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1.
Malays J Pathol ; 44(2): 235-244, 2022 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-36043586

RESUMO

Chromosomal abnormality is one of the causes of congenital disorders among newborns. Despite aneuploidy being the major cause of first trimester miscarriages, very few aneuploidies such as trisomies of chromosomes 13, 18 and 21 survive to birth. The results of 4,064 patients referred for cytogenetic analysis at Human Genome Centre, Universiti Sains Malaysia, Kelantan, Malaysia between 2008 and 2019 were reviewed. We retrospectively investigated the karyotype patterns, clinical features and parental ages of the three common live-born autosomal trisomies such as trisomy 13, trisomy 18 and trisomy 21. The relative frequency of cases with the total sample received and cultured was calculated in each group and compared with those reported elsewhere. Between 2008 and 2019, a total of 1034 live-born trisomic cases which accounted for 25.4% of the 4064 total referred cases and 73.7% of 1403 suspected trisomy cases, were identified, with age ranging from newborns to 57 years. Down syndrome was the commonest aneuploidy (857 cases; 21.1%) followed by Edwards syndrome (133 cases; 3.3%) and Patau syndrome (44 cases; 1.1%). The number of diagnosed cases for each of the trisomies was fairly stable from year to year. About two-thirds of both maternal and paternal ages were ≥ 35 years. This is the first cytogenetic report on the common live-born autosomal trisomies in the North-Eastern region of Malaysia. The prevalence of trisomies 21 was found to be higher compared to an earlier study in the North-Western region of Malaysia, wherein also, advanced maternal age was a significant risk factor.


Assuntos
Síndrome de Down , Trissomia , Adulto , Aneuploidia , Cromossomos Humanos Par 13/genética , Cromossomos Humanos Par 18/genética , Síndrome de Down/diagnóstico , Síndrome de Down/epidemiologia , Síndrome de Down/genética , Feminino , Humanos , Recém-Nascido , Cariótipo , Malásia/epidemiologia , Pais , Estudos Retrospectivos , Trissomia/genética , Síndrome da Trissomia do Cromossomo 13
2.
Malays J Pathol ; 44(1): 121-127, 2022 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-35484895

RESUMO

Acinic cell carcinoma is an uncommon malignant salivary gland tumour accounting for approximately 6-7% of all salivary gland neoplasms. The key diagnostic feature of acinic cell carcinoma is the presence of acinar cell differentiation characterised by cytoplasmic zymogen secretory granules. This tumour shows a variety of growth patterns, including solid, microcystic, follicular and papillary cystic patterns. Acinic cell carcinoma is typically a cytologically low-grade malignancy. Acinic cell carcinomas with high-grade transformation (HGT) are exceedingly rare and are reported to have a more aggressive clinical course than conventional acinic cell carcinoma. This is a case report of this uncommon entity with high-grade transformation arising on the soft palate in a 64-year-old woman.


Assuntos
Carcinoma de Células Acinares , Neoplasias das Glândulas Salivares , Carcinoma de Células Acinares/patologia , Precursores Enzimáticos , Feminino , Humanos , Pessoa de Meia-Idade , Palato Mole/patologia , Neoplasias das Glândulas Salivares/patologia
3.
Malays J Pathol ; 42(3): 307-321, 2020 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-33361712

RESUMO

Chronic myeloid leukaemia (CML) provides an illustrative disease model for both molecular pathogenesis of cancer and rational drug therapy. Imatinib mesylate (IM), a BCR-ABL1 targeted tyrosine kinase inhibitor (TKI) drug, is the first line gold standard drug for CML treatment. Conventional cytogenetic analysis (CCA) can identify the standard and variant Philadelphia (Ph) chromosome, and any additional complex chromosome abnormalities at diagnosis as well as during treatment course. Fluorescence in situ hybridization (FISH) is especially important for cells of CML patients with inadequate or inferior quality metaphases or those with variant Ph translocations. CCA in conjunction with FISH can serve as powerful tools in all phases of CML including the diagnosis, prognosis, risk stratification and monitoring of cytogenetic responses to treatment. Molecular techniques such as reverse transcriptase-polymerase chain reaction (RT-PCR) is used for the detection of BCR-ABL1 transcripts at diagnosis whereas quantitative reverse transcriptase-polymerase chain reaction (qRTPCR) is used at the time of diagnosis as well as during TKI therapy for the quantitation of BCR-ABL1 transcripts to evaluate the molecular response and minimal residual disease (MRD). Despite the excellent treatment results obtained after the introduction of TKI drugs, especially Imatinib mesylate (IM), resistance to TKIs develops in approximately 35% - 40% of CML patients on TKI therapy. Since point mutations in BCR-ABL1 are a common cause of IM resistance, mutation analysis is important in IM resistant patients. Mutations are reliably detected by nested PCR amplification of the translocated ABL1 kinase domain followed by direct sequencing of the entire amplified kinase domain. The objective of this review is to highlight the importance of regular and timely CCA, FISH analysis and molecular testing in the diagnosis, prognosis, assessment of therapeutic efficacy, evaluation of MRD and in the detection of BCR-ABL1 kinase mutations which cause therapeutic resistance in adult CML patients.


