Analysis of Factors Affecting the Performance of Dynamic Compaction Technique: A Study of Coastal Area of Eastern Province in Saudi Arabia

Coastal areas of the Eastern Province of Saudi Arabia have soil with low bearing capacity due to saturation with water, high contents of salt and inclusion of organic materials. The dynamic compaction (DC) technique, which is the most prevalent method for soil improvement in the area has not been effective in terms of cost, safety, and serviceability of the buildings. Thus, this paper aims to identify and assess the factors that prevent the efficient soil improvement performance using dynamic compaction technique. The desktop search and expert-based survey were used for data collection while the Analytic Hierarchy Process (AHP) was employed to analyze and prioritize the factors. The results indicate "difficulty in using the DC technique within 30m from buildings and 15m from underground services" as the most crucial factor. Above all, the practical and managerial implications implied in this paper are targeting a more efficient DC technique for soil improvement particularly in coastal areas of the Eastern Province of Saudi Arabia with expansive spread of Sabkha soil. Thus, the findings are expected to provide support to policy and decision makers in overcoming the performance shortfalls of DC technique

Prevalence and correlates of diastolic dysfunction in patients with hypertension: a cross-sectional study from in The Kingdom of Saudi Arabia

Introduction: diastolic dysfunction refers to impaired ventricular relaxation or filling regardless of ejection fraction and symptoms. It accounts for 8% and 25% in the hospitalized and general population, respectively. The present study was conducted to determine the prevalence and correlates of diastolic dysfunction in hypertensive patients living in Saudi Arabia. Methods: a multicentric, cross-sectional study was conducted from February 2019 to February 2020 at King Khalid Hospital and Prince Sultan Center for Health Services, Prince Sattam Bin Abdulaziz University hospital in Al Kharj, and Al Kharj Military Industries Corporation hospital, KSA. All patients with hypertension who underwent an echocardiography were included in the study. Logistic regression analysis was performed to determine factors associated with left ventricular diastolic dysfunction (LVDD). Results: the study included a total of 104 participants, where 51.9% were females andthe mean age of the patients was 48.01±12.81 years.Most patients had an abnormal echocardiography finding (64.4%, n = 67). The most common abnormalities were left ventricular (LV) hypertrophy (44.2%, n = 46), and diastolic dysfunction, (35.6%, n = 37). The study revealed that age (aOR: 6.1, 95% CI 1.17-31.3; p = 0.032) and dyslipidemia (aOR: 3.45, 95% CI 1.16-10.24; p = 0.026) have significant association with LVDD in the patients with hypertension. Conclusion: in conclusion, diastolic dysfunction is prevalent among older hypertensive patients and those with dyslipidaemia. Age and dyslipidaemia were non-modifiable and modifiable factors associated with LVDD in hypertensive patients, respectively

Sickle Cell Illness Awareness among the General Public

Background: Lifelong ickle cell disease (SCD), a group of inherited blood disorders, afflicts millions of individuals. Sickle cell disease (SCD), with a global prevalence of 112 cases per 100,000 individuals, frequently gives rise to this condition. Sickle Cell Disease (SCD) exhibits a high prevalence in various regions, including Sub-Saharan Africa, Saudi Arabia, India, South and Central America, as well as the Mediterranean. We conducted a study in Tabuk, Saudi Arabia to assess the level of public knowledge and awareness of Sickle Cell Disease (SCD). Methods: The present study employed a cross-sectional observational design, encompassing a sample of 386 individuals residing in Tabuk, who were over the age of 18 and represented both genders and various nationalities. Demographic data and sickle cell disease awareness were obtained through the utilization of a structured questionnaire that was developed from previous research. Results: The present study included a total of 386 adults residing in Tabuk, Saudi Arabia, who satisfied the predetermined inclusion criteria. Among the participants, 47.4% fell between the age range of 18 to 25 years. The majority of participants had a satisfactory level of knowledge, with 24.1% of individuals aged 18-25, 10.1% of those aged 26-35, 7.3% and 6.55% of individuals aged 36-45, and a significant proportion of participants aged over 45. Conclusion: The survey participants demonstrated a satisfactory degree of understanding on the prevalence of sickle cell disease (SCD) in the Kingdom of Saudi Arabia (KSA).&nbsp

Solubility enhancement of decitabine as anticancer drug via green chemistry solvent: Novel computational prediction and optimization

