Right mini-thoracotomy versus median sternotomy for mitral valve replacement

Background: The advantages of minimally invasive mitral valve surgery over the conventional approach is still debated. This study aimed to evaluate early outcomes after mitral valve replacement (MVR) using the right mini-thoracotomy (RMT) versus median sternotomy (MS). Methods: We prospectively included 60 patients who had MVR from May 2015 to June 2017. We classified patients into two groups; Group A (n= 30) had RMT, and Group B (n= 30) had MS. Postoperative pain score, wound satisfaction, and clinical and echocardiographic outcomes were compared between both groups. Results: The mean age was 39.90 ± 12.34 years in Group A and 45.75 ± 13.10 years in Group B (p= 0.08). Preoperative and echocardiographic data showed no statistical significance difference between the groups. Group A had longer aortic cross-clamp (118.85 ± 40.56 vs. 70.75 ± 24.81 minutes, p<0.001) and cardiopulmonary bypass times (186.70 ± 67.44 vs. 104.65 ± 42.60 minutes, p<0.001).  Group B had more blood loss (565 ± 344.3 vs. 241.5 ±89.16 ml/24 hours, p<0.001). The median pain score was 1 (range: 1- 3) in Group A and 4 (2- 8) in Group B (p<0.001), and the median wound satisfaction was 1.5 (1- 4) in Group A and 4 (1- 7) in Group B (p<0.001).  Wound infection occurred in 1 (3.3%) patient in Group A and 6 (20%) patients in Group B (p=0.04). Conclusion: Mitral valve replacement through the right mini-thoracotomy could be a safe alternative to median sternotomy. The right mini-thoracotomy was associated with longer operative times but better pain and wound satisfaction scores and lower wound infection

Proportional Hazard Bivariate Kumaraswamy Model Applied on Fish Mercury Concentration

International advisory bodies have developed guidelines for testing mercury and aquatic items to protect human health and international trade. The mercury absorption in fish has a great effect on human health. For modeling this problem, a new bivariate distribution using the proportional hazard rate (PHR) model with Kumaraswamy marginal called BKPH is derived and studied via statistical properties and reliability measures. Moreover, several methods of parameter estimation are discussed, including maximum likelihood estimation (MLE), method of moments estimation (MME), and inference function for margins estimation (IFM). In the simulation study, the performance of estimators depending on their estimation methodologies is compared. Finally, a comparative study of the proposed BKPH with several bivariate Kumaraswamy distributions via goodness of fit criteria was introduced. The results of the study proved the potentiality of the BKPH model and has a best fitting on mercury fish absorption data

Synthesis and Molluscicidal Activity of Some Newly Substituted Chromene and Pyrano[2,3-c]pyrazole Derivatives

The arylidene derivatives 3a-f react with 1,3-cyclohexanedioneand dimedone 4a,b to afford the 4-(2- or 3-pyridyl) or 4-pipronyl-chromene derivatives 6a-l. The arylidene derivatives 3a-c react with the pyrazolone derivatives 7a,b to afford the pyrano[2,3-c]pyrazole derivatives 9af.The molluscicidal activity of the synthesized compounds towards Biomphalaria alexandrina snails, the intermediate host of Schistosoma mansoni, was investigated and most of them showed weak to moderate activity.

Photoelectron imaging and theoretical investigation of bimetallic Bi1–2Ga−0–2 and Pb−1–4 cluster anions

We present the results of photoelectron velocity-map imaging experiments for the photodetachment of small negatively charged BimGan (m=1–2, n=0–2), and Pbn (n=1–4) clusters at 527 nm. The photoelectron images reveal new features along with their angular distributions in the photoelectron spectra of these clusters. We report the vertical detachment energies of the observed multiple electronic bands and their respective anisotropy parameters for the BimGan and Pbn clusters derived from the photoelectron images. Experiments on the BiGan clusters reveal that the electron affinity increases with the number of Ga atoms from n=0 to 2. The BiGa−2 cluster is found to be stable, both because of its even electron number and the high electron affinity of BiGa2. The measured photoelectron angular distributions of the BimGan and Pbn clusters are dependent on both the orbital symmetry and electron kinetic energies. Density-functional theory calculations employing the generalized gradient approximation for the exchange-correlation potential were performed on these clusters to determine their atomic and electronic structures. From the theoretical calculations, we find that the BiGa−2, Bi2Ga−3 and Bi2Ga−5 (anionic), and BiGa3, BiGa5, Bi2Ga4 and Bi2Ga6(neutral) clusters are unusually stable. The stability of the anionic and neutral Bi2Gan clusters is attributed to an even-odd effect, with clusters having an even number of electrons presenting a larger gain in energy through the addition of a Ga atom to the preceding size compared to odd electron systems. The stability of the neutral BiGa3 cluster is rationalized as being similar to BiAl3, an all-metal aromatic cluster

Evaluation of health-related quality of life and muscular strength in children with beta thalassemia major

