Open globe injury in Hospital Universiti Sains Malaysia- a 10-year review

AIM:To identify the aetiology of open globe injuries at Hospital Universiti Sains Malaysia over a period of 10y and the prognostic factors for visual outcome.METHODS:Retrospective review of medical records of open globe injury cases that presented from January2000 to December 2009.Classification of open globe injury was based on the Birmingham Eye Trauma Terminology(BETT).Records were obtained with hospital permission via the in-house electronic patient management system,and the case notes of all patients with a diagnosis of open globe injury were scrutinised.Patients with prior ocular trauma,pre-existing ocular conditions affecting the visual acuity,contrast sensitivity,central vision or corneal thickness,as well as those with a history of previous intraocular or refractive surgery were excluded.Analysis of data was with SPSS version20.0.Ordinal logistic regression analysis was used to examine the association between prognostic factors and visual outcome.RESULTS:This study involved 220 patients(n=222eyes).The most common place of injury was the home(51.8%),followed by the workplace(23.4%).Among children aged less than 16y of age,domestic-related injury was the predominant cause(54.6%),while in those aged 16y and above,occupational injuries were the most common cause(40.0%).Most eyes(76.5%)had an initial visual acuity worse than 3/60,and in half of these,the visual acuity improved.The visual outcome was found to be significantly associated with the initial visual acuity(P【0.005),posterior extent of wound(P【0.001),length of wound(P【0.001),presence of hyphaema(P【0.001)and presence of vitreous prolapse(P【0.005).CONCLUSION:The most common causes of open globe injury are domestic accidents and occupational injuries.Significant prognostic factors for final visual outcome in patients with open globe injury are initial visual acuity,posterior extent and length of wound,presence of hyphaema and presence of vitreous prolapse.Awareness of the factors predicting a poor visual outcome may be helpful during counselling of patients with open globe injuries.

Current resistance status of Aedes aegypti and Aedes albopictus populations in Penang Island,Malaysia

Objective:To determine the current insecticide resistance status of Aedes(Ae.)aegypti and Ae.albopictus to four insecticides,namely 0.05%deltamethrin,0.75%permethrin,5%malathion and 0.25%pirimiphos-methyl using the World Health Organisation(WHO)susceptibility test kit.Methods:Adult bioassays were carried out using the standard protocol of the World Health Organisation.All F1 generation urban and suburban field strains of Ae.aegypti and Ae.albopictus were tested against pyrethroid and organophosphate insecticides,including the presence of piperonyl butoxide(PBO)in four replicates of 25 non-blood-fed female mosquitoes ranging from 3 to 5 days old.The Vector Control Research Unit(VCRU)laboratory strain served as a reference strain.Results:In this study,0.05%deltamethrin demonstrated a lower value of knockdown time when 50%of the mosquito population died(KT50)and knockdown time when 95%of the mosquito population died(KT95),which is significantly more effective compared to 0.75%permethrin against adult female Ae.aegypti(urban and suburban)and Ae.albopictus(urban and suburban)(ANOVA,P<0.01).Meanwhile,5%malathion was a more effective insecticide,amounting to the shorter KT50 and KT95 compared to 0.25%pirimiphos-methyl against Ae.aegypti(urban and suburban)and Ae.albopictus(urban and suburban).Ae.aegypti urban and Ae.aegypti suburban performed a higher resistance ratio(RR)towards both 0.05%deltamethrin and 0.75%permethrin due to the wide use of permethrin in dengue vector control programs in Malaysia.However,Ae.albopictus urban and suburban have lower resistance than Ae.aegypti urban and suburban towards 0.05%deltamethrin and 0.75%permethrin at 24 hours post-treatment.The addition of PBO with these insecticides successfully reduced knockdown time(KT50 and KT95)values of most of the Ae.aegypti and Ae.albopictus field strains except PBO+0.75%permethrin against Ae.aegypti suburban.Conclusions:The addition of PBO to insecticides has significantly reduced the knockdown time(KT50 and KT95)values on most of Ae.aegypti and Ae.albopictus urban strain except PBO+5%malathion against Ae.albopictus urban strain and PBO+0.75%permethrin against Ae.albopictus suburban strain in comparison to exposure to insecticides without PBO.Ae.aegypti showed a higher resistance ratio of 50(RR50)when compared with the VCRU laboratory reference strain(susceptible strain)at the exposure to the deltamethrin,including with pre-exposure to PBO.This study found that the addition of PBO with organophosphates(5%malathion and 0.25%pirimiphos-methyl)was significantly more effective than pyrethroids against Ae.aegypti and Ae.albopictus(urban and suburban)due to their high mortality rate at 24 hours.It can be concluded that the usage of PBO can help reduce resistance alteration in Aedes mosquitoes.

