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Awaleh MO, Boschetti T, Ahmed MM, Dabar OA, Robleh MA, Waberi MM, Ibrahim NH, Dirieh ES. Spatial distribution, geochemical processes of high-content fluoride and nitrate groundwater, and an associated probabilistic human health risk appraisal in the Republic of Djibouti. Sci Total Environ 2024; 927:171968. [PMID: 38588734 DOI: 10.1016/j.scitotenv.2024.171968] [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] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/23/2023] [Revised: 03/01/2024] [Accepted: 03/23/2024] [Indexed: 04/10/2024]
Abstract
In the northern East African Rift System, the Republic of Djibouti relies exclusively on groundwater, with levels of fluoride (up to 14 mg/L) and nitrate (up to 256 mg/L) posing potential health risks. To address this, 362 samples were considered, including 133 shallow groundwater samples, along with new and previously published data dating back to 2012 on deep (88) and thermal (141) groundwater samples. To understand the enrichment mechanisms, dissolved anion and cation constituents, geochemical and thermodynamic tools, and stable isotope ratios, such as δ2H(H2O), δ18O(H2O), δ15N(NO3-), and δ18O(NO3-), were used. In particular, two activity diagrams (Mg2+ vs. Ca2+ and Na+ vs. Ca2+), focused on aqueous and solid fluoride species in an updated thermodynamic dataset of 15 fluoride-bearing minerals, are shown for the first time. The dataset offers new and valuable insights into fluoride geochemistry (classic thermodynamic datasets combined with geochemical codes rely solely on fluorapatite and fluorite F-bearing minerals). Activity diagrams and geochemical modeling indicate that mineral dissolution primarily drives groundwater fluoride enrichment in all water types, whereas the elevated nitrate levels may stem from organic fertilizers like animal manure, as indicated by nitrate isotopes and NO3-/Cl- vs Cl- diagrams. Despite the arid climate and 2H18O enrichment in shallow waters, evaporation seems to play a minor role. Monte Carlo simulations and sensitivity analysis were used to assess the health risks associated with elevated F- and NO3- concentrations. Mapping-related spatial distribution analysis identified regional contamination hotspots using a global Moran's I and GIS tools. One fluoride and three nitrate contamination hotspots were identified at a p-value of 0.05. Groundwater chemistry revealed that 88 % of groundwater being consumed exceeded the permissible levels for fluoride and nitrate, posing potential health risks, particularly for teenagers and children. This study pinpoints specific areas with excessive nitrate and fluoride contamination, highlighting a high non-carcinogenic risk.
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Affiliation(s)
- Mohamed Osman Awaleh
- Institut des Sciences de la Terre, Centre d'Etudes et de Recherches de Djibouti (CERD), Route de l'aéroport, 486, Djibouti-ville, Djibouti.
| | - Tiziano Boschetti
- Department of Chemistry, Life Sciences and Environmental Sustainability, University of Parma, Parco Area delle Scienze 157/a, 43124 Parma, Italy.
| | - Moussa Mahdi Ahmed
- Observatoire Régional de la Recherche pour l'Environnement et le Climat (ORREC), Centre d'Etudes et de Recherches de Djibouti (CERD), Route de l'aéroport, 486, Djibouti-ville, Djibouti
| | - Omar Assowe Dabar
- Observatoire Régional de la Recherche pour l'Environnement et le Climat (ORREC), Centre d'Etudes et de Recherches de Djibouti (CERD), Route de l'aéroport, 486, Djibouti-ville, Djibouti
| | - Mohamed Abdillahi Robleh
- Institut des Sciences de la Terre, Centre d'Etudes et de Recherches de Djibouti (CERD), Route de l'aéroport, 486, Djibouti-ville, Djibouti
| | - Moussa Mohamed Waberi
- Observatoire Régional de la Recherche pour l'Environnement et le Climat (ORREC), Centre d'Etudes et de Recherches de Djibouti (CERD), Route de l'aéroport, 486, Djibouti-ville, Djibouti
| | - Nasri Hassan Ibrahim
- Observatoire Régional de la Recherche pour l'Environnement et le Climat (ORREC), Centre d'Etudes et de Recherches de Djibouti (CERD), Route de l'aéroport, 486, Djibouti-ville, Djibouti
| | - Elias Said Dirieh
- Cabinet Médico-Chirurgical de Gachamaleh, Cité Gachamaleh, Lot 14, 493, Djibouti-ville, Djibouti; Data Pathology Laboratory, Cité Gachamaleh, Recette Centrale, 493, Djibouti-ville, Djibouti
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Shaik RA, Vijaykrishnan B, Tanweer MK, Aljulifi MZ, Alzahrani MA, Alharbi MB, Ahmed MM. Conjunctival vessel morphology in patients with type 2 diabetes mellitus: findings of a case-control study. Eur Rev Med Pharmacol Sci 2024; 28:118-125. [PMID: 38235863 DOI: 10.26355/eurrev_202401_34897] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 01/19/2024]
Abstract
OBJECTIVE Diabetic retinopathy is a serious complication of diabetes mellitus that may lead to vision loss. Retinal problems are more likely to occur as the illness advances. Micro- and macro-vascular angiopathy is both linked to diabetes mellitus. Examining the impact of diabetes on blood vessels is one approach to understanding the disease's outward symptoms. The purpose of this research is to evaluate the morphology and breadth of conjunctival vessels in people with type 2 diabetes mellitus and to establish a correlation between these alterations and clinical retinal changes. PATIENTS AND METHODS A case-control study was conducted in the Department of Ophthalmology, KIMS, Koppal, Karnataka. The study included diabetic patients who voluntarily participated and were assessed at the Ophthalmology Outpatient Department (OPD). The general and ophthalmic history was taken for both cases and control. The best corrected visual acuity was estimated. Each subject, including cases and controls, had a general and ophthalmic history recorded. The anterior segment was evaluated with a slit lamp. After completing the clinical examination, the subjects underwent a conjunctival vessel imaging study using the slit lamp. The imaging included the study of conjunctival vessel morphology using ImageNet. RESULTS Both the test and control groups are comparable in terms of age and gender. The severity of diabetic retinopathy was shown to correlate with the conjunctival width range. Mild diabetic retinopathy is characterized by a conjunctival width of 30-34 microns (mean: 34.9), moderate diabetic retinopathy by 35-39 microns (mean: 37.3), severe diabetic retinopathy by 40-44 microns (mean: 42.4), and proliferative diabetic retinopathy by 50-54 microns (mean: 45.6). CONCLUSIONS Diabetes mellitus patients have larger conjunctival arteries as the disease becomes more severe. Dilated and tortuous conjunctival arteries are visible indicators that correlate with worsening diabetic retinopathy. This could be used for screening to ensure timely referral.
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Affiliation(s)
- R A Shaik
- Department of Family and Community Medicine, College of Medicine, Majmaah University, Majmaah, Saudi Arabia.
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Ali SA, Fahmy MK, Zouli N, Abutaleb A, Maafa IM, Yousef A, Ahmed MM. Fabrication of Thermal Insulation Bricks Using Pleurotus florida Spent Mushroom. Materials (Basel) 2023; 16:4905. [PMID: 37512180 PMCID: PMC10381914 DOI: 10.3390/ma16144905] [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] [Subscribe] [Scholar Register] [Received: 05/30/2023] [Revised: 07/02/2023] [Accepted: 07/03/2023] [Indexed: 07/30/2023]
Abstract
This study explores the potential for making lightweight bricks via the use of dry, pulverized spent mushroom materials (SMM) as a thermal insulator. There are five distinct replacement proportions of SMM that are used, and they range from 0% to 15% of the weight of the clay. The firing of the fabricated bricks at temperatures of 700, 800, and 900 °C led to the development of pores on the interior surface of the bricks as a consequence of the decomposition of SMM. The impact of SMM on the physicomechanical characteristics of fabricated bricks is assessed based on standard codes. Compressive strength, bulk density, and thermal conductivity decreased as the SMM content increased, reaching up to 8.7 MPa, 1420 kg/m3, and 0.29 W/mK at 900 °C and 15% substitution percentage. However, cold water absorption, boiling water absorption, linear drying shrinkage, linear firing shrinkage, and apparent porosity increased with the increase in SMM, reaching 23.6%, 25.3%, and 36.6% at 900 °C and 15% substitution percentage. In the study simulation model, there was a significant improvement in energy consumption, which reached an overall reduction of 29.23% and 21.49% in Cario and Jazan cities, respectively.
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Affiliation(s)
- Sally A Ali
- Department of Botany and Microbiology, Faculty of Science, Helwan University, Cairo 11795, Egypt
| | - Marwa Kamal Fahmy
- Department of Architecture, Faculty of Engineering at Mataria, Helwan University, Cairo 11718, Egypt
| | - Nasser Zouli
- Department of Chemical Engineering, Faculty of Engineering, Jazan University, Jazan 45142, Saudi Arabia
| | - Ahmed Abutaleb
- Department of Chemical Engineering, Faculty of Engineering, Jazan University, Jazan 45142, Saudi Arabia
| | - Ibrahim M Maafa
- Department of Chemical Engineering, Faculty of Engineering, Jazan University, Jazan 45142, Saudi Arabia
| | - Ayman Yousef
- Department of Chemical Engineering, Faculty of Engineering, Jazan University, Jazan 45142, Saudi Arabia
- Department of Mathematics and Physics Engineering, Faculty of Engineering at Mataria, Helwan University, Cairo 11718, Egypt
| | - M M Ahmed
- Department of Mathematics and Physics Engineering, Faculty of Engineering at Mataria, Helwan University, Cairo 11718, Egypt
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Embaby HM, Ahmed MM, Mohamed GI, Koura MH, Salem HH, Elbanna M, Aboeleneen A, El-Sayed AF, Elnahas EM. Impact of core stability exercises vs. interferential therapy on pelvic floor muscle strength in women with pelvic organ prolapse. Eur Rev Med Pharmacol Sci 2023; 27:1255-1261. [PMID: 36876664 DOI: 10.26355/eurrev_202302_31358] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 03/07/2023]
Abstract
OBJECTIVE Pelvic organ prolapse (POP) is the descent of the pelvic organs into or through the vaginal walls. Females who have prolapse have symptoms that interfere with their daily lives, sexual function, and exercise. POP can have a negative effect on one's sexuality and body image. This study attempted to assess the significance of core stability exercises vs. interferential therapy on the power of the pelvic floor muscles in females with prolapsed pelvic organs. PATIENTS AND METHODS A randomized control trial was conducted on forty participants (aged between 40-60 years, diagnosed with mild degree pelvic organ prolapse participated in the research. Participants were randomly divided into two groups: (group A; n = 20) and (group B; n = 20). The participants were tested twice, before and after 12 weeks, during which group (A) performed core stability exercises while group (B) received interferential therapy. A modified Oxford grading scale and the perineometer were used to assess how the vaginal squeeze pressure changed. RESULTS The study's findings demonstrated that the modified Oxford grading scale values and vaginal squeeze pressure had a non-statistically significant difference (p-value ≥ 0.05) between both groups pre-treatment while had a statistically significant difference (p-value ≤ 0.05) between both groups post-treatment in favor of group A. CONCLUSIONS It was concluded that both training programs are efficient at strengthening the pelvic floor muscles, but the core stability exercises were more effective.
