disseminated during local dental conferences, electronic channels (e.g., email lists) of multiple dental schools and local dental scientific societies, and personal interviews. The survey consisted of multiple-choice questions which were designed to investigate the most common radiographic prescriptions during various treatment phases of implant therapy. The responses of one hundred and forty-two participants (General practitioners and dental specialists) practising in different South African provinces were collected and assessed. Principally, panoramic radiographs combined with cone beam computed tomography (PAN + CBCT) followed by CBCT, as a single examination (ASE), were the most preferable modalities during the implant planning phase (39% and 29%, respectively). During and directly after the surgery, periapical radiographs (ASE) were the most preferred (87% and 65%, respectively). The most widely preferred radiographic examination during the planning of implants was panoramic radiographs combined with CBCT. Periapical radiographs (ASE) were favoured during, directly after the treatment, and during the follow-up of asymptomatic patients by the majority of participants. However, CBCT (ASE) was preferred in the follow up of symptomatic patients. Factors related to extra anatomical information and superior dimensional accuracy provided by three-dimensional volumes (e.g., CBCT volumes), were the most indicated influencing factors on the radiographic prescriptions during implant planning

Levels of certain tumor markers as differential factors between bilharzial and non-biharzial bladder cancer among Egyptian patients

<p>Abstract</p> <p>Background/Objective</p> <p>Bladder cancer is the commonest type of malignant tumors as a result of schistosomaisis which is a major healthy problem in many subtropical developing countries. The aim of this study is to comparatively elucidate the underlying biochemical tumor markers in schistosomal bladder cancer versus non-schistosomal bladder cancer when compared to normal healthy ones.</p> <p>Methods</p> <p>This work was performed on tissue specimens from total 25 patients and serum samples from total 30 patients versus ten healthy individuals served as control. The investigated parameters in serum are: xanthine oxidase (XO), fructosamine, lactate dehydrogense (LDH), aspartate aminotransferase (AST), alanine aminotransferase (ALT), total proteins, essential and non- essential amino acids profile, hydroxyproline, total immunoglobulin E (IgE) and tumor necrosis factor alpha (TNF-<it>α</it>). In addition, the current investigation also extended to study some markers in tumor bladder tissues including, pyruvate kinase enzyme (PK), lactate dehydrogenase (LDH), aspartate aminotransferase (AST) and alanine aminotransferase (ALT).</p> <p>Results</p> <p>Results showed that biharzial bladder cancer patients recored more significant elevation in serum XO, fructosamine, LDH, AST, ALT, hydroxyproline, IgE and TNF-<it>α </it>than in bladder cancer patients when compared to control ones. While, in tissues there were significant increase in PK, LDH, AST & ALT activities of schistosomal bladder cancer than in bladder cancer as compared to control healthy patients.</p> <p>Conclusions</p> <p>It could be concluded that, bilharzial and non-bilharzial bladder cancer showed distinct biochemical profile of tumor development and progression which can be taken into consideration in diagnosis of bladder cancer.</p

Utilization of Some Fruits and Vegetables By-Products to Produce High Dietary Fiber Jam

The present study aimed to investigate the chemical composition, antioxidant activity, total phenolic compounds and ?-carotene of carrot peels, apple pomace, banana peels and mandarin peels and their quality in preparing jam. Mandarin and banana peels characterized by its higher crude fiber (12.16 and 5.25%) and vitamin C (68 and 16.6 mg/100g) compared to carrot peels (3.91%) and apple pomace (3.65%). Banana peels contained higher amount of magnesium, potassium, calcium and iron compared to other peels samples. Therefore, jam of banana peels characterized by its higher content in magnesium (758 mg/100g), potassium (779 mg/100g), calcium (191 mg/100g) and iron (59.15 mg/100g). Jam of apple pomace characterized by its higher phosphorus contents (220 mg/100g) followed by jam of banana peels (138 mg/100g), mandarin peels (128 mg/100g) and carrot peels (53 mg/100g). Jam of carrot peels characterized by its higher phenolics content as gallic acid equivalent (87.4 mg/100g) followed by jams of apple pomace (82.5 mg/100g), banana peels (42.7 mg/100g) and mandarin peels (34.6 mg/100g). The same trend was observed in total flavonoids as catechen equivalent (mg CAT/100g) in jams of carrot peels, apple pomace, banana peels and mandarin peels, where they were 35.9, 30.1, 23.5 and 21.7, respectively. Furthermore, jam of carrot peels had higher antioxidant activity, where its DPPH radical, had lower DPPH based IC50 (1.8 ?g/ml) while jam of apple pomace, banana peels and mandarin peels had higher DPPH based IC50 reached to 2.04, 2.21 and 3.34 µg/ml, respectively. The same trend was observed for the ?-carotene radical in tested jam samples. Hunter color parameter showed that jam of mandarin peels had highest lightness (L* = 39.8), followed by jam of carrot peels (29.46), apple pomace (18.27) and banana peels (15.19). Therefore, jam of banana peels was darker than other tested peels samples. Sensory evaluation showed that jam of apple pomace characterized by its higher taste and odor, followed by jam of mandarin peels, banana peels and carrot peels. Color of tested jam of carrot, banana or mandarin peels was darker than apple pomace jam. Also, jam of apple pomace gave higher scores in appearance and overall acceptability. Keywords: Jam – Peels – antioxidant activity – Total phenolics– Total Flavonoid

Aging changes of the testis in albino rat: light, electron microscopic, morphometric, immunohistochemical and biochemical study

Background: Aging has a deleterious effect on the morphology of the male reproductive system which might, in turn, lead to changes in spermatogenesis and consequently, decrease in both quality and quantity of spermatozoa. Materials and methods: The present study elucidated the histological and ultrastructural changes of testes of adult albino rats during aging and applied morphometric measures to obtain quantitative data for these changes. The oxidative and antioxidative markers of aged testes were also assessed. Results: The results documented the presence of age-related regressive structural changes of the testis accompanied with an increase in the apoptosis and a decrease in the proliferative capacity. Conclusions: The biochemical results gave evidence of an imbalance between the oxidative damage and the antioxidant defence indicating increased oxidative stress of aged testis