Immunohistochemical Study of Stellate Cells in Patients with Chronic Viral Heptitis C Histopathological study

Background: Chronic hepatitis is defined as liver inflammation that lasts for at least 6 months. The Hepatitis C virus is responsible for 60 to 70% of chronic hepatitis cases; the virus causes continued inflammation that slowly damages the liver, eventually leading to cirrhosis, liver failure, and, in rare cases, liver cancer. Aim of the work: To evaluate the changes in distribution and percentage of alpha-smooth muscle actin-positive hepatic stellate cells and the correlation with the degree of the fibrosis in cirrhotic livers, in patients with HCV chronic hepatitis. Material and methods: 50 hepatic core biopsies selected randomly were received from Histopathology Department at National Hepatology and Tropical Medicine Research Institute and examined for histopathological features using (hematoxylin and eosin), stage of hepatic fibrosis using stellate cell Masson s' trichrome stain, and examined for stellate cell activity using alpha smooth muscle actin (ASMA) immunostaining. Results: The relation between degree of ASMA expression by stellate cells and stage of fibrosis was highly significant with a p value <0.001, also the relation between degree of necroinflammation and degree of ASMA expression by stellate cells was highly significant with a p value <0.001. The relation between degree of necroinflammation and stage of fibrosis was highly significant with a p value <0.001. The relation between age of patient and stage of fibrosis also was statistically significant with a p value =0.012. The relation between age of patient and degree of necroinflammation was statistically significant with a p value =0.017. Conclusion: To summarize from hepatic core biopsies of patients suffering from chronic HCV, the number of active stellate cells was found to be positively associated with stage of hepatic fibrosis

“The aesthetic values of the murals of Iranian Islamic places in the Safavid era and their impact on contemporary visual environment art in Europe”

Research Summery : Islamic art is a strong source of inspiration for fine art through the ages, and modern art works are as close to the spirit of Islamic art in terms of concept and philosophy as possible. And Islamic art has continued with the arts of ancient and contemporary civilizations that preceded, in harmony with which the cultural identity of every society was achieved within a general framework, characterized by the tint of the Islamic spirit, which enables us to distinguish it now among thousands of artworks. But (Iran) had a great affair among the Islamic countries; As it was interested in the construction of luxurious buildings such as (mosques- palaces- mausoleums), which the Iranian artists used to beautify (plaster- stained glass- painted faience tiles), especially in decorating palaces such as (Chehel Souton Palace), and (Golestan Palace). These two palaces were a source of inspiration for the artists of post-world war II Europe; where some artists benefited from the murals of those palaces, beautified their homes and the surrounding gardens, and created beautiful mural designs inspired by Iranian Safavid art in the Islamic ear, but in a new style and artistic treatments in line with the features and characteristics of post-modern art. A new artistic style arose known as (Contemporary Visual Environment Art), and the works of some artists of this direction, such as (Fredric Attril- George Howard- Robert Vasseur...) and others, came to express the style of contemporary creativity artists, but with an ancient tradition that is similar in processed Safavid Islamic mural painting in Iran; where he used ceramic dishes and sculptural models amidst ceramic mosaics and colored glass, which the contemporary artists replaced with shells, stones and marine ores; To impart a kind of modernity and spontaneity, and thus has achieved a feature on which Islamic art is based; It is the harnessing of nature and its elements and reformulation and installation to simulate Islamic art in its various forms. Islamic art relied on showing invisible feelings, and transmitting what is visible from them, in addition to creating beauty through a comprehensive perception of the human and the universe

The Impact of Aspect Ratio, Characteristic Strength and Compression Rebars on the Shear Capacity of Shallow RC Beams

This paper investigates the impact of the aspect ratio, the characteristics strength of the concrete, and the compression steel ratio on the shear capacity of wide-shallow beams. An experimental program consists of seven specimens, including a control specimen, all tested under a three-point load test. Three specimens were considered for each parameter (the control specimen was included in all three variables). The experimental results were compared to the theoretical values of six different codes of practice; they were also analyzed to determine the ductility, stiffness, and dissipated energy of each specimen. The results indicated that the shear reinforcement was fully functioning until it yielded, with a minimum contribution of 55% of the total shear capacity of the specimens. The aspect ratio and the characteristic strength had a notable impact on the shear capacity of the specimens, while the compression steel ratio had a minor effect on the shear capacity, but it improved the stiffness and the ductility of the beams. Theoretical concrete shear strengths from design codes ranged between 77 and 163% of the experimental values; EN-1992 was the closest code to the experimental results. A comparison between the experimental results and predicted values using GP and EPR methods from previous research showed accuracies of 72% and 81%, respectively. Doi: 10.28991/CEJ-2023-09-09-012 Full Text: PD

