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1.
BMC Health Serv Res ; 24(1): 810, 2024 Jul 12.
Artigo em Inglês | MEDLINE | ID: mdl-38997691

RESUMO

BACKGROUND: The current study evaluated the disease burden, health care resource utilization and analyzed the cost burden due to events of special interest among patients with breast cancer (BC) diagnosed and treated in Dubai, United Arab Emirates (UAE), in general and in the subset of patients treated with cyclin-dependent kinase (CDK) 4/6 inhibitors. METHODS: This retrospective cohort study, using insurance e-claims data from Dubai Real-World Database, was conducted from 01 January 2014 to 30 September 2021. Female patients aged ≥ 18 years with at least 1 diagnosis claim for BC and with continuous enrollment during the index period were included. RESULTS: Overall, 8,031 patients were diagnosed with BC (median age: 49.0 years), with the majority (68.1%) being in 41-60-year age group. During the post-index period, BC-specific costs contributed to 84% of the overall disease burden among patients with BC. Inpatient costs (USD 16,956.2) and medication costs (USD 10,251.3) contributed significantly to BC-specific costs. In the subgroup of patients in whom CDK4/6 inhibitors were part of the treatment regimen (n = 174), CDK4/6 inhibitors were commonly prescribed in combination with aromatase inhibitors (41.4%) and estrogen receptor antagonists (17.9%). In patients with BC, health care costs due to events of special interest (n = 1,843) contributed to 17% of the overall disease cost burden. CONCLUSION: The study highlights the significant cost burden among patients with BC, with BC-specific costs contributing to 84% of the overall disease cost burden. Despite few limitations such as study population predominantly comprising of privately insured expatriate patients and only direct healthcare costs being assessed in the current study, most indicative costs have been captured in the study, by careful patient selection and cost comparisons, as applicable. The findings can guide key health care stakeholders (payers and providers) on future policy measures aiming to reduce the cost burden among patients with BC.


Assuntos
Neoplasias da Mama , Efeitos Psicossociais da Doença , Humanos , Feminino , Neoplasias da Mama/terapia , Neoplasias da Mama/tratamento farmacológico , Neoplasias da Mama/economia , Emirados Árabes Unidos , Estudos Retrospectivos , Pessoa de Meia-Idade , Adulto , Custos de Cuidados de Saúde/estatística & dados numéricos , Idoso , Aceitação pelo Paciente de Cuidados de Saúde/estatística & dados numéricos , Recursos em Saúde/estatística & dados numéricos , Recursos em Saúde/economia , Quinase 4 Dependente de Ciclina/antagonistas & inibidores , Adulto Jovem
2.
J Anim Physiol Anim Nutr (Berl) ; 102(3): 662-669, 2018 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-29363190

RESUMO

This study was conducted to evaluate the effect of supplying two levels of Acacia nilotica (A. nilotica) pods to rations of sheep on nutrient digestibility, nitrogen balance and rumen liquor parameters (pH, total protozoa count, protein concentration and enzymes activity). Twelve mature rams (50 ± 1.25 kg B.W.) were distributed into three groups, each with four rams. Animals in group one were considered as a control which fed a basal diet, consisting of concentrate mixture and Egyptian clover. The second group and the third one received the same basal diet with supplying the concentrate mixture by 1.5% and 3.0% of A. nilotica pods meal respectively. The experiment lasted for 3 weeks. It was found that supplementation of A. nilotica pods to the concentrate mixture at a rate of 1.5% and 3.0% significantly improved the total feed intake compared to the control. The digestibility of dry matter and crude fibre was significantly reduced with A. nilotica supplements, whereas the digestibility of crude protein was significantly improved. All of nitrogen intake and N-retained were significantly increased in rams fed on concentrates with 1.5% and 3.0% A.  nilotica pods when compared to the control. The pH of ruminal fluid was not affected by the dietary treatments. Nevertheless, the total rumen protozoa count was significantly decreased in A. nilotica pods supplemented groups. Also, the rumen protein concentration and the ruminal enzymes activity, especially α-amylase, cellulase and protease, were lower in A. nilotica pods supplemented treatments. In conclusions, inclusion of low levels of A. nilotica pods (1.5% and 3.0%) in the concentrates can be used as a natural protein protectant in ruminants by forming tannin protein complexes in the rumen to maximize the amino acids available in the lower digestive tract. Also, these levels can increase the protein digestibility as well as the N-retained in the body .


