Detection of Helicobacter pylori vacA, cagA and iceA1 virulence genes associated with gastric diseases in Egyptian patients

Background: Helicobactor pylori (H. pylori) virulence markers would be useful to predict peptic ulcer disease (PUD) or gastric cancer.Aim: In Egypt, since inadequate data are present regarding H. pylori virulence–related genes in different age group patients with gastro-duodenal diseases, it becomes crucial to study the clinical status of cagA, vacA and iceA1 genotypes of H. pylori strains recovered from patients with dyspepsia.Subjects and methods: The study included 113 dyspeptic patients who were exposed to upper gastrointestinal endoscopic examination. Four antral biopsies were obtained from each patient for the analysis of H. pylori infection by rapid urease test and detection of 16S rRNA.Results: Sixty (53.1%) patients were confirmed to be infected with H. pylori. Upon endoscopy, gastritis was revealed in 27 patients (45%) and10 patients (16.7%) had PUD. Of the 60 H. pylori strains, 39 (65%) had at least one virulence gene. Six different genotypic forms were recognized; vacA (9/60), iceA1 (1/60), vacA/cagA (7/60), vacA/iceA1 (13/60), vacA/cagA/iceA1 (8/60) only one of cagA/iceA type and we could not detect cagA. The overall vacA, iceA1and cagA genes identified were 61.6%, 38.8%, 26.6% respectively, by PCR-based molecular testing. The vacA gene status was highly significant related to gastritis patient (P 0.036). The vacA s1m1 and s2m2 alleles were significantly found in 50% of H. pylori infected patients with PUD and with gastritis 57.1% respectively (P 0.01).Conclusion: In conclusion, the main genotype combinations in the studied Egyptian patients were; vacAs2m2/iceA1, vacAs1m1/cagA, mostly associated with gastritis, and vacAs1/cagA/icA, mainly in PUD. The less virulent (s2, s2m2) H. pylori genotypes were found in patients aged over 43 years

Detection of antimicrobial resistance genes of Helicobacter pylori strains to clarithromycin, metronidazole, amoxicillin and tetracycline among Egyptian patients

Background: Antibiotic resistance of Helicobacter pylori (H. pylori) treatment is on the rise, and is affecting the efficacy of current used therapeutic regimens.Aim: We aimed to enhance the understanding of antimicrobial resistance rates of H. pylori strains recovered from patients at Theodor Bilharz Research Institute Hospital in Egypt, as a mandatory step before starting treatment.Subjects and methods: Mutant genes conferring metronidazole, amoxicillin, clarithromycin, and tetracycline resistance were detected in 60 H. pylori strains recovered from patients who underwent upper endoscopic examination. Patients were considered to be infected with H. pylori when rapid urease test and detection of 16S rRNA in gastric biopsies recorded positive. Molecular detection of resistant genes to metronidazole (rdx gene) and amoxicillin (pbp1A gene) was carried out by conventional PCR followed by sequencing of PCR products. While detection of 23S rRNA gene conferring clarithromycin resistance and detection of 16S rRNA mutation gene conferring tetracycline resistance were carried out by realtime PCR.Results:  H. pylori resistance rates to metronidazole, and amoxicillin were 25% and 18.3% respectively. While for clarithromycin and tetracycline, point mutations in 23S rRNA types A2142G and A2143G and in 16S rRNA of H. pylori were assessed by real time PCR assay respectively. Resistance mutant genes were found to be 6.7% of clarithromycin and 1.7% of tetracycline. Combined resistance rates to metronidazole and amoxicillin was (11.6%) followed by metronidazole and clarithromycin (5%), while patterns of clarithromycin and amoxicillin (1.6%), metronidazole, clarithromycin and amoxicillin (1.6%) were revealed.Conclusion: Data concerning antimicrobial resistance genes play an important role in empiric treatment of H. pylori infection. According to our results, H. pylori resistance to metronidazole and amoxicillin was relatively high. Clarithromycin is still a good option for first line anti-H. pylori treatment. Combined resistant strains are emerging and may have an effect on the combination therapy.Keywords: H. pylori, Antimicrobial resistance, Gene mutations, Rdx gene, Clarithromycin resistance, Tetracycline resistanc

