Antifungal activity of eco-safe nanoemulsions based on Nigella sativa oil against Penicillium verrucosum infecting maize seeds: Biochemical and physiological traits

The main goals of the present investigation were to develop O/W nanoemulsion fungicides based on cold-pressed Nigella sativa (black seed) oil to prevent Penicillium verrucosum infection of maize seeds and to test their antifungal activity against this fungus. Additionally, the effect of these nanoemulsions on plant physiological parameters was also investigated. Two nonionic surfactants namely Tween 20 and Tween 80 were used as emulsifying agents in these formulations. The effect of sonication time and surfactant type on the mean droplet size, polydispersity index (PDI), and zeta potential of the nanoemulsions were determined by dynamic light scattering (DLS). Results indicated that both sonication time and emulsifier type had pronounced effects on the stability of O/W nanoemulsions with a small particle size range (168.6–345.3 nm), acceptable PDI (0.181–0.353), and high zeta potential (−27.24 to –48.82 mV). Tween 20 showed superior stability compared to Tween 80 nanoemulsions. The in vitro results showed that complete inhibition of P. verrucosum-growth was obtained by 10_T80 and 10_T20 nanoemulsions at 100% concentration. All nanoemulsions had increment effects on maize seed germination by 101% in the case of 10_T20 and 10_T80 compared to untreated seeds or the chemical fungicide treatment. Nanoemulsions (10_T20 and 10_T80) were able to stimulate root and shoot length as compared to the fungicide treatment. Seed treatment with 10_T80 nanoemulsion showed the highest AI and protease activity by 75 and 70%, respectively, as compared to the infected control. The produced nanoemulsions might provide an effective protectant coating layer for the stored maize seeds

Experimental behavior based on effective slab width acting as a flange with supporting steel beams in composite floors with openings

An experimental study with many variables was carried out to investigate the effective width of simply supported composite beams (T&L sec. beams) with & without slab opening. Three full-scale composite slab models with six different carrier simply supported composite beams (three with T-sec. & three with L-sec.) with constant slab rectangularity was tested.  Each model loaded by uniform load (in the elastic zone) then loaded by means of two-concentrated load system acting at equal distances from supports till failure. One of them without slab opening and the others with two symmetric slab openings and constant opening horizontal position. All standard tests were performed and all instructions and precautions were followed as perfect as the laboratory instruments permitted.  All experimental steps were executed in a manner such that meeting practical conditions as exactly as could. In this research, the tested model features, materials properties and measurement instrumentations are described in brief. The maximum load carrying capacity; crack patterns, generated strains and deflections at different positions were experimentally investigated. For the sake of analysis generalization and error minimization, all results were analyzed by means of dimensionless relations. The results were recorded and analyzed guided by their mechanical behavior. Interesting gained results, conclusions and recommendations are introduced

Organic and Inorganic Salts as Postharvest Alternative Control Means of Citrus

Several postharvest disease control means alternative to conventional chemical fungicides, such as organic and inorganic salts, will be highlighted in the proposed chapter. In particular, it will comprehensively cover different aspects of the use of salts against postharvest Penicillium decay of citrus. It will be an essential resource for the graduate and postgraduate students, researchers, professionals, supply chain players, citrus industries, and retailers. Organic and inorganic salts have a broad spectrum of activity against a wide range of fungi. In addition, they are easy to apply, inexpensive, safe for humans and the environment, and suitable for commercial postharvest handling practices. Different application strategies of salts, before and after harvest, and combined application (with wax, natural compounds, and fungicides, etc.) will be also discussed. The present chapter attempts to highlight how the use of organic and inorganic salts as alternative postharvest disease management technologies has developed from the laboratory to the market

The Efficacy of Adding Electromagnetic Therapy or Laser Therapy to Medications in Patients With Diabetic Peripheral Neuropathy

Introduction: Diabetes mellitus (DM) is a common disease with a highly significant burden among the Saudi population. This study aimed to investigate the effects of adding either magnetic or laser therapy to medications in patients with diabetic peripheral neuropathy (DPN).Methods: Seventy-one medically controlled diabetic patients were randomly assigned to 1) Magnetic group: 26 patients were exposed to magnetic therapy for 20 minutes/session, 2 sessions/week, for 3 months 2) Laser group: 25 patients were exposed to laser therapy with intensity 5.7 J/cm2 for 30 minutes/session, 2 times/week, for 3 months. 3) Drug group: 20 patients received only the regular medications for diabetic control and pain analgesia. Pain and neuropathy were assessed by the visual analog scale (VAS) and the Toronto Clinical Neuropath Scoring System (TRCNSS). Conduction velocities and amplitudes of peroneal and sural nerves were measured by electromyography.Results: The results showed significant increases in conduction velocities and amplitudes in both magnetic and laser groups in parallel with significant reductions in TRCNSS. Non-significant changes were obtained only after using only medications (P > 0.05). The mean values of VAS reduced significantly in the three groups. The least significant differences showed significant changes among the three groups, whereas non-significant differences were obtained between both magnetic and laser groups.Conclusion: There were non-significant differences between both magnetic and laser therapy groups. Addition of either magnetic or laser therapy to medications could bring extra positive benefits to patients with DPN. Both magnetic and laser therapy can be applied with medications for the treatment of patients with DPN.