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Affiliation(s)
- H M Embaby
- Department of Physical Therapy for Women's Health, Faculty of Physical Therapy, Cairo University, Egypt.
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Madkour DA, Ahmed MM, Orabi SH, Alkafafy M, Korany R, Khalifa HK. Emamectin Benzoate-Induced Hepatotoxicity in Rats with Special Reference to Protective Potential of Nigella sativa Oil. J HELL VET MED SOC 2022. [DOI: 10.12681/jhvms.28100] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/20/2023]
Abstract
This study was designed to explore the hepatotoxicity of emamectin in male rats and the possible effect of Nigella sativa oil (NSO) in ameliorating this. Twenty-eight male rats were used in this study. They were divided into four groups, Control group: rats orally administered distilled water; NSO group: rats administered NSO orally; EMB group: rats administered emamectin benzoate orally; and EMB+NSO group: rats orally co-administered NSO with EMB, with the administrations being performed every other day for 6 weeks. Body weight was measured, liver alanine aminotransferase (ALT), aspartate aminotransferase (AST), and alkaline phosphatase (ALP) activities were determined, and total protein and albumin levels were recorded. Histopathological examination of the liver was also performed, along with caspase-3 and TNF-α immunostaining of liver tissue. EMB treatment resulted in decreased body weight, while the co-administration of NSO modulated the EMB-induced alterations in body weight. There were also increases in the activities of serum ALT, AST, and ALP and decreases in total protein and albumin levels in the EMB group. Co-treatment with NSO significantly reduced serum ALT, AST, and ALP and improved total protein and albumin levels. Histopathological examination of the liver in the EMB group revealed the presence of different histopathological alterations that were improved by the co-administration of NSO. Immunostaining of caspase-3 and TNF-α in the liver revealed strong expression in the EMB-treated group. Meanwhile, the EMB+NSO group showed weak positivity for immunoreactive cells.
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Awaleh MO, Boschetti T, Adaneh AE, Chirdon MA, Ahmed MM, Dabar OA, Soubaneh YD, Egueh NM, Kawalieh AD, Kadieh IH, Chaheire M. Origin of nitrate and sulfate sources in volcano-sedimentary aquifers of the East Africa Rift System: An example of the Ali-Sabieh groundwater (Republic of Djibouti). Sci Total Environ 2022; 804:150072. [PMID: 34509848 DOI: 10.1016/j.scitotenv.2021.150072] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 07/06/2021] [Revised: 08/28/2021] [Accepted: 08/28/2021] [Indexed: 06/13/2023]
Abstract
Within the East African Rift System (EARS), the complex Ali-Sabieh aquifers system, located in the south of the Republic of Djibouti, was overexploited and subjected to anthropogenic and/or geogenic pollution with high concentrations of dissolved nitrate (up to 181 mg/l) and sulfates (up to 1540 mg/l). This study is the first undertaken on the hydrochemistry of this aquifer system, combining geochemical tools and multi-isotope - δ2H(H2O), δ18O(H2O), δ18O(SO4), δ34S(SO4), δ15N(NO3), δ18O(NO3), δ13C(DIC), and 14C- was used to decipher the origin and fate of different nitrate and sulfate sources to groundwater. The groundwater samples of the region show a chemical evolution from fresh Ca(Na)-bicarbonate to brackish Na-Cl , mainly due to water-rock interaction. The combined chloride and water isotope data show that evaporation and transpiration are present, with the latter occurring primarily in the shallow alluvial aquifer waters. Inspection of δ15N(NO3) vs. δ18O(NO3) and NO3/Cl vs. Cl diagrams show that dissolved nitrates are primarily of anthropogenic origin. In particular, higher nitrate concentrations may be related to animal manure used as organic fertilizers during agricultural activities. Sulfates are from a natural origin related to the interaction of water with gypsum of hydrothermal or sedimentary origin. SO4/Cl ratio and isotopic composition show that dissolved sulfates in saline and ancient groundwater of the Cretaceous sandstone aquifer (between 7.4 ± 2.2 and 5.8 ± 1.4 k-years before the present) are generated by interaction with gypsum from oxidation of pre-existing (Jurassic?) sulfides. This work highlight that isotopic ratios of the two molecules -δ18O(SO4), δ34S(SO4), δ15N(NO3), δ18O(NO3)- are not sufficient for tracing the origin of nitrate and sulfates in groundwater, but that a complete hydrogeochemical study is needed. In the absence of this, the relatively high concentration of chloride and sulfates could be wrongly linked to the anthropogenic source of nitrate (manure or sewage).
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Affiliation(s)
- Mohamed Osman Awaleh
- Institut des Sciences de la Terre, Centre d'Etudes et de Recherches de Djibouti (CERD), Route de l'aéroport, B. P. 486, Djibouti ville, Djibouti.
| | - Tiziano Boschetti
- Department of Chemistry, Life Sciences and Environmental Sustainability, University of Parma, Parco Area delle Scienze 157/a, 43124 Parma, Italy
| | - Abdillahi Elmi Adaneh
- Institut des Sciences de la Terre, Centre d'Etudes et de Recherches de Djibouti (CERD), Route de l'aéroport, B. P. 486, Djibouti ville, Djibouti
| | - Mahamoud Ali Chirdon
- Institut des Sciences de la Terre, Centre d'Etudes et de Recherches de Djibouti (CERD), Route de l'aéroport, B. P. 486, Djibouti ville, Djibouti
| | - Moussa Mahdi Ahmed
- Institut des Sciences de la Terre, Centre d'Etudes et de Recherches de Djibouti (CERD), Route de l'aéroport, B. P. 486, Djibouti ville, Djibouti
| | - Omar Assowe Dabar
- Institut des Sciences de la Terre, Centre d'Etudes et de Recherches de Djibouti (CERD), Route de l'aéroport, B. P. 486, Djibouti ville, Djibouti
| | - Youssouf Djibril Soubaneh
- Département de biologie, chimie et géographie, Université du Québec à Rimouski, 300, Allée des Ursulines, Rimouski, QC G5L 3A1, Canada
| | - Nima Moussa Egueh
- Institut des Sciences de la Terre, Centre d'Etudes et de Recherches de Djibouti (CERD), Route de l'aéroport, B. P. 486, Djibouti ville, Djibouti
| | - Ali Dirir Kawalieh
- Institut des Sciences de la Terre, Centre d'Etudes et de Recherches de Djibouti (CERD), Route de l'aéroport, B. P. 486, Djibouti ville, Djibouti
| | - Ibrahim Houssein Kadieh
- Laboratoire Régional, Newalta Châteauguay, 125 Rue Bélanger, Châteauguay, J6J 4Z2, Québec, Canada
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Abdulghani HM, Ahmed MM, Al-Rezqi AM, Althunayan SA, Mran AL, Alshaya AK, Alharbi FK, Abdulghani AH, Ahmad T. Knowledge and awareness levels of diabetes mellitus risk factors among nondiabetic visitors of primary health care centers: a multicenter study. Eur Rev Med Pharmacol Sci 2021; 25:7066-7077. [PMID: 34859871 DOI: 10.26355/eurrev_202111_27259] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/12/2022]
Abstract
OBJECTIVE People with a high risk of developing Type 2 Diabetes Mellitus are primarily due to lifestyle factors and can be reduced by implementing awareness programs. Therefore, this study evaluates the diabetic awareness level, risk factors, and lifestyle behaviors among nondiabetic participants. PATIENTS AND METHODS This is a cross-sectional study conducted among 538 nondiabetic participants based on American Diabetic Association (ADA) parameters via face-to-face interview. The sample was collected from five different primary health care centers from November 2019 to February 2020. The target population was nondiabetic with age ≥18 years and participants with other serious chronic illnesses, pregnant women, or unable to communicate effectively were excluded. RESULTS A total of 538 participants without diabetes data were analyzed, of which 363 (67.5%) were males. Good, moderate, and insufficient knowledge of Type 2 Diabetes Mellitus awareness was 34.6%, 52.4%, and 13.0%, respectively. The knowledge level in females' participants was significantly less than the males (OR=2.4; p=0.0005). About 44% had diabetic risk, and the prevalence of diabetes risk was significantly high in males (OR=1.7), obesity (OR=2.9), overweight (OR=2.3), and high blood pressure (OR= 2.2) (all p < 0.05). The risk of diabetes was increased in those participants who consumed more bakery items (p < 0.05). The diabetes risk score was negatively associated with diabetes awareness levels (r= -0.29, p= 0.063). CONCLUSIONS The risk of diabetes in the general population can be prevented by proactive public health awareness campaigns, particularly among elderly age group, with lower educational level, physically inactive, and obese.
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Affiliation(s)
- H M Abdulghani
- Department of Medical Education, College of Medicine, King Saud University, Riyadh, Saudi Arabia.
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Mahdi Ahmed M, Osman Awaleh M, Rozmaric M, Blinova O, Ibrahim Adan AB, Said Ismael I, Ali Chirdon M. Hg and 210Po in consumed fish of the Tadjoura Gulf (Djibouti): Levels and human health risk assessment. Mar Pollut Bull 2021; 172:112855. [PMID: 34418711 DOI: 10.1016/j.marpolbul.2021.112855] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 03/02/2021] [Revised: 08/02/2021] [Accepted: 08/10/2021] [Indexed: 06/13/2023]
Abstract
Hg and 210Po were measured in the muscle tissue of commercially important fish species collected in the main coastal cities of the Djiboutian coast (Tadjoura Gulf) to evaluate the potential risk associated with their consumption. The levels of Hg among the different species ranged from 0.02 to 1.69 mg/kg w.w and exceeded tolerable limits as reported by the national regulation (2000-0727/PR/MAEM) and the Codex Alimentarius. The probabilistic distributions of health hazard were evaluated through Monte-Carlo simulation, which confirmed the carcinogenic risk from Hg. The levels of 210Po ranged from 4.1 to 134.5 Bq/kg w.w among muscle tissues of the eight commercially important species. The carcinogenic risk was in an unacceptable range and simulation revealed that children were the most vulnerable population. The results obtained confirms that the health impact is reduced when consuming two servings per week.
