Assessment of Helicobacter pylori Infection as a Risk Factor for Coronary Artery Disease in Gaza Strip

Background: Coronary artery disease (CAD) is a common form of cardiovascular disease (CVD). It caused by atherosclerosis, which restricts blood flow to the heart, and when the blood flow completely cut off, the result is heart attack. Cardiovascular disease remains the leading cause of death in the world as well as in Palestine. Helicobacter pylori (H. pylori) infection believed to be associated with CAD. Objective: Assessment of H. pylori infection as a risk factor for CAD in Gaza strip. Material and methods: This case-control study comprised 62 CAD patients (Cases: 31 males and 31 females) and 62 healthy controls (31 males and 31 females). Questionnaire interview was applied. Blood samples were collected, processed and analyzed. Serum H. pylori IgG, cholesterol, triglycerides, low density lipoprotein cholesterol (LDL-C), high density lipoprotein cholesterol (HDL-C), aspartate aminotransferase (AST), lactate dehydrogenase (LDH), creatinine phosphokinase (CK) and creatinine phosphokinase MB (CKMB) were determined. White blood cell (WBC), red blood cell (RBC), hemoglobin (Hb) and platelet (PLT) were also determined. Data were analyzed using SPSS version 18.0. Results: Coronary artery disease was more prevalent among less educated and unemployed individuals, families with low income, individuals with family history of the disease as well as among smokers. The number of cases who had diabetes mellitus, hypertension and peptic ulcer was significantly higher than that of controls. The BMI was significantly higher in cases compared to controls (31.7±4.8 vs 27.6±4.4, % difference=13.8 and P=0.000). There were significant elevations in the activities of serum AST and LDH in cases compared to controls (36.3±24.5 and 540.8±310.7 U/L vs 18.6±6.0 and 321.3±66.1 U/L, % difference=64.5 and 50.9, respectively P=0.000). Similarly CK and CKMB activities were higher in cases (225.7±216.1 and 22.7±15.5 U/L vs 101.2±50.0 and 11.4±4.9 U/L, % difference=76.2 and 67.8, respectively P=0.000). The levels of cholesterol, triglycerides and LDL-C were found to be higher in cases (208.9±47.6, 218.0±110.1 and 131.6±41.9 mg/dl, respectively) compared to controls (174.8±34.1, 167.4±57.7 and 104.4±31.2 mg/dl, % differences of 17.8%, 26.3%, and 23.1 and P=0.000, P=0.001, P=0.000 respectively). On the other hand, the level of HDL-C was significantly lower in cases (33.7±9.8 vs 37.6±8.4 mg/dl, % difference=10.9, P=0.020). The WBC count was significantly higher in cases compared to controls (9.80±3.3 vs 7.8±1.6 ×109/L, % difference 22.7, P=0.000), whereas RBC count, hemoglobin content and PLT count did not show significant differences between cases and controls (P>0.05). The prevalence of H. pylori among CAD patients 46 (74.2%) was significantly higher than controls 26 (41.9%) with P=0.000. When related to H. pylori, serum triglycerides was significantly increased in H. pylori positive cases more than in negative cases (235.8±112.8 vs 166.6±85.7mg/dl, P=0.029), whereas HDL-C level was significantly lower in positive cases (31.7±8.0 vs 39.5±12.3 mg/dl, P=0.005). The WBC count was significantly higher in positive compared to negative cases (10.5± 3.5 vs 7.9±2.1 P=0.007). Conclusions: H. pylori infection was significantly higher in CAD patients compared to controls. H. pylori infection was associated with higher triglyceride levels and WBC count, and lower HDL-C levels, and. Therefore, monitoring of H. pylori infection as a possible risk factor of coronary artery disease is of clinical value

