Diabetes mellitus in Egypt: glycaemic control and microvascular and neuropathic complications

We performed a cross-sectional, population-based survey of persons 20 years of age and older living in Cairo and surrounding rural villages. The purpose was to describe glycaemic control and the prevalence of microvascular and neuropathic complications among Egyptians with diagnosed diabetes, previously undiagnosed diabetes, impaired glucose tolerance, and normal glucose tolerance. A total of 6052 households were surveyed. The response rate was 76 % for the household survey and 72 % for the medical examination. Among people with previously diagnosed diabetes, mean haemoglobin A 1c was 9.0 %. Forty-two per cent had retinopathy, 21 % albuminuria, and 22 % neuropathy. Legal blindness was prevalent (5 %) but clinical nephropathy (7 %) and foot ulcers (1 %) were uncommon in persons with diagnosed diabetes. Among people with diagnosed diabetes, microvascular and neuropathic complications were associated with hyperglycaemia. Retinopathy was also associated with duration of diabetes; albuminuria with hypertension and hypercholesterolaemia; and neuropathy with age, female sex, and hypercholesterolaemia. Albuminuria was as common in people with previously undiagnosed diabetes (22 %) as those with diagnosed disease (21 %). Mean haemoglobin A 1c was lower (7.8 %) and retinopathy (16 %) and neuropathy (14 %) were less prevalent in people with previously undiagnosed disease. Ocular conditions, blindness, and neuropathy were prevalent in the non-diabetic population. The microvascular and neuropathic complications of diabetes are a major clinical and public health problem in Egypt. Copyright © 1998 John Wiley & Sons, Ltd.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/34940/1/696_ftp.pd

Global overview of the management of acute cholecystitis during the COVID-19 pandemic (CHOLECOVID study)

Background: This study provides a global overview of the management of patients with acute cholecystitis during the initial phase of the COVID-19 pandemic. Methods: CHOLECOVID is an international, multicentre, observational comparative study of patients admitted to hospital with acute cholecystitis during the COVID-19 pandemic. Data on management were collected for a 2-month study interval coincident with the WHO declaration of the SARS-CoV-2 pandemic and compared with an equivalent pre-pandemic time interval. Mediation analysis examined the influence of SARS-COV-2 infection on 30-day mortality. Results: This study collected data on 9783 patients with acute cholecystitis admitted to 247 hospitals across the world. The pandemic was associated with reduced availability of surgical workforce and operating facilities globally, a significant shift to worse severity of disease, and increased use of conservative management. There was a reduction (both absolute and proportionate) in the number of patients undergoing cholecystectomy from 3095 patients (56.2 per cent) pre-pandemic to 1998 patients (46.2 per cent) during the pandemic but there was no difference in 30-day all-cause mortality after cholecystectomy comparing the pre-pandemic interval with the pandemic (13 patients (0.4 per cent) pre-pandemic to 13 patients (0.6 per cent) pandemic; P = 0.355). In mediation analysis, an admission with acute cholecystitis during the pandemic was associated with a non-significant increased risk of death (OR 1.29, 95 per cent c.i. 0.93 to 1.79, P = 0.121). Conclusion: CHOLECOVID provides a unique overview of the treatment of patients with cholecystitis across the globe during the first months of the SARS-CoV-2 pandemic. The study highlights the need for system resilience in retention of elective surgical activity. Cholecystectomy was associated with a low risk of mortality and deferral of treatment results in an increase in avoidable morbidity that represents the non-COVID cost of this pandemic

Assessment of intrahepatic regulatory T cells in children with autoimmune hepatitis

Background. T-cell populations regulate the balance of immune responses. The CD (Cluster of differentiation) 4+CD25+ regulatory T cells (Tregs) are crucial for maintaining negative control of various immune responses. There are different T-cell subpopulations with regulatory functions, as natural killer T cells, CD8+ and CD28. The forkhead box P3 (FOXP3) regulates Treg development and is required for its suppressive function.Aim. To evaluate the hepatic expression of the intrahepatic Tregs, Ig (immunoglobulin) G and IgM plasma cells in autoimmune hepatitis (AIH) and other chronic liver diseases (CLDs).Material and methods. This study included 100 pediatric patients; 50 AIH and 50 CLDs other than AIH. All patients were subjected to routine investigations of CLDs plus immune-staining of liver tissue for FOXp3, IgG and IgM plasma cells, CD4 and CD8 T-cells.Results. The FOXP3+ T cells in patients with AIH (6.3 ± 5) were significantly higher than that in the non-AIH (2.1 ± 2.6). FOXP3+ T cells were abundant in liver tissue with marked inflammatory cellular infiltrate. CD4+ and CD8+ infiltrating the liver tissue and IgG positive cells were significantly higher in AIH group, while the expression of IgM positive cells showed no significant difference. The IgG/IgM was significantly higher in the AIH treatment responders (3 ± 3) than non-responders (1.6 ± 0.5), while there was no significant difference regarding the intrahepatic expression of FOXP3+, CD4+, CD8+ cells, T-cells, IgG and IgM plasma cells.Conclusion. Intrahepatic Tregs were increased in number in patients with AIH in the initial presentation, and their presence is associated with increased activity and inflammation in liver biopsy

