The diagnostic and monitoring value of serum anti-mutated citrullinated vimentin antibodies (anti-MCV) in juvenile rheumatoid arthritis

Background: JRA is currently diagnosed using the American College of Rheumatology (ACR) 1987 revised criteria that are primarily based on clinical parameters. The criteria may be insufficient for the diagnosis of early RA as they are based upon measurements of disease classification predominately featuring manifestations typical of later-stage disease. Measurement of serum anti-mutated citrullinated vimentin antibodies (MCV) has been shown to be a better marker for early adult RA, and it correlates well with the disease activity score (DAS). Objectives: The aim of this work is to evaluate the role of antimutated citrullinated vimentin antibodies (anti-MCV) in the diagnosis, and in monitoring disease activity in juvenile rheumatoid arthritis. Methods: The study included 40 children with JRA fulfilling the American College of Rheumatology criteria for diagnosis of JRA: 4 children with oligoarticular JRA, 12 with polyarticular JRA and 24 children with systemic onset JRA. Fifty healthy children, matching the patients in age and sex served as a control group. The studied children with JRA were subjected to laboratory tests including CBC, ESR, CRP, ANA and rheumatoid factor (RF). Serum samples from both patients and controls were assayed for anti-MCV levels using an ELISA technique. Results: The study showed high mean serum anti-MCV antibodies level in JRA patients when compared to controls (P= 0.00). In addition, there were no significant correlations between anti-MCV antibody levels and parameters of disease activity, namely, number of swollen joints, number of tender joints, ESR and CRP. The receiver operating characteristic (ROC) curve was drawn and it showed that the area under the curve (AUC) was (0.896). At a cutoff level > 17 u/mL, anti-MCV antibodies had diagnostic specificity of 88%, diagnostic sensitivity of 87.5%, negative and positive predictive values of 89.8% and 85.4%, respectively and diagnostic efficacy of 87.8%. We also reported 3/40 of JRA patients to be positive for RF and 2/40 of JRA patients to be positive for ANA. Conclusion: Measurement of serum anti MCV antibody level holds promise as a diagnostic tool in JRA. However, they failed to show a significant efficacy in determining disease activity.Keywords: Juvenile rheumatoid arthritis, MCVEgypt J Pediatr Allergy Immunol 2012;10(2):75-8

Frequency of abdominal aortic aneurysm in persons who have been examined with ultrasound at Kasr Al-Ainy Hospitals: a single center pilot study

Introduction: To know frequency of abdominal aortic aneurysm (AAA) using ultrasound and clarify associated risk factors in 1000 Egyptians. Material and methods: Prospective study. 1000 patients aged 50 years or more (mean: 57.97 ± [7.68]) were examined by B-mode ultrasound at our radiology department to measure suprarenal maximum diameter of the abdominal aorta (wall to wall measurement) and to identify the occurrence of AAA (aneurysms were defined as 1.5 times the mean diameter). Demographic data and risk factors were also noted. Results: Mean aortic diameter in study population was 18.9 ± (3.2) mm. AAA diameter was 28.3 mm. Frequency of AAA was 1.5%. AAA prevalence: 2.35% in males versus 0.75% in females. Prevalence of AAA in different age groups: < 60 years (n = 653), 60–70 (n = 282), > 70 years (n = 65) was 6 (0.9%), 6 (2.1%), 3 (4.6%) respectively. Patients with AAA were older (P < 0.001), more often male (P < 0.001), smokers (P < 0.001). Conclusion: Study showed that mean aortic diameter was 18.9 mm and AAA is present in 1.5% of the study population which was less than that seen in previously conducted studies in other countries