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Affiliation(s)
- Moussa Mahdi Ahmed
- Laboratoire de BioGéoSciences, Institut des Sciences de la Terre, Centre d'Études et de Recherches de Djibouti, Route de l'aéroport, BP 486, Djibouti, Djibouti.
| | - Mohamed Osman Awaleh
- Laboratoire de BioGéoSciences, Institut des Sciences de la Terre, Centre d'Études et de Recherches de Djibouti, Route de l'aéroport, BP 486, Djibouti, Djibouti
| | - Martina Rozmaric
- Environment Laboratories, International Atomic Energy Agency, 4 Quai Antoine 1er, MC 98000, Monaco
| | - Oxana Blinova
- Environment Laboratories, International Atomic Energy Agency, 4 Quai Antoine 1er, MC 98000, Monaco
| | - Abdi-Basid Ibrahim Adan
- Laboratoire de BioGéoSciences, Institut des Sciences de la Terre, Centre d'Études et de Recherches de Djibouti, Route de l'aéroport, BP 486, Djibouti, Djibouti
| | - Ismael Said Ismael
- Laboratoire de BioGéoSciences, Institut des Sciences de la Terre, Centre d'Études et de Recherches de Djibouti, Route de l'aéroport, BP 486, Djibouti, Djibouti
| | - Mahamoud Ali Chirdon
- Laboratoire de BioGéoSciences, Institut des Sciences de la Terre, Centre d'Études et de Recherches de Djibouti, Route de l'aéroport, BP 486, Djibouti, Djibouti
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Mair M, Raj L, Mahmood S, Fagiry R, Ahmed MM, Menon I, Ibrahim N, Ameerally P, Baker A, Vaidhyanath R. Diagnostic accuracy of magnetic resonance imaging in detecting depth of invasion of tongue cancers. Br J Oral Maxillofac Surg 2021; 59:1275-1279. [PMID: 34483009 DOI: 10.1016/j.bjoms.2021.06.008] [Citation(s) in RCA: 7] [Impact Index Per Article: 2.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/19/2021] [Accepted: 06/01/2021] [Indexed: 10/21/2022]
Abstract
The recent eighth edition of the American Joint Committee on Cancer (AJCC) staging system has introduced depth of invasion (DOI) as one of its important components. DOI is also important for deciding neck management in superficial tongue cancers. Magnetic resonance imaging (MRI) is mainly used to assess DOI, and in this study we have evaluated the efficacy of MRI to detect it. This is a retrospective study consisting of 60 treatment-naïve tongue cancer patients operated on between July 2017 and June 2019. Patients underwent MR imaging on an Optima MR450W 1.5T unit, and MRI was reported by two experienced ead and eck adiologistss. Postoperative histological DOI was considered the gold standard. The correlation coefficient was derived for postoperative DOI and MRI-detected DOI. A subgroup analysis of superficial tongue cancer was also done. The mean MRI DOI was 13.7 mm and the mean histological DOI 12.45 mm. The shrinkage factor was 0.6 mm. Pearson's correlation coefficient was 0.80 (p=<0.001) for Radiologist 1 and 0.85 (p=<0.001) for Radiologist 2. The interobserver variation was low, with a correlation coefficient between the two radiologists of 0.965 (p=<0.001). For superficial tongue cancers there was moderate correlation for MRI and histologically-detected DOI with a kappa value of 0.681 (p=0.03). As per the ROC curve, the cut-off value for MRI DOI to predict nodal metastasis was 4.6 mm. MRI has high reliability to predict the DOI of tongue cancers. The interobserver variation was low. The diagnostic accuracy in cases of superficial tongue cancer was moderate.
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Affiliation(s)
- M Mair
- Head and Neck Surgery, University Hospitals of Leicester, United Kingdom.
| | - L Raj
- Head and Neck Surgery, University Hospitals of Leicester, United Kingdom
| | - S Mahmood
- Department of Oral & Maxillofacial Surgery, University Hospitals of Leicester, United Kingdom
| | - R Fagiry
- Department of Oral & Maxillofacial Surgery, University Hospitals of Leicester, United Kingdom
| | - M M Ahmed
- Department of Oral & Maxillofacial Surgery, University Hospitals of Leicester, United Kingdom
| | - I Menon
- Department of Radiology, University Hospitals of Leicester, United Kingdom
| | - N Ibrahim
- Department of Radiology, University Hospitals of Leicester, United Kingdom
| | - P Ameerally
- Department of Oral & Maxillofacial Surgery, Northampton General Hospital, United Kingdom
| | - A Baker
- Department of Oral & Maxillofacial Surgery, University Hospitals of Leicester, United Kingdom
| | - R Vaidhyanath
- Department of Radiology, University Hospitals of Leicester, United Kingdom
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Siddiqui U, Abdallah FW, Ahmed MM, Albaum JM, Brull R. Patient-reported rates of postoperative neurological symptoms following regional anaesthesia in clinical research trials. Anaesthesia 2021; 76:1572-1576. [PMID: 33586151 DOI: 10.1111/anae.15430] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 01/19/2021] [Indexed: 11/26/2022]
Affiliation(s)
- U Siddiqui
- Department of Anesthesia and Pain Management, University of Toronto, ON, Canada
| | - F W Abdallah
- Department of Anesthesia and Pain Management, University of Toronto, ON, Canada
| | - M M Ahmed
- Michael G. DeGroote School of Medicine, McMaster University, Hamilton, ON, Canada
| | - J M Albaum
- Department of Anesthesia, McMaster University, Hamilton, ON, Canada
| | - R Brull
- Department of Anesthesia and Pain Management, University of Toronto, ON, Canada
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Ahmed MM, Ali TM, Khalafallah KH. Study of Chronic Obstructive Pulmonary Disease patients in Gamal Abd El-Nasser Hospital in 2017. QJM 2020; 113. [DOI: 10.1093/qjmed/hcaa043] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 09/02/2023] Open
Abstract
Abstract
Background
COPD is characterized by non-remitting airflow limitation and persistent respiratory symptoms which is an enhanced inflammatory response to prolonged exposure to smoking or noxious gases or particles and manifested through chronic cough, effort dyspnea, expectoration and wheezing, symptoms that appears in context of airways hyper-responsiveness and may be partially reversible.
Objective
Assessment of COPD patients in Gamal Abd El Nasser Hospital during period from January 2017 to June 2017.
Subjects and Methods
This study was a cross sectional study that included 290 COPD patients recommended for spirometric assessment. The patients were classified into 2 groups: Outpatients and inpatients in the period from January 2017 to June 2017, they were subjected to full medical history, general and local examination, Pre and post bronchodilator spirometric study according to (GOLD,2017) and each patient will be subjected to the following questionnaire [Serial number, Name, Age, Sex, Occupation, Residence, Level of education, Smoking, Smoking index, Family history of COPD, Symptoms, Number and severity of exacerbation attacks in the last year, Number of Hospitalization during the last year, Vaccination status, Spirometry, Treatment prescribed by, Treatment, Inhalation therapy, Regulation of treatment, Non pharmacological therapy, Satisfaction of treatment, co morbidities, Complications, Outcome for inpatient]
Results
The study included 290 patients, 259 males and 31 females with age range of 29 _ 83 years, the majority of the studied cases were Current smoking but only 22.5% was ex-smoker. Mean FEV1% pred. Post-bronchodilator was 75.9± 16.9 in outpatients and mean FEV1% pred. Post – bronchodilator was 52.9 ± 13.4 in inpatient. The most common co morbidities in COPD patients were hypertension in 25% of cases. More than half of all studied cases had complications and the most frequent complication was Cor-pulmonale and respiratory Failure. In this study, Severity of COPD according to GOLD 2017 was 27.8% in mild stage, 34.2% in moderate stage, 35.8% in severe stage and 2.5% in very severe stage.
Conclusion
Spirometry had a great role in diagnosis of COPD and its differential diagnosis from asthma. Smoking is the major risk factors in developing COPD and this reflects on the disease occurrence and severity. Some of COPD patients refuse to use inhalers due to fear of addiction and incorrect method in using it. Inhaler steroids were preferred due to fear of systemic complications of steroids. There is great defect in vaccination and trials of quitting smoking as a non-pharmacological treatment for COPD patients.
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Affiliation(s)
- M M Ahmed
- From the Department of Chest Diseases, Faculty of Medicine, Ain Shams University, Egypt
| | - T M Ali
- From the Department of Chest Diseases, Faculty of Medicine, Ain Shams University, Egypt
| | - K H Khalafallah
- From the Department of Chest Diseases, Faculty of Medicine, Ain Shams University, Egypt
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12
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Ahmed SS, Whritenour J, Ahmed MM, Bibby L, Darby L, Wang XN, Watson J, Dickinson AM. Evaluation of a human in vitro skin test for predicting drug hypersensitivity reactions. Toxicol Appl Pharmacol 2019; 369:39-48. [PMID: 30768973 DOI: 10.1016/j.taap.2019.02.005] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/04/2018] [Revised: 02/04/2019] [Accepted: 02/11/2019] [Indexed: 11/16/2022]
Abstract
The occurrence of drug hypersensitivity reactions (DHRs) following administration of low molecular weight (LMW) drugs is an important health concern. However, in vivo animal models which could be used as tools for the prediction of DHRs are lacking. As a result, research has focused on development of in vitro tools for predicting DHRs. In this study a novel human in vitro pre-clinical skin explant test was used to predict T cell-mediated hypersensitivity responses induced by LMW drugs. Responses in the skin explant test for 12 LMW drugs associated with T cell-mediated hypersensitivity in the clinic (abacavir, amoxicillin, carbamazepine, diclofenac, lamotrigine, lapatinib, lumiracoxib, nevirapine, ofloxacin, phenytoin, propranolol, sulfamethoxazole) were compared with responses for 5 drugs with few/no reports of T cell-mediated hypersensitivity reactions (acetaminophen, cimetidine, flecainide, metformin, verapamil). Changes in skin histology following in vitro exposure to the drugs as well as T cell proliferation and interferon gamma (IFNγ) production were studied. The results of the skin explant assays showed a good positive correlation (r = 0.77, p < .001) between the test outcome (prediction of positive or negative) and the clinical classification of the tested drugs. The T cell proliferation assay showed a correlation of r = 0.60 (p < .01) and the IFNγ assay r = 0.51 (p < .04). The data suggest that the skin explant model could be a useful tool to predict the potential of LMW drugs to induce DHRs.
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Affiliation(s)
- S S Ahmed
- Alcyomics Ltd, Bulman House, Regent Centre, Gosforth, Newcastle-upon-Tyne NE3 3LS, United Kingdom
| | - J Whritenour
- Pfizer Inc., Drug Safety Research and Development, Eastern Point Rd, Groton, CT 06340, USA
| | - M M Ahmed
- Haematological Sciences, Institute of Cellular Medicine, Newcastle University, Newcastle-upon-Tyne NE2 4HH, United Kingdom
| | - L Bibby
- Alcyomics Ltd, Bulman House, Regent Centre, Gosforth, Newcastle-upon-Tyne NE3 3LS, United Kingdom; Haematological Sciences, Institute of Cellular Medicine, Newcastle University, Newcastle-upon-Tyne NE2 4HH, United Kingdom
| | - L Darby
- Haematological Sciences, Institute of Cellular Medicine, Newcastle University, Newcastle-upon-Tyne NE2 4HH, United Kingdom
| | - X N Wang
- Haematological Sciences, Institute of Cellular Medicine, Newcastle University, Newcastle-upon-Tyne NE2 4HH, United Kingdom
| | - J Watson
- Haematological Sciences, Institute of Cellular Medicine, Newcastle University, Newcastle-upon-Tyne NE2 4HH, United Kingdom
| | - A M Dickinson
- Alcyomics Ltd, Bulman House, Regent Centre, Gosforth, Newcastle-upon-Tyne NE3 3LS, United Kingdom; Haematological Sciences, Institute of Cellular Medicine, Newcastle University, Newcastle-upon-Tyne NE2 4HH, United Kingdom.
