21 research outputs found

    Fraudulence Risk Strategic Assessment of Processed Meat Products

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     A total of 450 samples of different meat products (luncheon chicken, luncheon meat, sausage, beef burger, minced meat, and kofta) were examined. Fifty samples of each type of product were collected from different supermarkets in Assiut City. All of the samples were analysed by different microscopy techniques (light, fluorescence, histochemical microscopy, and scanning electron microscopy (SEM)) for the detection of meat adulteration. Haematoxylin-eosin (HE) staining was used for general histological examinations. Different histochemical techniques were used to stain paraffinised sections. The adulterated tissues detected were the nuchal ligament, large elastic blood vessels, muscular artery, elastic fibers, lung, cardiac muscle fibers, tendon, spongy bone, bone of immature animals, adipose tissue, cartilage (hyaline and white fibrocartilage), and smooth muscle of visceral organs. SEM detected contamination of the minced meat by bacteria and yeast. Fluorescence microscopy was used as an effective method for the detection of bone and cartilage. Interestingly, the stained acidophilic cytoplasm of skeletal muscle changed to basophilic, and the skeletal muscle was suspected to be diseased. The findings of the present work provide qualitative evaluations of the detection of unauthorised tissues in different meat products using different effective histological techniques

    Global burden and strength of evidence for 88 risk factors in 204 countries and 811 subnational locations, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021

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    Background: Understanding the health consequences associated with exposure to risk factors is necessary to inform public health policy and practice. To systematically quantify the contributions of risk factor exposures to specific health outcomes, the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2021 aims to provide comprehensive estimates of exposure levels, relative health risks, and attributable burden of disease for 88 risk factors in 204 countries and territories and 811 subnational locations, from 1990 to 2021. Methods: The GBD 2021 risk factor analysis used data from 54 561 total distinct sources to produce epidemiological estimates for 88 risk factors and their associated health outcomes for a total of 631 risk–outcome pairs. Pairs were included on the basis of data-driven determination of a risk–outcome association. Age-sex-location-year-specific estimates were generated at global, regional, and national levels. Our approach followed the comparative risk assessment framework predicated on a causal web of hierarchically organised, potentially combinative, modifiable risks. Relative risks (RRs) of a given outcome occurring as a function of risk factor exposure were estimated separately for each risk–outcome pair, and summary exposure values (SEVs), representing risk-weighted exposure prevalence, and theoretical minimum risk exposure levels (TMRELs) were estimated for each risk factor. These estimates were used to calculate the population attributable fraction (PAF; ie, the proportional change in health risk that would occur if exposure to a risk factor were reduced to the TMREL). The product of PAFs and disease burden associated with a given outcome, measured in disability-adjusted life-years (DALYs), yielded measures of attributable burden (ie, the proportion of total disease burden attributable to a particular risk factor or combination of risk factors). Adjustments for mediation were applied to account for relationships involving risk factors that act indirectly on outcomes via intermediate risks. Attributable burden estimates were stratified by