Novel Suturing Methods for the Management of Traumatic Choroidal Avulsion in Globe Injuries

PurposeTo explore the long-term efficacy of novel choroidal suturing methods including trans-scleral mattress suturing (TSS) and intraocular suturing (IOS) in the treatment of choroidal avulsion.DesignProspective cohort, hospital-based study.MethodsA total of 24 patients who were diagnosed with choroidal avulsion were enrolled in this study. The demographic characteristics, baseline information of trauma, best-corrected visual acuity (BCVA), and intraocular pressure (IOP) were collected before surgery, and the anatomic abnormities of the globe were recorded before or during surgery. All patients were diagnosed with choroidal avulsion and underwent choroid suturing treatment during vitrectomy, postoperative functional variables including BCVA and IOP, anatomic variables including retinal and choroidal reattachment rate, and silicone oil migration rate, which were recorded at the regular follow-ups at least 1 year after surgery.ResultsAll patients with open globe injury involved zone III, 70.8% of the patients presented with two quadrants of the avulsed choroid, and 29.2% with one quadrant involved; moreover, all patients had complications with retinal detachment (RD), of which 58.3% of patients had closed funnel retinal detachment. TSS was applied in nineteen patients and IOS in five patients. Postoperatively, a significant improvement on LogMAR BCVA was observed at each follow-up from 3.57 ± 0.69 before surgery to 2.82 ± 0.98 at the last follow-up (p < 0.05), and the proportion of no light perception (NLP) was also reduced from 69.6 to 37.5%. IOP was markedly elevated from 6.4 ± 4.1 mmHg preoperatively to 11.3 ± 4.3 mmHg at the last follow-up (p < 0.05). Choroidal reattachment was achieved in 91.7% of patients; two patients were observed with silicone oil migration at 3 months after surgery and underwent drainage of suprachoroidal silicone oil and sclera buckling. Meanwhile, retinal attachment was observed in 95.8% of patients, only one patient developed partial RD due to postoperative proliferative vitreoretinopathy, and secondary vitrectomy was performed; all patients were observed with complete retinal and choroidal attachment at the last follow-up. Eventually, four patients were silicone oil-free, and 20 patients were silicone oil-dependent.ConclusionsChoroidal suturing proved to be an effective method to fix the avulsed choroid, which greatly improved the BCVA and maintained the IOP, and efficiently increased the choroidal and retinal reattachment rate and preservation of the eyeball.

Intra Oral Mucosal Conditions in Older Patients With and Without Complete Dentures: A Cross-sectional Study.

Objectives: To obtain baseline information on Oral Mucosal Conditions (OMCs) and its relation to age, sex, medical history and the use of complete denture in a sample of edentulous patients. Materials and methods: Edentulous patients attending a university hospital were examined for the presence of OMCs, and demographic data were recorded. Statistical analysis was carried out on SPSS software; the following statistical tests were utilized: descriptive statistics, The Mann Whitney U test, Spearman’s Rho rank correlations, and The hierarchical logistic regression analysis. Results: A total of one hundred and sixty-one participants were examined (34 females and 127 males with a mean age of 59.08 years). More than half of the participants (59.6 %) were non-denture wearers and (40.6%) were denture wearers. Longer edentulism, using dentures for longer duration, and the use of more previous dentures were associated with higher Atwood’s ridge classification. Smoking was associated with higher prevalence of OMCs, particularly hairy tongue, frictional keratosis, smokers’ palate, and leukoedema. Denture wearers had more denture stomatitis and denture induced hyperplasia, and less frictional keratosis than non-denture wearers. Participants with cardiac disease had more incidences of geographic tongue and tie tongue. Conclusion: Mucosal changes with increased age, smoking, medical conditions, and medications may be superimposed by wearing complete dentures.

Spatial and Short-Term Temporal Patterns of Octocoral Assemblages in the West Philippine Sea

Octocorals are relatively understudied than other coral reef organisms despite their ecological and economic values. The Philippines is known to have high marine biodiversity, but information on octocorals is lacking. This study investigated spatial and temporal variations in the assemblage of octocorals in selected reef sites in the West Philippine Sea (WPS)- the Kalayaan Island Group (i.e., Pag-asa, Sabina, Lawak, and Northeast Investigator) and Ulugan in 2017 and 2019. Results showed high octocoral taxonomic richness (at least 10 families) in the study sites. Mean percent octocoral cover in WPS was 5.35% SE ± 0.55, with Sabina having the highest octocoral cover in both years. Significant differences in octocoral cover were observed among sites in both years, but among-station differences were only observed in 2017. Octocoral assemblage also differed among sites in both years (ANOSIM: R > 0.5, p < 0.05), wherein different octocoral taxa dominated in different sites. In particular, variations were driven by high cover of holaxonians, nephtheids, and coelogorgiids in Sabina, and clavulariids, tubiporiids, and xeniids in Northeast Investigator in 2017. In 2019, significant variations were driven by high cover of helioporiids in Pag-asa, while Sabina had higher abundance of holaxonians, nephtheids, alcyoniids, and xeniids. Short-term temporal variation on octocoral cover in monitoring stations in Pag-asa was not observed (Kruskal-Wallis, p > 0.05), although the overall mean octocoral cover increased from 1.23% ± SE 0.47 in 2017 to 2.09% SE ± 0.37 in 2019. Further, there was no significant change in the octocoral assemblage in Pag-asa between years (ANOSIM, R = 0.11, p = 0.07). This study highlights high octocoral taxonomic richness in the WPS relative to other sites in the Indo-Pacific Region and provides baseline information on the octocoral assemblages, which can be useful for future ecological studies and marine biodiversity conservation efforts.

