Core curriculum case illustration : cardiac tamponade complicating proximal aortic dissection

This is the 39th installment of a series that will highlight one case per publication issue from the bank of cases available online as part of the American Society of Emergency Radiology (ASER) educational resources. Our goal is to generate more interest in and use of our online materials. To view more cases online, please visit the ASER Core Curriculum and Recommendations for Study online at http://www.erad.org/page/CCIP_TOC

Quadruple Therapy Offers High SVR Rates in Patients with HCV Genotype 4 with Previous Treatment Failure

Background and Aims. Direct-acting antivirals (DAAs) have made a revolution in hepatitis C virus (HCV) treatment with promising reduction of HCV infection and disease morbidities. However, unfortunately, treatment failure still occurs in about 5–15% of patients treated with DAA‐based combination regimens. The primary aim of the study was to assess the efficacy and safety of a quadruple regimen of (sofosbuvir, daclatasvir, and simeprevir with a weight-based ribavirin) in chronic HCV DAAs-experienced patients. Methods. This observational, open-label prospective study was carried out on 103 genotype 4 hepatitis C virus-infected patients who failed to achieve SVR12 after sofosbuvir-daclatasvir with or without ribavirin. Patients were treated for three months with sofosbuvir (400 mg), daclatasvir (60 mg), and simeprevir (150 mg) with a weight-based ribavirin dosage (1000–1200 mg/d). Response to treatment was determined by quantitative PCR for HCV at 3 months after the end of treatment (SVR12), and adverse events during the treatment were recorded. Results. SVR was achieved in 100 patients (97.1%) at week 12 after treatment. No dangerous or life-threatening adverse events were recorded. Conclusions. Retreatment of HCV genotype 4 patients with quadruple therapy is a good therapeutic option and achieves high response rates with minimal side effects

Evaluation of physio-biochemical criteria in maize inbred lines and their F1 hybrids grown under water-deficit conditions

Since the application of deficit water became a dominant tactic in crop irrigation, developing and surveying newly adapted genotypes should be adopted. In this study, we determined the physio-biochemical activities of 21 maize genotypes under 100 % and 70 % crop evapotranspiration irrigation conditions (normal and deficit irrigation, respectively) in sandy soil to determine which activities can identify drought-tolerant, high-yield genotypes. The experimental design was arranged in randomized complete blocks with three replicates. Results showed that the drought-tolerant parents and hybrids had the highest relative water content (RWC), membrane stability index (MSI), chlorophyll a and b (Chl. a, b), total chlorophyll (total Chl.), chlorophyll a/b ratio (Chl. a/b), chlorophyll stability index (CSI), proline, phenolic content, superoxide dismutase (SOD), catalase (CAT) and peroxidase (POD) levels. They also had the lowest malondialdehyde (MDA) content. The physio-biochemical traits were positively correlated with more tolerant inbred lines and hybrids that displayed a high yield under both irrigation treatments. Furthermore, maize parents that performed well under the 100 % and 70 % evapotranspiration levels were capable of producing high-performance hybrids under both conditions. Accordingly, the hybrids P1 x P6, P2 x P5, and P4 x P6 gave a high performance in sandy soil under both conditions, based on yield attributes estimation. It could be concluded that physio-biochemical traits can be used as effective selection criteria at the silking stage of maize plants to identify high-yield inbred lines and hybrids under stress and normal conditions. These findings will undoubtedly aid maize breeders in rapidly improving and developing new drought-tolerant varieties

Response of Diverse Peanut Cultivars to Nano and Conventional Calcium Forms under Alkaline Sandy Soil

