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Foad AM, Hafez A, Youssef W, Ahmed AE, Altaher AM. Irisin expression and FNDC5 (rs3480) gene polymorphism in type 2 diabetic patients with and without CAD. Arch Physiol Biochem 2023:1-6. [PMID: 36732920 DOI: 10.1080/13813455.2023.2173785] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/05/2022] [Accepted: 01/20/2023] [Indexed: 02/04/2023]
Abstract
BACKGROUND Irisin was found to correlate with coronary artery disease (CAD) in diabetic patients. This study investigated the association of irisin and FNDC5 (SNP rs3480) with the presence and severity of CAD in T2DM. METHODS This cross-sectional study included 100 patients with T2DM divided into two groups, DM group (n = 50), including patients without CAD and CAD group (n = 50), including those confirmed to have CAD by coronary angiography. Irisin was measured. SNP rs3480 genotyping of FNDC5 was done. RESULTS Irisin levels were significantly lower in the CAD group (p < 0.001). The CAD group had significantly higher HbA1c and lower HDL (p < 0.001). Patients with controlled DM had significantly higher irisin levels (p < 0.001). single nucleotide polymorphism (SNP) rs3480 was not associated with irisin levels, and the FNDC5 rs3480 AA reference allele was significantly associated with significant CAD. CONCLUSION Irisin appears to be protective against developing CAD in diabetic patients. Irisin level was an independent predictor of significant CAD in diabetic patients combined with the FNDC5 rs3480 genotype. CLINICAL TRIAL REGISTRATION NUMBER NCT04957823.
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Affiliation(s)
- Amera Morad Foad
- Department of Medical Biochemistry, Faculty of Medicine, Sohag University, Sohag, Egypt
| | - Alshimaa Hafez
- Department of Medical Biochemistry, Faculty of Medicine, Sohag University, Sohag, Egypt
| | - Wael Youssef
- Department of Clinical Pathology, Faculty of Medicine, Sohag University, Sohag, Egypt
| | - Ahmed Elsharawy Ahmed
- Department of Internal Medicine, Division of Cardiology, Faculty of Medicine, Sohag University, Sohag, Egypt
| | - Ali Mohamad Altaher
- Department of Internal Medicine, Division of Cardiology, Faculty of Medicine, Sohag University, Sohag, Egypt
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Mohamed FE, Zaky EA, Youssef A, Elhossiny R, Zahra S, Khalaf R, Youssef W, Wafiq A, Ibrahim R, Abd-Elhakim R, Obada A, Eldin WS. Screening of Egyptian toddlers for autism spectrum disorder using an Arabic validated version of M-CHAT; report of a community-based study (Stage I). Eur Psychiatry 2016; 34:43-48. [PMID: 26928345 DOI: 10.1016/j.eurpsy.2016.01.2421] [Citation(s) in RCA: 21] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/30/2015] [Revised: 01/17/2016] [Accepted: 01/17/2016] [Indexed: 12/21/2022] Open
Abstract
BACKGROUND Although there is a recommendation that toddlers be screened for Autism spectrum disorder (ASD) during their 18- and 24-month well-care child visits, diagnosis often occurs well after the child turns 4 years old. Such delayed diagnosis hinders the implementation of early intervention thus worsens the long-term prognosis of ASD. OBJECTIVE The current community-based study in its stage I aimed at early screening of Egyptian toddlers for ASD using an Arabic validated version of Modified Checklist for Autism in Toddlers (M-CHAT). METHODOLOGY A cross-sectional community-based descriptive study was carried out enrolling 5546 Egyptian toddlers. They were randomly recruited from those attending Primary Health Care Units in six Egyptian governorates with a fair representation of the urban, semi-urban, and rural Egyptian populations. An Arabic validated version of M-CHAT was used as a screening tool for ASD. RESULTS The current study revealed failure of M-CHAT (suspected to have ASD and needs further evaluation) in 1320 out of the enrolled 5546 Egyptian toddlers (23.8%). CONCLUSION M-CHAT as a screening tool for ASD has flagged a considerable percent of the enrolled toddlers that necessitates referral for further evaluation (stage II) to settle the diagnosis of ASD in the true positive cases. Perfecting the delicate balance between sensitivity and specificity for ASD screening tools is crucial in order not to miss early detection of ASD cases and at the same time, to avoid over-diagnosis with subsequent abuse of the limited healthcare resources in developing countries.
