Central auditory functions in primary school children with and without phonological awareness problems

AbstractObjectiveThe primary objective of this study was to assess central auditory functions in a group of primary school children with dyslexia mainly phonological awareness problems and to compare their performance with children with good phonological awareness ability.DesignA group of 52 students with phonological awareness problems (according to their performance in phonological awareness subtest of Arabic Reading Test (ART)) and 31 age- and sex matched students without phonological awareness problems participated in the study. All children were free from any neurological problems, had normal distant visual acuity, normal peripheral hearing sensitivity in both ears and IQ equal or above 90. The children from both groups were subjected to central auditory tests (CAT). Comparison between both groups in their performance in CAT was done and the correlations between CAT and items of phonological awareness subtest were examined.ResultsThe students with phonological awareness problems as a group performed significantly poorer than controls on all central auditory tests. Also, there was a significant correlation between the speech perception in noise test (SPIN) and phonological awareness in the left ear mainly for (Recognition of the middle sound of the word, Deletion of the middle sound of the word and Addition of a sound to the word).ConclusionsThe group of children with phonological awareness problem showed clinically significant diminished performance compared to the group without phonological awareness problem, reflecting difficulties in the processing of auditory information

Measurement of the serum level of Elabela for the early detection of acute kidney injury in hospitalized Iraqi COVID-19 patients

Background: Severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) is caused coronavirus disease 2019 (COVID-19) affecting people worldwide. The angiotensin converting enzyme2 (ACE2) represents a receptor of SARS-CoV-2 on the infected host cell. Apelin or its receptor agonists suppress the production of angiotensin-converting enzyme (ACE) and angiotensin II (Ang-II) and is characterized by a protective effect against SARS-CoV-2. Objective: The study aims to assess the serum level of Elabela biomarker as an early detector for Acute Kidney Injury (AKI) in patients with COVID-19. Cases and Methods: This is a case-control study which included 45 hospitalized adult patients in multiple centers (public hospitals) receiving COVID-19 cases in Baghdad. These cases had a positive real-time or reverse transcription polymerase chain reaction (RT-PCR) of nasal/oropharyngeal swabs. Excluded from the study were those with a negative PCR and comorbidities and 43 apparently healthy adult subjects as controls. The age range of the cases and controls was (20 to 60) years Result: There are no a statistically significant differences between the two groups in terms of age and gender distribution. Statistically significant differences were found in terms of eGFR, S. Creatinine, D. dimer, NEU×103 /µL, LYM×103 /µL and ELA biomarker. Significant negative correlations were found between Elabela with D. dimer and NEU×103 /µL, and between eGFR with S. creatinine, D. Dimer, and NUT×103 /µL. Conclusion: The Elabela biomarker can be used for the early detection of acute kidney injury in COVID-19 patients

Stress and Burnout among Preretirement Employee in Hospital at 10th of Ramadan City

Employees are at high risk for stress and burnout. The aim of this study was to assess job stressors and burnout among employees in hospital at Tenth of Ramadan city. Design: cross-sectional descriptive design. Setting: the National Health Insurance Hospital at 10th of Ramadan city. Samples: convenience sample consisted of 100 employees. Tools: a self-administered questionnaire including scales for job stress and strain, burnout, and coping strategies, in addition to socio-demographic data was used in data collection. Results: the majority of the nurses were younger than 30 years (78%), with diploma degree (93%), and insufficient income (69%). More nurses had high exposure to stressors (49%), than strains (19%), and 20% had high burnout. Conclusion: the coping strategy most commonly used was effective behavioral confrontation. Nurses’ stress, strain, and burnout are strongly correlated and are influenced by personal factors such as age, qualification, experience, and residence, as well as job factors such as work hours, income, and the use of ineffective coping. Recommendations: the hospital administration should deal with and periodic assess the job factors underlying nurses’ stress and burnout. Further research is proposed to investigate the effectiveness of changing work environment factors and nursing care system on nurses’ burnout

Effect of rock phosphate and bacteria solubilizing nutrients soil application on yield and fruit quality of olive trees cv. “Picual” under the arid zones

