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The growth of IoT applications has revolutionized sectors like security and home automation but raised concerns about data breaches due to device limitations. This research proposes a novel substitution box and cryptographic scheme designed to secure data transmission in IoT devices like smartphones and smartwatches. The proposed research has two phases: (I) generation of a substitution box (S-box) which is proposed by dividing phase space into 256 regions (0–255) using a random initial value and control parameter for the Piecewise Linear Chaotic Map (PWLCM), iterated multiple times, and (ii) a new encryption scheme, which is proposed by employing advanced cryptographic techniques such as bit-plane extraction, diffusion, and a three-stage scrambling process (multiround, multilayer, and recursive). Scrambled data is substituted using multiple S-boxes, followed by XOR operations with random image bit-planes to generate pre-ciphertext. Finally, quantum encryption operations, including Hadamard, CNOT, and phase gates, are applied to produce the fully encrypted image. The research evaluates the robustness of the proposed S-box and encryption scheme through experimental analyses, including nonlinearity, strict avalanche criterion (SAC), linear approximation probability (LAP), bit independence criterion (BIC), key space, entropy, correlation, energy, and histogram variance. The proposed approach demonstrates an impressive statistical performance with key metrics such as nonlinearity of 108.75, SAC of 0.5010, LAP of 0.0903, BIC of 110.65, a key space exceeding 2100, entropy of 7.9998, correlation of 0.0001, and energy of 0.0157. Furthermore, the proposed encryption scheme can encrypt a plaintext image of size 256 × 256 within one second which demonstrates its suitability for IoT devices that require fast computation.

Additive manufacturing (AM), shows promising advancements in layer-based modeling displaying its potential for substantial waste reduction. Out of all the AM methods, the most cost-effective and popular choice for prototyping and making customized parts is fused deposition modeling (FDM). This research investigates how various FDM process parameters specifically layer thickness, raster angle, and printing speed affect the mechanical properties of 3D-printed PETG (polyethylene terephthalate glycol) specimens reinforced with carbon fiber (CF). Optimal settings, including a 0° raster angle, 0.2 mm layer thickness, and 40 mm/s printing speed, enhance both tensile and flexural strength due to improvement in material bonding and alignment. Interestingly, lower values for raster angle, layer thickness, and printing speed also lead to notable improvements in mechanical properties. Contour and interaction plots provide valuable insights into the significant impact of these parameters. The study also explores how different printing speeds influence the mechanical characteristics of CF-reinforced PETG specimens. Furthermore, the comparative analysis demonstrated that incorporating carbon fiber into recycled PET waste materials resulted in an approximately 30% increase in tensile strength. These findings imply that using CF with plastic waste in large-scale industries can pave the way for innovative solutions, enhancing performance and sustainability, especially in the automotive, and defence sectors.

Background: As of November 2023, twenty-four states, two territories, and DC have legalized marijuana for non-medical use, leading to concerns about its potential oral health effects. This study investigated the association between marijuana use and clinical dental outcomes among adults in the US. Methods: We analyzed data from the National Health and Nutrition Examination Survey (NHANES) from 2015 to 2018 using a cross-sectional survey of non-institutionalized US civilians. Marijuana use was assessed among 18–59-year-old adults and categorized as never, former, or current frequent use. The dental outcomes included the prevalence of untreated coronal caries, root caries, and missing teeth. We employed logistic and negative binomial regressions to assess the crude and adjusted associations between marijuana use, dental caries, and tooth loss. Results: Of the 6,424 participants, 13.85% of US adults aged 18–59 years were current frequent marijuana users (21.67 million), with the highest prevalence among 18–29-year-olds (21.31%), males (17.54%), and non-Hispanic Black individuals (21.31%). Frequent marijuana users showed the highest prevalence of untreated coronal caries (33.4%). Before adjusting for socioeconomic confounders, current frequent marijuana users had 1.76 times higher odds of having teeth with coronal caries, whereas former frequent users had 1.47 times higher odds. However, the associations between marijuana use and all dental outcomes were attenuated after adjusting for socioeconomic confounders, tobacco use, and access to dental care. Conclusion: Although marijuana use was associated with worse dental health, socioeconomic factors, tobacco use, and access to dental care were more significant contributors to the prevalence of untreated dental caries and missing teeth than marijuana use alone.

In this study, the shielding properties of novel polymer composites, developed by integrating glycidyl methacrylate with nanoparticles of bismuth oxide (Bi2O3) and tungsten oxide (WO3), were explored. The ability of the composites to attenuate gamma radiation was evaluated by measuring the emissions from Ba-133, Co-60, Cs-137, and Na-22. X-ray diffraction (XRD) spectra were obtained for both the pure polymer glycidyl methacrylate and the samples containing nanostructures of Bi2O3, Bi2O3/WO3, and WO3, and scanning electron microscopy (SEM) was used to analyze the samples. The incorporation of Bi2O3 and WO3 nanoparticles into the polymer glycidyl methacrylate matrix significantly enhanced the composites' ability to attenuate gamma radiation, as demonstrated by the increased linear and mass attenuation coefficients. The results showed good agreement between the experiment and the XCOM database. The composites exhibited significant efficiency in attenuating lower-energy gamma rays, which is particularly advantageous in the medical and nuclear industries.

SUMMARY: The current feeding study was designed to investigate the influence of naringenin dietary supplementation on growth performance, carcass traits, blood biochemistry, immunity, antioxidant responses, and the cecal microbiota of growing Japanese quails. Two hundred 1-wk-old Japanese quails with an average body weight of 28.02 ± 0.10 g were randomly clustered into 5 groups with 5 replicates each (n = 40 chicks/treatments & 8 chicks/replicate). The first group was received the basal diet (BD) without naringenin supplementation and considered the control group. Whereas, the naringenin-treated groups were fed on BD supplemented with naringenin at 0.50, 1.00, 1.50, and 2.00 g/kg diet. Regarding the antimicrobial activity of naringenin, the results displayed growth inhibition zones increased with increasing levels of naringenin. The main findings included significant linear and quadratic increases in quail's body weight and body gain with marked improvement of FCR (P < 0.05) without obvious alterations in carcass traits (P > 0.05). Moreover, dietary treatment with naringenin distinctly improved quail's hematology and biochemistry with prominent hypolipidemic effects assured by the significant lowering of cholesterol, TG, LDL, and VLDL. The levels of superoxide dismutase (SOD), catalase (CAT), glutathione peroxidase (GPx), reduced glutathione (GSH), immunoglobulins (IgA, IgM, and IgG), complement 3, and lysozyme were increased with naringenin supplementation. The presence of naringenin in quail's diet significantly reduced the presence of different microbial populations in the cecum of growing quails. Net profit and economic efficiency were improved with naringenin supplementation when compared to control. Therefore, naringenin could be effectively included in quail's nutrition as a promising feed additive to improve quail's health and overall performance.