Uloga kompleksa germanija s L-cysteinom i α-tokoferolom kao stimulatora antioksidativnog obrambenog sustava štakora izloženih gama-zračenju

This study was conducted to evaluate the potency of the newly prepared germanium L-cysteine α-tocopherol complex [germanium dichloro tetrakis (L-cysteinyl-α-tocopherol amide) dichloride] as a protective agent against γ-irradiation-induced free radicals production and liver toxicity. Male Swiss albino rats were injected intraperitoneally with the germanium complex in a concentration of 75 mg kg-1 body mass per dose, for 6 successive doses, last dose administered twenty minutes pre-exposure to a single dose of whole body γ-irradiation of 6.5 Gy. Lipid peroxidation (LPx), nitric oxide (NO), glutathione (GSH) levels, and activity of the antioxidant enzymes glutathione peroxidase (GPx), superoxide dismutase (SOD), and catalase (CAT) were estimated in blood and liver, and blood total protein, cholesterol, triglyceride and α-tocopherol content were estimated as well. The results revealed that administration of germanium complex pre-irradiation resulted in significant (p < 0.001) improvement compared to the irradiated group in the level of hepatic and blood LPx. Hepatic GSH revealed a significant increase (p < 0.001), while its level showed no significant variation in blood. Also, the level of NO in blood and liver increased significantly (p < 0.001). On the other hand, pretreatment with the germanium complex normalized the activities of SOD, GPx and CAT in blood and liver when compared to the irradiated group. The study also documents a marked decrease in the blood triglyceride and cholesterol (p < 0.001); and significant increase (p < 0.001) of -tocopherol and total protein contents in blood. These biochemical changes were associated with marked improvement of histological status. Therefore, the germanium L-cysteine α-tocopherol complex may be a good candidate for ameliorating the changes induced by irradiation, which indicates the beneficial radio-protective role of this antioxidant agent.U radu je procjenjivan kompleks germanija s L-cisteinom i α-tokoferolom [germanijev diklortetrakis (L-cisteinil-α-tokoferol amid) diklorid] kao zaštitno sredstvo protiv slobodnih radikala induciranih γ-zračenjem hepatotoksičnosti. Mužjacima švicarskih albino štakora davan je intraperitonealno kompleks germanija, u 6 sukcesivnih doza po 75 mg kg-1 tjelesne mase, posljednja doza dana je dvadeset minuta prije izlaganja cijelog organizma jednokratnoj dozi γ-ozračivanja od 6,5 Gy. U krvi i jetri praćena je razina lipidne peroksidacije (LPx), dušikovog(II) oksida (NO), glutationa (GSH), aktivnost antioksidativnih enzima glutation peroksidaze (GPx), superoksid dismutaze (SOD) i katalaze (CAT), te količina ukupnih proteina u krvi, kolesterola, triglicerida i α-tokoferola. Rezultati su pokazali da je primjena germanijevog kompleksa značajno (p < 0,001) poboljšala koncentraciju jetrenih i krvnih LPx. Koncentracija GSH u jetri je značajno porasla (p < 0,001), dok se njegova razina u krvi nije značajno promijenila. Koncentracija NO u krvi i jetri značajno se smanjila (p < 0,001). S druge strane, prethodna obrada s kompleksom germanija normalizirala je aktivnost SOD, GPx i CAT u krvi i jetri u odnosu na ozračenu skupinu. Istraživanja su također pokazala značajno smanjenje triglicerida i kolesterola (p < 0,001) i značajno povećanje (p < 0,001) alfa-tokoferola i ukupnih proteina u krvi. Te biokemijske promjene su povezane s izraženim poboljšanjem histoloških promjena u odnosu na ozračenu skupinu. Opisani kompleks germanija mogao bi se kao antioksidativno sredstvo potencijalno upotrijebiti za spriječavanje promjena uzrokovanih zračenjem

Pertussis seroimmunity in mother-neonate pairs and other pediatric age groups from Egypt

