Cancer Stem Cells in Neuroblastoma: Expanding the Therapeutic Frontier

Neuroblastoma (NB) is the most common extracranial solid tumor often diagnosed in childhood. Despite intense efforts to develop a successful treatment, current available therapies are still challenged by high rates of resistance, recurrence and progression, most notably in advanced cases and highly malignant tumors. Emerging evidence proposes that this might be due to a subpopulation of cancer stem cells (CSCs) or tumor-initiating cells (TICs) found in the bulk of the tumor. Therefore, the development of more targeted therapy is highly dependent on the identification of the molecular signatures and genetic aberrations characteristic to this subpopulation of cells. This review aims at providing an overview of the key molecular players involved in NB CSCs and focuses on the experimental evidence from NB cell lines, patient-derived xenografts and primary tumors. It also provides some novel approaches of targeting multiple drivers governing the stemness of CSCs to achieve better anti-tumor effects than the currently used therapeutic agents

Results of application of the ISPD guidelines to the management of peritoneal dialysis in a single center in Sudan

Summary: The culture negative peritonitis in Sudan 2010 was 46% exceeding 20% of the recommended ISPD (International Society for Peritoneal Dialysis) guidelines. This study reports an update after applying the standard ISPD protocol. The routine method was replaced by ISPD protocol. The culture negative rate using the ISPD guidelines dropped from 46% in the year 2010, to 39% in the year 2011, to 5% in the 2012 and to zero percent in the year 2013. Bacterial and fungal species represent (86.76%) and (13.23%) of infection and most isolates showed low resistance rate to antibiotics. Touch contamination added significantly (p = 0.0006) to the risk of contracting Peritonitis. The risk of contracting Peritonitis was 1.53 times higher in the group exposed by touch contamination. None of the other risk factors contributed significantly to Peritonitis. The study highlights the importance of implementing high hygiene practice. Keywords: Sudan, Culture negative, Peritonitis, CAP

Modeling of P-Loss Risk and Nutrition for Mango (Mangifera indica L.) in Sandy Calcareous Soils: A 4-Years Field Trial for Sustainable P Management

The continuous addition of phosphorus (P) fertilizers above plant requirements increases P loss risks, especially if such fertilization practices continue long-term. The current study aims to determine the threshold value of P in plants and soil, which achieves the maximum mango fruit yield without P loss risk. P fertilizer doses (0–240 g tree−1) were added to 12-year-old mango (Mangifera indica L.) cv Hindy planted in sandy soil for four consecutive years. Soil and plant samples were collected each year to estimate the critical p values by linear–linear, quadratic, and exponential models. The relationships between fruit yield and available soil P were positive and significant in all the mathematical models. Mango fruit yield is expected to reach its maximum value if the sandy calcareous soil contains an available P amount ranging between 10–12 mg kg−1 and increasing the soil available P above this level leads to negligible increases in the fruit yield. Increasing the available soil P above 20.3 mg kg−1 increases P-loss risk. P concentrations in blades and petioles of mango leaves can be arranged as follows: beginning of the flowering stage > the full blooming stage > beginning of the fruiting stage. The analysis of petioles of mango leaves in the beginning of the flowering stage significantly corelated with mango fruit yield and can be used in predicting the response of mango to P fertilization. The findings of the present investigation revealed that the critical P in mango petioles ranged between 2.34 and 3.53 g kg−1. The threshold of available soil P for maximum fruit yield is half of P loss risks. The combined analysis of soil and plants is a powerful diagnostic tool for P management in sandy degraded soil. The findings of the current study are a good tool in achieving the optimum utilization of P fertilizer resources in maximizing mango fruit yield and reducing the risks of environmental pollution that result from excessive fertilization doses

The knowledge translation status in selected Eastern-Mediterranean universities and research institutes.

A serious worldwide effort to strengthen research based knowledge translation (KT) has begun in recent years and some countries, particularly developed ones, are trying to incorporate KT in their health and health research systems. Keeping in mind the recent economic depression and the need to perform more efficient research, we aimed to assess and compare the KT status of selected health research institutes in the Eastern Mediterranean Regions' countries, and to identify their strengths and weaknesses in the field.After finding the focal points that would steer the focus group discussions (FGDs) and help complete the 'Self Assessment Tool for Research Institutes' (SATORI) tool, each focal point held two FGDs in which researchers, research authorities and other individuals specified in detail further in the study were held. The scores obtained by each institute were evaluated quantitatively, and the transcriptions were analyzed qualitatively with OpenCode software.For ease of analysis the 50 items of the SATORI were classified into 7 main domains: 'priority setting', 'research quality and timeliness', 'researchers' KT capacities', 'facilities and pre-requisites of KT', 'processes and regulations supporting KT', 'interaction with research users', and 'promoting and evaluating the use of knowledge'. Based on the scoring system, the strongest domain was 'research quality and timeliness'. 'Priority setting' was the weakest domain of all. The remaining domains were more or less equal in strength and were not in a favorable state. The qualitative findings confirmed the quantitative findings.The main problem, it seems, is that a KT climate does not exist in the region. And despite the difference in the contexts, there are many similarities in the region's institutes included in this study. Collaborative efforts can play a role in creating this climate by steering countries towards KT and suggesting regional strategic directions according to their needs

Mean scores and standard deviations for each of the participating institutes in the seven domains^†.

†<p>The sequence of domains has been arranged from minimum to maximum overall mean scores obtained (from left to right).</p>‡<p>For the sake of confidentiality, the names of the institutes were not disclosed, and their order in this table does not correspond to the countries in <a href="http://www.plosone.org/article/info:doi/10.1371/journal.pone.0103732#pone-0103732-t001" target="_blank">table 1</a>.</p>‡‡<p>The classification of the countries is according to that illustrated in <a href="http://www.plosone.org/article/info:doi/10.1371/journal.pone.0103732#pone-0103732-t001" target="_blank">table 1</a>, i.e. group 1, 2 and 3 are those with high income, middle income, and low income.</p><p>Mean scores and standard deviations for each of the participating institutes in the seven domains^{<a href="http://www.plosone.org/article/info:doi/10.1371/journal.pone.0103732#nt106" target="_blank">†</a>}.</p