Nowadays, supercritical fluid technology (SFT) has been an interesting scientific subject in disparate industrial-based activities such as drug delivery, chromatography, and purification. In this technology, solubility plays an incontrovertible role. Therefore, achieving more knowledge about the development of promising numerical/computational methods of solubility prediction to validate the experimental data may be advantageous for increasing the quality of research and therefore, the efficacy of novel drugs. Decitabine with the chemical formula C₈H₁₂N₄O₄ is a chemotherapeutic agent applied for the treatment of disparate bone-marrow-related malignancies such as acute myeloid leukemia (AML) by preventing DNA methyltransferase and activation of silent genes. This study aims to predict the optimum value of decitabine solubility in CO₂SCF by employing different machine learning-based mathematical models. In this investigation, we used AdaBoost (Adaptive Boosting) to boost three base models including Linear Regression (LR), Decision Tree (DT), and GRNN. We used a dataset that has 32 sample points to make solubility models. One of the two input features is P (bar) and the other is T (k). ADA-DT (Adaboost Algorithm Decision Tree), ADA-LR (Adaboost Algorithm-Linear Regresion), and ADA-GRNN (Generative Regression Neural Network) models showed MAE of 6.54 ˣ 10ˉ⁵, 4.66 10 ˉ⁵, and 8.35 10 ˉ⁵, respectively. Also, in terms of R-squared score, these models have 0.986, 0.983, and 0.911 scores, respectively. ADA-LR was selected as the primary model according to numerical and visual analysis. Finally, the optimal values are (P = 400 bar, T = 3.38 K 102, Y = 1.064 10ˉ³ mol fraction) using this model

A robust computational investigation on C₆₀ fullerene nanostructure as a novel sensor to detect SCNˉ

This study explored on the adsorption properties and electronic structure of SCNˉ via density functional theory analysis on the exterior surfaces of C₆₀ and CNTs using B3LYP functional and 6-31G** standard basis set. Then adsorption of SCNˉ through nitrogen atom on the C60 fullerene is electrostatic (₋48.02 kJ molˉ1) in comparison with the C₅₉Al fullerene that shows covalently attached to fullerene surface (₋389.10 kJ mol̄ˉ1). Our calculations demonstrate that the SCNˉ adsorption on the pristine and Al-doped single-walled CNTs are ₋173.13 and ₋334.43 kJ molˉ1, indicating that the SCNˉ can be chemically bonded on the surface of Al-doped CNTs. Moreover, the adsorption of SCNˉ on the C₆₀ surface is weaker in comparison with C₅₉B, C₅₉Al, and C₅₉Ga systems but its electronic sensitivity improved in comparison with those of C₅₉B, C₅₉Al, and C₅₉Ga fullerenes. The evaluation of adsorption energy, energy gap, and dipole moment demonstrates that the pure fullerene can be exploited in the design practice as an SCNˉ sensor and C₅₉Al can be used for SCNˉ removal application

The barriers, motives, perceptions, and attitudes toward research among radiology practitioners and interns in Saudi Arabia: a cross-sectional study

BackgroundResearch and the use of evidence-based practices are imperative to the advancement of diagnostic imaging modalities. The aim of this study was to assess the perceptions and attitudes of radiology practitioners (i.e., Technicians, Technologists or Specialists, and Senior Specialists) and interns in King Abdulaziz Medical Cities (KAMCs), Kingdom of Saudi Arabia, toward research, and to explore the various barriers and obstacles that hinder their research efforts.MethodsA cross-sectional descriptive investigation was carried out from December 2022 to March 2023 among 112-KAMCs’ radiology practitioners and interns, using previously developed and validated questionnaire comprised of five distinct sections, each serving a specific purpose, and with a non-probability convenient sampling technique. Descriptive statistics were generated for participants’ demographics, and chi-square and fisher’s exact tests were used to examine the association between participants’ demographics and their involvement in research.ResultsAmong the 137 KAMCs’ radiology practitioners and interns who were invited to participate, 112 responded and completed the questionnaire, resulting in an overall response rate of 81.75%. Radiology practitioners and interns from various medical imaging subspecialties were found to be involved in research to the extent of 83%, with nearly half (40.9%) of them have had publications, and 53.3% of these publications being either cross-sectional studies or retrospective clinical studies. A lack of time (66.1%), a lack of a professional supervisor support program (50.9%), and deficiency in research skills (45.5%) were common obstacles that may impede the participants’ ability to conduct research. The most common motives for participants to conduct research were the desire to improve their resumes (69.6%), get accepted into postgraduate radiology programs (58%), and improve their research skills (52.7%).ConclusionKAMCs’ radiology practitioners and interns have a positive attitude toward performing research. Despite the high percentage (83%) of those involved in research, the number of publications remains low. A crucial step to advancing the profession’s evidence base is engaging radiology practitioners and interns in research and encouraging radiology practitioner-led research. The study findings can serve as a valuable basis for designing developmental programs aimed at overcoming research obstacles among healthcare professionals in Saudi Arabia