Background: Despite the widespread availability of 2 classes of effective vaccines, whole cell and acellular, pertussis has resurged as a serious public health problem. We sought to investigate the pertussis immune status of mother-neonate pairs and children in our country where pertussis vaccination is obligatory. Methods: This cross-sectional study included 75 healthy full-term neonates and their mothers, 100 infants (2-24 months), 170 children (2-12 years) and 80 adolescents (12-18 years). Serum pertussis IgG was measured in all enrolled subjects. A positive titre was defined as &gt;24 U/ml. Results: Positive pertussis IgG levels were detected in 69 of the mothers (92%), in 63 of their newborns (84%). Seroimmunity to pertussis was positively noted in 55% of infants, 82.2% of preschool children, 77.5% of school-aged children and 75% in adolescents. Serum pertussis IgG titers among the neonates showed a significant positive correlation with the maternal titers (P=0.00001). Higher rates of pertussis seroimmunity was observed among residents in urban and suburban areas as compared to those living in rural areas (P&lt;0.05) . Conclusion: This pilot study may suggest the presence of sufficient pertussis seroimmunity rates in the studied age groups. Still, there were some failures in immune acquisition probably due to inefficient vaccination in some localities or waning of immunity with age. Wider scale studies would allow better insight into the pertussis immune status in our country and hence the need for booster immunization

Interferon gamma: is it a co-player in the pathogenesis of idiopathic nephrotic syndrome

Introduction: Idiopathic nephrotic syndrome (INS), the most common form of NS in childhood, was considered 4 decades ago as a systemic disorder of T cells, mediated through its released cytokines. To date, the exact incriminated cytokine or immunological mediator is not properly defined. Interferon gamma (IFN-γ), a pro-inflammatory cytokine, is thought to have a role in the provocation of the T cell mediated INS relapse, through promotion of T helper1 (Th1) differentiation and suppression of regulatory T cells (Treg). Aim of the study: to evaluate the immunopathogenic role of IFN-γ in children with steroid sensitive idiopathic nephrotic syndrome (SSNS) through monitoring the changes in its levels with disease course. Methods: This study included twenty-five newly diagnosed children with SSINS. They were all given full dose prednisolone, evaluated at initial diagnosis and at full remission as regards the serum level of IFN-γ. Results: Serum levels of IFN-γ were lowermost at time of diagnosis and increased with remission on corticosteroids. Conclusions: this study points to a role for the lower serum IFN-γ at diagnosis, in the immunopathogenesis of INS than at remission and the rise in its serum level might be a marker of remission induction, however this awaits confirmation in larger scale studies. Studies on renal biopsy specimens are needed to determine the exact renal in situ levels and effects of IFN-

Subclinical hypothyroidism among Egyptian children with systemic lupus erythematosus

Background: Thyroid autoimmune diseases have been associated with systemic lupus erythematosus (SLE). Both hypothyroidism and hyperthyroidism are seen, but hypothyroidism is the most common abnormality. Subclinical hypothyroidism (SCH) has been reported among adult lupus patients. SCH is not without risk as it might contribute to a proatherogenic state. Objectives: This study was aimed to assess the frequency of SCH in a group of Egyptian children with SLE and its effects on the serum lipids. Methods: Forty patients with pediatric SLE who regularly follow up at our center were enrolled in this study. They were subjected to routine laboratory investigations of SLE and measurement of serum lipids (serum triglycerides, cholesterol, LDL and HDL) as well as free thyroxine (T4), thyroid stimulating hormone (TSH) and anti-thyroperoxidase antibody (anti-TPO-ab) titre. SLE activity was assessed using the systemic lupus erythematosus disease activity index (SLEDAI). Results: Six patients (15%) were found to have SCH while the remaining 34 patients (85%) had normal thyroid function. Anti-TPO-abs were positive in 4 out of the 6 (66.6 %) SLE patients with SCH and in 20 out of the 34 (58.8%) SLE patients with normal thyroid function. In SLE patients with SCH, TSH correlated positively yet insignificantly with anti-TPO-ab titre and the duration of SLE (p = 0.17, p = 0.12, respectively). There were no statistically significant correlations between the serum lipids of SLE patients with SCH and their thyroid function or anti-TPO-ab titre. Conclusion: SCH is not uncommon among children with SLE. This SCH does not seem to affect serum lipids. However, further longitudinal studies on wider scales are needed to assess the long term effects of SCH in those patients.Keywords: SLE, anti-thyroperoxidase antibodies, subclinical hypothyroidismEgypt J Pediatr Allergy Immunol 2011;9(2):87-9

Preclinical Assessment of the Proliferation Capacity of Gingival and Periodontal Ligament Stem Cells from Diabetic Patients

