Serum OX40 ligand: a potential marker of atopic dermatitis disease severity in children

Background: OX40 ligand (OX40L) and OX40 are members of the tumor necrosis factor (TNF) and TNF receptor (TNFR) super families respectively. Recent studies have indicated the critical involvement of OX40/OX40L interaction in the pathogenesis of atopic dermatitis. To our knowledge, no data could be cited in literature concerning OX40L levels in serum or in other biological fluids of atopic dermatitis children. Objective: This study was done to explore the expression of OX40L in the serum of atopic dermatitis children with respect to disease activity and severity. Methods: This follow-up, case-control longitudinal study was conducted on 64 children as a stratified non-random sample; 34 with atopic dermatitis and 30 healthy children. Serum concentrations of OX40L were measured by sandwich enzyme immunoassay. The severity of atopic dermatitis was assessed according to the Leicester Sign Score (LSS), Simple Scoring System (SSS), Scoring Atopic Dermatitis (SCORAD) index, and Objective SCORAD. Results: Serum OX40L levels (pg/ml) in atopic dermatitis patients were significantly elevated as compared to controls (176.6 ± 45.9) whether during flare (1007 ± 241.5) or quiescence (699 ± 198.5). There were significant positive correlations between serum OX40L levels and each of the LSS, SSS and SCORAD indices of atopic dermatitis disease severity, while it was insignificant regarding the objective SCORAD. However, when atopic dermatitis children were classified according to the objective SCORAD index of severity into mild, moderate and severe, it was found that the mean serum level in the severe group was significantly higher than the corresponding values of the mild or the moderate group. OX40L levels did not correlate with serum total IgE or absolute eosinophils count. Serum total LDH levels correlated positively with each of the serum OX40L levels and the LSS and SCORAD indices of severity. Conclusions: Serum OX40L level is an objective reliable marker of atopic dermatitis severity in children. It may be useful for follow up and may help to improve research and management of this disease. Blockade of interactions between OX40 on Th2 cells and OX40L on activated dendritic cells using an OX40L-specific monoclonal antibody could represent a novel strategy for the treatment of atopic dermatitis.Keywords: Atopic dermatitis, LSS, OX40, OX40L, SCORAD, SSS, TNFEgypt J Pediatr Allergy Immunol 2009;7(1):15-2

Stay-at-home myopia among school children during the COVID-19 pandemic

Background: Uncorrected myopia represents a major cause of visual disability in children, especially in low-income and middle-income countries. However, there is still debate about the effect of e-learning and “stay-at-home” guidelines on the refractive status of school children, especially in the absence of long-term follow-up data. This study aimed to assess the impact of stay-at-home enforcement during the COVID-19 pandemic on myopia development or progression in students in the Suez Canal Area, Egypt. Methods: This longitudinal observational study included 1650 students. All students aged 8–15 years with visual complaints, who had attended routine annual vision checks since 2018, were enrolled and assessed annually for myopia development and progression until 2021. Cycloplegic and noncycloplegic refraction, axial length (AL), corneal curvature, and uncorrected and best-corrected distance visual acuity were measured. The participants were administered a questionnaire that focused mainly on collecting information on their visual habits. Results: Our study included 3,300 eyes of 1,650 school students with myopia during the 4-year study period from 2018 to 2021. The mean cycloplegic spherical equivalents (CSE) were - 1.02, - 1.52, - 2.00, and - 3.50 diopters (D) in 2018, 2019, 2020, and 2021, respectively. This myopic shift in CSE over time was significant (P < 0.001). The average keratometric reading (Avg K) increased significantly during the follow-up period (P < 0.001). The Avg K measurements were 42.32, 42.62, 43.02, and 44.19 D in 2018, 2019, 2020, and 2021, respectively. The changes in Avg K were significant (P < 0.001). The mean AL measurements were 22.53, 22.59, 22.69, and 22.71 mm in 2018, 2019, 2020, and 2021, respectively. Although statistically significant (P < 0.001), changes in AL were clinically insignificant throughout the study period. The mean durations spent on electronic devices at home were 2.12, 2.46, 3.10, and 6.00 hours in 2018, 2019, 2020, and 2021, respectively. The changes over time were significant (P < 0.001). Conclusions: During the COVID-19 pandemic, studying at home accelerated the degree of refraction toward myopia in school children in Egypt. Further studies are needed to assess the academic performance of students with progressive myopia

