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1.
Article | IMSEAR | ID: sea-209786

ABSTRACT

Eight Fusarium sp. namely, F. acutatum, F. globosum, F. graminearum, F. lactis, F. nivale, F. proliferatum, F.pseudoanthophilum and F. robustum were screened for the presence of lectins by hemagglutination activityusing human ABO, porcine, ovine, goat and rabbit erythrocytes. Mycelial extracts of all the fungal culturesexcept F. graminearum displayed unique lectin activity with only rabbit erythrocytes. Enzymatic treatment ofrabbit erythrocytes with neuraminidase has significantly enhanced the titre of all the lectin-positive extractsof fungal cultures. In contrast, most of the lectins showed a decline in lectin activity with protease treatedrabbit erythrocytes. Saccharide specificity studies have shown that majority of the lectins are inhibitory towardsO-acetyl sialic acids. None of the lectins from Fusarium sp. were inhibited by dextran, meso-inositol, andN-acetyl-D-glucosamine. Most of the fungal cultures displayed highest hemagglutination activity during the10th day of growth in broth cultures. The unique saccharide specificity of Fusarium sp. lectins can be used forelucidating their clinical role in glycobiology research.

2.
Egyptian Journal of Pediatric Allergy and Immunology [The]. 2007; 5 (2): 65-74
in English | IMEMR | ID: emr-135321

ABSTRACT

There is evidence of CD8[+] and CD4[+] peripheral blood T cell activation in childhood atopic asthma. However, the immunopathology of non-atopic asthma in children remains unclear. We sought to investigate the intracellular IL-5 expression by peripheral blood CD4[+] and CD8[+] T cells in atopic and non-atopic asthmatic children in relation to asthma grading and severity of exacerbation, as well as is possible correlation to various inflammatory markers of asthma. The study comprised 35 atopic and 35 non-atopic asthmatic children enrolled during activity and 30 clinically healthy children. They were subjected to flow cytometric assessment of intracellular IL-5 expression in CD4[+] and CD8[+] T cell subsets as well as absolute eosinophil count, serum total IgE, eosinophil cationic protein [ECP], and urinary Leukotriene E4 [LTE4] estimation. Asthmatic children compiled all together and the atopic group showed highly significant increase in absolute eosinophil count, IgE% from high normal for age, serum ECP, urinary LTE4 / creatinine ratio, intracellular CD4[+] IL5, and CD8[+] IL5 T cell numbers as compared to the control group. Similar results were observed between the non-atopic asthmatic children and the control group. When the atopic and non-atopic asthmatic children were compared, the former group showed significantly higher values of all study parameters except the urinary LTE4, urinary creatinine ratio, and CD8[+] IL5 frequency. CD4[+] IL5 T cell number correlated positively with the absolute eosinophil count, IgE% and serum eosinophil cationic protein among the 70 asthmatic patients. Stepwise multi-regression analysis revealed CD4[+] IL-5 frequency to be an inverse independent variable for asthma exacerbation. Likewise, IL-5 production, either CD4[+] or CD8[+] T cells was an inverse independent variable for grading of asthma severity. Both CD8[+] and CD4[+] T cells contribute to the IL-5 production in asthmatic children whether atopic or non-atopic during disease activity. CD4[+] T cell IL-5 frequency estimation could be a useful marker for asthma exacerbation severity and both CD4[+] and CD8[+] T cell IL-5 frequencies might serve as markers for asthma grading


Subject(s)
Humans , Male , Female , Interleukin-5/blood , CD4 Antigens/blood , CD8 Antigens/blood , Child
3.
Medical Journal of Cairo University [The]. 2007; 75 (2): 39-45
in English | IMEMR | ID: emr-168647

ABSTRACT

The present study describes a new surgical approach to fix the lumbar spine with evaluation of the prospective early outcome. In the period from October 2004 to January 2006, 10 patients with degenerative spondylolisthesis [7 females, 3 males; mean age 43.0 year] underwent lateral retroperitoneal trans-psoas approach for screws and plate fixation of the lumbar spine. All cases [2 with prior posterior surgery and 8 without] had instability at one level which was L3-4 in 2 patients and L4-5 in 8. Spinal stenosis, large disc protrusion, and L5-S1 instability were excluded from this study. Average operative time was 3.2 hours; average blood loss was 450CC, and average postoperative hospital stay was 4.3 days. Clinical and radiological outcome after one year follow-up were satisfactory in the 10 patients. Neither mortality nor massive blood loss were encountered. Complications were in the form of temporary weak painful left hip flexion in all the patients, transient ileus in 4, inadvertent lumber sympathectomy in 2, incisional hernia in 1, and mild wound infection in 1


