Measurement of IgG Levels Can Serve as a Biomarker in Newly Diagnosed Diabetic Children

This study was undertaken to determine humoral immune response to the presence of anti-immunoglobulin antibodies in children with newly diagnosed type 1 diabetes mellitus, using as a target cow immunoglobulins, in an attempt to elucidate further complex immuno-pathogenetic interactions of the disease. Serum immunoglobulin G (IgG) concentrations were measured by ELISA in 30 children with type 1 diabetes mellitus and 30 healthy matched normal children. It was found that normal children had a mean IgG level of 7.41 mg/ml while diabetic individuals had a mean IgG level of 8.52 mg/ml (p<0.00004). On the contrary, the mean level of IgG in diabetic sera after purification from anti-cow immunoglobulins was determined to be 7.52 mg/ml. Therefore, there was no significant difference in IgG level in patients with type 1 diabetes mellitus after removal of anti-cow immunoglobulin antibodies compared to normal children (p<0.58). Visualization of IgG and immuno-precipitation confirm that anti-cow immunoglobulins antibodies, which were unrelated to antigen, were co-precipitated with the antigen-antibody complex. A circulating immunoglobulin reacting with other immunoglobulins is thus present in children with type 1 diabetes and may well play a part in the complex immuno-pathogenetic interactions

Hind-foot correction and stabilization by pins in plaster after surgical release of talipes equino varus feet in older children

Congenital talipes equino varus (CTEV) is a three dimensional deformity and is one of the most common congenital abnormalities affecting the lower limb and can be challenging to manage. Hind-foot deformity is considered the most difficult to treat. Unfortunately, the calcaneus is often small and thus difficult to control during casting after surgical release in severe or relapsed cases. We used three pins to control and maintain the hind foot correction, after surgical release, during casting in 47 cases (59 feet). We introduced a modified, coronal plane, transverse calcaneal pin. This pin is inserted from medial to lateral through the calcaneus to correct the varus mal-positioning of the calcaneus in the sagittal plane and to provide a better control on the small sized, hind-foot during casting. We paid special attention to the final hind-foot deformity after surgery, and the results were favorable after the application of this transverse pin

Microcontroller Implementation of Fuzzy Guidance

In the last few years microcontrollers found a big place in industrial applications. It had been used in many applications such as washing machines, textile machines and many other fields. Microchip PIC microcontrollers are one of the most used types of microcontroller. In this paper we consider a method which can be used to implement a fuzzy control system and the description of this implementation technique. The proposed method will be applied to implement the fuzzy guidance systems on a microchip PIC16F877A microcontroller system

Treatment results and prognostic factors of pediatric neuroblastoma: a retrospective study

<p>Abstract</p> <p>Background</p> <p>We conducted a retrospective analysis to investigate treatment results and prognostic factors of pediatric neuroblastoma patients.</p> <p>Methods</p> <p>This retrospective study was carried out analyzing the medical records of patients with the pathological diagnosis of neuroblastoma seen at South Egypt Cancer Institute, Assiut University during the period from January 2001 and January 2010. After induction chemotherapy, response according to international neuoblastoma response criteria was assessed. Radiotherapy to patients with residual primary tumor was applied. Overall and event free survival (OAS and EFS) rates were estimated using Graphed prism program. The Log-rank test was used to examine differences in OAS and EFS rates. Cox-regression multivariate analysis was done to determine the independent prognostic factors affecting survival rates.</p> <p>Results</p> <p>Fifty three cases were analyzed. The median follow-up duration was 32 months and ranged from 2 to 84 months. The 3-year OAS and EFS rates were 39.4% and 29.3% respectively. Poor prognostic factors included age >1 year of age, N-MYC amplification, and high risk group. The majority of patients (68%) presented in high risk group, where treatment outcome was poor, as only 21% of patients survived for 3 year.</p> <p>Conclusion</p> <p>Multivariate analysis confirmed only the association between survival and risk group. However, in univariate analysis, local radiation therapy resulted in significant survival improvement. Therefore, radiotherapy should be given to patients with residual tumor evident after induction chemotherapy and surgery. Future attempts to improve OAS in high risk group patients with aggressive chemotherapy and bone marrow transplantation should be considered.</p

Serum CRP level in day of ovum pickup and embryo transfer as a predictor for success in patients undergoing IVF/ ICSI

Background: This study was performed to determine the level of serum C-reactive protein (CRP) in day of ovum pickup and embryo transfer as a predictor for success in patients undergoing In-Vitro Fertilization (IVF) and Intracytoplasmic Sperm injection (ICSI).Methods: This study was a cross sectional study (prospective) that was conducted in assisted reproduction unit in Al-Azhar University Hospital on 50 infertile patients who were candidate for IVF/ICSI, using standard long protocol, blood was drawn two times during cycle, in the day of ovum pick up and the day of embryo transfer.Results: In (70.6 %) the serum of CRP level was higher in day of embryo transfer than day of ovum pick up. The ratio of CRP level in the day of embryo transfer to the day of ovum pick up was heigher (1.54) in patients who became pregnant after ICSI, patients with less than this ratio have not been pregnant.Conclusions: Controlled ovarian hyper stimulation and puncture of ovaries can potentiate systemic stimulation so increasing serum CRP level in day of embryo transfer rather than day of ovum pick up can predict success in patients undergoing IVF/ICSI.