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Mohamed MEI, El-Shaarawy EAA, Youakim MF, Shuaib DMA, Ahmed MM. Aging changes in the retina of male albino rat: a histological, ultrastructural and immunohistochemical study. Folia Morphol (Warsz) 2018; 78:237-258. [PMID: 30155876 DOI: 10.5603/fm.a2018.0075] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/09/2018] [Accepted: 06/26/2018] [Indexed: 11/25/2022]
Abstract
BACKGROUND Degenerative changes caused by aging may affect the eye, especially the retina. Such changes occur as a part of normal physiological process and may be irreversible. The aim of the study was to demonstrate the influence of aging on the morphology of the retina to provide a basis to explain the pathogenesis of age-associated decline in visual acuity, scotopic and photopic sensitivity. MATERIALS AND METHODS Forty male albino rats were used and divided into four age groups (group I: age of cortical maturity, group II: middle-aged, group III: aged group and group IV: senile group). The rats were sacrificed, the eye balls were enucleated. Intra-vitreal injections of formalin for haematoxylin and eosin and immunohistochemical sections, glutaraldehyde for toluidine blue semithin and E/M ultra-thin sections were performed. Measurements and quantitative histomorphometric estimation of the layers of the retina were done. RESULTS Light microscopic examination revealed age-dependent attenuation of photoreceptor striations. Aged and senile groups presented pyknotic, widely- -spaced nuclei of the outer nuclear layer. The inner nuclear layer was thinned out to 2 or 3 cellular rows. Retinal capillaries showed progressive dilatation and congestion. Statistical analysis proved significant thinning of the retina with variable degrees of thinning of the constituting layers. Decreased arborisation with age was confirmed with quantification of synaptophysin-immunostained sections. Glial fibrillary acidic protein immunostaining revealed the picture of reactive gliosis. On the ultrastructural level, the retinal pigment epithelium exhibited major alterations with aging. Numerous phagosomes, lipofuscin and melanolipofusin granules appeared within the cells, together with exaggerated basal infoldings. The pho- toreceptor nuclei became degenerated and the perinuclear space was widened. CONCLUSIONS Rat retinae clearly undergo age-related morphological changes. Such changes provide a cellular base for explanation of decreased vision in humans with aging other than reflection errors. Effect of aging was not only qualitative, but also quantitative.
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Affiliation(s)
- M E I Mohamed
- Department of Anatomy and Embryology, Faculty of Medicine, Cairo University, Cairo, Egypt
| | - E A A El-Shaarawy
- Department of Anatomy and Embryology, Faculty of Medicine, Cairo University, Cairo, Egypt.
| | - M F Youakim
- Department of Anatomy and Embryology, Faculty of Medicine, Cairo University, Cairo, Egypt
| | - D M A Shuaib
- Department of Anatomy and Embryology, Faculty of Medicine, Cairo University, Cairo, Egypt
| | - M M Ahmed
- Department of Anatomy and Embryology, Faculty of Medicine, Cairo University, Cairo, Egypt
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Abstract
Background Hyperthermia produces marked effects on many biochemical parameters of tumor cells and has been reported to potentiate the effect of many drugs. We therefore evaluated the possible synergistic effect between hyperthermia and cisplatin against solid Ehrlich carcinoma. The study was based on the measurement of some biologic characteristics in tumor tissues, namely: DNA, RNA, and protein content and their rate of synthesis as parameters for nuclear damage; total lipids and cholesterol as parameters for membrane damage; acid-phosphatase and acid-ribonuclease as parameters for lysosomal damage; and tumor volume as a direct parameter for tumor growth. Methods Treatment of solid Ehrlich carcinoma by hyperthermia at 43 °C for 30 min for 3 successive days produced a 41.5 % decrease in tumor volume, as well as a significant decrease in nucleic acids, protein contents and their rate of synthesis, in total lipids and cholesterol, and in acid-phosphatase and acid-ribonuclease. Chemotherapeutic management of the tumor by 5 mg/kg × 3 of cisplatin alone showed a continuous increase in tumor volume but at a lower rate than that of the untreated control. However, when cisplatin was given 1 h prior to hyperthermia, the tumor volume was significantly decreased by 82.6 %. Results The effects observed on all the investigated parameters were intensified when cisplatin was combined with hyperthermia. The results obtained suggest that hyperthermia may enhance the penetration of cisplatin to its target site inside the tumor cells due to a membrane-damaging effect. The enhanced lethality of cisplatin on tumor cells may also be due to the inhibition of DNA repair processes by hyperthermia.
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Miszczyk J, Rawojć K, Panek A, Borkowska A, Prasanna PGS, Ahmed MM, Swakoń J, Gałaś A. Do protons and X-rays induce cell-killing in human peripheral blood lymphocytes by different mechanisms? Clin Transl Radiat Oncol 2018; 9:23-29. [PMID: 29594247 PMCID: PMC5862687 DOI: 10.1016/j.ctro.2018.01.004] [Citation(s) in RCA: 20] [Impact Index Per Article: 3.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/25/2017] [Revised: 12/31/2017] [Accepted: 01/15/2018] [Indexed: 01/02/2023] Open
Abstract
Purpose Significant progress has been made in the technological and physical aspects of dose delivery and distribution in proton therapy. However, mode of cell killing induced by protons is less understood in comparison with X-rays. The purpose of this study is to see if there is any difference in the mode of cell-killing, induced by protons and X-rays in an ex vivo human peripheral blood lymphocyte (HPBL) model. Materials and methods HPBL were irradiated with 60 MeV proton beam or 250-kVp X-rays in the dose range of 0.3–4.0 Gy. Frequency of apoptotic and necrotic cells was determined by the Fluorescein (FITC)-Annexin V labelling procedure, 1 and 4 h after irradiation. Chip-based DNA Ladder Assay was used to confirm radiation-induced apoptosis and necrosis. Chip-based DNA Ladder Assay was used to confirm radiation-induced apoptosis. Results Ex vivo irradiation of HPBL with proton beams of 60 MeV or 250 kVp X-rays resulted in apoptotic as well as necrotic modes of cell-killing, which were evident at both 1 and 4 h after irradiation in the whole dose and time range. Generally, our results indicated that protons cause relatively higher yields of cell death that appears to be necrosis compared to X-rays. The analysis also demonstrates that radiation type and dose play a critical role in mode of cell-killing. Conclusion Obtained results suggest that X-rays and protons induce cell-killing by different modes. Such differences in cell-killing modes may have implications on the potential of a given therapeutic modality to cause immune modulation via programmed cell death (X-rays) or necrotic cell death (proton therapy). These studies point towards exploring for gene expression biomarkers related necrosis or apoptosis to predict immune response after proton therapy.
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Affiliation(s)
- J Miszczyk
- Institute of Nuclear Physics Polish Academy of Sciences, PL-31342, Poland
| | - K Rawojć
- Department of Endocrinology, Nuclear Medicine Unit, The University Hospital, Kraków, Poland
| | - A Panek
- Institute of Nuclear Physics Polish Academy of Sciences, PL-31342, Poland
| | - A Borkowska
- Institute of Nuclear Physics Polish Academy of Sciences, PL-31342, Poland
| | - P G S Prasanna
- Radiation Research Program, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA
| | - M M Ahmed
- Radiation Research Program, National Cancer Institute, National Institutes of Health, Bethesda, MD, USA
| | - J Swakoń
- Institute of Nuclear Physics Polish Academy of Sciences, PL-31342, Poland
| | - A Gałaś
- Department of Epidemiology, Chair of Epidemiology and Preventive Medicine, Jagiellonian University Medical College, Kraków, Poland
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Yamaji D, Soliman MM, Kamikawa A, Ito T, Ahmed MM, Okamatsu-Ogura Y, Saito M, Kimura K. Species-specific control of hepatocyte growth factor expression and production in adipocytes in a differentiation-dependent manner. Domest Anim Endocrinol 2018; 62:39-48. [PMID: 29040876 DOI: 10.1016/j.domaniend.2017.09.001] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [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: 06/27/2017] [Revised: 08/22/2017] [Accepted: 09/06/2017] [Indexed: 01/09/2023]
Abstract
Hepatocyte growth factor (HGF) is a mesenchymal cell-derived factor that regulates cell growth, cell motility, and morphogenesis. Since there are conflicting reports on HGF-producing cells, we herein examined HGF activity in conditioned medium (CM) of bovine and mouse preadipocytes before and after adipogenic differentiation. CM of bovine adipocytes and mouse preadipocytes induced the morphogenesis of mammary epithelial cells that was inhibited by an NK4 HGF antagonist, whereas CM of bovine preadipocytes and mouse adipocytes did not. HGF mRNA expression was increased by a treatment with dexamethasone and isobutylmethylxanthine in bovine as well as human cells, whereas it was decreased in rodent cells. It was unfortunate that HGF gene promoter activity failed to reflect HGF mRNA expression in these cells. After actinomycin D treatment, expression of HGF mRNA remained stable in pre- and differentiated bovine adipocytes and mouse preadipocytes, whereas rapidly decreased in mouse-differentiated adipocytes. These results indicate that expression and production of HGF are regulated in a species-specific adipogenic differentiation-dependent manner and suggest that the decrease in HGF mRNA in mouse differentiated adipocytes is, at least in part, mediated by differentiation-dependent loss of its stability.
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Affiliation(s)
- D Yamaji
- Laboratory of Biochemistry, Department of Biomedical Sciences, Graduate School of Veterinary Medicine, Hokkaido University, Sapporo 060-0818, Japan
| | - M M Soliman
- Laboratory of Biochemistry, Department of Biomedical Sciences, Graduate School of Veterinary Medicine, Hokkaido University, Sapporo 060-0818, Japan
| | - A Kamikawa
- Laboratory of Biochemistry, Department of Biomedical Sciences, Graduate School of Veterinary Medicine, Hokkaido University, Sapporo 060-0818, Japan
| | - T Ito
- Laboratory of Biochemistry, Department of Biomedical Sciences, Graduate School of Veterinary Medicine, Hokkaido University, Sapporo 060-0818, Japan
| | - M M Ahmed
- Laboratory of Biochemistry, Department of Biomedical Sciences, Graduate School of Veterinary Medicine, Hokkaido University, Sapporo 060-0818, Japan
| | - Y Okamatsu-Ogura
- Laboratory of Biochemistry, Department of Biomedical Sciences, Graduate School of Veterinary Medicine, Hokkaido University, Sapporo 060-0818, Japan
| | - M Saito
- Laboratory of Biochemistry, Department of Biomedical Sciences, Graduate School of Veterinary Medicine, Hokkaido University, Sapporo 060-0818, Japan
| | - K Kimura
- Laboratory of Biochemistry, Department of Biomedical Sciences, Graduate School of Veterinary Medicine, Hokkaido University, Sapporo 060-0818, Japan.