Scientific and technological developments in mating disruption of scale insects

[EN] Mating disruption (MD) is a species-specific and environmentally friendly pest management tactic based on the release of synthetic sex pheromones aiming to interrupt the mate-finding communication and prevent mating in the target pest. The present work aims to provide an overview of the current scientific and technical knowledge on mating disruption of scale pests (Hemiptera: Coccoidea). Biparental scales are suitable targets for mating disruption (technically, MD is not suitable for parthenogenetic scales), as the females have a limited spreading ability, and adult males are short lived and have a narrow window of time for mate searching. In this perspective, delayed mating also plays an important role by reducing female attractiveness and population growth potential. The mechanisms involved in MD of scales are most likely assigned to `competitive disruption¿ rather than `noncompetitive¿ mechanisms, although no specific studies addressed this issue. Mating disruption has been commercially developed and increasingly applied against the vine mealybug Planococcus ficus (Signoret) (Hemiptera: Pseudococcidae) and the California red scale Aonidiella aurantii (Maskell) (Hemiptera: Diaspididae) to a lesser extent. Critical factors affecting MD effectiveness are the pest density and effective disruption late in the season. Mating disruption applied to scale pests is effective in small plots and compatible with biological control and integrated management programs. In conclusion, MD has a high potential for management of scale pests, providing that key factors such as technological advances in pheromone synthesis and pheromone formulations, elucidation of disruption mechanisms, and simplification of the registration process are addressed.The authors wish to thank Alejandro Carbonell and Teresa Gadea (EPA, Ecologia y Proteccion Agricola SL), Ignacio de Alfonso (Suterra LCC), David Haviland (University of California), and Vittorio Veronelli (CBC Europe) for providing insightful information on the application and spread of mating disruption. Funding was provided by Fundacao para a Ciencia e a Tecnologia I.P., Portugal, to Centro de Estudos Florestais (UIDB/00239/2020), and by the University of Catania in the framework of the research project `Emergent pests and pathogens and relative sustainable strategies -5A722192113'.Franco. José Carlos; Cocco, A.; Lucchi, A.; Mendel, Z.; Suma, P.; Vacas, S.; Mansour, R.... (2022). Scientific and technological developments in mating disruption of scale insects. Entomologia Generalis. 42(2):251-273. https://doi.org/10.1127/entomologia/2021/1220S25127342

A morphological and molecular characterization of vine mealybug populations (Hemiptera, Pseudococcidae) from Tunisia

Some vine mealybug, Planococcus ficus (Signoret) populations in Tunisian vineyards have been morphologically and genetically characterized. The morphological examination was based on the main distinctive characteristics of species of Planococcus, namely the number and distribution of the multilocular disc pores and tubular ducts on the adult female. This showed the existence of two different vine mealybug populations in Tunisia. Likewise, in the molecular analyses, two separate clades were revealed in the neighbour-joining phylogenetic tree, supporting the morphological studies and suggesting that there are two distinct populations of P. ficus on grapevine in Tunisia

Adult Ocular Toxocariasis Mimicking Ciliary Body Malignancy

Purpose. To discuss an unusual presentation of ocular toxocariasis. Methods. Case report. Results. A 40-year-old woman presented with decreased vision in the left eye with a long history of recurrent red eye from uveitis. Eosinophilia and positive ELISA titers for Toxocara canis favored the diagnosis of ocular toxocariasis. Over 3 months, an anterior scleral mass had a rapid growth raising the possibility of medulloepithelioma, which rarely can mimic uveitic syndromes. Surgical plan changed from local excision to enucleation. Histopathology demonstrated a large homogeneous mass of chronic inflammatory cells with inflammation of the overlying thinned out sclera, medial rectus insertion, and limbal cornea. The triad of peripheral granuloma, eosinophilia, and positive blood serology established the diagnosis of ocular toxocariasis. Conclusions. Ocular toxocariasis can mimic ocular malignancy such as medulloepithelioma in adults and rarely presents as an anterior scleral mass

