Comparative infectivity and transmissibility studies of wild-bird and chicken-origin highly pathogenic avian influenza viruses H5N8 in chickens

Despite the recent advances in avian influenza viruses surveillance and genomic data, fundamental questions concerning the ecology and evolution of these viruses remain elusive. In Egypt, H5N8 highly pathogenic avian influenza viruses (HPAIVs) are co-circulating simultaneously with HPAIVs of subtypes H5N1 and low-pathogenic avian influenza viruses (LPAIVs) of subtype H9N2 in both commercial and backyard poultry. In order to isolate AIVs from wild birds and to assess their potential in causing infection in commercial poultry, a total of thirty-four cloacal swab samples were collected from apparently healthy migratory wild birds (Anas acuta, Anas crecca, Rallus aquaticus, and Bubulcus ibis) from four Egyptian Governorates (Giza, Menoufia, Gharbia, and Dakahlia). Based on matrix (M) gene-targeting real-time reverse transcriptase PCR and subsequent genetic characterization, our results revealed two positive isolates (2/34) for H5N8 whereas no H5N1 and H9N2 subtypes were detected. Genetic characterization of the full-length haemagglutinin (HA) genes revealed the clustering of two reported isolates within genotype 5 of clade 2.3.4.4b. The potential of a wild bird-origin H5N8 virus isolated from a cattle egret for its transmission capability within and between chickens was investigated in compare to chicken origin H5N8 AIV. Chickens inoculated with cattle egret isolate showed varying clinical signs and detection of virus shedding. In contrast, the contact chickens showed less levels of virus secretion indicating efficient virus inter/intra-species transmission. These results demonstrated the possibility for spreading of wild bird origin H5N8 viruses between chicken. In conclusion, our study highlights the need for continuous and frequent monitoring of the genetic diversity of H5N8 AIVs in wild birds as well as commercial poultry sectors for better understanding and determining the genetic nature of these viruses, which is fundamental to predict any future threat through virus reassortment with the potential to threaten human and animal health. Likewise, an assessment of coverage and efficacy of different vaccines and or vaccination regimes in the field conditions should be reconsidered along with strict biosecurity measures

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 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

Crystallization Kinetics of PHB/PVAc Blends Using Time Resolved Dielectric Spectroscopy

Crystallization kinetics of poly(hydroxy butyrate), PHB, and its blends with poly(vinyl acetate), PVAc, have been thoroughly investigated using broadband dielectric technique over a wide range of frequencies (10(-2)-10(5) Hz) as functions of crystallization temperature and blend composition. The dielectric strength of the amorphous segments, Delta epsilon, which is directly proportional to the volume fraction of the mobile amorphous phase in the blend decreases exponentially with increasing the crystallization time. However, on the other hand, the dielectric strength of the rigid amorphous segments, Delta epsilon(alpha\u27), which is related to the percentage of crystallinity in the blend increases dramatically with increasing crystallization time. A great variation in the dynamical constraints of relaxation segments with increasing crystallization time has been observed as a result of different environments, which would lead to a variation in the consistency of the cooperative regions. The value of the dielectric constant, epsilon\u27, decreases dramatically with increasing crystallization time, after that it reaches an equilibrium value at the end of the crystallization process. This dramatic decrease in the value of epsilon\u27 as a result of crystallization at a given crystallization temperature, was taken as an accurate evaluation for the amount of the amorphous phase that has undergone crystallization considering the theoretical approach of Avrami. The Avrami exponent, n, was found to be crystallization temperature, T-c, independent (n similar to 3) indicating a three-dimensional crystal growth for pure PHB. The crystallization rate constant, k, increases greatly with increasing T-c due to the high crystallization rate. In the blend the value of n was found to be concentration dependent (n similar to 1.8-3.2). The different values of n indicate that the shapes of the growing crystals are affected by blend concentration. For n similar to 1.8, the crystals can either grow sporadically as rods or instantaneously as disks, while for n similar to 3 a three-dimensional crystal growth takes place. (C) 2007 Elsevier Ltd. All rights reserved

A Novel Strategic Approach to Evaluating Higher Education Quality Standards in University Colleges Using Multi-Criteria Decision-Making

Universities worldwide strive to achieve excellence in research, learning, teaching, and community services, which are the pillars of their strategic plans. However, satisfying international ranking criteria might not directly result in achieving their strategic objectives. This paper proposes a new approach to rank university colleges by evaluating their educational quality. Standard sets of criteria from multiple international university ranking systems and a university’s strategic plan’s Balanced Scorecard perspectives were cross-mapped for the evaluation. A new multi-criteria decision-making-based framework was applied to six colleges of a non-profit university in the Middle East. It revealed their performance rankings and contributions to the university’s educational quality objectives. This paper offers a novel approach for universities to develop strategies that satisfy multiple international ranking systems while achieving their strategic goals concurrently and as per their priorities. Implications include informing university leaders on the most contributing colleges and assisting in pinpointing quality shortcomings and their causes. This helps universities design better performance indicators and allocate resources to achieve educational excellence. This paper puts forward a new approach for universities to unify their efforts in satisfying the requirements of multiple international ranking systems while achieving their strategic goals