Objective: The red palm weevil (RPW), is one of the most threatening pests of date palm trees worldwide, causing significant economic losses annually for date palm growers, both globally and in the Middle East, including Saudi Arabia. The primary objective of this research was to assess the insecticide market in Saudi Arabia, test various insecticides claimed to be effective against RPW, and evaluate their efficacy in laboratory settings. This evaluation aims to inform further trials under field conditions. Methods: Six insecticides, including imidacloprid, thiamethoxam, fipronil, emamectin benzoate, deltamethrin, and fenitrothion, were tested to assess their toxicity against red palm weevil 8th instar larvae by diet incorporation under laboratory conditions. The insecticides were applied according to the manufacturer’s recommendations with dosages of 1000 µl, 0.20 µl, 7.5 µl, 0.25 µl, 0.25 µl, and 0.5 µl for imidacloprid, thiamethoxam, fipronil, emamectin benzoate, deltamethrin, and fenitrothion, respectively. Results: The results revealed that all tested insecticides exhibited 100 % mortality against 8th instar RPW larvae, with the exception of deltamethrin. However, the time required to achieve this mortality varied. Fenitrothion caused 100 % mortality after 72 h, while thiamethoxam, imidacloprid, and fipronil caused 100 % mortality after 96 h. Emamectin benzoate and deltamethrin resulted in 100 % and 93 % mortality, respectively, after 10 days. The variability in mortality rates may be attributed to differences in their active ingredients, which show varying levels of lethality. In conclusion, all tested insecticides showed effectiveness against RPW larvae and represent viable options for controlling this pest in date palm orchards in Saudi Arabia.

Sickle cell disease (SCD) is a hereditary blood condition characterized by abnormal hemoglobin, leading to chronic hemolysis and vaso-occlusive complications. Caregivers of children with SCD often experience significant distress, akin to post-traumatic stress disorder (PTSD). This study aimed to measure the degree of trauma and post-traumatic growth among parents (caregivers) of children with SCD in the Kingdom of Saudi Arabia. A total of 294 primary caregivers were recruited for this study, through direct phone calls and online outreach using contact information obtained from their primary treating physician in Maternity and Children Hospitals and the Hereditary Blood Diseases Center in Al-Ahsa. Inclusion criteria required caregivers not to be receiving professional mental health care and to have a child with SCD below the age of 18. Results indicate that caregiver gender significantly affected IESR scores, with mothers reporting higher scores than fathers. Family income had a significant effect on IESR as well. In terms of education level, higher-educated caregivers were less likely to experience severe trauma. Significant differences emerged between online and phone interview participants, with online respondents reporting higher post-traumatic growth and higher trauma levels. This study represents a crucial step in understanding the challenges faced by caregivers of children with SCD in Al-Ahsa, Saudi Arabia. However, the study has limitations, including a substantial portion of the sample being from a single clinic and a cross-sectional design.

In this work, we developed a highly sensitive liquid scintillator (LS) using Coumarin 450 (C450) dye to detect gamma ray and localize Compton edges (CEs). C450 exhibited absorption and fluorescence peaks at 350 nm and 407 nm, respectively, in toluene, at an optimized concentration (3 mM). The LS, contained in a standard glass container (1.8 cm diameter, 3.6 cm height), showed an emission peak in the blue region, matching the high quantum yield of typical PMT photocathodes. We exposed the LS to various gamma radiation sources (137Cs, 60Co, and 22Na), recording responses for different PMT voltages. Gaussian fitting of pulse height distribution spectrum allowed CE identification at the half-height for all PMT voltages. We compared theoretical and experimental results to a GEANT4-simulated detector, obtaining CE positions for radiation interactions and scintillation photon transport. The calibrated GEANT4 simulation was compared to experimental spectra to locate the Compton edges.

Pure and manganese-doped titanium dioxide nanoparticles (MnTiO2-NPs) were synthesized by the defect-oriented hydrothermal approach. The synthesized material was then characterized by X-ray diffraction (XRD), Scanning electron microscopy (SEM), Energy dispersive X-ray spectroscopy (EDX), and UV–visible spectroscopy (UV–Vis). The agar well diffusion method assessed the antibacterial efficiency of TiO2 and MnTiO2-NPs against E. coli and S. aureus. Zone of inhibition (ZOI) formed by pure TiO2 was observed as 12 mm and 11.5 mm against E. coli and S. aureus, while for MnTiO2-NPs it was observed as 19 mm (E. coli) and 21 mm (S. aureus). The concentration of synthesized nanoparticles (10 mg/ml, and 20 mg/ml) was used for antibacterial studies. The efficacy of the pure and MnTiO2-NPs as an active photocatalyst for the degradation of methylene blue (MB) dye was also assessed using a UV light. It was observed that the photodegradation efficiency of 1 g of MnTiO2-NPs was higher than the same amount of pure TiO2. The results suggest that the photocatalyst concentration directly impacts the photodegradation of MB dye. The pH value was found to influence the photodegradation of MB dye at higher pH values. Based on the obtained results, MnTiO2-NPs were observed as a promising agent for microbial resistance and water remediation.

Objective: The date palm, Phoenix dactylifera L., is an ancient and valuable tree that provides food and other products. The date palm trees are attacked by several pests, including the red palm weevil, which is devastating to date palm plantations. Knowledge of the functionality of entomopathogenic fungi, including Beauveria bassiana (Balsamo) Vuillemin (Hypocreales: Cordycipitaceae) species, in the tree trunk is critical for controlling date palm weevil and other pests. The goal of this study was to assess the movement of the entomopathogenic fungus, B. bassiana, within the date palm tree. Methods: Beauveria bassiana (BbSA-4) mixed with food colors was trunk-injected using a balloon injector into healthy date palm plants. Trunks were cut into one-meter logs 2, 20, and 86 days post-injection. Each log was further dissected into four quarters to examine the present of the fungus. The appearance of food colors and the detection of fungal spores at different heights from the point of injection revealed the translocation of B. bassiana within the trunk. The samples were taken from several locations where food color could be visible, and the distance traveled by the fungal spores was measured. Results: The injected palm tissue samples were cultured on PDA media in the laboratory, and the present of fungal spores was confirmed. B. bassiana (BbSA-4) was found to be surviving in all treated date palm trees. The survival rate of isolate BbSA-4 averaged 70.5%, 34.9%, and 13.9% from dissected trunks examined at 2, 20, and 86 days, respectively, after injection. Isolate BbSA-4 was more apparent in the trunk after spiral injected than bottom injection. The findings revealed that using an entomopathogenic fungus as an endophytic to supplement IPM programs could be beneficial.

Cerium sulphide (Ce2S3) thin films were prepared via successive ionic layer adsorption and reaction (SILAR) scheme. The optical, structural, and electrical investigations of both virgin and gamma-exposure samples were conducted, focussing on the gamma irradiation dose. The objective was to examine the impact of gamma irradiation on the characteristics of the Ce2S3 thin films. An X-ray diffraction (XRD) study of the samples established the orthorhombic phase of the Ce2S3 thin films and revealed that the crystallinity was improved with the gamma dose. The Field emission scanning electron microscope (FESEM) images of the virgin thin film detected a smooth surface with spherical grains with distinct grain boundaries. In contrast, after the gamma exposure, the thin film surface revealed a cluster of small particles. Energy dispersive X-ray (EDX) study inveterate the stoichiometry of the prepared Ce2S3 thin films. The gamma exposure dose caused a deviation in the bandgap, which was related to the quantum confinement effect. Photoluminescence (PL) spectra proved that the emission intensity of the Ce2S3 thin films decreased with increasing gamma dosage, and this phenomenon was attributed to the additional crystallites and a smaller number of structural defects. This simple approach to amend the characteristics of Ce2S3 thin films by gamma exposure could become an attractive option to explore this material for dosimetry and radiation sensing.