Subject(s)
Humans , Male , Female , Spondylolisthesis/diagnosis , Low Back Pain , Postoperative Complications , Follow-Up Studies , Prospective Studies
4.
Medical Journal of Cairo University [The]. 2007; 75 (2): 251-257
in English | IMEMR | ID: emr-182247

ABSTRACT

The present study evaluates a minimally invasive technique for radial artery harvesting for coronary artery bypass grafting [CABG]. The decision to use the radial artery for grafting was taken by the cardiac surgeons in Cairo university hospitals. 30 patients were enrolled in this study in the period from February 2002 to August 2005. Allen's test, modified Allen's test, and duplex scanning were the preoperative measures to assess ulnar collateral circulation. A 2 incisions policy was adopted with a 14 cm tunnel inbetween. 2 nasal speculae were used as retractors, with a 30[degree] 5 mm endoscope for visualization, and a harmonic scalpel as haemostatic, dissection, and cutting instrument. In all the patients, harvested grafts ranged between 18 and 22 cm and all were usable. No hand ischemia or graft thrombosis were encountered. Complications involved one [3.3%] tunnel hematoma that was surgically evacuated, 2 cases [6.7%] with bruises in the forearm, 2 [6.7%] with minor wound infection, 2 [6.7%] with numbness of the thenar eminence, and one [3.3%] with neurogenic functional disorder of the thumb. 28 out of the 30 studied patients markedly appreciated the cosmetic outcome. The remaining 2, one had a long scare after exploration of tunnel hematoma, and the other was disappointed with the functional thumb affection


Subject(s)
Humans , Male , Female , Radial Artery , Endoscopy/methods , Postoperative Complications , Minimally Invasive Surgical Procedures
5.
Hamdard Medicus. 2005; 48 (1): 64-66
in English | IMEMR | ID: emr-171981

ABSTRACT

Hyderabad Forest Division contains a rich flora of medicinal value and it has been found that the demand for the medicinal plants has been increasing year after year. A number of minor forest produce was not fully harvested for the lack of funds in the past. At the same time it has also been observed that many of the important plant species are fast disappearing due to various biotic factors such as fires, grazing, illicit removal etc.In addition to systematic study for the identification and quantification regarding the availability, conservation and cultivation of medicinal plants has been made. Therefore, there is a need to take up regeneration of important medicinal plants in the forests, wastelands etc. and a systematic coordination approach by the State Government and private agencies in this direction is necessary with the following considerations: setting up of research cum production centres for the medicinal plants in forests, wastelands, farms and herbal gardens for conserving the rare medicinal plants.Training of personnel in their proper identification and collection. Creation of infrastructure for storage, transport etc.development of the market for such products of forest produce

6.
Egyptian Journal of Neonatology [The]. 2004; 5 (1): 35-45
in English | IMEMR | ID: emr-65731

ABSTRACT

To develop a new method for diagnosing necrotizing enterocolitis and prediction of severity with the use of computed tomography [CT]. Urine specimens from 63 premature neonates were obtained at 4-hours interval for 24 hours duration after administration of iodinated water-soluble contrast material [Iohexol] entrally for 45 neonates from them. Twelve neonates had definite necrotizing enterocolitis [NEC] [group I] and 10 neonates had suspected NEC [group II]. Urine from another two groups without any clinical evidence of NEC [at the time these studies were performed] was collected, 23 neonates [group III] received Iohexol [who underwent upper gastrointestinal study], and 18 neonates [group IV] did not receive Iohexol. The attenuation coefficient of each urine specimen was determined with CT [equivalent to the concentration of the Iohexol in urine]. The mean CT attenuation coefficient of urine from neonates who did not receive Iohexol [group IV] was 5.2 +/- 3.5 HU [Hounsfield unit], and that from neonates without NEC [group III] [who underwent upper gastrointestinal study] was 6.8 +/- 3.0 HU. The mean CT attenuation coefficient of urine from patients with suspected necrotizing enterocolitis [group II] was 28.0 +/- 3.8 HU, and that from patients with definite necrotizing enterocolitis [group I] was 73.0 +/- 19.8 HU. The mean CT attenuation coefficient in neonates with NEC were significantly higher than that from suspected group and than that from patients without NEC whether received the Iohexol or not [P<0.01]. Follow up samples revealed significant reduction in the CT attenuation coefficient after treatment. Urine from neonates with necrotizing enterocolitis show significantly higher CT attenuation coefficients than those from patients without necrotizing enterocolitis. CT examination of urine may allow early diagnosis of necrotizing enterocolitis, effect of treatment as well as severity prediction


Subject(s)
Humans , Male , Female , Tomography, X-Ray Computed , Infant, Premature , Urine , Iohexol , Prospective Studies
7.
Egyptian Journal of Neonatology [The]. 2003; 4 (3): 125-135
in English | IMEMR | ID: emr-61914