Knowledge and Practices on Antibiotic Use and Antibiotic Resistance Among Smallholder Pig Farmers in Timor-Leste

Antibiotic resistance is an emerging global health threat which is linked to the overuse and misuse of antibiotics. This study was conducted to understand the knowledge and practices of smallholder pig farmers on antibiotic use and resistance in Timor-Leste. A cross-sectional study using a structured face-to-face interview was conducted in three municipalities. The interview was piloted and implemented in the local Tetun language. This study found that knowledge of antibiotics was very poor as only 12.7% (95% CI: 6.3–23.9) of farmers reported knowing what antibiotics were, and of these only one was able to correctly explain how an antibiotic worked. None of the farmers knew about antibiotic resistance and were able to explain the concept correctly. After the definition of antibiotic was explained to the farmer, only 3.6% (95% CI: 0.8–14.9) reported that their pigs had ever received antibiotics, and the majority of farmers whose pigs had not received antibiotics reported the lack of access to veterinary services. When used, antibiotics were only used for treatment with no reported use for disease prevention or growth promotion. None of the commonly used antibiotics were critically important antimicrobials. Compliance with withdrawal periods was not routinely followed. There is a need to improve access to government veterinary services for farmers in Timor-Leste, while addressing identified knowledge gaps on antibiotics and promoting prudent use practices. The findings from this study serve as baseline information to inform future interventions.

Interactions Between Plastic, Microbial Biofilms and Gammarus pulex: An Initial Investigation

There is increasing evidence that microbial biofilms which form on the surface of marine plastics can increase plastics palatability, making it more attractive to organisms. The same information, however, does not exist for freshwater systems. This study observed the response of the freshwater amphipod Gammarus pulex when exposed to 3 cm-diameter discs of biofilm-covered plastic, both alone and when presented alongside its natural food. G. pulex did not fragment or consume the plastic materials, and the presence of colonised plastic in the immediate environment did not alter the amount of time organisms spent interacting with their natural food. This study provides baseline information for virgin and microbially colonised low-density polyethylene and polylactic acid film. Further studies, with other types of plastic possessing different physical properties and with different microbial biofilm compositions are now required to build further understanding of interactions between plastic, microbial biofilms, and freshwater shredding invertebrates.

Significance of the Diversification of Wheat Species for the Assembly and Functioning of the Root-Associated Microbiome

Wheat, one of the major crops in the world, has had a complex history that includes genomic hybridizations between Triticum and Aegilops species and several domestication events, which resulted in various wild and domesticated species (especially Triticum aestivum and Triticum durum), many of them still existing today. The large body of information available on wheat-microbe interactions, however, was mostly obtained without considering the importance of wheat evolutionary history and its consequences for wheat microbial ecology. This review addresses our current understanding of the microbiome of wheat root and rhizosphere in light of the information available on pre- and post-domestication wheat history, including differences between wild and domesticated wheats, ancient and modern types of cultivars as well as individual cultivars within a given wheat species. This analysis highlighted two major trends. First, most data deal with the taxonomic diversity rather than the microbial functioning of root-associated wheat microbiota, with so far a bias toward bacteria and mycorrhizal fungi that will progressively attenuate thanks to the inclusion of markers encompassing other micro-eukaryotes and archaea. Second, the comparison of wheat genotypes has mostly focused on the comparison of T. aestivum cultivars, sometimes with little consideration for their particular genetic and physiological traits. It is expected that the development of current sequencing technologies will enable to revisit the diversity of the wheat microbiome. This will provide a renewed opportunity to better understand the significance of wheat evolutionary history, and also to obtain the baseline information needed to develop microbiome-based breeding strategies for sustainable wheat farming.

Prospective longitudinal study of ‘Sleepless in Lockdown’: unpacking differences in sleep loss during the coronavirus pandemic in the UK