Assuntos
Acacia , Ração Animal/análise , Dieta/veterinária , Rúmen/parasitologia , Ovinos/fisiologia , Animais , Digestão/fisiologia , Masculino , Nitrogênio/metabolismo , Rúmen/enzimologia
3.
Lupus ; 26(13): 1426-1434, 2017 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-28799838

RESUMO

Background Childhood-onset systemic lupus erythematosus (cSLE) is a lifelong autoimmune disorder. The vitamin D receptor (VDR) gene is a potential candidate gene for cSLE susceptibility. In this study, we aimed to investigate the FokI polymorphism in the VDR gene in Egyptian children and adolescents with SLE, to determine whether this polymorphism could be a genetic marker for cSLE susceptibility or disease activity and we also measured the serum level of 25-hydroxyvitamin D [25(OH) D] to assess its relation to such polymorphism. Methods This was a case-control study, which included 300 patients with cSLE and 300 age, sex, and ethnicity-matched healthy controls. All participants were genotyped for the VDR gene FokI (rs2228570) polymorphism by polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP), while the serum [25(OH) D] levels were measured by enzyme-linked immunosorbent assay (ELISA). Results The VDR FokI FF genotype and F allele were overrepresented among cSLE patients compared with the controls, [odds ratio (OR) = 2.7; 95% confidence interval (CI): 1.6-4.4 for the FF genotype; p = 0.000; and OR = 1.6; 95% CI: 1.27-2.05 for the F allele; p = 0.000, respectively]. We found a significant association between VDR FokI FF genotype with lupus nephritis (OR: 4.8; 95% CI: 2.2-10.6; p = 0.002); and high disease activity index score ( p = 0.01). Conclusions The FokI polymorphism in the VDR gene may contribute to susceptibility to SLE in Egyptian children and adolescents. Moreover, the FF genotype constituted a risk factor for the development of lupus nephritis and was associated with low serum [25(OH) D] levels as well as higher disease activity index score among studied patients with cSLE.


Assuntos
Predisposição Genética para Doença , Lúpus Eritematoso Sistêmico/genética , Polimorfismo Genético , Receptores de Calcitriol/genética , Adolescente , Estudos de Casos e Controles , Criança , Desoxirribonucleases de Sítio Específico do Tipo II , Feminino , Humanos , Lúpus Eritematoso Sistêmico/sangue , Lúpus Eritematoso Sistêmico/etiologia , Masculino , Estudos Prospectivos , Vitamina D/análogos & derivados , Vitamina D/sangue
5.
Environ Toxicol Pharmacol ; 27(1): 1-6, 2009 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-21791390

RESUMO

Grains of soybeans were treated with the recommended dose of fenitrothion insecticide, 5mg/kg, and double that dose, before storage for 30 weeks under ambient local conditions. During the storage period, the penetration and distribution of insecticide residues were studied. The amount of surface residues on stored soybeans, internal extractable and bound residues were determined. Surface residues were found to decrease with the increase in time of storage, whereas internal residues showed a gradual increase with time to reach 56%, 54% of applied doses after 30 weeks. The amount of bound residues inside the matrix showed a slow increase with time. Toxicity of the total internal residues of fenitrothion in stored soybeans was studied in mice through a sub-chronic feeding experiment for 3 months. The maximum inhibition in plasma and erythrocyte cholinesterase activity was 37% and 13% after the first month, respectively. Treated mice suffered from deterioration of hepatic and renal functions as indicated by the increase level of blood serum esterase's and blood urea nitrogen. Percentage increase in alanine aminotransferase (ALT) and aspartate aminotransferase (AST) was reached to about 62% and 55%, respectively as compared with control animals with the end of feeding period.

6.
J Prev Med Hyg ; 60(2): E109-E118, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-31312740

RESUMO

INTRODUCTION: There is a lack of information about knowledge, attitude and behavior regarding oral hygiene and dietary habits of adult patients attending dental clinical settings. Hypertension, diabetes, obesity and caries are increasing among different populations, resulting in the deterioration of the quality of life related to oral and general health. OBJECTIVES: To involve second year dental students in assessing oral health knowledge, attitude, behavior, dietary habits and general health of dental patients, and screening for blood pressure, blood glucose level and obesity. PARTICIPANTS AND METHODS: A convenient sample of 652 adult subjects participated in the study. They were screened, and involved in an interviewer - led questionnaire, led by the students over the period of two successive academic years (2013-2014 and 2014-2015). RESULTS: Subjects with high blood pressure and /or blood glucose levels were more likely to disagree regarding the presence of a relation between general health and dental health [(correlation coefficient (r) = - 0.159, probability value P < 0.001) (correlation coefficient (r) = - 0.257, probability value P < 0.001) respectively]. Subjects with high BMI were less aware of the importance of using the tooth brush in prevention of gingival inflammation. The overall students' satisfaction score was 71.5%. The practical part of the research had the highest satisfaction score (83.7%). CONCLUSIONS: There is scarcity of data regarding dental healthcare knowledge and attitudes in dental clinical settings. Additional clinical training for dental students would increase their willingness to play a preventive and educational role in the oral care of patients.