Oxide nanoparticles (NPs) have attracted considerable interest owing to their unique characteristics and possible applications, including gas detection, bioanalytical sensing, catalytic, and biomedical. The present work was designed to explore the effect of varying amounts (2.5 %, 5 %, and 7.5 mol%) of Zn-doping on the properties and selective anticancer efficacy of In2O3 NPs. The precipitation process was applied to prepare pure In2O3 NPs and Zn-doped In2O3 NPs. XRD, TEM, SEM, EDX, XPS, UV–Vis, and PL techniques have been employed to investigate the physicochemical properties of NPs. The XRD analysis revealed that the crystallite of the In2O3 lattice was slightly changed with the addition of Zn ions. TEM and SEM images displayed that the reduction of size of In2O3 NPs was increased with increasing Zn concentrations. The composition elements and distribution of Zn dopants within In2O3 NPs were further confirmed by EDX and XPS techniques. Based on the UV–Vis study, increasing the Zn amount improved the gap energy of In2O3 NPs by shifting edge absorption peaks to lower wavelengths. Moreover, PL spectra show that the intensity of In2O3 NPs decreased with increasing the Zn amount. The biological results indicate that the Zn-doped In2O3 NPs exhibited a significant increase in cytotoxicity with Zn doping increased against MCF-7 and HCT116cells while they have excellent biocompatibility with normal human cells (HUVECs). These results suggest that these NPs hold promise as a novel therapeutic approach in cancer treatment. This study requires more research into the biological applications of Zn-doped In2O3 NPs.

Background: Acinetobacter baumannii infection is a serious public health problem because it is highly resistant to antimicrobial therapy and causes a high fatality rate in critically ill patients. The aim of the study is to examine the demographics, microbiological findings, clinical presentation, and outcomes of multi-drug-resistant Acinetobacter baumannii respiratory infections in adult ICU intubated patients during COVID-19 pandemic. Methods: This study included 115 mechanically ventilated adult ICU patients who had multi-drug-resistant Acinetobacter baumannii retrieved from respiratory samples during the COVID-19 pandemic in Albaha, Saudi Arabia. The information was obtained from medical and laboratory files. Univariate analysis was used to compare gender, COVID-19 infection, and outcomes. Results: The rate of Acinetobacter baumanni respiratory infections among adult ICU patients was 6.2 %. Almost 93 % developed ventilator-associated pneumonia, and five of them developed bacteremia. The isolates had significant antibiotic resistance patterns, of which 3 % were pandrug-resistant bacteria. The death rate was 74 %, with major risk factors including sepsis, septic shock, VAP, liver diseases, and the use of inappropriate antibiotic therapy that lacked both colistin and tigecycline. Patients with COVID-19 coinfection had worse outcomes compared to non-COVID-19 patients. Conclusions: The identification of MDR-AB as a threat highlights the importance of surveillance studies in this region.

In recent years, we are facing the challenge of drug resistance emergence in fungi. The availability of limited antifungals and development of multi-drug resistance in fungal pathogens has become a serious concern in the past years in the health sector. Although several cellular, molecular, and genetic mechanisms have been proposed to explain the drug resistance mechanism in fungi, but a complete understanding of the molecular and genetic mechanisms is still lacking. Besides the genetic mechanism, epigenetic mechanisms are pivotal in the fungal lifecycle and disease biology. However, very little is understood about the role of epigenetic mechanisms in the emergence of multi-drug resistance in fungi, especially in Candida auris (C. auris). The current narrative review summaries the clinical characteristics, genomic organization, and molecular/genetic/epigenetic mechanisms underlying the emergence of drug resistance in C. auris. A very few studies have attempted to evaluate the role of epigenetic mechanisms in C. auris. Furthermore, advanced genetic tools such as the CRISP-Cas9 system can be utilized to elucidate the epigenetic mechanisms and their role in the emergence of multi-drug resistance in C. auris.

Zinc ferrite nanoparticles (ZnFe2O4 NPs) have attracted extensive attention for their diverse applications including sensing, waste-water treatment, and biomedicine. The novelty of the present work is the fabrication of ZnFe2O4/RGO NCs by using a one-step hydrothermal process to assess the influence of RGO doping on the physicochemical properties and anticancer efficacy of ZnFe2O4 NPs. X-ray diffraction (XRD), Scanning electron microscopy (SEM), Energy-dispersive X-ray(EDX), X-ray photoelectron spectroscopy (XPS), Fourier-transform infrared spectroscopy (FTIR), UV–vis spectroscopy, and Photoluminescence (PL) spectroscopy were employed to characterize prepared pure ZnFe2O4 NPs and ZnFe2O4/ RGO NCs. XRD results showed that the synthesized samples have high crystallinity. Furthermore, the average crystal sizes of ZnFe2O4 nanoparticles (NPs) and ZnFe2O4/RGO nanocomposites (NCs) were 51.08 nm and 54.36 nm, respectively. SEM images revealed that pure ZnFe2O4 NPs were spherical in shape with uniformly loaded on the surface of the RGO nanosheet. XPS and EDX analysis confirmed the elemental compositions of ZnFe2O4/RGO NCs. Elemental mapping of SEM shows that the elemental compositions (Zn, Fe, O, and C) were homogeneously distributed in ZnFe2O4/RGO NCs. The intensity of FT-IR spectra depicted that pure ZnFe2O4 NPs were successfully anchored into the RGO nanosheet. An optical study suggested that the band gap energy of ZnFe2O4/RGO NCs (1.61 eV) was lower than that of pure ZnFe2O4 NPs (1.96 eV). PL spectra indicated that the recombination rate of the ZnFe2O4/ RGO NCs was lower than ZnFe2O4 NPs. MTT assay was used to evaluate the anticancer performance of ZnFe2O4 /RGO NCs and pure ZnFe2O4NPs against human cancer cells. In vitro study indicates that ZnFe2O4 /RGO NCs have higher anticancer activity against human breast (MCF-7) and lung (A549) cancer cells as compared to pure form ZnFe2O4 NPs. This work suggests that RGO doping enhances the anticancer activity of ZnFe2O4NPs by tuning its optical behavior. This study warrants future research on potential therapeutic applications of these types of nanocomposites.

Objective: Termites are well known for being the most destructive pests of household commodities as well as agricultural crops around the globe. The termite fauna (Isoptera) has about 2650 described species worldwide. Several species are the pests of crops and cause damage to wood structures. Methods: In the present study, 29 specimens of termites collected from different localities of the Riyadh region were identified using mitochondrial gene cytochrome c oxidase subunit I (COI) deoxyribonucleic acid (DNA) sequence. COI gene was PCR amplified using universal primers (LCO 1490 and HCO 2198). MEGA7 software was used for phylogenetic tree construction which showed that all 29 specimens grouped together in a single clade indicated close relatedness of all specimens. Results: All the obtained sequences were submitted into Genbank database and accession numbers were obtained. Phylogenetic analysis showed that all specimens of present research grouped together into a single monophyletic clade, were confirmed to be highly closely related to one another, and proved to be members of the same species. Pairwise nucleotide sequence divergence analysis showed that there was less divergence among all specimens ranging from 0% to 7.8%. Sequence analysis revealed the confirmed precise identification of 29 samples of Anacanthotermes ochraceus with COI barcode analysis. Conclusions: Molecular data analysis has confirmed morphological identification of all 29 studied samples of A. ochraceus. However, this technology offers strong support for identification of cryptic species which are difficult to identify on the basis of morphological features. Further studies of complete mitogenome can be helpful for accurate identification of termites at species level.