Insecticide resistance status of Aedes aegypti and Aedes albopictus in Malaysia(2010 to 2022):A review

This review aimed to determine the prevalence of the insecticide resistance status of the field-collected Aedes(Ae.)aegypti and Ae.albopictus in Malaysia from 2010 to 2022 towards carbamates,organochlorines,organophosphates and pyrethroids.Biological and environmental controls were summarized with an emphasis on the mosquito vector control strategies in Malaysia.The information in this review was extracted from several databases such as PubMed(MEDLINE),Science Direct and Scopus by using keywords including“insecticide resistance”,“carbamate resistance”,“organochlorine resistance”,“organophosphate resistance”,“pyrethroid resistance”,“Aedes”and“Malaysia”,between January 2022 and December 2022.Distribution of resistant Ae.aegypti and Ae.albopictus in Malaysia was mapped using QGIS software.Insecticide resistance in both Ae.aegypti and Ae.albopictus is widespread in Malaysia,although the rates vary by states.The most notable was the steep increase in permethrin resistance of Ae.aegypti in Selangor,Malaysia,over the past decade.Ae.albopictus also displayed moderate resistance to permethrin,though not as widespread as Ae.aegypti in Selangor,but showed sign of resistance in Sarawak,East Malaysia.Resistance towards four main classes of insecticides have been widely documented in Malaysia.The extensive resistance towards permethrin in Malaysia which is one of the current insecticides used in Malaysia suggested that policies supporting the widespread use of permethrin fogging needs further evaluation.

Hybridized Intelligent Neural Network Optimization Model for Forecasting Prices of Rubber in Malaysia

Rubber producers,consumers,traders,and those who are involved in the rubber industry face major risks of rubber price fluctuations.As a result,decision-makers are required to make an accurate estimation of the price of rubber.This paper aims to propose hybrid intelligent models,which can be utilized to forecast the price of rubber in Malaysia by employing monthly Malaysia’s rubber pricing data,spanning from January 2016 to March 2021.The projected hybrid model consists of different algorithms with the symbolic Radial Basis Functions Neural Network k-Satisfiability Logic Mining(RBFNN-kSAT).These algorithms,including Grey Wolf Optimization Algorithm,Artificial Bee Colony Algorithm,and Particle Swarm Optimization Algorithm were utilized in the forecasting data analysis.Several factors,which affect the monthly price of rubber,such as rubber production,total exports of rubber,total imports of rubber,stocks of rubber,currency exchange rate,and crude oil prices were also considered in the analysis.To evaluate the results of the introduced model,a comparison has been conducted for each model to identify the most optimum model for forecasting the price of rubber.The findings showed that GWO with RBFNN-kSAT represents the most accurate and efficient model compared with ABC with RBFNNkSAT and PSO with RBFNN-kSAT in forecasting the price of rubber.The GWO with RBFNN-kSAT obtained the greatest average accuracy(92%),with a better correlation coefficient R=0.983871 than ABC with RBFNN-kSAT and PSO with RBFNN-kSAT.Furthermore,the empirical results of this study provided several directions for policymakers to make the right decision in terms of devising proper measures in the industry to address frequent price changes so that the Malaysian rubber industry maintains dominance in the international markets.