Assuntos
Análise Citogenética/métodos , Proteínas de Fusão bcr-abl/análise , Leucemia Mielogênica Crônica BCR-ABL Positiva/genética , Terapia de Alvo Molecular/métodos , Reação em Cadeia da Polimerase Via Transcriptase Reversa/métodos , Antineoplásicos/uso terapêutico , Resistencia a Medicamentos Antineoplásicos/genética , Proteínas de Fusão bcr-abl/genética , Humanos , Mesilato de Imatinib/uso terapêutico , Hibridização in Situ Fluorescente , Leucemia Mielogênica Crônica BCR-ABL Positiva/tratamento farmacológico , Mutação , Inibidores de Proteínas Quinases/uso terapêutico , Proteínas Tirosina Quinases/antagonistas & inibidores
4.
Arch Soc Esp Oftalmol (Engl Ed) ; 95(9): 439-446, 2020 Sep.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-32414513

RESUMO

BACKGROUND: Keratoconus is a progressive disorder distinguished by thinning of the corneal tissue and bulging forward into a cone-shaped fashion. Yet its etiology, which is multifactorial, despite intensive research remains elusive. Corneal exposure a reactive oxygen species causing oxidative DNA damage has been reported to be associated with KC and therefore suggesting that DNA base excision repair mechanism might lie behind the pathogenesis of the disease. METHODS: We studied the association of three variants in two BER genes (XRCC1 and POLG) and QC occurrence in a cohort of patients from Egypt. Genotyping of the three variants was performed using PCR and restriction enzymes analysis. RESULTS: We observed that A allele and A/A genotype of the c.1196A>G variant in the XRCC1 gene were significantly associated with increased KC occurrence while the G allele was associated with decreased KC occurrence. Similarly, the A/A genotype of the c.-1370T>A polymorphism in the POLG gene and the A allele were associated with increased occurrence of KC, while T/A genotype and the T allele were accompanied with decreased occurrence of KC. On the other hand, no association was observed between the c.580C>T variant in the XRCC1 gene and KC occurrence among the studied group of patients. CONCLUSION: Our results suggest that c.1196A>G variant of the XRCC1 and c.-1370T>A variant of the POLG gene may be involved in KC pathogenesis and might be considered as a genetic risk factors of the disease among Egyptian population.