JSCS-2945 Original scientific paper Thermodynamics of complexation of isatin-3-thiosemicarbazone (HIT) and other related derivatives with some metal ions

Proton-ligand formation constants of isatin-3-thiosemicarbazone (HIT) ; N-acetylisatin-3-thiosemicarbazone (HAIT) and 5-(p-nitrobenzoyl)-1,2,4-triazino[5,6-b�indole-3-thione (HBITr) ligands and their corresponding metal-ligand formation constants with Mn2+,Fe3+,Co2+,Ni2+,Cu2+,Zn2+,Cd2+,UO2+ 2 and Th4+ ions were determined pH-metrically at 10, 20, 30 and 40 ºC in 75 %(v/v) ethanol–water. The thermodynamic parameters (�G, �H and �S) were also evaluated. It was found that both log K1 and –�H1, for HIT and HAIT-complexes are somewhat larger than log K2 and –�H2,in dicating a change in the dentate character of these ligands from tridentate (ONN-donors) in 1:1 chelates to bidentate (ON-donors) in 1:2; M:L chelates. In contrast, the values of log K2 and – �H2 for HBITr-complexes are somewhat larger than log K1 and –�H1, indicating a strong trans-effect for the second coordination. The dissociation process is non-spontaneous, endothermic and entropically unfavourable while the complexation process is spontaneous, exothermic and entropically favourable. The thermodynamic parameters were separated into their electrostatic (el) and non-electrostatic (non) constituents

PRODUCTION OF LOW CALORIC DEHYDRATED VEGETABLE MIXTURES

Hot flow air currents were used in sheld dryers to dehydrate some vegetables (squash, peas, green beans, potatoes, yellow carrot, tomatoes, onion, green pepper, yellow pepper, red pepper, cauliflower and eggplant) which were used to prepare 8 recipes of dehydrated vegetable mixture (vegi-mix). Sensory evaluation indicated that, 4 recipes of vegi-mix's recorded the highest scores of sensory evaluation and considered the prefer recipes and stored at ambient temperature up to 3 months during which, the physicochemical composition, the antioxidants and microbiological examination were assessed. Results revealed that the recipe composed of yellow, green and red paper, cauliflower and eggplant to prepare the vegi-mix caused to increase of total phenolic compounds, total flavonoids and total carotenoids content. The moisture contents were in the range of (8.62-9.78%); ether extract (10.23-16.76%); total carbohydrate (51.6-53.6%); crude fiber (9.62-10.61%) and total calories (340.43-375.36 kcal/100g dry weight basis respectively) for the selected 4 recipes. On the other hand, the tested vegi-mix's being also as a good source of fibers, minerals and antioxidants. Changes in moisture, crude fibers, total solids, total carbohydrate, chlorophyll a and b and total carotenoids, flavonoids and phenolic compounds as well as total bacterial counts, yeast and mould counts, sporeforming bacterial counts content were also studied during 3 months of storage at ambient temperature. A little decremental was observed in total phenolic compounds, total flavonoids content through 3 months of storage for the tested vegi-mix's. Results also showed that all tested vegi-mix's. were microbiologically safe up to 3 months of storage and maintained original sensory properties. Therfore, dehydrated vegi-mix's composed of squash, peas, green beans, potatoes, carrot, tomatoes, onion, green, red and yellow pepper, cauliflower and eggplant without herbs considered as a good source of antioxidants, minerals, high nutritional value, good palatability and healthy safe through three months of storage at ambient temperature

Assessment of Potential Heavy Metal Contamination Hazards Based on GIS and Multivariate Analysis in Some Mediterranean Zones

One of the most significant challenges that global decision-makers are concerned about is soil contamination. It is also related to food security and soil fertility. The quality of the soil and crops in Egypt are being severely impacted by the increased heavy metal content of the soils in the middle Nile Delta. In Egypt’s middle Nile Delta, fifty random soil samples were chosen. Inverse distance weighting (IDW) was used to create the spatial pattern maps for four heavy metals: Cd, Mn, Pb, and Zn. The soil contamination levels in the research area were assessed using principal component analysis (PCA), contamination factors (CF), the geoaccumulation index (I-Geo), and the improved Nemerow pollution index (In). The findings demonstrated that using PCA, the soil heavy metal concentrations were divided into two clusters. Moreover, the majority of the study region (44.47%) was assessed to be heavily to extremely polluted by heavy metals. In conclusion, integrating the contamination indices CF, I-Geo, and In with the GIS technique and multivariate model, analysis establishes a practical and helpful strategy for assessing the hazard of heavy metal contamination. The findings could serve as a basis for decision-makers to create effective heavy metal mitigation efforts

Influence of titanium dioxide nanoparticles and/or cadmium chloride oral exposure on testicular morphology, oxidative stress, and apoptosis in rats: Ameliorative role of co-enzyme Q10

Background and objectives: Little is known about the implications of titanium dioxide nanoparticles (TiO2NPs) and cadmium chloride (Cd) co-exposure on the male reproductive system in mammals. As a result, this study researched the effects of oral TiO2NPs and/or Cd exposure on male reproduction and testicular functions. Additionally, a mitigation trial with co-enzyme Q10 (CoQ10) has also been conducted. Methods: In a 60-day experiment, seven experimental groups, each containing 10 male Sprague Dawley rats, were orally given distilled water (control), corn oil (vehicle control), CoQ10 (10 mg/kg b.wt), TiO2NPs (50 mg/kg b.wt), Cd (5 mg/kg b.wt), TiO2NPs + Cd, and TiO2NPs + Cd + CoQ10. Then, sperm quality, male sex hormones, oxidative stress indications, Ti and Cd testicular residues, testes and accessory gland architecture, and apoptotic and inflammatory markers in rat testes were assessed. Results: TiO2NPs and/or Cd exposure negatively impacted body weight, weight gain, testicular weights, semen quality, serum reproductive hormones, oxidative stress parameters, and Caspase-3 and tumor necrosis factor (TNF-α) immunoreactions. Histopathological changes were recorded in testicular, seminal vesicle, and prostatic tissues. Yet, co-administration of CoQ10 with TiO2NPs and Cd substantially mitigated these adverse consequences. The most notable aspect is that it effectively lowered testicular tissue Ti and Cd levels. It also improved oxidant status, hormonal profile, and sperm picture. CoQ10 minimized the testicular damage implied by histological examination. Furthermore, CoQ10 significantly diminished TiO2NPs and Cd-induced Caspase-3 and TNF-α immunoexpression in testicular tissue. Conclusion: As a result, CoQ10 could be utilized as a safe remedy to protect male reproductive physiology from TiO2NPs and Cd damage

Can myocardial remodeling be a useful surrogate predictor of myocardial iron load? A 3D echocardiographic multicentric study

The relationship between myocardial iron load and eccentric myocardial remodeling remains an under-investigated area; it was thought that remodeling is rather linked to fibrosis. This study aims to determine whether or not measures of remodeling can be used as predictors of myocardial iron. For this purpose, 60 patients with thalassemia were studied with 3D echocardiography and myocardial relaxometry (T2*) by Cardiac MRI. 3D derived sphericity index was significantly higher in patients with myocardial iron load. It was correlated with T2* with a 100% sensitivity and specificity (cut-off value of 0.34) to discriminate between patients with and without myocardial iron overload

Biodegradation of Chlorantraniliprole and Flubendiamide by Some Bacterial Strains Isolated from Different Polluted Sources

This study aimed to isolate, purify, and identify some bacteria from different sources known to be contaminated with pesticides and evaluate their ability to degrade two important pesticides, chlorantraniliprole (CAP), and flubendiamide (FBD). In our study, six isolates showed maximum growth in the presence of CAP and FBD in the growth media as a sole carbon source. The isolates were purified and then identified by biochemical and morphological tests, MALD-TOF-MS, and 16S rRNA techniques, as Bacillus subtilis subsp. subtilis AZFS3, Bacillus pumilus AZFS5, Bacillus mojavensis AZFS15, Bacillus paramycoides AZFS18, Pseudomonas aeruginosa KZFS4, and Alcaligenes aquatilis KZFS11. The degradation ability of studied bacterial strains against pesticides was estimated under different conditions (temperatures, pH, salt, and incubation time). The results reveal that the optimal conditions for all bacterial strains’ growth were 30–35 °C, pH 7.0, 0.0–0.5% NaCl, and an incubation period of 11 days at 150 rpm in the presence of diamide insecticides at 50 mg/L. The capacity of six bacterial strains of CO2 production and degradation ability against various diamide pesticides and other pesticide groups (Profenofos, Cypermethrin, Carbofuran, and Malathion) were evaluated. The results show that the Pseudomonas aeruginosa KZFS4 (LC599404.1) strain produced the highest CO2 content, about 1.226 mg CO2/16 day, with efficacy in the biodegradation of FBD-CAP (78.6%), while the absorbance of bacterial growth (OD 600) on various pesticides ranged from 1.542 to 1.701. Additionally, Consortium-(No. 3)-mix-6-strains gave 1.553 mg CO2/16 days with efficacy (99.6%) and turbidity of 2.122 to 2.365 (OD 600) on various pesticides. In conclusion, the six bacterial strains could play an important role in the biodegradation process of pollutants in soils