Survey of the physico-chemical quality of the wastewaters of Biskra city rejected in Chabat Roba, Messdour and Wadi Z'ommor (Algeria)

The wastewaters of the agglomeration of Biskra (Southeast Algeria) are poured without treatment in three main dismissals that are Chabat Roba (1st site), Messdour (2nd site) and Wadi Z'ommor (3rd site). The pollution charge determined in the 1st site is the order of 157.76 ± 34.14 mg/L of O2 for the BOD5 (Biochemical Oxygen Demand in 5 days) of 457 ± 73.59 mg/L of O2 for the COD (Chemical Oxygen Demand) and 1109 ± 110.56 mg/L for the TSS (Total suspended Solids). In the 2nd site, the polluting charge is in average of 156 ± 29.72 mg/L of 'O2 for the BOD5, 430.76 ± 29.81 mg/L of O2 for the COD and 1157.92 ± 76 mg/L of O2 for the TSS. The 3rd site, the polluting charge is represented by 152.92 ± 27.76 mg/L of O2 of BOD5, 381.69 ± 70.03 mg/L of O2 of COD and by 1039 ±106.65 mg/L of O2 of TSS. The follow-up of these parameters in the three sites puts in evidence instability of the organic charge during seasons. The COD/BOD5 report equal 3 for the 1st site, this elevated value, watch that these waters are characterized by an inorganic pollution probably due to the industrial origin. With regard to the 2nd and 3rd sites, the COD/BOD5 report is between 3 and 2.5 for the first and between 2 and 2.50 for the second. The results defined the urban nature of the rejection poured in these sites.Key words: Wastewaters, Biskra, COD/BOD5 report, pollution charge, TSS

Hen’s egg white hypersensitivity among a group of Egyptian atopic children

Background: Egg allergy is potentially life-threatening. The prevalenceof egg allergy in Egypt is still unclear. This study is to evaluate thefrequency of egg hypersensitivity in a group of Egyptian atopic children.Methods: Eighty allergic children were enrolled, each is subjected toclinical evaluation, skin prick testing (SPT) using a commercial eggwhite extract, and serum egg white specific IgE (SpIgE) estimation. Sixpatients with suspected egg allergy consent to perform open oral eggchallenge. Results: Twenty-eight patients had history of exacerbation oftheir allergic diseases upon exposure to egg white, of these patients, 8had negative SPT and serum egg white SpIgE. SPT was positive in 25(31.2%) patients, of these patients, 3 (4%) were +3, 22 (28%) were +2,of whom 5 patients tolerate eggs without adverse effects. Serum eggwhite SpIgE was positive in 19 (24%) patients with a mean of 0.81 IU/ml(range: 0.35-4.52 IU/ML). Egg white allergy based on positive history,positive SPT and/or egg white SpIgE was detected in 23 (28.8%)patients. Open oral egg challenge was positive in one patient withpositive history but negative tests giving an overall frequency of eggallergy of 30 % (n=24).While egg white SpIgE did not correlate with theages, positive SPT was significantly more frequent among youngerpatients (t= 1.7, p=0.02). Egg sensitization and allergy did not affect theseverity of asthma (p > 0.05). Conclusion: Although positive SPT/ serumspecific IgE to eggs are good tools for diagnosis, oral food challengeremains the gold standard in suspected cases. Further wide-scale studiesare needed to outline the real prevalence of egg allergy in Egypt.Keywords: Egg allergy; children; skin prick test

Genotype Dependent Somatic Embryogenesis from Egyptian Rice Mature Zygotic Embryos

Abs tract: Seven agronomically and genetically different rice (Oryza sativa L.) c u lt iv a rs were compared for their capacity for callus induction and plant regene ra t io n from mature zygotic embryos . W hite embryonic calli were formed within three weeks in the pres ence of 3 mgl 2,4,D . T h e s o matic Giza 178 s howed high regeneration fre q u e ncy (39%) followed by Giza 175 (38%) where the cultivar H1 s howed the lowes t record (24%). The data obtained fro m t h e random amplified polymorphic DNA analys is s howed that a total of 45 DNA markers were detected among the s e v e n ric e cultivars of wh ich, 29 bands were polymorphic (64.4%) and can be cons idered as us eful RA PD markers for th e rice cultivars us ed. Based on the data obtained by RA PD analys is , it was pos s ible to dis c riminate between the different genotyp e s u s e d . Sixteen out of the twenty nine polymorphic RAPD markers generated were found to be genotype-specific. Thes e markers can be verified as being RAPD markers ass ociated with the rege n e ra t io n c a pacity in the s even rice genotypes. Genetic s tability in tis s uecultured rice plants was examined by randomly amplified polymorphic DNA (RA PD) an a ly s is . T he genetic s imilarity between the mother and the regenerated plants was hig h fo r Giza 178 (91%) and it w a s 87.5 and 82 for Giza 175 and Sakha 102 respectively. The cultivar Giza 178 proved t o b e a us eful genetic res ource with unique regeneration ability and can be us ed for efficient generation of trans genic rice plants

Effects of feeding rate and formula fineness degree of ring die pellet mill on mechanical property, physical quality, energy requirements, and production cost of poultry diets