Socio-demographic Index (SDI) quintile and presented as counts, age-standardised rates, and rankings. To complement estimates of RR and attributable burden, newly developed burden of proof risk function (BPRF) methods were applied to yield supplementary, conservative interpretations of risk–outcome associations based on the consistency of underlying evidence, accounting for unexplained heterogeneity between input data from different studies. Estimates reported represent the mean value across 500 draws from the estimate's distribution, with 95% uncertainty intervals (UIs) calculated as the 2·5th and 97·5th percentile values across the draws. Findings: Among the specific risk factors analysed for this study, particulate matter air pollution was the leading contributor to the global disease burden in 2021, contributing 8·0% (95% UI 6·7–9·4) of total DALYs, followed by high systolic blood pressure (SBP; 7·8% [6·4–9·2]), smoking (5·7% [4·7–6·8]), low birthweight and short gestation (5·6% [4·8–6·3]), and high fasting plasma glucose (FPG; 5·4% [4·8–6·0]). For younger demographics (ie, those aged 0–4 years and 5–14 years), risks such as low birthweight and short gestation and unsafe water, sanitation, and handwashing (WaSH) were among the leading risk factors, while for older age groups, metabolic risks such as high SBP, high body-mass index (BMI), high FPG, and high LDL cholesterol had a greater impact. From 2000 to 2021, there was an observable shift in global health challenges, marked by a decline in the number of all-age DALYs broadly attributable to behavioural risks (decrease of 20·7% [13·9–27·7]) and environmental and occupational risks (decrease of 22·0% [15·5–28·8]), coupled with a 49·4% (42·3–56·9) increase in DALYs attributable to metabolic risks, all reflecting ageing populations and changing lifestyles on a global scale. Age-standardised global DALY rates attributable to high BMI and high FPG rose considerably (15·7% [9·9–21·7] for high BMI and 7·9% [3·3–12·9] for high FPG) over this period, with exposure to these risks increasing annually at rates of 1·8% (1·6–1·9) for high BMI and 1·3% (1·1–1·5) for high FPG. By contrast, the global risk-attributable burden and exposure to many other risk factors declined, notably for risks such as child growth failure and unsafe water source, with age-standardised attributable DALYs decreasing by 71·5% (64·4–78·8) for child growth failure and 66·3% (60·2–72·0) for unsafe water source. We separated risk factors into three groups according to trajectory over time: those with a decreasing attributable burden, due largely to declining risk exposure (eg, diet high in trans-fat and household air pollution) but also to proportionally smaller child and youth populations (eg, child and maternal malnutrition); those for which the burden increased moderately in spite of declining risk exposure, due largely to population ageing (eg, smoking); and those for which the burden increased considerably due to both increasing risk exposure and population ageing (eg, ambient particulate matter air pollution, high BMI, high FPG, and high SBP). Interpretation: Substantial progress has been made in reducing the global disease burden attributable to a range of risk factors, particularly those related to maternal and child health, WaSH, and household air pollution. Maintaining efforts to minimise the impact of these risk factors, especially in low SDI locations, is necessary to sustain progress. Successes in moderating the smoking-related burden by reducing risk exposure highlight the need to advance policies that reduce exposure to other leading risk factors such as ambient particulate matter air pollution and high SBP. Troubling increases in high FPG, high BMI, and other risk factors related to obesity and metabolic syndrome indicate an urgent need to identify and implement interventions

