Life Adaptation Program & Its Effect on Daily Living Skills of Autistic Children and Their Parents Stress

This study aimed to investigate the effect of life adaptation program on daily living skills (DLS) of autistic children and their parent's stress. A quasi -experimental design was utilized in this study. A purposive sample of thirty autistic children and their parents were recruited from Autism Day Care Unit-Beit El-shams- Child Psychiatry Clinic in El-Abbassia Mental Health Hospital. Three tools were used to conduct the current study, sociodemographic and medical data sheet, autistic child skills scale, and parent's stress scale. The results showed that, more than eighty percent of the studied children had low level of daily living skills, and slightly more than half of the studied parents had moderate stress level. Findings revealed that there was a highly statistically significant difference between pre-post program regarding daily living skills & there was a highly statistically significant difference between parents stress pre and post program. In conclusion, early intervention play significant role in the development of DLS of all ages, yet further researches are needed for developing and maintenance of DLS of autistic children. Keywords: autistic disorder, daily living skills, parents stress

Antibiotic resistance and mecA gene characterization of Staphylococcus epidermidis isolated from some hospitals in Gaza strip

Antibiotic resistance of S. epidermidis isolated from biological specimens is a global problem to public health. In this study a total of 256 S. epidermidis isolates (128 clinical isolates and 128 nasal isolates) from Gaza strip, Palestine were investigated. All isolates were tested for its antimicrobial susceptibilities and carriage of the mecA gene. Out of the 256 isolates, 184 (71.9%) were resistant to multiple antibiotics with all displaying increased susceptibility toward rifampicin (100%), doxycycline (98.4%) and vancomycin (98%). Ninety-six isolates (37.5%) were multidrug resistant (MDR) while, 99 isolates (38.7%) were mecA positive. A significant difference was demonstrated between clinical and nasal isolates. Clinical isolates were significantly more resistant for 8/12 tested antibiotics including resistance to cefoxitin (30μg) (p=0.000) and significantly (p=0.000) represents the MDR isolates while nasal isolates were significantly (p=0.000) sensitive for all tested antibiotics. No significant difference between the two groups in carrying mecA. We find that clinical isolates gain an extra-feature that qualify it to cause a disease and methicillin resistance (MR) was not mecA dependent in all MR isolates

Medical prospects of cryptosporidiosis in vivo control using biofabricated nanoparticles loaded with Cinnamomum camphora extracts by Ulva fasciata

Background and Aim: Global efforts are continuing to develop preparations against cryptosporidiosis. This study aimed to investigate the efficacy of biosynthesized Ulva fasciata loading Cinnamomum camphora oil extract on new zinc oxide nanoparticles (ZnONPs shorten to ZnNPs) and silver nanoparticles (AgNPs) as alternative treatments for Cryptosporidium parvum experimental infection in rats. Materials and Methods: Oil extract was characterized by gas chromatography-mass spectrometry, loaded by U. fasciata on ionic-based ZnO and NPs, and then characterized by transmission electron microscopy, scanning electron microscopy, and X-ray diffraction. Biosafety and toxicity were investigated by skin tests. A total of 105 C. parvum oocysts/rat were used (n = 81, 2–3 W, 80–120 g, 9 male rats/group). Oocysts shedding was counted for 21 d. Doses of each preparation in addition to reference drug were administered daily for 7 d, starting on post-infection (PI) day (3). Nitazoxanide (100 mg) was used as the reference drug. After 3 weeks, the rats were sacrificed for postmortem examination and histopathological examination. Two blood samples/rat/group were collected on the 21st day. Ethylenediaminetetraacetic acid blood samples were also used for analysis of biochemistry, hematology, immunology, micronucleus prevalence, and chromosomal abnormalities. Results: C. camphora leaves yielded 28.5 ± 0.3 g/kg oil and 20 phycocompounds were identified. Spherical and rod-shaped particles were detected at 10.47–30.98 nm and 18.83–38.39 nm, respectively. ZnNPs showed the earliest anti-cryptosporidiosis effect during 7–17 d PI. Other hematological, biochemical, immunological, histological, and genotoxicity parameters were significantly fruitful; hence, normalized pathological changes induced by infestation were observed in the NPs treatments groups against the infestation-free and Nitazoxanide treated group. Conclusion: C. camphora, U. fasciata, ZnNPs, and AgNPs have refluxed the pathological effects of infection as well as positively improved host physiological condition by its anticryptosporidial immunostimulant regenerative effects with sufficient ecofriendly properties to be proposed as an alternative to traditional drugs, especially in individuals with medical reactions against chemical commercial drugs