This study was carried out throughout two seasons and Located in a private olive grove on Cairo-Ismailia Desert Road in Egypt. The aim of this experiment was to use different amounts of rock phosphate (1, 2 or 3 kg/tree) with different time of additions (2 or 3 times) for phosphorous and sulfur release bacteria to form 6 treatments beside the control (untreated trees) on the mineral contents of the leaves, the vegetative growth, the yield, and the quality of the fruit of Picual olive trees planted in sandy soil and watered with drip irrigation for two seasons. The outcomes demonstrated that application of 2 or 3 kg rock phosphate per tree for two or three times of phosphorus and sulfur release bacteria gave the highest yield and improves fruit quality. Generally, the treatment of 2 kg rock phosphate for three times of P and S release bacteria is recommended due to its clear effect among all treatments on the abovementioned parameters

Chromatographic Separation, Total Determination and Chemical Speciation of Mercury in Environmental Water Samples Using 4-(2-Thiazolylazo) Resorcinol-Based Polyurethane Foam Sorbent-Packed Column

A simple method has been developed for quantitative retention of traces of mercury(II) ions from aqueous media using polyurethane foams (PUFs) loaded with 4-(2-thiazolylazo) resorcinol (TAR). The kinetics and thermodynamics of the sorption of mercury(II) ions onto PUFs were studied. The sorption of mercury(II) ions onto PUF follows a first-order rate equation with k = 0.176 ± 0.010 min−1. The negative values of ΔH and ΔS may be interpreted as the exothermic chemisorption process and indicative of a faster chemisorption onto the active sites of the sorbent. The sorption data followed Langmuir, Freundlich and Dubinin-Radushkevich (D–R) isotherm models. The D-R parameters β, KDR and E were 0.329 mol2 kJ−2, 0.001 μmol g−1 and 1.23 ± 0.07 kJ/mol for the TAR-loaded PUFs, respectively. An acceptable retention and recovery (99.6 ± 1.1%) of mercury(II) ions in water at ≤10 ppb by the TAR-treated PUFs packed columns were achieved. A retention mechanism, involving absorption related to “solvent extraction” and an “added component” for surface adsorption, was suggested for the retention of mercury(II) ions by the used solid phase extractor. The performance of TAR-immobilized PUFs packed column in terms of the number (N), the height equivalent to a theoretical plate (HETP), the breakthrough and critical capacities of mercury(II) ion uptake by the sorbent packed column were found to be 50.0 ± 1.0, 1.01 ± 0.02 mm, 8.75 and 13.75 mg/g, respectively, at 5 mL/min flow rate

Physiological and Neurobehavioral Disturbances Induced by Al2O3 Nanoparticle Intoxication in Nile Tilapia Fish: Benefits of Dietary Chamomile Essential Oil

Despite the usage of nanoparticles (NPs) is rapidly increasing, several experts have noted the risk of their release into ecosystems and their potential negative impacts on biological systems. However, the available studies on the neurobehavioral impacts of aluminum oxide nanoparticles (Al2O3NPs) on aquatic organisms are little. Hence, this study targeted to ascertain the harmful effects of Al2O3NPs on behavioral characteristics and genotoxic and oxidative damages in Nile tilapia fish. In addition, the beneficial role of chamomile essential oil (CEO) supplementation in reducing these effects was also investigated. In the current study, fish were distributed into 4 equal groups (n = 60 fish per group). The control group was fed a plain diet only, the CEO group received a basic diet complemented with CEO at a level of 2 mg/kg diet, the ALNP group received a basic diet and was exposed to an approximate concentration of 1/10th LC50 of ALNPs nearly 5.08 mg/L, and the combination group (ALNPs/ CEO group) received a basal diet coadministered with ALNPs and CEO at the aforementioned percentages. The findings revealed that O. niloticus exhibit neurobehavioral changes along with changes in the level of GABA, monoamines in the brain tissue, and serum amino acid neurotransmitters, besides a reduction of AChE and Na+/K+-ATPase activities. In addition to brain tissue oxidative damage with upregulation of proinflammatory and stress genes, such as HSP70 and caspase-3, supplementation of CEO significantly reduced the negative impacts of ALNPs. These results showed that CEO has neuroprotective, antioxidant, genoprotective, anti-inflammatory, and antiapoptotic properties in fish that have been exposed to ALNPs. Therefore, we advise its usage as a valuable addition to fish diet