5.
Int Endod J ; 53(7): 905-921, 2020 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-32249441

RESUMO

AIM: To assess the outcomes of platelet-rich plasma as a scaffold in regenerative/revitalization endodontics (RET) using cone beam computed tomography (CBCT) and 2-dimensional radiographs. METHODOLOGY: Twenty-six healthy patients with mean age of 12.66 ± 4.47, and immature permanent anterior teeth with necrotic pulps, were randomly allocated to two groups, whereby RET was performed using platelet-rich plasma (PRP, test group) and blood clot (BLC, control group). Changes in root length (RL), root dentinal thickness (RDT), apical foramen width (AFW) and radiographic root area (RRA), were assessed using both radiographic methods, whilst changes in periapical area diameter (PAD) were assessed using CBCT, over a period of 12 months. T-test and chi-square/Fisher's exact tests were used to compare continuous and categorical data between BLC and PRP groups, respectively. Changes in RL, RDT, AFW, RRA and PAD were examined by comparing the two groups (PRP versus BLC) using multilevel modelling, considering the clustering effect of repeated measures of several teeth originating from the same participant. RESULTS: Changes in RL, RDT, AFW, RRA and PAD, over time, were found to be significant for both groups. There was, however, no difference between the RET techniques (PRP versus BLC), using both radiographic and CBCT methods. The results of both assessment techniques (CBCT and 2-dimensional radiographic methods) were highly consistent (overall ICC ranged between 0.80 and 0.94). In addition, a significant effect of baseline PAD was found on RL, RRA and AD at 12 months (RL effect = -0.68, P < 0.001; RRA effect = -1.91, P = 0.025; AD effect = 0.08, P = 0.024). CONCLUSION: The current study highlights successful and comparable clinical and radiographic outcomes of RET techniques using PRP and BLC. Standardized and calibrated 2-dimensional radiographic assessment was as effective as CBCT in assessing RET outcomes; therefore, the routine use of CBCT in RET is not recommended. Although an effect of baseline periapical lesion diameter on root development outcomes, at 12 months, were observed, more studies are recommended in order to assess such an effect.


Assuntos
Tomografia Computadorizada de Feixe Cônico , Plasma Rico em Plaquetas , Necrose da Polpa Dentária , Dentição Permanente , Humanos , Regeneração
6.
Trop Med Int Health ; 19(4): 431-9, 2014 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-24405659

RESUMO

OBJECTIVES: To estimate the prevalence of Group A beta-haemolytic streptococcus (GAS) and non-GAS infections among children with acute pharyngotonsillitis in Aden, Yemen, to evaluate the value of a rapid diagnostic test and the McIsaac score for patient management in this setting and to determine the occurrence of emm genotypes among a subset of GAS isolated from children with acute pharyngotonsillitis and a history of acute rheumatic fever (ARF) or rheumatic heart disease (RHD). METHODS: Group A beta-haemolytic streptococcus infections in school-aged children with acute pharyngotonsillitis in Aden, Yemen, were diagnosed by a rapid GAS antigen detection test (RADT) and/or GAS culture from a throat swab. The RADT value and the McIsaac screening score for patient management were evaluated. The emm genotype of a subset of GAS isolates was determined. RESULTS: Group A beta-haemolytic streptococcus pharyngotonsillitis was diagnosed in 287/691 (41.5%; 95% CI 37.8-45.3) children. Group B, Group C and Group G beta-haemolytic streptococci were isolated from 4.3% children. The RADT had a sensitivity of 238/258 (92.2%) and specificity of 404/423 (95.5%) against GAS culture. A McIsaac score of ≥4 had a sensitivity of 93% and a specificity of 82% for confirmed GAS infection. The emm genotypes in 21 GAS isolates from children with pharyngitis and a history of ARF and confirmed RHD were emm87 (11), emm12 (6), emm28 (3) and emm5 (1). CONCLUSION: This study demonstrates a very high prevalence of GAS infections in Yemeni children and the value of the RADT and the McIsaac score in this setting. More extensive emm genotyping is necessary to understand the local epidemiology of circulating strains.


Assuntos
Faringite/epidemiologia , Faringite/microbiologia , Infecções Estreptocócicas/epidemiologia , Streptococcus pyogenes/isolamento & purificação , Doença Aguda , Adolescente , Antígenos de Bactérias , Técnicas de Tipagem Bacteriana , Criança , Estudos Transversais , Feminino , Humanos , Masculino , Faringite/diagnóstico , Prevalência , Estudos Prospectivos , Curva ROC , Sensibilidade e Especificidade , Infecções Estreptocócicas/diagnóstico , Infecções Estreptocócicas/microbiologia , Streptococcus pyogenes/genética , Streptococcus pyogenes/crescimento & desenvolvimento , Iêmen/epidemiologia
7.
Clin Ter ; 163(1): 63-7, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-22362236