    Global incidence, prevalence, years lived with disability (YLDs), disability-adjusted life-years (DALYs), and healthy life expectancy (HALE) for 371 diseases and injuries in 204 countries and territories and 811 subnational locations, 1990–2021: a systematic analysis for the Global Burden of Disease Study 2021

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    Background: Detailed, comprehensive, and timely reporting on population health by underlying causes of disability and premature death is crucial to understanding and responding to complex patterns of disease and injury burden over time and across age groups, sexes, and locations. The availability of disease burden estimates can promote evidence-based interventions that enable public health researchers, policy makers, and other professionals to implement strategies that can mitigate diseases. It can also facilitate more rigorous monitoring of progress towards national and international health targets, such as the Sustainable Development Goals. For three decades, the Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) has filled that need. A global network of collaborators contributed to the production of GBD 2021 by providing, reviewing, and analysing all available data. GBD estimates are updated routinely with additional data and refined analytical methods. GBD 2021 presents, for the first time, estimates of health loss due to the COVID-19 pandemic. Methods: The GBD 2021 disease and injury burden analysis estimated years lived with disability (YLDs), years of life lost (YLLs), disability-adjusted life-years (DALYs), and healthy life expectancy (HALE) for 371 diseases and injuries using 100 983 data sources. Data were extracted from vital registration systems, verbal autopsies, censuses, household surveys, disease-specific registries, health service contact data, and other sources. YLDs were calculated by multiplying cause-age-sex-location-year-specific prevalence of sequelae by their respective disability weights, for each disease and injury. YLLs were calculated by multiplying cause-age-sex-location-year-specific deaths by the standard life expectancy at the age that death occurred. DALYs were calculated by summing YLDs and YLLs. HALE estimates were produced using YLDs per capita and age-specific mortality rates by location, age, sex, year, and cause. 95% uncertainty intervals (UIs) were generated for all final estimates as the 2·5th and 97·5th percentiles values of 500 draws. Uncertainty was propagated at each step of the estimation process. Counts and age-standardised rates were calculated globally, for seven super-regions, 21 regions, 204 countries and territories (including 21 countries with subnational locations), and 811 subnational locations, from 1990 to 2021. Here we report data for 2010 to 2021 to highlight trends in disease burden over the past decade and through the first 2 years of the COVID-19 pandemic. Findings: Global DALYs increased from 2·63 billion (95% UI 2·44–2·85) in 2010 to 2·88 billion (2·64–3·15) in 2021 for all causes combined. Much of this increase in the number of DALYs was due to population growth and ageing, as indicated by a decrease in global age-standardised all-cause DALY rates of 14·2% (95% UI 10·7–17·3) between 2010 and 2019. Notably, however, this decrease in rates reversed during the first 2 years of the COVID-19 pandemic, with increases in global age-standardised all-cause DALY rates since 2019 of 4·1% (1·8–6·3) in 2020 and 7·2% (4·7–10·0) in 2021. In 2021, COVID-19 was the leading cause of DALYs globally (212·0 million [198·0–234·5] DALYs), followed by ischaemic heart disease (188·3 million [176·7–198·3]), neonatal disorders (186·3 million [162·3–214·9]), and stroke (160·4 million [148·0–171·7]). However, notable health gains were seen among other leading communicable, maternal, neonatal, and nutritional (CMNN) diseases. Globally between 2010 and 2021, the age-standardised DALY rates for HIV/AIDS decreased by 47·8% (43·3–51·7) and for diarrhoeal diseases decreased by 47·0% (39·9–52·9). Non-communicable diseases contributed 1·73 billion (95% UI 1·54–1·94) DALYs in 2021, with a decrease in age-standardised DALY rates since 2010 of 6·4% (95% UI 3·5–9·5). Between 2010 and 2021, among the 25 leading Level 3 causes, age-standardised DALY rates increased most substantially for anxiety disorders (16·7% [14·0–19·8]), depressive disorders (16·4% [11·9–21·3]), and diabetes (14·0% [10·0–17·4]). Age-standardised DALY rates due to injuries decreased globally by 24·0% (20·7–27·2) between 2010 and 2021, although improvements were not uniform across locations, ages, and sexes. Globally, HALE at birth improved slightly, from 61·3 years (58·6–63·6) in 2010 to 62·2 years (59·4–64·7) in 2021. However, despite this overall increase, HALE decreased by 2·2% (1·6–2·9) between 2019 and 2021. Interpretation: Putting the COVID-19 pandemic in the context of a mutually exclusive and collectively exhaustive list of causes of health loss is crucial to understanding its impact and ensuring that health funding and policy address needs at both local and global levels through cost-effective and evidence-based interventions. A global epidemiological transition remains underway. Our findings suggest that prioritising non-communicable disease prevention and treatment policies, as well as strengthening health systems, continues to be crucially important. The progress on reducing the burden of CMNN diseases must not stall; although global trends are improving, the burden of CMNN diseases remains unacceptably high. Evidence-based interventions will help save the lives of young children and mothers and improve the overall health and economic conditions of societies across the world. Governments and multilateral organisations should prioritise pandemic preparedness planning alongside efforts to reduce the burden of diseases and injuries that will strain resources in the coming decades. Funding: Bill & Melinda Gates Foundation