Antibiotic resistance and molecular typing of clinical Staphylococcus aureus isolates from Malaysian military hospital

Objective:To determine the antibiotic resistance profile(ARP)of Staphylococcus(S.)aureus isolates and molecular typing of the methicillin-resistant S.aureus(MRSA)isolates from Tuanku Mizan Armed Forces Hospital(TMAFH),Kuala Lumpur.Methods:The ARP and presence of the pvl gene were determined for 209 S.aureus isolates from clinical specimens.Of these,123 were methicillin-susceptible S.aureus(MSSA)isolates and 86 were MRSA isolates.All MRSA isolates were characterized using SCCmec typing and spa typing.Descriptive analysis was performed to compare the demographic data with the phenotypic and genotypic variables of the S.aureus isolates.Results:No vancomycin-intermediate and-resistant S.aureus(VISA and VRSA,respectively)were detected among the study isolates.The MSSA isolates showed low resistance rates to all tested antibiotics,were commonly invasive(28/42,66.7%),and mostly harboured pvl(35/42,83.3%).Meanwhile,MRSA isolates showed high resistance to penicillin(86/86,100%),ampicillin(86/86,100%),sulbactam/ampicillin(86/86,100%),cefuroxime(81/86,94.19%),cefoperazone(76/86,88.37%),azithromycin(56/86,65.12%),and erythromycin(54/86,62.79%).The majority of MRSA isolates were of SCCmec type IVh(65/86,75.58%),spa type t032(55/85,63.95%),and grouped into spaCC-t022(66/85,77.65%).The t032 type was found to be associated with resistance traits to azithromycin and erythromycin(P<0.05).We also found several spa types that are typically associated with hospital-,community-,and livestock-associated MRSA co-existing in our MRSA population.Conclusions:This study reflected the consistent absence of VISA and VRSA and corroborated the clonal shifting of MRSA isolates in the Malaysian MRSA isolates.

肝癌病人肝切除术后难治性胸腔积液风险预测模型的构建

目的:分析原发性肝癌病人行肝切除术后发生难治性胸腔积液的危险因素,建立肝切除术后难治性胸腔积液的早期风险预测模型。方法:回顾性分析2018年1月—2019年7月在广西医科大学第一附属医院肝胆外科行肝切除术的原发性肝细胞癌病人的临床资料,采取Logistic回归分析筛选术后难治性胸腔积液的独立影响因素并建立风险预测模型,通过Hosmer-Lemeshowχ^(2)检验和受试者工作特征(ROC)曲线下面积评价模型的预测效能。结果:617例肝切除术病人中,54例(8.8%)病人发生术后难治性胸腔积液。多因素分析显示,肝硬化[OR=1.985,95%CI(1.071,3.681)]、手术时间≥234 min[OR=1.986,95%CI(1.031,3.828)]、开腹手术[OR=7.927,95%CI(1.876,33.494)]、术中出血量≥300 mL[OR=2.934,95%CI(1.488,5.785)]是术后难治性胸腔积液的独立危险因素;据此构建的预测模型的Hosmer-Lemeshow检验显示,χ^(2)=5.953,P=0.652;ROC曲线下面积为0.775[0.719,0.832]。结论:构建的预测模型具有较好的预测效能,可为医务人员术后早期筛查高危病人并采取相应预防措施以减少术后难治性胸腔积液的发生提供参考。

Current perspectives on mesenchymal stem cells as a potential therapeutic strategy for non-alcoholic fatty liver disease

Non-alcoholic fatty liver disease(NAFLD)has emerged as a significant health challenge,characterized by its widespread prevalence,intricate natural progression and multifaceted pathogenesis.Although NAFLD initially presents as benign fat accumulation,it may progress to steatosis,non-alcoholic steatohepatitis,cirrhosis,and hepatocellular carcinoma.Mesenchymal stem cells(MSCs)are recognized for their intrinsic self-renewal,superior biocompatibility,and minimal immunogenicity,positioning them as a therapeutic innovation for liver diseases.Therefore,this review aims to elucidate the potential roles of MSCs in alleviating the progression of NAFLD by alteration of underlying molecular pathways,including glycolipid metabolism,inflammation,oxidative stress,endoplasmic reticulum stress,and fibrosis.The insights are expected to provide further understanding of the potential of MSCs in NAFLD therapeutics,and support the development of MSC-based therapy in the treatment of NAFLD.