RESUMO

UNLABELLED: BACKGROUND AND AIMS. The experience in intensive care unit (ICU) has created an intense emotional situation both to patients and their family members. The aim of this study was to determine the family members information needs of critically ill patients in ICU. MATERIALS AND METHODS: A descriptive cross-sectional study was conducted on 200 family members of patients admitted in ICU. A face to face interview was conducted and a self-report questionnaire of the Critical Care Family Needs Inventory (CCFNI) was used. RESULTS: Findings reported CCFNI five sub-attributes that ranked from highest to lowest included: support (mean 39.13 ± 6.189); proximity (mean 27.17 ± 3.384); information (mean 24.25 ± 3.093); assurance (mean 22.67 ± 1.862) and comfort (mean 16.24 ± 2.776). There were no significant differences in needs between family members with different gender (p >0.05). However, there were significant differences in support needs between family members with admission to ICU with (t=-2.111; p <0.05). There were significant differences in assurance needs (F=3.542; p <0.05) and information needs (F=3.681; p <0.05) between family members with age. There were no significant differences in needs between family members with different education level (p >0.05) whereas assurance needs were significant differences with education level of (F=3.542; p <0.05). CONCLUSION: The results suggest that family members perceived support and proximity as the most crucial need. Comfort need was viewed as least important. Although this study was conducted in a tertiary hospital, the findings could still provide insight for nurses to improve the delivery of care to patients and family members.


Assuntos
Cuidados Críticos , Estado Terminal , Família , Necessidades e Demandas de Serviços de Saúde , Relações Profissional-Família , Revelação da Verdade , Adolescente , Adulto , Compreensão , Cuidados Críticos/ética , Estado Terminal/enfermagem , Estado Terminal/psicologia , Emoções , Família/psicologia , Feminino , Hospitais Universitários , Humanos , Unidades de Terapia Intensiva , Malásia , Masculino , Pessoa de Meia-Idade , Autorrelato , Apoio Social , Inquéritos e Questionários , Adulto Jovem
8.
Oral Dis ; 18(5): 469-76, 2012 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-22251088

RESUMO

BACKGROUND: Multistep pathways and mechanisms are involved in the development of oral cancer. Chromosomal alterations are one of such key mechanisms implicated oral carcinogenesis. Therefore, this study aims to determine the genomic copy number alterations (CNAs) in oral squamous cell carcinoma (OSCC) using array comparative genomic hybridization (aCGH) and in addition attempt to correlate CNAs with modified gene expression. MATERIALS AND METHODS: Genome-wide screening was performed on 15 OSCCs using high-density aCGH. On the basis of pathway analysis, three genes (ISG15, Nestin and WNT11) which mapped to CNA regions were selected for further evaluation of their mRNA expression using quantitative reverse transcriptase PCR (qRT-PCR). RESULTS: Copy number alterations were observed on multiple genomic regions, including amplifications on 1p, 3q, 5p, 6p, 7p, 8q, 9q, 11q, 12q, 16p, 18p and deletions on 3p, 7q, 8p, 11q, 19q and 20q. Among the three selected genes, ISG15 had the highest mRNA expression level with a 22.5-fold increase, followed by Nestin with a 4.5-fold increase and WNT11 with a 2.5-fold increase. CONCLUSIONS: This study has identified several major CNAs in oral cancer genomes and indicated that this correlates with over expression of the ISG15, WNT11, and Nestin genes.


Assuntos
Carcinoma de Células Escamosas/genética , Citocinas/genética , Proteínas de Filamentos Intermediários/genética , Neoplasias Bucais/genética , Proteínas do Tecido Nervoso/genética , Ubiquitinas/genética , Proteínas Wnt/genética , Idoso , Carcinoma de Células Escamosas/metabolismo , Hibridização Genômica Comparativa , Citocinas/biossíntese , Variações do Número de Cópias de DNA , Feminino , Perfilação da Expressão Gênica , Regulação Neoplásica da Expressão Gênica , Estudo de Associação Genômica Ampla , Humanos , Proteínas de Filamentos Intermediários/biossíntese , Masculino , Pessoa de Meia-Idade , Neoplasias Bucais/metabolismo , Proteínas do Tecido Nervoso/biossíntese , Nestina , Reação em Cadeia da Polimerase Via Transcriptase Reversa , Transdução de Sinais/genética , Ubiquitinas/biossíntese , Proteínas Wnt/biossíntese
9.
Sudan. j. public health ; 7(2): 51-55, 2012. tab
Artigo em Inglês | AIM (África) | ID: biblio-1272458

