Impact of pericardial adhesions on diastolic function as assessed by vortex formation time, a parameter of transmitral flow efficiency

<p>Abstract</p> <p>Background</p> <p>Pericardial adhesions are a pathophysiological marker of constrictive pericarditis (CP), which impairs cardiac filling by limiting the total cardiac volume compliance and diastolic filling function. We studied diastolic transmitral flow efficiency as a new parameter of filling function in a pericardial adhesion animal model. We hypothesized that vortex formation time (VFT), an index of optimal efficient diastolic transmitral flow, is altered by patchy pericardial-epicardial adhesions.</p> <p>Methods</p> <p>In 8 open-chest pigs, the heart was exposed while preserving the pericardium. We experimentally simulated early pericardial constriction and patchy adhesions by instilling instant glue into the pericardial space and using pericardial-epicardial stitches. We studied left ventricular (LV) function and characterized intraventricular blood flow with conventional and Doppler echocardiography at baseline and following the experimental intervention.</p> <p>Results</p> <p>Significant decreases in end-diastolic volume, ejection fraction, stroke volume, and late diastolic filling velocity reflected the effects of the pericardial adhesions. The mean VFT value decreased from 3.61 ± 0.47 to 2.26 ± 0.45 (P = 0.0002). Hemodynamic variables indicated the inhibiting effect of pericardial adhesion on both contraction (decrease in systolic blood pressure and +dP/dt decreased) and relaxation (decrease in the magnitude of -dP/dt and prolongation of Tau) function.</p> <p>Conclusion</p> <p>Patchy pericardial adhesions not only negatively impact LV mechanical functioning but the decrease of VFT from normal to suboptimal value suggests impairment of transmitral flow efficiency.</p

Epicardial Fat and Its Association with Cardiovascular Risk: A Cross-Sectional Observational Study

Background: The association between visceral obesity and cardiovascular risk has been well described. Some studies show a proportional relationship between the presence of visceral obesity and epicardial fat. Measuring the amount of epicardial adipose tissue (EAT) can be a novel parameter that is inexpensive and easy to obtain and may be helpful in cardiovascular risk stratification. However, the relationship between epicardial fat and cardiac function and that between epicardial fat and cardiac risk factors is less well described. Objectives: To evaluate the association between echocardiographic epicardial fat and the morphologic and physiologic changes observed at echocardiography and to evaluate the association between epicardial fat and cardiac risk factors. A cross-sectional study of 97 echocardiographic studies (females, n = 42) was conducted. Two groups were identified: epicardial fat ≥ 5 mm (group I) and <5 mm (group II). Results: Epicardial fat >5 mm was associated with LA enlargement, with lower ejection fraction, increased left ventricular mass, and abnormal diastolic function. On a multivariable regression analysis, all these parameters also correlated individually with EAT thickness independent of age. Hyperglycemia (DM), systolic hypertension, and lipid parameters for metabolic syndrome showed a trend for positive association, but this was not statistically significant. The association was not significant even for higher cutoff limits of EAT thickness. Conclusion: Epicardial fat >5 mm is associated with cardiac abnormalities on echocardiography. This is a sensitive assessment of body fat distribution, is easily available at echocardiography, and is simple to acquire at no added cost. Further studies looking at the appropriate cut-off thickness of EAT and the sites of measurement to be used are needed. Comparison of this simple and inexpensive measure with other measures of obesity, such as waist-hip ratio, body mass index, Dexa scan of visceral fat, and magnetic resonance imaging of visceral, are needed

Regional and Seasonal Variability of Mineral Patterns in Some Organs of Slaughtered One-Humped Camels [<i>Camelus dromedarius</i>] from Saudi Arabia

Camel products are receiving great interest worldwide because of their high functional properties and nutritive values. Therefore, this study was focused on the variation of copper [Cu], zinc [Zn], manganese [Mn], selenium [Se], iron [Fe], iodine [I], and some heavy metals, cobalt [Co], lead [Pb], and cadmium [Cd], in the blood and tissues of slaughtered camels from five regions in Saudi Arabia [SA] during the summer and winter seasons, because environmental factors vary from region to region. Whole blood, meat, liver, rumen fluid, and rumen tissues were collected from the slaughterhouse in each region during the two seasons. Moreover, samples were prepared and analyzed for trace mineral and heavy metal concentrations using ICP-MS. The data were statistically analyzed as part of a complete randomized design and correlation analysis for season and location using SAS. The findings revealed a pattern in the minerals, with Ca being the only mineral that was unrelated to other minerals in the liver. For lead and cadmium, our mean value in liver [0.40 µg/g] was below the limit of the EU standard for cadmium [0.50 µg/g], while in meat and liver, lead contents [1.62 µg/g and 2.57 µg/g, respectively] were above the limit of the EU standard [0.10 and 0.20 µg/g, respectively]. For meat, the significantly highest positive correlations were observed between P and Mg [R2 = 0.928], Fe and Mn [R2 = 0.860], and Co and Mn [R2 = 0.821]. For rumen tissues, P and Mg were highly correlated [R2 = 0.958] as well as Zn and Mg [R2 = 0.857], Zn and P [R2 = 0.836], and Fe and Ca [R2 = 0.802]. As a result, a region and season reflect variations in mineral concentrations in SA during the summer and winter seasons. Further intensive research is needed to investigate the minerals’ biological mechanisms in camels under different environmental conditions

The Effects of Different Levels of Sunflower Hulls on Reproductive Performance of Yearly Ewes Fed with Pelleted Complete Diets

