Hope Level and Life Satisfaction among Patients with Colostomy and their Family caregivers

Patients anticipating colostomy surgery have many concerns, needs, and fears. They may be physically debilitated and emotionally distraught with concerns about life changes after surgery, prognosis, as well as ability to perform in established roles and finances. This type of surgery which affects normal bowel function and necessitates bowel movements in a pouch that lies outside the body has a significant impact on hope level and life satisfaction among both temporary and permanent colostomy patients as well as their family caregivers. The aim of the current study was to assess hope level and life satisfaction among patients with colostomy and their family caregivers. A descriptive exploratory research design was utilized. A total of 76 colostomy patients and a same number of their family caregivers were recruited in the study from four general surgical wards at El Manial University Hospital affiliated to Cairo University. Three tools were utilized to collect data of this study namely: A structured Questionnaire sheet, Hope Scale (Synder, 1995), as well as Life satisfaction scale (Diener, Emmons, Larsen, & Griffin, 1985). The study findings revealed that temporary colostomy patients were complaining from low hope level and satisfaction with life than permanent colostomy patients. Regardless the type of colostomy and by time, hope level and satisfaction with life in family caregivers of both groups were decreased dramatically along the three assessments (at one week after colostomy surgery, ten days after discharge, and two months after discharge). No statistically significant differences were found in relation to life satisfaction among family caregivers of permanent colostomy patients in the second and third assessment. The same finding was observed between permanent colostomy patients and their family caregivers in the third assessment in relation to hope level. The study recommended that Hope Intervention program should be developed for colostomy patients especially temporary group. Further researches were also recommended focusing on needs assessment for family caregivers of temporary and permanent colostomy patients. Key words: Hope level, life satisfaction, patients with colostomy, family caregivers

Correlation between Gingival Redness and Oral Health Related Quality of Life in A Group of Egyptian Children at New Giza University

Introduction: The concept of oral health related quality of life (OHRQoL) is of great significance in the three areas of dental health, in particular the clinical practice of dentistry, research, and education. The reported prevalence of gingivitis in various developed countries is considered high. This rate escalates with the increase in age, especially around puberty. There is evidence that gingivitis is associated with the children’s OHRQoL as there are common risk factors between gingivitis’ of adolescence and their consequent OHRQoL. Aim: This study aims to evaluate the correlation between gingival redness as evaluated by digital photographs and oral health related quality of life as measured by the short form of child perception questionnaire 11-14. Subjects and methods: 91 participants 11-14 years-old Egyptian children from New-Giza University outpatients’ clinic were recruited and OHRQoL was evaluated using the Arabic version of the regression short form (RSF) of Child perception questionnaire 11-14 (CPQ 11-14). Gingival redness was evaluated using analyzed digital photographs using Adobe Photoshop Creative Cloud (CC) 2021 software. Results: The study showed that there was insignificant (P \u3e0.05), weak (r \u3c 0.5), positive (+) correlation between the number of red pixels in digital photographs and oral symptoms domain and functional limitation domain. Conclusion: there was no statistically significant correlation between the gingival redness and the oral health related quality of life

Therapeutic Effects of Combining Curcumin and Swimming in Osteoarthritis Using a Rat Model

Osteoarthritis (OA) is a common debilitating degenerative disease of the elderly. We aimed to study the therapeutic effects of combining curcumin and swimming in monosodium iodoacetate (MIA)-induced OA in a rat model. The rats were divided into 5 groups (n = 9). Group 1 received saline and served as a control group. Groups 2-5 were injected intra-articularly in the right knee with 100 μL MIA. One week later, groups 3 and 5 were started on daily swimming sessions that gradually increased to 20-mins per session, and for groups 4 and 5, oral curcumin was administered at a dose of 200 mg/kg for 4 weeks. The combination therapy (curcumin + swimming) showed the most effective results in alleviating pain and joint stiffness as well as improving histological and radiological osteoarthritis manifestations in the knee joints. The combination modality also reduced serum C-reactive protein and tissue cartilage oligomeric matrix protein levels. Mechanistically, rats received dual treatment exhibited restoration of miR-130a and HDAC3 expression. The dual treatment also upregulated PPAR-γ alongside downregulation of NF-κB and its inflammatory cytokine targets TNF-α and IL-1β. Additionally, there was downregulation of MMP1 and MMP13 in the treated rats. In conclusion, our data showed that there is a therapeutic potential for combining curcumin with swimming in OA, which is attributed, at least in part, to the modulation of miR-130a/HDAC3/PPAR-γ signaling axis