RESUMO

Background: During the mid-1970s, larvicides have become available that are highly effective, yet selective in action, and therefore environmentally safe to non-target organisms, as well as for human exposure(1). Objectives: The small field trial was carried out from 12th of January to 16th of February 2008 in Khartoum State to evaluate the efficacy and persistence mosquito dunk® (Bti) against mosquito larvae and to measure the effect of physic-chemical properties on mosquito dunk. Material & Methods: The efficacy and persistence of Bacillus thuringiensis subspecies israelensis (mosquito dunk®) as a biological control agent against mosquito larvae was conducted in Khartoum State. Twelve ponds were used as natural breeding habitats of mosquitoes; six of them were treated with dunk at a rate of 1 dunk per 100 square feet and six ponds left untreated (control). Results: The study revealed that more than 80% reduction in immature stages density was observed up to 5, 3 and 2 weeks for the 3rd, 2nd and 4th instars of Anopheline spp., respectively. However, the study showed that the mosquito dunk was noteffective (under 80% mortality) against 1st, instar larvae and pupae of Anopheline species as well as Culex developmental stages. Conclusion & Interpretations: The dunk was very effective in controlling 3rd and 4th instars of Anopheles spp; for 2 weeks interval. Therefore we propose a surface application regime of once every 2 weeks for mosquito dunk


Assuntos
Bacillus thuringiensis , Controle de Mosquitos/métodos , Programas Nacionais de Saúde , Sudão
11.
J Exp Clin Cancer Res ; 24(4): 639-46, 2005 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-16471328

RESUMO

Human telomerase reverse transcriptase (hTERT), the catalytic subunit of telomerase, is strongly associated with telomerase activity implicated in cellular immortalization and tumorigenesis. In situ detection of hTERT will aid in determining the localization of telomerase positive cells. The aim of this study was to detect hTERT protein expression in multistep oral carcinogenesis using paraffin embedded tissue samples, and to study the relationship of hTERT expression with different histological stages in oral carcinogenesis. Normal (n = 4), hyperplastic (n = 4), dysplastic (n = 4) and neoplastic (n = 10) oral epithelia representing different histological stages in oral carcinogenesis were included in the study. hTERT protein detection was done by immunohistochemistry (IHC) technique. Nuclear staining intensities were noted and the hTERT-labelling index was determined. Dysplastic and neoplastic oral epithelia showed an increased percentage of hTERT positive cells (Grade 4: > 50% positive staining nuclei) with intense staining in the basal, parabasal and superficial layers of the epithelia, unlike normal oral mucosa which showed intense staining only in the basal and parabasal cell layers, which are the normal proliferative progenitor compartments. hTERT protein expression was elevated with the corresponding advancement of the histological stages of oral carcinogenesis, from normal to hyperplasia to dysplasia to carcinoma. There seems to be an upregulation of hTERT protein expression during the progression of oral cancer, therefore, this may indicate the feasibility of IHC detection of hTERT protein in oral carcinogenesis as a potential diagnostic or prognostic marker.


Assuntos
Biomarcadores Tumorais/análise , Transformação Celular Neoplásica/metabolismo , Proteínas de Ligação a DNA/biossíntese , Neoplasias Bucais/metabolismo , Neoplasias Bucais/patologia , Telomerase/biossíntese , Linhagem Celular Tumoral , Transformação Celular Neoplásica/patologia , Humanos , Hiperplasia/metabolismo , Hiperplasia/patologia , Imuno-Histoquímica , Lesões Pré-Cancerosas/metabolismo , Lesões Pré-Cancerosas/patologia , Regulação para Cima
12.
Int J Radiat Biol ; 80(4): 261-8, 2004 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-15204703

