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1.
Egyptian Journal of Hospital Medicine [The]. 2013; 52: 573-593
in English | IMEMR | ID: emr-170287

ABSTRACT

The hazardous health effect of the exposure to 900-1800 MHz radiofrequency electromagnetic fields [RF-EMF] which emitted from mobile phones was investigated on the plasma protein and eye of newly born mice. Twenty one newly born mice were divided into 3 groups, the 1[st] group served as control, the 2[nd] group exposed to mobile phone radiation daily for one month [45 min/day] and the 3[rd] group remained one month following the end of exposure. The results showed deleterious changes in the plasma protein pattern by electrophoretic analysis. Also, the microscopic examination demonstrated numerous histopathological and histochemical changes in the eye mainly represented by degenerated, hemorrhagic areas and detachment in some layers of the eye with alteration in collagen, polysaccharides, total protein and marked increase in amyloid beta [beta] protein contents of newly born mice exposed to RF-EMF from mobile phone [45 min/day] for one month as well as after one month following the end of exposure. It was concluded that the exposure to mobile phone radiation causes plasma proteins alterations and eye pathology in newly born mice


Subject(s)
Animals, Laboratory , Electromagnetic Radiation/classification , Blood Proteins , Eye/pathology , Mice , Histology
2.
Egyptian Journal of Hospital Medicine [The]. 2012; 47: 132-144
in English | IMEMR | ID: emr-170343

ABSTRACT

Investigating the effects of mobile phone-emitted radiation [MPR] on inducing histopathological changes associated with amyloidosis feature in liver, kidney and brain of infant mice. Twenty one infant mice [aged 1 day] were assigned to 3 groups, the 1[st] group served as control, the 2[nd] group exposed to mobile phone radiation [MPR] daily for one month [¾ h /day] and the 3[rd] group remained for one month after stopping radiation exposure. There were different degrees of damage related to amyloidosis feature in these organs subsequent to MPR exposure. One month post exposure there was an increase in the degree of damage related to amyloidosis feature. The results of this study showed that MPR leads to histopathological changes associated with amyloidosis feature in the liver, kidney and brain of infant mice


Subject(s)
Animals, Laboratory , Electromagnetic Fields/adverse effects , Amyloidosis , Mice , Animals, Newborn , Liver/pathology , Kidney/pathology , Histology , Brain/pathology
3.
Journal of the Egyptian Society of Parasitology. 2010; 40 (2): 367-376
in English | IMEMR | ID: emr-113056

ABSTRACT

There are a number of similarities between protective immune responses against schistosomiasis and asthma. Both are associated with elevated concentrations of IgE and eosinophilia. Chronic schistosomiasis is liked to Th1 like response with involvement of pro-inflammatory cytokines in schistosomal hepatosplenic disease process resulting in low level of IL-S. Meanwhile, association with asthma could modulate the immune response with shift to Th2 side resulting in marked elevation of IL-5 and eosinophilia. This work evaluated the levels of serum IgE, IL-5 and IL-12 in Schistosoma mansoni-infected asthmatic patients. A total of 100 subjects selected from Al-Azhar University's Hospitals were divided into three groups GI: 50 patients with hepatosplenic schistosomiasis associated with asthma. GII: 25 patients with hepatosplenic schistosomiasis without apparent asthma. GIII: 25 patients with neither bilharzial liver cirrhosis nor asthma as control group. All patients were subjected to full history taking and clinical examination, pulmonary function tests, total serum IgE, bilharzial antibody titre, stool and urine examination for parasites, liver function tests and serum IL-5 and IL-12. The results showed very high level of the total serum IgE in GI and GII compared to GIII. There was high significant difference in peripheral blood eosinophil%. GI and GII gave highest levels, IL-5 was elevated in GI, but low GII, IL-12 was high in GII than GI