Objective: Red palm weevil, Rhynchophorus ferrugineus is a crucial pest of date palm, in the Kingdom of Saudi Arabia including several other palm producing countries of the World. The vitellogenin gene play very important role for oocytes development in all oviparous animals. Recently, we have silenced the vitellogenin gene by injecting the RfVg-based dsRNA and proved that RNAi technology can be used to manage red palm weevil. The main challenge in RNAi-based plant protection methods is selecting a suitable tactic for successfully delivering the dsRNA. Methods: In the present study, 9-10th instar red palm weevil larvae were provided with Vg-based dsRNA in diet and as drops to determine its effects on red palm weevil reproductive traits, such as pre-oviposition period, fecundity, oviposition period, post oviposition period, eggs size, and female and male life span. Results: Results demonstrated that the RfVg gene function was successfully suppressed using Vg-based RNAi. When applied via drops, resulting in a significant decline in red palm weevil eggs hatchability and Vg expression measured by quantitative real time Polymerase chain reaction. However, when applied via diet, Vg-based dsRNA did not show any significant effect on fecundity, oviposition period, post oviposition period, eggs size, and female and male life span. Conclusions: Based on present overall results and our previous findings, along with the documented information, we can conclude that Vg-based RNAi has a high potential for use as a target specific and eco-friendly technique for the sustainable control of this crucial pest.

The goal of the current study was to determine the effects of the allethrin, as a pyrethroid-based insecticide, on kidney function in rat offspring. Sixty-day-old Wistar albino female rats were randomly allocated to three groups: control group and two allethrin-treated groups that were intragastrically administered with 34.2 or 68.5 mg/kg b.w. of allethrin starting from the day 6 of pregnancy until delivery. The results revealed that the high dose of allethrin (68.5 mg/kg) reduced the number of glomeruli. Results showed that the glomeruli diameter in animals treated with 34.2 mg/kg of allethrin significantly decreased when compared to the controls (p

Background: : The rhythm-monitoring strategy after catheter ablation (CA) for atrial fibrillation (AF) impacts the detection of atrial arrhythmia recurrence and is not well characterized. We performed a systematic review and meta-regression analysis to determine whether the duration and mode of rhythm monitoring after CA affects detection of atrial arrhythmia recurrence. Methods: Databases were systematically searched for randomized controlled trials of adult patients undergoing first CA for AF from 2007 to 2021. Duration and strategy of rhythm monitoring were extracted. Meta-regression was used to identify any association between duration of monitoring and detection of atrial arrhythmia recurrence. The primary measure of outcome was single-procedure recurrence of atrial arrhythmia. Results: The search strategy yielded 57 trial arms from 56 randomized controlled trials comprising 5322 patients: 36 arms of patients with paroxysmal AF (PAF), and 21 arms of patients with persistent AF (PeAF) or both PAF/PeAF. Intermittent monitoring was associated with detection of significantly less atrial arrhythmia recurrence than continuous monitoring in PAF arms (31.2% vs 46.9%, P = 0.001), but not in PeAF/PAF-PeAF combined arms (43.3% vs 63.6%, P = 0.12). No significant relationship was seen between the duration of intermittent rhythm monitoring and atrial arrhythmia recurrence detection in either the PAF (P = 0.93) or PeAF/PAF-PeAF combined arms (P = 0.20). Conclusions: Continuous rhythm monitoring detected higher atrial arrhythmia recurrence rates, compared to intermittent rhythm monitoring, in patients with PAF. The duration of intermittent monitoring did not show a statistically significant relationship to the yield of arrhythmia detection, in near identical cohorts of trial subjects undergoing similar interventions, with clinical and research implications. Résumé: Contexte: La stratégie qui consiste à surveiller le rythme cardiaque après une ablation par cathéter dans le traitement de la fibrillation auriculaire (FA) a un effet sur la détection de récidive de l’arythmie auriculaire, mais elle n’est pas bien définie. Nous avons mené une revue systématique et une méta-régression pour déterminer si le mode employé pour surveiller le rythme après une ablation par cathéter et la durée de cette surveillance ont un effet sur la détection de récidive de l’arythmie auriculaire. Méthodologie: Des bases de données ont été systématiquement épluchées à la recherche d’essais contrôlés randomisés menés auprès d’adultes subissant leur première ablation par cathéter pour une FA entre 2007 et 2021. La durée et la stratégie utilisées dans la surveillance du rythme ont été recensées. La méta-régression a été utilisée pour déceler tout lien entre la durée de la surveillance et la détection d’une récidive de l’arythmie auriculaire. Le paramètre d’évaluation principal était la récidive de l’arythmie auriculaire avec une seule intervention. Résultats: La stratégie de recherche a fait ressortir 57 groupes de 56 essais contrôlés randomisés comprenant 5 322 patients : 36 groupes de patients présentant une FA paroxystique et 21 groupes de patients présentant une FA persistante ou ces deux types de FA (paroxystique et persistante). La surveillance intermittente a été associée à une moins grande détection de cas d’arythmie auriculaire récidivante, comparativement à la surveillance constante (31,2 % vs 46,9 %, p = 0,001), ce qui n’a pas été le cas dans les groupes où les types de FA (persistante ou paroxystique et persistante) étaient combinés (43,3 % vs 63,6 %, p = 0,12). Aucun lien notable n’a été observé entre la durée de la surveillance intermittente du rythme et la détection de l’arythmie auriculaire récidivante dans le groupe FA paroxystique (p = 0,93) ou dans le groupe des types de FA combinés (p = 0,20). Conclusions: Le taux de détection de l’arythmie auriculaire récidivante était plus élevé avec la surveillance constante qu’avec la surveillance intermittente chez les patients atteints de FA paroxystique. La durée de la surveillance intermittente n’a pas eu de lien statistiquement significatif avec le rendement de détection de l’arythmie, dans des cohortes presque identiques de participants aux essais subissant des interventions similaires, comportant des implications cliniques ou expérimentales.

Medication-related osteonecrosis of the jaw (MRONJ) is a major problem that can occur in people taking certain medications such bisphosphonates and denosumab. It can be used to treat osteoporosis or cancer. Bisphosphonate exposure, dental diseases and procedures, age, sex, anatomical factors, medical issues, and hereditary factors are all variables that enhance the risk of MRONJ. Even though MRONJ and antiresorptive medications have a close association, the pathophysiology of MRONJ is unknown. Careful dental preparation and oral hygiene instructions significantly minimize the risk of osteonecrosis of the jaw (ONJ). It is ideal to start antiresorptive treatment after the completion of required dental treatment; it is not contraindicated and carries low risk in patients who are on oral antiresorptive medications for less than three years. Drug holidays are one proposed solution to address MRONJ. However, there is still inadequate evidence to support their effectiveness. The objectives of this literature review are to recognize the main diagnostic principles and risk factors and to review the pathophysiology, protective procedures and treatment modalities related to MRONJ.The following topics are covered in the review: epidemiology, diagnostic criteria, risk factors, pathogenesis and mechanism, MRONJ staging and symptoms, clinical and radiographic findings, treatment strategies, prevention and drug holiday.