Clinical, Pathological and Radio Logical Findings in the COVID-19 Positive Patients

Meanwhile, the outbreak of the COVID-19 pandemic, there is a severe need to learn related to its course, prognostic inflammatory markers, disease difficulties, and mechanical ventilation strategy. Clinically, three phases have been recognized founded on viral infection, pulmonary involvement with inflammation, and fibrosis. Although indispensable for therapeutic supervision, the pathophysiology of COVID-19 is badly unstated. Here, we methodically reviewed published case reports and case series in order to increase our comprehension related to KKH confirmed COVID-19 patient line list of kingdoms of Saudi Arabia, with the complete history of COVID-19 positive patients. Pathophysiology by constructing a timeline and connecting histopathological conclusions with clinical phases of COVID-19. DOI: 10.7176/JHMN/84-03 Publication date: December 31st 202

“ The Effect of Technology on Outdoor Furniture “

There is no doubt that technological development in all its scientific fields seeks the effective truth in meeting human needs and in all scientific, technical and applied aspects. The areas that have been greatly affected by advanced technology and techniques, and furniture is an integral and inherent element of architecture, and its design depends a lot on its function and the space in which it will be placed, and from this becomes clear the importance of outdoor furniture, used for gardens, streets and external public places, which is subject to conditions in manufacturing that take into account factors Several of them are: durability, the ability to withstand the natural factors of the site in which it will be placed, suitability for the function for which it was designed, and be environmentally friendly. The research problem is that the traditional outdoor furniture has become not fulfilling the requirements of the modern era, and the research aims to clarify some types of smart outdoor furniture. Versatile, as each piece of furniture can perform more than one function, and it is solar powered A need for special electronic equipment, as it relies in its design on integrating sensors and a data processor in its parts that are connected within central networks, and it is also made of smart materials, and one of the most important features of these materials is the ability to take variable reactions to meet performance needs Its functional purpose, to achieve comfort, safety and well-being for members of society, while shedding light on some types of traditional furniture, then presenting some types of smart furniture with a brief explanation of the characteristics and advantages of each, and in the end the conclusions and recommendations

Influence of Advanced Technologies in The Design of Modern Facades “

Architectural and interior design has been influenced by the enormous technological evolution of the world. Designers have begun to use the latest technologies available in the design and implementation of architectural products, particularly in the design of building interfaces, which rely mainly on technology in all its formal and functional aspects.The problem of research is the paucity of comprehensive and technology-oriented intellectual and applied studies in the design of building interfaces. Research aims to illustrate the impact of advanced techniques as a key variable in the design of functional as well as formal interfaces. To achieve the objective of research, research has relied on explaining and clarifying the types of vocabulary. Glass has been instrumental and influential in the design of facades. The evolution of the concept of glass use has been of great importance and influence to modern architects in trying to adapt external facades and solve their problems, as these materials have features that are not available from other ores. They have the capacity to acquire and distribute the greatest amount of light and rays in the directions required by the utility of design, as well as to reach the upper limit in terms of design. (Aesthetic) and functional for use in the design of external interfaces, with examples of modern interfaces tailored to advanced techniques, and concluded with theoretical and applied conclusions and recommendations.Research problem:The research problem is represented in the lack of comprehensive intellectual and applied studies directed towards the impact of technology in the design of the external facades of buildings.Research goal:The research aims to clarify the impact of advanced technologies as a key variable in the design of external interfaces in terms of the functional aspect of the interfaces as well as the formality.research importance:Emphasizing the role of technological progress and how to take advantage of modern technological methods and apply them in architecture, interior and exterior desig

Mesoscopic Fabric Sheet Racks and Blocks as Catalysts with Efficiently Exposed Surfaces for Methanol and Ethanol Electrooxidation

