Role of [18F] FDG PET-CT in detection of COVID-19 vaccine-associated hypermetabolic lymphadenopathy (VAHL) in lymphoma patients: with serologic testing correlation

Abstract Background COVID-19 vaccination of the population has a great importance, especially in oncological patients. The high incidence of vaccine-associated hypermetabolic lymphadenopathy (VAHL) makes a difficulty in the diagnosis of PET-CT of oncological patients. They should be vaccinated in the side opposite to the expected malignant LNs to avoid unnecessary biopsy and change in therapy. The aim of this study was to assess the role of PET-CT in detection of VAHL after the 2nd dose of Pfizer-BioNTech vaccine in lymphoma patients and compare the incidence of VAHL among lymphoma patients treated with B cell depletion therapy during the 6 months prior to vaccination and those treated > 6 months before vaccination. Results This study comprised 120 lymphoma patients, referred for FDG PET/CT 1–3 weeks after the 2nd dose of Pfizer-BioNTech COVID-19 vaccine. Hypermetabolic LNs were identified in 55%. The incidence of VAHL in lymphoma patients treated with anti-CD20 antibody rituximab during the 6 months prior to vaccination (9%) was significantly lower compared with other lymphoma patients treated with anti-CD20 antibody rituximab > 6 months before vaccination (91%). The incidence and grades of VAHL are significantly high within the 1st week after the 2nd dose of Pfizer-BioNTech vaccine in patients younger than 60 years of age. Only 7 of 37 patients with negative serology had VAHL on PET-CT, whereas 10 of 26 patients with decreased anti-spike titers and 49 of 57 patients with increased anti-spike titers had VAHL on PET-CT. Conclusions VAHL makes challenges in the interpretation of FDG PET/CT in oncology patients. Accurate data collection, regarding the time and site of COVID vaccination, is important to help radiologists in identifying the cause of abnormal nodal FDG uptake. We suggest to schedule FDG PET-CT for lymphoma patients at least 3 weeks after the 2nd dose of Pfizer-BioNTech vaccine

تقييم التلوث بالعناصر في رواسب بحيرة البرلس جنوب شرق البحر المتوسط - مصر

The present study aims to quantify the heavy metals contents in the sediments of Lake Burullus. Cu, Pb, Zn, and Cd were analyzed using ICP spectrometer. The contamination factors (CF) were calculated for each element. The CFs were found to fall in the following sequence : Cd > Pb > Cu > Zn. The pollution load index (PLI) was also estimated. Chcrnoff face analysis was used to represent the pollution extent at different stations. The level of pollution by heavy metals is mainly induced by the input from the drains, the biomincralization and the current circulations.تهدف الدراسة الحالية إلى تقدير نسبة العناصر الثقيلة الموجودة في رواسب بحيرة البرلس . وقد تم تحليل عناصر النحاس والرصاص و الزنك والكاديوم باستخدام جهاز البلازما . وتم حساب معامل حمل التلوث على النحو التالي الكاديوم ˂ الرصاص ˂ النحاس ˂ الزنك. وجد ارتباط بين مستوى التلوث بالعناصر الثقيلة في رواسب البحيرة وكل من كميه المياه المنصبة في البحيرة عن طريق المصارف - حركة التيارات وعملية التمعدن البيولوجي

Diagnostic performance and inter-observer variability of CO-RADS in the triage of patients with suspected COVID-19 infection : initial experience in Zagazig University Hospital

Purpose: In many healthcare settings in developing nations, multislice computed tomography (MSCT) imaging may be the only available diagnostic modality for patients with suspected COVID-19 infection, due to a shortage of laboratory kits. This study aimed to evaluate the diagnostic performance and interobserver variability of CO-RADS (COVID-19 Reporting and Data System) in the triage of patients with suspected COVID-19 infection in Zagazig University Hospital. Material and methods: This study included 2500 patients with suspected COVID-19 infection, mean age 60.61 years ± 13.89. 61.4% were male. Unstable patients requiring urgent invasive ventilation, acute coronary syndrome patients, pregnant females, and patients with RT-PCR results available prior to MSCT were excluded from this study. RT-PCR was performed in all patients included in the study. Results: Fever and dry cough were the most common clinical symptoms, detected in 80.16% and 52.00%, respectively. The most common comorbidities were cardiovascular diseases, followed by chronic lung disease and diabetes, found in 27.36%, 22.80%, and 18.00%, respectively. Of the 1500 RT-PCR-positive patients, 40% had CO-RADS score 5, while 3.4% had CO-RADS score 1. Of the 1000 RT-PCR-negative patients, 36% had CO-RADS score 2 and 1% were scored as CO-RADS 5. There was excellent agreement in the studied patients as the weighted κ value was 0.846, which was more pronounced at CO-RADS 5 (24.40%). The sensitivity of CO-RADS was higher in the 2nd scenario (83.27% vs. 55.27%) while the specificity was higher in the 1st scenario (95% vs. 65%). Conclusion: The CO-RADS scoring system is a sensitive and specific method that can help in the diagnosis of COVID-19 during the peak of the COVID-19 pandemic. CO-RADS is a triage test in resource-constrained environments, assisting in the optimization of RT-PCR tests, isolation beds, and intensive care units

