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Ishak Ahmed Abdi,1 Mesut Karataş,1 Lütfi Öcal,1 Ahmed Elmi Abdi,1 Mohamed Farah Yusuf Mohamud2 1Department of Cardiology, Mogadishu Somali Turkish Training and Research Hospital, Mogadishu, Somalia; 2Mogadishu Somali Turkish Training and Research Hospital, Mogadishu, SomaliaCorrespondence: Mohamed Farah Yusuf Mohamud, Mogadishu Somali-Turkish Training and Research Hospital, 30 Street, Alikamin, Wartanabada District, Mogadishu, Somalia, Tel +252615591689, Email m.qadar59@gmail.comIntroduction: Left ventricular thrombus (LVT) is a common complication in patients with systolic heart failure and can cause thromboembolic consequences including stroke. In order to determine the characteristics of LV thrombus among heart failure patients with reduced ejection fraction (HFrEF), the present study was undertaken.Methods and Materials: This was retrospective cross-sectional study conducted from referral tertiary hospital in a year period. A total of 810 transthoracic echocardiograms were carried out in our center from January 2021 to December 2021. Forty participants had met the inclusion criteria of the study.Results: About 75% of the population was male and the mean age at diagnosis was 51 years (SD: 15). Ischemic cardiomyopathy and dilated cardiomyopathy (DCMP) found to be the most underlying cause of LVT represented (57.5% and 42.5% respectively). Hypertension, hypothyroidism, and atrial fibrillation were found to be the commonest associated risk factors of LVT, 45%, 12.5%, and 30% respectively. Simpson’s Biplane’s approach yielded a mean LVEF of 25.25 ± 6.97. 60% of the patients had a LVEF of ≤ 25%. The mean LV end-diastolic and end-systolic diameters were 59.2 ± 9.4 mm and 51 ± 8.3mm respectively. Warfarin was administered to 19 (47.5), Rivaroxaban to 8 (20), and Dabigatran to 10 (25). The most prevalent anticoagulant among the individuals in our study was warfarin. A stroke complication was found in 8 patients (20%), two of them were hemorrhagic stroke and they were on dabigatran. A Peripheral Arterial Disease (PAD) affected 6 of the patients (15%). One of those with PAD had also ischemic stroke.Conclusion: This study determines that Ischemic and Dilated cardiomyopathy were the most common cause of left ventricular thrombosis among HFrEF patients in Somalia.Keywords: left ventricular thrombus, transthoracic echocardiography, cardiomyopathy, heart failure

Chickens are a key food source for humans yet their microbiome contains bacteria that can be pathogenic to humans, and indeed potentially to chickens themselves. Campylobacter is present within the chicken gut and is the leading cause of bacterial foodborne gastroenteritis within humans worldwide. Infection can lead to secondary sequelae such as Guillain-Barré syndrome and stunted growth in children from low-resource areas. Despite the global health impact and economic burden of Campylobacter, how and when Campylobacter appears within chickens remains unclear. As such, there has been a motivation to decrease the number of Campylobacter within chickens and thus reduce the risk of infection to humans. The lack of day-to-day microbiome data with replicates, relevant metadata, and a lack of natural infection studies have delayed our understanding of the chicken gut microbiome and Campylobacter. Here, we performed a comprehensive day-to-day microbiome analysis of the chicken cecum from day 3 to 35 (12 replicates each day; n=396) combining metadata such as chicken weight and feed conversion rates to investigate what the driving forces are for the microbial changes within the chicken gut over time, and how this relates to Campylobacter appearance within a natural habitat setting. We found a rapidly increasing microbial diversity up to day 12 with variation observed both in terms of genera and abundance, before a stabilisation of the microbial diversity after day 20. In particular, we identified a shift from competitive to environmental drivers of microbial community from days 12 to 20 creating a window of opportunity whereby Campylobacter appears. Campylobacter was identified at day 16 which was one day after the most substantial changes in metabolic profiles observed. In addition, microbial variation over time is most likely influenced by the diet of the chickens whereby significant shifts in OTU abundances and beta dispersion of samples often corresponded with changes in feed. This study is unique in comparison to the most recent studies as neither sampling was sporadic nor Campylobacter was artificially introduced, thus the experiments were performed in a natural setting. We believe that our findings can be useful for future intervention strategies and can help elucidate the mechanism through which Campylobacter within chickens can be reduced.

