A case of parasitic leiomyoma with serpentine omental blood vessels: An unusual variant of uterine leiomyoma

AbstractLeiomyoma is considered as the commonest benign tumor of the genital tract. This case represents a multiparous woman who presented with a history of progressive abdominal distension. On examination, a mobile ill-defined centrally located intra-abdominal mass was noticed. At laparotomy a parasitic fibroid attached to the greater omentum was seen. Resection of the mass and partial omentectomy was performed which was reported as leiomyoma by the histological examination. The patient had an uneventful post-operative recovery. She has been followed up for twelve months with no evidence of recurrence or residual disease

PHYSIOLOGICAL AND BIOCHEMICAL RESPONSES OF WHEAT (TRITICUM AESTIVUM L.) PLANTS TO POLYAMINES UNDER LEAD STRESS

Objective: The distribution, growth, development and productivity of wheat plants are greatly affected by various abiotic stresses such as lead (Pb) stress which become one of the most abundant toxic metal in the earth crust. Under the three applied polyamine (PAs) applications, the efficiency of wheat plants to tolerate Pb2+ stress in terms of growth and yield characteristics was noticed to varying degrees. Methods: The current study focused on the impact of 2.0 mM lead (Pb2+) on growth and performance of wheat plants before and after PAs applications. The sterilized seeds were soaked for 8 h at room temperature, either in distilled water (as a control), 0.25 mM spermine (Spm), 0.50 mM spermidine (Spd), or in 1.0 mM putrescine (Put). Results: Point out that, better growth and yield characteristics, chlorophyll “a” (Chl-a), chlorophyll “b” (Chl-b), soluble sugars, indoles, and enzymatic antioxidants (i.e., peroxidase (POX), catalase, ascorbate peroxidase, ascorbate oxidase, polyphenol oxidase, and glutathione reductase) and the enzyme α-amylase contents were obtained with seed soaking in 0.25 mM Spm, 0.50 mM Spd, or 1.0 mM Put than those generated with seed soaking in water under 2.0 mM Pb2+ stress. In contrast, the concentration of endogenous Pb2+ was significantly reduced. Conclusion: Among all tested PAs, 1.0 mM Put showed the best results and thus is recommended, as seed soaking, for wheat to grow well under Pb2+ stress

Feasibility of utilizing color imaging and machine learning for adulteration detection in minced meat

peer-reviewedMeat products are popular foods and there is a need for cost-effective technologies for rapid quality assessment. In this study, RGB color imaging coupled with machine learning algorithms were investigated to detect plant and animal adulterants with ratios of from 1 to 50% in minced meat. First, samples were classified as either pure or adulterated, then adulterated samples were classified based on the adulterant's type. Finally, regression models were developed to predict the adulteration quantity. Linear discriminant classifier enhanced by bagging ensembling performed the best with overall classification accuracies for detecting pure or adulterated samples up to 99.1% using all features, and 100% using selected features. Classification accuracies for adulteration origin were 48.9–76.1% using all features and 63.8% for selected features. Regression trees were used for adulterant level quantification and the r (RPD) values were up to 98.0%(5.0) based on all features, and 94.5%(3.2) for selected features. Gray-level and co-occurrence features were more effective than other color channels in building classification and regression models. This study presents a non-invasive, and low-cost system for adulteration detection in minced meats

Review: The Stochastic Approach and Systems of Index Numbers

The main objective of the paper is to review a number of widely used multilateral index numbers for International comparisons of purchasing power parities (PPPs) and real incomes that can be derived using the stochastic approach. The paper discuss that price index numbers from commonly used methods like the Ikleacute, the Rao-weighted, and an additive multilateral system are all estimators of the parameters of the countryndashproductndashdummy (CPD) model. The paper also presents the method of moments (MOM) as an approach to estimate PPPs under the stochastic approach and shows how the GearyndashKhamis system of multilateral index numbers is a method of moments estimator of the parameters of the CPD model.nbs

Hydrogels and Dentin-Pulp Complex Regeneration: From the Benchtop to Clinical Translation

Dentin-pulp complex is a term which refers to the dental pulp (DP) surrounded by dentin along its peripheries. Dentin and dental pulp are highly specialized tissues, which can be affected by various insults, primarily by dental caries. Regeneration of the dentin-pulp complex is of paramount importance to regain tooth vitality. The regenerative endodontic procedure (REP) is a relatively current approach, which aims to regenerate the dentin-pulp complex through stimulating the differentiation of resident or transplanted stem/progenitor cells. Hydrogel-based scaffolds are a unique category of three dimensional polymeric networks with high water content. They are hydrophilic, biocompatible, with tunable degradation patterns and mechanical properties, in addition to the ability to be loaded with various bioactive molecules. Furthermore, hydrogels have a considerable degree of flexibility and elasticity, mimicking the cell extracellular matrix (ECM), particularly that of the DP. The current review presents how for dentin-pulp complex regeneration, the application of injectable hydrogels combined with stem/progenitor cells could represent a promising approach. According to the source of the polymeric chain forming the hydrogel, they can be classified into natural, synthetic or hybrid hydrogels, combining natural and synthetic ones. Natural polymers are bioactive, highly biocompatible, and biodegradable by naturally occurring enzymes or via hydrolysis. On the other hand, synthetic polymers offer tunable mechanical properties, thermostability and durability as compared to natural hydrogels. Hybrid hydrogels combine the benefits of synthetic and natural polymers. Hydrogels can be biofunctionalized with cell-binding sequences as arginine-glycine-aspartic acid (RGD), can be used for local delivery of bioactive molecules and cellularized with stem cells for dentin-pulp regeneration. Formulating a hydrogel scaffold material fulfilling the required criteria in regenerative endodontics is still an area of active research, which shows promising potential for replacing conventional endodontic treatments in the near future