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P < 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely

A review on computational storage devices and near memory computing for high performance applications

The von Neumann bottleneck is imposed due to the explosion of data transfers and emerging data-intensive applications in heterogeneous system architectures. The conventional computation approach of transferring data to CPU is no longer suitable especially with the cost it imposes. Given the increasing storage capacities, moving extensive data volumes between storage and computation cannot scale up. Hence, high-performance data processing mechanisms are needed, which may be achieved by bringing computation closer to data. Gathering insights where data is stored helps deal with energy efficiency, low latency, as well as security. Storage bus bandwidth is also saved when only computation results are delivered to the host memory. Various applications, including database acceleration, machine learning, Artificial Intelligence (AI), offloading (compression/encryption/encoding) and others can perform better and become more scalable if the “move process to data” paradigm is applied. Embedding processing engines inside Solid-State Drives (SSDs), transforming them to Computational Storage Devices (CSDs), provides the needed data processing solution. In this paper, we review the prior art on Near Data Processing (NDP) with focus on In-Storage Computing (ISC), identifying main challenges and potential gaps for future research directions

Assessment of serum irisin level in thyroid disorder

Background Irisin is a newly discovered myokin secreted by myocytes responsible for transmission of signals from muscles to other body tissues. Irisin improves systemic metabolism by increasing the energy expenditure. Owing to numerous similarities in action between irisin and thyroid hormones it seems imperative to explore these substances’ potential mutual influence on the body. Objective To estimate serum irisin concentration in patients with hypothyroid and hyperthyroid diseases, and to detect the relation of serum irisin in patients with thyroid disorders with creatine kinase (CK), a serum marker of muscle damage. Patients and methods The study comprised 30 hyperthyroid patients (group 1), 30 hypothyroid patients (group 2), and 30 normal persons (group 3). Irisin was measured using enzyme-linked immunosorbent assay. Thyroid-stimulating hormone, triiodothyronine, and free thyroxine levels were measured using chemiluminescent microparticle immunoassay technology. Results Irisin hormone level significantly decreased in hypothyroid patients in comparison with hyperthyroid patients. Irisin hormone level increased in hyperthyroid patients in comparison with normal persons, whereas it decreased in hypothyroid patients in comparison with normal persons. CK level significantly decreased in hyperthyroid patients in comparison with hypothyroid patients. CK level significantly increased in hypothyroid patients in comparison with normal persons, whereas it significantly decreased in hyperthyroid patients in comparison with normal persons. Conclusion Obtained results suggest the influence of thermometabolic state on irisin level

Identification and prevalence of Anisakis pegreffii and A. pegreffii × A. Simplex (s.s.) hybrid genotype larvae in Atlantic horse Mackerel (Trachurus trachurus) from some North African Mediterranean coasts

Atlantic horse mackerel is one of the most popular fish for North African consumers. Mackerel constitutes a common host for the Anisakis species of infective larvae (L3). A. pegreffii and A. pegreffii × A. simplex (s.s.) hybrid genotype were identified using PCR-RFLP and entire ITS-DNA sequencing protocol. This research investigated the prevalence and mean intensity of A. pegreffii and its hybrid form in randomly collected mackerel samples throughout spring to summer seasons from the Libyan western coast. Briefly, 55 out of 240 (22.9%) fish samples were confirmed to be infected and the prevalence of A. pegreffii reached 22.08% with mean intensity of infection 29.13 ± 2.43 parasite/fish, while the prevalence of A. pegreffii × A. simplex (s.s.) hybrid genotype was 0.8% with mean intensity of infection 22 ± 0.85 parasite/fish. The prevalence of infection noticeably elevated during the summer season to reach 30.8%. Additionally, female fish samples were heavily infected as the mean intensity of infection was 34.75 ± 1.27 parasite/fish. Furthermore, results indicated that the highest intensity of infection was recorded in older and female mackerel. To sum up, the current study has provided substantial information about the impacts, diversity and epidemiology of A. pegreffii and its hybrid form in North African waters. Keywords: Anisakis pegreffii, Anisakis hybrid genotype, PCR-RFLP, Atlantic horse mackerel, Trachurus trachurus, Liby