Vitamin D serum level predicts stroke clinical severity, functional independence, and disability—A retrospective cohort study

BackgroundStroke is a leading cause of mortality and disability and one of the most common neurological conditions globally. Many studies focused on vitamin D as a stroke risk factor, but only a few focused on its serum level as a predictor of stroke initial clinical severity and recovery with inconsistent results. The purpose of this study was to assess the relationship between serum vitamin D levels and stroke clinical severity at admission and functional independence and disability at discharge in Saudi Arabia.MethodologyA retrospective cohort study of adult ischemic stroke patients who had their vitamin D tested and admitted within 7 days of exhibiting stroke symptoms at King Abdulaziz Medical City (KAMC) Jeddah, Saudi Arabia. Based on vitamin D level, the patients were categorized into normal [25(OH)D serum level ≥ 75 nmol/L], insufficient [25(OH)D serum level is 50–75 nmol/L], and deficient [25(OH)D serum level ≤ 50 nmol/L]. The primary outcome was to assess the vitamin D serum level of ischemic stroke patients’ clinical severity at admission and functional independence at discharge. The National Institute of Health Stroke Scale (NIHSS) was used to assess the clinical severity, whereas the modified Rankin scale (mRS) was used to assess functional independence and disability.ResultsThe study included 294 stroke patients, out of 774, who were selected based on the inclusion and exclusion criteria. The mean age of the participants was 68.2 ± 13.4 years, and 49.3% were male. The patients’ distribution among the three groups based on their vitamin D levels is: normal (n = 35, 11.9%), insufficient (n = 66, 22.5%), and deficient (n = 196, 65.6%). After adjusting for potential covariates, regression analysis found a significant inverse relationship of NIHSS based on 25(OH)D serum level (beta coefficient: −0.04, SE: 0.01, p = 0.003). Patients with deficient serum vitamin D level also had significantly higher odds of worse functional independence in mRS score [OR: 2.41, 95%CI: (1.13–5.16), p = 0.023] when compared to participants with normal vitamin D level.ConclusionLow vitamin D levels were associated with higher severity of stroke at admission and poor functional independence and disability at discharge in patients with acute ischemic stroke. Further randomized clinical and interventional studies are required to confirm our findings

Comparative metagenomics approaches to characterize the soil fungal communities of western coastal region, Saudi Arabia

A total of 145007 reads were obtained from pyrosequencing for all the 4 samples. The total count ranged from 11,301,014 (Mecca old road) to 23,503,512 bp (Thuwal). A total of 460 fungal species belonging to 133 genera, 58 families, 33 orders, 13 classes and 4 phyla was identified across the four sites. The most abundant phylum at all four sites was Ascomycota followed by Basidiomycota. Four phyla (Ascomycota-99.31%, Basidiomycota-0.59%, Chytridiomycota-0.04%, Glomeromycota-0.03%) were detected in Khulais. Except for Glomeromycota, all phyla were detected at Mecca old road (Ascomycota-74.26%, Basidiomycota-25.71%, Chytridiomycota-0.01%) and Thuwal (Ascomycota-99.59%, Basidiomycota-0.40%, Chytridiomycota-0.002%); while only Ascomycota-90.98% and Basidiomycota-9.01% were detected in Asfan road. At the class level, Sordariomycetes was predominantly observed at Asfan road-59.88%, Khulais-68.26% and Thuwal-94.84%; while Pezizomycetes was dominant at Mecca old road-56.01%, was absent at Asfan road. Agaricomycetes was present only at Mecca old road-25.73%; while Tremellomycetes-5.77%, Malasseizomycetes-2.13% and Microbotryomycetes-1.10% were found only at Asfan road. The phylogenetic trees revealed that clear genus level differences are visible across all the four sites, with an overall predominance of Thielavia followed by Madurella, Aspergillus, and Gelasinospora. Chaetomium sp., Aspergillus caespitosus and Aspergillus sp. were found in moderate (Mecca old road and Thuwal) to abundant (Asfan road and Khulais) quantities. Thielavia sp., Thielavia hyalocarpa and Madurella sp. are found in moderate quantities at Khulais and Mecca old road, while in abundant levels at Asfan road and Thuwal. Fusarium equisati and F. oxysporum were detected at Thuwal and Khulais. Sordaria araneosa was present at Khulais, while Malasseiza globosa species was detected in moderate quantities across all sites except Khulais

