Formulation and Characterization of Thymoquinone Bioadhesive Gel for Treatment of Chronic Gum Inflammation

The aim of study is to formulate Thymoquinone gel and investigate its effect in chronic periodontitis in terms of clinical periodontal parameters, anti-oxidant capacity and the levels of IL-1β in gingival crevicular fluid. different gelling agents (carbopol, hydroxyl propyl methyl cellulose and chitosan) were used for the development of TQ gel. The optimized gel formulation was used for the clinical study. The study was conducted on 68 subjects (25-58 years old). 48 patients were clinically diagnosed with moderate to severe chronic periodontitis. Patients were divided into three groups; Group I (24 patients): received non-surgical periodontal therapy and Thymoquinone-chitosan gel (0.1 % w/w), Group II (24 patients): received only non-surgical periodontal therapy and Group III: 20 healthy subjects (control group). All patients were evaluated for clinical parameters including plaque index (PI), gingival index (GI), probing depth (PD) and clinical attachment level (CAL).  The levels of IL-1β and total anti-oxidant capacity were recorded in gingival crevicular fluid at baseline (prior to treatment) and at weeks 4 and 12 after treatment. The results showed that combination of non-surgical periodontal therapy and Thmoquinone gel (group I)  exhibited statistically significant improvement in biochemical parameters compared to non-surgical periodontal therapy alone (group II). In conclusion we can say that the adjunctive use of thymoquinone gel with non-surgical periodontal therapy improves the biochemical parameters accompanied with chronic periodontitits significantly after 4 weeks only

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

Combining In Vitro, In Vivo, and Network Pharmacology Assays to Identify Targets and Molecular Mechanisms of Spirulina-Derived Biomolecules against Breast Cancer

The current research employed an animal model of 7,12-dimethylbenz(a)anthracene (DMBA)-induced mammary gland carcinogenesis. The estrogen receptor-positive human breast adenocarcinoma cell line (MCF-7) was used for in vitro analysis. This was combined with a network pharmacology-based approach to assess the anticancer properties of Spirulina (SP) extract and understand its molecular mechanisms. The results showed that the administration of 1 g/kg of SP increased the antioxidant activity by raising levels of catalase (CAT) and superoxide dismutase (SOD), while decreasing the levels of malonaldehyde (MDA) and protein carbonyl. A histological examination revealed reduced tumor occurrence, decreased estrogen receptor expression, suppressed cell proliferation, and promoted apoptosis in SP protected animals. In addition, SP disrupted the G2/M phase of the MCF-7 cell cycle, inducing apoptosis and reactive oxygen species (ROS) accumulation. It also enhanced intrinsic apoptosis in MCF-7 cells by upregulating cytochrome c, Bax, caspase-8, caspase-9, and caspase-7 proteins, while downregulating Bcl-2 production. The main compounds identified in the LC-MS/MS study of SP were 7-hydroxycoumarin derivatives of cinnamic acid, hinokinin, valeric acid, and α-linolenic acid. These substances specifically targeted three important proteins: ERK1/2 MAPK, PI3K-protein kinase B (AKT), and the epidermal growth factor receptor (EGFR). Network analysis and molecular docking indicated a significant binding affinity between SP and these proteins. This was verified by Western blot analysis that revealed decreased protein levels of p-EGFR, p-ERK1/2, and p-AKT following SP administration. SP was finally reported to suppress MCF-7 cell growth and induce apoptosis by modulating the PI3K/AKT/EGFR and MAPK signaling pathways suggesting EGFR as a potential target of SP in breast cancer (BC) treatment

2D Magnetic Actuation and Localization of a Surface Milli-Roller in Low Reynolds Numbers

Magnetic actuation of minimally invasive medical tetherless devices holds great promise in several biomedical applications. However, there are still several challenges in noninvasive localization, both in terms of sensing detectable signals of these devices and estimating their states. In this work, a magnetic milli-roller is actuated in a viscous fluid under the influence of a rotating magnetic field. A Lyapunov-based nonlinear state observer is designed and implemented to estimate the position of the roller using a 2D array of Hall-effect sensors. We show that the local stability of the state observer yields convergence to one of the local equilibria, for pre-defined levels of sensor noise, initial conditions, and modeling errors. Performance is quantified using redundant measurements of the fields and we investigate the influence of the number of magnetic field measurements on the observability of the system. Open-loop actuation and state estimation are demonstrated and experimental results show that the localization of a 5 mm diameter roller along sinusoidal, circular and square trajectories achieve a steady-state mean absolute position error of 2.3 mm, 1.67 mm and 1.73 mm, respectivel

Pattern of antibiotic abuse – a population based study in Cairo

Background: Inappropriate use of antibiotics is a significant public health problem. The unnecessary use of antibiotics exposes the community to unwarranted medication and contributes to the development of antimicrobial resistance. Objective: Is to define pattern of usage of unprescribed antibiotics in Cairo and various contributing factors for such behavior including level of education, occupation and socioeconomic level. Methods: An interview questionnaire was held with 1057 subjects exploring their behavior toward antibiotic use in a 3 month-period. Descriptive statistics was used to analyze the data. Findings: Among 1006 completed questionnaires, usage of unprescribed antibiotics in the 3 month period was 29.8%. Most antibiotics were used to treat respiratory infections (55.7%). The most common antibiotics used were penicillins. Behavior of seeking medical advice is affected significantly by different age groups but not by gender. Rates of consulting a physician were 69%, 60%, 41.3% and 29.9% among children, elderly, youth and adults respectively. Different socioeconomic levels among the surveyed sample preferred ways other than consulting physicians based on the belief that common diseases do not worth physician’s consultation 47.3%. Conclusion: This study showed high rates of antibiotic abuse among Cairo population. This needs to be guided through different strategies. An easy access to an affordable health care service with a considerable quality is the first step side by side with establishing a national antibiotic policy to be followed by all healthcare workers