Background: Streptococcus anginosus is an emergence opportunistic pathogen that colonize the human upper respiratory tract (URT), S. anginosus alongside with S. intermedius and S. constellatus, members of S. anginosus group, are implicated in several human infections. However, our understanding this bacterium to the genotype level with determining the genes associated with pathogenicity and antimicrobial resistance (AMR) is scarce. S. anginosus 47S1 strain was isolated from sore throat infection, the whole genome was characterized and the virulence & AMR genes contributing in pathogenicity were investigated. Methodology: The whole genome of 47S1 was sequenced by Illumina sequencing technology. Strain 47S1 genome was de novo assembled with different strategies and annotated via PGAP, PROKKA and RAST pipelines. Identifying the CRISPR-Cass system and prophages sequences was performed using CRISPRloci and PhiSpy tools respectively. Prediction the virulence genes were performed with the VFDB database. AMR genes were detected in silico using NCBI AMRFinderPlus pipeline and CARD database and compared with in vitro AST findings. Results: β-hemolytic strain 47S1 was identified with conventional microbiology techniques and confirmed by the sequences of 16S rRNA gene. Genome of 47S1 comprised of 1981512 bp. Type I-C CRISPR-Cas system and 4 prophages were detected among the genome of 47S1. Several virulence genes were predicted, most of these genes are found in other pathogenic streptococci, mainly lmb, pavA, htrA/degP, eno, sagA, psaA and cpsI which play a significant role in colonizing, invading host tissues and evade form immune system. In silico AMR findings showed that 47S1 gnome harbors (tetA, tetB & tet32), (aac(6′)-I, aadK & aph(3′)-IVa), fusC, and PmrA genes that mediated-resistance to tetracyclines, aminoglycosides, fusidic acid, and fluoroquinolone respectively which corresponds with in vitro AST obtained results. In conclusion, WGS is a key approach to predict the virulence and AMR genes, results obtained in this study may contribute for a better understanding of the opportunistic S. anginosus pathogenicity.

Background: The COVID-19 pandemic has strained ICUs worldwide. To learn from our experience, we described the critical care response to the outbreak. Methods: This is a case study of the response of the Intensive Care Department (75-bed capacity) at a tertiary-care hospital to COVID-19 pandemic, which resulted in a high number of critically ill patients. Results: Between March 1 and July 31, 2020, 822 patients were admitted to the adult non-cardiac ICUs with suspected (72%)/confirmed (38%) COVID-19. At the peak of the surge, 125 critically ill patients with COVID-19 were managed on single day. To accommodate these numbers, the bed capacity of 4 ICUs was increased internally from 58 to 71 beds (+40%) by cohorting 2 patients/room in selected rooms; forty additional ICUs beds were created in 2 general wards; one cardiac ICU was converted to managed non-COVID-19 general ICU patients and one ward was used as a stepdown for COVID-19 patients. To manage respiratory failure, 53 new ICU ventilators, 90 helmets for non-invasive ventilation and 47 high-flow nasal cannula machines were added to the existing capacity. Dedicated medical teams cared for the COVID-19 patients to prevent cross-contamination. The nurse-to-patient and RT-to-patient ratio remained mostly 1:1 and 1:6, respectively. One-hundred-ten ward nurses were up-skilled to care for COVID-19 and other ICU patients using tiered staffing model. Daily executive rounds were conducted to identify patients for transfer and at least 10 beds were made available for new COVID-19 admissions/day. The consumption of PPE increased multiple fold compared with the period preceding the pandemic. Regular family visits were not allowed and families were updated daily by videoconferencing and phone calls. Conclusions: Our ICU response to the COVID-19 pandemic required almost doubling ICU bed capacity and changing multiple aspects of ICU workflow to be able to care for high numbers of affected patients.

Despite previous studies showing that Helicobacter pylori influences iron consumption, it is unknown what causes iron deficiency anemia in response to H. pylori infection. The goal of the study was to find out whether having an infection with H. pylori was linked to a drop-in serum iron level. Detection of H. pylori infection presented by serological test to detect titers of IgG and IgA in blood serum. The determination of iron serum level was performed by using biochemistry spectrophotometry test. Additionally, a full blood count was done to assess the haemoglobin concentration and establish whether the patient was anemic. Data analysis included descriptive statistics, Chi-square, and Mann–Whitney U test. Approximately 35% of the H. pylori group reported a low serum iron level against a 5% only in the control group. Also, the total bilirubin levels were 2.6-fold more among H. pylori positive cases than controls. H. pylori can cause a decrease in serum iron levels in infected individuals and eventually lead to iron deficiency anemia. Moreover, high total bilirubin levels are recorded among H. pylori-infected patients.

Objective: Date palm is a very important fruit crop growing in the world's warm climate. Several pests attack date fruit in the field and in storage. The almond moth, Cadra cautella, is a primary key pest which damages date fruits. Present research shows ultraviolet irradiation effect on mortality and reproduction of C. cautella female larval and female pupal stages in the laboratory. Methods: Female larva aged 18 days and female pupae aged 1–2 days, were directly exposed to ultra violet (UV) type B in a chamber for 0, 2, 4, 6, and 12 h. Mortality of treated larvae and pupae was calculated and compared with the 0 h treatment (control). To quantify vitellogenin gene expression through real time polymerase chain reaction (RT-qPCR), larvae and pupae samples were collected from each treatment after each exposure interval and preserved at −80 °C. Results: Cadra cautella larvae and pupae, were vulnerable to the UV and the mortality was observed for all exposure intervals showing the highest mortality rate of 90 % larval mortality at 12 exposure interval. Whereas, in case of pupal mortality, 72.26 % mortality was observed after 12 h of exposure intervals. The UV-treated female pupae that survived the pupal developmental stage and emerged as adult moths were not healthy and were mostly deformed, preventing them from emerging from the puparium. Furthermore, when treated female moths emerged, they were unable to copulate with normal male moths, resulting in fewer unfertile eggs. In addition, the lethal effects of UV on vitellogenin gene expression in treated larvae and pupae were confirmed using real-time PCR, the results confirmed that UV had a harmful effect on vitellogenin gene expression. Conclusions: The current study results are highly encouraging and may be useful in suppressing C. cautella populations in storages and managing this renowned pest of stored date fruits and other agricultural commodities on an industrial/commercial scale.

Objectives: The red palm weevil (RPW), Rhynchophorus ferrugineus (Coleoptera: Dryophthoridae) is the most destructive insect pest of several palm species, worldwide. The maintaining of RPW laboratory colonies for experimentation has been very challenging. We synthesized a standardized semi-artificial diet which is easy to prepare and economical for the rearing of RPW. Methods: The effects of semi-artificial diet on biological traits related to RPW development were studied at the Economic Entomology Research Unit (EERU), Department of Plant Protection, College of Food and Agriculture Sciences, King Saud University, Riyadh, Saudi Arabia. The diet was synthesized by combining shredded date palm petiole tissues, corn flour, wheat flour, ascorbic acid, sodium benzoic, sorbic acid, agar, and distilled water. Three replicates, each containing fifty newly hatched larvae, were reared on the semi-artificial diet. The developmental time of RPWs fed on the newly synthesized diet was compared to the growth rate of conspecifics fed on date palm and previously published artificial diets. Results: Fully-grown larval weight ranged from 4 to 6 g (5 ± 0.19 g), and larval duration ranged from 46 to 57 days (53 ± 0.3 days). Average adult emergence was 58–98 % (78 ± 0.6), with an average weight of 0.90 g for males and 0.97 g for females. Complete life span was between 48 and 98 days (77 ± 0.9 days). On present semi artificial diet, several larvae had 11 larval instars. The diet has a shelf life of at least seven days and can last up to two weeks if properly kept and saved. Conclusions: In conclusion, the present study proved that semi artificial diet is quite capable for the successful rearing of RPW. The growth and development of RPW larvae reared in this experiment were comparable to those fed on a natural diet.