Improving fodder yields and nutritive value of some forage grasses as animal feeds through intercropping with Egyptian Clover (trifolium alexandrinum l.)

The present study aimed to evaluate the potential of improving the feeding value of Egyptian clover (EC), ryegrass (R), triticale (T), barley (B), and oats (O) monoculture, or Egyptian clover mixed with ryegrass (EC+R), oats (EC+O), barely (EC+B), and triticale (EC+T) at 75:25% seeding rate, respectively, during two successive winter seasons of 2018/19 and 2019/20. Harvesting of plots was carried out at 5 cm stubble height after 60, 100, and 140 days from sowing. The in vitro nutritive value and ruminal fermentation of the monoculture and intercropping containing EC were evaluated. Green forage yield of EC was higher than other plants with about 160% of fresh forage compared with T, O, or EC+T intercropping. The highest crude protein (CP) concentration was noted in EC, while the lowest (p < 0.001) concentration was observed in T, which had the highest fiber fractions content. Ryegrass had the highest net in vitro gas production (GP), while EC+R had the lowest GP (p < 0.05). The EC increased dry matter and organic matter degradability. EC and R reduced protozoal count, while total volatile fatty acids (VFA), acetate, and propionate were increased with B and EC+T intercropping (p < 0.05). Overall, intercropping of EC with grass of triticale or ryegrass at mixing rates of 75:25% resulted in improving fresh and dry forage yields. The legume–grass intercropping improved the protozoa count partitioning factor as an index of microbial protein synthesis and total VFA concentration

Response Surface Methodology (RSM) implementation in zro particles reinforced aluminium chips by Hot Equal Channel Pressing (ECAP)

In recent years, the interest on solid-state recycling of aluminum chips increases over the years due to the less energy consumption of the process. This research studies the quantitative effects of preheating temperature and volume fraction of Zirconium Dioxide when it is reinforced to the Aluminum alloy AA6061 on its mechanical properties. The parameters of the experiment are preheating temperature and volume fraction of ZrO . Temperature are varied between 450 and 550 ℃ according to the boundary parameters. The volume fraction of ZrO consists of 5, 10 and 15% of the reinforcement. Increasing the volume fraction of ZrO correlates with the increase of mechanical and physical properties. Design of Experimental with factorial design was implemented to analyse the magnitude of response on the mechanical properties from the variable of parameters. The preheating temperature was revealed to be the most significant factor affecting the yield strength and the microhardness of the composite followed by the volume fraction of ZrO . It is revealed that the most optimum temperature is 550 ℃ and the optimum percentage of volume fraction is 9.28%. Both highest microhardness and yield strength were obtained from these optimum temperatures. Scanning Electron Microscope (SEM) revealed on how elongation in Zirconia chips is affected by the amount of ZrO reinforcement. Energy Dispersive Spectroscopy (EDS) analysis performed revealed on the arbitrary weight out of total weight for every element in the composite such as Al, Zr, O and Si

Antimicrobial resistance among migrants in Europe: a systematic review and meta-analysis