Subject(s)
Humans , Male , Female , Interleukin-5/blood , Interleukin-12/blood , Asthma/immunology , Schistosoma mansoni/parasitology , Immunoglobulin E/blood
4.
Al-Azhar Medical Journal. 2008; 37 (3): 395-402
in English | IMEMR | ID: emr-85678

ABSTRACT

Abnormalities in thyroid function tests are frequently encountered in uremic patients. Disturbance in endothelial dysfunction and inflammatory processes are common in individuals with chronic renal failure. This may predispose to accelerated atherosclerosis with all its complications. The study was performed to investigate relationship between thyroid function and markers of endothelium damage and inflammation in patients with regular hemodialysis [HID]. The study was performed on 50 patients with end stage renal diseases [ESRD] on regular ND for at least 10 months. All patients and control were subjected to complete history and clinical examination and measurements of thyroid function tests, marker of inflammation [CRP], marker of endothelial damage, [intracellular adhesion molecules [ICAM]], in addition to renal function, CBC, lipid profile, total protein and serum albumin. Out of 50 patients under hemodialysis, had cardiovascular events. The following parameters were significantly higher in patients under HD than control; blood urea [p < 0.001], serum creatinine [P <0.001], CRP [p <0.001], ICAM [p <0.001] and triglycerides [P <0.01]. The following parameters were significantly lower in patients under HD than controls; serum albumin [p < 0.001], FT3 [p <0.01, but still within the normal range] and hemoglobin [p < 0.01]. Using multiple regression analysis serum FT3 negatively correlated with, duration of RD [r=-0.830, p < 0.001], albumin [r=-0.770, p <0.001], CRP [r=-0.840, p < 0.001], ICAM [r=-0.500, p < 0.01], triglycerides [r=-0.540, p <0.01], and total protein [r=-0.520, P <0.01]. Logistic regression analysis and after adjusted for age, sex, BMI, hypertension, FT3 levels were independently related to CRP [OR 206, 95% CI 1.6-5.4, P < 0.001], followed by duration of dialysis [OR 2.58, 95% CI 1.7-5.2, P <0.001], lastly serum albumin [OR 2.32, 95% CI 1.6-3.9, p <0.001]. Interestingly, and serum albumin were significantly lower, while CRP and duration of dialysis were significantly higher in patients with vascular complications than the rest of patients [P < 0.01]. We can conclude that thyroid dysfunction in HID patients related to inflammation, duration of dialysis, malnutrition and to a lesser extent endothelial dysfunction. All these factors lead to accelerated atherosclerosis and cardiovascular complications and a clinical significance of these findings merits further studies


Subject(s)
Humans , Male , Female , Thyroid Function Tests , Kidney Function Tests , Intercellular Adhesion Molecule-1 , C-Reactive Protein , Cholesterol
5.
Al-Azhar Medical Journal. 2007; 36 (4): 449-458
in English | IMEMR | ID: emr-81648