Assuntos
Doença Crônica/epidemiologia , Higiene Bucal/estatística & dados numéricos , Estudantes de Odontologia/estatística & dados numéricos , Adolescente , Adulto , Idoso , Glicemia/análise , Pressão Sanguínea , Estudos Transversais , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Programas de Rastreamento/métodos , Pessoa de Meia-Idade , Obesidade/epidemiologia , Obesidade/psicologia , Higiene Bucal/psicologia , Estudantes de Odontologia/psicologia , Inquéritos e Questionários , Adulto Jovem
7.
Food Chem Toxicol ; 46(9): 3111-5, 2008 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-18639607

RESUMO

Under local practice of Egyptian conditions, the application of (14)C-fenitrothion on soybeans at a dose of 10mg insecticide/kg grains, led to the formation of 21% of (14)C-bound residues (non-extractable) after 24 weeks of storage. The external residues were 20% and the internal extracts were 55% of the applied dose. Feeding studies on rats revealed that bound residues were bioavailable. After feeding rats for three days with bound (14)C-fenitrothion residues, the main portion of radioactivity was eliminated via expired air (42%), urine (20%) and feces (11.5%). About 15% of the administered radioactivity was distributed among various organs as, liver, kidney, lung, fat, intestine, blood, heart, and brain. Toxicity of bound residues of (14)C-fenitrothion in stored soybeans was studied in mice through feeding experiments for three months at a concentration of 1.9 mg/kg. The maximum inhibition in plasma and erythrocyte cholinesterase activity was observed 22.5%, 18.9% and 8.6%, 9% after one and seven days, respectively. The obtained results showed a slight significant elevation after three months in the activity of liver enzymes alanine amino transferase, aspartate amino transferase and alkaline phosphatase. A moderate increase in blood urea nitrogen and creatinine concentration was observed in the treated groups at the end of the experimental period. The detected levels of albumin and total protein showed no significant compared to the control values, of controlled animals, after three months.


Assuntos
Fenitrotion/farmacocinética , Fenitrotion/toxicidade , Glycine max/química , Inseticidas/farmacocinética , Inseticidas/toxicidade , Resíduos de Praguicidas/farmacocinética , Resíduos de Praguicidas/toxicidade , Acetilcolinesterase/metabolismo , Animais , Disponibilidade Biológica , Fezes/química , Rim/efeitos dos fármacos , Rim/enzimologia , Fígado/efeitos dos fármacos , Fígado/enzimologia , Masculino , Ratos , Ratos Sprague-Dawley , Sementes/química
8.
J Environ Sci Health B ; 43(7): 595-604, 2008 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-18803114

RESUMO

The dissipation of (O-methyl-14C) monocrotophos and U-ring labelled 14C-carbaryl was monitored for over two years in absence and presence of other insecticides using in situ soil columns. The dissipation of 14C-monocrotophos from soil treated with methomyl and carbaryl showed a faster rate of downward movement than in a control column tagged with the labelled insecticide alone. The same trend was observed in experiments with 14C-carbaryl that dissipated more readily in soil treated with non-labelled monocrotophos and methomyl. In the presence of other insecticides the percentage of bound residues was generally lower than in control experiments. The bound residues at the top of the column are released at a low rate under conditions prevailing in the field. The overall time required for dissipation of 50% of monocrotophos and carbaryl (t50) as estimated from control experiment was approximately 20 and 24 weeks, respectively. The data indicate that repeated applications of pesticides might enhance the release of 14C-bound residues.