CRX-527 as a candidate adjuvant in a recombinant BCG-based malaria vaccine

Objective:To investigate the role of CRX-527,a Toll-like receptor 4 agonist,as the possible adjuvant for recombinant Mycobacterium bovis Bacillus Calmette-Guerin expressing merozoite surface protein 1C(BCG-MSP-1C).Methods:The mice were immunized with BCG and BCG-MSP-1C in the presence and absence of CRX-527.The untreated mice(injected with PBS-T80 only)were the negative control.The ability of CRX-527 to enhance IgG and its subclasses,as well as IL-4 and IFN-γproduction in the serum and spleen supernatant was evaluated using ELISA.Results:Mice immunized with BCG-MSP-1C exhibited the highest production of IgGs,IL-4 and IFN-γafter third immunization.In addition,CRX-527 further promoted the production of total IgG and IgG subclasses as well as IFN-γand IL-4 in the serum and splenocytes of immunized mice.Conclusions:CRX-527 has the potential as an adjuvant candidate for the candidate vaccines.Further study is needed to verify appropriate dosage for immunization and its efficacy.

小鼠冠状动脉粥样硬化区域炎性因子对干细胞迁移的调控作用

目的探讨冠状动脉粥样硬化(AS)区域肿瘤坏死因子α(TNF-α)、白细胞介素6(IL-6)炎性因子对干细胞抗原-1(Scal-1)和Nanog阳性细胞迁移的调控作用。方法取动脉粥样硬化模型小鼠和正常小鼠各10只,取出两组新鲜心脏,OCT包埋,冷冻切片,分别进行HE染色和油红O染色,观察冠状动脉病理变化;免疫组织化学染色,光学显微镜观察TNF-α、IL-6、Scal-1和Nanog在冠状动脉壁的表达变化。取20只出生1周小鼠的心室组织,利用密度梯度离心法提取原代Scal-1和Nanog阳性细胞,并纯化、培养,免疫荧光技术鉴定Scal-1和Nanog阳性细胞纯度。取第1代(P1)细胞进行Transwell迁移实验,观察不同浓度的炎症因子对Scal-1和Nanog阳性细胞迁移的影响。结果血脂检测证明,模型小鼠总胆固醇、甘油三脂、低密度脂蛋白胆固醇均明显高于正常对照组;组织学染色证明,所用小鼠模型均存在明显的冠状动脉粥样硬化。免疫组织化学结果显示,动脉粥样硬化区域炎症因子TNF-α和IL-6呈强阳性表达;同时,动脉粥样硬化斑块处Scal-1、Nanog阳性细胞较正常组增多。P1细胞中Scal-1的阳性率为80%,Nanog阳性率为91%。Transwell实验显示,低浓度IL-6对细胞迁移无作用,高浓度IL-6有抑制其迁移的作用;低浓度TNF-α促进细胞迁移,0.5μg/L TNF-α对细胞迁移影响最明显,在高浓度时起抑制迁移作用。结论TNF-α、IL-6和Scal-1、Nanog阳性细胞均参与AS的发生和发展,适当浓度的炎症因子可以增强干细胞向冠状动脉粥样硬化区域迁移。

中国传统文化元素在现代园林景观设计中的应用分析

中国文化有着悠久的历史及丰富的内涵,对我国的建筑设计风格产生了深远的影响。在现代园林景观设计中,中国传统文化元素得到了广泛应用,不仅体现了中华民族独特的审美观念,也推动了多元化景观设计风格的发展。现代园林景观设计者应当有效结合现代艺术风格与传统文化元素,形成新型的园林景观设计理念,使园林景观设计能够满足大众的审美需求,促进现代景观设计水平的提高。文章主要针对中国传统文化元素在现代园林景观设计中的应用进行了深度分析。

Enhanced Mechanism for Link Failure Rerouting in Software-Defined Exchange Point Networks

