Abstract Introduction: An important indicator of a hospital's quality of care is the frequency of visits to the emergency department (ED). If a patient returns to the emergency room (ED) shortly after being evaluated or treated, it is generally assumed that their initial evaluation or treatment was inadequate. Objectives: The purpose of this study is to identify the main reasons for patient revisits to the emergency department in Hail. Studies suggest that researchers usually report the reasons for revisiting patients after 72 hours to patients themself. Therefore, alternative hypotheses will attribute the reasons to the system or physician's skill. To test these hypotheses, a methodology was developed. Method: The study analyzed patients discharged from King Khalid Hospital within 72 hours of discharge, involving all adults, regardless of health status or location Results: In February 2019, 17461 ED visits occurred, with 11% returning within 72 hours. In February 2022, 880 of 8749 visits resulted in a 10% return visit, with 30 randomly selected return visits.Conclusion: Increased community awareness post-COVID-19 may explain differences in ED revisit rates between 2022 and 2019, with system errors and patient information re-entry being associated

Proteins possess complex three-dimensional structures, and these structures are stable only within specific ranges of temperature which mostly correspond to the temperature ranges of the host organisms. However, few exceptional proteins, called heat-stable proteins, are stable at temperatures that are substantially higher than those tolerated by the host organisms themselves. Most of the heat-stable proteins possess heat stability to perform their functions at high temperatures, but some of them are intrinsically heat-stable due to their structure. Heat-stable proteins are usually divided into three or four groups depending upon the intricacies of their structures and thermal behaviors. Their peculiar property, i.e. heat-stability, makes them very valuable in applications such as polymerase chain reaction, industrial processes requiring high temperature, and protein engineering. Heat-stability also makes it feasible to purify such proteins, from the rest of the heat-labile proteins, using a simple heat-treatment method. Moreover, heat treatment can be used as a combined cell-lysis and protein purification step which, as compared to conventional methods, can result in a higher yield of heat-stable proteins. Furthermore, some special heat-stable proteins, i.e. intrinsically disordered proteins (which include the proteins involved in important neurodegenerative diseases), need heat-treatment step, in some cases, as the only way for their successful purification and study. Hence, this paper provides a first-ever comprehensive review of all major aspects of heat-stable proteins, i.e., their structure, evolution, classification, significance, and heat-treatment mediated purification.

Transitioning towards sustainable food systems and sustainable diets is critical in reducing environmental impact and achieving the Sustainable Development Goals established by the United Nations General Assembly. This transition requires collaborative efforts across multiple stakeholders, including the general public’s knowledge and attitudes. To assess the knowledge and attitudes towards food sustainability we carried out a cross-sectional study among Kuwait University students with a total of 278 participants aged ≥18 years (78% females and 22% males). A validated questionnaire was used for this study. Most respondents (>70%) recognized the concept of “local food” and “environmental impact.” The concept “green water-blue water” was least recognized among respondents (75%). Participants perceived that a sustainable diet was rich in vegetables, included plenty of fresh products and was affordable. Participants (>66%) perceived that a positive impact of meat and its derivatives towards sustainability, a misconception most common among males. Overall, participants with more knowledge about environmental concepts showed favorable attitudes towards a sustainable diet. Women showed more interest in changing their current dietary habits towards food sustainability. In conclusion, despite participants’ positive attitude towards food sustainability, lack of understanding persists, necessitating public health interventions aimed at educating consumers about sustainable diets and its impact on the environment.

Abstract. The paper presents primary material on determining the presence of micro- and macroplastics in Markakol Lake, one of the high-mountainous and unique water bodies of Kazakhstan, conditionally undisturbed, but vulnerable to anthropogenic pollution. In the course of work, micro- and macroplastics were detected in all selected samples in the water area of the lake and its main tributaries, the Urunkhaika, Topolevka, Tikhushka, Matabai, Elovka rivers. When determining micro- and macroplastics, we were guided by the method of analysis in aquatic environment, NOAA research program, developed by American scientists Masura J. et al, which is used in many countries. Concentrations and sizes of MP found in the water of the main tributaries of the rivers Urunhaika in concentrations up to 211.4 µg/m3, Tikhushka – 97.9 µg/m3, Zhirelka – 67.8 µg/m3, Topolevka – 157.2 µg/m3, Matabai – 78.3 µg/m3. Concentrations of MP in the surface water layer of the lake detected during 15 minute trawling at distances from 438 m to 841 m occur in sieve mesh sizes of 1.0 mm – 316.7 µg/m3 and 0.315 mm – 520.8 µg/m3. The total concentration of detected micro- and macroplastics coming with tributaries was – 150 µg/m3, in the lake water area – 837.4 µg/m3. The sizes of plastic debris found both in river waters and along the lake water area ranged from mesoplastic debris (fishing line net fragments, foam balls, plastic bags, plastic bottles, wrappers, food labels and packaging, etc.) to microplastic particles detected using a microscope with 40X magnification in size ranges of 25 mm, 1.0 mm and 0.315 mm. Sources of MP depend on local human activities (fishing, transportation, waste disposal etc.).