Biocontrol of cantaloupe damping-off disease caused by Fusarium semitectum by using formulations of antagonistic fungi

oai:ojs.ppmj.net:article/2Antagonistic capability of 19 isolates of fungi isolated from rizosphere of cantaloupe plants was tested in vitro against growth of Fusarium semitectum isolate the causal pathogen of damping- off of cantaloupe. Trichoderma viride (isolate no. 17), T. harzianum (isolate no. 19) and Fusarium concolar  (isolate no.4) showed  significant  percentage of inhibition  against  to  F. semitectum. The effect of carrier formulations of antagonistic fungi (talc based powder and rice bran) on damping-off of cantaloupe were tested under greenhouse and field conditions.  In greenhouse experiments, application of antagonistic fungi with rice bran formulation two weeks before planting caused the highest percentage of survival plants in pre and post damping-off (83.33 and 75%, respectively), whereas application of talc based powder formulation significantly increased percentage of plant survival at the time of planting in pre and post damping-off (91.67 and 75%, respectively). In field experiments, application of tested formulations of antagonistic fungi to infested soil with F. semitectum two weeks before planting resulted in higher percentage of plant survival in pre and post damping-off in both teste

Screening Spring Wheat Genotypes for \u3ci\u3eTaDreb-B1\u3c/i\u3e and \u3ci\u3eFehw3\u3c/i\u3e Genes under Severe Drought Stress at the Germination Stage Using KASP Technology

Drought stress is a major yield-limiting factor throughout the world in wheat (Triticum aestivum L.), causing losses of up to 80% of the total yield. The identification of factors affecting drought stress tolerance in the seedling stage is especially important to increase adaptation and accelerate the grain yield potential. In the current study, 41 spring wheat genotypes were tested for their tolerance to drought at the germination stage under two different polyethylene glycol concentrations (PEG) of 25% and 30%. For this purpose, twenty seedlings from each genotype were evaluated in triplicate with a randomized complete block design (RCBD) in a controlled growth chamber. The following nine parameters were recorded: germination pace (GP), germination percentage (G%), number of roots (NR), shoot length (SL), root length (RL), shoot–root length ratio (SRR), fresh biomass weight (FBW), dry biomass weight (DBW), and water content (WC). An analysis of variance (ANOVA) revealed highly significant differences (p \u3c 0.01) among the genotypes, treatments (PEG25%, PEG30%) and genotypes × treatment interaction, for all traits. The broad-sense heritability (H2) estimates were very high in both concentrations. They ranged from 89.4 to 98.9% under PEG25% and from 70.8 to 98.7% under PEG30%. Citr15314 (Afghanistan) was among the best performing genotypes under both concentrations for most of the germination traits. Two KASP markers for TaDreb-B1 and Fehw3 genes were used to screen all genotypes and to study the effect of these on drought tolerance at the germination stage. All genotypes with Fehw3 (only) showed a better performance for most traits under both concentrations compared to other genotypes having TaDreb-B1 or having both genes. To our knowledge, this work is the first report showing the effect of the two genes on germination traits under severe drought stress conditions

Photo-identification of Dugongs in Marsa Alam and Wadi El Gemal National Park, Egypt

1351-1358Using photo-identification techniques, 30 dugongs were recorded at the southern Egyptian Red Sea coast between December 2015 and October 2017, 16 at Marsa Alam and 14 at Wadi El Gemal National Park (WGNP). Males were recorded seven times more frequently than females and calves were also recorded. A Photo ID catalogue was prepared for the dugongs with records of their occurrence among sites. We confirmed the presence of particular dugong specific sites. Long- and short-distance movements within the study sites were recorded for eight different dugongs. This is the first study to document the number of dugongs in inshore areas of the Egyptian Red Sea coast. Further studies are recommended for offshore sites in WGNP for better documentation of this group of animals

