Herein, we describe a highly efficient, non-complicated, and non-organic procedure to overcome the negative effect of chemotherapeutic drugs on the quality of the extracted DNA by applying several modulations in cell washing, suspension, and lysis of cells treated with these drugs. In this protocol, 500µl were extracted from patients who received systemic sessions of chemotherapy. The validity of this protocol for digestion with restriction endonucleases and both conventional and real-time polymerase chain reaction were tested. This protocol proved obvious purity (1.8±0.02 and 2.1±1.2, for A_260/280 and A_260/230, respectively) and adequate yields (10±2.24) µg/100 ml. The positive results of validation experiments proved the validity of the extracted DNA for downstream applications of molecular biology. In addition to the proven efficiency of this protocol to extract DNA from normal samples, its validity was also confirmed from patients who were exposed to chemotherapy. This entails a novel approach to extract a molecular biology grade DNA without having inhibitors against enzymes used in digestion, amplification, and subsequent sequencing even after the systemic sessions with several doses of chemotherapy.

The increase in the number of firms manipulating financial reports has misled shareholders' investment decisions and resulted in an indelible blot on foreign investors’ trust. Due to earnings management (EM) practice, managers' inefficiency, and lack of transparency in Iraq companies. This study tested the influence of the corporate governance mechanisms (CG), (board independence, audit committee, meeting frequency) on EM based on agency theory, as well, to link between EM and firm's performance (FP) in Iraqi listed companies and the impact of moderating role of corporate social responsibility (CSR) based on the Stakeholder Theory. The study's sample consists of 65 companies for the 2013-2018 financial years. Data were collected mainly from the annual reports (secondary data) of the Iraqi listed firms. This study uses the M-score model to detect EM practices as practical techniques in detecting earnings manipulation practices. The panel static model estimators. Hence, this paper adds to the CG literature from the perspective of stakeholder theory using Iraq's unique industrial environment. Based on the research results, policy-makers might use the study‘s findings to recognize the essential roles of several CG mechanisms in alleviating the opportunistic practices in Iraq. Further, companies should also be encouraged to enhance the CSR disclosure quality.

Nigeria is the most populous country in the African continent. The aim of this study was to analyze risk factors for COVID-19 prevalence and deaths in all 6 geopolitical regions and 37 states in Nigeria. We analyzed the data retrieved from various sources, including Nigeria CDC, Nigeria National Bureau of Statistics, Unicef-Nigeria multiple indicator cluster survey and the Institute of Health Metrics and Evaluation, University of Washington. We examined 4 clinical risk factors (prevalence of TB, HIV, smoking and BCG vaccination coverage) and 5 sociodemographic factors (age ≥65, population density, literacy rate, unemployment and GDP per capita). Multivariate modeling was conducted using generalized linear model. Our analysis showed that the incidence of confirmed COVID-19 cases differed widely across the 37 states, from 0.09 per 100,000 in Kogi to 83.7 in Lagos. However, more than 70% of confirmed cases were concentrated in just 7 states: Lagos, Abuja, Oyo, Kano, Edo, Rivers and Delta. Case mortality rate (CMR) per million population also varied considerably, with Lagos, Abuja and Edo having CMR above 9. On bivariate analysis, higher CMR correlated positively with GDP and to a lesser extent with TB and population density. On multivariate analysis, which is more definitive, states with higher HIV prevalence and BCG coverage had lower CMR, while high GDP states had a greater CMR. This study indicates that COVID-19 has disproportionately affected certain states in Nigeria. Population susceptibility factors include higher economic development but not literacy or unemployment. Death rates were mildly lower in states with higher HIV prevalence and BCG vaccination coverage.