The impact of γ-ray on the halide perovskite (CuPbI3) thin film has been investigated in this work. Nanocrystalline and homogeneous CuPbI3 material was effectively deposited on a glass substrate using spin coating method. The thin film, which has a thickness of approximately 227 nm, was exposed to γ-ray's source (Co60 with a dose rate of 7.328 kGy/h) in the range of 0–75 kGy. Then the structural, morphological, electrical and optical properties of CuPbI3 thin films were studied before and after being irradiated. X-ray diffraction (XRD) analysis confirmed the hexagonal phase structure, and the crystalline size decreased from 42 to 16 nm with increasing crystallinity up to 50 kGy. Field emission scanning electron microscopy (FESEM) revealed that the grain size (33-23 nm) and surface of thin films were significantly affected by γ-ray's doses variation. The optical transmission and reflectance of CuPbI3 thin films were studied by means of their response to incident γ-rays. The estimated band gap (Eg) slightly increased from 2.23 to 2.3 eV with increasing γ-rays dose from 0 to 50 kGy and then deceased afterward. Other optical parameters, such as Urbach energy, extinction coefficients, refractive index, optical density and dielectric constants, were determined before and after γ-ray's exposure. Photoluminescence (PL) spectra depict the transition peak at 620.35 nm and the structural defect peak at 606.3 nm. The intensity of the PL peaks could depend on the γ-rays dose with respect to the as-deposited thin films. Impedance spectroscopy of all samples revealed that the grain boundary resistance gradually reduced with increasing γ-ray's dose. This study concludes that the incident γ-rays play a main role in properties of the CuPbI3 thin film, which is favorable for sensing/detecting applications of γ-ray's.

Objectives: This study aimed to evaluate if the protective effect of Isoliquiritigenin (ISL) against doxorubicin-induced nephropathy in rats entails activation of Nrf2 signaling. Methods: Adult male Wistart rats were treated as control, ISL, DOX, DOX, and ISL + DOX + ISL + Nrf2 inhibitor (brusatol) (n = 8/group). Treatments with ISL (25 mg//kg, oral) were carried out 10 days before and 10 days after the single dose of DOX (15 mg/kg, i.p). Results: Treatment with ISL attenuated the glomerular and tubular damage and reduced interstitial fibrosis and collagen accumulation in the kidneys of DOX-intoxicated animals. It also increased urinary flow and volume, stimulated urinary creatinine excretion, and decreased albumin excretion. These effects were associated with high transcription of Bcl2, suppression of ROS, MDA, and inflammatory cytokines production (i.e., TNF-α, IL-6, and IL-1β), downregulation of apoptotic markers (Bax and caspase-3/9), TGF-β1, Collagen I/III. Besides, ISL stimulated renal expression, translation, and nuclear localization of Nrf2, as well as levels of GSH and SOD, independent of keap-1. All these effects afforded by ISL were reversed by suppressing Nrf2 with brusatol. Conclusion: Pre-treatment with ISL is an effective strategy to alleviate DOX-induced nephropathy in rats by stimulating the Nrf2/antioxidant axis, which encourages further pre-clinical studies.

Dual Annular Counter-Rotating Swirl (DACRS) premixed oxy-methane flames for nine different cases were studied numerically in a Dual-Stage Lean Premixed (DLPM) combustor for gas turbine combustion applications. The combustor consists of two streams, a primary central stream and a secondary annular one swirling in opposing directions. For all cases, the primary and secondary oxygen fraction (OF: O2%vol. in O2/CO2 oxidizer) was maintained at 30%, and the equivalence ratios (φ) of the primary and secondary streams were set to 0.9 and 0.55, respectively. Three different velocities were investigated for the primary central stream, and for each primary stream velocity, three different secondary velocities were considered to explore flow/flame interactions. The results show that: for all primary flow velocities, decreasing the secondary flow velocity led to the flame becoming thin and slightly elongated. The zone of peak local temperatures was concentrated in the flame core downstream of the center-body near the primary flow inlet as the secondary flow velocity was reduced. The magnitude of axial velocity has an effect on the flow distribution up to the first one-third section of the combustor. The mixture velocity varies inversely with Da number towards the combustor's exit. The thermal effect of secondary stream velocity starts around 40% away from the burner surface. Species distributions show that complete combustion is achieved and excess oxygen leaves the combustor with products due to the lean mixture of the secondary flow stream. The peak of product formation rate (PFR) is affected by flow streams velocities. Stable flames with reduced emissions were obtained over wide range of inlet velocities indicating the effectiveness of DLPM combustion approach for wider operability of gas turbine combustors.

We report the design of flexible, inexpensive, enduring, and efficient composite scintillation based on polystyrene (PS)/blue-emitting conjugated oligomer (CO)/ZnO nanoparticles. The oligomer utilized was 1,4-bis(9-ethyl-3-carbazo-vinylene)-9,9-dihexyl-fluorene (ADS086BE or BECV-DHF). Polystyrene was used as a matrix, and ZnO NPs were used as γ-ray stoppers. The formation of blends was analyzed using X-ray diffraction (XRD) and EDS. Field emission scanning electron microscopy (FE-SEM) images showed micron-sized bun (nearly square)-shaped domains, noodle-like structures, and submicron-sized domains with square-shaped nanosized domains for PS, PS/BECV-DHF, and PS/BECV-DHF/ZnO scintillator samples. The optical properties show that PS/BECV-DHF and PS/BECV-DHF/ZnO had absorption peaks at 350 and 375 nm and fluorescence peaks at 455 nm and 475 nm, respectively. The fabricated scintillators were coupled to the R6094 Hamamatsu Photomultiplier and gamma data acquisition system based on a multichannel analyzer (MCA). Gamma spectra were measured via three gamma-ray sources, Am-241, Cs-137 and Co-60. The results show better scintillation counting in the fabricated PS/BECV-DHF/ZnO than PS/BECV-DHF and the PS sample reference samples.

The structural, morphological, optical and electrical properties of CeO2 thin films deposited on glass substrate using spin coating technique are studied with and without gamma irradiation. The prepared samples were gamma irradiated with 60Co at room temperature with dose range from 0 to 100 kGy. The pristine and gamma exposed samples were analyzed by X-ray diffraction (XRD), field emission scanning electron microscope (FESEM), energy dispersive X-rays (EDX), UV–Vis Spectroscopy, photoluminescence (PL) and Hall measurements. XRD results confirmed the face-centered cubic phase of CeO2 for all samples and showing the decreased in the crystallinity with gamma irradiation dose values. The FESEM images shows that after gamma exposure, the CeO2 thin films surface became compressed, smooth and uniform. UV–Vis Spectroscopy determined that the shifting of energy band gap values accredited by creating or eradication of induced defects inside the energy band gap. PL peaks appeared in pristine and irradiated thin films can be allocated to the oxygen related defects. The mobility, electrical resistivity and carrier concentration were estimated for all sample by Hall measurements. It was found that the electrical properties, such as an increase in the number of carrier concentration and the decrease in the resistivity, of the CeO2 thin films were improved with gamma rays irradiation. The study successfully demonstrates that CeO2 thin films is a potential candidate to detect gamma radiation for dosemetric application.