Role of Nemolizumab and Omalizumab in management of atopic dermatitis: A review

BackgroundNemolizumab (CIM331) is a monoclonal antibody that binds the IL-31 receptor α component. This inhibits IL-31 from acting on neurons that constrains the initialization of the sense of pruritus in cases of atopic dermatitis.AimsTo summarize the results of reported studies evaluating the role of nemolizumab and omalizumab in management of atopic dermatitis.Methods This is a systematic review was carried out, including PubMed, Google Scholar, and EBSCO that examining randomized controlled trials, observational, and experimental studies which study role of nemolizumab in management of atopic dermatitis.Results The review included 8 randomized studies reported efficacy of both nemolizumab and omalizumab for management of atopic dermatitis.ConclusionOther studies with large numbers of patients with AD are necessary to define the adverse effects of both drugs in the treatment of AD

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

Mortality from gastrointestinal congenital anomalies at 264 hospitals in 74 low-income, middle-income, and high-income countries: a multicentre, international, prospective cohort study

Summary Background Congenital anomalies are the fifth leading cause of mortality in children younger than 5 years globally. Many gastrointestinal congenital anomalies are fatal without timely access to neonatal surgical care, but few studies have been done on these conditions in low-income and middle-income countries (LMICs). We compared outcomes of the seven most common gastrointestinal congenital anomalies in low-income, middle-income, and high-income countries globally, and identified factors associated with mortality. Methods We did a multicentre, international prospective cohort study of patients younger than 16 years, presenting to hospital for the first time with oesophageal atresia, congenital diaphragmatic hernia, intestinal atresia, gastroschisis, exomphalos, anorectal malformation, and Hirschsprung’s disease. Recruitment was of consecutive patients for a minimum of 1 month between October, 2018, and April, 2019. We collected data on patient demographics, clinical status, interventions, and outcomes using the REDCap platform. Patients were followed up for 30 days after primary intervention, or 30 days after admission if they did not receive an intervention. The primary outcome was all-cause, in-hospital mortality for all conditions combined and each condition individually, stratified by country income status. We did a complete case analysis. Findings We included 3849 patients with 3975 study conditions (560 with oesophageal atresia, 448 with congenital diaphragmatic hernia, 681 with intestinal atresia, 453 with gastroschisis, 325 with exomphalos, 991 with anorectal malformation, and 517 with Hirschsprung’s disease) from 264 hospitals (89 in high-income countries, 166 in middleincome countries, and nine in low-income countries) in 74 countries. Of the 3849 patients, 2231 (58·0%) were male. Median gestational age at birth was 38 weeks (IQR 36–39) and median bodyweight at presentation was 2·8 kg (2·3–3·3). Mortality among all patients was 37 (39·8%) of 93 in low-income countries, 583 (20·4%) of 2860 in middle-income countries, and 50 (5·6%) of 896 in high-income countries (p<0·0001 between all country income groups). Gastroschisis had the greatest difference in mortality between country income strata (nine [90·0%] of ten in lowincome countries, 97 [31·9%] of 304 in middle-income countries, and two [1·4%] of 139 in high-income countries; p≤0·0001 between all country income groups). Factors significantly associated with higher mortality for all patients combined included country income status (low-income vs high-income countries, risk ratio 2·78 [95% CI 1·88–4·11], p<0·0001; middle-income vs high-income countries, 2·11 [1·59–2·79], p<0·0001), sepsis at presentation (1·20 [1·04–1·40], p=0·016), higher American Society of Anesthesiologists (ASA) score at primary intervention (ASA 4–5 vs ASA 1–2, 1·82 [1·40–2·35], p<0·0001; ASA 3 vs ASA 1–2, 1·58, [1·30–1·92], p<0·0001]), surgical safety checklist not used (1·39 [1·02–1·90], p=0·035), and ventilation or parenteral nutrition unavailable when needed (ventilation 1·96, [1·41–2·71], p=0·0001; parenteral nutrition 1·35, [1·05–1·74], p=0·018). Administration of parenteral nutrition (0·61, [0·47–0·79], p=0·0002) and use of a peripherally inserted central catheter (0·65 [0·50–0·86], p=0·0024) or percutaneous central line (0·69 [0·48–1·00], p=0·049) were associated with lower mortality. Interpretation Unacceptable differences in mortality exist for gastrointestinal congenital anomalies between lowincome, middle-income, and high-income countries. Improving access to quality neonatal surgical care in LMICs will be vital to achieve Sustainable Development Goal 3.2 of ending preventable deaths in neonates and children younger than 5 years by 2030