RESUMO

PURPOSE: To identify the protein components of the DNA end-binding complex in hamster cells. MATERIALS AND METHODS: DNA end-binding complexes were identified as follows. Nuclear extracts from Chinese hamster ovary cells (0.5-1.0 microg protein/lane) were incubated with 0.5 ng 32P-labelled probe (144 bp) for 20 min at room temperature in the presence of 1 microg closed circular pUC18 plasmid, a non-specific competitor in a final volume of 20 microl. The electrophoretic mobility of the protein-DNA complexes was analysed by electrophoresis in 5% polyacrylamide gels subjected to autoradiography. Antibodies to various DNA repair-associated proteins were added to the DNA end-binding complex reaction and a supershift identified DNA end-binding complex components. These were confirmed by Western analysis of purified DNA end-binding complex contents. RESULTS: Using both supershift and Western analysis, the following proteins were identified in the DNA end-binding complex: Ku70, Ku80, DNA-dependent protein kinase catalytic subunit, DNA ligase IV, X-ray cross complementing protein 4, meiotic recombination protein 11 (Mre11), Werner's syndrome protein, Bloom's syndrome protein, p53, poly(ADP-ribose) polymerase, replication protein A (RPA) 14, and RPA32, ataxia telangiectasia mutant, c-Abl, Rad50, Nijmegen breakage syndrome protein 1 (NBS1), and DNA ligase III were not detected in the binding complex by any assay. Using a combination of electro-elution and autoradiography, it was estimated that the single DNA end-binding complex contains at least 15 proteins whose molecular weights of the DNA end-binding proteins ranged from 620 to 12 kDa. CONCLUSIONS: A combination of both a supershift assay and Western analysis of the DNA end-binding complexes has identified 12 of at least 15 proteins present in the DNA end-binding complex of Chinese hamster ovary cells. This protein complex contains Mre11, but not Rad50 or NBS1, suggesting that under some conditions, Mre11 might function independently of Rad50 and NBS1.


Assuntos
Extratos Celulares/química , Proteínas de Ligação a DNA/química , Proteínas de Ligação a DNA/metabolismo , DNA/química , DNA/metabolismo , Animais , Células CHO , Cricetinae , Cricetulus , DNA/análise , DNA/classificação , Proteínas de Ligação a DNA/análise , Ensaio de Desvio de Mobilidade Eletroforética , Ligação Proteica
13.
Int J Radiat Biol ; 79(8): 663-9, 2003 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-14555349

RESUMO

PURPOSE: Irradiated cells transfect more efficiently than unirradiated cells because of a radiation-induced increase in plasmid integration. However, the molecular mechanism is unclear. Because of recent observations that nucleotide excision repair (NER) proteins can be involved in certain types of recombination in yeast, it was hypothesized that NER proteins might play a role in this radiation-enhanced integration. MATERIALS AND METHODS: Hamster and human cells with inactivating mutations in NER genes were irradiated at doses from 0 to 6 Gy and then immediately transfected with a linearized selectable marker plasmid. Transfection-enhancement ratios (TERs) were calculated as the ratio of the number of drug-resistant colonies in unirradiated cells to the number of transfectants in irradiated cells, corrected for cytotoxicity from radiation. RESULTS: Transfection into unirradiated rodent cells was unaffected by NER mutation status. Transfection into unirradiated human cells, however, was increased by NER mutation. The TERs were 5 and 100 for CHO and primary human fibroblasts, respectively, after exposure of the cells to 6 Gy. Mutations in ERCC1, XPA, XPB, XPC, XPF, XPG and CSB dramatically reduced TER. Mutations in ERCC1, XPC, XPF, XPG and CSB suppressed transfection so that the TER was significantly below 1. CONCLUSIONS: The mechanism of radiation-enhanced plasmid integration was distinct from that of plasmid integration in unirradiated cells, and NER gene products were critical for enhanced integration to occur.


Assuntos
Reparo do DNA , Endonucleases , Recombinação Genética/efeitos da radiação , Transfecção , Animais , Células CHO , Cricetinae , Proteínas de Ligação a DNA/fisiologia , Proteínas de Drosophila/fisiologia , Humanos , Mutação , Plasmídeos , Proteínas/fisiologia
14.
Br J Ophthalmol ; 86(9): 951-6, 2002 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-12185113