In the last two decades, the family of metal halide perovskites has received more attention in radiation detection applications. In this work, the radiation detection and dosimetric applicability of the CsPbBr3 thin film will be investigated. The impact of gamma irradiation on the structural, morphological, optical, and electrical properties of the CsPbBr3 thin film has been studied. The CsPbBr3 thin film was synthesized using a thermal evaporation deposition technique. The deposited thin films were exposed to different gamma-ray doses (0, 25, 50, 75, and 100 kGy) using a 60Co gamma source with an activity of 7.328 kGy/h. X-ray diffraction analysis of the thin films confirmed the orthorhombic crystal structure and also showed an increase in the crystalline and crystallite sizes, whereas the dislocation density and microstrain decreased as the gamma dose increased. Field-emission scanning electron microscopy results revealed that the surface morphology changed considerably due to gamma exposure. The optical properties exhibited a decreasing energy band gap value (from 2.35 to 2.14 eV) as the radiation dosage increased, which may have been due to the increasing crystallite size and induced defects. The photoluminescence (PL) peaks shifted toward longer wavelengths and intensity, while the full width half maxima of PL peaks increased along with the gamma dose, which was attributed to spectral broadening and enhancement in the recombination rate of electron–hole pairs. Impedance spectroscopy of all the irradiated samples showed the single semicircle feature, which is similar to that observed in the case of unirradiated samples. The grain boundary resistance reduced gradually as the gamma dosage increased. The achieved outcomes proved that the structural defects induced by gamma exposure had a superficial influence on the structural, morphological, optical, PL, and impedance properties of CsPbBr3 thin films. The impact of gamma dose on the properties makes CsPbBr3 thin films significantly useful as sensing materials.

Ethylbenzene is a hydrocarbon that is extensively used in both industry and in the home and has been reported as toxic to various tissues. Nevertheless, its effect on ovarian function remains unclear. For this purpose, we assessed ovarian tissue morphology, evaluated protein and gene expression related to folliculogenesis and steroidogenesis, and investigated the involvement of both apoptosis and autophagy processes in this effect. Female Wistar albinos rats were treated with 2000, 4000 and 8000 ppm doses of ethylbenzene by inhalation for 30 min daily for one month. Ovaries were then removed and proceeded for histopathological and molecular analyses. We found that ethylbenzene affected folliculogenesis by decreasing the number of growing follicles and increasing the number of abnormal follicles, leading to faster female reproductive aging. Interestingly, it disrupted female reproductive hormone balance, including progesterone, estradiol, testosterone and IGF-1 plasma levels. The latter protein, along with GDF-9, significantly decreased in all ethylbenzene-treated groups, leading to the disruption of follicular cell proliferation and development. TUNEL assay study showed that ethylbenzene exposure significantly increased the number of apoptotic cells. The mRNA levels of genes involved in granulosa cell proliferation and differentiation, such as INSL3, CCND2 and ACTB, were significantly decreased. In addition, LC3 protein expression increased, and its encoding gene was upregulated, suggesting that ethylbenzene treatment induced autophagy. In summary, ethylbenzene exposure caused structural and functional disorders of the ovary by disrupting the normal growth of follicles, altering reproductive hormone balance, inhibiting the expression of key reproductive proteins and triggering autophagy as well as apoptosis.

This study characterized the impact of post-weaning high-fat diet (HFD) and/or permethrin (PER) treatment on heart dysfunction and fibrosis, as well as atherogenic risk, in rats by investigating interactions between HFD and PER. Our results revealed that HFD and/or PER induced remarkable cardiotoxicity by promoting cardiac injury, biomarker leakage into the plasma and altering heart rate and electrocardiogram pattern, as well as plasma ion levels. HFD and/or PER increased plasma total cholesterol, triacylglycerols, and low-density lipoprotein (LDL) cholesterol levels but significantly reduced high-density lipoprotein (HDL) cholesterol. Cardiac content of peroxidation malonaldehyde, protein carbonyls, and reactive oxygen species were remarkably elevated, while glutathione levels and superoxide dismutase, catalase and glutathione peroxidase activities were inhibited in animals receiving a HFD and/or PER. Furthermore, cardiac DNA fragmentation and upregulation of Bax and caspase-3 gene expression supported the ability of HFD and/or PER to induce apoptosis and inflammation in rat hearts. High cardiac TGF-β1 expression explained the profibrotic effects of PER either with the standard diet or HFD. Masson’s Trichrome staining clearly demonstrated that HFD and PER could cause cardiac fibrosis. Additionally, increased oxidized LDL and the presence of several lipid droplets in arterial tissues highlighted the atherogenic effects of HFD and/or PER in rats. Such PER-induced cardiac and vascular dysfunctions were aggravated by and associated with a HFD, implying that obese individuals may be more vulnerable to PER exposure. Collectively, post-weaning exposure to HFD and/or PER may promote heart failure and fibrosis, demonstrating the pleiotropic effects of exposure to environmental factors early in life.

Objectives: Salvia officinalis (sage) is widely sold in Saudi Arabia to make a popular herbal tea that women with reproductive disorders can drink daily. Despite the wide use of sage in traditional medicine, to our knowledge, little attention has been given to its effect on female reproduction. Our purpose was to understand the effects of sage extract on ovarian function to potentially shed light on its use in treating female infertility. Methods: Forty female Wistar virgin female rats were randomly assigned to four groups, with 10 animals in each group. The control group received distilled water, and the three treatment groups received different concentrations of sage extract: 3.5, 15 or 60 mg/kg during 14 days. Ovarian tissues were cut into 5-μm sections and stained with hematoxylin and eosin. Plasma levels of reproductive steroids were measured using ELISA, and gene expression was examined via RT-PCR. Results: Our results showed that low doses of sage (3.5 mg/kg and 15 mg/kg) have no effects on serum concentration levels of steroid hormone, the number of growing follicles, and on the transcripts of the steroidogenesis and folliculogenesis genes. In contrast, a high dose of the extract (60 mg/kg) significantly increased estradiol concentration levels. As a result, the number of growing follicles increased, while the number of abnormal follicles significantly decreased. Interestingly, sage extract also affected mRNA levels of genes involved in folliculogenesis and steroidogenesis processes. Two autophagy related genes, LC3 and ATG12, were not affected, but all of the investigated genes, INSL3, CYP17a, LHR, CCND2, IGF1, ESR1, ESR2, ACTB, GDF, and ATG5, significantly increased with the highest dose of sage. Conclusion: As a remedy, sage extract is best used at a high dose when treating female infertility disorders, as sage extract may promote ovarian function by stimulating folliculogenesis and steroidogenesis.

Objectives: The objective of this study is to estimate the annual average effective dose for dental workers in Saudi Arabia from the period of 2015 to 2019. Also, to compare the average annual effective doses received with the International Commission of Radiological Protection limits. Methods: A cross-sectional study was conducted on radiation doses for 2,128 dental workers. Their radiation doses were monitored by using Thermoluminescent dosimeters. Results: The annual average effective dose was in the ranges of 0.44–1.04 mSv. A two-tailed independent samples t-test (α = 0.05) was used to compare the means of the effective doses for dentists and dental nurses. There was not enough evidence to conclude that dentists’ scores (M = 0.79, SD = 0.49) were any different from dental nurses’ scores (M = 0.77, SD = 0.46), t (2126) = 0.58, p = 0.55. Conclusions: The annual average effective dose, averaged over the five years, was found to be 0.72 mSv. All of the workers received occupational doses below the annual effective dose limit. These results of annual mean effective doses are a good indicator of dental radiation safety practices in Saudi Arabia.