Assuntos
Carbaril/química , Carbaril/metabolismo , Monocrotofós/química , Monocrotofós/metabolismo , Poluentes do Solo/química , Poluentes do Solo/metabolismo , Solo/análise , Isótopos de Carbono/análise , Monocrotofós/análise , Praguicidas , Fatores de Tempo
9.
East Mediterr Health J ; 14(1): 57-68, 2008.
Artigo em Inglês | MEDLINE | ID: mdl-18557452

RESUMO

Through a home-based survey, all people aged 18 years and over (n = 1800) in the catchment areas of 12 primary health care centres in 4 Egyptian governorates were subjected to standardized waist and hip measurements. Central obesity was determined based on the waist circumference (WC) and waist-to-hip ratio (WHR) indicators. The age-adjusted prevalence of central obesity among adults was 24.1% and 28.7% based on the WC and WHR indicators respectively. After adjustment for sex and other confounding factors, WC was significantly associated with the risk of diabetes and hypertension, while WHR was not significantly associated with either diabetes or hypertension. No significant association was seen between body mass index and diabetes or hypertension.


Assuntos
Obesidade/epidemiologia , Adolescente , Adulto , Distribuição por Idade , Idoso , Índice de Massa Corporal , Distribuição de Qui-Quadrado , Estudos Transversais , Diabetes Mellitus/epidemiologia , Diabetes Mellitus/etiologia , Egito/epidemiologia , Feminino , Inquéritos Epidemiológicos , Humanos , Hipertensão/epidemiologia , Hipertensão/etiologia , Estilo de Vida , Modelos Lineares , Masculino , Pessoa de Meia-Idade , Morbidade , Obesidade/complicações , Obesidade/diagnóstico , Vigilância da População , Prevalência , Fatores de Risco , Distribuição por Sexo , Relação Cintura-Quadril
10.
East Mediterr Health J ; 13(3): 492-504, 2007.
Artigo em Inglês | MEDLINE | ID: mdl-17687821

RESUMO

A continuous quality improvement programme for the care of registered diabetes patients was introduced in 16 government-affiliated primary health care centres in Dubai. Quality improvement teams were formed, clinical guidelines and information systems were developed, diabetes nurse practitioners were introduced and a team approach was mobilized. Audits before and after the introduction of the scheme showed significant improvements in rates of recording key clinical indicators and in their outcomes. For example, the proportion of patients with glycosylated haemoglobin levels < 7% increased from 20.6% to 31.7% and with LDL cholesterol < 100 mg/dL increased from 20.8% to 33.6%. Mean systolic blood pressure of registered patients fell from 135.3 mmHg to 133.2 mmHg.


Assuntos
Centros Comunitários de Saúde/organização & administração , Diabetes Mellitus/terapia , Medicina de Família e Comunidade/organização & administração , Atenção Primária à Saúde/organização & administração , Gestão da Qualidade Total/organização & administração , Adulto , Pressão Sanguínea , Distribuição de Qui-Quadrado , LDL-Colesterol/sangue , Diabetes Mellitus/sangue , Diabetes Mellitus/epidemiologia , Feminino , Hemoglobinas Glicadas/metabolismo , Humanos , Sistemas de Informação/organização & administração , Masculino , Auditoria Médica , Pessoa de Meia-Idade , Modelos Organizacionais , Profissionais de Enfermagem/organização & administração , Avaliação de Processos e Resultados em Cuidados de Saúde , Equipe de Assistência ao Paciente/organização & administração , Guias de Prática Clínica como Assunto , Avaliação de Programas e Projetos de Saúde , Indicadores de Qualidade em Assistência à Saúde , Emirados Árabes Unidos/epidemiologia
11.
J Cancer Res Clin Oncol ; 124(3-4): 131-40, 1998.
Artigo em Inglês | MEDLINE | ID: mdl-9619738

RESUMO

The hypothesis was proposed that there is a risk of dietary cancer from conditional cancerogens in produce of livestock polluted with irritants of the diterpene ester type, picked up by feeding on species of Euphorbiaceae (spurge). To challenge this, several herbaceous plants of the genus Euphorbia, widespread as weeds and contaminants of livestock fodder, were identified botanically and extracts of their aerial parts were tested for irritancy on the mouse ear. As compared to a standard probe of croton oil, the extracts of E. peplus, E. nubica and E. helioscopia displayed irritancy. The most active extract (that from E. peplus) was investigated by a fractionation procedure monitored by the mouse ear assay, and five molecularly uniform irritant Euphorbia factors Pe1-Pe5 were identified as diterpene ester-type toxins. Together these factors comprise at least 11 ppm in the aerial parts. They were characterized individually to carry the diterpene parent alcohols ingenol, 20-deoxyingenol, and 20-deoxyingenol-6 alpha, 7alpha-epoxide. The irritancy of the aerial plant parts was shown to be caused mainly by the Euphorbia factors Pe1 and Pe2 together. Upon chronic administration of these irritants and hyperplasiogens as principal cancerogenic risk factors in the mouse skin initiation/promotion bioassay, Pe1 and Pe2 were established as tumor promoters. These findings together support the initial hypothesis and suggest the need for further investigations to determine whether there is a consequent risk of dietary cancer.