The global, regional, and national burden of oesophageal cancer and its attributable risk factors in 195 countries and territories, 1990–2017: a systematic analysis for the Global Burden of Disease Study 2017

Background Oesophageal cancer is a common and often fatal cancer that has two main histological subtypes: oesophageal squamous cell carcinoma and oesophageal adenocarcinoma. Updated statistics on the incidence and mortality of oesophageal cancer, and on the disability-adjusted life-years (DALYs) caused by the disease, can assist policy makers in allocating resources for prevention, treatment, and care of oesophageal cancer. We report the latest estimates of these statistics for 195 countries and territories between 1990 and 2017, by age, sex, and Socio-demographic Index (SDI), using data from the Global Burden of Diseases, Injuries, and Risk Factors Study 2017 (GBD). Methods We used data from vital registration systems, vital registration-samples, verbal autopsy records, and cancer registries, combined with relevant modelling, to estimate the mortality, incidence, and burden of oesophageal cancer from 1990 to 2017. Mortality-to-incidence ratios (MIRs) were estimated and fed into a Cause of Death Ensemble model (CODEm) including risk factors. MIRs were used for mortality and non-fatal modelling. Estimates of DALYs attributable to the main risk factors of oesophageal cancer available in GBD were also calculated. The proportion of oesophageal squamous cell carcinoma to all oesophageal cancers was extracted by use of publicly available data, and its variation was examined against SDI, the Healthcare Access and Quality (HAQ) Index, and available risk factors in GBD that are specific for oesophageal squamous cell carcinoma (eg, unimproved water source and indoor air pollution) and for oesophageal adenocarcinoma (gastro-oesophageal reflux disease). Findings There were 473 000 (95% uncertainty interval [95% UI] 459 000–485 000) new cases of oesophageal cancer and 436 000 (425 000–448 000) deaths due to oesophageal cancer in 2017. Age-standardised incidence was 5·9 (5·7–6·1) per 100 000 population and age-standardised mortality was 5·5 (5·3–5·6) per 100 000. Oesophageal cancer caused 9·78 million (9·53–10·03) DALYs, with an age-standardised rate of 120 (117–123) per 100 000 population. Between 1990 and 2017, age-standardised incidence decreased by 22·0% (18·6–25·2), mortality decreased by 29·0% (25·8–32·0), and DALYs decreased by 33·4% (30·4–36·1) globally. However, as a result of population growth and ageing, the total number of new cases increased by 52·3% (45·9–58·9), from 310 000 (300 000–322 000) to 473 000 (459 000–485 000); the number of deaths increased by 40·0% (34·1–46·3), from 311 000 (301 000–323 000) to 436 000 (425 000–448 000); and total DALYs increased by 27·4% (22·1–33·1), from 7·68 million (7·42–7·97) to 9·78 million (9·53–10·03). At the national level, China had the highest number of incident cases (235 000 [223 000–246 000]), deaths (213 000 [203 000–223 000]), and DALYs (4·46 million [4·25–4·69]) in 2017. The highest national-level age-standardised incidence rates in 2017 were observed in Malawi (23·0 [19·4–26·5] per 100 000 population) and Mongolia (18·5 [16·4–20·8] per 100 000). In 2017, age-standardised incidence was 2·7 times higher, mortality 2·9 times higher, and DALYs 3·0 times higher in males than in females. In 2017, a substantial proportion of oesophageal cancer DALYs were attributable to known risk factors: tobacco smoking (39·0% [35·5–42·2]), alcohol consumption (33·8% [27·3–39·9]), high BMI (19·5% [6·3–36·0]), a diet low in fruits (19·1% [4·2–34·6]), and use of chewing tobacco (7·5% [5·2–9·6]). Countries with a low SDI and HAQ Index and high levels of indoor air pollution had a higher proportion of oesophageal squamous cell carcinoma to all oesophageal cancer cases than did countries with a high SDI and HAQ Index and with low levels of indoor air pollution. Interpretation Despite reductions in age-standardised incidence and mortality rates, oesophageal cancer remains a major cause of cancer mortality and burden across the world. Oesophageal cancer is a highly fatal disease, requiring increased primary prevention efforts and, possibly, screening in some high-risk areas. Substantial variation exists in age-standardised incidence rates across regions and countries, for reasons that are unclear.publishedVersio