ObjectivesCOVID-19 is having a disproportionate impact on Black, Asian and minority ethnic (BAME) groups and women. Concern over direct and indirect effects may also impact on sleep. We explore the levels and social determinants of self-reported sleep loss among the UK population during the pandemic, focusing on ethnic and gender disparities.SettingThis prospective longitudinal study analysed data from seven waves of the Understanding Society: COVID-19 Study collected from April 2020 to January 2021 linked to prepandemic data from the 2019 mainstage interviews, providing baseline information about the respondents prior to the pandemic.ParticipantsThe analytical sample included 8163 respondents aged 16 and above who took part in all seven waves with full information on sleep loss, defined as experiencing ‘rather more’ or ‘much more’ than usual sleep loss due to worry, providing 57 141 observations.Primary outcome measuresSelf-reported sleep loss. Mixed-effects regression models were fitted to consider within-individual and between-individual differences.ResultsWomen were more likely to report sleep loss than men (OR 2.1, 95% CI 1.9 to 2.4) over the 10-month period. Being female, having young children, perceived financial difficulties and COVID-19 symptoms were all predictive of sleep loss. Once these covariates were controlled for, the bivariate relationship between ethnicity and sleep loss (1.4, 95% CI 1.6 to 2.4) was reversed (0.7, 95% CI 0.5 to 0.8). Moreover, the strength of the association between gender and ethnicity and the risk of sleep loss varied over time, being weaker among women in July (0.6, 95% CI 0.5 to 0.7), September (0.7, 95% CI 0.6 to 0.8), November (0.8, 95% CI 0.7 to 1.0) and January 2021 (0.8, 95% CI 0.7 to 0.9) compared with April 2020, but positively stronger among BAME individuals in May (1.4, 95% CI 1.0 to 2.1), weaker only in September (0.7, 95% CI 0.5 to 1.0).ConclusionsThe pandemic has widened sleep deprivation disparities, with women with young children, COVID-19 infection and BAME individuals experiencing sleep loss, which may adversely affect their mental and physical health.

Water Quality of Marshyangdi River, Nepal: An Assessment Using Water Quaity Index (WQI)

Water quality index (WQI) is a valuable arithmetic tool that depicts the overall status of water quality in a single number to prioritize for management interventions. This study aims to assess water quality based on the WQI to provide insights into the status of the aquatic ecosystems in the Marshyangdi River basin, a tributary of the Narayani River, originating from the Himalaya. Water samples were collected from twenty-one sampling locations in the Marshyangdi River covering four districts from upstream (Kangsar) to the downstream region (Mugling) during pre-monsoon season (May) 2019. Eight selected physico-chemical parameters (TDS, pH, EC, DO, Cl-, NH3, PO43-, NO3-) were analyzed and aggregated in the form of WQI. Results showed that WQI ranges from 32.5 to 46.9, indicating the excellent water quality suitable for the sustenance of the aquatic ecosystem at all the sampling locations. These study results are expected to provide the baseline information on the present status of water quality along the longitudinal section of the Marshyangdi River, which could be helpful for the concerned authorities to manage water quality for the sustenance of the aquatic ecosystem.

A baseline study on diversity of birds in Sani Bheri River Valley, Nepal

Rivers and lakes are important habitats for both resident and migratory wetland-dependent birds. This paper presents the study of birds’ seasonal diversity in Sani Bheri River Valley, outside the protected areas of Nepal. The study was carried out from 8-17 March 2019 (Spring) and 12-21 October (Autumn) 2019 covering a 52 km river stretch from Naighat (upstream area where Pelma River and Uttarganga River mix and flow as Sani Bheri river) to Remnaghat (downstream towards the confluence with Thuli Bheri) using the Mackinnon Listing method. The present study recorded 851 occurrences belonging to 11 Orders, 33 Families, and 71 bird species. Order Passeriformes (52 species) and family Muscicapidae (13 species) were dominant. Plumbeous Water-redstart (Phoenicurus fuliginosus) had the highest relative abundance (7.64%). Shannon-Weiner diversity index (H’= 3.61) and Evenness index (e= 0.85) indicate the diverse assemblage of avian fauna in the study area. This study showed that Sani Bheri River Valley provides the habitat for one globally threatened, four nationally threatened, and eight species listed in Appendix-II of CITES. The results provide the baseline information on avian species, which can provide a good database and can be incorporated in conservation implications.

Preliminary Assessment of the Diversity and Habitat Preferences of Herpetofauna in Cholistan Desert, Pakistan

This one-year survey was conducted from February 2017 to January 2018 to assess the herpetofaunal diversity in Cholistan desert, Bahawalnagar district, Punjab, Pakistan. Field surveys were conducted during dawn and dusk for fifteen consecutive days in alternate months and five sub sampling sites were sampled at ten field visits. Specimens were collected through hand capture, using snake sticks, forceps, drag nets, noose traps, pitfall and funnel traps. Overall, two species of toads, two species of frogs, two species of turtles, ten lizards species and ten snake species belonging to 23 genera and 14 families were recorded. Simpson index was calculated as 0.933, evenness 0.733 and Shannon – Wiener index was 2.947 indicating moderate to high level of diversity. Bufo stomaticus (Pi = 0.1253), Uromastyx hardwickii (Pi = 0.0739) were the dominant amphibian and reptilian species, respectively while Uromastyx asmussi was recorded for the first time in the study area. Hand capture and pitfall traps appeared to be the most effective methods to capture the amphibian and reptiles. The distribution ranges of amphibians and reptiles have changed and such surveys are necessary to update baseline information in the country. We recommend further systematic survey work and molecular analysis of the native species be undertaken in the future to supplement our findings.