Anatomic variations of intrahepatic bile ducts in the general adult Egyptian population: 3.0-T MR cholangiography and clinical importance

AbstractObjectiveTo describe the anatomical variations occurring in intrahepatic bile ducts (IHDs) and their frequencies in general adult Egyptian population using 3.0-T MR cholangiography (MRC) as well as its clinical importance to reduce the biliary complications of hepatobiliary surgery.Materials and methodsMRC was applied to a study group of 106 subjects (26 potential liver donors and 80 volunteers). Anatomical variations in IHDs were classified based on the variable insertion of right posterior hepatic bile duct (RPHD) using Huang classification.ResultsAccording to this classification, the frequencies of each type were as follows: Huang A1 (typical pattern): 63.2% (n=67), Huang A2: 10.4% (n=11), Huang A3: 17% (n=18), Huang A4, 7.5% (n=8), and Huang A5: 1.9% (n=2). Total frequency for atypical types (i.e. A2, A3, A4 and A5) was 36.8%. No significant difference was detected in the distance between RPHD insertion to the junction of right and left hepatic duct in-between these Huang types. This distance was short (<1cm) in 21 of subjects under Huang A classification. Twenty-one donors underwent intraoperative cholangiograms, of which twenty (95.2%) had similar classification in both intraoperative and MRC findings.ConclusionThe incidence of variant biliary anatomy in general Egyptian population (36.8%) as well as the presence of Huang type A with short distance (<1cm) between RPHD insertion and junction of right and left hepatic duct (19.8%) enhance the importance of MRC as a pre-operative tool before hepato-biliary surgical procedures to reduce post-operative biliary complications

CONSERVATION OF THE MURAL PAINTINGS OF THE GREEK ORTHODOX CHURCH DOM E OF SAINT GEORGE, OLD CAIRO-EGYPT

The church of Mary Girgis (Saint George) was built by Athanasius "who also founded the Church of Saints Cyrus and John". The Church was destroyed, and all the rest of the original edifice is a room which covered by huge dome known as the Wedding Hall, dating to the 14th century. The huge dome of the wedding Hall contains several mural paintings represented Coptic arts. The dome mural paintings was darkened and severely damaged as significant detachments of the painted layer and the underneath support lost their cohesion and separated into many pieces, delamination and flaking of the ceiling painting. The most important causes for the monument state of degradation were the environmental condition such as the effects of the groundwater, the presence of salts, the humidity (active in all its forms as infiltration, capillarity and condensation) and the improper previous interventions at the structural level (fillings in the cracks with gypsum mortars). The aim of this study is to characterize the components of the pictorial surface which consists of pigments, the binding media, the plaster layer and its support and introduce the conservation project of the mural painting which was carried out at the dome "between" 2004-20013. Prior to the conservation intervention, the materials were characterized by optical microscopy, polarizing microscope, scanning electron microscopy with energy dispersive X-ray spectroscopy, X-ray diffraction and X-ray fluorescence. The chemical analyses have determined the nature and composition of the materials used in the painting process (mortars, pigments, binders), have identified the causes of physical and chemical altering processes of pigment layers and provided knowledge on the execution technique. The interior painting was executed according to the Byzantine technique, on a fresco plaster (intonaco) consisting of lime mortar, pigments were obtained by mixing pigments with water. After the material characterization, the conservation and restoration of the mural painting, which including cleaning, injection grouting, fixation of the paint layer, filling of the support gaps with mortar, consolidation, restoration and completion of lost parts, were carried out

Restoration and Preservation of Engraved Limestone Blocks Discovered in Abu Mousa Excavation, Suez - Egypt

A lot of engraved limestone blocks were discovered at Awlad Abu Musa (east of Suez, Egypt) in 1995/2007 by Supreme Council of Antiquities. The stone blocks were seriously affected by archaeological environments during burial environment in agriculture land. They were covered with thick clay layer with soil particles that disfigured them and hid their inscriptions. Prior to the conservation intervention, the materials were characterized by X-ray diffraction, optical microscopy, scanning electron microscopy with energy-dispersive X-ray spectroscopy, Chemical analyses of ground water and microbiological study. After the material characterization, the conservation and restoration of the stone blocks were carried out including cleaning, consolidation, reduction of salts, Re-jointing, restoration and completion of lost parts. After that the blocks were exhibited in Suez museum

Willingness-to-pay for services provided by the Clinical Services Improvement Project (CSI) in Egypt

Willingness-to-pay (WTP) surveys are increasingly used in reproductive health programs to predict the impact of price changes on revenues, utilization, and client profile. The FRONTIERS program worked with the Clinical Services Improvement (CSI) project and the Cairo Demographic Center to carry out a WTP survey in six CSI clinics in Egypt. The survey found that most clients would be willing to pay higher prices for CSI services, and WTP did not vary much by client economic status. However, predictive validity was low when all reasons for client discontinuation were included. WTP surveys have the potential to be useful tools for predicting client response to price increases, but predictions for methods like DMPA (which have high discontinuation for method-related reasons) must be adjusted downward using data on method discontinuation from program statistics or from the literature