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Mahdi Ahmed M, Doumenq P, Awaleh MO, Syakti AD, Asia L, Chiron S. Levels and sources of heavy metals and PAHs in sediment of Djibouti-city (Republic of Djibouti). Mar Pollut Bull 2017; 120:340-346. [PMID: 28550950 DOI: 10.1016/j.marpolbul.2017.05.055] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/11/2017] [Revised: 05/19/2017] [Accepted: 05/22/2017] [Indexed: 06/07/2023]
Abstract
Selected heavy metals and polycyclic aromatic hydrocarbons (PAHs) were determined in marine sediment from 28 sites Djibouti city. The concentrations of trace elements varied from 0 to 288.1mg/kg with relative abundance of trace metals in sediments was in the order of Zn>Cu>Ni>Cr>Co>Pb>Cd. Zn, Cu and Ni exceeded consensus based sediment quality guideline values 7, 14, 15 sites respectively. Enrichment factor and pollution load index showed relatively low to moderate contamination. The concentrations of total 16 PAHs varied widely depending on the sample location and ranged from 2.65 to 3760.11ng·g-1, with the mean concentration value of 387.87ng·g-1. Compositions and relative abundance of individual PAH using molecular diagnostic ratio using congener's m/z 178 and 202 indicated pyrolytic origin and reflecting a petroleum combustion, grass/wood and coal combustion and a petrogenic source. This study represents the first pollution baseline and a reference for future studies in Djibouti.
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Affiliation(s)
- Moussa Mahdi Ahmed
- Institut des Sciences de la Terre, Centre d'Etude et de Recherche de Djibouti, Route de l'aéroport BP 486, Djibouti, Republic of Djibouti.
| | - Pierre Doumenq
- Laboratoire de Chimie de l'environnement, Equipe Micropolluants Organique, FRE-CNRS 3416, Europôle de l'Arbois-Bátiment Villemin BP 80, Aix en Provence Cedex 4, France
| | - Mohamed Osman Awaleh
- Institut des Sciences de la Terre, Centre d'Etude et de Recherche de Djibouti, Route de l'aéroport BP 486, Djibouti, Republic of Djibouti
| | - Agung Dhamar Syakti
- Center for Maritime Bioscience Studies-Institute for Research and Community Service, Jenderal Soedirman University, Jl, Dr, Suparno, Purwokerto 53123, Indonesia; Marine Science and Fisheries Faculty, Raja Ali Haji Maritime University, Jl. Politeknik Senggarang-Tanjungpinang, Riau Islands Province, 29100, Indonesia
| | - Laurence Asia
- Laboratoire de Chimie de l'environnement, Equipe Micropolluants Organique, FRE-CNRS 3416, Europôle de l'Arbois-Bátiment Villemin BP 80, Aix en Provence Cedex 4, France
| | - Serge Chiron
- UMR HydroSciences 5569, Montpellier Université, 15 Avenue Ch, Flahault, 34093 Montpellier Cedex 5, France
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Ola MS, Ahmed MM, Shams S, Al-Rejaie SS. Neuroprotective effects of quercetin in diabetic rat retina. Saudi J Biol Sci 2016; 24:1186-1194. [PMID: 28855811 PMCID: PMC5562465 DOI: 10.1016/j.sjbs.2016.11.017] [Citation(s) in RCA: 54] [Impact Index Per Article: 6.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2016] [Revised: 11/24/2016] [Accepted: 11/25/2016] [Indexed: 01/09/2023] Open
Abstract
Diabetic retinopathy (DR) is a severe complication of diabetes and the leading cause of blindness among working adults worldwide. DR is being widely recognized as a neurodegenerative disease of the retina, since, retinal neurons are damaged soon after diabetes onset. Diabetes-induced oxidative stress is considered as central factor that dysregulates neurotrophic factors and activates apoptosis, thereby damages neurons in the diabetic retina. Flavonoids being a powerful antioxidant have been considered to protect neurons in diabetic retina. The purpose of this study was to analyze the beneficial effects of flavonoid, quercetin to protect neurons in the diabetic rat retina. We quantitated the expression levels of BDNF, NGF, TrkB, synaptophysin, Akt, Bcl-2, cytochrome c and caspase-3 using Western blotting techniques in the diabetic retina with and without quercetin treatments and compared with non-diabetic rats. In addition, we employed ELISA techniques to determine the level of BDNF. Caspase-3 activity and the level of glutathione were analyzed by biochemical methods. Our results indicate that quercetin treatment to diabetic rats caused a significant increase in the level of neurotrophic factors and inhibited the level of cytochrome c and caspase-3 activity in the diabetic retina. Furthermore, the level of an anti-apoptotic protein Bcl-2 was augmented in quercetin treated diabetic retina. Thus, quercetin, may protect the neuronal damage in diabetic retina by ameliorating the levels of neurotrophic factors and also by inhibiting the apoptosis of neurons. Therefore, this study suggests that quercetin can be a suitable therapeutic agent to prevent neurodegeneration in diabetic retinopathy.
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Affiliation(s)
- Mohammad S Ola
- Department of Biochemistry, College of Science, King Saud University, Riyadh 11451, Saudi Arabia
| | - M M Ahmed
- Department of Pharmacology and Toxicology, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia
| | - Shakeeb Shams
- Department of Biochemistry, College of Science, King Saud University, Riyadh 11451, Saudi Arabia
| | - Salim S Al-Rejaie
- Department of Pharmacology and Toxicology, College of Pharmacy, King Saud University, Riyadh, Saudi Arabia
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Abdel Reheem AM, Ahmed MM, Abdelhamid MM, Ashour AH. Verification of high efficient broad beam cold cathode ion source. Rev Sci Instrum 2016; 87:083302. [PMID: 27587108 DOI: 10.1063/1.4960394] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/06/2023]
Abstract
An improved form of cold cathode ion source has been designed and constructed. It consists of stainless steel hollow cylinder anode and stainless steel cathode disc, which are separated by a Teflon flange. The electrical discharge and output characteristics have been measured at different pressures using argon, nitrogen, and oxygen gases. The ion exit aperture shape and optimum distance between ion collector plate and cathode disc are studied. The stable discharge current and maximum output ion beam current have been obtained using grid exit aperture. It was found that the optimum distance between ion collector plate and ion exit aperture is equal to 6.25 cm. The cold cathode ion source is used to deposit aluminum coating layer on AZ31 magnesium alloy using argon ion beam current which equals 600 μA. Scanning electron microscope and X-ray diffraction techniques used for characterizing samples before and after aluminum deposition.
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Affiliation(s)
- A M Abdel Reheem
- Accelerators and Ion Sources Department, Nuclear Research Center, Atomic Energy Authority, P.N.13759, Cairo, Egypt
| | - M M Ahmed
- Physics Department, Faculty of Science, Helwan University, Cairo, Egypt
| | - M M Abdelhamid
- Radiation Physics Department, National Center for Radiation Research and Technology (NCRRT), Atomic Energy Authority (AEA), Cairo, Egypt
| | - A H Ashour
- Radiation Physics Department, National Center for Radiation Research and Technology (NCRRT), Atomic Energy Authority (AEA), Cairo, Egypt
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20
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Ahmed MM, Brienza M, Goetz V, Chiron S. Solar photo-Fenton using peroxymonosulfate for organic micropollutants removal from domestic wastewater: comparison with heterogeneous TiO₂ photocatalysis. Chemosphere 2014; 117:256-261. [PMID: 25108605 DOI: 10.1016/j.chemosphere.2014.07.046] [Citation(s) in RCA: 20] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 05/19/2014] [Revised: 07/15/2014] [Accepted: 07/15/2014] [Indexed: 06/03/2023]
Abstract
This work aims at decontaminating biologically treated domestic wastewater effluents from organic micropollutants by sulfate radical based (SO4(-)) homogeneous photo-Fenton involving peroxymonosulfate as an oxidant, ferrous iron (Fe(II)) as a catalyst and simulated solar irradiation as a light source. This oxidative system was evaluated by using several probe compounds belonging to pesticides (bifenthrin, mesotrione and clothianidin) and pharmaceuticals (diclofenac, sulfamethoxazole and carbamazepine) classes and its kinetic efficiency was compared to that to the well known UV-Vis/TiO2 heterogeneous photocatalysis. Except for carbamazepine, apparent kinetic rate constants were always 10 times higher in PMS/Fe(II)/UV-Vis than in TiO2/UV-Vis system and more than 70% of total organic carbon abatement was reached in less than one hour treatment. Hydroxyl radical (OH) and SO4(-) reactivity was investigated using mesotrione as a probe compound through by-products identification by liquid chromatography-high resolution-mass spectrometry and transformation pathways elucidation. In addition to two OH based transformation pathways, a specific SO4(-) transformation pathway which first involved degradation through one electron transfer oxidation processes followed by decarboxylation were probably responsible for mesotrione degradation kinetic improvement upon UV-Vis/PMS/Fe(II) system in comparison to UVVis/TiO2 system.
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Affiliation(s)
- Moussa Mahdi Ahmed
- UMR HydroSciences 5569, Montpellier Université, 15 Avenue Ch. Flahault, 34093 Montpellier cedex 5, France.
| | - Monica Brienza
- PROMES-CNRS, UPR 8521, Tecnosud, Rambla de la Thermodynamique, 66100 Perpignan, France
| | - Vincent Goetz
- PROMES-CNRS, UPR 8521, Tecnosud, Rambla de la Thermodynamique, 66100 Perpignan, France
| | - Serge Chiron
- UMR HydroSciences 5569, Montpellier Université, 15 Avenue Ch. Flahault, 34093 Montpellier cedex 5, France
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AlSharari SD, Al-Rejaie SS, Abuohashish HM, Aleisa AM, Parmar MY, Ahmed MM. Ameliorative Potential of Morin in Streptozotocin-Induced Neuropathic Pain in Rats. TROP J PHARM RES 2014. [DOI: 10.4314/tjpr.v13i9.8] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
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Ahmed MM, Chiron S. Solar photo-Fenton like using persulphate for carbamazepine removal from domestic wastewater. Water Res 2014; 48:229-236. [PMID: 24095595 DOI: 10.1016/j.watres.2013.09.033] [Citation(s) in RCA: 94] [Impact Index Per Article: 9.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/26/2013] [Revised: 09/06/2013] [Accepted: 09/14/2013] [Indexed: 06/02/2023]
Abstract
This work aimed at decontaminating biologically treated domestic wastewater effluent from pharmaceutical residues by using sulphate radical based homogeneous photo-Fenton involving persulphate (PS) as an oxidant, ferrous iron (Fe(II)) as a catalyst and simulated solar irradiation as a light source. This is the first time that the beneficiary use of solar energy in PS/Fe(II)/UV-Vis system was evaluated by using carbamazepine (CBZ) as a probe compound. In wastewater, CBZ was fully degraded in 30 min for an initial CBZ concentration of 50 μM and an optimal PS:Fe(II) molar ratio of 2:1 thanks to the high selectivity in reactivity of the sulphate radical limiting scavenging effects of organic matter and inorganic ions. Seventeen by-products were identified using liquid chromatography-high resolution-mass spectrometry allowing for the establishment of degradation pathways. CBZ first underwent degradation through one electron transfer oxidation processes due to sulphate radical reactivity followed by hydroxylation processes through hydroxyl radical formed by Fe(III) photoreduction. The sequential generation of sulphate radical and hydroxyl radical has made PS/Fe(II)/UV-Vis a kinetically effective process in removing CBZ from wastewater without the accumulation of toxic intermediates and opens new remediation strategies for tertiary treatment in domestic wastewater treatment plants.