Burnout among surgeons before and during the SARS-CoV-2 pandemic: an international survey

Background: SARS-CoV-2 pandemic has had many significant impacts within the surgical realm, and surgeons have been obligated to reconsider almost every aspect of daily clinical practice. Methods: This is a cross-sectional study reported in compliance with the CHERRIES guidelines and conducted through an online platform from June 14th to July 15th, 2020. The primary outcome was the burden of burnout during the pandemic indicated by the validated Shirom-Melamed Burnout Measure. Results: Nine hundred fifty-four surgeons completed the survey. The median length of practice was 10 years; 78.2% included were male with a median age of 37 years old, 39.5% were consultants, 68.9% were general surgeons, and 55.7% were affiliated with an academic institution. Overall, there was a significant increase in the mean burnout score during the pandemic; longer years of practice and older age were significantly associated with less burnout. There were significant reductions in the median number of outpatient visits, operated cases, on-call hours, emergency visits, and research work, so, 48.2% of respondents felt that the training resources were insufficient. The majority (81.3%) of respondents reported that their hospitals were included in the management of COVID-19, 66.5% felt their roles had been minimized; 41% were asked to assist in non-surgical medical practices, and 37.6% of respondents were included in COVID-19 management. Conclusions: There was a significant burnout among trainees. Almost all aspects of clinical and research activities were affected with a significant reduction in the volume of research, outpatient clinic visits, surgical procedures, on-call hours, and emergency cases hindering the training. Trial registration: The study was registered on clicaltrials.gov "NCT04433286" on 16/06/2020

Enhancement of Maize Growth Using Some Plant Growth Promoting Rhizobacteria (PGPR) Under Laboratory Conditions

Abstract: Thirty one bacterial isolates were isolated and identified in nine genera, with twelve taxa as Pseudomonas putida, P. fluorescens, P. areuginosa, Serratia marcences, Xanthomonas sp., Bacillus cereus, Microccoucs sp., B. subtilis, B. megaterium, B. amyloliquefaciencs, Pseudomonas sp., Staphylococcus sp. The highest percentage distribution was B. subtilis, followed by P. putida, P. areuginosa and S. marcences. Eight isolates had the ability for production of IAA and siderophores. S. marcences then P. putida followed by P. fluorescens were the highest in IAA production. The eight isolates of PGPR were increased seed germination by 7 to 13% over control. The highest seed germination was recorded when seeds were pretreated with S. marcences, then P. putida followed by B. subtilis. The highest seedling height and shoot dry weight were observed in seeds treated with S. marcences then P. putida followed by B. cereus and B. subtilis. The use of S. marcences produced the highest root length and weight, and also increased the chlorophyll contents. The MDG was the highest in case of seed soaking and inoculums added with irrigation water treatments, while was the lowest at spry the inoculums on the soil surface. Also, the best results for MGT and GI was found in seed soaking and inoculums added with irrigation water treatments. The best PGPR bacteria for MDG, MGT and GI in seed soaking treatment were B. megaterium, P. putida, S. marcences and P. areuginosa, while in adding inoculums with irrigation water were B. subtilis, B. cereus, S. marcences and P. fluorescens. When cultured the high efficacy isolates of Serratia marcences with Pseudomonas pitida and Bacillus subtilis without any antagonistic effect between them

High Redox Status as the Basis for Heavy Metal Tolerance of Sesuvium portulacastrum L. Inhabiting Contaminated Soil in Jeddah, Saudi Arabia