ABSTRACT

To evaluate the measurement of IL-lbeta and sPLA2 for the diagnosis of neonatal Sepsis as well as their relation to severity and outcome. The current study was carried out on 40 full term neonates [23 males and 17 females] selected from the Neonatal Intensive Care Unit and the General Nursery of Gynecological and Obstetric Hospital of Ain Shams University. The studied neonates were divided into two groups: Group I: included 25 neonates with neonatal sepsis 15 males and 10 females. Their postnatal age ranged between 3-21 days [mean +/- SD 7.12 +/- 4.04 days] they were 14 neonates with early onset sepsis and 11 neonates with late onset sepsis. Group II: included 15 healthy neonates 8 males and 7 females served as control group. Their postnatal age ranged between 3-21 days [mean +/- SD 10.6 +/- 3.66 days]. All neonates underwent full history taking, thorough clinical examination, complete blood count, CRP level, blood culture, measurement of serum IL-lbeta, and sPLA2. A second sample was withdrawn after one week from seven cases who were improved clinically, to measure serum CRP, IL-lbeta, and sPLA2. the result of this study demonstrate that IL-lbeta was significantly higher in the septic group in comparison with the control group [21.10 +/- 9.79 vs. 4.90 +/- 3.58 pg/ml respectively, P<0.0001] and declined after antibiotic therapy [16.91 +/- 9.3 vs. 9.55 +/- 3.2, P<0.05]. No significant difference between early onset sepsis and late onset sepsis neonates was observed in regards IL-1beta, and sPLA2. Also significant elevations in IL-1beta levels in non-survivors than survivors of the septic group were observed [28.37 +/- 11.93 vs. 18.27 +/- 7.40pg/ml respectively, P<0.05]. Furthermore, secretory PLA2 [sPLA2] was significantly higher in the septic group in comparison with the control group [185.20 +/- 64.42 vs. 63.53 +/- 33,52 U/ml respectively, P<0.0001]. sPLA2 was significantly lower after antibiotic therapy [164.29 +/- 90.94, vs.57.14 +/- 15.77 U/ml, P<0.05]. Higher levels of sPLA2 were observed in non-survivors when compared with survivors of the septic group [243.43 +/- 34.54 vs. 162.56 +/- 59.15 U/ml respectively, p< 0.001]. A positive correlation between the level of IL-lbeta and sPLA2 was observed in the septic group [r = 0.78, P<0.0001] and the rate of change of sPLA2 was higher than IL-1beta after antibiotic therapy [61.23% vs. 46.57% respectively]. In conclusion, IL-lbeta and sPLA2 played a role in pathogenesis of neonatal sepsis. Moreover, their measurements could be used for diagnosis of neonatal sepsis and for prediction of prognosis and mortality


Subject(s)
Humans , Male , Female , Biomarkers , Interleukin-1/blood , Phospholipases A , C-Reactive Protein , Prognosis
8.
Egyptian Journal of Neonatology [The]. 2003; 4 (3): 147-159
in English | IMEMR | ID: emr-61916

ABSTRACT

Neutropenia is frequently observed in neonates born to mothers with pregnancy induced hypertension [PIH]. Though transient, it may be a leading cause of early neonatal sepsis. Hence, prophylactic exogenous hematopoietic factors are currently tried. However. Causes of this neonatal neutronenia [NN] and its relation to the endogenous production of these factors are still obscure, therefore we aimed to study granulocyte colony stimulating factor [G-CSF] among other determinants of NN in this population. The present study included 92 neonates; 52 born to normotensive mothers and 40 neonates with maternal PIH. Gestational age [GA] and birth weight [BW] were assessed with clinical evaluation of all studied neonates at birth and after 72 hours to rule out infection. Cord blood absolute neutrophil count [ANC] and levels Of G-CSF [as measured by ELISA] were studied. Neonates born to mothers with PIH had significantly [P<0.05] lower ANC than control newborns. ANC was significantly [P<0.01] lower in neonates with GA <32 weeks as compared to those >32 weeks. Values of ANC were significantly positively correlated with BW [P<0.05]. Neonatal neutropenia [ANC <1.5 x 10[9]/ L] was observed in 35% of infants born to mothers with PIH being moderate to severe [ANC< 1x10[9] / L] in 25%. Of these neonates with moderate to severe NN, 90% were of low BW and 60% were preterms of GA less than 32 weeks. Mean value of cord blood G-CSF [126.3 +/- 99.6 pg/L] was significantly [P<0.001] lower in all babies of mothers with PIH than control [283.9 +/- 221.7 pg/L]. A significant positive correlation was noted between ANC and G-CSF [P<0.05] in FT neonates. Neonates whose GA<32 weeks showed significantly increased frequency of moderate to severe neutropenia [66.7%] compared to other GA groups [13.3% and 12.5% in those born after 37 weeks and those born between 33 and 36 weeks, respectively] [p<0.05]. The least reported mean cord blood G-CSF in this study [79.3 +/- 31.14 pg /L] was encountered in neonates whose GA<32 weeks and who exhibited NN that approached severity [mean ANC: 0.59 +/- 0.21 x 10 [9]/L]. Early neutropenia may be noted in neonates born to mothers with PIH. It may be related to reduced serum G-CSF especially in LBW and in those with increased degree of prematurity. This population may be suitable c and idates for recombinant human G-CSF [rh G-CSF] therapy