This paper presents a study on optimization of Overcurrent relay (OCR) coordination protection scheme for Sustainable Standalone Hydrokinetic Renewable Energy (SHRE) distribution network at Batang Rajang river, located at Kapit Sarawak, Malaysia by turning river stream into power generation source. The purpose of the project is to develop rural electrification system for native long houses along the river. The research study is tested on a DigSILENT develop model of the SHRE distribution network and in accordance with all respectively unique parameters and relevant standards. Since this is a new standalone distribution system, an efficient and properly coordinated overcurrent protection system must be provided. Improper and miscoordination among OCRs result in maloperation of the protection system that can lead to false tripping and an unnecessary outage and power system instability. Thus, the objective of this work is to employ Genetic Algorithm (GA) technique in Matlab/Simulink for optimal overcurrent coordination and settings among all OCRs in the proposed distribution network in order to improve the speed of OCR tripping operation. The GA is used because the project is fast track and requiring the simplest method available. In this strategy, time dial setting (TDS) is optimized by using plug setting multiplier (PSM) as the constraint. The obtained results show a significant improvement of the relay operating time of 36.01% faster than that of conventional numerical technique during fault occurrence. Thus, an efficient and reliable overcurrent protection scheme has been achieved for the SHRE distribution network.

The spray drying process causes the buildup of an unspecified and unique pattern of wall deposits on the wall. The powder recovery of fruit juice by spray dryer is associated with stickiness problems because of the nature of food which contains low molecular weight sugars and organic acids, which have a low glass transition temperature (T_g). The surface properties of oxygen plasma treated-PTFE substrate were evaluated by using the different parameters of Plasma Enhanced Chemical Vapour Deposition (PECVD) prior to spray drying analysis. In this study, the fabrication method of nearly perfect superhydrophobic surfaces through plasma treatment with oxygen gas was generated and utilized. The plasma-treated PTFE were deposited from a fixed flow rate of oxygen gas with 30 cm³/min by varying the deposition time from 1 to 15 minutes to induce the hydrophobic surface of the PTFE substrate. The characterization techniques used to determine the morphology and chemical bonding of the substrate are field emission scanning electron microscopy (FESEM) and Fourier transform infrared spectroscopy (FTIR), respectively. The hydrophobicity of the glass samples was determined by the water droplet contact angle. Sample prepared at radio frequency (RF) power of 90W for 15 minutes duration of treatment time showed porous and spongy like microstructure which correlates with the best performance of a good contact angle which creates the superhydrophobicity regime (171^o). Surface morphology analysis using scanning electron microscopy (SEM) showed changes in its roughness in the surface-treated glass substrate. The success of this method produced a huge potential for solving most of the food processing issues which relate to biofouling (e.g., powder stickiness) that would otherwise struggle to improve high productivity and recovery.

Plant Growth Promoting Rhizobacteria (PGPR) is beneficial microorganisms that inhabit the rhizosphere of plants and play a crucial role in enhancing plant growth and development. This review provides an overview of the significant role of PGPR in sustainable agriculture. The mechanisms that promote plant growth, such as nitrogen fixation, phosphate solubilization, and growth hormones, are discussed. The potential of PGPR in improving plant tolerance to biotic and abiotic stresses, reducing the use of chemical fertilizers and pesticides, and enhancing nutrient availability, soil fertility, and uptake is also highlighted. Moreover, the ecological and economic benefits of using PGPR for sustainable agriculture include improving crop productivity, reducing environmental pollution, and ensuring food security.

Dr. Jurg Tschopp created the word "inflammasome" in 2002. Inflammasome activation and its function in disease processes have been the subject of significant investigation over the last 15 years. Four important inflammasomes have been identified: NLRP1, NLRP3, NLRC4, and AIM2. When these inflammasomes are activated, they process and secrete inflammatory cytokines such as IL-1b and IL-18, as well as cause pyroptosis, an inflammatory form of cell death. In this review, we will look at how these inflammasomes have been connected to Periodontitis pathogenesis.

A single tree topology is a commonly employed topology for wireless sensor networks (WSN) to connect sensors to one or more remote gateways. However, its many-to-one traffic routing pattern imposes heavy burden on downstream nodes, as the same routes are repeatedly used for packet transfer, from one or more upstream branches. The challenge is how to choose the most optimal routing paths that minimizes energy consumption across the entire network. This paper proposes a proactive energy awareness-based many-to-one traffic routing scheme to alleviate the above said problem referred to as Energy Balance-Based Energy Hole Alleviation in tree topology (EBEHA-T). This protocol combines updated status of variations in energy consumption pattern around sink-hole zones and distribution of joint nodes among the trees. With this approach, EBEHA-T proactively prevents sink-hole formation instead of just a reactive response after they have occurred. Performance evaluation of EBEHA-T against benchmark method RaSMaLai shows increased energy saving across the entire network and a marked improvement in energy consumption balance in energy-hole zones. This precludes energy hole formation and the consequent network partitioning, leading to improved network lifetime beyond that of the RasMaLai. OMNET++ network simulation software has been used for the evaluation.

Obesity is a universal health concern that can lead to serious diseases. The side effects of synthetic anti-obesity drugs necessitate the finding of suitable natural/herbal alternatives. Mother nature offers a wide range of plants with medicinal properties that include crude extracts and isolated compounds which are effective for controlling and reducing weight gain. Obesity was induced in 60, 3-week-old male ICR mice, using high-fat diet (60% dietary energy from fat) for 16-week. The mice were divided at random into six groups with 10 mice: mice fed with high-fat diet (HFD) only, mice fed normal diet only (NC), and orlistat at 15.9 mg/kg (HFD+Orlistat), and mice in three other high-fat diet groups treated with methanolic leaf extract of Clinacanthus nutans (MECN) at 500, 1000 and 1500 mg/kg. After 21-day of the treatment, MECN significantly reduced (P<0.05) the body weight, visceral fat and muscle saturated fatty acid compositions. There was also significant downregulation of HSL, PPAR α and PPAR γ and SCD genes expressions in the obese mice treated with 1500 mg/kg MECN compared to the HFD group. Therefore, MECN is a potentially useful natural supplement for alleviating obesity and obesity-mediated metabolic diseases.

membrane separation technology shows promise, particularly gas separation membranes, including ceramic membrane. Ceramic membranes are increasingly gaining attention for their acid and alkali stability, corrosion resistance, high-temperature tolerance, and mechanical strength. This study focuses on alumina support ceramic membrane for CO2 capture. The membranes were characterized using contact angle measurements, scanning electron microscopy (SEM), and Fourier Transform Infrared spectroscopy (FTIR) analysis. The contact angle measurements confirmed the hydrophilic, while SEM analysis showed even particle distribution in the alumina ceramic membranes respectively. EDAX analysis revealed the elemental composition in the alumina support matrix. FTIR analysis demonstrated chemical interactions of the support membrane. Single gas permeation experiments were conducted. It can be observed that Nitrogen gas permeated faster with increase in feed pressure through the unmodified ceramic inorganic hydrophobic membrane more than the other two single gases, O2, and CO2). As a result, only high permeance separation membranes with realistic size and pressure conditions may be considered of as a practical alternative for CO2 capture. However, the presence of non-selective defects limited the improvement in selectivity of hydrophilic ceramic membrane. In this case, there is need to modify the ceramic membrane used to increase the flux, permeance of CO2, and selectivity of CO2.

This paper presents the methodology to detect and identify the type of fault that occurs in shunt connected static synchronous compensator (STATCOM) transmission line using a combination of Discrete Wavelet Transform (DWT) and Naive Bayes classifier. To study this, the network model is designed using Mat-lab/Simulink. The different faults such as Line to Ground (LG), Line to Line (LL), Double Line to Ground (LLG) and three-phase (LLLG) fault are applied at different zones of system with and without STATCOM considering the effect of varying fault resistance. The three-phase fault current waveforms obtained are decomposed into several levels using daubechies mother wavelet of db4 to extract the features such as standard deviation and Energy values. The extracted features are used to train the classifiers such as Multi-Layer Perceptron Neural Network (MLP), Bayes and Naive Bayes (NB) classifier to classify the type of fault that occurs in the system. The results reveal that the proposed NB classifier outperforms in terms of accuracy rate, misclassification rate, kappa statistics, mean absolute error (MAE), root mean square error (RMSE), relative absolute error (RAE) and root-relative square error (RRSE) than MLP and Bayes classifier.

Crimean Congo hemorrhagic fever virus (CCHFV) is the causative agent of a globally-spread tick-borne zoonotic infection with an eminent risk of fatal human disease. Imminent public health threat posed by disseminated virus activity and lack of an approved therapeutic make CCHFV an urgent target for vaccine development. We described the construction of a DNA vector expressing nucleocapsid protein (N) of CCHFV (pV-N13) and investigated its potential to stimulate cytokine and total/specific antibody responses in BALB/c and challenge experiment in IFNAR-/- mice. Due to lack of sufficient antibody stimulation towards N protein, we have selected CD24 protein as a potential adjuvant which has proliferative effect on B and T cells. Overall, our N expressing construct when administered solely or in combination with pCD24 vector elicited significant cellular and humoral responses in BALB/c, despite variations in particular cytokines and total antibodies. However, the stimulated antibodies produced due to expression of N protein have shown no neutralizing ability in VNA. Furthermore, challenge experiments were revealed protection potential of N expressing construct in IFNAR -/- mice model. In conclusion, we have shown that CD24 has prominent effect as a genetic adjuvant when co-delivers with a synergic foreign gene expressing vector. Besides, targeting of S segment of CCHFV can be considered as a practical way in developing vaccine against this virus due to its ability to induce immune response which leads to protection in challenge assays in IFN-gamma defective mice models.

Background: global longitudinal strain (GLS) measures myocardial deformation and is a sensitive modality for detecting subclinical myocardial dysfunction and predicting cardiac outcomes. The accuracy of speckle-tracking echocardiography (STE) is dependent on temporal resolution. A novel software enables relatively high frame rate (Hi-FR) (~200 fps) echocardiographic images acquisition which empowers us to investigate the impact of Hi-FR imaging on GLS analysis. The goal of this pilot study was to demonstrate the feasibility of Hi-FR for STE. Methods: In this prospective study, we acquired echocardiographic images using clinical scanners on patients with normal left ventricular systolic function using Hi-FR and conventional frame rate (Reg-FR) (~50 FPS). GLS values were evaluated on apical 4-, 2- and 3-chamber images acquired in both Hi-FR and Reg-FR. Inter-observer and intra-observer variabilities were assessed in Hi-FR and Reg-FR. Results: There were 143 resting echocardiograms with normal LVEF included in this study. The frame rate of Hi-FR was 190 ± 25 and Reg-FR was 50 ± 3, and the heart rate was 71 ± 13. Strain values measured in Hi-FR were significantly higher than those measured in Reg-FR (all p < 0.001). Inter-observer and intra-observer correlations were strong in both Hi-FR and Reg-FR. Conclusions: We demonstrated that strain values were significantly higher using Hi-FR when compared with Reg-FR in patients with normal LVEF. It is plausible that higher temporal resolution enabled the measurement of myocardial strain at desired time point. The result of this study may inform clinical adoption of the novel technology. Further investigations are necessary to evaluate the value of Hi-FR to assess myocardial strain in stress echocardiography in the setting of tachycardia.

Objective: To investigate social, economic, and environmental contributors to quit or continue smoking and vaping during the COVID-19 pandemic. Methods: A qualitative study design was adopted to identify smokers’ beliefs in a LMIC, using a small community sample. Results: 276 participants were primarily surveyed. Motivation to continue smoking included temporary pleasurable effects, working remotely, stress or anxiety, whereas a motivator to quit smoking was the overlap with COVID-19 symptomatology. There was a rise in social awareness regarding the potential harm of smoking and vaping during the pandemic yet those participants who were younger felt they were immune from its morbid complications. Conclusions: With paradoxical associations of COVID-19 with cigarette and vape usage, it is important to pay attention to biases in data in favor of educating its users of the increased risk of severe disease.

There is a rising global concern for the ongoing outbreak of SARS-CoV-2 due to its high transmission rate and unavailability of treatment. Through the binding of its spike glycoprotein with angiotensin type 2 (ACE2), SARS-CoV-2 can efficiently get in the cells of patients and start its pandemic cycle. Herein, the biological diversity of SARS-CoV-2 infection was assessed in Babylon province of Iraq by investigating the possible genetic variations of the spike glycoprotein. A specific coding region of 795 bp within the viral spike (S) gene was amplified from 19 patients who suffered from obvious symptoms of SARS-CoV-2 infection. Sequencing results identified fifteen novel nucleic acid variations with a variety of distributions within the investigated samples. The electropherograms of all the identified variations showed obvious co-infections with at least two different viral strains per sample. Within these co-infections, the majority of samples exhibited three nonsense single nucleotide polymorphism (SNP)s, p.301Cdel, p.380Ydel, and p.436del, which yielded three truncated SARS-CoV-2 spike glycoproteins of 301, 380, and 436 amino acids length, respectively. The network and phylogenetic analyses indicated that for all viral infections were derived from multi-ancestral origins. Results inferred from the specific clade-based tree entailed that some viral strains were derived from European G-clade sequences. In conclusion, our data demonstrated the absence of any single strain infection among all investigated viral samples in the studied area, which may entail a higher risk of SARS-CoV-2 in this country. Through the identified high frequency of truncated spike proteins, we suggest that defective SARS-CoV-2 may depend on helper strains having intact spikes in its infection. Alternatively, another putative ACE2-independent route of viral infection way also suggested. To the best of our knowledge, this is the first report to describe the co-infection of multiple strains of SARS-CoV-2 in patients with COVID-19.

Abstract: membrane separation technology shows promise, particularly gas separation membranes, including ceramic membrane. Ceramic membranes are increasingly gaining attention for their acid and alkali stability, corrosion resistance, high-temperature tolerance, and mechanical strength. This study focuses on alumina support ceramic membrane for CO2 capture. The membranes were characterized using contact angle measurements, scanning electron microscopy (SEM), and Fourier Transform Infrared spectroscopy (FTIR) analysis. The contact angle measurements confirmed the hydrophilic, while SEM analysis showed even particle distribution in the alumina ceramic membranes respectively. EDAX analysis revealed the elemental composition in the alumina support matrix. FTIR analysis demonstrated chemical interactions of the support membrane. Single gas permeation experiments were conducted. It can be observed that Nitrogen gas permeated faster with increase in feed pressure through the unmodified ceramic inorganic membrane more than the other two single gases, O2, and CO2). As a result, only high permeance separation membranes with realistic size and pressure conditions may be considered of as a practical alternative for CO2 capture. However, the presence of non-selective defects limited the improvement in selectivity of hydrophilic ceramic membrane. In this case, there is need to modify the ceramic membrane used to increase the flux, permeance of CO2, and selectivity of CO2.

(1) Background: Pedestrian injuries (PIs) represent a significant proportion of road traffic injuries. We aimed at investigating the incidence and mortality of PIs in different age groups and Socio-demographic Index (SDI) categories between 1990 and 2017. (2) Method: Estimates of age-standardized incidence and mortality along with trends of PIs by SDI levels were obtained from the Global Burden of Disease from 1990 to 2017. We also calculated forecasts until 2040. (3) Results: Globally, PIs incidence increased by 3.31% (–9.94 to 16.56) in 2017 compared to 1990. Men have a higher incidence of PIs than women. Forecasted incidence was 132.02 (127.37 to 136.66) per 100,000 population in 2020, 101.52 (65.99 to 137.05) in 2030 and reduced further to 71.02 (10.62 to 152.65) by 2040. Globally across all SDI categories, there was a decreasing trend in mortality due to PIs with the global estimated percentage reduction of 37.12% (–45.19 to –29.04). (4) Conclusions: The results show that PIs are still a burden for all SDI categories despite some variation. Although incidence and mortality are expected to decrease globally, some SDI categories may require particular attention in addition to specific vulnerable age groups. Further studies addressing incidence and mortality patterns in vulnerable SDI categories are needed.

Landslides around the main roads in the mountains not only cause fatal events but also cause ecosystem damage, including land degradation. This study aims to map the susceptibility of the landslides around the Saqqez-Marivan main rod of Kurdistan province, Iran, using ensemble Fuzzy logic with Analytic Network Process (Fuzzy Logic-ANP; FLANP), and with TOPSIS (Fuzzy Logic-TOPSIS; FLTOPSIS). A total of 100 landslides were first recognized by field surveys and then they were randomly divided into a 70% dataset (70 locations) and a 30% dataset (30 locations), respectively, for training and validating the methods. Eleven landslide conditioning factors, including slope, aspect, elevation, lithology, land use, distance to fault, distance to a river, distance to road, soil type, curvature, and precipitation were used. The performance of the methods was checked by the areas under the receiver operating curve (AUCROC). Results concluded that the prediction accuracy based on validating datasets were, respectively, 0.882 and 0.918 for FLANP and FLTOPSIS methods. Our findings demonstrated that although both models were known as promising techniques, the FLTOPSIS method had a better capacity for predicting the susceptibility of landslides in the studied area. Therefore, the susceptibility map developed by the FLTOPSIS method can be used for the proper management of areas with high landslide potential and also for managers and planners during the implementation of land allocation and development projects, especially in mountainous areas.

This paper shares some new information on the ambient temperature profile and the heat stress occurrences directly underneath ground-mounted Solar Photovoltaic (PV) Arrays (monocrystalline-based) focusing on different temperature levels. A common ground for this work lies on the fact that 10C increase of PV cell temperature results in reduction of 0.5% energy conversion efficiency thus any means of natural cooling mechanism would gain much benefit especially to the Solar Farm operators. Transpiration process plays an important role in the cooling of green plants where in average it could dissipate around 32.9% of the total solar energy absorbed by the leaf making it a good natural cooling mechanism. This condition is relatively applied for herbs specifically for this project, Orthosiphon Stamineus or generally known as Java Tea are used as the high value crops. The thermal process via convective heat and mass exchange of leaves with the environment is relevant for a better understanding of plant physiological processes in response to environmental conversion factors for a wide range of applications. An important fact for plant heat stress with respect to the Ambient temperature is that the range lies between 10 C to 15 C above the surrounding value. This heat stress condition is relatively important and should be modelled in crops-energy integration. Agrivoltaic concept is a system that combines commercial agriculture and photovoltaic electricity generation in the same space. The concept is in line with the Kyoto Protocol and the United Nation Sustainable Development Goals (UN-SDG) which highlights the clean energy and sustainable urban living. The integration of agrivoltaic systems would optimize the yield, improving clean system efficiency and solving the issue of land resource sustainability. The PV bottom surface temperature are the main source of dissipated heat as shown in the thermal images recorded at 5 minutes interval at 3 sampling time. Statistical analysis shows that the Thermal correlations for transpiration process and heat stress occurrences between PV bottom surface and plant height will be an important finding for large scale plant cultivation in agrivoltaic farms.

Each individual has a unique gut microbiota; therefore the genes in our microbiome outnumber the genes in our genome by about 150 to 1. Perturbation in host nutritional status influences gut microbiome composition and vice versa. The gut microbiome can help in producing vitamins, hormones, and other active metabolites that support the immune system; harvest energy from food; aid in digestion; protect against pathogens; improve gut transit and function; send signals to the brain and other organs, oscillating the circadian rhythm and coordinate with host metabolism through multiple cellular pathways. Gut microbiota can be influenced by host genetics, medications, diet, and lifestyle factors from preterm to aging. So before prescribing a customized treatment, it is crucial to monitor and count the gut flora as a focused biomarker. Many nutritional approaches that have been developed help in maintaining and restoring an optimal microbiome such as specific diet therapy, nutrition interventions and customized eating patterns. One of these approaches is time-restricted feeding/eating (TRF/E), a type of intermittent fasting (IF) in which a subject abstains from food intake for a specific time window. Such a dietary modification might alter and restore the gut microbiome for proper alignment of cellular and molecular pathways throughout the lifespan. In this review, we have highlighted that gut microbiota would be a targeted biomarker and TRF/E would be a targeted approach for restoring the gut microbiome associated molecular pathways like hormonal signaling, the circadian system, metabolic regulators, neural responses, and immune-inflammatory pathways. Consequently, modulation of gut microbiota through TRF/E could contribute in proper utilization and availability of the nutrients and in this way confer protection against diseases for harnessing personalized nutrition approaches to improve human health.