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Affiliation(s)
- F E Mohamed
- Department of Pediatrics, Faculty of Medicine, Ain Shams University, Egypt
| | - E A Zaky
- Department of Pediatrics, Faculty of Medicine, Ain Shams University, Egypt.
| | - A Youssef
- Department of Pediatrics, Faculty of Medicine, Ain Shams University, Egypt
| | - R Elhossiny
- Department of Pediatrics, Faculty of Medicine, Ain Shams University, Egypt
| | - S Zahra
- Department of Pediatrics, Faculty of Medicine, Ain Shams University, Egypt
| | - R Khalaf
- Department of Pediatrics, Faculty of Medicine, Ain Shams University, Egypt
| | - W Youssef
- Department of Pediatrics, Faculty of Medicine, Ain Shams University, Egypt
| | - A Wafiq
- Department of Pediatrics, Faculty of Medicine, Ain Shams University, Egypt
| | - R Ibrahim
- Department of Pediatrics, Faculty of Medicine, Ain Shams University, Egypt
| | - R Abd-Elhakim
- Department of Pediatrics, Faculty of Medicine, Ain Shams University, Egypt
| | - A Obada
- Department of Pediatrics, Faculty of Medicine, Ain Shams University, Egypt
| | - W S Eldin
- Community Medicine, Faculty of Medicine, Ain Shams University, Egypt
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Rady W, Abouelela A, Abdallah A, Youssef W. Role of bronchoscopy during non invasive ventilation in hypercapnic respiratory failure. Egypt J Chest Dis Tuberc 2014; 63:1003-1011. [PMID: 32288127 PMCID: PMC7132652 DOI: 10.1016/j.ejcdt.2014.06.015] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2014] [Accepted: 06/24/2014] [Indexed: 11/18/2022] Open
Abstract
Introduction Non invasive positive pressure ventilation (NIPPV) is the first line treatment for hypercapnic acute respiratory failure (ARF) secondary to COPD exacerbation in selected patients. Limited data exist supporting the use of fiberoptic bronchoscopy (FOB) during this clinical setting. The aim of this study is to assess the role of FOB during NIPPV in patients with decompensated COPD acute exacerbation. Methods This study is a randomized prospective case control pilot study carried out on 50 patients - admitted to critical care units at Alexandria University Hospital, Egypt - suffering from hypercapnic ARF secondary to COPD exacerbation with Kelly Matthay Score from 2 to 4. All patients received NIPPV. Patients were divided randomly into 2 equal groups: group I (cases) (25 patients) was subjected to additional intervention of early FOB during the first 6–12 h from admission while group II (control) (25 patients) received the conventional treatment and NIPPV only. Outcome parameters measured were changes in ABG data, duration of NIPPV, rate of its success, ICU stay and mortality as well as the safety of FOB and possible complications. Results No significant difference was detected between the 2 groups regarding the baseline characteristics. No serious complications happened from FOB, and Oxygen desaturation happened in 4/25 patients (16%), Tachycardia in 2/25 patients (8%). In group I, 23 patients (92%) were successfully weaned from NIPPV versus 16 patients (64%) in group II (p = 0.037). Total duration of NIPPV was 28.52 h in group I versus 56.25 h in group II (p = 0.001). Length of ICU stay was 4.84 days in group I versus 8.68 days in group II (p = 0.001). Only 1 patient died in group I versus 3 patients in group II (p = 0.609). Conclusion The early application of FOB during NIPPV in patients with ARF due to COPD exacerbation was shown to be safe. Significant improvement in the outcome of patients who underwent FOB was noticed in terms of improved ABG data, shorter duration of NIPPV, higher percentage of success and shorter ICU stay while no significant difference was detected in mortality.