Subject(s)
Humans , Male , Female , Hypertension , Infant, Newborn , Granulocyte Colony-Stimulating Factor , Neutropenia , Fetal Blood , Infant, Low Birth Weight , Cross-Sectional Studies
9.
Kasr El Aini Journal of Surgery. 2003; 4 (1): 45-56
in English | IMEMR | ID: emr-63210

ABSTRACT

In the present study, 20 patients with locally advanced breast cancer were treated with a combined modality strategy from September 1999 to June 2002. Their age ranged from 30-65 years with a mean of 50 years. Thirteen patients were postmenopausal and seven patients were premenopausal. Fourteen cases were in stage IIIb, while six cases were in stage IIIa. A metastatic work up was done and all patients were found to be free from distant metastases before neoadjuvant chemotherapy. The patients received three cycles of different regimens of neoadjuvant chemotherapy. Fourteen patients received 5-flurouracil, adriamycin, cyclophosphamide [FAC], three patients received 5-flurouracil, epirubicin, cyclophosphamide [FEC], two patients received 5-flurouracil, novantrone, cyclophosphamide [FNC]and one patient received cyclophosphamide, methotrexate, 5-flurouacil [CMF]. 90% of the patients had partial responses to the neoadjuvant chemotherapy [the tumor decreased more than 50% of its size]; while only two patients did not respond to treatment. Modified radical mastectomy was done for all patients. Postoperatively, all patients received adjuvant treatment, radiotherapy 5000 cGY, 25 fractions, 3-4 cycles of further adjuvant chemotherapy [FAC, FEC, CMF and FNC] and hormonal treatment, tamoxifen 20 mg/day. The patients were followed up for a variable period of time ranging from 12-24 months. No local recurrence was detected in all patients. Only two patients developed distant metastasis. Disease free survival was 90%. This multimodality approach to locally advanced breast cancer rendered most of the patients disease-free and produced an excellent local control rate


Subject(s)
Humans , Female , Radiotherapy , Chemotherapy, Adjuvant , Mammography , Survival Rate , Treatment Outcome , Recurrence , Follow-Up Studies
10.
Hamdard Medicus. 1997; 40 (2): 59-61
in English | IMEMR | ID: emr-44731

ABSTRACT

The aim of this study is to analyse the pharmacognosy of the folk medicines and assessment of their efficacy in various diseases. The present study deals with the relation of folk-medicinal plants and traditional knowledge of tribals for the welfare of mankind and medicare. During the medico-ethno-botanical survey 2000 plant specimens of medicinal importance comprising 400 taxa, were collected from various survey sites e.g. Kuldabad. Ajanta, Forest and Buldana [Aurangabad]; Harsul, Trimbak and Jarahar [Nasik forest division]. The present survey sites lie between 73.5 ° to 75.6 ° E longitude and 19.6 ° to 20.5 ° N latitude. Beside 100 folk medicinal claims were also collected from the tribals at various survey sites for the treatment of a number of disease e.g. rabies, leucoderma, jaundice, leucorrhoea, diarrhea, contraception, removing wrinkles from the face, excess menstrual flow and improving vision of the eyes. The important folk medicinal plants are mentioned in the paper


Subject(s)
Plants, Medicinal , Pharmacognosy
11.
Hamdard Medicus. 1997; 40 (4): 33-34
in English | IMEMR | ID: emr-44770

ABSTRACT

The present paper deals with the experimental cultivation of Babchi [Psoralea corylifolia linn.] in the herbal garden at Central Research Institute of Unani Medicine, Hyderabad. Seeds were treated with Gibberellic acid, Potassium Nitrate and Thio-urea at different concentrations [250 ppm-500 ppm and 0.5 and 1% respectively]. Compost manure and NPK was also given to the seedlings at different intervals. A complete phonological data and rates of production were also recorded for the said plant with different treatment


Subject(s)
Seeds/physiology , Germination/drug effects
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