RISK FACTORS, LIFESTYLE AND HEALTH HABITS OF YOUNG ADULTS IN QATAR

Background & Objectives The state of Qatar has witnessed significant lifestyle changes due to rapid urbanization, the introduction of labour-saving devices and the availability of high-caloric density food. This has impacted on the daily lifestyle and health habits of young adults leading to significant increases in non-communicable diseases (WHO, 2014). This study explored the risk factors associated with such diseases amongst young adults in Qatar. Methods A representative sample of 732 males and females (aged 18-25 years) from Qatar University took part in this cross-sectional, mixed-method design study. Physical Activity (PA) and dietary habits were assessed using a validated questionnaire. Total energy expenditure per week was calculated based on the metabolic equivalent values of each activity reported by the participant (Al-Nakeeb et al., 2012). Body Mass Index (BMI) was calculated according to the International Obesity Task Force criteria and using the age and gender-specific BMI classification established by Cole et al. (2000). Results The percentage of overweight/obesity in males and females was 39.5% and 38.5% respectively. It was evident that there was a significant increase in the percentage of students classified as overweight/obese from year 1 to year 4. Meanwhile, there was a decline in the level of PA and an increase in sedentary time during that period. Whilst health was reported to be the main reason for participation in PA/sport, lack of available time was singled out as the main barrier to engagement in an active lifestyle. Ironically, students reported more than 4 hours of TV/DVD viewing and internet use per day. Conclusions The adoption of healthier lifestyles amongst the Qatari population, including an increase in PA and a reduction in overweight/obesity are major objectives cited in Qatar Vision (2030). This study has revealed a high prevalence of overweight/obesity amongst male and female university students with regressive trends in their lifestyle and health habits. The findings reveal a worrying picture of young people's lifestyle that ought to be a cause for concern for policy makers and health professionals. Undoubtedly, there is an urgent need to seriously consider putting in place intervention strategies concerning behaviour modification and the built environment in order to reverse these trends. Such strategies could have major implications on the health and well-being of young people at this critical age developmentally and on the future welfare of the wider community in the long run.qscienc

GC-MS Analysis: In Vivo

Liver disease is a worldwide problem. It represents one of the main causes of morbidity and mortality in humans. Achillea biebersteinii is used as herbal remedy for various ailments including liver diseases. But the scientific basis for its medicinal use remains unknown. Thus, this research was undertaken to evaluate the efficiency of A. biebersteinii essential oil (ABEO) (0.2 mL/kg) in the amelioration of CCl4-induced hepatotoxicity in rodent model. Moreover, the chemical content of the oil was investigated using GC and GC-MS. The following biochemical parameters were evaluated: serum glutamic oxaloacetic transaminase (GOT), glutamic-pyruvic transaminase (GPT), gamma-glutamyl-transpeptidase (γ-GGT), alkaline phosphatase (ALP), and total bilirubin. Furthermore, lipid profile, malondialdehyde (MDA), nonprotein sulfhydryl (NP-SH), and total protein (TP) contents in liver tissue were estimated. 44 components (92.0%) of the total oil have been identified by GC-MS analysis where α-terpinene and p-cymene were the most abundant. The high serum enzymatic (GOT, GPT, GGT, and ALP) and bilirubin concentrations as well as the level of MDA, NP-SH, and TP contents in liver tissues were significantly reinstated towards normalization by the ABEO. Histopathological study further confirmed these findings. In addition, ABEO showed mild antioxidant activity in 2,2-diphenyl-1-picrylhydrazyl (DPPH) radical scavenging and β-carotene-linoleic acid assays

Laparoscopy in management of appendicitis in high-, middle-, and low-income countries: a multicenter, prospective, cohort study.

BACKGROUND: Appendicitis is the most common abdominal surgical emergency worldwide. Differences between high- and low-income settings in the availability of laparoscopic appendectomy, alternative management choices, and outcomes are poorly described. The aim was to identify variation in surgical management and outcomes of appendicitis within low-, middle-, and high-Human Development Index (HDI) countries worldwide. METHODS: This is a multicenter, international prospective cohort study. Consecutive sampling of patients undergoing emergency appendectomy over 6 months was conducted. Follow-up lasted 30 days. RESULTS: 4546 patients from 52 countries underwent appendectomy (2499 high-, 1540 middle-, and 507 low-HDI groups). Surgical site infection (SSI) rates were higher in low-HDI (OR 2.57, 95% CI 1.33-4.99, p = 0.005) but not middle-HDI countries (OR 1.38, 95% CI 0.76-2.52, p = 0.291), compared with high-HDI countries after adjustment. A laparoscopic approach was common in high-HDI countries (1693/2499, 67.7%), but infrequent in low-HDI (41/507, 8.1%) and middle-HDI (132/1540, 8.6%) groups. After accounting for case-mix, laparoscopy was still associated with fewer overall complications (OR 0.55, 95% CI 0.42-0.71, p < 0.001) and SSIs (OR 0.22, 95% CI 0.14-0.33, p < 0.001). In propensity-score matched groups within low-/middle-HDI countries, laparoscopy was still associated with fewer overall complications (OR 0.23 95% CI 0.11-0.44) and SSI (OR 0.21 95% CI 0.09-0.45). CONCLUSION: A laparoscopic approach is associated with better outcomes and availability appears to differ by country HDI. Despite the profound clinical, operational, and financial barriers to its widespread introduction, laparoscopy could significantly improve outcomes for patients in low-resource environments. TRIAL REGISTRATION: NCT02179112