Campylobacter jejuni, the leading cause of bacterial acute gastroenteritis worldwide, secretes an arsenal of virulence-associated proteins within outer membrane vesicles (OMVs). C. jejuni OMVs contain three serine proteases (HtrA, Cj0511, and Cj1365c) that cleave the intestinal epithelial cell (IEC) tight and adherens junction proteins occludin and E-cadherin, promoting enhanced C. jejuni adhesion to and invasion of IECs. C. jejuni OMVs also induce IECs innate immune responses. The bile salt sodium taurocholate (ST) is sensed as a host signal to coordinate the activation of virulence-associated genes in the enteric pathogen Vibrio cholerae. In this study, the effect of ST on C. jejuni OMVs was investigated. Physiological concentrations of ST do not have an inhibitory effect on C. jejuni growth until the early stationary phase. Coculture of C. jejuni with 0.1% or 0.2% (w/v) ST stimulates OMV production, increasing both lipid and protein concentrations. C. jejuni ST-OMVs possess increased proteolytic activity and exhibit a different protein profile compared to OMVs isolated in the absence of ST. ST-OMVs exhibit enhanced cytotoxicity and immunogenicity to T84 IECs and enhanced killing of Galleria mellonella larvae. ST increases the level of mRNA transcripts of the OMVs-associated serine protease genes and the cdtABC operon that encodes the cytolethal distending toxin. Coculture with ST significantly enhances the OMVs-induced cleavage of E-cadherin and occludin. C. jejuni OMVs also cleave the major endoplasmic reticulum chaperone protein BiP/GRP78 and this activity is associated with the Cj1365c protease. These data suggest that C. jejuni responds to the presence of physiological concentrations of the bile salt ST that increases OMV production and the synthesis of virulence-associated factors that are secreted within the OMVs. We propose that these events contribute to pathogenesis.

Background: Medina Hospital, a Police Hospital in Mogadishu South, Somalia was closed after the civil war broke out in 1991. With the support of the International Committee of the Red Cross (ICRC), was reopened as community based hospital in 2000. The authors present their experience in the treatment of penetrating abdominal war wounds involving the colon in Medina Hospital.Methods: A retrospective descriptive study of civilian and military casualties with penetrating abdominal war injuries involving the colon, treated in Medina Hospital from June 2000 to June 2002 was undertaken.Results: A total of 3496 war wounded patients were treated in Medina Hospital during the period under review. Among them 950 presented with penetrating abdominal war wounds, with large bowel involvement in 430 of them. Initially, 237 (55%) cases of large bowel injury were treated with colostomy; 193 had primary colon closure without any significant increase in the complication rate.Conclusion: In war situations colostomy may be avoided by performing primary repair of the penetrating large bowel gunshot wounds.Key words: Abdominal, war, wounds and large bowel.

In the digital forensic, recovery of deleted and damaged video files play an important role in searching for the evidences. In this paper, MP4-Karver tool is proposed to recover and repair the corrupted videos. Moreover, MP4-Karver extracts frames from video for automatically screen-video to detect illegal cases instead of targeting or watching complete video. Therefore, many existing approaches such as Scalpel’s method, Garfienkel, Bi-Fragment Gap Carving, Smart Carving and Frame Based Recovery attempts to recover the videos in different ways, but most of the recovered videos are usually not complete playable. The proposed MP4-Karver focuses on recovery of video files and repair corrupted videos to complete and playable. Experimental results show that the proposed MP4-Karver effectively restores corrupted or damaged video for an improved percentage of the video restoration compared with existing tools.

Mobile forensics is an exciting new field of research. An increasing number of Open source and commercial digital forensics tools are focusing on less time during digital forensic examination. There is a major issue affecting some mobile forensic tools that allow the tools to spend much time during the forensic examination. It is caused by implementation of poor file searching algorithms by some forensic tool developers. This research is focusing on reducing the time taken to search for a file by proposing a novel, multi-pattern signature matching algorithm called M-Aho-Corasick which is adapted from the original Aho-Corasick algorithm. Experiments are conducted on five different datasets which one of the data sets is obtained from Digital Forensic Research Workshop (DFRWS 2010). Comparisons are made between M-Aho-Corasick using M_Triage with Dec0de, Lifter, XRY, and Xaver. The result shows that M-Aho-Corasick using M_Triage has reduced the searching time by 75% as compared to Dec0de, 36% as compared to Lifter, 28% as compared to XRY, and 71% as compared to Xaver. Thus, M-Aho-Corasick using M_Triage tool is more efficient than Dec0de, Lifter, XRY, and Xaver in avoiding the extraction of high number of false positive results.