Thyroid dysfunction in systemic lupus erythematosus and rheumatoid arthritis: Its impact as a cardiovascular risk factor

AbstractIntroductionThyroid dysfunction and autoantibodies have been frequently associated with systemic lupus erythematosus (SLE) and rheumatoid arthritis (RA).Aim of the workTo assess thyroid function and anti-thyroid antibodies in both diseases and elucidate the effects of the thyroid dysfunction on the clinical parameters, disease activity and cardiovascular risk.Patients and methodsForty SLE and forty RA female patients in addition to twenty controls were included. Free thyroxine (FT3), free triiodothyronine (FT4), thyroid stimulating hormone (TSH), anti-thyroid peroxidase antibodies (TPOabs), anti-thyroglobulin antibodies (TGabs), erythrocyte sedimentation rate (ESR), C-reactive protein (CRP), triglycerides (TG), total cholesterol (TC), low density lipoprotein (LDL), high density lipoprotein (HDL) and intima-media thickness (IMT) were measured. Disease activities were assessed in both diseases. In RA patients, the anti-cyclic citrullinated peptide (anti-CCP) was evaluated.ResultsA significantly higher TSH level was found in SLE patients compared to RA patients and controls. No significant difference was present between the RA patients and controls. Anti-TPOabs and anti-TGabs were more frequently detected in SLE (85% and 55%) compared to RA (50% and 37.5%). Abnormal thyroid function tests were detected in SLE, RA patients and controls in 52.5%, 17.5% and 10%, respectively. Subclinical hypothyroidism was the most common abnormality present followed by clinical hypothyroidism then euthyroid sick syndrome in both SLE and RA patients. A positive anti-CCP and high disease activity score (DAS28) in RA were among the strongest independent determinants of cardiovascular disease.ConclusionThyroid dysfunction is frequent in SLE and RA patients. Those with thyroid dysfunction had increased cardiovascular risk

Variations in genetic and chemical constituents of Ziziphus spina-christi L. populations grown at various altitudinal zonation up to 2227m height

AbstractAltitudinal gradient-defined specific environmental conditions could lead to genetics and chemical variations among individuals of the same species. By using RAPD, ISSR, GC–MS and HPLC analysis, the genetic and chemical diversity of Ziziphus spina-christi plants at various altitudinal gradient namely; Abha (2227.86m), Dala Valley (1424m), Rakhma Valley (1000m), Raheb Valley (505m) and Al-Marbh (147m) were estimated. RAPD markers revealed that the highest similarity value (40.22%) was between Raheb Valley and Al-Marbh while the lowest similarity (10.08%) was between Abha and Raheb Valley. Based on ISSR markers the highest similarity value (61.54%) was also between Raheb Valley and Al-Marbh, while the lowest similarity (26.84%) was between Abha and Rakhma Valley. GC–MS results showed the presence of various phytochemical constituents in each population. The dendrogram based on chemical compounds separated the Z. spina-christi grown at the highest elevations (Abha) from the populations in lower elevations. HPLC analysis showed that the leaves of Z. spina-christi plant contain considerable amount of vitamins including B1, B12, B2 and folic acid. In conclusion, there is a close relation between altitudinal gradients, genetic diversity and chemical constituents of the leaves of Z. spina-christi plants