In this study, 84 pregnant ewes were used and randomly distributed to one of four treatments, as follows: C (control), total mixed ration (TMR) +12% SFH (S12), TMR +20% SFH (S20), and TMR +28% SFH (S28). Treatments had a significant (p &lt; 0.05) effect on the daily feed intake (DFI) of the ewes during the late gestation (30 d prepartum) and post-partum period, with the S12 and S20 groups having lower feed intake (35; 60%) than the C and S28 group. The DFI was significantly (p &lt; 0.05) low during late gestation in comparable with other periods. The results revealed that body weight (BW) at late gestation was significantly (p &lt; 0.05) higher than the BW at 60-days postpartum and during the mating period. Body condition score (BCS) was significantly (p &lt; 0.05) higher during late gestation in comparison with other periods. There was no significant effect of different levels of SFH on reproductive parameters except S/C, which was significantly higher in the S20 than other groups. Serum glucose level was significantly (p &lt; 0.05) higher in the S20 group than the C, S12, and S28 groups during 30 days postpartum. S20 and S28 groups showed a significant (p &lt; 0.05) increase in glucose levels at parturition in comparison with other reproductive periods. At late gestation, a significantly (p &lt; 0.01) higher concentration of blood NEFA was reported for ewes from the C group compared with other groups. Furthermore, significantly lower (p &lt; 0.05) NEFA levels at parturition were found for ewes from the S20 group compared with the S12 group. In conclusion, TMR is not preferable to be used alone in the late gestation period. Sunflower hull can be used as a cheap source of fiber in TMR without adverse effects on health or the reproductive traits of ewes. The increasing level of sunflower hull up to 28% can affect fertility and increase the number of services per conception, probably due to its high content of lignin (phytoestrogen)

Neuroprotective Effects of Phytochemicals against Aluminum Chloride-Induced Alzheimer’s Disease through ApoE4/LRP1, Wnt3/β-Catenin/GSK3β, and TLR4/NLRP3 Pathways with Physical and Mental Activities in a Rat Model

Background: Alzheimer’s disease (AD) is a neurodegenerative disorder that is associated with abnormal cognition. AD is aided in its initiation and progression by hereditary and environmental factors. Aluminum (Al) is a neurotoxic agent that causes oxidative stress, which is linked to AD progression. Additionally, Nrf2/HO-1, APOE4/LRP1, Wnt3/β-catenin, and TLR4/NLRP3 are the main signaling pathways involved in AD pathogenesis. Several phytochemicals are promising options in delaying AD evolution. Objectives: This study aimed at studying the neuroprotective effects of some phytochemicals as morin (MOR), thymol (TML), and thymoquinone (TMQ) on physical and mental activities (PhM) in Al chloride (AlCl3)-induced AD rat model. Another objective was to determine the specificity of phytochemicals to AD signaling pathways using molecular docking. Methods: Eighty male Dawley rats were divided into eight groups. Each group received: saline (control group), AlCl3, (ALAD), PhM, either alone or with a combination of MOR, TML, and/or TMQ for five weeks. Animals were then subjected to behavioral evaluation. Brain tissues were used for histopathological and biochemical analyses to determine the extent of neurodegeneration. The effect of phytochemicals on AlCl3-induced oxidative stress and the main signaling pathways involved in AD progression were also investigated. Results: AlCl3 caused a decline in spatial learning and memory, as well as histopathological changes in the brains of rats. Phytochemicals combined with PhM restored antioxidant activities, increased HO-1 and Nrf2 levels, blocked inflammasome activation, apoptosis, TLR4 expression, amyloide-β generation, and tau hyperphophorylation. They also brought ApoE4 and LRP1 levels back to normal and regulated Wnt3/β-catenin/GSK3β signaling pathway. Conclusions: The use of phytochemicals with PhM is a promising strategy for reducing AD by modulating Nrf2/HO-1, TLR4/NLRP3, APOE4/LRP1, and Wnt3/β-catenin/GSK-3β signaling pathways

Awareness level of parents toward antibiotics those are prescribed to their children in al-dammam city

Background: Misuse of antibiotics is worldwide problem and annoying pediatricians. This misuses result in the increase the prevalence of one of global health problem which is antibiotic Resistance. Many studies mentioned that misusing of antibiotics is related to antibiotic resistance. The main reason of antibiotics misuse is low public awareness towards antibiotics indications. Also, patient's knowledge and practice with the antibiotic like self-prescription is common in developing countries. The antibiotics prescribed from private pharmacies are given to parents and parents are responsible to give medications to their children. So, we need to increase parents' awareness toward antibiotics usage to decrease the incidence of antibiotic resistance. Objective: To evaluate the parents' level of awareness towards antibiotics those prescribed to their children in At Dammam city Saudi Arabia. Methods: Questionnaire based on cross-sectional study. Questionnaires filled by parents whom have children less than 12 years old in public places randomly in the period from October to November 2018. The questionnaires has two parts: the first part is containing social-demographic data. While the second part: LIP of parents towards antibiotics. Data entering and analysis by SPSS. Results: Questionnaires have been distributed to 450 parents, most in participants were aged 20-29 . years old, the vast majority of participants have misconception regarding the antibiotics indications and (40%) of participants chose that antibiotics use for fever, (22%) for cough and (21%) do not know. Regarding parents' attitude toward antibiotics, (71.3%) have used antibiotics for their children but fortunately, Majority of the participants believe that their children don't need to antibiotics every time when they are sick (70%). in addition, Most of the. participants believe that antibiotics may harm the children (60%) Conclusion: Level of awaraness of parents in Dammam city is moderately acceptable. We can expect antibiotics resistance to happen among new generation in Al-Dammam city if there is no enough campaigns to increase the awareness and to fill the gap