Photo-identification of Dugongs in Marsa Alam and Wadi El Gemal National Park, Egypt

1351-1358Using photo-identification techniques, 30 dugongs were recorded at the southern Egyptian Red Sea coast between December 2015 and October 2017, 16 at Marsa Alam and 14 at Wadi El Gemal National Park (WGNP). Males were recorded seven times more frequently than females and calves were also recorded. A Photo ID catalogue was prepared for the dugongs with records of their occurrence among sites. We confirmed the presence of particular dugong specific sites. Long- and short-distance movements within the study sites were recorded for eight different dugongs. This is the first study to document the number of dugongs in inshore areas of the Egyptian Red Sea coast. Further studies are recommended for offshore sites in WGNP for better documentation of this group of animals

A Review of Antimicrobial Therapy for Infectious Uveitis of the Posterior Segment

Treatment of infectious posterior uveitis represents a therapeutic challenge for ophthalmologists. The eye is a privileged site, maintained by blood ocular barriers, which limits penetration of systemic antimicrobials into the posterior segment. In addition, topical and subconjunctival therapies are incapable of producing sufficient drug concentrations, intraocularly. Posterior infectious uveitis can be caused by bacteria, virus, fungi, or protozoa. Mode of treatment varies greatly based on the infectious etiology. Certain drugs have advantages over others in the treatment of infectious uveitis. Topical and systemic therapies are often employed in the treatment of ocular infection, yet the route of treatment can have limitations based on penetration, concentration, and duration. The introduction of intravitreal antimicrobial therapy has advanced the management of intraocular infections. Being able to bypass blood-ocular barriers allows high drug concentrations to be delivered directly to the posterior segment with minimal systemic absorption. However, because the difference between the therapeutic and the toxic doses of some antimicrobial drugs falls within a narrow concentration range, intravitreal therapy could be associated with ocular toxicity risks.  In many cases of infectious uveitis, combination of intravitreal and systemic therapies are necessary. In this comprehensive review, the authors aimed at reviewing clinically relevant data regarding intraocular and systemic antimicrobial therapy for posterior segment infectious uveitis. The review also discussed the evolving trends in intraocular treatment, and elaborated on antibiotic pharmacokinetics and pharmacodynamics, efficacy, and adverse effects

A Review of Antimicrobial Therapy for Infectious Uveitis of the Posterior Segment

Treatment of infectious posterior uveitis represents a therapeutic challenge for ophthalmologists. The eye is a privileged site, maintained by blood ocular barriers, which limits penetration of systemic antimicrobials into the posterior segment. In addition, topical and subconjunctival therapies are incapable of producing sufficient drug concentrations, intraocularly. Posterior infectious uveitis can be caused by bacteria, virus, fungi, or protozoa. Mode of treatment varies greatly based on the infectious etiology. Certain drugs have advantages over others in the treatment of infectious uveitis. Topical and systemic therapies are often employed in the treatment of ocular infection, yet the route of treatment can have limitations based on penetration, concentration, and duration. The introduction of intravitreal antimicrobial therapy has advanced the management of intraocular infections. Being able to bypass blood-ocular barriers allows high drug concentrations to be delivered directly to the posterior segment with minimal systemic absorption. However, because the difference between the therapeutic and the toxic doses of some antimicrobial drugs falls within a narrow concentration range, intravitreal therapy could be associated with ocular toxicity risks.  In many cases of infectious uveitis, combination of intravitreal and systemic therapies are necessary. In this comprehensive review, the authors aimed at reviewing clinically relevant data regarding intraocular and systemic antimicrobial therapy for posterior segment infectious uveitis. The review also discussed the evolving trends in intraocular treatment, and elaborated on antibiotic pharmacokinetics and pharmacodynamics, efficacy, and adverse effects