Factors Affecting Outcomes of COVID-19 Infection among Older Adults with Type 2 Diabetes: A Single Center, Cross-Sectional Study

Objective: COVID-19 infection and the factors affecting it are major concerns worldwide. This retrospective study aimed to investigate clinical, laboratory and radiological characteristics associated with disease severity and hospitalization among older adults with type 2 diabetes mellitus (T2D) with COVID-19. Materials and methods: A retrospective case series study was conducted to review the records of older adults with T2D infected with COVID-19. Sociodemographic, COVID-19-related data, laboratory tests at the time of COVID-19 diagnosis and CT findings were collected. Bivariate and multivariate regression analysis were done to determine the predictors of the studied outcome, either hospitalization or complete recovery. Results: A total of 343 patients’ records were reviewed, with a mean age of 73.6 ± 6.4 years. Most of patients had fever and cough at the time of diagnosis and ground glass opacities was found on CT in 62.1% of patients. Hospitalized patients had higher duration of diabetes, suffered more from dyspnea, body aches and chest pain, had higher HbA1c, CRP and ferritin and lower lymphocytes and hemoglobin. Fasting plasma glucose and HbA1c positively affected the duration from onset of symptoms till resolution, while hemoglobin level negatively affected it. Logistic regression analysis revealed that duration of diabetes, HbA1c, ferritin and dyspnea were significant predictors of hospitalization. Conclusions: Among older adults with T2D infected with COVID-19, poor glycemic control is associated with higher risk of hospitalization and longer duration till recovery of symptoms. Longer duration of diabetes, high serum ferritin and the presence of dyspnea are associated with higher risk for hospitalization among these patients

New insight into the pathogenesis of insulin resistance in hyperthyroidism and hypothyroidism

Background and aim Thyroid hormones are linked to the different metabolic processes in the body.We evaluated the association of metabolic syndrome and different thyroid diseases. Patients and methods Eighty female patients were enrolled in this study; 40 hypothyroid (group I) and 40 hyperthyroid (group II) as well as 40 healthy females as control group. Waist circumference, BMI, fasting blood glucose, fasting insulin, HOMAIR index, adiponectin, free T3, freeT4, TSH, total cholesterol and HDL were measured in all patients. Results Adiponectin was lower in hypothyroid group (3.68 ± 0.63 ng/dl) and higher in hyperthyroid group (7.52 ± 0.68 ng/dl) than the control group (5.11 ± 0.67 ng/dl) P = 0.0001. The HOMAIR was higher in both hypothyroid (3.56 ± 0.57 ng/dl) and hyperthyroid groups (1.68 ± 0.27) compared to control group (1.33 ± 0.25) P = 0.0001. The cholesterol was also higher in both hypothyroid (161.22 ± 12.98 mg/dl) and hyperthyroid (147.02 ± 8.7 mg/dl) compared to control group (134.74 ± 6.34 mg/dl) P = 0.0001. The HDL was low in both hypothyroid group (35.86 ± 3.55 mg/dl) and hyperthyroid group (40.34 ± 3.17 mg/dl) compared with the control group (41.64 ± 3.12 mg/dl) P = 0.04. The adiponectin was positively correlated to free T3, free T4 and negatively correlated to TSH (r = 0.8, P = 0.0001; r = 0.9, P = 0.000; r = -0.9, P = 0.0001) respectively. HOMAIR was significantly correlated to the thyroid parameters (r = -0.8, P = 0.0001; r = -0.9, P = 0.0001; r = 0.8, P = 0.0001) respectively. The total cholesterol was negatively correlated with the free T3 and T4 (r = -0.5, P = 0.0001; r = -0.5, P = 0.0001) and positively correlated with the TSH (r = 0.5, P = 0.0001), It was also negatively correlated with adiponectin (r = -0.5, P = 0.0001), and positively correlated with HOMAIR (r = 0.5, P = 0.0001). The HDL was negatively correlated with TSH (r = -0.5, P = 0.000) and HOMAIR (r = -0.5, P = 0.0001), it was positively correlated with free T3, T4 (r = 0.6, P = 0.000; r = 0.5, P = 0.000) and adiponectin (r = 0.5, P = 0.0001). Conclusion Both hypo and hyperthyroidism were associated with insulin resistance and disturbances in lipid profiles

Geochemical Conditions and Factors Controlling the Distribution of Major, Trace, and Rare Elements in Sul Hamed Granitic Rocks, Southeastern Desert, Egypt

Egypt is mainly covered by ophiolitic rocks, muscovite, and two mica granites, in addition to different types of acidic and basic dikes. Our field observations indicated that El Sela granites were subjected to alteration types such as silicification, kaolinization, and hematitization, which is associated with uranium mineralization. Petrographic investigations clarified that these rocks were affected by saussiritization, muscovitization, and silicifications as the main alteration types associated with uranium mineralization (uranophane and autunite). We carried out chemical analyses of our samples for major oxides and trace and rare earth elements using ICP-OES and ICP-MS. The studied altered granites had high silica, titanium, and phosphorous as major components, with enhanced amounts of trace elements such as Nb, Ta, Zn, Mo, Pb, and Re, in addition to REE, especially light ones. The average REE content was higher than that of worldwide granites with LREE enrichment. One sample had a strong M-type tetrad effect in the fourth type; other samples had weak W-type in the third type, indicating the effect of hydrothermal alteration processes in the altered granites. This was confirmed by calculating the ratios of most isovalents that deviated from the chondritic ratio in many values. Variation diagrams of U and some trace elements illustrated that U had a weak positive correlation with Y and a strong positive correlation with gold, while it had weak to moderate negative correlation with Hf and Zr/U. In addition, uranium had a weakly defined correlation with the other trace elements, indicating a weak to moderate effect of magmatic processes, while the post-magmatic processes surficial or underground water greatly influenced the redistribution of uranium and other elements