Assuntos
Ração Animal , Carcinógenos/toxicidade , Diterpenos/toxicidade , Euphorbiaceae , Contaminação de Alimentos , Irritantes/toxicidade , Extratos Vegetais/toxicidade , Plantas Tóxicas , Animais , Dieta , Feminino , Carne , Camundongos , Camundongos Endogâmicos , Leite , Fatores de Risco , Dermatopatias/induzido quimicamente
12.
J Cancer Res Clin Oncol ; 124(6): 301-6, 1998.
Artigo em Inglês | MEDLINE | ID: mdl-9692836

RESUMO

Special procedures were developed to investigate poisonous milk of lactating goats fed experimentally on aerial parts of the herb Euphorbia peplus L. In extracts of the milk, weakly irritant in the mouse-ear assay, three diterpene ester toxins were detected by techniques of high-performance liquid chromatography. They are of the ingenane structural type: Euphorbia factor Pel (ingenol 20-acetate 3-angelate), Euphorbia factor Pe2 (20-deoxyingenol 3-angelate) and Euphorbia factor Pe4 (20-deoxyingenol-6alpha,7alpha-epoxide 3-angelate). From goats milk collected 15 days after cessation of the experimental feeding period, extracts were completely free of diterpene ester toxins. The toxins polluting the milk are identical to diterpene ester entities occurring in the aerial parts of E. peplus. Of these, Euphorbia factors Pel and Pe2 are known as promoters of tumors of mouse skin. Apart from the toxic Euphorbia factors, the non-toxic parent alcohol ingenol was also detected in the milk. It is absent in the plant, and may have been generated metabolically from a certain portion of the toxic diterpene esters picked up by the goats from their fodder. The results presented here provide, for the first time, data for a novel interpretation of the locally high incidence of esophageal cancer observed in certain areas in the Caspian littoral of Iran, associated with a greater consumption of goat's (and sheep's) milk.


Assuntos
Ração Animal , Carcinógenos/farmacocinética , Diterpenos/farmacocinética , Euphorbiaceae , Irritantes/farmacocinética , Lactação/fisiologia , Leite/química , Animais , Carcinógenos/análise , Carcinógenos/toxicidade , Cromatografia Líquida de Alta Pressão , Diterpenos/análise , Diterpenos/toxicidade , Feminino , Cabras , Irritantes/análise , Irritantes/toxicidade , Fatores de Risco
13.
J Cancer Res Clin Oncol ; 127(1): 40-7, 2001 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-11206270

RESUMO

Irritant diterpene ester toxins were isolated from Euphorbia nubica and E. helioscopia, which are contaminants of the green fodder of livestock in Egypt. Fractionations of methanol extracts of aerial parts of both plants were monitored by the irritation unit on the mouse ear. Plant extracts were subjected to multiplicative distribution methods, yielding irritant hydrophilic fractions that were further purified by column chromatography. Final purification of the materials was achieved by TLC (silica gel) followed by HPLC, or by TLC alone. In this way, from E. nubica, five Euphorbia factors (Nu1-Nu5) were isolated and characterized as short-chain polyfunctional diterpene esters of tigliane-type parent alcohols. The two weak irritants Nul and Nu3 were triesters of 4-deoxy(4alpha)phorbol. Nu2 was shown to be a triester of the stereoisomeric tigliane-type parent alcohol 4-deoxyphorbol. Weak irritant Nu4 probably is a positional isomer of Nu2. Nu5 was characterized as a short-chain triester of 4,20-dideoxy-5xi-hydroxyphorbol. From E. helioscopia, six short- to medium-chain polyfunctional diterpene esters of the ingenane type, generally containing unsaturated acids were obtained, i.e., four irritant esters of ingenol (Euphorbia factors H1, H2, H5, and H6) and two esters of 20-deoxyingenol (non-irritant Euphorbia substance HS4, and irritant Euphorbia factor H8). All irritant Euphorbia factors of the tigliane and ingenane diterpene ester type described in this investigation are considered to be more or less active tumor promoters, i.e., conditional (non-genotoxic) cancerogens. The Euphorbia factors assayed exhibited moderate (H1) to low (H8) relative tumor-promoting potency in comparison to the ingenane prototype DTE tumor promoter 3-TI.