An Intelligent and Low-cost Eye-tracking System for Motorized Wheelchair Control

In the 34 developed and 156 developing countries, there are about 132 million disabled people who need a wheelchair constituting 1.86% of the world population. Moreover, there are millions of people suffering from diseases related to motor disabilities, which cause inability to produce controlled movement in any of the limbs or even head.The paper proposes a system to aid people with motor disabilities by restoring their ability to move effectively and effortlessly without having to rely on others utilizing an eye-controlled electric wheelchair. The system input was images of the users eye that were processed to estimate the gaze direction and the wheelchair was moved accordingly. To accomplish such a feat, four user-specific methods were developed, implemented and tested; all of which were based on a benchmark database created by the authors.The first three techniques were automatic, employ correlation and were variants of template matching, while the last one uses convolutional neural networks (CNNs). Different metrics to quantitatively evaluate the performance of each algorithm in terms of accuracy and latency were computed and overall comparison is presented. CNN exhibited the best performance (i.e. 99.3% classification accuracy), and thus it was the model of choice for the gaze estimator, which commands the wheelchair motion. The system was evaluated carefully on 8 subjects achieving 99% accuracy in changing illumination conditions outdoor and indoor. This required modifying a motorized wheelchair to adapt it to the predictions output by the gaze estimation algorithm. The wheelchair control can bypass any decision made by the gaze estimator and immediately halt its motion with the help of an array of proximity sensors, if the measured distance goes below a well-defined safety margin.Comment: Accepted for publication in Sensor, 19 Figure, 3 Table

Influence of Different Decontamination Approaches on Bone Substitute Adhesion to Peri-Implantitis Affected Implant Surfaces: An SEM Proof of Principle Study

Background: During healing, clot blended graft materials may retract away from implant surfaces creating microgaps that compromise re-osseointegration. The present study aimed to evaluate different surface decontamination materials’ effect on adhesion of the graft materials to peri-implantitis affected parts, a factor that can resist clot blended graft retraction improving re-osseointegration. Methods: Eighteen peri-implantitis affected implants diagnosed as hopeless and designated for removal contributed in this prospective, masked trial. Samples were randomly distributed into three groups, each of six implants. Group one (G1) was coated with hydroxyapatite of a micro particle size of 250 to 1000 µm after saline surface decontamination for two minutes. Group two (G2) peri-implantitis affected parts were treated with the graft material following two minutes of chlorhexidine gluconate 0.12% (CHX) surface treatment. Group three (G3) implants were coated with the graft material after citric acid (CA) (pH = 1) surface conditioning for two minutes. Implants in all groups were agitated in phosphate-buffered saline (PBS) by using an automatic tissue processor agitator for three minutes. Implants were prepared for surface scanning evaluation. Results: Scanning electron microscopy (SEM) observation of G1 saline treated control implants were devoid of bone particles adherent to peri-implantitis affected surfaces. The surface area covered by grafted particles in G2 was statistically higher than that of G1 (P<0.01). Group three (CA-treated) showed nearly complete coverage of peri-implantitis affected parts by the graft material covering 88.8% of examined surface areas which was statistically higher than that of G2 (P<0.05). Conclusion: Citric acid implant surface conditioning could improve implant re-osseointegration through enhancement of the graft adhesion to the implant surface. Smear layer barrier effect seemed to be the most important factor that compromised graft adhesion to preri-implantitis affected parts of the implant surfaces

Monitoring and Assessing the Coastal Ecosystem at Hurghada, Red Sea Coast, Egypt

In the framework of the investment plan, the government of Egypt introduced an accelerated development of Hurghada in collaboration with the private sector, as   early as 1980's.  The government intended to construct tourist resort communities, which required establishment of infrastructures. The  demand  of  such  facilities, in absence of enforced environmental roles led owners  to implement  processes  of  landfilling  and  dredging  for the purpose of smoothing, paving and widening the beach in order to construct swimming pools, marinas and other recreational facilities. Such activities came on the expense of the marine ecosystem and especially assault on the coral reef communities. For monitoring and assessing such oppressive activities;  MSS,  TM,  ETM+,  and SPOT XS 4 satellite images acquired  during  1972,  1984,  1992,  2004  and 2011. Shoreline change detection from 1972 to 2011 reveals landfilling of some 7.56Km2 and dredging of 2.67km2, with loss of 5.34km2 of the reef tracts. At the same period, the region has witnessed expansions in urban and road network by 16.47km2 and 8.738km2 respectively. The Egyptian government issued the essential laws for regulating and saving the coastal ecosystem, yet mostly violated. Activation of such laws, applying judicial officers, toughening penalties and establishment of coastal building front line (CBFL), and a reef protection line (RPL) are important tasks especially south of Hurghada to the Egyptian-Sudanese borders to preserve the remnants of such unique coastal ecosystem. Keywords: Satellite images, Hurghada, Red Sea, coastal ecosystem, shoreline changes, urban, road network, environment law