Background: Thalassemia is an inherited blood disorder that requires repeated blood transfusions and chelation regimes. This may lead to restrictions in physical activities, social participation as well as decreased muscle strength.Aim: The aim of this study was to evaluate the health-related quality of life (HRQoL), muscular strength and pain in children with β-thalassemia major.Patients and method: One hundred and twenty children (60 with β-thalassemia major and 60 age-matched healthy) were participated in a cross-sectional study from both sexes (57 girls and 63 boys) with ages ranging from two to twelve years. HRQoL (physical, emotional, social and school functioning), muscular strength and pain were evaluated for all children by using the pediatric quality of life inventoryTM (PedsQLTM) 4.0 generic core scale, hand-held dynamometer and visual analogue scale (VAS) respectively.Results: Children with β-thalassemia major showed a significant decrease in all domains of health-related quality of life and handgrip strength with a significant increase in VAS score (p ≤ 0.0001).Conclusions: The study concluded that thalassemia as a chronic disease has a negative impact on HRQoL and muscle strength of children in different age group.Keywords: Beta thalassemia, Quality of life, Handgrip strength, childre

FOXP3 Polymorphism and Susceptibility to Pediatric Acute Lymphocytic Leukemia (ALL): A Preliminary Data

FOXP3 (forkhead box P3) polymorphism is associated with many inflammatory diseases and cancers. Acute lymphoblastic leukemia (ALL) is the most common type of pediatric malignancies.This study was designed to investigate the impact of FOXP3 (-3279C/A and -2383C/T) gene polymorphism on the susceptibility of Egyptian children to ALL. A total of 128 subjects with ALL and 124 healthy controls were enrolled in this study. Genotyping of FOXP3 (-3279C/A and -2383C/T) were performed by polymerase chain reaction restriction fragment length polymorphism (PCR-RFLP). There was a significant increase (P<0.01) in FOXP3 (-3279CC) genotype, while FOXP3 -3279CA genotype was significantly decreased in ALL patients compared to controls. Insignificant change in FOXP3 (-2383C/T) genotypes was demonstrated between both groups. FOXP3 (-2383CC) genotype was significantly decreased (p<0.05) in treatment responders compared to non-responders and a significant increased (p<0.05) in relapsed patients comparing to the non-relapsed group. Taken together, our pilot study pointed to the potential role of FOXP3 (-3279C/A) gene polymorphisms in Egyptian children ALL susceptibility. An additional prospective large scale study should be carried out to support our findings

Versatile single-molecule multi-color excitation and detection fluorescence setup for studying biomolecular dynamics

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/98644/1/RevSciInstrum_82_113702.pd

FISH- MAPPING AND STANDARD GTG-BANDING KARYOTYPE OF THREE EGYPTIAN SHEEP BREEDS.

Standardized karyotyping by GTG- banding technique and physical chromosome mapping by Fluorescent in Situ Hybridization (FISH) were utilized to characterize the three Egyptian breeds of sheep (Barki, Rahmani and Ossimi). Blood samples were collected from 15 individuals from each breed of sheep. G-banded chromosomes revealed that the karyotype macrostructure was highly conserved and in considerable accordance to the standard karyotype of the Ovis aries. The chromosome diploid number was 54 (2n=54, XX / XY). The karyotype formula was 2n, 54 = Lm6 + Ma22 + Sa24+ sex chromosomes. Physical chromosome mapping of the three breeds (Barki, Rahmani and Ossimi) was carried out by localization of two subtelomeric SSR and two (SPRN) related specific sequences. The two subtelomeric SSR sequences revealed six different loci in five chromosomes (1p37, 1p36 and 17q26 with the EPCDV008 probe) and (2q45, 4q22 and 24q24 with the EPCDV016 probe), respectively. In addition the two (SPRN) related specific sequences were successful in differentiating among the three breeds. The probe OriaBAC273H7 hybridized to a similar locus (20q13) in breeds Rahmani and Ossimi, while, in Barki, it hybridized to a different locus (22q24). However, probe OriaBAC265G4 hybridized to three different loci (17q25, 22q24 and 20q13) in Barki, Rahmani and Ossimi, respectively

Missed cleavage opportunities by FEN1 lead to Okazaki fragment maturation via the long-flap pathway.

RNA-DNA hybrid primers synthesized by low fidelity DNA polymerase α to initiate eukaryotic lagging strand synthesis must be removed efficiently during Okazaki fragment (OF) maturation to complete DNA replication. In this process, each OF primer is displaced and the resulting 5'-single-stranded flap is cleaved by structure-specific 5'-nucleases, mainly Flap Endonuclease 1 (FEN1), to generate a ligatable nick. At least two models have been proposed to describe primer removal, namely short- and long-flap pathways that involve FEN1 or FEN1 along with Replication Protein A (RPA) and Dna2 helicase/nuclease, respectively. We addressed the question of pathway choice by studying the kinetic mechanism of FEN1 action on short- and long-flap DNA substrates. Using single molecule FRET and rapid quench-flow bulk cleavage assays, we showed that unlike short-flap substrates, which are bound, bent and cleaved within the first encounter between FEN1 and DNA, long-flap substrates can escape cleavage even after DNA binding and bending. Notably, FEN1 can access both substrates in the presence of RPA, but bending and cleavage of long-flap DNA is specifically inhibited. We propose that FEN1 attempts to process both short and long flaps, but occasional missed cleavage of the latter allows RPA binding and triggers the long-flap OF maturation pathway