The effect of a machine feeding rate (FR; 1, 1.5 and 2 Mg/h) and/or three levels of selected fineness degree (FD; 3, 5 and 7 mm) on machine performance, pellet physical parameters, required energy and production cost of three main types of broilers diets were examined in this experiment. The examined broiler diets were formulated to meet the Ross 308 strain requirements. A complete factorial design (3×3×3) was used to identify the effects of studied factors on the pellet mill machine and pellet production. The obtained results indicated that the pellet mill productivity significantly (p˂0.001) improved through increased pellet mill feeding rate level. In addition, the machine pelleting efficiency was found to be significantly affected by all studied variables and their interactions. While the total power consumption of the machine showed no variations under the impact of the tested factors or with any of their combinations. Regarding the pellet physical quality indices, all broiler diets with all selected FD and lower FR had the maximum durability and bulk density levels. Furthermore, lower feeding rates were associated with higher hardness degrees. The lowest production costs were substantially correlated with high FR and intermediate FD (5 mm). Furthermore, production costs were determined to be reduced in finisher broiler diets under different feeding rates. Moreover, manufacturing costs of finisher broiler meals were observed to decrease in several feeding rates. Overall, these findings indicate the capabilities of producing high-quality pellets and reducing the needed production costs by optimizing feeding rates to 2 Mg/h and 2 mm fineness in broiler diets

Ceiba pentandra ethyl acetate extract improves doxorubicin antitumor outcomes against chemically induced liver cancer in rat model: a study supported by UHPLC-Q-TOF-MS/MS identification of the bioactive phytomolecules

Hepatocellular carcinoma (HCC) is a prevalent cancer worldwide. Late-stage detection, ineffective treatments, and tumor recurrence contribute to the low survival rate of the HCC. Conventional chemotherapeutic drugs, like doxorubicin (DOX), are associated with severe side effects, limited effectiveness, and tumor resistance. To improve therapeutic outcomes and minimize these drawbacks, combination therapy with natural drugs is being researched. Herein, we assessed the antitumor efficacy of Ceiba pentandra ethyl acetate extract alone and in combination with DOX against diethylnitrosamine (DENA)-induced HCC in rats. Our in vivo study significantly revealed improvement in the liver-function biochemical markers (ALT, AST, GGT, and ALP), the tumor marker (AFP-L3), and the histopathological features of the treated groups. A UHPLC-Q-TOF-MS/MS analysis of the Ceiba pentandra ethyl acetate extract enabled the identification of fifty phytomolecules. Among these are the dietary flavonoids known to have anticancer, anti-inflammatory, and antioxidant qualities: protocatechuic acid, procyanidin B2, epicatechin, rutin, quercitrin, quercetin, kaempferol, naringenin, and apigenin. Our findings highlight C. pentandra as an affordable source of phytochemicals with possible chemosensitizing effects, which could be an intriguing candidate for the development of liver cancer therapy, particularly in combination with chemotherapeutic drugs

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

Global economic burden of unmet surgical need for appendicitis

Background: There is a substantial gap in provision of adequate surgical care in many low-and middle-income countries. This study aimed to identify the economic burden of unmet surgical need for the common condition of appendicitis. Methods: Data on the incidence of appendicitis from 170 countries and two different approaches were used to estimate numbers of patients who do not receive surgery: as a fixed proportion of the total unmet surgical need per country (approach 1); and based on country income status (approach 2). Indirect costs with current levels of access and local quality, and those if quality were at the standards of high-income countries, were estimated. A human capital approach was applied, focusing on the economic burden resulting from premature death and absenteeism. Results: Excess mortality was 4185 per 100 000 cases of appendicitis using approach 1 and 3448 per 100 000 using approach 2. The economic burden of continuing current levels of access and local quality was US $92 492 million using approach 1 and$73 141 million using approach 2. The economic burden of not providing surgical care to the standards of high-income countries was $95 004 million using approach 1 and$75 666 million using approach 2. The largest share of these costs resulted from premature death (97.7 per cent) and lack of access (97.0 per cent) in contrast to lack of quality. Conclusion: For a comparatively non-complex emergency condition such as appendicitis, increasing access to care should be prioritized. Although improving quality of care should not be neglected, increasing provision of care at current standards could reduce societal costs substantially

Left Main Coronary Artery Revascularization in Patients with Impaired Renal Function: Percutaneous Coronary Intervention versus Coronary Artery Bypass Grafting

Introduction: The evidence about the optimal revascularization strategy in patients with left main coronary artery (LMCA) disease and impaired renal function is limited. Thus, we aimed to compare the outcomes of LMCA disease revascularization (percutaneous coronary intervention [PCI] vs. coronary artery bypass grafting [CABG]) in patients with and without impaired renal function. Methods: This retrospective cohort study included 2,138 patients recruited from 14 centers between 2015 and 2,019. We compared patients with impaired renal function who had PCI (n= 316) to those who had CABG (n = 121) and compared patients with normal renal function who had PCI (n = 906) to those who had CABG (n = 795). The study outcomes were in-hospital and follow-up major adverse cardiovascular and cerebrovascular events (MACCE). Results: Multivariable logistic regression analysis showed that the risk of in-hospital MACCE was significantly higher in CABG compared to PCI in patients with impaired renal function (odds ratio [OR]: 8.13 [95% CI: 4.19–15.76], p < 0.001) and normal renal function (OR: 2.59 [95% CI: 1.79–3.73]; p < 0.001). There were no differences in follow-up MACCE between CABG and PCI in patients with impaired renal function (HR: 1.14 [95% CI: 0.71–1.81], p = 0.585) and normal renal function (HR: 1.12 [0.90–1.39], p = 0.312). Conclusions: PCI could have an advantage over CABG in revascularization of LMCA disease in patients with impaired renal function regarding in-hospital MACCE. The follow-up MACCE was comparable between PCI and CABG in patients with impaired and normal renal function