Internet Exchange Point(IXP)is a system that increases network bandwidth performance.Internet exchange points facilitate interconnection among network providers,including Internet Service Providers(ISPs)andContent Delivery Providers(CDNs).To improve service management,Internet exchange point providers have adopted the Software Defined Network(SDN)paradigm.This implementation is known as a Software-Defined Exchange Point(SDX).It improves network providers’operations and management.However,performance issues still exist,particularly with multi-hop topologies.These issues include switch memory costs,packet processing latency,and link failure recovery delays.The paper proposes Enhanced Link Failure Rerouting(ELFR),an improved mechanism for rerouting link failures in software-defined exchange point networks.The proposed mechanism aims to minimize packet processing time for fast link failure recovery and enhance path calculation efficiency while reducing switch storage overhead by exploiting the Programming Protocol-independent Packet Processors(P4)features.The paper presents the proposed mechanisms’efficiency by utilizing advanced algorithms and demonstrating improved performance in packet processing speed,path calculation effectiveness,and switch storage management compared to current mechanisms.The proposed mechanism shows significant improvements,leading to a 37.5%decrease in Recovery Time(RT)and a 33.33%decrease in both Calculation Time(CT)and Computational Overhead(CO)when compared to current mechanisms.The study highlights the effectiveness and resource efficiency of the proposed mechanism in effectively resolving crucial issues inmulti-hop software-defined exchange point networks.

Blade Wrap Angle Impact on Centrifugal Pump Performance:Entropy Generation and Fluid-Structure Interaction Analysis

The centrifugal pump is a prevalent power equipment widely used in different engineering patterns,and the impeller blade wrap angle significantly impacts its performance.A numerical investigation was conducted to analyze the influence of the blade wrap angle on flow characteristics and energy distribution of a centrifugal pump evaluated as a low specific speed with a value of 69.This study investigates six impellermodels that possess varying blade wrap angles(95°,105°,115°,125°,135°,and 145°)that were created while maintaining the same volute and other geometrical characteristics.The investigation of energy loss was conducted to evaluate the values of total and entropy generation rates(TEG,EGR).The fluid-structure interaction was considered numerically using the software tools ANSYS Fluent and ANSYSWorkbench.The elastic structural dynamic equation was used to estimate the structural response,while the shear stress transport k–ωturbulence model was utilized for the fluid domain modeling.The findings suggest that the blade wrap angle has a significant influence on the efficiency of the pump.The impeller featuring a blade wrap angle of 145°exhibits higher efficiency,with a notable increase of 3.76%relative to the original model.Variations in the blade wrap angle impact the energy loss,shaft power,and pump head.The model with a 145°angle exhibited a maximum equivalent stress of 14.8MPa and a total deformation of 0.084 mm.The results provide valuable insights into the intricate flow mechanism of the centrifugal pump,particularly when considering various blade wrap angles.

IoT Smart Devices Risk Assessment Model Using Fuzzy Logic and PSO

Increasing Internet of Things(IoT)device connectivity makes botnet attacks more dangerous,carrying catastrophic hazards.As IoT botnets evolve,their dynamic and multifaceted nature hampers conventional detection methods.This paper proposes a risk assessment framework based on fuzzy logic and Particle Swarm Optimization(PSO)to address the risks associated with IoT botnets.Fuzzy logic addresses IoT threat uncertainties and ambiguities methodically.Fuzzy component settings are optimized using PSO to improve accuracy.The methodology allows for more complex thinking by transitioning from binary to continuous assessment.Instead of expert inputs,PSO data-driven tunes rules and membership functions.This study presents a complete IoT botnet risk assessment system.The methodology helps security teams allocate resources by categorizing threats as high,medium,or low severity.This study shows how CICIoT2023 can assess cyber risks.Our research has implications beyond detection,as it provides a proactive approach to risk management and promotes the development of more secure IoT environments.

Investigating and predicting the role of photovoltaic, wind, and hydrogen energies in sustainable global energy evolution

The global shift toward next-generation energy systems is propelled by the urgent need to combat climate change and the dwindling supply of fossil fuels.This review explores the intricate challenges and opportunities for transitioning to sustainable renewable energy sources such as solar,wind,and hydrogen.This transition economically challenges traditional energy sectors while fostering new industries,promoting job growth,and sustainable economic development.The transition to renewable energy demands social equity,ensuring universal access to affordable energy,and considering community impact.The environmental benefits include a significant reduction in greenhouse gas emissions and a lesser ecological footprint.This study highlights the rapid growth of the global wind power market,which is projected to increase from$112.23 billion in 2022 to$278.43 billion by 2030,with a compound annual growth rate of 13.67%.In addition,the demand for hydrogen is expected to increase,significantly impacting the market with potential cost reductions and making it a critical renewable energy source owing to its affordability and zero emissions.By 2028,renewables are predicted to account for 42%of global electricity generation,with significant contributions from wind and solar photovoltaic(PV)technology,particularly in China,the European Union,the United States,and India.These developments signify a global commitment to diversifying energy sources,reducing emissions,and moving toward cleaner and more sustainable energy solutions.This review offers stakeholders the insights required to smoothly transition to sustainable energy,setting the stage for a resilient future.