Role of Cytokines in neonatal Respiratory distress syndrome: A review article

Background: Cytokines are non-structural proteins that have a molecular weight of less than 30 kilodaltons and are known to exert complex regulatory effects on immune response and inflammation. Biomarkers for a wide variety of diseases can be derived from cytokines, which are important mediators that regulate immune and inflammatory responses via complex networks. Macrophage migration inhibitory factor, also known as MIF, is a pleiotropic cytokine that has a structurally unique profile. It plays an important role as an upstream regulator of both innate and acquired immunity, as well as the regulation of the inflammatory response through both extracellular and intracellular processes. Research has shown that the innate cytokine known as MIF is essential for the development of the embryonic lung. They also reveal that the concentration of MIF and mutations in the MIF gene both have a role in the onset of multiple lung illnesses as well as the severity of those ailments. Objectives: The following topics will be discussed in the review article that we are writing: the potential role of cytokine (MIF) in respiratory distress syndrome (RDS) in neonates; the correlation between circulating MIF levels and RDS in neonates; genetic variations in macrophage migration inhibitory factor as a predictor of RDS in neonates and the clinical severity of RDS in neonates. Conclusion: Because of the immense promise that cytokine (MIF) holds as a biomarker in predicting the susceptibility of preterm neonates to RDS and the severity of the disease, more study has to be done on the topic

Impaired Liver Size and Compromised Neurobehavioral Activity are Elicited by Chitosan Nanoparticles in the Zebrafish Embryo Model

The use of chitosan nanoparticles (ChNPs) in various biological and environmental applications is attracting great interest. However, potential side effects related to ChNP toxicity remain the major limitation hampering their wide application. For the first time, we investigate the potential organ-specific (cardiac, hepatic, and neuromuscular) toxicity of ChNPs (size 100–150 nm) using the zebrafish embryo model. Our data highlight the absence of both acute and teratogenic toxic effects of ChNPs (~100% survival rate) even at the higher concentration employed (200 mg/L). Although no single sign of cardiotoxicity was observed upon exposure to 200 mg/L of ChNPs, as judged by heartbeat rate, the corrected QT interval (QTc, which measures the time between the start of the Q wave and the end of the T wave in the heart's electrical cycle), maximum cardiac arrest, and ejection fraction assays, the same dosage elicited the impairment of both liver size (decreased liver size, but without steatosis and lipid yolk retention) and neurobehavioral activity (increased movement under different light conditions). Although the observed toxic effect failed to affect embryo survival, whether a prolonged ChNP treatment may induce other potentially harmful effects remains to be elucidated. By reporting new insights on their organ-specific toxicity, our results add novel and useful information into the available data concerning the in vivo effect of ChNPs.This work was supported by the NPRP grant [#9-254-2-120] from the Qatar National Research Fund, a Member of Qatar Foundation. The study was also partially supported by the grants [GCC-2017-001] given to G.K.N. and [QUCG-CHS-2018n2019-1] given to G.P

Effect of pre-sowing magnetic treatment of seeds with bio- and mineral fertilization on the soybean cultivated in a saline calcareous soil