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Affiliation(s)
- W Rady
- Alexandria University, Critical Care Medicine Department, Alexandria, Egypt
| | - A Abouelela
- Alexandria University, Critical Care Medicine Department, Alexandria, Egypt
| | - A Abdallah
- Alexandria University, Pulmonary Medicine Department, Alexandria, Egypt
| | - W Youssef
- Alexandria University, Critical Care Medicine Department, Alexandria, Egypt
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Rady W, Abouelela A, Aly A, Youssef W. Role of bronchoscopy during non-invasive ventilation in hypercapnic respiratory failure. Crit Care 2013. [PMCID: PMC3642522 DOI: 10.1186/cc12074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022] Open
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Sofi AA, de Las Casas L, Tariq Z, Nawras A, Youssef W. Fulminant Hepatic Failure Secondary to Metastatic Transitional Cell Carcinoma-Case Report and Review of the Literature. J Gastrointest Cancer 2011; 43 Suppl 1:S111-3. [PMID: 22207348 DOI: 10.1007/s12029-011-9354-1] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/14/2022]
Affiliation(s)
- Aijaz Ahmed Sofi
- Division of Gastroenterology, Department of Medicine, University of Toledo Medical Centre, 3000, Arlington Avenue, Toledo, OH, 43614, USA
| | - Luis de Las Casas
- Department of Pathology, University of Toledo Medical Centre, Toledo, OH, USA
| | - Zeeshan Tariq
- Division of Gastroenterology, Department of Medicine, University of Toledo Medical Centre, 3000, Arlington Avenue, Toledo, OH, 43614, USA
| | - Ali Nawras
- Division of Gastroenterology, Department of Medicine, University of Toledo Medical Centre, 3000, Arlington Avenue, Toledo, OH, 43614, USA
| | - Wael Youssef
- Division of Gastroenterology, Department of Medicine, University of Toledo Medical Centre, 3000, Arlington Avenue, Toledo, OH, 43614, USA.
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Youssef W, D'Innocenzo R, Mehra P. Antibiotic Therapy in the Management of Severe Odontogenic Infections: A Comparison of Two Treatment Regimens. ACTA ACUST UNITED AC 2008. [DOI: 10.1016/j.tripleo.2008.08.030] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
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Affiliation(s)
- Julia LeBlanc
- Department of Medicine, Division of Gastroenterology and Hepatology, Indiana University Medical Center, Indianapolis, Indiana, USA
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Affiliation(s)
- John Dewitt
- Department of Gastroenterology and Hepatology, Indiana University Medical Center, Indianapolis, Indiana 46202-5121, USA
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Youssef W, McCullough AJ. Diabetes mellitus, obesity, and hepatic steatosis. Semin Gastrointest Dis 2002; 13:17-30. [PMID: 11944630] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 02/24/2023]
Abstract
Nonalcoholic fatty liver disease is emerging as the most common liver disease in North America. The histological spectrum of nonalcoholic fatty liver disease ranges from fatty liver alone to steatohepatitis and to the most serious form--nonalcoholic steatohepatitis (NASH). An increasing body of evidence suggests that NASH is associated with the development of progressive fibrosis and eventually cirrhosis in approximately 20% of cases. These data emphasize the need to develop effective therapy for the treatment of NASH. Cases occur most commonly in obese middle age women with diabetes. However, NASH may also occur in children and normal weight men with normal glucose and lipid metabolism. The pathophysiology involves 2 steps. The first is insulin resistance, which causes steatosis. The second is oxidative stress, which produces lipid peroxidation and activates inflammatory cytokines resulting in NASH. Liver biopsy provides prognostic information and identifies NASH patients who may benefit from therapy. Treatment consists of managing the comorbidities: obesity, diabetes, and hyperlipidemia. Nascent clinical trials suggest that a number of therapies may be beneficial. These include anti-oxidants such as vitamin E and betaine, bile acid therapy with ursodeoxycholic acid, and improved insulin sensitivity with metformin. Another potential therapeutic strategy is the reduction of inflammatory cytokines.
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Affiliation(s)
- Wael Youssef
- Division of Gastroenterology, Case Western Reserve University, Cleveland, OH, USA
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Abstract
BACKGROUND/AIMS Vernix caseosa is a proteolipid biofilm synthesized by the human fetus, which progressively covers the fetal skin surface during the last trimester of pregnancy. The exact physiological functions of vernix are unclear. Hypothetically, it serves a role in "waterproofing" the fetus during the critical period of epidermal barrier development before birth. Vernix may also play a role in adaptation of the fetal skin surface to the dry, cool extrauterine environment after birth. Given the strategic position of vernix on the fetal skin surface and the rapidly changing environment encountered by the skin at birth, we proposed that investigation of vernix surface characteristics would facilitate understanding its putative physiological roles. METHODS In this paper, we focused on the determination of the surface free energy (SFE) of vernix caseosa. Different approaches were used to calculate the SFE of vernix from contact angle (theta) measurements between vernix and various liquids (benzyl alcohol, diiodomethane, glycerol, and water). The critical surface tension (CST) of vernix was calculated using Zisman plots. The dispersive and the polar components of vernix SFE were calculated using the Owens-Wendt geometric mean method. Vernix was contrasted with petrolatum, a commonly used skin protectant. RESULTS CST of fresh vernix was 40.5 dyne/cm while that of petrolatum was 35.8 dyne/cm. Fresh vernix polar SFE was 1.5 dyne/cm while petrolatum had almost no polar SFE component (0.03 dyne/cm). For all liquids (except the nonpolar diiodomethane) there was a significant decrease in contact angle with time. CONCLUSIONS The CST and the total SFE values suggest that vernix has very low surface energy and is highly unwettable. These findings are significant insofar as the main component in vernix is water, which is highly energetic. Although vernix has a very high water content, the major part of its SFE is hydrophobic (dispersive). The limited interaction between vernix and hydrophilic liquids supports the hypothesis that vernix acts as a natural protectant cream to "waterproof" the fetus in utero while submerged in the amniotic fluid.