    تقدير وتحليل دالة استجابة مساحة البرسيم في مصر

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    This study delt with assessment and analysis of response function for berseem area in Egypt during the period (1975-2014). The study applied the Nalove model. Berseem (Egyptian Colver) is the main feed source for livestock in Egypt. However it competes with wheat crop, the main food item in Egyptian diet, on agricultural land in winter lug in Egypt. The study concluded from analyzing the supply response of the annual Egyptian clover area that the most important factor in determining such area is the number of milking heads per farm holding, and the buffalo milk price. This result confirms what previous studies have highlighted. Such studies, cited that the Egyptian farmer is keen on holding at least one dairy cow to enable him to earn finance for his daily expenses and it is preferably to be a milking buffalo, even if he does not hold a farm area. He (She) does that to keep on acquisition of the social status in addition to get daily liquidity and reimbursement obligations of fixed expenses, such as rent of his agricultural land. The daily income is generated from selling milk and selling the weaned calves. A recent study has confirmed these trends, where it founded that farm income from animal production is the economic activity which, crosses the small holder farms of less than five feddan (92% of the farm holders in Egypt) the absolute poverty line – 1-percapitaaday,whilecrossingthepovertylineof per capita a day, while crossing the poverty line of 2 a day is reached via the extra income from the household earnings from working outside the agricultural sector. Although estimates of the supply elasticity coefficients in either short or long run showed that the net return from one acre of wheat reduces the area of berseem at a rate much higher than the expected increase in the price of raw milk, and although the growth rate in the price of buffalo milk at the farm gate was less than that of the rate of growth in profit from one acre of wheat, the clover acreage in Egypt has decreased only by 4% per year during the period (1974-2014). This was due to the social dimension in the acquisition of farmers for dairy cattle, despite of the farm size, and also reflected what recent studies have shown that dairy market in Upper Egypt is not as active as in Lower Egypt, which has a share in weakened the quantitative impact of the price of buffalo milk on increasing the aggregate area of Egyptian clover. The study recommends to raising productivity of berseem from 24 tons per acre to 45 tons per acre, according to the results of the experiments conducted in the Research Institute of crop in Egypt, which would reduce the production costs per one acre of berseem and also reduces the increase in its area in favor of wheat in winter lug

    تقدير وتحليل دالة استجابة القمح في مصر

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    Analysis of the supply response of wheat indicated that the expected decrease in the wheat area as a result of increased profit per acre of clover surpasses the expected increase in wheat area as a result of increase in the profit per acre of wheat. Such negative impact of the increasing profit per acre of berseem on wheat area is compounded because it is linked to a large extent by the inflation in the price of milk, especially buffalo’s milk. Thus accelerating milk price growth in Egypt under the current performance of the agricultural sector due to growing demand for dairy products with a shortfall of domestic production from coverage such demand will make Significant pressure on the output of the policies towards increase domestic wheat production. These findings that the average annual profitability of an acre of wheat increased around 8% during the period 1979-2014, while berseem profitability per acre raised about 9.3% during the same period. Therefore, all policies directed to reduce the area of berseem for expansion in wheat acreage have led to increase in wheat acreage by a very small percentage amounted to 0.25% per annum. Because of increased profit per acre of wheat depends on increasing both the farm price and domestic wheat productivity per acre, and because the increase in the price of wheat to reach or exceeds the world price in lights of the deterioration in the value of the local currency would lead to a highly burden of inflationary effect on the Egyptian economy, the Government must focus on the policy to increase the productivity of an acre of wheat, especially because the average yield per Feddan in Egypt had reached only two-thirds of the crop yield of the results shown on extension fields from the new varieties, (9000 kg/ha), while the average Republic reached only about 6666 Kilograms per hectare in 2013, also literatures published by official authorities usually confirm that yield per acre of wheat, outpace the world average. It is a biased comparison for two reasons: first, there are States like Franca as an important exporter of wheat achieved in 2013 a yield per hectare of wheat 7254 kg, secondly, the Egyptian wheat produced under full surface irrigation system, while 80 percent of global agriculture is under rain fed systems, i.e. the degree of risk and uncertainty at the top, globally, putting yields per unit of area at high volatility. Therefrom, this study recommends focusing on raising the level productivity of wheat per acre as a genuine policy to achieve the appropriate proportion of self-sufficiency and find an approach to save the required disposable hard currency to establish required numbers of silos to store grains, mainly wheat, in order to save the waste in such strategic crop, which is not less than 25% of the production. Raising productivity of berseem from 24 tons per acre to 45 tons per acre, according to the results of the experiments conducted in the Research Institute of crop in Egypt, could reduce production costs for one acre of berseem and reduces the increase in its area and reaching to liberate of the total berseem acreage in favor of wheat in winter lug

    Epigallocatechin-3-Gallate-Loaded Gold Nanoparticles: Preparation and Evaluation of Anticancer Efficacy in Ehrlich Tumor-Bearing Mice