Base Pressure Control with Semi-Circular Ribs at Critical Mach Number

When better fuel-air mixing in the combustion chamber or a reduction in base drag are required in vehicles,rockets,and aeroplanes,the base pressure control is activated.Controlling the base pressure and drag is necessary in both scenarios.In this work,semi-circular ribs with varying diameters(2,4,and 6 mm)positioned at six distinct positions(0.5D,1D,1.5D,2D,3D,and 4D)inside a square duct with a side of 15 mm are proposed as an efficient way to apply the passive control technique.In-depth research is done on optimising rib size for various rib sites.According to this study,the base pressure rises as rib height increases.Furthermore,the optimal location for the semi-circular ribs with a diameter of 2 mm is at 0.5D.The 1D location appears to be optimal for the 4 mm size as well.For the 6 mm size,however,the 4D position fills this function.

Control of Nozzle Flow Using Rectangular Ribs at Sonic and Supersonic Mach Numbers

This study deals with base pressure management in a duct for various values of the Mach number(M),namely,Mach number corresponding to sonic and four supersonic conditions.In addition to the Mach number,the nozzle pressure ratio(NPR),the area ratio,the rib dimension,and the duct length are influential parameters.The following specific values are examined at M=1,1.36,1.64,and 2,and NPRs between 1.5 and 10.The base pressure is determined by positioning ribs of varying heights at predetermined intervals throughout the length of the square duct.When the level of expansion is varied,it is seen that the base pressure initially drops for overexpanded flows and increases for under-expanded flows.When ribs are present,the flow field in the duct and pressure inside the duct fluctuate as the base pressure rises.Under-expanded flows can achieve a base pressure value that is suitably high without experiencing excessive changes in the duct flow in terms of static pressure if a rib height around 10%of the duct height close to the nozzle exit is considered.Rectangular rib passive control does not negatively affect the duct’s flow field.

Improving Smart Home Security via MQTT: Maximizing Data Privacy and Device Authentication Using Elliptic Curve Cryptography

The rapid adoption of Internet of Things(IoT)technologies has introduced significant security challenges across the physical,network,and application layers,particularly with the widespread use of the Message Queue Telemetry Transport(MQTT)protocol,which,while efficient in bandwidth consumption,lacks inherent security features,making it vulnerable to various cyber threats.This research addresses these challenges by presenting a secure,lightweight communication proxy that enhances the scalability and security of MQTT-based Internet of Things(IoT)networks.The proposed solution builds upon the Dang-Scheme,a mutual authentication protocol designed explicitly for resource-constrained environments and enhances it using Elliptic Curve Cryptography(ECC).This integration significantly improves device authentication,data confidentiality,and energy efficiency,achieving an 87.68%increase in data confidentiality and up to 77.04%energy savings during publish/subscribe communications in smart homes.The Middleware Broker System dynamically manages transaction keys and session IDs,offering robust defences against common cyber threats like impersonation and brute-force attacks.Penetration testing with tools such as Hydra and Nmap further validated the system’s security,demonstrating its potential to significantly improve the security and efficiency of IoT networks while underscoring the need for ongoing research to combat emerging threats.

Hepatic and renal effects of oral stingless bee honey in a streptozotocin-induced diabetic rat model