ABSTRACT

Cardiac functions in patients with different thyroid disorders are not well studied. The study was addressed to study cardiac dysfunctions especially in subclinical thyroid disorders by a new specific and sensitive imaging, pulsed wave tissue Doppler imaging [PWTDI], which is able to precisely assess the ventricular wall motion. In addition to N-terminal pro-brain natriuretic peptide [N-terminal proBNP]. A new neurohormone, which is a specific and sensitive marker for early detection of left ventricular dysfunctions. We studied 40 patients [29 females and 11 males] with hypothyroidism, 20 of them with overt hypothyroidism [group I], the other 20 patients with subclinical hypothyroidism [group II]. Forty patients [27 females and 13 males] with thyrotoxicosis, 20 of them with overt hyperthyroidism [group III], the other 20 patients with subclinical hyperthyroidism [group IV]. In addition to 20 euthyroid, subjects with age and sex matched [14 females and 6 male] as controls [group V]. The study was performed at Al-Azhar University Hospitals from January 2006 to March 2007. All partners were subjected to full clinical examinations to assess thyroid and left ventricular function, measurements of thyroid profile [FT3, FT4 and TSH] and N-terminal proBNP. All subjects underwent to PWTDI to accurately quantify the global and regional left ventricular function at the posterior septal wall. Left ventricular diastolic dysfunction in the form of impairment of both diastolic relaxation [decreased Ea] and compliance to ventricular filling [decrease Ea / Aa ratio]. LV systolic dysfunction in the form of impaired systolic ejection [decrease Sa]. PWTDI indices show a significant impairment of systolic ejection in all studied groups [P < 0.01] for overt and P< 0.05 for subclinical hypo and hyperfunction] and a delay in diastolic relaxation in overt hypothyroidism [P < 0.01], even those with subclinical hypothyroidism, [P < 0.05] but not impaired in hyperthyroid groups. PWTDI indices showed LV impairment early and significantly than when we used standard 2-D echocardiograms [EF% impaired only in patients with overt thyroid disorders] especially in subclinical groups. In subclinical hypothyroidism LV dysfunction was detected in two patients [10%], using standard 2-D echocardiograms vs. 14 patients [70%], using PWTDI, Sa [P < 0.01] and in 16 patients [80%], using Ea / Aa ratio [P < 0.01] and significantly correlated with FT3, FT4, TSH and N-terminal proBNP. In subclinical hyperthyroidism LV dysfunction was detected in two patients [10%], using standard 2-D echocardiograms vs. 8 patients [40%], using PWTDI, Sa [P < 0.01] and no patients [0%], using Ea / Aa ratio. N-terminal proBNP is highly sensitive and specific with a good positive and negative predicted value for early detection and diagnosis of LV dysfunction especially in subclinical groups and significantly correlated with thyroid profile and PWTDI indices. Left ventricular dysfunction is common in patients with different thyroid disorders even in patients with subclinical thyroid disorders. PWTDI and measurement of N-terminal proBNP are sensitive techniques that allow detection of LV dysfunction, not only in patients with overt thyroid disorders, but also in patients with subclinical thyroid disorders


Subject(s)
Humans , Male , Female , Ventricular Dysfunction, Left , Hypothyroidism , Hyperthyroidism , Triiodothyronine , Thyroxine , Thyrotropin
6.
Al-Azhar Medical Journal. 2007; 36 (3): 355-362
in English | IMEMR | ID: emr-126408

ABSTRACT

The objective of this work is to determine the prevalence of disturbances in glucose metabolism in patients with acute stroke. Research design and methods-Consecutively admitted acute stroke patient [n=100] were screened for glucose tolerance according to the standardized World Health Organization protocol in the 1[st] and 2[nd] week after the stroke event. In addition, we repeatedly measured fasting capillary blood glucose during the first 10 days. Of the 100 subjects analyzed, 30 [30%] were classified as having newly diagnosed diabetes, 28 [28%] as having IGF or IGT, 29 [29%] as having transient hyperglycemia and only 16 [16%] were normoglycemia. Patients with newly diagnosed diabetes had more severe stroke National Institutes of Health Stroke Scale [NIHSS] on admission], hypertension and HbAIc than other studied groups [p<0.001], a higher rate of pneumonia and urinary tract infection during the admission [P0.001] and a worse outcome at discharge [mRS 0-1 at discharge]; [P<0.001] than nondiabetic patients. Patients with normal glucose regulation were more often men [more women among diabetic patients] and significantly younger than patients classified as having abnormal glucose regulation. In multivariate logistic regression model, National Institutes of Health Stroke Scale [NIHSS] on admission, female sex and urinary tract infection were independently associated with the classification of newly diagnosed diabetes. Age < 70 years and normotension were factors associated with normal glucose values in OGTT. It could be concluded that - The majority of acute stroke patients have disorders of glucose metabolism and in most cases this fact has been unrecognized. Diabetes worsens the outcome of acute stroke. Therefore, in the post-acute phase, an oral glucose tolerance test should be recommended in all stoke patients with no prior history of diabetes