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Affiliation(s)
- Moussa Mahdi Ahmed
- UMR HydroSciences 5569, Montpellier I University, 15 Avenue Ch. Flahault, 34093 Montpellier cedex 5, France
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Al-Ansari AM, Ahmed MM. Epidemiology of autistic disorder in Bahrain: prevalence and obstetric and familial characteristics. East Mediterr Health J 2013; 19:769-774. [PMID: 24313037] [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: 06/02/2023]
Abstract
European and North American studies show that the prevalence of autistic disorder is inccreasing. This study was performed to identify the prevalence of autistic disorder in Bahrain, and determine some of the demographic and family characteristics. Using a case-control design, 100 children who received a diagnosis of autistic disorder according to DSM-IV-TR during the period 2000-2010 were selected. An equal numberofcontrols who had received a diagnosis of nocturnal enuresis and no psychopathology were selected, matched for sex and age group. The prevalence of autistic disorder was estimated as 4.3 per 10,000 population, with a male:female sex ratio of 4:1. Significantly more cases than controls were delivered by caesarean section and had mothers who suffered prenatal complications. The prevalence estimate in Bahrain is comparable to previous reports using similar methods. Obstetric complications and caesarean section delivery may be associated with autistic disorder.
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Affiliation(s)
- A M Al-Ansari
- Department of Psychiatry, College of Medicine and Medical Sciences, Arabian Gulf University, Manama, Bahrain.
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Syakti AD, Ahmed MM, Hidayati NV, Hilmi E, Sulystyo I, Piram A, Doumenq P. Screening of Emerging Pollutants in the Mangrove of Segara Anakan Nature Reserve, Indonesia. ACTA ACUST UNITED AC 2013. [DOI: 10.1016/j.ieri.2013.11.095] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
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Awaleh MO, Ahmed MM, Soubaneh YD, Hoch FB, Bouh SM, Dirieh ES. Wastewater reclamation using discarded reverse osmosis membranes for reuse in irrigation in Djibouti, an arid country. Water Sci Technol 2013; 67:1362-1369. [PMID: 23508163 DOI: 10.2166/wst.2013.011] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/01/2023]
Abstract
The purpose of this paper is to establish the feasibility of recovering discarded reverse osmosis (RO) membranes in order to reduce the salinity of domestic treated wastewater. This study shows that the reuse of RO membranes is of particular interest for arid countries having naturally high mineralized water such as Djibouti. The pilot desalination unit reduces the electrical conductivity, the turbidity and the total dissolved salt respectively at 75-85, 96.7 and 95.4%. The water produced with this desalination unit contains an average of 254 cfu/100 mL total coliforms and 87 cfu/100 mL fecal coliforms. This effluent meets the World Health Organization standards for treated wastewater reuse for agricultural purposes. The annual cost of the desalination unit was evaluated as US $/m(3) 0.82, indicating the relatively high cost of this process. Nevertheless, such processes are required to produce an effluent, with a high reuse potential.
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Affiliation(s)
- Mohamed Osman Awaleh
- Laboratoire de Chimie, Institut des Sciences de la Terre, Centre d'Etude et de Recherche de Djibouti (CERD), Route de l'aéroport, B.P. 486, Djibouti.
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El Deib KM, Ahmed MM, Ahmed NZ. Biochemical evaluation of the pprotective impact of silymarin against cyclophosphamide induced hepatotoxicity in rats. ACTA ACUST UNITED AC 2011. [DOI: 10.4314/ejbmb.v29i2.72440] [Citation(s) in RCA: 1] [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: 11/17/2022]
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Abdel Salam FW, el-Khabeary H, Ahmed MM, Abdel Reheem AM. Improvement of four anode rods ion source. Rev Sci Instrum 2011; 82:033304. [PMID: 21456729 DOI: 10.1063/1.3554637] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 05/30/2023]
Abstract
In this work, an improved form of a saddle field ion source has been designed and constructed. It consists of four anode rods made from copper and two copper cathode discs. The two cathode discs are placed symmetrically on both sides of the four anode rods. The electrical discharge and output ion beam characteristics were measured at different pressures using argon gas. The optimum distance between each two anode rods was determined. Also the optimum distance between the four anode rods and any cathode disc was obtained. It was found that the optimum distance between each two anode rods equal to 6 mm, while the optimum distance between the four anode rods and any cathode disc equal to 16 mm, where a stable discharge current and maximum output ion beam current can be obtained. The effect of negative extraction voltage applied to both the extractor electrode and Faraday cup on the output ion beam current was studied. The sputter yield of copper and aluminum targets using argon ions of different energies was determined.
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Affiliation(s)
- F W Abdel Salam
- Accelerators and Ion Sources Department, Nuclear Research Center, Atomic Energy Authority, P. No. 13759, Egypt
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Ahmed MM, Martinez HR. Short communication: Graph for calculating maximum local analgesic dose in millilitres for the paediatric population. Eur Arch Paediatr Dent 2010; 10 Suppl 1:40-2. [PMID: 19863898 DOI: 10.1007/bf03262699] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
AIM Determination of the maximum local analgesic dosage in millilitres can be confusing. This article presents a new graph that easily allows the dental practitioner to determine a child's maximum local analgesic dosage in millilitres based on their weight. BACKGROUND Local analgesia is used daily in dentistry to manage pain, and different kinds of agents are available in the market that may be selected depending on the strength and duration of analgesia required. Each analgesic agent has a maximum recommended dose, and it is very important to calculate that dose, especially in children, to avoid the risk of toxicity that could lead to death. Currently a series of calculations are used to calculate the maximum recommended dose for local analgesic agents that could be taxing. This paper presents a newly-developed graph that makes it easier for dental practitioners to quickly identify the maximum recommended dose of the different local analgesic agents used in dentistry based on a patient's weight. CONCLUSION Dentists can utilize this graph to obtain the maximum local analgesic dose in millilitres based on the child's weight. This will save time and encourage dentists to routinely identify the maximum allowed dose and most importantly, decrease or eliminate the risks of toxicity and overdose especially when treating small children.
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Affiliation(s)
- M M Ahmed
- Dept. Paediatric Dentistry, Tufts University School of Dental Medicine, 1 Kneeland Street, Boston, Massachusetts, USA.
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Emam AA, Gad AM, Ahmed MM, Assal HS, Mousa SG. Quantitative assessment of posture stability using computerised dynamic posturography in type 2 diabetic patients with neuropathy and its relation to glycaemic control. Singapore Med J 2009; 50:614-618. [PMID: 19551316] [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: 05/28/2023]
Abstract
INTRODUCTION Patients with diabetic neuropathy have an imbalance, which comes with a higher risk of falls. The aim of this study was to assess posture stability using computerised dynamic posturography in type 2 diabetics mellitus patients with neuropathy as well as its relation to glycaemic control. METHODS 54 type 2 diabetics mellitus patients with peripheral neuropathy were recruited, together with 18 type 2 diabetics mellitus patients without peripheral neuropathy acting as the control group. The first group was divided into two subgroups according to glycaemic control assessed by HbA1c (A1c), the first subgroup comprising 24 patients had good glycaemic control with A1c less than or equal to seven percent and the second subgroup with 30 patients had poor glycaemic control with A1c more than 7 percent. The postural stability was evaluated using dynamic posturography. RESULTS The composite equilibrium score, sensory organisation test 1, 2 and 3 conditions were significantly lower in the neuropathic group as compared to the non-neuropathic group (p-value is less than 0.001). A1c was significantly correlated with the composite equilibrium score in the neuropathic group with poor glycaemic control (r-value equal to -0.395) but not correlated in the neuropathic group with good glycaemic control (r-value equal to 0.151). CONCLUSION Posture instability in type 2 diabetic patients with peripheral neuropathy reflects an impairment of the somatosensory system; also, poor glycaemic control resulted in more posture instability. The early detection of imbalance using dynamic posturography and achieving good glycaemic control may be of great help in the prevention of falls in such patients.
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Affiliation(s)
- A A Emam
- Internal Medicine Department, National Research Center, Cairo 12311, Egypt.
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Zagurovskaya M, Shareef MM, Das A, Reeves A, Gupta S, Sudol M, Bedford MT, Prichard J, Mohiuddin M, Ahmed MM. EGR-1 forms a complex with YAP-1 and upregulates Bax expression in irradiated prostate carcinoma cells. Oncogene 2009; 28:1121-31. [DOI: 10.1038/onc.2008.461] [Citation(s) in RCA: 77] [Impact Index Per Article: 5.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
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Knox-Macaulay HHM, Ahmed MM, Gravell D, Al-Kindi S, Ganesh A. Sickle cell-haemoglobin E (HbSE) compound heterozygosity: a clinical and haematological study. Int J Lab Hematol 2007; 29:292-301. [PMID: 17617080 DOI: 10.1111/j.1365-2257.2006.00886.x] [Citation(s) in RCA: 22] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/30/2022]
Abstract
The paucity of clinical reports in the world literature suggests that, as a disease entity, haemoglobin SE compound heterozygosity is of negligible importance. In view of the significant community prevalence of this haemoglobinopathy in the Sultanate of Oman where it is the second most prevalent sickling disorder, a hospital study of 12 SE compound heterozygotes from six unrelated Arab families was undertaken to determine their clinico-haematological features. Our findings were compared with those reviewed in the literature. Clinical and haematological evaluation was carried out by conventional methods including chromatographic haemoglobin analysis. At least 50% of those studied were asymptomatic throughout the study period but sickling-related complications occurred in the rest and included the acute chest syndrome (1/12), severe vaso-occlusive skeletal pain (2/12), frontal bossing (1/12) possibly indicative of significant chronic haemolysis and recurrent infections of the urinary tract (1/12). Steady-state haemoglobin levels fell within the reference range while MCV and MCH values were, as expected, reduced in most cases; nevertheless, concomitant inheritance of alpha-thalassaemia trait was also likely. Red cell morphology was striking by the absence or rarity of pseudo-sickled cells in the blood films of many patients during the steady state and in crises. Bearing in mind the prevalence of 0.05% of SE compound heterozygosity in Oman, the findings in this single study of the largest number of SE patients and their relatives confirm the predominantly asymptomatic nature of this sickling disorder in individuals in the community at large. HbF levels do not appear to explain the heterogeneous nature of this haemoglobinopathy. Correlation of the variable clinical and haematological features of SE cases with their alpha-globin gene status and beta-cluster haplotypes (linked to the beta(s)- and beta(e)-genes) merits a separate investigation, which is being currently organized.
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Affiliation(s)
- H H M Knox-Macaulay
- Department of Haematology, College of Medicine, Sultan Qaboos University, Muscat, Oman.