BACKGROUND Diabetes is known damage the liver and kidney,leading to hepatic dysfunction and kidney failure.Honey is believed to help in lowering the blood glucose levels of diabetic patients and reducing diabetic complications.However,the effect of stingless bee honey(SBH)administration in relieving liver and kidney damage in diabetes has not been well-studied.AIM To investigate the effect of SBH administration on the kidney and liver of streptozotocin-induced(STZ;55 mg/kg)diabetic Sprague Dawley rats.METHODS The rats were grouped as follows(n=6 per group):non-diabetic(ND),untreated diabetic(UNT),metformin-treated(MET),and SBH+metformin-treated(SBME)groups.After successful diabetic induction,ND and UNT rats were given normal saline,whereas the treatment groups received SBH(2.0 g/kg and/or metformin(250 mg/kg)for 12 d.Serum biochemical parameters and histological changes using hematoxylin and eosin(H&E)and periodic acid–Schiff(PAS)staining were evaluated.RESULTS On H&E and PAS staining,the ND group showed normal architecture and cellularity of Bowman’s capsule and tubules,whereas the UNT and MET groups had an increased glomerular cellularity and thickened basement membrane.The SBH-treated group showed a decrease in hydropic changes and mild cellularity of the glomerulus vs the ND group based on H&E staining,but the two were similar on PAS staining.Likewise,the SBME-treated group had an increase in cellularity of the glomerulus on H&E staining,but it was comparable to the SBH and ND groups on PAS staining.UNT diabetic rats had tubular hydropic tubules,which were smaller than other groups.Reduced fatty vacuole formation and dilated blood sinusoids in liver tissue were seen in the SBH group.Conversely,the UNT group had high glucose levels,which subsequently increased MDA levels,ultimately leading to liver damage.SBH treatment reduced this damage,as evidenced by having the lowest fasting glucose,serum alanine transaminase,aspartate transaminase,and alkaline phosphatase levels compared to other groups,although the levels of liver enzymes were not statistically significant.CONCLUSION The cellularity of the Bowman’s capsule,as well as histological alteration of kidney tubules,glomerular membranes,and liver tissues in diabetic rats after oral SBH resembled those of ND rats.Therefore,SBH exhibited a protective hepatorenal effect in a diabetic rat model.

Acquired factor XIII deficiency presenting with multiple intracranial hemorrhages and right hip hematoma:A case report

BACKGROUND Factor XIII(FXIII)deficiency is a rare yet profound coagulopathy.FXIII plays a pivotal role in hemostasis,and deficiencies in this factor can precipitate unchecked or spontaneous hemorrhaging.Immunological assays for detecting FXIII inhibitors are indispensable for diagnosing acquired FXIII deficiency;however,the availability of suitable testing facilities is limited,resulting in prolonged turnaround times for these assays.CASE SUMMARY In this case study,a 53-year-old male devoid of significant medical history presented with recurrent intracranial hemorrhages and a hematoma in the right hip.Subsequent genetic analysis revealed a homozygous mutation in the ACE gene,confirming the diagnosis of acquired FXIII deficiency.CONCLUSION This case underscores the significance of considering acquired deficiencies in clotting factors when evaluating patients with unexplained bleeding episodes.

A Comprehensive Classification and Analysis of Geomagnetic Storms Over Solar Cycle 24

A geomagnetic storm is a global disturbance of Earth?s magnetosphere,occurring as a result of the interaction with magnetic plasma ejected from the Sun.Despite considerable research,a comprehensive classification of storms for a complete solar cycle has not yet been fully developed,as most previous studies have been limited to specific storm types.This study,therefore,attempted to present complete statistics for solar cycle 24,detailing the occurrence of geomagnetic storm events and classifying them by type of intensity(moderate,intense,and severe),type of complete interval(normal or complex),duration of the recovery phase(rapid or long),and the number of steps in the storm?s development.The analysis was applied to data from ground-based magnetometers,which measured the Dst index as provided by the World Data Center for Geomagnetism,Kyoto,Japan.This study identified 211 storm events,comprising moderate(177 events),intense(33 events),and severe(1 event)types.About 36%of ICMEs and 23%of CIRs are found to be geoeffective,which caused geomagnetic storms.Up to four-step development of geomagnetic storms was exhibited during the main phase for this solar cycle.Analysis showed the geomagnetic storms developed one or more steps in the main phase,which were probably related to the driver that triggered the geomagnetic storms.A case study was additionally conducted to observe the variations of the ionospheric disturbance dynamo(Ddyn)phenomenon that resulted from the geomagnetic storm event of 2015July 13.The attenuation of the Ddyn in the equatorial region was analyzed using the H component of geomagnetic field data from stations in the Asian sector(Malaysia and India).The variations in the Ddyn signatures were observed at both stations,with the TIR station(India)showing higher intensity than the LKW station(Malaysia).