Subject(s)
Humans , Male , Female , Glucose Tolerance Test , Acute Disease , Glucose Metabolism Disorders
7.
Al-Azhar Medical Journal. 2007; 36 (3): 387-394
in English | IMEMR | ID: emr-126412

ABSTRACT

The purpose of this study was to determine the natural history of peripheral arterial disease [PAD] complicating type2-diabetics, in particular the influence of PAD on the risk of cardiac death and the adequacy of PAD risk factor management. The study was a prospective study of diabetic patients. The study was performed at Al-Azhar University Hospitals on 15o patients with type 2-diabetes between March 2004 and May 2005, with follow-up period at least 2-years. All patients had a valid data at baseline and three or more subsequent consecutive annual reviews. Assessment consisted of a range of clinical and biochemical variables including the ankle/brachial index [ABI]. PAD was defined as an ABI

Subject(s)
Humans , Male , Female , Peripheral Arterial Disease/complications , Death , Blood Pressure
8.
Al-Azhar Medical Journal. 2006; 35 (4): 565-571
in English | IMEMR | ID: emr-75643

ABSTRACT

Many patients with type 2 diabetes are obese with or without metabolic syndrome. The thyroid activity in those patients is not well studied. The study was performed to evaluate thyroid activity in obese versus lean male patients with type 2 diabetes. the study was conducted on 80 men clinically euthyroid patients with type 2 diabetes, 40 of them were obese [group I]; the other 40 patients were lean [group II]. The control of the study included 40 men healthy subjects, 20 of them were obese [group III] and the other 20 subjects were lean [group IV]. All subjects were males to avoid effects of sex hormones on thyroid function. The study was performed at Al-Azhar University Hospitals on Internal Medicine Department and Diabetic out patient clinic from January to August 2006. Patients as well as control were clinically euthyroid not suffered from other diseases that well known to affect thyroid function. Patients and controls were subjected to history and clinical examinations, measurements of BMI, blood sugar, HbAlc, lipid profile and thyroid function testes including free T3 [FT3], free T4 [FT4] and TSH. serum levels of TSH were significantly higher in type 2 diabetic patients either obese [p<0.01] or not [p<0.01] when compared to controls and in obese vs. lean diabetic patients [p<0.01]. On the other hand serum levels freeT3 and freeT4 were significantly lower in type 2 diabetic patients either obese [p<0.01] or not [p<0.01] when compared to controls and in obese vs. lean diabetic patients [p<0.01]. Serum levels of FT3 was significantly decrease in obese subjects either diabetic or not above 55 years than those below 55 years [p<0.01] for both. Serum levels of HDL-cholesterol were significantly lower, while serum levels of triglycerides were significantly higher in-group I in comparison to groups II and III [p<0.01] for both. On the other hand no significant changes were found in serum levels of total cholesterol and LDL-cholesterol between these groups. BMI correlated positively with triglycerides [r=0.520], with LDL-cholesterol [r=0.620] and with TSH [r=0.510]. BMI Inversely correlated with HDL-cholesterol [r=-0.610], with FT3 [r=-0.620] and with FT4 [r=-0.510], but not correlated with total cholesterol and HbAlc. All mean values of serum TSH, FT3 and FT4 are still within the normal reference range. However, subclinical hypothyroidism [high TSH with normal FT3 and FT4] was found in 12 subjects out of 120 [10%]. Two patients [1.7%] in-group III, 4 patients [3.3%] in-group II and 6 patients [5%] in-group I. type 2 diabetes specially in obese patients are associated with disturbances in thyroid functions within what is considered the normal range, but subclinical hypothyroidism was found in some cases especially if both diabetes and obesity are associated


Subject(s)
Humans , Male , Thyroid Function Tests , Male , Obesity , Thinness , Body Mass Index , Cholesterol , Lipoproteins, HDL , Hypothyroidism , Lipoproteins, LDL , Triglycerides
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