Bio-farming is an eco-friendly advance that minimizes the required chemical additives for optimizing the quality of crops that their storage is often accompanied by seeds’ components degradation. Magnetic treatment of seed was considered as a promising tool improves germination and growth. This study aims to evaluate the effect of individual and combined application of bio-fertilizers and the N-P-K mineral fertilizers preceded by magnetic treatment of dry and/or water-soaked seeds before sowing on the yield and quality of soybean cultivated in a saline soil.The field experiment was carried out in a split-split plot design with triplicates. The main two factors (F1) were not bio-fertilized and bio-fertilized plots. The sub-factors (F2) were three application rates (A: 50%, B: 75%, and C: 100%) of recommended doses of the three N, P, K fertilizers. The sub-sub factors (F3) were seeds not magnetically treated (NM) and magnetically treated (M). All factors were studied for dry soybean seeds (without soaking) and soaked seeds in magnetically treated water. After harvesting, soil and plant samples were analyzed. The most significant increase in the soybean seed yield (kg ha-1) was by 49.98% for the bio-fertilized magnetized dry seeds at 75% and 100% mineral N-P-K fertilization compared with the NM soaked seeds at 50% N-P-K (A rate) without bio-fertilization. The 75% mineral fertilization significantly increased the protein (%) by 41.69% and decreased the proline (mg g-1dw) by 46.68%. Magnetic treatment of seeds before cultivation and combined bio/mineral N-P-K fertilization reduced the Proline that alleviats the stress conditions

Integrating soil mulching and subsurface irrigation for optimizing deficit irrigation effectiveness as a water-rationing strategy in tomato production

Irrigated agriculture from now on should be implemented under water scarcity. Hence, this research was designed to determine the optimal interaction between irrigation water-rationing strategy (deficit irrigation), irrigation techniques, and soil mulching to improve water use efficiency and maintaining plant performance as well as yield productivity of tomatoes. The experiment was set up during the 2020-2021 and 2021-2022 growing seasons. Three factors were studied: two drip irrigation techniques, surface (SI) and subsurface (SSI) irrigation, and two irrigation rates, 100% ETc for full irrigation (FI) and 60% ETc for deficit-irrigation (DI) along with three treatments of soil mulching, bare soil (BS), organic mulch (OrM) and black polyethylene mulch (BPE). The results demonstrated that applying the absolute regular DI regime significantly reduced vegetative growth, fruit yield, and yield component along with water productivity. Also, it reduced the physiological function measures, and nutrient content of the tomato leaf. Meanwhile, applying the DI regime via the SSI technique and integrated with BPE soil mulching proved the best optimization of the DI negative effect followed by applying the DI regime through either SSI or SI technique combined with OrM or BPE soil mulching, respectively. As a result, it is advisable to use the integration of DI via the SSI accompanied by BPE soil mulching since this is considered a good method for conserving irrigation water from being lost by both evaporation and seepage out of the root zone improving water use efficiency without significantly reducing tomato yield

EFFECT OF GRINDING AND PARTICLE SIZE ON SOME PHYSICAL AND RHEOLOGICAL PROPERTIES OF CHITOSAN

The present study was conducted to prepare nano-chitosan particles (CN) by ultrafine grinding  from crude chitosan powder (CC) using a ball mill with 130 numbers of zirconia beads in range from 0.5 to 1.5 mm diameter (75 beads 0.5 mm diameter, 30 beads 1.0 mm diameter and 25 beads 1.5 mm diameter). In addition, physical and rheological properties of chitosan solutions were determined. The results revealed that ultrafine grinding has effectively milled the chitosan particles to nanoscale. Prepared chitosan nanoparticles were characterized by  devices  X-Ray Diffraction (XRD), Zetasizer particle sizes and Zeta potential of chitosan particles (after milling for 30, 60 and 90 minutes). The particle size of nano-chitosan was distributed in a range of 250-600 nm. with a polydispersity index use as an anti-oxidant and antimicrobial with reducing the amount used to deliver the desired purpose. Additional research is required to further investigate the potential value-added utilization of these chitosan derivatives in improving the quality and safety of some food products