Assuntos
Neoplasias/induzido quimicamente , Neoplasias/etiologia , Extratos Vegetais/química , Fatores de Risco , Rosales/intoxicação , Álcoois/química , Animais , Animais Domésticos , Bioensaio , Carcinógenos , Cromatografia Líquida de Alta Pressão , Cromatografia em Camada Fina , Diterpenos/intoxicação , Feminino , Cabras , Espectroscopia de Ressonância Magnética , Magnoliopsida/intoxicação , Camundongos , Leite/química
14.
J Dent Res ; 63(1): 52-5, 1984 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-6582080

RESUMO

Several studies indicated that serotype/biotype c strains are the most common on a global basis, but that regional differences may occur relative to other serotype/biotypes. Of particular interest is the observation that individuals residing in the Middle East have higher incidences of serotype e and d strains relative to their levels in American citizens. This could reflect exposure to different Streptococcus mutans serotypes during the period in which the teeth are colonized, or might reflect other factors local to the region, such as diet. The purpose of the present study was to observe Egyptian and Saudi Arabian students during the first four months after their arrival in the United States, in order to determine whether this change in habitat affected the levels and biotypes of S. mutans. The results of this study showed that biotype c strains were the most prevalent in saliva and plaque of these Egyptians and Saudi Arabian students, followed by biotype e and biotype d. There was a drop in the number of S. mutans in the saliva and the proportions of S. mutans in the plaque after two months of residence in the United States, followed by a significant increase after four months of residence. This increase was most noticeable in subjects who had a higher number of decayed surfaces. In these subjects, the percentage of S. mutans in pooled occlusal plaque increased significantly, from 6.1 to 13.2%.


Assuntos
Placa Dentária/microbiologia , Saliva/microbiologia , Streptococcus mutans/citologia , Adulto , Índice CPO , Egito/etnologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Arábia Saudita/etnologia , Sorotipagem , Streptococcus mutans/classificação , Estados Unidos
15.
Anticancer Res ; 19(3B): 2369-72, 1999.
Artigo em Inglês | MEDLINE | ID: mdl-10472358

RESUMO

The tumour markers CEA, AFP, CA 125 and CA 199 were analyzed in a group of apparently healthy subjects in Kuwait. The sample (n = 394) included both genders in the population with a mean age of 38 (S.d. 12.0) years. The distribution of CEA levels values was significant different (Mann-Whitney U test) between Kuwaiti and non-Kuwaiti. The distribution of AFP levels was found to be the same in all groups. The distribution of CA 125 levels was significantly higher in females than in males, both in Kuwaiti and non-Kuwaiti. The distribution of CA 19-9 values was found to be significantly higher in the Kuwaiti female group when compared to the males. The upper reference level was defined as the 95 percentile of the normal values in each group. In the total population the reference level of AFP was 5.6 micrograms/l and of CA 19.9 43 kU/l. The reference level of CA 125 was 16 U/l in males and 24 kU/l in females, respectively. The CEA reference level in Kuwaitis was 6.9 micrograms/l and in non-Kuwaitis 4.4 micrograms/l. The results indicated the importance of determining the reference levels of tumour markers for each individual laboratory. It was also emphasized that care should be taken on the impact of 95 percentiles of normal and benign disease groups.


Assuntos
Biomarcadores Tumorais/sangue , Antígeno Ca-125/sangue , Antígeno CA-19-9/sangue , Antígeno Carcinoembrionário/sangue , alfa-Fetoproteínas/análise , Adulto , Feminino , Humanos , Kuweit , Masculino , Pessoa de Meia-Idade , Distribuição Normal , Valores de Referência , Caracteres Sexuais
16.
Int J Biol Markers ; 17(1): 67-70, 2002.
Artigo em Inglês | MEDLINE | ID: mdl-11936590

