Comparison between the outcome of single versus multiple uterine fibroids after uterine artery embolization

Background Uterine fibroids are the most common benign tumor of the reproductive tract in women. Uterine artery embolization has been approved as an alternative treatment option for uterine fibroids to reduce uterine and fibroid volumes as well as to relieve the patient symptoms. The current study included 80 patients with symptomatic uterine fibroids. All patients underwent pre-embolization MRI, uterine artery embolization, and follow-up post-embolization MRI at 6 months post procedure for a reduction in uterine and dominant fibroid volumes. The aim of the study was to assess the role of transcatheter uterine artery embolization in reducing the uterine fibroid volume. Results There was a significant difference in the uterine volume reduction between a group with single fibroids and a group with multiple uterine fibroids The mean uterine volume reduction in the first group was 46.5% compared to 37.4% reduction in the second group. While there was no significant difference in the dominant fibroid volume reduction between both groups (48.8% and 44.9% respectively). Conclusions UAE has a high efficacy in the reduction of both the uterine volume and the dominant fibroid volume, which results in improvement in patient’s quality of life

Effects of hospital facilities on patient outcomes after cancer surgery: an international, prospective, observational study

Background Early death after cancer surgery is higher in low-income and middle-income countries (LMICs) compared with in high-income countries, yet the impact of facility characteristics on early postoperative outcomes is unknown. The aim of this study was to examine the association between hospital infrastructure, resource availability, and processes on early outcomes after cancer surgery worldwide.Methods A multimethods analysis was performed as part of the GlobalSurg 3 study-a multicentre, international, prospective cohort study of patients who had surgery for breast, colorectal, or gastric cancer. The primary outcomes were 30-day mortality and 30-day major complication rates. Potentially beneficial hospital facilities were identified by variable selection to select those associated with 30-day mortality. Adjusted outcomes were determined using generalised estimating equations to account for patient characteristics and country-income group, with population stratification by hospital.Findings Between April 1, 2018, and April 23, 2019, facility-level data were collected for 9685 patients across 238 hospitals in 66 countries (91 hospitals in 20 high-income countries; 57 hospitals in 19 upper-middle-income countries; and 90 hospitals in 27 low-income to lower-middle-income countries). The availability of five hospital facilities was inversely associated with mortality: ultrasound, CT scanner, critical care unit, opioid analgesia, and oncologist. After adjustment for case-mix and country income group, hospitals with three or fewer of these facilities (62 hospitals, 1294 patients) had higher mortality compared with those with four or five (adjusted odds ratio [OR] 3.85 [95% CI 2.58-5.75]; p<0.0001), with excess mortality predominantly explained by a limited capacity to rescue following the development of major complications (63.0% vs 82.7%; OR 0.35 [0.23-0.53]; p<0.0001). Across LMICs, improvements in hospital facilities would prevent one to three deaths for every 100 patients undergoing surgery for cancer.Interpretation Hospitals with higher levels of infrastructure and resources have better outcomes after cancer surgery, independent of country income. Without urgent strengthening of hospital infrastructure and resources, the reductions in cancer-associated mortality associated with improved access will not be realised

Analysis of varietal response to bakanae infection Fusarium fujikuroi and gibberellic acid through morphological, anatomical and hormonal changes in three rice varieties