RESUMO

BACKGROUND: A national eye survey was conducted in 1996 to determine the prevalence of blindness and low vision and their major causes among the Malaysian population of all ages. METHODS: A stratified two stage cluster sampling design was used to randomly select primary and secondary sampling units. Interviews, visual acuity tests, and eye examinations on all individuals in the sampled households were performed. Estimates were weighted by factors adjusting for selection probability, non-response, and sampling coverage. RESULTS: The overall response rate was 69% (that is, living quarters response rate was 72.8% and household response rate was 95.1%). The age adjusted prevalence of bilateral blindness and low vision was 0.29% (95% CI 0.19 to 0.39%), and 2.44% (95% CI 2.18 to 2.69%) respectively. Females had a higher age adjusted prevalence of low vision compared to males. There was no significant difference in the prevalence of bilateral low vision and blindness among the four ethnic groups, and urban and rural residents. Cataract was the leading cause of blindness (39%) followed by retinal diseases (24%). Uncorrected refractive errors (48%) and cataract (36%) were the major causes of low vision. CONCLUSION: Malaysia has blindness and visual impairment rates that are comparable with other countries in the South East Asia region. However, cataract and uncorrected refractive errors, though readily treatable, are still the leading causes of blindness, suggesting the need for an evaluation on accessibility and availability of eye care services and barriers to eye care utilisation in the country.


Assuntos
Cegueira/epidemiologia , Baixa Visão/epidemiologia , Adolescente , Adulto , Distribuição por Idade , Idoso , Idoso de 80 Anos ou mais , Cegueira/etiologia , Catarata/complicações , Criança , Pré-Escolar , Análise por Conglomerados , Feminino , Inquéritos Epidemiológicos , Humanos , Lactente , Recém-Nascido , Malásia/epidemiologia , Masculino , Pessoa de Meia-Idade , Prevalência , Erros de Refração/complicações , Distribuição por Sexo , Baixa Visão/etiologia
15.
J Clin Pathol ; 54(5): 396-8, 2001 May.
Artigo em Inglês | MEDLINE | ID: mdl-11328841

RESUMO

A 43 year old woman who underwent a hysterectomy and bilateral salpingo-oophorectomy for secondary dysmenorrhoea was found to have bilateral ovarian endometriosis. During the following four years she developed a series of tumour-like vaginal masses, which were locally excised, a pelvic mass causing acute large bowel obstruction, which necessitated an emergency Hartmann's procedure, and a further pelvic mass causing hydronephrosis with a non-functioning kidney. Pathological examination of all the resected specimens showed endometriosis with abundant stromal and glandular elements. Immunoreactivity for p53 protein was detected within endometriotic foci from the initial oophorectomy as well as the latest resection specimens. Immunostaining for p53 may help identify potentially aggressive cases of endometriosis for proactive treatment.


Assuntos
Endometriose/metabolismo , Proteína Supressora de Tumor p53/metabolismo , Biomarcadores/análise , Endometriose/patologia , Feminino , Seguimentos , Humanos , Pessoa de Meia-Idade , Recidiva
16.
J Insect Physiol ; 46(1): 59-68, 2000 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-12770259

RESUMO

In the last larval instar of Lepidoptera, ecdysteroid in the absence of juvenile hormone (JH) is believed to cause the shift from larval to pupal development. In Manduca sexta, tissues such as the Verson's gland and crochet epidermis become pupally committed before the earliest pulse of ecdysteroid that occurs on day 2. What causes the change in commitment in these tissues? First it was necessary to determine at what stage these tissues become competent to express the pupal program. Last instar larvae of different ages were induced to molt prematurely by feeding the ecdysteroid analog RH5992 and Verson's gland proteins were analyzed by SDS-polyacrylamide gel electrophoresis. Glands became competent to make pupal proteins between 24 and 32 h after the last larval ecdysis. Next, hormonal regulation of competence was examined in ligated abdomens of 12h last instar larvae. Treatment with JH II acid or methoprene acid plus a low dose (1/50th of the molt inducing dose) of RH5992 induced competence, whereas RH5992 alone, methoprene acid alone or methoprene plus RH5992 did not. Verson's glands maintained in vitro produced pupal proteins in response to methoprene acid together with RH5992 but not with RH5992 alone. Likewise, crochet epidermis lost the ability to make crochets (metamorphic change) only in isolated abdomens treated with JH II acid or methoprene acid and low doses of RH5992. In conclusion, JH acid in the presence of basal levels of ecdysteroid induces tissue competence for metamorphosis. Metamorphic competence is followed by commitment, induced by a small pulse of ecdysteroid in the absence of JH, and finally by expression caused by a high titer of ecdysteroid. It is proposed that JH acid is an essential metamorphic hormone.