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Ferdousi S, Latif SA, Ahmed MM, Nessa A. Summative assessment of under graduate medical student's performance in physiology by structured oral examination. Mymensingh Med J 2007; 16:64-9. [PMID: 17344783 DOI: 10.3329/mmj.v16i1.251] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/05/2022]
Abstract
To evaluate the importance and efficiency of structured oral examination (SOE). This is a retrospective study, has been designed to compare the newly adopted structured oral examination (SOE) with that of the traditional oral examination (TOE). This study was conducted at the department of physiology during the year 2006, on 607 2nd year medical students of Mymensingh Medical College and 106 students from some other medical colleges who appeared in the first professional examination under Dhaka University from 2003-2006. For this purpose, scores achieved by the students in physiology in first professional examination for 4 successive years (2003-2006) were analyzed. The examinations in (2003-2004) and (2005-2006) were conducted under TOE and SOE respectively. Mean score achieved in SOE and TOE was 67+/-.02 and 57+/-.003 respectively. The difference is statistically significant. The pass percentage in SOE is 94.70% and 90.3% in TOE and the difference is significant. Maximum number of students in SOE attained score in the range of 60-69 but in TOE scores attained by maximum frequency fall in the range of 50-59. This observation indicates improvement in student's performance by quality and success rate in SOE. Therefore SOE is a more effective, skill full technique and superior to TOE in assessing student's competency and cognitive ability. The need and skill of SOE over the TOE in assessing oral part of examination has been proved.
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Affiliation(s)
- S Ferdousi
- Department of Physiology, Mymensingh Medical College, Mymensingh, Bangladesh
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Kim RH, Ma L, Hayat SQ, Ahmed MM. Nephrogenic Fibrosing Dermopathy/Nephrogenic Systemic Fibrosis in 2 Patients With End-Stage Renal Disease on Hemodialysis. J Clin Rheumatol 2006; 12:134-6. [PMID: 16755242 DOI: 10.1097/01.rhu.0000222053.47708.dd] [Citation(s) in RCA: 13] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Nephrogenic fibrosing dermopathy/nephrogenic systemic fibrosis (NFD/NSF) is a newly recognized disorder occurring in patients with renal failure. It is manifested by progressive cutaneous and systemic fibrosis involving the extremities and the trunk with usual sparing of the face and internal organs. NFD/NSF can lead to joint contractures and painful disability. The etiology is unknown and there are no proven effective treatments. NFD/NSF must be distinguished from other clinically similar disorders such as scleroderma, scleromyxedema, and eosinophilic fasciitis among a myriad of others. NFD/NSF can pose many diagnostic challenges to physicians; however, a team of experienced rheumatologists, nephrologists, dermatologists, and dermatopathologists is essential in identifying this disorder. We report 2 new cases of NFD/NSF in patients on hemodialysis.
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Affiliation(s)
- Richard H Kim
- Center of Excellence in Arthritis and Rheumatology, Louisiana State University Health Sciences Center, Shreveport, Louisiana 71130, USA.
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Abstract
Diabetes mellitus and thyroid disease are common endocrine disorders in the general population. To investigate the association between thyroid dysfunction, thyroid autoimmunity and Saudi type 2 diabetics, a random sample of 100 Saudi type 2 diabetics and 100 age- and sex-matched controls were studied. The mean age was 54 years for diabetics and 55 years for controls while the male:female ratios were 1:1.6 and 1:14 respectively. GAD65ab were found in 26% diabetics and 2% controls (p=0.001). Thyroid autoimmunity were detected in 10% diabetics vs. 5% controls (p=0.05), while thyroid dysfunction was found in 16% and 7% respectively (p=0.03). In GAD65ab-positive diabetics, thyroid autoimmunity was observed in 27% vs. 4% GAD65ab-negative diabetics (p=0.02) and thyroid dysfunction was reported in 42% and 7% respectively. We conclude that thyroid dysfunction and autoimmunity are common in Saudi type 2 diabetics. Further studies are needed on the cost effectiveness of thyroid screening in diabetics.
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Affiliation(s)
- D H Akbar
- King Abdulaziz University Hospital, Jeddah, Saudi Arabia.
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Syn WK, Ahmed MM. Genetic haemochromatosis presenting as porphyria cutanea tarda. Int J Clin Pract 2005:48-50. [PMID: 15875621 DOI: 10.1111/j.1742-1241.2004.00217.x] [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] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/27/2022] Open
Abstract
Porphyria cutanea tarda (PCT) is the commonest form of porphyria. It can be inherited or acquired. We present a case of genetic haemochromatosis with associated PCT. Venesection led to improvement in both conditions. We highlight the need for the awareness of PCT and its associated conditions.
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Affiliation(s)
- W K Syn
- Gastroenterology Department, Good Hope Hospital, Birmingham, UK
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Abstract
INTRODUCTION Metallic stents are used increasingly in the palliation of malignant large bowel obstruction. Stenting has also been used in the setting of acute obstruction, allowing appropriate patient preparation for an elective colectomy. METHODS Uncovered metallic stents were inserted using a combined endoscopic/radiological technique in patients presenting with large bowel obstruction. RESULTS Seventeen patients (10 female, mean age 75.2 years) presented with large bowel obstruction, 14 due to malignancy and 3 secondary to diverticular stricture. Technical success was achieved in 13/17 with clinical success in 12 of these 13. There were no perforations or procedure related deaths. One stented patient had elective surgery. The five patients with clinical/technical failure required emergency surgery. CONCLUSION The result of our preliminary experience in the use of metallic stents is encouraging. Metallic stents should be available in all hospitals as part of a multimodality approach in treating large bowel obstruction.
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Affiliation(s)
- Wing-Kin Syn
- Gastroenterology Department, Good Hope Hospital, Sutton Coldfield, Birmingham, UK
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Ahmed MM, Hoshino H, Chikuma T, Yamada M, Kato T. Effect of memantine on the levels of glial cells, neuropeptides, and peptide-degrading enzymes in rat brain regions of ibotenic acid-treated alzheimer's disease model. Neuroscience 2004; 126:639-49. [PMID: 15183513 DOI: 10.1016/j.neuroscience.2004.04.024] [Citation(s) in RCA: 21] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/15/2004] [Indexed: 02/06/2023]
Abstract
It has been implicated that glia activation plays a critical role in the progression of Alzheimer's disease (AD). However, the precise mechanism of glia activation is not clearly understood yet. In our present studies, we confirmed our previous results where change the levels of neuropeptides and peptidases in ibotenic acid (IBO) infusion into the rat nucleus basalis magnocellularis, an animal model of AD. Furthermore, we extended our study to investigate a possible protection effect of co-administration on the changes of neuropeptides, and neuronal and glial cells in IBO-infused rat brain by memantine treatment. The levels of substance P and somatostatin were decreased in the striatum and frontal cortex 1 week after IBO infusion, and recovered to the control level by memantine treatment, indicating the involvement of neuropeptides in AD pathology. Furthermore, the immunohistochemical and enzymatic studies of GFAP and CD 11b, and peptidylarginine deiminase, markers of glia, in the striatum and frontal cortex showed the increase in IBO-treated rat brain as compared with controls, while co-administration of memantine and IBO no increase of astrocytes and microglia activation was observed. The present biochemical and immunohistochemical results suggest that glia activation might play an important role to the pathology of AD, and correlate with the changes of neuropeptide levels in AD brain that is recovered by memantine treatment.
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Affiliation(s)
- M M Ahmed
- Laboratory of Natural Information Science, Graduate School of Integrated Science, Yokohama City University, 22-2 Seto, Kanazawa-ku, Yokohama 236-0027, Japan
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Abstract
Cicatricial pemphigoid is a rare, autoimmune, blistering disorder affecting the mucous membranes and skin. Esophageal involvement affects a small proportion of affected individuals and may present up to 10 years after the initial onset of the disease. We present a case of esophageal cicatricial pemphigoid that presented initially as linear IgA disease. We describe the successful treatment of dysphagia by graded esophageal dilatations.
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Affiliation(s)
- W-K Syn
- Gastroenterology Department, Department of Medicine, Good Hope Hospital, Birmingham, UK.
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Ahmed MM, Rasouli G, Hearth-Holmes M, Berney S, Hayat S, Kimpel D, Chang W, Mubashir E, King JW, Wolf RE. 171 PREVALENCE OF ACTIVE HEPATITIS C VIRUS INFECTION IN PATIENTS WITH SYSTEMIC LUPUS ERYTHEMATOSUS. J Investig Med 2004. [DOI: 10.1136/jim-52-suppl1-724] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/03/2022]
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Akbar DH, Ahmed MM, Algamdi AA. Cardiovascular risk factors in Saudi Arabian and non-Saudi Arabian diabetic patients in Saudi Arabia. East Mediterr Health J 2003; 9:884-92. [PMID: 16450518] [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: 05/06/2023]
Abstract
To determine frequency of cardiovascular risk factors in Saudi and non-Saudi diabetics, we studied patients attending King Abdulaziz University Hospital for follow-up in the period January 1997 to December 2001. Cardiovascular risk factors, including hypertension, hyperlipidaemia, obesity and smoking, were studied as well as degree of blood glucose control. Of 1122 patients in the study, 48% were Saudis and 52% non-Saudis. No statistically significant difference was found for prevalence of cardiovascular risk factors between the two groups. Correlation of each of the risk factors to patient's age showed significant correlation to hypertension and smoking.
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Affiliation(s)
- D H Akbar
- Department of Medicine, King Abdulaziz University Hospital, Jeddah, Saudi Arabia
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Ahmed MM, Chendil D, Lele S, Venkatasubbarao K, Dey S, Ritter M, Rowland RG, Mohiuddin M. Early growth response-1 gene: potential radiation response gene marker in prostate cancer. Am J Clin Oncol 2001; 24:500-5. [PMID: 11586104 DOI: 10.1097/00000421-200110000-00017] [Citation(s) in RCA: 14] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/27/2022]
Abstract
This study was undertaken to determine whether the transcription factor EGR-1 expression: (1) in the primary tumor, correlates with radiation response in terms of complete local tumor control with no evidence of disease or recurrence and no evidence of metastasis; (2) in the postirradiated biopsies correlates with residual tumor; and (3) correlates with the expression of Egr-1 target genes such as TP53, pRB, and Bax. The authors analyzed: (1) 25 pretreated surgically resected paraffin-embedded primary adenocarcinomas of the prostate for the presence of EGR-1 expression and mutation, and correlated this with clinical endpoints such as serum prostate-specific antigen levels and current clinical status; (2) 27 postirradiated biopsies of prostate for the presence of EGR-1 expression, and correlated these findings to the residual tumor status; and (3) 12 prospective prostate tumor specimens for EGR-1 expression and its target genes. EGR-1 expression was determined by immunohistochemistry and mutations were screened in two regions of the Egr-1 gene (trinucleotide AGC repeats in transactivation domain [TD] and poly A tract in 3'UTR) by polymerase chain reaction-single strand conformational polymorphism analysis. Of 25 patients, 18 patients showed expression of EGR-1. EGR-1 overexpression correlated with treatment failure. No correlation with EGR-1 overexpression and its target genes was found, which may indirectly suggest that overexpressed EGR-1 may lack transactivation function. In summary, EGR-1 overexpression in the mutant form may provide an indication of clinical failure (local recurrence or metastasis).