Assessment of Knowledge and Attitude of Health Care Workers Regarding Continuous Professional Development Programs, Alexandria, Egypt

Continuous Professional Development (CPD) refers to the educational pursuits that professionals make after completing their basic education and continues throughout their professional working lives in order to improve their knowledge, proficiency, and personal skills. CPD programs are crucial for enhancing the abilities of healthcare professionals and allowing them to provide patients with better care. However, few studies have discussed on this issue in Egypt. We conducted the current study to assess the knowledge and attitude of health care workers regarding CPD programs in a tertiary care hospital. A descriptive cross-sectional study was conducted in Sporting Tertiary Care Hospital, Alexandria after the acceptance from Ethical Committee. The data were collected by interviewing questionnaire from a purposive sample of thirty-two healthcare workers who are representative of stakeholder groups to assess the knowledge and attitude regarding continuous professional programs. The questionnaire consists of three divisions, the first one is concerned with personal data, second one covers the knowledge assessment, and the last one embraces the attitude evaluation section. The study lasted 3 months. Data were analyzed by using a suitable statistical software. We found that majority of the participants had good knowledge level (96.9%) and strongly positive attitude (75%) regarding CPD programs. In conclusion, the study findings demonstrated a significant level of knowledge and attitude of the participants regarding continuous professional programs which opens the way for further research that assess the implementation and standardization of CPD programs in the future

Asthma severity as a contributing factor to cancer incidence: A cohort study

BACKGROUND: A putative link between asthma and asthma severity with the occurrence of cancer has been suggested but has not been fully investigated. The objective of this study is to assess the incidence of all types of cancer in a cohort of asthmatic patients. METHODS AND FINDINGS: A single center cohort retrospective study was conducted to investigate the role of asthma as a potential risk factor for various cancers. Participants were followed for a period of 9 years from 01/01/2010 to 30/12/2018 and cancer incidence and its determinants were collected in asthmatic patients and controls from the same population source but without any respiratory disease. Overall, 2,027 asthma patients and 1,637 controls were followed up for an average of 9 years. The statistical analysis showed that 2% of asthma patients were diagnosed with various cancers, resulting in an incidence rate of cancer of 383.02 per 100,000 persons per year which is significantly higher than the 139.01 per 100,000 persons per year observed in matched controls (p-value < 0.001). The top four cancers reported among asthmatics were breast, colon, lung and prostate cancer. Lung cancer in asthmatics had the longest diagnosis period with a mean of 36.6 years compared to the shortest with prostate cancer with 16.5 years. CONCLUSIONS: This study shows that asthma patients are at increased risk of different types of cancers with asthma severity and goiter as the main factors that may increase the risk of developing cancers among asthmatic patients

Impact of opioid-free analgesia on pain severity and patient satisfaction after discharge from surgery: multispecialty, prospective cohort study in 25 countries

Background: Balancing opioid stewardship and the need for adequate analgesia following discharge after surgery is challenging. This study aimed to compare the outcomes for patients discharged with opioid versus opioid-free analgesia after common surgical procedures.Methods: This international, multicentre, prospective cohort study collected data from patients undergoing common acute and elective general surgical, urological, gynaecological, and orthopaedic procedures. The primary outcomes were patient-reported time in severe pain measured on a numerical analogue scale from 0 to 100% and patient-reported satisfaction with pain relief during the first week following discharge. Data were collected by in-hospital chart review and patient telephone interview 1 week after discharge.Results: The study recruited 4273 patients from 144 centres in 25 countries; 1311 patients (30.7%) were prescribed opioid analgesia at discharge. Patients reported being in severe pain for 10 (i.q.r. 1-30)% of the first week after discharge and rated satisfaction with analgesia as 90 (i.q.r. 80-100) of 100. After adjustment for confounders, opioid analgesia on discharge was independently associated with increased pain severity (risk ratio 1.52, 95% c.i. 1.31 to 1.76; P &lt; 0.001) and re-presentation to healthcare providers owing to side-effects of medication (OR 2.38, 95% c.i. 1.36 to 4.17; P = 0.004), but not with satisfaction with analgesia (beta coefficient 0.92, 95% c.i. -1.52 to 3.36; P = 0.468) compared with opioid-free analgesia. Although opioid prescribing varied greatly between high-income and low- and middle-income countries, patient-reported outcomes did not.Conclusion: Opioid analgesia prescription on surgical discharge is associated with a higher risk of re-presentation owing to side-effects of medication and increased patient-reported pain, but not with changes in patient-reported satisfaction. Opioid-free discharge analgesia should be adopted routinely