RESUMO

The tumor markers CEA, CA 19-9, CA 72-4 and CYFRA 21-1 were analyzed in a group of apparently healthy subjects (n=232) in Kuwait using the Elecsys Relecsys 1010 analyzer. The distribution of the tumour marker levels was analyzed separately in Kuwaitis (n=103), non-Kuwaitis (n=129), smokers (n=68), non-smokers (n=164), males (n=138) and females (n=94). The distribution of CEA was significantly different in Kuwaitis vs. non-Kuwaitis in the total population (p=0.033) and in non-smokers (p=0.049); in males vs. females in the total population (p<0.0001) and in non-smokers (p=0.0002); and in smokers vs. non-smokers in the total population (p<0.0001) using the non-parametric Mann-Whitney U test. None of the other tumour markers showed significant differences in the subgroups. The upper reference level was defined as the 95th percentile of the normal values in each group. A higher reference level of CEA was observed in smokers (vs. non-smokers) in the total population. Also higher reference levels of CEA were observed in males (vs. females) both in the total population and in non-smokers. In the total population the respective reference levels were: CEA: 4.4 microg/L, CA 19-9: 35 kU/L, CA 72.4: 2.4 kU/L, and CYFRA 21.1: 2.1 microg/L. These results were compared with data in the kit inserts and literature data. The impact of 95th percentiles in a local heterogeneous population is discussed.


Assuntos
Antígenos Glicosídicos Associados a Tumores/biossíntese , Antígeno Carcinoembrionário/sangue , Adulto , Fatores Etários , Biomarcadores Tumorais , Antígeno CA-19-9/biossíntese , Feminino , Humanos , Queratinas/biossíntese , Kuweit , Masculino , Pessoa de Meia-Idade , Valores de Referência , Fumar
17.
Int J Biol Markers ; 15(1): 51-5, 2000.
Artigo em Inglês | MEDLINE | ID: mdl-10763141

RESUMO

Preoperative CEA and CA 19-9 levels have been used in the past as prognostic indicators in colorectal cancer, but Dukes' stage is still considered to be the most important prognostic factor. Recent survival estimates may have been influenced by the fact that in the last decade adjuvant chemotherapy and postoperative irradiation have been included in the routine management of advanced-stage disease. In a heterogeneous Kuwaiti population higher reference levels (95th percentile) of CEA and CA 19-9 have been found than those usually employed. In the present study 62 patients with Dukes' stage B + C could be analyzed for two-year disease-free survival (DFS). Relapse was observed in 19 patients, 28 patients were disease free and 15 patients with censored observations were included. No significant difference in DFS was observed in Dukes' B (69%) versus Dukes' C (48%) patients (p = 0.09). On the other hand, Dukes' stage B + C patients with elevated preoperative levels of CEA or CA 19-9 had a significantly poorer DFS than patients with normal levels. For CEA levels below or above the cutoff the DFS was 74% versus 23% (p = 0.003); for CA 19-9 levels below or above the cutoff the DFS was 71% versus 33% (p = 0.004). In 54 patients with Dukes' stage B + C for whom preoperative levels of both CEA and CA 19-9 were available multivariate analysis revealed a decreasing risk of relapse in the following order: CEA and/or CA 19-9 elevated (chi-square 7.09; p = 0.008), CA 19-9 elevated (chi-square 6.27; p = 0.01), CEA elevated (chi-square 5.47; p = 0.02), and Dukes' C (chi-square 2.08; p = 0.15 n.s.). Hence, novel treatment protocols may have improved the disease-free survival, but the use of adjuvant chemotherapy and/or radiotherapy is of questionable benefit in patients who have elevated levels of CEA and/or CA 19-9 prior to treatment.


Assuntos
Antígeno CA-19-9/sangue , Antígeno Carcinoembrionário/sangue , Neoplasias Colorretais/sangue , Biomarcadores Tumorais/sangue , Neoplasias do Colo/sangue , Neoplasias do Colo/mortalidade , Neoplasias do Colo/patologia , Neoplasias do Colo/terapia , Neoplasias Colorretais/mortalidade , Neoplasias Colorretais/patologia , Neoplasias Colorretais/cirurgia , Neoplasias Colorretais/terapia , Terapia Combinada , Humanos , Kuweit , Estadiamento de Neoplasias , Prognóstico , Neoplasias Retais/sangue , Neoplasias Retais/mortalidade , Neoplasias Retais/patologia , Neoplasias Retais/terapia , Análise de Sobrevida , Fatores de Tempo
18.
Food Chem Toxicol ; 41(6): 767-72, 2003 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-12738182