Polymeric Drug Delivery Systems for Cancer Therapy and Radionuclide Decorporation

The main objective of this body of work is to develop polymeric drug delivery systems for cancer radiotherapy and the decorporation of radiological materials. The polymeric systems for radiotherapy were evaluated in vitro and in vivo (in normal, prostate, and ovarian cancer mice models). The polymeric system for radionuclide decorporation was also evaluated in vitro and in a normal mouse model. Due to its attractive properties, the N-(2-Hydroxypropyl) methacrylamide (HPMA) copolymer was utilized as the main carrier for the developed systems. Chapter 1 provides an overview of prostate and ovarian cancer, targeted radiopharmaceuticals, nanomedicine-based drug delivery for cancer, HPMA copolymers, and decorporation agents of radiological materials. In chapter 2, we aimed to develop targeted HPMA copolymers to improve prostate cancer treatment. HPMA copolymers were modified with bombesin (BBN) peptide analogs to target the gastrin-releasing peptide receptor (GRPR) that is overexpressed in several tumors, including prostate cancer. Based on varying the content and charge, a total of ten BBN-HPMA copolymers were synthesized and evaluated in GRPR-overexpressing prostate cancer cell line (PC-3), and the biodistribution profile of the optimized copolymers was evaluated in a normal CF-1 mouse model. The in vitro results showed enhanced internalization via GRPR targeting was charge- and BBN density-dependent. While the negative and zwitterionic conjugates showed low PC-3 uptake values, the positively-charged BBN-polymeric conjugates revealed a direct relationship between the extent of cellular internalization and BBN-incorporation density. In vivo studies of the positively-charged copolymers resulted in rapid blood clearance by the mononuclear phagocyte system (MPS)-associated tissues. Further optimization to avoid rapid MPS recognition is needed in the future. In chapter 3, we aimed to improve the radiotherapy of ovarian cancer by developing a polymeric delivery system, using HPMA copolymer as a carrier, that overcomes the current drawbacks of radiolabeled nanomedicine (e.g., retention in MPS-associated tissues and long circulation times needed for tumor targeting). The new system (MP-90-TCO-C) combines two strategies in one system. The first strategy is to enhance the clearance of retained large polymers in the MPS-associated tissues via biodegradation, by cathepsin S enzyme (Cat S) that is abundantly expressed in these tissues, into small and easily cleared fragments from the body. The second strategy is based on employing bioorthogonal in vivo chemistry between a trans-cyclooctene- (TCO) modified polymer (MP-90-TCO-C) and a tetrazine- (TZ) based radiotracer. Kinetic and in vitro Cat S studies were evaluated. In vivo studies were performed using two ovarian cancer and a normal CF-1 mouse models. The kinetic studies revealed ultra-fast reactions between MP-90-TCO-C, and the TZ-radiotracer while MP-90-TCO-C was also found to be cleaved in vitro by Cat S. The in vivo studies showed biodegradation of the copolymer in the CF-1 mouse model with excellent in vivo TCO/TZ reactivity in ovarian cancer models with improved tumor to non-target ratios observed. These results show the feasibility of this approach to enhance the treatment of ovarian cancer. In chapter 4, we aimed to design a polymeric system that can be suitable for prophylactic applications to reduce the exposure to radioactive actinides, which can occur in case of accidental internal contamination. DTPA is approved for actinide decorporation after exposure, but due to its short half-life, DTPA is not ideal for prophylactic applications. To overcome this drawback, we developed a DTPA-based polymeric system (P-DTPA) based on an HPMA copolymer. We evaluated its decorporation efficacy using an actinide model in vitro and in a normal CF-1 mouse model under prophylactic settings. The in vitro results showed the tolerability of P-DTPA and the ability to chelate the actinide model in the presence of competing biological metals. The in vivo results showed the superiority of P-DTPA over DTPA in enhancing the excretion of the radioactive material. This enhanced decorporation effect is mainly attributed to the longer circulation time of P-DTPA compared to DTPA. In chapter 5, all results from the three projects will be summarized, and future research directions will be provided