Cardiovascular outcomes of SGLT-2 inhibitors' subtypes in type 2 diabetes; an updated systematic review and meta-analysis of randomized controlled trials.

Introduction: The effects of Sodium-glucose cotransporter-2 (SGLT-2) inhibitors on cardiac outcomes, cardiovascular mortality (CVM), and all-cause mortality (ACM) in type 2 diabetes mellitus (T2DM) patients have been reported heterogeneously in different studies.

Methods: PubMed, Scopus, Embase, Cochrane Library, and Scholar databases were searched with relevant MeSH terms from January 1, 2010, to November 14, 2023. The study used Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines.

From thrombosis to tamponade: unveiling severe pericardial effusion in a misdiagnosis case.

Background: Anticoagulants increase the risk of cardiac tamponade in patients with pericardial effusion (PE). Therefore, inappropriate administration of them in the presence of PE can lead to a catastrophic outcome. This study presents a patient with a provisional misdiagnosis of venous thromboembolism (VTE).

Outcomes of neoadjuvant chemoradiotherapy in T4 rectal cancer patients: a real-world single institution experience.

Purpose: Treatment outcomes of locally advanced rectal cancer have improved significantly in recent decades. This retrospective study aimed to assess the efficacy of neoadjuvant chemoradiotherapy (nCRT) followed by surgery in patients with T4 rectal cancer and the different outcomes between T4a and T4b patients.

Materials And Methods: A total of 60 clinically T4 rectal cancer patients who underwent nCRT were included in the analysis.

Short-term and long-term oncological outcomes of chemoradiotherapy for rectal cancer patients with or without oxaliplatin: a propensity score-matched retrospective analysis.

Background/aim: Current approaches for locally advanced rectal cancer (LARC) typically recommend neoadjuvant chemoradiotherapy (nCRT) with 5-fluorouracil (5FU) or its oral analogs followed by surgery as the standard of care. However, the question of whether intensifying concurrent chemotherapy by adding oxaliplatin to the 5FU-based backbone can yield better outcomes remains unresolved. This study aimed to investigate the benefits of incorporating oxaliplatin into fluoropyrimidine-based chemoradiotherapy (CRT) to increase locoregional control and survival.

Comprehensive characterization of gas dynamic virtual nozzles for x-ray free-electron laser experiments.

We introduce a hardware-software system for rapidly characterizing liquid microjets for x-ray diffraction experiments. An open-source python-based software package allows for programmatic and automated data collection and analysis. We show how jet speed, length, and diameter are influenced by nozzle geometry, gas flow rate, liquid viscosity, and liquid flow rate.

Near future flash flood prediction in an arid region under climate change.

Flash floods represent a significant threat, triggering severe natural disasters and leading to extensive damage to properties and infrastructure, which in turn results in the loss of lives and significant economic damages. In this study, a comprehensive statistical approach was applied to future flood predictions in the coastal basin of North Al-Abatinah, Oman. In this context, the initial step involves analyzing eighteen General Circulation Models (GCMs) to identify the most suitable one.

Immunogenicity of Brucella Trivalent Immunogen-Containing Polyethyleneimine Nanostructure Targeted with LPS in a Mouse Model.

Brucella is a facultative intracellular gram-negative coccobacillus. It is nonsporulating and reproduced in macrophage phagosomes. The use of nanostructures as drug and vaccine carriers has recently received attention due to their ability to control the release profile and protect the drug molecules.

Enhancing flood risk assessment in urban areas by integrating hydrodynamic models and machine learning techniques.

Urban flood risks have intensified due to climate change and dense infrastructural development, necessitating innovative assessment approaches. This study aimed to integrate advanced hydrodynamic models with machine learning (ML) techniques to improve urban flood prediction and hazard analysis. Integrating 1D and 2D hydrodynamic models calibrated with precise parameters demonstrated exceptional predictive accuracy for flood dynamics.

Intranasal and intraperitoneal immunization against infection using niosome and mannosylated niosomes containing recombinant trigger factor/Bp26/Omp31 chimeric protein in a mouse model.

Purpose: Brucellosis, a zoonotic infectious disease, is a worldwide health issue affecting animals and humans. No effective human vaccine and the complications caused by the use of animal vaccines are among the factors that have prevented the eradication of the disease worldwide. However, bio-engineering technologies have paved the way for designing new targeted and highly efficacious vaccines.

Successful management of a delayed presented button battery ingestion in a toddler: A case report and literature review.

Key Clinical Message: It is important to note that prevention of button battery ingestion is the most effective way to reduce its incidence and complications. This is unachievable without providing educational plans for parents. Moreover, triage nurses and first-line staff who take the history of patients and physicians should take the history to evaluate the risk of battery ingestion.

Kounis syndrome type I induced by an intramuscular injection of diclofenac: A literature review based on a case report.

Key Clinical Message: The history of any allergy to the medications should be asked by physicians before administration of the medication. The coincidence of allergic and ACS symptoms after a short time of drug administration might be an indicator of Kounis syndrome. Allergic and coronary symptoms should be considered and treated.

Robust clustering-based hybrid technique enabling reliable reservoir water quality prediction with uncertainty quantification and spatial analysis.

Machine learning methodology has recently been considered a smart and reliable way to monitor water quality parameters in aquatic environments like reservoirs and lakes. This study employs both individual and hybrid-based techniques to boost the accuracy of dissolved oxygen (DO) and chlorophyll-a (Chl-a) predictions in the Wadi Dayqah Dam located in Oman. At first, an AAQ-RINKO device (CTD sensor) was used to collect water quality parameters from different locations and varying depths in the reservoir.