Objectives: To measure and establish a baseline for the annual mean occupational radiological dose for diagnostic radiology workers in Saudi Arabia. Methods: A retrospective analysis was performed on the effective radiation doses using Thermoluminescent dosimeters for diagnostic radiology workers in Saudi Arabia from 2015 to 2019. They were employed in 412 Saudi Ministry of Health hospitals and medical centers. The diagnostic radiology workers in this study are radiological technologists, radiologists, and medical assistants. Results: The study population contained 45,152 diagnostic radiology workers (58% male and 42% female). The annual mean effective doses were found to be 0.88 ± 0.002 mSv. Also, 95% of the workers received a radiation exposure dose below 1.60 mSv. The majority of the workers’ effective doses (55%) were frequently laid out between 0.50 and 1.00 mSv. An increase in the collective and mean effective doses have been observed during the study period, with a statistically significant time trend in the mean dose. Conclusions: During the study period, there was no incidence of an occupational dose exceeding the annual regulatory limits of 20 mSv or the investigation level I. This indicates good implementation of the radiation protection protocols in compliance with ICRP recommendations. However, enhancements in radiation protection practices should be applied for further dose reduction by supplying hospitals and medical centers with the necessary protective equipment.

Background: The Ministry of Health introduced a new telephone health service number (937) in 2012, to provide emergency and normal healthcare consultations through a charge-free number at any time from all over the country. Objectives: This study aims to measure the level of awareness and utilization of 937-telephone health service in Saudi Arabia, and to examine the association of demographic characteristics and the level of awareness, and utilization. Methods: this is a quantitative cross-sectional study design, applied using an online questionnaire distributed to the Saudi Arabia's general public. A validated questionnaire was adapted from the literature to collect the required data, the questionnaire was modified and validated to match the study context. Results: A total of 1303 questionnaires were completed. The majority of respondents were females (79.4%) and from the eastern region (67.8%). Only 258 respondents reported that they are using this telephone service, while 601 respondents reported that they were aware of the service. Age, living province, nationality, level of education and respondents having children were significantly associated with awareness and utilization. Conclusion: After 7 years of launching the service, the level of awareness and utilization is still low. So, raising the awareness of 937- telephone health service and its benefits through proper advertisements would positively improve healthcare delivery in Saudi Arabia.

Summary: Post-natal skeletal stem cells expressing PRX1 (pnPRX1+) have been identified in the calvaria and in the axial skeleton. Here we characterize the location and functional capacity of the calvarial pnPRX1+ cells. We found that pnPRX1+ reside exclusively in the calvarial suture niche and decrease in number with age. They are distinct from preosteoblasts and osteoblasts of the sutures, respond to WNT signaling in vitro and in vivo by differentiating into osteoblasts, and, upon heterotopic transplantation, are able to regenerate bone. Diphtheria toxin A (DTA)-mediated lineage ablation of pnPRX1+ cells and suturectomy perturb regeneration of calvarial bone defects and confirm that pnPRX1+ cells of the sutures are required for bone regeneration. Orthotopic transplantation of sutures with traceable pnPRX1+ cells into wild-type animals shows that pnPRX1+ cells of the suture contribute to calvarial bone defect regeneration. DTA-mediated lineage ablation of pnPRX1+ does not, however, interfere with calvarial development. : Lin, Intini, and colleagues identify the calvarial suture as the stem cell niche for PRX1-expressing postnatal skeletal stem cells by means of intravital microscopy, lineage-tracing, and lineage-ablation experiments. They show that PRX1-expressing cells of the calvaria are required for bone regeneration but are dispensable for calvarial development. Keywords: calvarial skeletal stem cells, stem cell niche, PRX1, PRRX1, calvarial bone regeneration, calvarial development

Summary Post-natal skeletal stem cells expressing PRX1 (pnPRX1+) have been identified in the calvaria and in the axial skeleton. Here we characterize the location and functional capacity of the calvarial pnPRX1+ cells. We found that pnPRX1+ reside exclusively in the calvarial suture niche and decrease in number with age. They are distinct from preosteoblasts and osteoblasts of the sutures, respond to WNT signaling in vitro and in vivo by differentiating into osteoblasts, and, upon heterotopic transplantation, are able to regenerate bone. Diphtheria toxin A (DTA)-mediated lineage ablation of pnPRX1+ cells and suturectomy perturb regeneration of calvarial bone defects and confirm that pnPRX1+ cells of the sutures are required for bone regeneration. Orthotopic transplantation of sutures with traceable pnPRX1+ cells into wild-type animals shows that pnPRX1+ cells of the suture contribute to calvarial bone defect regeneration. DTA-mediated lineage ablation of pnPRX1+ does not, however, interfere with calvarial development.

Purpose: RAS genes (HRAS, KRAS, and NRAS) are commonly found to be mutated in cancers, and activating RAS variants are also found in disorders of somatic mosaicism (DoSM). A survey of the mutational spectrum of RAS variants in DoSM has not been performed., Methods: A total of 938 individuals with suspected DoSM underwent high-sensitivity clinical next-generation sequencing-based testing. We investigated the mutational spectrum and genotype-phenotype associations of mosaic RAS variants., Results: In this article, we present a series of individuals with DoSM with RAS variants. Classic hotspots, including Gly12, Gly13, and Gln61 constituted the majority of RAS variants observed in DoSM. Furthermore, we present 12 individuals with HRAS and KRAS in-frame duplication/insertion (dup/ins) variants in the switch II domain. Among the 18.3% individuals with RAS in-frame dup/ins variants, clinical findings were mainly associated with vascular malformations. Hotspots were associated with a broad phenotypic spectrum, including vascular tumors, vascular malformations, nevoid proliferations, segmental overgrowth, digital anomalies, and combinations of these. The median age at testing was higher and the variant allelic fraction was lower in individuals with in-frame dup/ins variants than those in individuals with mosaic RAS hotspots., Conclusion: Our work provides insight into the allelic and clinical heterogeneity of mosaic RAS variants in nonmalignant conditions., Competing Interests: Conflict of Interest The authors declare no conflicts of interest., (Copyright © 2022 American College of Medical Genetics and Genomics. Published by Elsevier Inc. All rights reserved.)

We found eight randomized controlled trials (RCTs) of miscellaneous interventions that were designed to facilitate the process of weaning from mechanical ventilation. The two RCTs of high-fat/low-carbohydrate enteral nutrition found favorable physiologic effects on CO2 production and respiratory quotient, rendering this type of nutrition potentially useful in patients with impaired ventilatory reserve; however, no conclusions can be made about the outcomes of the duration of ventilation and weaning success. The two RCTs of postextubation use of noninvasive ventilation are conflicting, showing potential short-term physiologic benefit in one study, but no benefit in terms of reintubation rates or other morbidity. These RCTs are less promising than other applications of noninvasive ventilation such as those in patients with COPD exacerbations. One RCT showed no improvement in success of weaning with exogenous growth hormone administration. In the setting of very frequent baseline blood gas analyses, one RCT of oximetry and capnography was associated with significantly fewer blood gas analyses. Biofeedback to enhance safe and rapid weaning showed a dramatically lower duration of ventilation in one RCT that did not report the weaning methods used. One RCT of preextubation acupuncture showed lower rates of laryngospasm in the acupuncture group. Overall, these studies were underpowered for clinically important outcomes. Multidisciplinary, patient-centered, holistic, and non-pulmonary approaches to weaning may provide additional safe, effective adjunctive methods of hastening liberation from mechanical ventilation.