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    Epigallocatechin-3-gallate (EGCG) is a pleiotropic compound with anticancer, anti-inflammatory, and antioxidant properties. To enhance EGCG anticancer efficacy, it was loaded onto gold nanoparticles (GNPs). EGCG-GNPs were prepared by a simple green synthesis method and were evaluated using different techniques. Hemocompatibility with human blood and in vivo anticancer efficacy in Ehrlich ascites carcinoma-bearing mice were evaluated. EGCG/gold chloride molar ratio had a marked effect on the formation and properties of EGCG-GNPs where well-dispersed spherical nanoparticles were obtained at a molar ratio not more than 0.8:1. The particle size ranged from ~26 to 610 nm. High drug encapsulation efficiency and loading capacity of ~93 and 32%, respectively were obtained. When stored at 4 °C for three months, EGCG-GNPs maintained over 90% of their drug payload and had small changes in their size and zeta potential. They were non-hemolytic and had no deleterious effects on partial thromboplastin time, prothrombin time, and complement protein C3 concentration. EGCG-GNPs had significantly better in vivo anticancer efficacy compared with pristine EGCG as evidenced by smaller tumor volume and weight and higher mice body weight. These results confirm that EGCG-GNPs could serve as an efficient delivery system for EGCG with a good potential to enhance its anticancer efficacy

    Polymeric micelles for the ocular delivery of triamcinolone acetonide: preparation and in vivo evaluation in a rabbit ocular inflammatory model

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    The aim of this study was to prepare triamcinolone acetonide (TA)-loaded poly(ethylene glycol)-block-poly(ε-caprolactone) (PEG-b-PCL) and poly(ethylene glycol)-block-poly(lactic acid) (PEG-b-PLA) micelles as a potential treatment of ocular inflammation. The micelles were evaluated for particle size, drug loading capacity and drug release kinetics. Selected micellar formulations were dispersed into chitosan hydrogel and their anti-inflammatory properties were tested in rabbits using a carrageenan-induced ocular inflammatory model. Particle size ranged from 59.44 ± 0.15 to 64.26 ± 0.55 nm for PEG-b-PCL and from 136.10 ± 1.57 to 176.80 ± 2.25 nm for PEG-b-PLA micelles, respectively. The drug loading capacity was in the range of 6–12% and 15–25% for PEG-b-PCL and PEG-b-PLA micelles, respectively and was dependent on the drug/polymer weight ratio. TA aqueous solubility was increased by 5- and 10-fold after loading into PEG-b-PCL and PEG-b-PLA micelles at a polymer concentration as low as 0.5 mg/mL, respectively. PEG-b-PLA micelles suspended in chitosan hydrogel were able to sustain the drug release where only 42.8 ± 1.6% drug was released in one week. TA/PEG-b-PLA micelles suspended in chitosan hydrogel had better anti-inflammatory effects compared with the plain drug hydrogel or the drug micellar solution. Complete disappearance of the corneal inflammatory changes was observed for the micellar hydrogel. These results confirm the potential of PEG-b-PLA micelles suspended in chitosan hydrogel to enhance the anti-inflammatory properties of triamcinolone acetonide

    PON1 Inter-individual Enzymatic activity variation as a predictor of OPC toxicity in agricultural workers presented to PCCASU, Egypt

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    Organophosphate compounds result in numerous toxicities because of their widespread usage and easy accessibility especially in the developing world’s agricultural communities. PON1 activity towards OPCs shows inter individual variations. Isoforms of the enzyme differing in their PON1 activity result from amino acid substitutions at positions 192 which is glutamine (Q) to arginine (R) and at 55 which is leucine (L) to methionine (M) thus rendering the identifi cation of individuals’ PON1 all enzymes of value in treatment of patients suffering from OP intoxication The aim of this work is to study the infl uence of genetic variation of PON1 gene on paraoxonase enzyme activity in cases of acute organ phosphorus compound poisoning. These compounds exert their toxicity primarily through inhibiting acetyl cholinesterase (AChE) enzyme. This study was carried out at the Poison Control Center (PCC) of Ain Shams University Hospitals, Cairo, Egypt. Paraoxonase enzyme activity: It was determined according to the method of Furlong et al. (1988). Paraoxonase genotyping: Genomic DNA was isolated from peripheral white blood cells by an automated isolation method using the MagNA Pure LC Total Nucleic Acid Isolation Kit. From this study it is obvious that PON1 coding could be a predictor of individual sensitivity to OPC especially among risk groups as agricultural workers and workers in OP factories.</p
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