Environmental exposure and respiratory health: Unraveling the impact of toxic release inventory facilities on COPD prevalence.

This cross-sectional geospatial analysis explores the prevalence of Chronic Obstructive Pulmonary Disease (COPD) concerning the proximity to toxic release inventory (TRI) facilities in Jefferson County, Alabama. Employing the fuzzy analytical hierarchy process (FAHP), the study evaluates COPD prevalence, comorbidities, healthcare access, and individual health assessments. Given the mounting evidence linking environmental pollutants to COPD exacerbations, the research probes the influence of TRI sites on respiratory health, integrating Geographic Information Systems (GIS) to scrutinize the geospatial vulnerability of communities neighboring TRI sites.

Enhancing the Antibacterial Impact of Lipopeptide Extracted from as a Probiotic against MDR .

Background: The antibiotic resistance of microorganisms is escalating rapidly. Infections caused by opportunistic pathogens in immunocompromised individuals have prompted researchers to seek for potent and safe antibacterial agents. The purpose of this investigation was to explore the suppression of virulence gene expression, specifically the operon genes responsible in biofilm formation in , through the utilization of metabolites obtained from probiotic bacteria.

Hybrid WT-CNN-GRU-based model for the estimation of reservoir water quality variables considering spatio-temporal features.

Water quality indicators (WQIs), such as chlorophyll-a (Chl-a) and dissolved oxygen (DO), are crucial for understanding and assessing the health of aquatic ecosystems. Precise prediction of these indicators is fundamental for the efficient administration of rivers, lakes, and reservoirs. This research utilized two unique DL algorithms-namely, convolutional neural network (CNNs) and gated recurrent units (GRUs)-alongside their amalgamation, CNN-GRU, to precisely gauge the concentration of these indicators within a reservoir.

A woman with eptifibatide (integrilin)-induced thrombocytopenia following treatment of a clot in her coronary artery: A case report and literature review.

Eptifibatide, a GPIIb/IIIa receptor inhibitor, has shown its efficacy and safety in patients with high clot burden in their coronary vessels. It is widely used in patients with this condition. However, this medication use is accompanied by complications in some cases.

Role of Oxaliplatin in the Neoadjuvant Concurrent Chemoradiotherapy in Locally Advanced Rectal Cancer: a Review of Evidence.

The treatment of locally advanced rectal cancer (LARC) is a challenging situation for radiation oncologists and colorectal surgeons. Most current approaches recommend neoadjuvant fluorouracil or capecitabine-based chemoradiotherapy followed by surgery as a standard of care. Intensification of concurrent chemotherapy by adding oxaliplatin to fluorouracil or capecitabine backbone to get better outcomes is the matter that has remained unresolved.

Psychometric evaluation of the Persian version of the perception of conscience questionnaire in Iranian nurses.

Conscience is defined as the cornerstone of ethics and is considered a valuable asset. There is, however, little evidence about how Iranian nurses perceive conscience. The purpose of this study was to psychometrically evaluate the Persian version of the Perception of Conscience Questionnaire (PCQ) in Iranian nurses.

Effect of lipopeptide extracted from Bacillus licheniformis on the expression of bap and luxI genes in multi-drug-resistant Acinetobacter baumannii and Pseudomonas aeruginosa.

Recently, opportunistic pathogens like Acinetobacter baumannii and Pseudomonas aeruginosa have caused concern due to their ability to cause antibiotic resistance in weakened immune systems. As a result, researchers are always seeking efficient antimicrobial agents to tackle this issue. The hypothesis of the recent study was that probiotic products derived from bacteria would be effective in reducing drug resistance in other bacteria.

Advancing flood damage modeling for coastal Alabama residential properties: A multivariable machine learning approach.

Flooding is a global threat and predicting flood risk accurately is vital for effective mitigation and increasing society's awareness of the negative impacts of floods. Over the years, researchers have worked on physical and data-driven models to predict flood damage, striving to improve accuracy and understanding. However, the challenge lies in the scarcity and limitedness of comprehensive datasets needed to develop these models.

The predictive factors of moral courage among hospital nurses.

Background: Having moral courage is a crucial characteristic for nurses to handle ethical quandaries, stay true to their professional obligations towards patients, and uphold ethical principles. This concept can be influenced by various factors including personal, professional, organizational, and leadership considerations. The purpose of this study was to explore the predictors of moral courage among nurses working in hospitals.

Smartphone-based application to control and prevent overweight and obesity in children: design and evaluation.

Background: Obesity is a multifaceted condition that impacts individuals across various age, racial, and socioeconomic demographics, hence rendering them susceptible to a range of health complications and an increased risk of premature mortality. The frequency of obesity among adolescent females in Iran has exhibited an increase from 6 to 9%, while among boys, it has risen from 2 to 7%. Due to the increasing prevalence and advancements in technology, the primary objective of this study was to develop and evaluate a smartphone-based app that would serve as an educational tool for parents about the matter of childhood overweight and obesity.

Numerical analysis of surface hydrogeological water budget to estimate unconfined aquifers recharge.

Under changing climate, groundwater resources are the main drivers of socioeconomic development and ecosystem sustainability. This study assessed the contribution of two adjacent watersheds, Muse Street (MS) and West Wood (WW), with low and high urban development, to the Memphis aquifer recharge process in central Jackson, Tennessee, USA. The numerical MODFLOW model was created using data from 2017 to 2019 and calibrated using reported water budget components derived from in-situ data.