Placenta-derived stem cells (PDSCs) offer the advantages of possessing mesenchymal and embryonic traits, broad differentiation potential, large-scale availability, and no ethical constraints in their utilization in therapeutic applications. Elevated protein synthesis and consequently enhanced protein maintenance networks become necessary both due to the requirement to maintain stemness and respond to different stresses. This study aimed to identify the primary determinants of proteotoxic stress response in PDSCs. We generated heat-induced dose-responsive proteotoxic stress models of three stem cell types DBMSCs, DPMSCs, and pMSCs, and measured stress induction through biochemical and cell proliferation assays. RT-PCR array analysis of 84 genes involved in protein folding and protein quality control led to the identification of Hsp70 isoforms HSPA1A and HSPA1B as the prominent ones among 17 significantly expressed genes and with further analysis at the protein level through western blotting. A 24-hours’ time series analysis of stress-response allowed a detailed kinetic analysis of HSPA1A and HSPA1B gene and protein expression. More prominent differences between the two Hsp70 isoforms were detected at the translational level eluding to a potential higher requirement for HSPA1B during proteotoxic stress in PDSCs. To conclude, consideration should be given to the manipulation of definitely characterized chaperones at their expression or functional levels when utilizing PDSCs in therapeutic and regenerative applications.

Abstract Background: Hypochlorous acid (HA) is a potent disinfectant with broad-spectrum antimicrobial activity against bacteria, fungi, and viruses. Aim: This study aimed to investigate the factors that influence the stability of hypochlorous acid (HOCl) and their impact on its disinfectant properties Methods: This study explored the stability of hypochlorous acid, emphasizing factors that affect its disinfectant efficiency, such as pH level, temperature, and the presence of organic materials. Findings: Our investigation revealed that HOCl is the most stable and effective disinfectant under weakly acidic conditions, where the undissociated form of hypochlorous acid is predominant. Although it is stable under various conditions, its efficacy is compromised by the presence of heavy metals, organic matter, and UV radiation. Conclusions: This comprehensive analysis concludes that, while hypochlorous acid is a highly effective disinfectant, understanding and maintaining the optimal conditions for its stability is crucial for maximizing its disinfection potential. Implications: The findings can be used to formulate new guidelines and regulations to guide the proper formulation, storage, and use of stable HOCL as disinfectants.

Gliomas, which arise from glial cells in the brain, remain a significant challenge due to their location and resistance to traditional treatments. Despite research efforts and advancements in healthcare, the incidence of gliomas has risen dramatically over the past two decades. The dysregulation of microRNAs (miRNAs) has prompted the creation of therapeutic agents that specially target them. However, it has been reported that they are involved in complex signaling pathways that contribute to the loss of expression of tumor suppressor genes and the upregulating of the expression of oncogenes. In addition, numerous miRNAs promote the development, progression, and recurrence of gliomas by targeting crucial proteins and enzymes involved in metabolic pathways such as glycolysis and oxidative phosphorylation. However, the complex interplay among these pathways and other obstacles hinder the ability to apply miRNA targeting in clinical practice. This underscores the importance of pinpointing miRNAs to be targeted for therapy and having a complete understanding of the diverse pathways they are involved in. Therefore, the aim of this review is to provide an overview on the role of miRNAs in the progression and prognosis of gliomas, emphasizing the different pathways involved and identifying potential therapeutic targets.

A comparative study of the physicochemical properties of natural bentonite clays of Pogodayevо (Republic of Kazakhstan, mod.1) and Dash-Salakhli (Republic of Azerbaijan, mod.2) deposits and modification of the bentonite clay with polyhydroxocations of iron (III) and aluminium (III). It-wasestablished that the modification of natural bentonitesusing polyhydroxocations of iron (III) and aluminium(III) by the method of "co-precipitation" leads to a change in their chemical composition, structural and sorption properties. The results showed that hydroxy-aluminum cations ([Al3O4(OH)24(H2O)12]7+) and poly-hydroxyl-Fe or polyoxo-Fe were intercalated into clay layers, which led to an increase in the values of d001 and specific surface areas compared to those of the original bentonite, from 37 to 120 for the Pogodaevo bentonite and from 51 to 172 respectively for bentonite from the Dash-Salakhli deposit. It is shown that modified sorbents based on natural bentonite are finely porous objects with a predominance of pores of 1.5−6.0 nm in size. As a result, there is a significant increase in the specific surface area of sorbents. Modification of bentonite with polyhydroxocations of iron (III) and aluminium (III) by the "co-precipitation" method also leads to an increase in the sorption capacity of the sorbents obtained with respect to nickel (II) cations. Modified bentonites were used for the adsorption of Ni (II) ions from the model solution. Ni (II) was absorbed in a neutral pH solution. The study of equilibrium adsorption showed that the data are in good agreement with the Langmuir isotherm model. The maximum adsorption capacity of the Ni (II) monolayer obtained from the Langmuir equation was 25.0 mg/g (mod. 1_Al_5-c), 18.2 mg/g (mod. 2_Al_5-c) for Al-bentonite and 16.7 mg/g (mod. 1_Fe_5-c), 10.1 (mod. 2_Fe_5-c) for Fe-bentonite. The kinetics of adsorption is considered. The high content of Al-OH anion exchange centresin them determines the higher sorption activity of Al-modified bentonites.

Background: Human papillomavirus (HPV) is responsible for most cervical cancer cases globally, with women living with HIV at higher risk of persistent HPV infection and HPV-associated disease. The HPV vaccine is a promising solution to reducing cervical cancer rates, but its uptake among women living with HIV in Nigeria is unknown. Methods: A facility-based, cross-sectional survey was conducted with 1,371 women living with HIV to assess their knowledge of HPV, cervical cancer, and the HPV vaccine, as well as their willingness to pay for the vaccine at the HIV treatment clinic, Nigerian Institute of Medical Research, Lagos. Willingness to pay for the HPV vaccine was also assessed. Multivariable logistic regression models were developed to identify factors associated with willingness to pay for the HPV vaccine. Results: The study found that 79.1% of participants had not heard of the vaccine, and only 29.0% knew of its efficacy in preventing cervical cancer. Moreover, 68.3% of participants were unwilling to pay for the vaccine, and the average amount they were willing to pay was low. Knowledge of HPV, the HPV vaccine, cervical cancer, and income were factors associated with willingness to pay for the vaccine. Health workers were the primary source of information. Conclusion: The study found that 79.1% of participants had not heard of the vaccine, and only 29.0% knew of its efficacy in preventing cervical cancer. Moreover, 68.3% of participants were unwilling to pay for the vaccine, and the average amount they were willing to pay was low. Knowledge of HPV, the HPV vaccine, cervical cancer, and income were factors associated with willingness to pay for the vaccine. Health workers were the primary source of information.

CoCr2O4 and doped lithium Co1-xLixCr2O4 chromate powder and nanoparticles were prepared by modified by sol-gel method. The morphological and structural properties of nano chromates were investigated by x-ray diffraction (XRD), scanning electron microscopy (SEM), Raman spectroscopy and Photoluminescence (PL). Nanoparticles of doped lithium were synthesized by adding appropriate amount of cobalt nitrate, chromium nitrate, lithium nitrate and 1,2 Ethanediol as a complexing agent. The sample were heated at 105 ˚C for ten hours in oven to obtain dry gel. Calcination temperature for these samples was 700˚C for 3 hours in a furnace. The particle size of parent compound ranges from 4.4 nm to 11 nm, determined by SEM. The tendency of particles to form the aggregates with the increased annealing temperature was observed. The SEM and optical characterization of this compound has shown the sol gel derived material may be successfully used as an effective doped lithium cobalt ceramic pigment with controlled variation in structural and optical properties. SEM images showed that spherical like doped particle have diameter 33nm. From PL spectra Nano structure shows band gap 2.5ev and when we doped Lithium in it band gap decreases and become 1.19ev, which is associated to band gap transition.