Geochemical Conditions and Factors Controlling the Distribution of Major, Trace, and Rare Elements in Sul Hamed Granitic Rocks, Southeastern Desert, Egypt

Egypt is mainly covered by ophiolitic rocks, muscovite, and two mica granites, in addition to different types of acidic and basic dikes. Our field observations indicated that El Sela granites were subjected to alteration types such as silicification, kaolinization, and hematitization, which is associated with uranium mineralization. Petrographic investigations clarified that these rocks were affected by saussiritization, muscovitization, and silicifications as the main alteration types associated with uranium mineralization (uranophane and autunite). We carried out chemical analyses of our samples for major oxides and trace and rare earth elements using ICP-OES and ICP-MS. The studied altered granites had high silica, titanium, and phosphorous as major components, with enhanced amounts of trace elements such as Nb, Ta, Zn, Mo, Pb, and Re, in addition to REE, especially light ones. The average REE content was higher than that of worldwide granites with LREE enrichment. One sample had a strong M-type tetrad effect in the fourth type; other samples had weak W-type in the third type, indicating the effect of hydrothermal alteration processes in the altered granites. This was confirmed by calculating the ratios of most isovalents that deviated from the chondritic ratio in many values. Variation diagrams of U and some trace elements illustrated that U had a weak positive correlation with Y and a strong positive correlation with gold, while it had weak to moderate negative correlation with Hf and Zr/U. In addition, uranium had a weakly defined correlation with the other trace elements, indicating a weak to moderate effect of magmatic processes, while the post-magmatic processes surficial or underground water greatly influenced the redistribution of uranium and other elements

Natural Radioactivity Assessment and Radiation Hazards of Pegmatite as a Building Material, Hafafit Area, Southeastern Desert, Egypt

Sixty-seven sites of Hafafit pegmatite from the Southeastern Desert of Egypt were investigated radiometrically in the field using an in situ γ-ray spectrometer to determine eU, eTh, and K contents. The obtained results ranged from 0.4 to 6 ppm for eU with a mean value of 2.5 ppm, from 0.2 to 32 ppm for eTh with a mean value of 6.7 ppm, and from 0.7% to 5.4% for K with a mean value of 3.3%. Consequently, the radiological effects from these rocks were estimates by determination of the environmental parameters: gamma activity concentration index Iγ, external hazard index Hex, internal hazard index Hin, external absorbed dose rates in outdoor, and external absorbed dose rates in indoor air. The results obtained in this study showed that values U, Th, and K lie in the range of the acceptable world values. In addition, the calculated radiation hazard parameters (Iγ, Hex, and Hin) have values lower than the world values, while the calculated external absorbed dose rates (Dair) have values higher than the world and Egyptian permissible levels

Divergent susceptibilities to AAV-SaCas9-gRNA vector-mediated genome-editing in a single-cell-derived cell population

Abstract Objective Recombinant adeno-associated virus (AAV)-based vectors are characterized by their robust and safe transgene delivery. The CRISPR/Cas9 and guide RNA (gRNA) system present a promising genome-editing platform, and a recent development of a shorter Cas9 enzyme from Staphylococcus aureus (SaCas9) allows generation of high titer single AAV vectors which carry both saCas9- and gRNA-expression cassettes. Here, we used two AAV-SaCas9 vectors with distinct GFP-targeted gRNA sequences and determined the impact of AAV-SaCas9-gRNA vector treatment in a single cell clone carrying a GFP-expression cassette. Results Our results showed comparable GFP knockout efficiencies (40–50%) upon a single low-dose infection. Three consecutive transductions of 25-fold higher doses of vectors showed 80% GFP knockout efficiency. To analyze the “AAV-SaCas9-resistant cell population”, we sorted the residual GFP-positive cells and assessed their permissiveness to super-infection with two AAV-Cas9-GFP vectors. We found the sorted cells were significantly more resistant to the GFP knockout mediated by the same AAV vector, but not by the other GFP-targeted AAV vector. Our data therefore demonstrate highly efficient genome-editing by the AAV-SaCas9-gRNA vector system. Differential susceptibilities of single cell-derived cells to the AAV-SaCas9-gRNA-mediated genome editing may represent a formidable barrier to achieve 100% genome editing efficiency by this vector system

Similarity analysis, synthesis, and bioassay of antibacterial cyclic peptidomimetics

The chemical similarity of antibacterial cyclic peptides and peptidomimetics was studied in order to identify new promising cyclic scaffolds. A large descriptor space coupled with cluster analysis was employed to digitize known antibacterial structures and to gauge the potential of new peptidomimetic macrocycles, which were conveniently synthesized by acylbenzotriazole methodology. Some of the synthesized compounds were tested against an array of microorganisms and showed antibacterial activity against Bordetella bronchistepica, Micrococcus luteus, and Salmonella typhimurium