BACKGROUND: Stem cells have recently received great interest as potential therapeutics alternative for a variety of diseases. The oral and maxillofacial region, in particular, encompasses a variety of distinctive mesenchymal (MSC) populations and is characterized by a potent multilineage differentiation capacity.AIM: In this report, we aimed to investigate the effect of diabetes on the proliferation potential of stem cells isolated from controlled diabetic patients (type 2) and healthy individuals.SUBJECTS &amp; METHODS: The proliferation rate of gingival and periodontal derived stem cells isolated from diabetic &amp; healthy individuals were compared using MTT Assay. Expression levels of Survivin in isolated stem cells from all groups were measured by qRt - PCR.RESULTS: There was a significantly positive correlation between proliferation rate and expression of Survivin in all groups which sheds light on the importance of Survivin as a reliable indicator of proliferation. The expression of Survivin further confirmed the proliferation results from MTT Assay where the expression of stem cells from non - diabetic individuals was higher than diabetic patients. Conclusion: Taking together all the results, it could be concluded that PDLSC and GSC are promising candidates for autologous regenerative therapy due to their ease of accessibility in addition to their high proliferative rates

Case report: Neonatal autoimmune lymphoproliferative syndrome with a novel pathogenic homozygous FAS variant effectively treated with sirolimus

BackgroundAutoimmune lymphoproliferative syndrome (ALPS) is a rare disease characterized by defective FAS signaling, which results in chronic, nonmalignant lymphoproliferation and autoimmunity accompanied by increased numbers of “double-negative” T-cells (DNTs) (T-cell receptor αβ+ CD4−CD8−) and an increased risk of developing malignancies later in life.Case presentationWe herein report a case of a newborn boy with a novel germline homozygous variant identified in the FAS gene, exon 9, c.775del, which was considered pathogenic. The consequence of this sequence change was the creation of a premature translational stop signal p.(lle259*), associated with a severe clinical phenotype of ALPS-FAS. The elder brother of the proband was also affected by ALPS and has been found to have the same FAS homozygous variant associated with a severe clinical phenotype of ALPS-FAS, whereas the unaffected parents are heterozygous carriers of this variant. This new variant has not previously been described in population databases (gnomAD and ExAC) or in patients with FAS-related conditions. Treatment with sirolimus effectively improved the patient clinical manifestations with obvious reduction in the percentage of DNTs.ConclusionWe described a new ALPS-FAS clinical phenotype-associated germline FAS homozygous pathogenic variant, exon 9, c.775del, that produces a premature translational stop signal p.(lle259*). Sirolimus significantly reduced DNTs and substantially relieved the patient's clinical symptoms

Respiratory Viruses and Atypical Bacteria Co-Infection in Children with Acute Respiratory Infection

BACKGROUND: Acute respiratory infections (ARI) are one of the prevalent pediatric diseases. Coinfections of respiratory viruses and atypical bacterial respiratory pathogens are common.AIM: This study aimed to determine the prevalence of co-infection between respiratory pathogens including viruses, bacteria and atypical bacteria in a sample of Egyptian children presenting with symptoms of acute respiratory tract infection.METHODS: This one-year prospective cohort study conducted in Abo El Rish Pediatric Hospital, Cairo University over one year included children presenting with symptoms of acute respiratory infection. Enrolled children were subjected to nasopharyngeal swabs or throat swabs and then processed to detect viral, bacterial and atypical bacterial causative agents by culture), retrotranscription polymerase, Monoplex polymerase chain reaction (PCR) and Multiplex PCR.RESULTS: Viral etiological agents were detected in 20 cases (20.8%), while 76 patients (79.2%) had no definite viral aetiology. The most abundant virus detected was Rhinovirus in 36 (27.3%), followed by 21 (15.9%) were positive for RSV, 12 (9.1%) were positive for HMPV, 6 (4.5%) were positive for adenovirus and 3 (2.3%) were positive for influenza B. For Atypical bacterial causes Mycoplasma were positive for 9 (6.8%) cases and one case was positive for Bordetella parapertussis. Viral and atypical bacteria Co infection were detected in 14 (10.6%) of cases.CONCLUSION: These results suggest that coinfection with bacteria or atypical bacteria in children with acute respiratory tract infection is common and this co-infection can induce serious illness. The multiplex reverse-transcriptase polymerase chain reaction should become an essential tool for epidemiological studies and can fill the gap between clinical presentation and definitive diagnosis