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Affiliation(s)
- M M Ahmed
- Department of Radiation Medicine, University of Kentucky, Lexington, 40536-0084, USA
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Ozkan L, Ozuysal S, Egeli U, Adim SB, Tunca B, Aydemir N, Ceçener G, Ergül E, Akpinar G, Cimen C, Engin K, Ahmed MM. Effects of Taxol plus radiation on the apoptotic and mitotic indices of mouse intestinal crypt cells. J Cancer Res Clin Oncol 2001; 127:433-8. [PMID: 11469680 DOI: 10.1007/s004320100240] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/27/2022]
Abstract
PURPOSE In this study we investigated the effect of Taxol, radiation, or Taxol plus radiation on highly proliferative normal tissue--the intestinal crypt cells of Swiss albino mice. MATERIALS AND METHODS Swiss-albino mice, 3-4 months old, were used in this study. Taxol was administered by bolus intravenously through the tail vein. Radiation was given using a linear accelerator. There were four treatment categories, which comprised a total of 34 groups. Each group consisted of five animals. The first category was a control category which comprised one group (n = 5). The second treatment category was Taxol alone which comprised three groups (n = 15). The third treatment category was radiation alone which comprised three groups (n = 15). The fourth treatment category was Taxol plus radiation which comprised 27 groups (n = 135). Mice were killed 24 h after Taxol or radiation or combined administration using ether anesthesia. Using a light microscope, apoptotic and mitotic indices were counted on jejunal crypt cells of mice that were stained with hematoxylin-eosin. Differences between groups were statistically evaluated with Student's t-test. RESULTS Taxol caused a dose-dependent increase in apoptosis (P = 0.045) and decreased the mitotic index (P = 0.006) at high doses. Similarly, radiation caused a dose-dependent increase in apoptosis (P = 0.046) and decreased the mitotic index (P = 0.299) at higher radiation doses. Compared to radiation alone, Taxol caused a significant induction of apoptosis (P = 0.010). In combination, no significant radiosensitizing effect of Taxol was observed (enhancement ratio < 1), when compared to radiation alone. However, an increase in apoptosis was observed after 24 h of Taxol exposure when compared to 12 or 48 h of Taxol exposure (P = 0.0001 and P = 0.0001). CONCLUSION These findings suggest that Taxol did not cause a radiosensitizing effect in intestinal crypt cells. However, a 24-hour pretreatment of Taxol exposure followed by radiation caused significant induction of apoptosis and reduction of the mitotic index when compared to other Taxol timing sequences. Thus, the lack of a radiosensitizing effect of Taxol in these proliferative cells may be due to enhanced mitotic death rather than apoptotic death.
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Affiliation(s)
- L Ozkan
- Department of Radiation Oncology, Uludag University Medical College, Bursa, Turkey.
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Abstract
Adsorptive stripping voltammetry was used to determine the antihypertensive agent diltiazem in phosphate buffer (pH 7.0). The adsorptive cathodic peak was observed at -1.72 V vs. Ag/AgCl. The peak response was characterized with respect to pH, preconcentration time, possible interferences, accumulation potential and supporting electrolytes. The obtained results were analyzed and the statistical parameters were calculated. The proposed method was applied to determine the mentioned drug in pharmaceutical formulation (capsule) and urine. The detection limit is 1x10(-8) M (4.5 ng ml(-1)) using 180 s preconcentration time, whereas the lower limit of detection is 6x10(-9) M (2.7 ng ml(-1)).
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Affiliation(s)
- M A Ghandour
- Chemistry Department, Faculty of Science, Assiut University, 71516, Assiut, Egypt.
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Abstract
The fate of dichlorvos (DDVP) on dates after storage and processing of postharvest-treated fruits has been investigated. Residues were determined using GC-ECD after extraction of the fruits. A postharvest application was made to fruits at different stages of maturity: khalal fruits (mature full colored stage), rutab fruits (soft brown stage), and the mature tamer fruits (hard raisin-like stage). The fate of the residues was followed during the storage at refrigerated, room, and summer average temperatures (3, 22, and 43 degrees C). The amount of residues absorbed varied with the level of maturity. The rate of the loss of the residues was found to follow first-order kinetics. First-order rate constants were calculated for the different levels of maturity. The rate of the loss of DDVP increased as the temperature of storage increased. Also, it decreased with increasing maturation of the dates, which was characterized by a decrease in moisture content as well as water activity and an increase in sugar content. The period of storage study was limited by the time of maturation to the next stage. Most common home-cooking methods, including dehydration, jam-making, and syrup-making, resulted in significant decreases in residue levels. Only 0-13% of initial DDVP residues was detected in final products.
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Affiliation(s)
- E Y El-Behissy
- Food and Environment Control Centre, AbuDhabi Municipality, United Arab Emirates
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48
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Das A, Chendil D, Dey S, Mohiuddin M, Mohiuddin M, Milbrandt J, Rangnekar VM, Ahmed MM. Ionizing radiation down-regulates p53 protein in primary Egr-1-/- mouse embryonic fibroblast cells causing enhanced resistance to apoptosis. J Biol Chem 2001; 276:3279-86. [PMID: 11035041 DOI: 10.1074/jbc.m008454200] [Citation(s) in RCA: 47] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
In this study, we sought to investigate the mechanism of the proapoptotic function of Egr-1 in relation to p53 status in normal isogenic cell backgrounds by using primary MEF cells established from homozygous (Egr-1(-/-)) and heterozygous (Egr-1(+/-)) Egr-1 knock-out mice. Ionizing radiation caused significantly enhanced apoptosis in Egr-1(+/-) cells (22.8%; p < 0.0001) when compared with Egr-1(-/-) cells (3.5%). Radiation elevated p53 protein in Egr-1(+/-) cells in 3-6 h. However, in Egr-1(-/-) cells, the p53 protein was down-regulated 1 h after radiation and was completely degraded at the later time points. Radiation elevated the p53-CAT activity in Egr-1(+/-) cells but not in Egr-1(-/-) cells. Interestingly, transient overexpression of EGR-1 in p53(-/-) MEF cells caused marginal induction of radiation-induced apoptosis when compared with p53(+/+) MEF cells. Together, these results indicate that Egr-1 may transregulate p53, and both EGR-1 and p53 functions are essential to mediate radiation-induced apoptosis. Rb, an Egr-1 target gene, forms a trimeric complex with p53 and MDM2 to prevent MDM2-mediated p53 degradation. Low levels of Rb including hypophosphorylated forms were observed in Egr-1(-/-) MEF cells before and after radiation when compared with the levels observed in Egr-1(+/-) cells. Elevated amounts of the p53-MDM2 complex and low amounts of Rb-MDM-2 complex were observed in Egr-1(-/-) cells after radiation. Because of a reduction in Rb binding to MDM2 and an increase in MDM2 binding with p53, p53 is directly degraded by MDM2, and this leads to inactivation of the p53-mediated apoptotic pathway in Egr-1(-/-) MEF cells. Thus, the proapoptotic function of Egr-1 may involve the mediation of Rb protein that is essential to overcome the antiapoptotic function of MDM2 on p53.
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Affiliation(s)
- A Das
- Department of Radiation Medicine and Markey Cancer Center, University of Kentucky, Lexington, Kentucky 40536, USA
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49
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Chendil D, Oakes R, Alcock RA, Patel N, Mayhew C, Mohiuddin M, Gallicchio VS, Ahmed MM. Low dose fractionated radiation enhances the radiosensitization effect of paclitaxel in colorectal tumor cells with mutant p53. Cancer 2000; 89:1893-900. [PMID: 11064345 DOI: 10.1002/1097-0142(20001101)89:9<1893::aid-cncr4>3.3.co;2-2] [Citation(s) in RCA: 32] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/07/2022]
Abstract
BACKGROUND The current study was undertaken to investigate the influence of wild-type or mutant p53 status on the radiosensitizing effect of paclitaxel in colorectal tumor cell lines. METHODS HCT-116 (contains wild-type p53) and HT-29 (contains mutant p53) established from moderately differentiated colorectal carcinomas were used in this study. Colony-forming assay was performed after exposure to either different radiation doses (0.5-6 gray [Gy]) or paclitaxel (1-10 nM) or in combination. Induction of p53 and p21(waf1/cip1) by these treatments were determined by immunocytochemistry and Western blot analysis. RESULTS Radiation caused an increase in nuclear p53 and p21(waf1/cip1) proteins in HCT-116 cells, indicating that p53 functionally induced p21(waf1/cip1). However, induction of nuclear p53 and p21(waf1/cip1) protein was not evident in HT-29 cells, suggesting that p53 was not functional in these cells. Survival data showed that the HCT-116 cells (survival fraction of exponentially growing cells that were irradiated at the clinically relevant dose of 2 Gy [SF(2)] = 0.383; dose required to reduce the fraction of cells to 37% [D(0)] = 223 centigray [cGy]) were significantly sensitive to ionizing radiation (P < 0.008) when compared with the HT-29 cells (SF(2) = 0.614; D(0) = 351 cGy). Paclitaxel caused a higher degree of clonogenic inhibition in HCT-116 (D(0) = 0.7 nM) than HT-29 (D(0) = 1.11 nM) cells (P < 0.06). When paclitaxel and radiation were combined, an enhanced radiosensitizing effect (P < 0.05) was observed in HCT-116 cells (SF(2) = 0.138; D(0) = 103 cGy), whereas in HT-29 cells no significant radiosensitization of paclitaxel was observed (SF(2) = 0.608; D(0) = 306 cGy). However, pretreatment with paclitaxel followed by multifractionated low dose radiation (0.5- or 1-Gy fractions for a total dose of 2 Gy) significantly enhanced the radiosensitizing effect in both HCT-116 and HT-29 cells. CONCLUSIONS The results of the current study suggested that multifractionated radiation given at very low doses after exposure of cells to paclitaxel conferred a potent radiation sensitizing effect irrespective of p53 status.
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Affiliation(s)
- D Chendil
- Department of Radiation Medicine, College of Medicine, University of Kentucky, Lexington, Kentucky, USA
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50
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Ahmed MM, Akbar DH, Al-Shaikh AR. Deep vein thrombosis at King Abdul Aziz University Hospital. Saudi Med J 2000; 21:762-4. [PMID: 11423891] [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: 02/20/2023] Open
Abstract
OBJECTIVE To study the incidence of deep vein thrombosis and pulmonary embolism at King Abdul Aziz University Hospital. To determine the risk factors, use of different diagnostic modalities, treatment given and to compare our findings with those reported in the literature. METHODS Retrospective study which included all cases of deep vein thrombosis and pulmonary embolism admitted to the medical ward of King Abdul Aziz University Hospital during the period between January 1994 till March 1999 were analyzed. RESULTS Total of 75 patients were diagnosed to have deep vein thrombosis with mean age of 44.16 +/- 14.5 years and male:female ratio of 1:2. Doppler ultrasound was used for the diagnosis in 56 of 75 patients (75%). Pulmonary embolism as a complication of deep vein thrombosis developed in 24 of 75 patients (32%). Prolonged immobilization was found to be the most common risk factor 17 of 75 (23%). All the patients were treated with conventional heparin followed by warfarin. CONCLUSION As discussed, our results are comparable with those reported in the literature. Post operative patients who are anticipated to have prolonged immobilization should receive prophylactic anti coagulation with subcutaneous heparin. Thrombophillia screening should be reserved for those with recurrent deep vein thrombosis or patients with positive family history.
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Affiliation(s)
- M M Ahmed
- Department of Medicine, King Abdul Aziz University Hospital, PO Box 6615, Jeddah 21452, Kingdom of Saudi Arabia
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