Electrode designs based on sheet racks and blocks with multidiffuse groove spaces and enriched active sites and scales would promote the commercial applications of electroactive materials. A facile one‐pot hydrothermal approach is reported to synthesize mesoscopic porous Co3O4 or hybrid graphene (GO)/Co3O4 sheet‐on‐sheet racks and blocks. Three basic types of sheet scalability racks can be built in vertical and nonstacked edge orientations, such as neat micro/nanogroove rooms, butterfly wing scales, and wall groves, leading to highly exposed surface converges and sites. In particular, the stacked GO/Co3O4 sheet‐on‐sheet blocks (GO/Co3O4 blocks) can be oriented in vertical tower buildings. The atomic structures of the developed Co3O4 catalysts are dominant along the highly dense {112/111} interfaces and single crystal {111} and {112} facets. The electrochemical performance of the mesoscopic porous Co3O4 catalyst toward methanol and ethanol electrooxidation is evaluated in alkaline conditions. The mesoscopic hybrid GO/Co3O4 racks reveal superior catalytic activity in terms of oxidation currents and onset potentials, indicating the effect of the synergetic role of active Co3+ sites along the densely exposed {112} facets, graphene counterparts, and hierarchically nonstacked sheet racks on the electroactive functionality. Results indicate that the mesoscopic GO/Co3O4 sheet catalyst is suitable for highly efficient electrochemical reactions

Diagnostic efficacy of monoclonal antibody based sandwich enzyme linked immunosorbent assay (ELISA) for detection of Fasciola gigantica excretory/secretory antigens in both serum and stool

<p>Abstract</p> <p>Background</p> <p>This research was carried out to develop a reliable monoclonal antibody (MoAb)-based sandwich enzyme linked immunosorbent assay (ELISA) for the diagnosis of active <it>Fasciola gigantica </it>infection in both serum and stool for comparative purposes.</p> <p>Methods</p> <p>From a panel of MoAbs raised against <it>F. gigantica </it>excretory/secretory antigens (ES Ags), a pair (12B/11D/3F and 10A/9D/10G) was chosen due to its high reactivity and strict specificity to <it>F. gigantica </it>antigen by indirect ELISA.</p> <p>Results</p> <p>The two MoAbs were of the IgG₁and IgG_2asubclasses, respectively. Using SDS-PAGE and EITB, the selected MoAbs recognized 83, 64, 45 and 26 kDa bands of ES Ags. The lower detection limit of ELISA assay was 3 ng/ml. In stool, the sensitivity, specificity and diagnostic efficacy of ELISA was 96%, 98.2 and 97.1%; while in serum they were 94%, 94.6% and 94.3%, respectively. Moreover, a positive correlation was found between ova count in stool of <it>F. gigantica </it>infected patients and the OD readings of ELISA in both stool and serum samples (<it>r </it>= 0.730, p < 0.01 and r = 0.608; p < 0.01, respectively).</p> <p>Conclusions</p> <p>These data showed that the use of MoAb-based sandwich ELISA for the detection of <it>F. gigantica </it>coproantigens in stool specimens was superior to serum samples; it provides a highly efficient, non-invasive technique for the diagnosis of active <it>F. gigantica </it>infection.</p

Perspective Chapter: The Toxic Silver (Hg)

In the late 1950s, residents of a Japanese fishing village known as “Minamata” began falling ill and dying at an alarming rate. The Japanese authorities stated that methyl-mercury-rich seafood and shellfish caused the sickness. Burning fossil fuels represent ≈52.7% of Hg emissions. The majorities of mercury’s compounds are volatile and thus travel hundreds of miles with wind before being deposited on the earth’s surface. High acidity and dissolved organic carbon increase Hg-mobility in soil to enter the food chain. Additionally, Hg is taken up by areal plant parts via gas exchange. Mercury has no identified role in plants while exhibiting high affinity to form complexes with soft ligands such as sulfur and this consequently inactivates amino acids and sulfur-containing antioxidants. Long-term human exposure to Hg leads to neurotoxicity in children and adults, immunological, cardiac, and motor reproductive and genetic disorders. Accordingly, remediating contaminated soils has become an obligation. Mercury, like other potentially toxic elements, is not biodegradable, and therefore, its remediation should encompass either removal of Hg from soils or even its immobilization. This chapter discusses Hg’s chemical behavior, sources, health dangers, and soil remediation methods to lower Hg levels

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P &lt; 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely