ABSTRACT Introduction: The impact of mitral regurgitation (MR) on valve-in-valve transcatheter aortic valve implantation (VIV-TAVI) in patients with failed bioprostheses remains unclear. The purpose of this study was to assess the prognostic impact of residual moderate MR following VIV-TAVI. Methods: We retrospectively analyzed 127 patients who underwent VIV-TAVI between March 2010 and November 2021. At least moderate MR was observed in 51.2% of patients before the procedure, and MR improved in 42.1% of all patients. Patients with postoperative severe MR, previous mitral valve intervention, and patients who died before postoperative echocardiography were excluded from further analyses. The remaining 114 subjects were divided into two groups according to the degree of postprocedural MR: none-mild MR (73.7%) or moderate MR (26.3%). Propensity score matching yielded 23 pairs for final comparison. Results: No significant differences were found between groups before and after matching in early results. In the matched cohort, survival probabilities at one, three, and five years were 95.7% vs. 87.0%, 85.0% vs. 64.5%, and 85.0% vs. 29.0% in the none-mild MR group vs. moderate MR-group, respectively (log-rank P=0.035). Among survivors, patients with moderate MR had worse functional status according to New York Heart Association (NYHA) class at follow-up (P=0.006). Conclusion: MR is common in patients with failed aortic bioprostheses, and improvement in MR-status was observed in over 40% of patients following VIV-TAVI. Residual moderate MR after VIV-TAVI is not associated with worse early outcomes, however, it was associated with increased mortality at five years of follow-up and worse NYHA class among survivors. Introduction (MR valveinvalve VIVTAVI VIV TAVI (VIV-TAVI unclear VIVTAVI. TAVI. Methods 12 201 2021 512 51 2 51.2 procedure 421 42 1 42.1 intervention analyses 11 nonemild none mild 73.7% 737 73 7 (73.7% 26.3%. 263 26.3% . 26 3 (26.3%) comparison Results results cohort one three 957 95 95.7 vs 870 87 0 87.0% 850 85 85.0 645 64 5 64.5% 290 29 29.0 MRgroup, MRgroup group, MR-group logrank log rank P=0.035. P0035 P P=0.035 035 P=0.035) survivors (NYHA followup follow up P=0.006. P0006 P=0.006 006 (P=0.006) Conclusion MRstatus 40 outcomes however 20 202 51. 4 42. 73.7 (73.7 26.3 (26.3% 9 95. 8 87.0 85. 6 64.5 29. P003 P=0.03 03 P000 P=0.00 00 (P=0.006 73. (73. 26. (26.3 87. 64. P00 P=0.0 (P=0.00 (73 (26. P0 P=0. (P=0.0 (7 (26 P=0 (P=0. ( (2 P= (P=0 (P= (P

Abstract Introduction: Transcatheter aortic valve-in-valve implantation (TAVI-ViV) can be associated with unfavorable hemodynamic outcomes. This study aimed to estimate the prevalence, identify the risk factors, and evaluate the outcomes and survival of patients with high residual gradients after TAVI-ViV. Methods: A total of 85 patients were included in the study. The cohort was divided into group A, with postprocedural mean pressure gradient (PG) ≥ 20 mmHg, and group B, with mean PG < 20 mmHg. Results: Postprocedural PG ≥ 20 mmHg was observed in 24.7% of the patients. In a univariate analysis, preoperative gradient, pre-existing patient-prosthesis mismatch (PPM), deep valve implantation, small degenerated valves, and an older generation of transcatheter aortic valves were found to be risk factors for high residual gradient. Multivariate analysis showed that preexisting maxPG > 60 mmHg, implantation level of 4 mm below neo-annulus, and degenerated valve size ≤ 23 mm were independent predictors of high residual gradient. There were no differences in early morbidity (myocardial infarction, pacemaker implantation, stroke, acute renal insufficiency) between groups. Kaplan-Meier estimated that the survival rate was comparable at one and five years regardless of postoperative gradient. Survivors with high residual mean gradient were significantly affected by a high New York Heart Association (NYHA) class. Conclusion: High residual transvalvular gradient after TAVI-ViV is not rare, but it does not significantly affect mortality. High residual mean gradient has a negative impact on NYHA functional class improvement after the procedure. High preoperative gradient, implantation level, and small failed bioprosthesis may predispose to increased residual gradient.

Abstract Vitamin D can be harmful if taken for a long time, or taken in large acute dose, cause many problems including hypercalcemia. Here, we examined the protective effects of Eugenia Caryophyllata against vitamin D toxicity induced renal inflammation in rats. This study employed four experimental groups (n = 10) that underwent two months of treatment as follows: control group animal received saline (0.9% NaCl), vitamin D group that was received (100 mg/kg) of vitamin D, Eugenol group that was received Eugenol (100 mg/kg), vitamin D + eugenol group that was received vitamin D (100 mg/kg) then will be orally given Eugenol (100 mg/kg). The current study showed that a significant upregulation in the IL-2, TNF- α and iNOS gene expression levels caused by vitamin D compared to the control group. Eugenol treatment caused a significant decreased IL-2, TNF-α and iNOS activity and also upregulated gene expression levels. Histological features investigated showed that administered with vitamin D intoxication showed distinct alterations from that of the untreated control groups, such Shrinkage of glomeruli, hypercellularity of the glomeruli and necrosis. However, retreatment with Eugenol showed improvement in the histological features in by slight infiltration, fibrosis, minimal pleomorphism and less disarrangement and compared with that of Vitamin D treated rats. In conclusion, the Eugenol exhibited renoprotective effects against vitamin D-induced nephrotoxicity. These renoprotective effects could be achieved by the antioxidant and anti-inflammatory activities of the Eugenol. Thus, for vitamin D-induced nephrotoxicity, the use of Eugenol could be beneficial.

Abstract Prodigiosin is a red pigment produced by Serratia marcescens strain. Bacterial prodigiosin and its synthetic derivatives are efficacious antioxidants and proapoptotic agents. This study illustrates a new approach for use of prodigiosin conjugated silver nanoparticles (PG-AgNP2) against cadmium chloride (CdCl2) induced neurotoxicity in rats. Rats were (ip) injected with Cd (6.5 mg/kg) for 7 days with or without PG-AgNP2 (3 mg/kg). The concentration of Cd, DA, NE, 5-HT, amino acids, NO, MDA, SOD, GSH, catalase, TNF-α, IL-6, Bax, Bcl2 and Caspase-3. The Cd-intoxicated group showed a significant increase in Cd concentration in brain tissue, in addition, to an increase in MDA and NO and a decrease in the content of neurotransmitters (DA, NE, and 5-HT), inhibitory amino acids, and level of all studied antioxidant enzymes. PG-AgNP2 treatment, significantly reduced Cd-induced brain tissue injury as indicated by increased antioxidant molecules, neurotransmitters (DA, NE, and 5-HT), and inhibitory amino acids accompanied by lower oxidative stress indices (MDA and NO) and excitatory amino acids in brain tissue. PG-AgNP2 decreased inflammatory mediators including pro-inflammatory cytokines and prevented the development of apoptosis in the brain tissue. Our findings suggest that PG-AgNP2 can act as a therapeutic agent against neuronal impairments associated with Cd exposure.

Abstract Biosynthesis of titanium dioxide nanoparticles (TiO2NPs) by Sphingomonas paucimobilis B34 bacteria was successfully achieved and followed by UV-Vis spectroscopy. The nanoparticles were characterized by X-ray diffraction (XRD), transmission electron microscopy (TEM) and fourier transform infrared spectroscopy (FTIR) techniques. The biosynthesized TiO2NPs were spherical in shape with an average particle size of 15.6 nm. These TiO2NPs were used as nono-catalyst for removing of malachite green (MG) dye (at 103 mol/L) from wastewater solution. As indicated by the results, the biosynthesized TiO2NPs represented a capable approach for MG removal with up to 83 % efficiency. The removal process was found to follow a pseudo-first-order kinetics. Furthermore, the developed TiO2NPs-MG hybrid nanocomposite was efficiently removed from the medium by using Spirulina platensis cyanobacterial biomass after wastewater treatment. S. platensis biomass was able to remove up to 89.43 % of the hybrid nanocomposite by a biosorption process. The resultant water effluent, after TiO2NPs-MG removal, showed no toxicity towards Vigna radiate L. seedlings implying its safety for agriculture purposes. According to the obtained results, S. platensis living biomass could play a dual re-cycling role, as natural biosorbent for removing both nanoparticles and dye (TiO2NPs-MG hybrid nano-composite) from solution after wastewater treatment for healthier environmental management.

Two simple, selective and sensitive spectrophotometric methods were developed and validated for the determination of valganciclovir hydrochloride (VLGH) in pure drug and tablets. The first method was based on the reduction of iron(III) to iron(II) by VLGH and subsequent formation of iron(III)-ferricyanide complex (Prussian blue) in acid medium which was measured at 730 nm (method A). In the second method (method B), permanganate was reduced by VLGH to bluish green manganate in alkaline medium and the absorbance was measured at 610 nm. The absorbance measured in each case was related to VLGH concentration. The experimental conditions were carefully studied and optimized. Beer’s law was obeyed over the concentration ranges of 2.5-20.0 and 2.0-40.0 µg mL-1 for method A and method B, respectively, with corresponding molar absorptivity values of 1.28×104 and 6.88×103 L mol-1 cm-1. The limits of detection (LOD) and quantification (LOQ) were 0.11 and 0.33 µg mL-1 (method A) and 0.21 and 0.64 µg mL-1 (method B). Within-day and between-day relative standard deviations (%RSD) at three different concentrations levels were < 2.4%, and the respective relative errors (%RE) were ≤ 3%. The proposed methods were successfully applied to the determination of VLGH in tablets, and the results confirmed that the proposed methods were equally precise and accurate as the official method.

Abstract Objective: To evaluate the prevalence of deleterious oral habits and its effect on occlusion in school going children from 7 to 13 years old, in Aseer region of Saudi Arabia. Material and Methods: A cross-sectional study was conducted by clinical examination for the total sample of 750, who were attending private/ government schools in Aseer region school. Students were selected by stratified cluster random sampling. Clinical findings of each oral habits, including assessment of malocclusion, were examined involving the following parameters, i.e., crowding, spacing, open bite, crossbite and deep bite. Logistic regression analysis was conducted. Results: Boys had 26.2 % of crowded teeth, while 16.3% of girls were found to have crowded teeth; the difference was found to be significant (p=0.002). Spacing was present in 26.4% of boys and 16.7% girls; a significant difference was found between the two (p=0.002). Sleep bruxism was observed more among male subjects than females with a statistically significant difference in detrimental habits (p<0.001). Those subjects having tongue thrusting are 1.264 times at more risk of having crowded teeth than those with no tongue thrusting. Conclusion: There was a high prevalence of malocclusion associated with harmful oral habits in children. This highlighted the need to implement programs of oral care and health education for preventive orthodontic treatment at an early age.

Introduction: Ingredients of oily fish include a large amount of polyunsaturated fatty acids, which are important elements in various metabolic processes of humans, and have also been used to prevent diseases. However, in an attempt to reduce cost, recent developments are starting a replace the ingredients of fish oil with products of microalgae, that also produce polyunsaturated fatty acids. To do so, it is important to closely monitor morphological changes in algae cells and monitor their age in order to achieve the best results. This paper aims to describe an advanced vision-based system to automatically detect, classify, and track the organic cells using a recently developed SOPAT-System (Smart On-line Particle Analysis Technology), a photo-optical image acquisition device combined with innovative image analysis software. Methods The proposed method includes image de-noising, binarization and Enhancement, as well as object recognition, localization and classification based on the analysis of particles’ size and texture. Results The methods allowed for correctly computing cell’s size for each particle separately. By computing an area histogram for the input images (1h, 18h, and 42h), the variation could be observed showing a clear increase in cell. Conclusion The proposed method allows for algae particles to be correctly identified with accuracies up to 99% and classified correctly with accuracies up to 100%.