RESUMO

Grains of soybeans were treated with [ethyl-1-4C]chlorpyrifos at a dose of 15 ppm and its triplet. During the 30-week storage period, the penetration and distribution of insecticide residues were studied. The amount of surface residues on stored soybeans, internal extractables and bound residues were determined. Surface residues were found to decrease with the increase in time of storage, whereas internal residues showed a gradual increase with time to reach 40-52% of applied dose after 30 weeks. Non-extractable residues showed a relatively slow but definite increase with time. The degradation products include, in addition to the parent insecticide which constitutes 50% of the total residues, the oxygen-analogue of chlorpyrifos, desethyl chlorpyrifos and 3,5,6-trichloropyridinol. Feeding mice for 90 days with a diet mixed with total internal chlorpyrifos residues in stored soybeans led to considerably inhibited plasma and red blood cells-cholinesterase activity by 78 and 46%, respectively, during the experimental period. Blood picture, liver and kidney function of treated mice were significantly affected during the feeding period.


Assuntos
Clorpirifos/toxicidade , Inibidores da Colinesterase/toxicidade , Glycine max/química , Inseticidas/toxicidade , Rim/efeitos dos fármacos , Fígado/efeitos dos fármacos , Acetilcolinesterase/sangue , Acetilcolinesterase/metabolismo , Animais , Radioisótopos de Carbono , Clorpirifos/análise , Contaminação de Alimentos , Manipulação de Alimentos/métodos , Inseticidas/análise , Rim/metabolismo , Fígado/metabolismo , Masculino , Camundongos , Resíduos de Praguicidas/análise , Fatores de Tempo
19.
J Dent ; 32(1): 47-53, 2004 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-14659718

RESUMO

OBJECTIVES: To assess the knowledge, attitude and behaviour in relation to periodontal health status among Saudi intermediate and high school students living in Jeddah, Kingdom of Saudi Arabia. METHODS: A dental health questionnaire was distributed to a random sample of a total of 2586 Saudi students from intermediate and high school, aged 12-18 years residing in Jeddah. RESULTS: While about 87.1% knew that tooth brush helps prevent periodontal disease, only 33.1% knew that using dental floss helps in preventing periodontal disease. Females used brushing and flossing more than males, while males used miswak more than females. Tooth brushing (P<0.001) and dental floss (P<0.015) were used more frequently among private subjects, while miswak was utilized more frequently among governmental school students (P<0.005). Dental pain was found to be the main reason for visiting the dentist among the target group. CONCLUSIONS: It appears that knowledge, attitude, and behaviour concerning periodontal health among young Saudi school students living in Jeddah city are in need of improvement.


Assuntos
Conhecimentos, Atitudes e Prática em Saúde , Doenças Periodontais/psicologia , Adolescente , Criança , Assistência Odontológica/estatística & dados numéricos , Dispositivos para o Cuidado Bucal Domiciliar/estatística & dados numéricos , Feminino , Humanos , Masculino , Saúde Bucal , Salvadoraceae , Arábia Saudita , Escovação Dentária/estatística & dados numéricos
20.
Biomed Environ Sci ; 15(4): 306-14, 2002 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-12642987

RESUMO

OBJECTIVES: To study the mineralization of 2,4-D in clay and clay loam Egyptian soils under subtropical conditions over a period of 90 d. METHODS: Using 14C-ring labelled pesticide, laboratory studies under aerobic and anaerobic conditions were conducted. 14C-activity in solutions was directly determined by liquid scintillation counting. Unextractable soil residues were determined by combustion. The nature of methanolic 14C-residues was determined by thin layer and high performance liquid chromatographic analysis. RESULTS: Under aerobic conditions 10%-14% of applied dose was mineralized during 90 d irrespective of soil type. The soil extractable pesticide residues decreased with time and the bound residues gradually increased. The highest binding capacity of about 26%-29% was observed in clay soil under aerobic conditions after 90 d. A good balance sheet was obtained and the percentage recovery was generally between 91% and 100%. CONCLUSION: The mineralization of 2,4-D in clay soil was higher than that in clay loam soil under anaerobic conditions. Under aerobic conditions, the soil type had no influence on mineralization capacity of 2,4-D during 90 d. The soil binding increased with time whereby the extractable 14C-residues simultaneously decreased. Chromatographic analysis of the methanol extractable 14C-residues of soils revealed the presence of 2,4-D as a main product together with 2,4-dichlorophenol.


Assuntos
Ácido 2,4-Diclorofenoxiacético/química , Herbicidas/química , Poluentes do Solo/análise , Silicatos de Alumínio , Radioisótopos de Carbono/análise , Argila , Egito , Oxigênio
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