Women Transmits Type 2 Diabetes Mellitus (T2DM) More Than Men: Evidences from Parental Inheritance of T2DM Among Bahrainis

INTRODUCTION

Heritability in type 2 diabetes mellitus (T2DM) is observed but not well understood.

METHODS

In this study, family history and clinical/biochemical data from 789 Bahrainis (418 T2DM, 371 controls) was analyzed. Fasting blood glucose (FBG) and HbA1c were measured and angiotensin-converting enzyme (ACE) and methylene tetrahydrofolate reductase (MTHFR) polymorphisms (SNPs) were analyzed.

RESULTS

Patients compared to controls have higher proportions of diabetic mothers (50.2% vs. 32.7%, p=0.005), fathers (35.2% vs. 12.1%, p<0.001) and siblings (56% vs. 15.3%, p<0.001). The proportions of diabetic mothers was higher than the proportions of diabetic fathers among the patients (50.2% vs. 35.2%, p<0.001) and the controls (32.7% vs. 12.1%, p<0.001). Patients born to diabetic mothers compared to the other patients were smaller in age at the time of enrollment in this study (p=0.005), and at onset of T2DM (p<0.001), and also had higher FBG (p=0.033). Interestingly, the prevalence of T1DM was highest amongst the siblings of the controls compared to patients (p=0.04). Finally, the heterozygote I/D genotype of the ACE gene was over expressed in patients born to diabetic mothers when compared to patients born to diabetic fathers, p=0.007.

CONCLUSIONS

there was strong clustering of T2DM in families, with significant dominant maternal role in transmission of T2DM and associated severity markers. Patients (T2DM) born to diabetic mothers were genetically and phenotypically different from the other patients.

Vicine and convicine in common vetch (Vicia sativa) seeds enhance beta-cyanoalanine toxicity in male broiler chicks

Two studies were conducted to investigate the effects of feeding raw and water-soaked vetch seeds to male broiler chicks on performance, organ weights, and blood parameters. Intact and ground vetch seeds were soaked in water (1:5) at room temperature for 24 hours (study 1), and (1:10) at 40 degrees C for 24, 48, and 72 hours, with water change every 12 hours (study 2). In study 1, untreated vetch contained, on dry matter basis, 0.530%, 0.731%, and 0.081% total beta-cyanoalanine (BCA), vicine, and convicine, respectively. Toxins were not appreciably reduced in soaked intact and ground vetch. Diets containing untreated, soaked intact, and soaked ground vetch, each at 0%, 20%, 40%, and 60%, were fed to 7-day-old male broilers until onset of neurotoxicity symptoms. Survival time was not only decreased by BCA level but also by those of vicine and convicine (p <.05). In study 2, 60% of untreated or treated vetch seeds were incorporated in chick diets. Although untreated vetch used in this study contained 32% less BCA but 8% and 81% more vicine and convicine, respectively, yet, the chicks on 60% untreated vetch showed toxicity symptoms earlier than those of study 1. Soaking ground vetch for 48 hours or more reduced BCA and totally removed vicine and convicine. Consequently, birds on 60% ground vetch soaked for 48 and 72 hours survived through the starter period and had mean corpuscular hemoglobin concentration and organ weights comparable to those of control at 4 days post trial. The results indicated that "high levels" of vicine or convicine or both might have shortened the birds' survival time by enhancing the neurotoxicity induced by "lower levels" of BCA.

Clinicopathological study of pilomatricoma

OBJECTIVE

To study the clinical and histopathologic spectrum of pilomatricoma, the benign tumor of hair matrix.

METHODS

Retrospective review of 27 cases of pilomatricoma (Calcifying epithelioma of Malherbe) reported at Bahrain Defence Force Hospital from 1993-1999.

RESULTS

Most of the cases were confused clinically with sebaceous cysts. Seventy eight per cent of the cases occurred below the age of 30 years. Female to male ratio was 5:4. Head, neck and upper limb were the most common sites for pilomatricoma. The size of the tumors ranged from between 4-35 mm in diameter. Tumors were encapsulated and solid composed of shadow and basophilic cells, and stroma containing varying amounts of calcification, ossification and inflammatory cells.

CONCLUSION

Pilomatricomas have a wide variety of clinical characteristics and are often misdiagnosed with other skin conditions. They should be considered along with other benign and malignant conditions in the clinical differential diagnosis of solitary firm skin nodules especially those, which occur in the head, neck and upper limb.

Performance of broilers and production and egg quality parameters of laying hens fed 60% raw or treated common vetch (Vicia sativa) seeds

Two experiments were conducted to study the effect of feeding 60% untreated (U) or coarsely ground treated vetch (V) seeds on performance of broilers and laying hens. In Experiment 1, the V seeds were soaked in 1% NaHCO3 (1:10) or in 1% acetic acid (1:5) at room temperature for 24 h (RTAA). Birds on the NaHCO3-treated V diet had 100% mortality rate but had significantly longer survival time than those on UV (14.9 vs 5.1 d). Birds on RTAA-V survived and had similar BW and feed conversion but greater kidney size than those of the controls at 7 wk of age (P < 0.05). In Experiment 2, control, UV, V soaked in water at 40 C (40WV), RTAA-V, and V soaked in acetic acid at 40 C (40AAV) diets were fed to laying hens for 84 d. The ground seeds in RTAA-V and 40AAV were soaked in acetic acid (1:10) at room temperature or at 40 C, respectively, for 24 h. For 40WV, the seeds were soaked in water (1:10) at 40 C for 72 h with a water change every 12 h. The UV-fed hens ceased egg production within 14 d and had the highest BW loss and the lowest feed intake among all treatments (P < 0.05). The 40WV and 40AAV significantly improved these criteria. Moreover, the RTAA-V resulted in performance comparable to that of the controls. Eggs produced by hens on treated V diets had similar weight but higher Haugh unit score (11 points), thinner shell, and lower yolk color score than those of the controls (P < 0.05). Results indicated that RTAA-V at 60% dietary level was not detrimental to broilers and laying hens.

Surgical pathology of appendectomy specimens

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Strongyloides stercoralis hyperinfection in an HIV positive patient

A 25 year old British man of previous good health presented with persistent generalised lymphadenopathy and was found to be human immunodeficiency virus (HIV) antibody positive. Three years later after weight loss and loose stools Strongyloides stercoralis was identified in the latter and successfully treated with thiabendazole. Shortly afterwards, a further episode again responded rapidly, but was swiftly followed by a final and fatal illness with severe debility and metabolic imbalance unresponsive to all treatment. Necropsy showed widespread and heavy strongyloidiasis with pulmonary haemorrhage, bronchopneumonia, and meningitis.