Because sewage sludge is contaminated with heavy metals, its disposal in the soil may pose risks to the ecosystem. Thus, heavy metal remediation is necessary to reduce the associated risks. The goal of this research is to introduce a heavy metal resistant species and to assess its phytoremediation, oxidative damage markers and stress tolerance mechanisms. To this end, field research was done to compare the vegetation of polluted sites to that of a healthy site. We found 42 plant species identified in the study, Sesuvium portulacastrum L. was chosen because of its high relative density (10.3) and maximum frequency (100 percent) in the most contaminated areas. In particular, S. portulacastrum plants were characterized by strong Cu, Ni, and As uptake. At the organ level, to control growth reduction and oxidase damage, particularly in roots, increased detoxification (e.g., metallothionein, phytochelatins) and antioxidants mechanisms (e.g., tocopherols, glutathione, peroxidases). On the other hand, flavonoids content and the activity of glutathione-S transferase, glutathione reductase and dehydroascorbate reductase were increased manly in the shoots. These biochemical markers can be applied to select tolerance plant species grown under complex heavy metal contamination. Our findings also introduced S. portulacastrum to reduce soil contamination0associated risks, making the land resource available for agricultural production

High redox status as the basis for heavy metal tolerance of **Sesuvium portulacastrum** L. inhabiting contaminated soil in Jeddah, Saudi Arabia

Because sewage sludge is contaminated with heavy metals, its disposal in the soil may pose risks to the ecosystem. Thus, heavy metal remediation is necessary to reduce the associated risks. The goal of this research is to introduce a heavy metal resistant species and to assess its phytoremediation, oxidative damage markers and stress tolerance mechanisms. To this end, field research was done to compare the vegetation of polluted sites to that of a healthy site. We found 42 plant species identified in the study, Sesuvium portulacastrum L. was chosen because of its high relative density (10.3) and maximum frequency (100 percent) in the most contaminated areas. In particular, S. portulacastrum plants were characterized by strong Cu, Ni, and As uptake. At the organ level, to control growth reduction and oxidase damage, particularly in roots, increased detoxification (e.g., metallothionein, phytochelatins) and antioxidants mechanisms (e.g., tocopherols, glutathione, peroxidases). On the other hand, flavonoids content and the activity of glutathione-S transferase, glutathione reductase and dehydroascorbate reductase were increased manly in the shoots. These biochemical markers can be applied to select tolerance plant species grown under complex heavy metal contamination. Our findings also introduced S. portulacastrum to reduce soil contamination0associated risks, making the land resource available for agricultural production

Genetic diversity analysis based on molecular marker and quantitative traits of the response of different tomato (Lycopersicon esculentum Mill.) cultivars to drought stress

The drought tolerance of tomato (Lycopersicon esculentum Mill.) is a trait needing urgent improvement due to recent climate changes and limited water availability. We therefore conducted a greenhouse screening experiment to identify tomato cultivars with improved drought tolerance. Several sensitivity and tolerance indices were computed based on morphological markers. With the aim of establishing a correlation to these markers, a total of 16 inter-simple sequence repeat (ISSR) primers were used, the genetic diversity among cultivars was elucidated and clustering the cultivars into groups based on their molecular profiles was performed. The obtained results indicated that selection indices, such as geometric mean productivity (GMP), mean productivity (MP), tolerance index (TOL),and stress tolerance index (STI), represented suitable indices for screening the drought tolerance of tomato cultivars. An interesting correlation of the ISSR analyses to these morphological findings was established according to 83 detectable fragments derived from 10 primers. The highest value of the effective multiplex ratio (EMR) and marker index (MI) was detected for primer INC7 followed by INC1. Based on Jaccard's similarity coefficients, the genetic distance of the genotypes varied from 0.702 to 0.942 with a mean value of 0.882. The results showed a clear-cut separation of the 15 tomato cultivars due to their genetic variability, making them a valuable genetic source for their incorporation into potential breeding programs. Molecular data were in good agreement with the results as regards selection indices, and both of them will be useful tools for improvement of the tomato germplasm