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Affiliation(s)
- W Youssef
- College of Pharmacy, University of Cincinnati, Ohio, USA
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Youssef W, Yan A, Russell AS. Palindromic rheumatism: a response to chloroquine. J Rheumatol 1991; 18:35-7. [PMID: 2023196] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/29/2022]
Abstract
We reviewed 71 patients with palindromic rheumatism. The average length of followup was 3.6 years. Fifty-one patients received antimalarial therapy. Forty-one of the 51 patients experienced marked improvement with 77.5% reduction in frequency and 63% reduction in duration of attacks. Sixteen out of the 71 patients developed persistent arthritis in the form of rheumatoid arthritis (12 patients), systemic lupus erythematosus (2 patients), Crohn's disease (1 patient) and asymmetric seronegative arthropathy (1 patient). Chloroquine therapy, therefore, seems effective in relieving palindromic rheumatism.
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Affiliation(s)
- W Youssef
- Rheumatic Disease Unit, University of Alberta, Edmonton, Canada
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12
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Affiliation(s)
- W Youssef
- University of Alberta, Edmonton, Canada
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Giner MT, Nevot S, Sierra JI, Plaza A, Coma G, Youssef W. [Treatment of acute crises of bronchial asthma in children using subcutaneous salbutamol as an alternative to adrenaline: comparative study]. An Esp Pediatr 1986; 25:165-9. [PMID: 3789550] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
A prospective study has been made in order to asses the efficacy of subcutaneous salbutamol as acute treatment for asthmatic crisis, comparing the results with those of adrenaline. The series consisted of 30 cases, divided into two groups according to the administered treatment, with ages ranging between 5 to 18 years. Once the clinical examination and spirometric measurements were made the first group was treated with subcutaneous adrenaline 0.1 cc/kg (max.; 0.5 cc), while the second was treated with subcutaneous salbutamol 20 micrograms/kg (max.: 500 micrograms). A clinical and spirometric examination was performed at 15, 30, 60 and 90 minutes. A similar increase in FEV1 was observed in the two groups at 15 minutes, maintaining this increase for 90 minutes in the group treated with salbutamol and decreasing in the group treated with adrenaline, being the difference statistically significant (p less than 0.001). In view of this results it seems advisable to administer subcutaneous salbutamol as urgent treatment for an acute asthmatic crisis.
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Youssef W, Cahuana A, Feijoo B, Pou J. [Acute isoniazid poisoning]. An Esp Pediatr 1983; 18:148-9. [PMID: 6881736] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
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Cahuana A, Trías E, Oliva F, Youssef W, Pou J, Vilar P, Varea V. [Hematemesis in childhood. Use of the fiberscope in diagnosis]. An Esp Pediatr 1982; 17:1-5. [PMID: 6982641] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/22/2023]
Abstract
Authors report the results of utilization of fiberscope (FEC) in pediatric patients with hematemesis. They emphasize the utility of this method, its high percentage of positivity in the diagnostic in relation to the precocity of the FEC and the high incidence of hemorrhage gastritis in relation to salycilates ingest.
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Cubells JM, Martínez Ros A, Youssef W, Fumadó A. [Poisoning by spirits of turpentine or turpentine oil. Review of its treatment apropos of a personal case]. An Esp Pediatr 1982; 16:437-42. [PMID: 7114622] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Indexed: 01/23/2023]
Abstract
Authors deduce from their experience during 1979 that intoxication by spirit oil of turpentine is an accident with few repercussions in infancy, because the quantity ingested does not reach toxic levels, except for children over seven who try to commit suicide. Gastric lavage must not be practiced because removing turpentine can provoke its' aspiration with a consequent pulmonary disease in the majority of occasions. Only when ingestion is more than 1 ml./Kg., or symptoms suggest important disease, can gastric lavage, be done because secondary complications can aggravate the disease. Antibiotics are used if there is an obvious infection, remembering that turpentine intoxication itself can provoke fever. In their experience, corticoids don't modify the evolution.
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