17.
East Mediterr Health J ; 6(5-6): 888-97, 2000.
Artigo em Inglês | MEDLINE | ID: mdl-12197346

RESUMO

Early diagnosis of toxoplasmosis in pregnant women can be of great help in early intervention and prevention of congenital disorders that usually lead to fetal death. The purpose of the present study was to evaluate nested PCR amplification of the B1 gene of Toxoplasma gondii before and after treatment and in comparison to serological follow-up during treatment. The efficiency of treatment on the bases of PCR detection of T. gondii DNA was statistically significant, while it was insignificant when anti-toxoplasma specific IgM and IgG antibodies were used. PCR detection of T. gondii DNA when performed on whole blood is a rapid, sensitive and specific diagnostic procedure and is a valuable tool for establishing the diagnosis of T. gondii infection in women before or during pregnancy.


Assuntos
DNA de Protozoário , Imunoglobulina G , Imunoglobulina M , Reação em Cadeia da Polimerase/métodos , Complicações Parasitárias na Gravidez/diagnóstico , Complicações Parasitárias na Gravidez/parasitologia , Toxoplasma/genética , Toxoplasmose/diagnóstico , Toxoplasmose/parasitologia , Adulto , Animais , DNA de Protozoário/genética , Feminino , Humanos , Imunoglobulina G/genética , Imunoglobulina M/genética , Reação em Cadeia da Polimerase/normas , Gravidez , Complicações Parasitárias na Gravidez/sangue , Complicações Parasitárias na Gravidez/tratamento farmacológico , Sensibilidade e Especificidade , Fatores de Tempo , Toxoplasmose/sangue , Toxoplasmose/tratamento farmacológico
19.
Clin Chim Acta ; 283(1-2): 1-14, 1999 May.
Artigo em Inglês | MEDLINE | ID: mdl-10404726

RESUMO

Hepatitis C virus (HCV) is a major etiological factor in chronic hepatitis affecting up to 24% of blood donors in Egypt. Since fluctuating levels of HCV RNA loads, including undetectable values, have been frequently observed in sera of chronic hepatitis patients, this study was designed to assess the sensitivity of PCR amplification for the plus- and minus-RNA strands in peripheral blood mononuclear cells (PBMC) compared to single serum PCR assay. Since the latter test detects viremia in only 79.5% of seropositive cases, the highest sensitivity for HCV diagnosis was achieved (93.20% when applying the combined triple test including PCR amplification of plus-strand in serum, together with plus-strand in PBMC and minus-strand in PBMC. The results of this study indicate that the triple test provides significant information on extrahepatic replication of HCV in a sizable sample of seropositive subjects (429 cases) and improves the assessment of HCV viremia. The cost/effectiveness and speed were upgraded by using capillary/air rapid thermal cycler. The use of the triple assay in HCV diagnosis and post-therapy monitoring is recommended.


Assuntos
Hepacivirus/genética , Hepatite C/diagnóstico , Leucócitos Mononucleares/virologia , RNA Viral/sangue , Reação em Cadeia da Polimerase Via Transcriptase Reversa/métodos , Feminino , Humanos , Masculino , Reprodutibilidade dos Testes , Sensibilidade e Especificidade
20.
J AOAC Int ; 81(5): 1023-6, 1998.
Artigo em Inglês | MEDLINE | ID: mdl-9772744

RESUMO

A method for determining malathion residues by reversed-phase liquid chromatography (LC) using methanol only as mobile phase is described. Malathion [diethyl(dimethoxyphosphinothiol)succinate] was applied on marjoram, mint, and chamomile. Residues were detected in fresh and dry crops by LC and confirmed by gas-LC/mass spectrometry. Average recovery of malathion was 85%. Residues detected in fresh marjoram, mint, and chamomile were 0.18, 0.23, and 0.083 mg/kg, respectively. Residues detected in dry marjoram and mint were 0.024 and 0.050 mg/kg, respectively. No malathion residues were detected in dry chamomile. The minimum detectable concentration with this method is 0.013 mg/kg. The study suggests it is safe to use malathion up to 2 sprays per season provided the crop is harvested not less than 3 weeks from the last spray.


Assuntos
Cromatografia Líquida , Cromatografia Gasosa-Espectrometria de Massas , Malation/análise , Resíduos de Praguicidas/análise , Plantas Medicinais , Camomila , Flavonoides/química , Lamiaceae/química , Óleos Voláteis/química , Especiarias/análise
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