Outer membrane vesicles (OMVs) play an important role in the pathogenicity of Gram-negative bacteria. Campylobacter jejuni produces OMVs that trigger IL-8, IL-6, hBD-3 and TNF-α responses from T84 intestinal epithelial cells and are cytotoxic to Caco-2 IECs and Galleria mellonella larvae. Proteomic analysis of 11168H OMVs identified the presence of three proteases, HtrA, Cj0511 and Cj1365c. In this study, 11168H OMVs were shown to possess proteolytic activity that was reduced by pretreatment with specific serine protease inhibitors. OMVs isolated from 11168H htrA, Cj0511 or Cj1365c mutants possess significantly reduced proteolytic activity. 11168H OMVs are able to cleave both E-cadherin and occludin, but this cleavage is reduced with OMVs pretreated with serine protease inhibitors and also with OMVs isolated from htrA or Cj1365c mutants. Co-incubation of T84 monolayers with 11168H OMVs results in a visible reduction in both E-cadherin and occludin. The addition of 11168H OMVs to the co-culture of live 11168H bacteria with T84 cells results in enhanced levels of bacterial adhesion and invasion in a time-dependent and dose-dependent manner. Further investigation of the cleavage of host cell structural proteins by C. jejuni OMVs should enhance our understanding of the interactions of this important pathogen with intestinal epithelial cells.

Campylobacter jejuni is the leading bacterial cause of human gastroenteritis worldwide. Despite stringent microaerobic growth requirements, C. jejuni is ubiquitous in the aerobic environment and so must possess regulatory systems to sense and adapt to external stimuli, such as oxidative and aerobic (O(2)) stress. Reannotation of the C. jejuni NCTC11168 genome sequence identified Cj1556 (originally annotated as a hypothetical protein) as a MarR family transcriptional regulator, and further analysis indicated a potential role in regulating the oxidative stress response. A C. jejuni 11168H Cj1556 mutant exhibited increased sensitivity to oxidative and aerobic stress, decreased ability for intracellular survival in Caco-2 human intestinal epithelial cells and J774A.1 mouse macrophages, and a reduction in virulence in the Galleria mellonella infection model. Microarray analysis of gene expression changes in the Cj1556 mutant indicated negative autoregulation of Cj1556 expression and downregulation of genes associated with oxidative and aerobic stress responses, such as katA, perR, and hspR. Electrophoretic mobility shift assays confirmed the binding of recombinant Cj1556 to the promoter region upstream of the Cj1556 gene. cprS, which encodes a sensor kinase involved in regulation of biofilm formation, was also upregulated in the Cj1556 mutant, and subsequent studies showed that the mutant had a reduced ability to form biofilms. This study identified a novel C. jejuni transcriptional regulator, Cj1556, that is involved in oxidative and aerobic stress responses and is important for the survival of C. jejuni in the natural environment and in vivo.

Problem Statement Campylobacter jejuni adheres, invades and resides within intestinal epithelial cells (IECs). However, the exact process at the cellular level leading to diarrhoeal disease is poorly understood. There have been studies that link intestinal inflammation and the unfolded protein response (UPR), which is a conserved pathway to restore homeostasis in the endoplasmic reticulum. Recent data has shown that C. jejuni activates UPR through IRE1α pathway. Here, we investigated the activation of the UPR through PERK, IRE1α, and ATF6 pathways by C. jejuni. Approach To investigate whether C. jejuni infection induces UPR in IECs, T84 cells were infected with C. jejuni 11168H, 81-176, and 488 wild-type strains with different exposure times. RNA and proteins were isolated from infected cells, and the induction of UPR by C. jejuni wild-type strains was observed using transcription and proteomic methods. Results The activation of all three UPR branches, PERK, IRE1α, and ATF6 was demonstrated by increased levels of transcription of chop, spliced xbp1, and atf6, respectively compared to uninfected control. The upregulation of these genes was confirmed by western blot, which showed increased amount of proteins for CHOP, phosphorylated eIF2α, and spliced XBP1 compared to the control. Conclusions The combined results demonstrate that C. jejuni induces the UPR through all three pathways. This study opens the way forward for improved understanding of the interaction between C. jejuni and IECs via UPR activation leading to intestinal inflammation. This understanding will further benefit the investigation of cellular pathways triggered by C. jejuni which can lead to diarrhoeal disease.