Man-made impact on the geochemistry of the Nile delta lakes. A study of metals concentrations in sediments

Forty two sediment samples were collected from four River Nile northern delta lakes (Mariut, Edku, Burullus and Manzalah) to asses the man-made impact on their environment during the last 20 years. Due to the continuous discharge of agricultural, industrial and sewage waste waters to these lakes, significant variations in the sediment's nature took place, with fine fractions dominating opposite to the outflowing area of the main drains. Organic carbon was elevated at the southern regions, reaching 10.5 ± 4.5% in lake Mariut. Meanwhile, carbonate increased reaching 90% for samples collected at the lake-sea connection areas. The 0.5 N HCl extractable metals indicated enriched levels of different metals at sites affected by sewage and industrial discharge. This fraction constituted 75 and 81% of the total metals in Lakes Mariut and Manzalah, respectively. Extractable Cd for Lakes Mariut and Manzalah constituted 51 and 53%, respectively, while Ph formed 59% of the total digestable metal in Lake Manzalah. Total metals concentrations especially Cd and Pb were elevated 8 to 70 times than those observed in the same lakes 25 years ago. The conversion of the untreated sewage discharge of Alexandria city to Lake Mariut and significant portion of Cairo sewage to Lake Manzalah during the past 10 years lead to the appearance of elevated levels of contaminants in both lakes. Agricultural discharge showed less impact on Lakes Edku and Burullus. Cluster analysis revealed associations between stations located under same types of stress while the correspondence factor analysis displayed that metals distribution pattern in the Nile delta lakes are governed by organic carbon as well as fine grained size fraction distribution

Recycling and photodegradation processes of organic hazardous materials on polyaniline-titanium dioxide quantum dots catalyst

A photo-catalyst with conducting polymers doped with titanium dioxide, known as TiO2 quantum dots (TiO2 QDs), has a high efficiency for photocatalytic usage. The organic hue methyl orange was broken down in the current study using polyaniline (PANI) and polyaniline titanium dioxide quantum dots (PANI-TiO2 QDs) polymers. PANI and PANI-TiO2 QDs have been produced by chemical oxidative polymerization in an aqueous solution. By characterization of PANI-TiO2 QDs nanocomposites using ultraviolet–visible (UV–vis), Fourier transform infrared (FTIR), and X-ray powder diffraction (XRD), it was demonstrated that the chemical structure of polymer composites had not changed after being doped with TiO2 QDs. To determine the form, size, surface area, and thermal analyses of the produced PANI-TiO2 QDs samples, EDX, BET, and TGA were used. The photocatalytic activity of the PANI-TiO2 QDs in the photo-degradation of methyl orange dye as an organic hazardous chemical in an aqueous medium was assessed using a 50-watt xenon lamp light source and direct sunlight. PANI-TiO2 QDs demonstrated high photocatalytic properties, with a 93% efficiency, as opposed to 35% and 60.1%, respectively, for PANI and TiO2 QDs. When PANI, titanium dioxide quantum dots, and PANI-TiO2 QDs are present during the recycling processes in the presence of all created samples up to four times, the photo-degradation rate decreases by about 50.2%, 15.4%, and 17.4%, respectively

Global Environment Outlook (GEO-5), summary for policy makers

This Summary for Policy-Makers of GEO-5 provides a snapshot of the current state of the environment and the world’s performance in meeting key internationally agreed goals. It also highlights promising approaches, responses and policy options able to support a transition towards an inclusive green economy and a sustainable century