Fusarium fujikuroi, the causal organism of bakanae disease, is mainly seed borne pathogen on rice. The response of different rice varieties have more concern to understand pathogenesis process and host pathogen interaction complex. Therefore, the present study had some objectives: to determine response of some rice genotypes to bakanae infection and Gibberellic acid (GA3) treatment through morphological, anatomical and plant hormones changes. The highly virulent isolate no. 10 of F. Fujikuroi was used in evaluation of three rice cultivars; Sakha 101, Giza 179 and promising line GZ 10101-5-1-1-1. Changes in all morphological, anatomical traits and plant hormones activities Gibberellic acid (GA3), Indol Acetic acid (IAA) and Abscisic Acid (ABA) with bakanae infection and GA3 treatment were assessed from 15-60 days after inoculation and GA3 treatment during season 2018. Results indicated that bakanae infection caused severe morphological changes as abnormal elongation, degradation of chlorophyll and seedling death. Morphological changes were associated with wide anatomical changes of leaf as deformation of motor cell, mesophyll layer. For stem, infection and GA3 induced significant increase in the No. of aerenchyma and their diameter and increase pith diameter, and stem elongation. As well as, anatomical changes in roots were significant increase in diameter of epidermis, cortex layers, vascular cylinder, and reduction in diameter of xylem vessels. Out of anatomical results, Fusarium fujikuroi prefer to grow in aerenchyma, pith, cortex, vascular bundle of both sheath and stem. There is a significant increase in plant hormones Gibberellic acid (GA3), Indol Acetic acid (IAA) and Abscisic Acid (ABA) with bakanae infection and GA3 treatment combined with bakanae infection and GA3 treatment. GZ 10101-5-1-1-1 was recorded the lowest response to GA3 treatment with the lowest infection % and stem elongation%. While Sakha 101 and Giza 179 were the highly susceptible cultivars to bakanae with the highest infection %, stem elongation% and response to GA3.  The fast and highest stem elongation %, No. of nodes and internode length was considered as remarkable phenotypic markers it can be used as valuable and early selection marker of susceptibility in breeding program to bakanae disease. GZ 10101-5-1-1-1 as new promising line and high tolerant to bakanae and low response to GA3 could be used as a good source in bakanae resistance breeding program.

Diversity and Distribution Characteristics of Viruses from Soda Lakes

Viruses are the most abundant living things and a source of genetic variation. Despite recent research, we know little about their biodiversity and geographic distribution. We used different bioinformatics tools, MG-RAST, genome detective web tools, and GenomeVx, to describe the first metagenomic examination of haloviruses in Wadi Al-Natrun. The discovered viromes had remarkably different taxonomic compositions. Most sequences were derived from double-stranded DNA viruses, especially from Myoviridae, Podoviridae, Siphoviridae, Herpesviridae, Bicaudaviridae, and Phycodnaviridae families; single-stranded DNA viruses, especially from the family Microviridae; and positive-strand RNA viruses, especially from the family Potyviridae. Additionally, our results showed that Myohalovirus chaoS9 has eight Contigs and is annotated to 18 proteins as follows: tail sheath protein, tco, nep, five uncharacterized proteins, HCO, major capsid protein, putative pro head protease protein, putative head assembly protein, CxxC motive protein, terl, HTH domain protein, and terS Exon 2. Additionally, Halorubrum phage CGphi46 has 19 proteins in the brine sample as follows: portal protein, 17 hypothetical proteins, major capsid protein, etc. This study reveals viral lineages, suggesting the Virus\u27s global dispersal more than other microorganisms. Our study clarifies how viral communities are connected and how the global environment changes

Diversity and Distribution Characteristics of Viruses from Soda Lakes

Viruses are the most abundant living things and a source of genetic variation. Despite recent research, we know little about their biodiversity and geographic distribution. We used different bioinformatics tools, MG-RAST, genome detective web tools, and GenomeVx, to describe the first metagenomic examination of haloviruses in Wadi Al-Natrun. The discovered viromes had remarkably different taxonomic compositions. Most sequences were derived from double-stranded DNA viruses, especially from Myoviridae, Podoviridae, Siphoviridae, Herpesviridae, Bicaudaviridae, and Phycodnaviridae families; single-stranded DNA viruses, especially from the family Microviridae; and positive-strand RNA viruses, especially from the family Potyviridae. Additionally, our results showed that Myohalovirus chaoS9 has eight Contigs and is annotated to 18 proteins as follows: tail sheath protein, tco, nep, five uncharacterized proteins, HCO, major capsid protein, putative pro head protease protein, putative head assembly protein, CxxC motive protein, terl, HTH domain protein, and terS Exon 2. Additionally, Halorubrum phage CGphi46 has 19 proteins in the brine sample as follows: portal protein, 17 hypothetical proteins, major capsid protein, etc. This study reveals viral lineages, suggesting the Virus’s global dispersal more than other microorganisms. Our study clarifies how viral communities are connected and how the global environment changes