Improvement of drought tolerance in five different cultivars of Vicia faba with foliar application of ascorbic acid or silicon

Aim of study: To explore the role of ascorbic acid (AsA) or silicon (Si) in improving drought tolerance in five faba bean cultivars under irrigation water deficit (IWD).Area of study: The experimental farm; 30° 36′ N, 32° 16′ E, Egypt.Material and methods: Three drip irrigation regimes (WW, well-watered, 4000 m3 water ha-1; MD, moderate drought, 3000 m3 water ha-1; and SD, severe drought, 2000 m3 water ha-1) were applied to plants, which were sprayed 25, 40, and 55 days after sowing with 1.5 mM AsA or 2.0 mM Si vs distilled water as a control.Main results: Drought negatively affected physiological attributes (photosynthetic pigments, gas exchange parameters, relative water content, membrane stability index, electrolyte leakage (EL), and lipid peroxidation), which restricted plant growth and yields, and stimulated alterations in both enzymatic and non-enzymatic antioxidant activities. However, AsA or Si application mitigated drought effects on physiological attributes, improving growth, yields and water use efficiency by raising antioxidant activities and suppressing lipid peroxidation and EL in stressful cultivars. The mitigating effects of AsA and Si were more pronounced under MD.Research highlights: ‘Nubaria-2’, ‘Giza-843’, and ‘Sakha-3’ were more tolerant than ‘Giza-716’ and ‘Sakha-4’, suggesting the use of AsA or Si to ameliorate the IWD effects on stressful cultivars. Certain physiological traits exhibited positive association with growth and seed yield, demonstrating their importance in enhancing seed yield under irrigation treatments

Molecular hybridization design and synthesis of novel spirooxindole-based MDM2 inhibitors endowed with BCL2 signaling attenuation:A step towards the next generation p53 activators

Despite the achieved progress in developing efficient MDM2-p53 protein-protein interaction inhibitors (MDM2 inhibitors), the acquired resistance of tumor cells to such p53 activators posed an argument about the druggability of the pathway. Combination studies disclosed that concomitant inhibition of MDM2 and BCL2 functions can sensitize the tumor cells and synergistically induce apoptosis. Herein, we employed a rapid combinatorial approach to generate a novel series of hybrid spirooxindole-based MDM2 inhibitors (5a-s) endowed with BCL2 signaling attenuation. The adducts were designed to mimic the thematic features of the chemically stable potent spiro[3H-indole-3,2′-pyrrolidin]-2(1H)-ones MDM2 inhibitors while installing a pyrrole ring on the core via a carbonyl spacer inspired by the natural product marinopyrrole A that efficiently inhibits BCL2 family functions by various mechanisms. NCI 60 cell-line panel screening revealed their promising broad-spectrum antiproliferative activities. The NCI-selected derivatives were screened for cytotoxic activities against normal fibroblasts, MDA-MB 231, HepG-2, and Caco-2 cells via MTT assay, subjected to mechanistic apoptosis studies for assessment of p53, BCL2, p21, and caspase 3/7 status, then evaluated for potential MDM2 inhibition utilizing MST assay. The most balanced potent and safe derivatives; 5i and 5q were more active than 5-fluorouracil, exhibited low μM range MDM2 binding (KD =1.32 and 1.72 μM, respectively), induced apoptosis-dependent anticancer activities up to 50%, activated p53 by 47-63%, downregulated the BCL2 gene to 59.8%, and reduced its protein level (13.75%) in the treated cancer cells. Further downstream p53 signaling studies revealed > 2 folds p21 upregulation and > 3 folds caspase 3/7 activation. Docking simulations displayed that the active MDM2 inhibitors resided well into the p53 binding sites of MDM2, and shared key interactions with the co-crystalized inhibitor posed by the indolinone scaffold (5i, 5p, and 5q), the halogen substituents (5r), or the installed spiro ring (5s). Finally, in silico ADMET profiling predicted acceptable drug-like properties with full accordance to Lipinski's, Veber's, and Muegge's bioavailability parameters for 5i and a single violation for 5q

Deep Reinforcement Learning Approach for Cyberattack Detection

Recently, there has been a growing concern regarding the detrimental effects of cyberattacks on both infrastructure and users. Conventional safety measures, such as encryption, firewalls, and intrusion detection, are inadequate to safeguard cyber systems against emerging and evolving threats. To address this issue, researchers have turned to reinforcement learning (RL) as a potential solution for complex decision-making problems in cybersecurity. However, the application of RL faces various obstacles, including a lack of suitable training data, dynamic attack scenarios, and challenges in modeling real-world complexities. This paper suggests applying deep reinforcement learning (DRL), a deep framework, to simulate malicious cyberattacks and enhance cybersecurity. Our framework utilizes an agent-based model that is capable of continuous learning and adaptation within a dynamic network security environment. The agent determines the most optimal course of action based on the network’s state and the corresponding rewards received for its decisions. We present the outcomes of our experimentation with the application of DRL on a specific model, double deep Q-network (DDQN), utilizing policy gradient (PG) on three distinct datasets: NSL-KDD, CIC-IDS-2018, and AWID. Our research demonstrates that DRL can effectively improve cyberattack detection outcomes through our model and specific parameter adjustments