(1) Background: Inflammatory bowel diseases (IBD) involve complex interactions between genetic factors, aberrant immune activation, and gut microbial dysbiosis. While metabolomic studies have focused on feces and serum, fewer investigations have examined the intestinal mucosa despite its crucial role in metabolite absorption and transport. The current study aimed to identify novel mucosal metabolic pathways that are altered during chronic colitis and to determine microbial contributions to such changes. (2) Methods: The chronic Dextran sulfate sodium (DSS) colitis was induced for five weeks in 7-9-week-old wild-type C57BL/6J male mice followed by microbial profiling with targeted 16srRNA sequencing service. Mucosal metabolite measurements were performed by Metabolon (Morrisville, NC). The data were analyzed using the bioinformatic tools Pathview, MetOrigin, and Metaboanalyst. (3) Results: Our novel findings demonstrated increases in several host- and mi-crobe-derived purine, pyrimidine, endocannabinoid, and ceramide metabolites in colitis. Origin analysis revealed microbial-related tryptophan metabolites kynurenine, anthranilate, 5-hydroxyindoleacetate, and C-glycosyltryptophan were significantly increased in colon mucosa during chronic inflammation and strongly correlated with disease activity. (4) Conclusions: These findings offer new insights into the pathophysiology of IBD and provide novel potential targets for microbial-based therapeutics.

Background: Obesity is a global health crisis with a rapidly increasing prevalence among university students. Medical students are a unique population that may be at a higher risk of obesity due to the demanding nature of their studies and the associated stress. Objective: This study aimed to determine the prevalence of overweight, obesity, and the associated risk factors among medical students at Jazan University in Saudi Arabia. Methods: A cross-sectional study was conducted among 228 medical students from their 2nd to 6th academic years at the Faculty of Medicine, Jazan University. A self-administered questionnaire was used to collect data regarding sociodemographic characteristics, physical activity, dietary habits, comorbidities, medication use, family history, and lifestyle factors. Anthropometric measurements including height, weight, and waist circumference were recorded. Chi-square test and binary logistic regression were used to identify the risk factors associated with obesity. Results: The prevalence of overweight and obesity among the participants was 13.3% and 15% respectively. Hence, the combined prevalence of overweight and obesity is 28.3%. The mean weight was 63.39 ± 18.93 kilograms, and the mean height was 163.48 ± 9.78 centimeters. On the other hand, 17.3% of participants had underweight whereas 54.4% had normal BMI. Most of the participants (61%) did not engage in regular exercise. A high proportion consumed fruits (82.9%) and vegetables (58.8%) 3 or fewer days per week, and 84.2% consumed 3 or fewer meals per day. Fast food consumption more than 3 days per week was reported by 42.1% of participants. Obesity was not significantly associated with sociodemographic factors, physical activity, dietary habits, comorbidities, medication use, or family histories. However, those with a monthly family income of 15,000-24,999 riyals had significantly lower odds of obesity than those in the lowest income group (OR 0.230, p = 0.045). Conclusion: The prevalence of overweight and obesity among medical students at Jazan University is high. Although no significant associations were found between obesity and most risk factors, this study highlights the need for interventions that promote healthy lifestyles among medical students. Further research is needed to identify effective strategies for preventing and managing obesity in this population.

Aim: The aim of this study was to use a multi target approach to testing with both serological tests and an in-house real-time molecular test to investigate the prevalence of the caprine arthritis-encephalitis virus (CAEV) in goats from three hobbyist farms in the Republic of Tatarstan, Russia. Materials and Methods: We have approached the detection of using a multi target approach testing with both ELISA and an in-house real-time PCR test to investigate the prevalence of CAEV in goats. Animals from three hobbyist farms were used in this study. The animals from two farms (n=13 for F1 and n=8 for F2) had clinical signs of arthritis and mastitis. In the third farm (n=15 for F3), all goats were homebred and had no contact with imported animals. Results: CAEV antibodies (ELISA targets TM env and gag genes) were detected in serum samples from two farms (F1 and F2), indicating a seroprevalence 87.50-92.31%. Specific CAEV antibodies were also detected in milk samples. CAEV proviral DNA was detected in 53.85-62.50%. Results from all tests performed in the third farm (F3) were negative, indicting all tests were 100% specific.Conclusion: Results of this work show that CAEV is circulating and present in small hobbyist goat farms in Russia. Serological and molecular tests could be of importance for CAEV control and eradication programs in Russia for hobbyist goat farms.

The study of different forms of preconditioners for solving a system of nonlinear equations, by using Newton’s method, is presented. The preconditioners provide numerical stability and rapid convergence with reasonable computation cost, whenever chosen accurately. Different families of iterative methods can be constructed by using a different kind of preconditioners. The multi-step iterative method consists of a base method and multi-step part. The convergence order of base method is quadratic and each multi-step add an additive factor of one in the previously achieved convergence order. Hence the convergence of order of an m-step iterative method is m + 1. Numerical simulations confirm the claimed convergence order by calculating the computational order of convergence. Finally, the numerical results clearly show the benefit of preconditioning for solving system of nonlinear equations.