Perspectives, practices, and challenges of online teaching during COVID-19 pandemic: A multinational survey

The result of the movement restrictions during the COVID-19 pandemic was an impromptu and abrupt switch from in-person to online teaching. Most focus has been on the perception and experience of students during the process. The aim of this international survey is to assess staffs' perspectives and challenges of online teaching during the COVID-19 lockdown. Cross-sectional research using a validated online survey was carried out in seven countries (Brazil, Saudi Arabia, Jordan, Indonesia, India, the United Kingdom, and Egypt) between the months of December 2021 and August 2022, to explore the status of online teaching among faculty members during the COVID-19 pandemic. Variables and response are presented as percentages while logistic regression was used to assess the factors that predict levels of satisfaction and the challenges associated with online instruction. A total of 721 response were received from mainly male (53%) staffs. Most respondents are from Brazil (59%), hold a Doctorate degree (70%) and have over 10 years of working experience (62%). Although, 67% and 79% have relevant tools and received training for online teaching respectively, 44% report that online teaching required more preparation time than face-to-face. Although 41% of respondents were uncertain about the outcome of online teaching, 49% were satisfied with the process. Also, poor internet bandwidth (51%), inability to track students' engagement (18%) and Lack of technical skills (11.5%) were the three main observed limitations. Having little or no prior experience of online teaching before the COVID-19 pandemic [OR, 1.58 (95% CI, 1.35–1.85)], and not supporting the move to online teaching mode [OR, 0.56 (95% CI,0.48–0.64)] were two main factors independently linked with dissatisfaction with online teaching. While staffs who support the move to online teaching were twice likely to report no barriers [OR, 2.15 (95% CI, 1.61–2.86)]. Although, relevant tools and training were provided to support the move to online teaching during COVID-19 lockdown, barriers such as poor internet bandwidth, inability to track students’ engagement and lack of technical skills were main limitations observed internationally by teaching staffs. Addressing these barriers should be the focus of higher education institution in preparation for future disruptions to traditional teaching modes

Dapagliflozin effects on hospitalization for heart failure reduction, and major adverse cardiovascular events

BackgroundUntil recently, there are no available preventive measures for macrovascular complications of diabetes mellitus (DM). Sodium-glucose co-transporter inhibitors (SGLT-2i) are a relatively new class of medications with cardio-renal protection. However, it is unknown, whether this is a class effect. Also, the exact mechanisms of action are not fully understood.AimsThe current review aimed to assess dapagliflozin effects on the major cardiovascular adverse events (MACE) and heart failure hospitalization rate (HHF) and its mechanisms of action.Methods The Pub Med, MEDLINE, and Google Scholar databases were systematically searched for relevant articles. Articles published in the English language from the first available article up to November 2019 were approached. The terms dapagliflozin, SGLT-2i, MACE, HHF, and mechanisms of action were used with proteans AND or OR. Out of two hundred-ten articles retrieved, only twenty-nine fulfilled the inclusion and exclusion criteria.Results Dapagliflozin reduced HHF, all-cause mortality, bumetanide induced hyperuricemia, and interstitial fluid volume with a lower rate of diuretic use. Possible mechanisms of action were: a reduction of oxidative stress, lowering of cardiac hexosamine biosynthetic pathway activation, reduced cytosolic sodium and calcium, and increased serum magnesium. Dapagliflozin effects on MACE are mixed. The above effects seem to be a class character across various population including normal people without diabetes with no differences across gender.ConclusionDapagliflozin reduced HHF (superior to empagliflozin) and all-cause mortality. The drug acts at cellular levels and not simple diuresis and haemoconcentration