The impact of metabolic syndrome on the clinical profile and tumor characteristics of endometrial carcinoma

Background: The objective is to study the influence of different components of metabolic syndrome on clinical behavior and tumor characteristics of endometrial cancer cases and to evaluate if metformin usage affects the stage and grade of endometrial cancer.Methods: 60 women attending the gynecological oncology clinic at El Shatby Maternity University Hospital, after being diagnosed as endometrial carcinoma, were recruited in the study. Serum samples were collected to detect insulin level and lipid profile, and then allocated into two groups according to metabolic syndrome existence. After the recommended surgery, and the routine histopathological diagnosis followed by histopathological chemilumeniscence technique to detect staining intensity, percentage of estrogen receptors ER, and score out of 8 according to Allred score.Results: Endometrial cancer EC patients with metabolic syndrome had a significantly higher age, higher FIGO stages, and higher grade compared to EC without metabolic syndrome (p˂0.05). There was no statically significant difference between both groups in estrogen receptors scoring. HDL was an important factor affecting grade of EC patients, as when HDL decreased by one mg/dl, the grade increased by 0.033% (P=0.030, OR=0.899, OR adjusted=0.826), Insulin level was found to be an important factor affecting stage as when insulin level increased by one Uiu/ml, the stage increased by1.091% (p=<0.001, OR=1.064, OR adjusted=1.091).Conclusions: Hyperinsulinemia was the most important factor affecting aggressiveness of the tumor as regards stage and risk group classification. Metformin failed to show a protective effect against endometrial cancer progression

FLAVONOIDS FROM SUGAR BEET LEAVES AS HEPATOPROTECTIVE AGENT

Objective: This work was designed to investigate the activity of Beta vulgaris (B. vulgaris) extract against hepatotoxicity induced by (carbon tetrachloride) CC14 in male rats.Methods: Hepatoprotective study was performed on rats, divided into different groups; control healthy rats, the group received B. vulgaris extract, intoxicated rats by CC14, CCl4 group treated with alcoholic leaves extract, and CCl4 intoxicated rats treated with silymarin. The evaluation was done through measuring liver function indices and oxidative stress markers.Results: The activities of Alanine Transferase (ALT), Aspartate Transferase (AST), Alkaline Phosphatase (ALP), and gamma-glutamyl transferase (GGT) increased by 187.07, 52.37, 50.58, and 94.59% respectively in CCl4 group from control. Supplementation of beet extract decreased this elevation to 10.83, 26.43, 17.07 and 37.21% for the previous parameters respectively. The values obtained of the enzymes activity return nearly to that of control values, also a histopathological investigation of liver confirmed the results obtained.Conclusion: Beet showed a remarkable anti-hepatotoxic activity against CC14 induced hepatic damageKeywords: B. vulgaris, Hepatoprotective, Flavonoids, Liver function, Antioxidant enzyme, Histopatholog

LISTERIA MONOCYTOGENESIN RAW MILK AND DAIRY PRODUCTS;OCCURRENCE AND TRIALS FOR THEREDUCTION OF THEIR RESISTANCE TO ANTIBIOTICS.

Listeria monocytogenes is a facultative intracellular pathogen responsible for severe infection in animals and humans. This study aimed to determine the occurrence of Listeriamonocytogenes in 200 samples of raw milk and dairy products marketed in Egypt, with detection the antimicrobial resistance profiles of the isolates for different antimicrobial agents. The synergistic effects of three plant extracts in combination with the used antimicrobials to control resistant L. monocytogenes isolates were assessed, with evaluation of relationship between the antibacterial activity and composition of plant extracts. A total of 5 (2.5%) L. monocytogenes isolates were identified (3 isolates from raw milk and two isolates from kariesh cheese and ice cream, one each). The isolates were sensitive to ciprofloxacin and sulphadimidine, while for amoxicillin and oxytetracycline, were resistant. The higher antimicrobial effects of basil and cinnamon extracts were detected, in addition, low concentrations of them were enough to show synergistic effect with the amoxicillin and oxytetracycline to control resistant isolates, these might be attributable to their chemical compositions. In conclusion, there is need for effectively pasteurized raw milk consumption or usage in the production of dairy products. In addition, the chemical composition of these plant extracts might help in its use to control resistant isolates with appropriate antibiotics without the need for increasing the used dosage doses