Integrated pest management of Tuta absoluta: practical implementations across different world regions

The South American tomato pinworm, Tuta absoluta (Meyrick) (Lepidoptera: Gelechiidae), has invaded most Afro-Eurasian countries and is threatening worldwide tomato production. Various strategies have been developed and implemented to manage this pest. Here, we present a timely review on the up-to-date development and practical implementation of integrated pest management (IPM) programs for tomato crops across different world regions infested by T. absoluta. While insecticide resistance is a growing concern, biological control via releasing or conserving arthropod natural enemies and sex pheromone-based biotechnical control are the most successful management practices. Agronomic control-related research is an emerging area where the soil fertilization and/or irrigation, as well as breeding of resistant cultivars, has the potential to enhance IPM effectiveness. Grower survey responses in the native areas (i.e., South America), early-invaded areas (i.e., first report between 2006 and 2012) and newly invaded areas (i.e., first report after 2012) showed that the control programs evolved along with the areas and time since invasion. Growers in the early-invaded areas shifted more rapidly from chemical control to biological control compared to those from the native area. In all concerned regions, the pest control failure risk following chemical insecticide applications and the high cost associated with either biological or biotechnical control methods have been the greatest concerns for growers. The information gathered from the native and/or early-invaded areas may help achieve a more effective management in newly invaded areas. Lastly, researchers are expected to break the bottlenecks of some key issues that would enable lowering application cost of novel biorational alternative management options

Pooled analysis of WHO Surgical Safety Checklist use and mortality after emergency laparotomy

Background The World Health Organization (WHO) Surgical Safety Checklist has fostered safe practice for 10 years, yet its place in emergency surgery has not been assessed on a global scale. The aim of this study was to evaluate reported checklist use in emergency settings and examine the relationship with perioperative mortality in patients who had emergency laparotomy. Methods In two multinational cohort studies, adults undergoing emergency laparotomy were compared with those having elective gastrointestinal surgery. Relationships between reported checklist use and mortality were determined using multivariable logistic regression and bootstrapped simulation. Results Of 12 296 patients included from 76 countries, 4843 underwent emergency laparotomy. After adjusting for patient and disease factors, checklist use before emergency laparotomy was more common in countries with a high Human Development Index (HDI) (2455 of 2741, 89.6 per cent) compared with that in countries with a middle (753 of 1242, 60.6 per cent; odds ratio (OR) 0.17, 95 per cent c.i. 0.14 to 0.21, P <0001) or low (363 of 860, 422 per cent; OR 008, 007 to 010, P <0.001) HDI. Checklist use was less common in elective surgery than for emergency laparotomy in high-HDI countries (risk difference -94 (95 per cent c.i. -11.9 to -6.9) per cent; P <0001), but the relationship was reversed in low-HDI countries (+121 (+7.0 to +173) per cent; P <0001). In multivariable models, checklist use was associated with a lower 30-day perioperative mortality (OR 0.60, 0.50 to 073; P <0.001). The greatest absolute benefit was seen for emergency surgery in low- and middle-HDI countries. Conclusion Checklist use in emergency laparotomy was associated with a significantly lower perioperative mortality rate. Checklist use in low-HDI countries was half that in high-HDI countries.Peer reviewe