Critical aortic valve stenosis (CAVS) is a life-threatening cardiac disease of the newborn requiring urgent treatment. First-line therapy is still controversial. The aim of our study was (1) to analyze retrospectively the patients of our institution who underwent balloon aortic valvuloplasty (BAV) due to CAVS, and (2) to describe techniques for improved feasibility of the intervention using microcatheters and retrieval loops. Twelve patients underwent 23 BAVs: 1 BAV was performed in 3 patients, 2 BAVs in 7 patients, and 3 BAVs in 2 patients. Trans-valvular pressure gradient (Δp) and left ventricular shortening fraction (LVSF) improved significantly in the first two interventions; first BAV: Δp from 73.7 ±34.5 mmHg to 39.8 ±11.9 mmHg (p=0.003) and LVSF from 22.3 ± 13.5 % to 31.6 ±10.2 % (p=0.001); second BAV: Δp from 73.2 ±33.3 mmHg to 35.0 ± 20.2 mmHg (p&lt;0.001) and LVSF from 26.7 ±9.6 % to 33.3 ±7.4 % (p=0.004). Cardiac surgery during the neonatal period was avoided for all children; median time to valve surgery was 5.75 years. Few complications occurred: mild to moderate aortic regurgitation, one remediable air embolism, and one intimal injury of the ascending aorta. We conclude that BAV is a successful primary treatment for CAVS resulting in left ventricular relief, stabilization of the neonate, and a time gain until cardiac surgery.

Background and objectives: The initiation of apoptotic death in cancer cells is the aim of many chemotherapeutic strategies. As many anticancer agents have been discovered in natural plant sources, the search for novel phytochemicals displaying anticancer activities continues at a tremendous rate. This study was conducted to evaluate the effect of extractable polyphenols (EPP); non-extractable polyphenols (NEPP); nobiletin (NOB); tectorigenin (TEC) and persicogenin (PERS) from Barhi date palm kernels (BDPK) extracts on the induction of apoptosis in human lung cancer A549 and colon cancer HT29 cell lines. Materials and Methods: The anticancer activities were determined using MTT and trypan blue exclusion assays. Flow cytometry analysis was performed to study the cell viability, cell cycle arrest and apoptosis. The underlying mechanism of apoptosis induced by crude extracts and the purified compounds was investigated using caspase-3, -8 and -9 assays and the mitochondrial membrane potential assay. Results: The findings indicate that both BDPK extracts and the purified compounds do exert induced cell death on A549 and HT29 cells. The results observed from MTT- assay and trypan blue exclusion indicate that the cytotoxic effects of both plant extracts and the three isolated flavonoids are dose-dependent with higher cell death after 72 hours treatment. Treatment of human lung and colon cancer cells with EPP, NEPP, NOB, TEC and PERSI induced late stages of apoptosis as there was evidence of the DNA degradation and high percentage of the cells population was situated at sub-G1 phase, indicating a high population of apoptotic cells. Conclusions: Study of the apoptotic mechanism demonstrated that EPP and NEPP exhibited dependent mitochondrial signalling pathway as seen with caspase-9 and induced receptor-mediated (extrinsic) apoptotic pathway as seen with caspase-8. Therefore, our results suggest that BDPK extracts and the three isolated flavonoids could be a good candidate for developing anticancer agents.

Peste des Petits Ruminants (PPR) is one of the major transboundary animal diseases that severely impact livestock production and trade worldwide. An investigation was carried into the seroprevalence and risk factors of PPR in small ruminants, camels, and wild ruminants in Bahrain. A total of 1240 serum samples were collected from 119 sheep flocks and 1224 serum samples from 125 goat herds. In addition, 100 sera from camels and 38 sera from wild ruminants, were collected. Serum samples were tested for the presence of PPR specific antibodies using a competitive ELISA. Flock management and health information of the flocks and herds were collected using a semi-structured questionnaire. The individual prevalence of PPR in sheep and goats was 26% and 25.5%, respectively. The flock or herd level prevalence of PPR was 22.7% and 29.6% in sheep and goats, respectively. None of the tested camels or wild ruminants were positive for PPR-specific antibodies. Sheep and goats from the Northern governorate were more likely to be seropositive to PPR than in other governorates. On the individual animal level, the univariate analysis suggested; age (&lt;12 months), sex (male), and health status (weak animals) as risk factors for PPR seropositivity. On the flock/herd level, the multivariable logistic regression analysis identified large flock/herd size and semi-intensive farming as risk factors for PPR seropositivity.