ASSESSMENT OF GENOTОXIC EFFECTS OF SOME FOOD ADDITIVES ON SOME HUMAN CANCER CELLS

Some food additives commonly used by humans have been recently proved to be mutagenic. It is of significant importance to evaluate their genotoxic effects, since they are frequently consumed by humans in their daily meals. In this study, we investigated the effects of monosodium glutamate (MSG), sodium benzoate (SB) and saffron on human cell lines; lung cancer (A549), breast cancer (MCF7), colon cancer (Caco-3) and normal lung (Wi38) cell line as control. Cytotoxicity of food additives was screened on multiple cell lines and examined by NR assay (Neutral Red assay). The present study focused on the cytotoxic activity of the food additives and its possible underlying mechanisms. The results showed that food additives; MSG, SB and saffron induced profound cytotoxicity in cancer cells of human colon cancer (Caco-3) (IC50 = 33.92, 15.01, 3.98 μg/ml), human breast cancer (MCF7) (IC50 = 12.79, 0.378, 10.73 μg/ml), human lung cancer cell line (A549) (IC50 = 27.37, 0.45, 2.46 μg/ml), respectively. Moreover, food additives exhibited cytotoxic activity on normal lung cell lines (Wi38) (IC50 = 4.25, 0.733, 18.14 μg/ml). These data indicated that food additives decreased cell viability in malignant and nonmalignant cells as well as confirmed the occurrence of their cytotoxic effects

Сравнение показателей соотношений тромбоциты / лимфоциты и нейтрофилы / лимфоциты в качестве предикторов исхода COVID-19

Clinical presentation is an undependable prognostic indicator of COVID-19 (COronaVIrus Disease 2019). So, a more objective predictor is needed to precisely evaluate and classify the prognosis. Immune dysregulation to lymphocytes, mainly T-lymphocytes, have been noticed between COVID-19 patients. The aim. This study was planned to determine the role of platelet-to-lymphocyte count ratio and neutrophil-to-lymphocyte ratio in assessment of COVID-19 prognosis. Methods. 70 hospitalized patients with confirmed COVID-19 were included in this study. All included patients underwent a consistent clinical, radiological and blood examination. Laboratory analysis was made by means of a commercially accessible kit. Blood cells ratios were computed by dividing their absolute counts. Results. Non-significant association was found between laboratory data and COVID-19 clinical severity. A significant association between CT classification and platelet-to-lymphocyte count ratio (higher value in L type; p = 0.001) was detected. Platelet-to-lymphocyte count ratio was significantly higher among intubated cases. However, Non-significant association was found between neutrophil-to-lymphocyte ratio and need of endotracheal intubation. Conclusion. Routine blood values are abnormal in patients with COVID-19. Platelet-to-lymphocyte count ratio ratios could be used as more meaningful biomarker than other values in predicting the prognosis of COVID-19. LMR helpful in COVID-19 severity.Клиническая картина является ненадежным показателем прогноза исхода новой коронавирусной инфекции (НКИ), поэтому для точной оценки и классификации прогноза необходим более объективный прогнозирующий фактор. У пациентов, перенесших НКИ, отмечается нарушение регуляции иммунного ответа со стороны лимфоцитов, в основном Т-лимфоцитов. Целью исследования явилось определение роли показателей соотношений тромбоциты / лимфоциты и нейтрофилы / лимфоциты при оценке прогноза COVID-19. Материалы и методы. В исследование были включены госпитализированные пациенты (n = 70) с подтвержденным COVID-19 (COronaVIrus Disease 2019). У всех пациентов проводились последовательное клиническое и рентгенологическое обследование и анализ крови. Лабораторные анализы выполнялись с помощью коммерческого набора. Соотношения показателей клеток крови рассчитывались путем деления их абсолютного количества. Результаты. Обнаружена незначимая связь между лабораторными показателями и степенью тяжести COVID-19. Выявлена значимая связь между степенью поражения легких по данным компьютерной томографии и показателем соотношения тромбоциты / лимфоциты (более высокое значение для L-типа; p = 0,001). У интубированных пациентов соотношение показателя тромбоциты / лимфоциты было значимо выше. Однако обнаружена незначимая связь между показателем соотношения нейтрофилы / лимфоциты и необходимостью интубации трахеи. Заключение. У пациентов с COVID-19 наблюдаются отклонения показателей рутинных анализов крови. Показатель соотношения тромбоциты / лимфоциты может служить биомаркером при прогнозировании течения COVID-19, а показатель соотношения лимфоциты / моноциты полезен при прогнозировании степени тяжести COVID-19

RT-PCR FOR ANTIOXIDANT GENES FROM EGYPTIAN GRAY MANGROVE Avicennia marina UNDER SALT STRESS TO NABQ PROTECTED AREA

RT-PCR was conducted for four genes implicated for salt tolerance, oxidative and osmotic stresses in Egyptian gray mangroves within Nabq protected area in South Sinai Governorate. The results showed over-expression of the mRNA of ferritin (amFer1) gene as very high expression, followed by increase in  mRNA of superoxide dismutase (amSOD1) and ubiquitin conjugation2 (amUBC2).  At the same time gene expression of catalase (amCAT1) decreased