BACKGROUND: Rates of antimicrobial resistance (AMR) are rising globally and there is concern that increased migration is contributing to the burden of antibiotic resistance in Europe. However, the effect of migration on the burden of AMR in Europe has not yet been comprehensively examined. Therefore, we did a systematic review and meta-analysis to identify and synthesise data for AMR carriage or infection in migrants to Europe to examine differences in patterns of AMR across migrant groups and in different settings. METHODS: For this systematic review and meta-analysis, we searched MEDLINE, Embase, PubMed, and Scopus with no language restrictions from Jan 1, 2000, to Jan 18, 2017, for primary data from observational studies reporting antibacterial resistance in common bacterial pathogens among migrants to 21 European Union-15 and European Economic Area countries. To be eligible for inclusion, studies had to report data on carriage or infection with laboratory-confirmed antibiotic-resistant organisms in migrant populations. We extracted data from eligible studies and assessed quality using piloted, standardised forms. We did not examine drug resistance in tuberculosis and excluded articles solely reporting on this parameter. We also excluded articles in which migrant status was determined by ethnicity, country of birth of participants' parents, or was not defined, and articles in which data were not disaggregated by migrant status. Outcomes were carriage of or infection with antibiotic-resistant organisms. We used random-effects models to calculate the pooled prevalence of each outcome. The study protocol is registered with PROSPERO, number CRD42016043681. FINDINGS: We identified 2274 articles, of which 23 observational studies reporting on antibiotic resistance in 2319 migrants were included. The pooled prevalence of any AMR carriage or AMR infection in migrants was 25·4% (95% CI 19·1-31·8; I2 =98%), including meticillin-resistant Staphylococcus aureus (7·8%, 4·8-10·7; I2 =92%) and antibiotic-resistant Gram-negative bacteria (27·2%, 17·6-36·8; I2 =94%). The pooled prevalence of any AMR carriage or infection was higher in refugees and asylum seekers (33·0%, 18·3-47·6; I2 =98%) than in other migrant groups (6·6%, 1·8-11·3; I2 =92%). The pooled prevalence of antibiotic-resistant organisms was slightly higher in high-migrant community settings (33·1%, 11·1-55·1; I2 =96%) than in migrants in hospitals (24·3%, 16·1-32·6; I2 =98%). We did not find evidence of high rates of transmission of AMR from migrant to host populations. INTERPRETATION: Migrants are exposed to conditions favouring the emergence of drug resistance during transit and in host countries in Europe. Increased antibiotic resistance among refugees and asylum seekers and in high-migrant community settings (such as refugee camps and detention facilities) highlights the need for improved living conditions, access to health care, and initiatives to facilitate detection of and appropriate high-quality treatment for antibiotic-resistant infections during transit and in host countries. Protocols for the prevention and control of infection and for antibiotic surveillance need to be integrated in all aspects of health care, which should be accessible for all migrant groups, and should target determinants of AMR before, during, and after migration. FUNDING: UK National Institute for Health Research Imperial Biomedical Research Centre, Imperial College Healthcare Charity, the Wellcome Trust, and UK National Institute for Health Research Health Protection Research Unit in Healthcare-associated Infections and Antimictobial Resistance at Imperial College London

Surgical site infection after gastrointestinal surgery in high-income, middle-income, and low-income countries: a prospective, international, multicentre cohort study

Background: Surgical site infection (SSI) is one of the most common infections associated with health care, but its importance as a global health priority is not fully understood. We quantified the burden of SSI after gastrointestinal surgery in countries in all parts of the world. Methods: This international, prospective, multicentre cohort study included consecutive patients undergoing elective or emergency gastrointestinal resection within 2-week time periods at any health-care facility in any country. Countries with participating centres were stratified into high-income, middle-income, and low-income groups according to the UN's Human Development Index (HDI). Data variables from the GlobalSurg 1 study and other studies that have been found to affect the likelihood of SSI were entered into risk adjustment models. The primary outcome measure was the 30-day SSI incidence (defined by US Centers for Disease Control and Prevention criteria for superficial and deep incisional SSI). Relationships with explanatory variables were examined using Bayesian multilevel logistic regression models. This trial is registered with ClinicalTrials.gov, number NCT02662231. Findings: Between Jan 4, 2016, and July 31, 2016, 13 265 records were submitted for analysis. 12 539 patients from 343 hospitals in 66 countries were included. 7339 (58·5%) patient were from high-HDI countries (193 hospitals in 30 countries), 3918 (31·2%) patients were from middle-HDI countries (82 hospitals in 18 countries), and 1282 (10·2%) patients were from low-HDI countries (68 hospitals in 18 countries). In total, 1538 (12·3%) patients had SSI within 30 days of surgery. The incidence of SSI varied between countries with high (691 [9·4%] of 7339 patients), middle (549 [14·0%] of 3918 patients), and low (298 [23·2%] of 1282) HDI (p < 0·001). The highest SSI incidence in each HDI group was after dirty surgery (102 [17·8%] of 574 patients in high-HDI countries; 74 [31·4%] of 236 patients in middle-HDI countries; 72 [39·8%] of 181 patients in low-HDI countries). Following risk factor adjustment, patients in low-HDI countries were at greatest risk of SSI (adjusted odds ratio 1·60, 95% credible interval 1·05–2·37; p=0·030). 132 (21·6%) of 610 patients with an SSI and a microbiology culture result had an infection that was resistant to the prophylactic antibiotic used. Resistant infections were detected in 49 (16·6%) of 295 patients in high-HDI countries, in 37 (19·8%) of 187 patients in middle-HDI countries, and in 46 (35·9%) of 128 patients in low-HDI countries (p < 0·001). Interpretation: Countries with a low HDI carry a disproportionately greater burden of SSI than countries with a middle or high HDI and might have higher rates of antibiotic resistance. In view of WHO recommendations on SSI prevention that highlight the absence of high-quality interventional research, urgent, pragmatic, randomised trials based in LMICs are needed to assess measures aiming to reduce this preventable complication