Effect of metformin on Sirtuin-1 disorders associated with diabetes in male rats

Background: Type 2 diabetes mellitus (T2DM) is characterized by insulin resistance, hyperinsulinaemia and hyperglycaemia. Increased glucose production through abnormally elevated hepatic gluconeogenesis is central to the manifestation of hyperglycaemia in T2DM. Metformin corrects hyperglycaemia mainly through inhibition of gluconeogenesis. Sirtuin 1 (SIRT1) has been identified as regulator of gluconeogenic gene expression. The present study aimed to evaluate the effect of metformin on SIRT1 level and activity in liver and pancreas of diabetic rats. Further, the possible role of SIRT1 on metabolic disorders associated with diabetes mellitus, including serum levels of glucose, insulin, triglyceride (TG) and high density lipoprotiens (HDL), will be explored.Methods: Thirty-two male albino rats were divided into control group (GpI), diabetic (DM) group (GpII), (metformin + DM) group (GpIII) administered 120 mg/kg metformin daily for 1 month before induction of diabetes, (DM + metformin) group (GpIV) administered 250 mg/kg metformin daily for 1 month after induction of diabetes. At the end of the study, BMI%, serum levels of glucose, insulin, TG and HDL, HOMA, SIRT1 level and activity in liver and pancreas and pancreatic DNA ladder were assessed.Results: Our results showed significant decrease in serum glucose, insulin and TG levels and HOMA; significant increase in HDL level and SIRT1 level and activity in liver and pancreas beside the marked disappearance of pancreatic apoptosis in GpIII & IV relative to GpII. Regarding BMI%, it showed no significant changes in GpIV relative to GpII. No significant change was recorded between GpIII and GpIV regarding all studied parameters except on serum TG.Conclusion: Lowered SIRT1 in diabetes was improved by the administration of Metformin. Consequently, the pathophysiological disorders associated with T2DM were improved.Keywords: DM, Metformin, SIRT1, Pancreatic apoptosi

TECHNOLOGICAL EVALUATION OF CARBOXYMETHYL SESBANIA GALACTOMANNAN GUM DERIVATIVES AS THICKENERS IN REACTIVE PRINTING

Galactomannan gum isolated from the seeds of sesbania was subjected to chemical modification via carboxymethylation in non-aqueous medium using monochloroacetic acid under the catalytic action of sodium hydroxide. The obtained derivatives were subjected to measuring the degrees of substitution (D.S.), rheological properties of their pastes, and evaluated as thickeners in printing cotton fabrics with reactive dyes. Highly substituted derivatives could be used successfully as thickening agents in printing cotton fabrics either alone or in admixture with sodium alginate. Prints acquire soft handle, colour strength (K/S), and fastness properties nearly identical to corresponding samples that were printed using sodium alginate

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

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

Pre-mRNA splicing repression triggers abiotic stress signaling in plants

[EN] Alternative splicing (AS) of precursor RNAs enhances transcriptome plasticity and proteome diversity in response to diverse growth and stress cues. Recent work has shown that AS is pervasive across plant species, with more than 60% of intron-containing genes producing different isoforms. Mammalian cell-based assays have discovered various inhibitors of AS. Here, we show that the macrolide pladienolide B (PB) inhibits constitutive splicing and AS in plants. Also, our RNA sequencing (RNA-seq) data revealed that PB mimics abiotic stress signals including salt, drought and abscisic acid (ABA). PB activates the abiotic stress-and ABA-responsive reporters RD29A::LUC and MAPKKK18::uidA in Arabidopsis thaliana and mimics the effects of ABA on stomatal aperture. Genome-wide analysis of AS by RNA-seq revealed that PB perturbs the splicing machinery and leads to a striking increase in intron retention and a reduction in other forms of AS. Interestingly, PB treatment activates the ABA signaling pathway by inhibiting the splicing of clade A PP2C phosphatases while still maintaining to some extent the splicing of ABA-activated SnRK2 kinases. Taken together, our data establish PB as an inhibitor and modulator of splicing and a mimic of abiotic stress signals in plants. Thus, PB reveals the molecular underpinnings of the interplay between stress responses, ABA signaling and post-transcriptional regulation in plants.We wish to thank members of the Laboratory for Genome Engineering at King Abdullah University of Science and Technology for helpful discussions and comments on the manuscript. We wish to thank Moussa Benhamed for helpful discussions and suggestions and for providing key materials. We wish to thank Sean Cutler for providing Arabidopsis seeds of MAKPKKK18-uidA. This study was supported by King Abdullah University of Science and Technology. Work in PR's laboratory was funded by grant BIO2014-52537-R from MINECO. Work in PD's laboratory is funded by grant PTDC/BIA-PLA/1084/2014 from FCT. The authors declare no conflicts of interest.Ling, Y.; Alshareef, S.; Butt, H.; Lozano Juste, J.; Li, L.; Galal, AA.; Moustafa, A.... (2017). Pre-mRNA splicing repression triggers abiotic stress signaling in plants. The Plant Journal. 89(2):291-309. https://doi.org/10.1111/tpj.13383S29130989