This article belongs to the Special Issue Plant Nutrition Volume II[Abstract] Calcium is one of the most limiting factors for the growth and reproduction of peanut, which ultimately affects pod and seed yields. A two-year field experiment was carried out to assess the impact of five calcium applications, including nano-calcium and conventional forms, on growth, leaf nutrient content, yield traits, and quality parameters of three diverse peanut cultivars (Ismailia-1, Giza-5, and Giza-6). The applied calcium applications were calcium sulfate, which is recommended for commercial peanut cultivation and commonly referred to as gypsum (coded as Ca-1), calcium nitrate (Ca-2), nano-calcium nitrate (Ca-3), 50% calcium nitrate + 50% nano-calcium (Ca-4), and 50% calcium sulfate + 50% nano-calcium (Ca-5). Calcium sulfate (gypsum, Ca-1) was soil-supplied during the seedbed preparation as recommended, while the other calcium applications (Ca-2, Ca-3, Ca-4, and Ca-5) were exogenously sprayed three times at 30, 45, and 60 days after sowing. The soil of the experimental site was alkaline, with a high pH of 8.6. The results revealed significant differences among cultivars, calcium applications, and their interactions. The soil-supplied gypsum Ca-1 displayed lower agronomic performance on all recorded growth, leaf nutrient content, yield traits, and quality parameters. On the other hand, the foliar-supplied calcium, particularly Ca-4 and Ca-5, displayed superior effects compared to the other simple calcium forms. Ca-4 and Ca-5 produced significantly higher seed yield (3.58 and 3.38 t/ha) than the simple recommended form (Ca-1, 2.34 t/ha). This could be due to the difficulty of calcium uptake from soil-supplied calcium under high soil pH compared to the exogenously sprayed nano-calcium form. Moreover, the superior performance of Ca-4 and Ca-5 could be caused by the mixture of fertilizers from the synergistic effect of calcium and nitrate or sulfate. Furthermore, the effect of nitrate was applied in nano form in the Ca4 and Ca-5 treatments, which contributed to improving nutrient uptake efficiency and plant growth compared to the other treatments. The peanut cultivar Giza-6 showed superiority for most measured traits over the other two cultivars. The interaction effect between the assessed cultivars and calcium applications was significant for various traits. The cultivar Giza-6 showed a significant advantage for most measured traits with the mixture of 50% calcium nitrate + 50% nano-calcium (Ca-4). Conclusively, the results pointed out the advantage of the exogenously sprayed nano-calcium form combined with calcium nitrate or calcium sulfate for promoting growth, leaf nutrient content, yield, and quality traits of peanut, particularly with high-yielding cultivars under sandy soil with high pH.This research was funded by the Deputyship for Research and Innovation, “Ministry of Education”, in Saudi Arabia, research number (IFKSUOR3-106-3)Arabia Saudí. Ministry of Education; IFKSUOR3-106-

Influence of Nano-Chitosan Loaded with Potassium on Potassium Fractionation in Sandy Soil and Strawberry Productivity and Quality

Under sandy soil conditions, increasing the efficiency of potassium (K) fertilizers is considered to be a major limiting factor for improving the productivity and quality of fruit crops. In this context, utilizing nanotechnology has emerged as a novel technique to increase the efficiency of K applications. In our study, two field trials were conducted, in two consecutive seasons (2019/2020 and 2020/2021), to compare the effects of nano-chitosan loaded with K as a foliar treatment with those of conventional soil applications of K on plant growth, yield, and quality of strawberry plants grown in sandy soil. Strawberry plants were treated with 12 different treatments, which were replicated three times in a randomized complete block design in each growing season. Potassium sulfate (K2SO4, 48% K2O) was applied to the soil at a rate of 150.0 kg acre−1 (recommended rate, 100%). Meanwhile, the spraying of nano-chitosan loaded with K was applied at 1000 mg L−1 as a control. In addition, K2SO4 was applied either individually or in combination at the rate of 112.5 or 75.0 kg acre−1 with four nano-chitosan-K dosages (250, 500, 750, and 1000 mg L−1). After harvesting, soil samples were collected and prepared to determine K fractions. As well, plant samples were collected to determine the vegetative growth parameters and the foliage content of NPK and chlorophyll. Eventually, the yield traits and quality parameters were evaluated. A principal component analysis was conducted to determine the interrelationships of the treatments’ averages and their effects on yield components and quality traits. A combined analysis was performed for the two studied seasons and the values were the mean of six replications. The results indicated that the application of common K fertilizer (150.0 kg K2SO4 acre−1) resulted in the maximum increase in soluble and exchangeable K in the soil, which was comparable to those observed with 112.5 kg K2SO4 acre−1 + 1000 mg L−1 nano-chitosan-K and 112.5 K2SO4 acre−1 + 750 mg L−1 nano-chitosan-K. The total yield, marketable yield, and fruit firmness were all significantly increased by the latter two treatments compared to the control group. Furthermore, plots treated with 112.5 kg K2SO4 acre−1 + 1000 mg L−1 nano-chitosan-K significantly increased the total soluble solids, vitamin C levels, acidity, total sugar, and anthocyanin levels in strawberry fruits. In conclusion, under sandy soil conditions, the utilization of nanoparticles could be an indispensable tool for manipulating fertilization management when cultivating strawberries. The K status of the soil was improved by applying 75% of the recommended dose of mineral K in combination with 1000 or 750 mg L−1 of nano-chitosan-K, without compromising strawberry yield or quality