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Molecular detection of virulence genes in Campylobacter species isolated from livestock production systems in South Africa

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Journal of Integrative Agriculture 2020年第6期19卷 1656-1670页

作者： Bongekile NGOBESE Oliver Tendayi ZISHIRI mohamed ezzat el zowalaty Discipline of Genetics School of Life SciencesUniversity of KwaZulu-NatalDurban 4000South Africa Zoonosis Science Center Department of Medical Biochemistry and MicrobiologyUppsala UniversityUppsala SE-75185Sweden Infectious Diseases and Anti-Infective Therapy Research Group College of Pharmacy and Sharjah Medical Research InstituteUniversity of SharjahSharjah 27272UAE

Campylobacter species are a major cause of foodborne bacterial infections in both developed and developing countries *** jejuni is responsible for the majority of infectio *** study was con ducted to identify virule nceassociated genes in Campylobacter species isolated from livestock production systems in South Africa.A total of 250 fecal samples consisting of cattle(n=50),chickens(n=50),goats(n=50),sheep(n=50)and pigs(n=50)were randomly collected from livestock in Eastern Cape and KwaZulu-Natal provinces of South Africa between April and October *** samples were an a lyzed for the presence of virule nee genes in Campylobacter species using molecular PCR-based *** was found that 77 and 23%of Campylobacter jejuni and Campylobacter coli respectively were isolated from all the livestock *** were positive significant(Pelations amongst all the virulenee genes that were *** and Fisher's exact tests were implemented to test for the effect of livestock species on the presenee or absenee of virule nee gen *** study dem on strated that most of livestock species can pote ntially cause zoonotic infecti on s and food pois oning due to the high prevale nee of *** high prevale nee of virule nee genes highlights the sign ifica nee of Campylobacter\r\livestock production systems in South *** requires the implementation of one-health approaches to reduce the impact of foodborne and zoonotic diseases for the welfare of human and animal health.

关键词： Campylobacter zoonotic cytotoxicity pathogenicity virulenee campylobacteriosis foodbome livestock PCR one-health

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Cooling and lubrication techniques in grinding:A state-of-the-art review,applications,and sustainability assessment

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Chinese Journal of Aeronautics 2023年第7期36卷 76-113页

作者： Ahmed mohamed Mahmoud IBRAHIM Wei LI Abdel-Hamid ISMAIL MOURAD mohamed A.E.OMER Fadl A.ESSA Ahmed Mustafa ABD el-NABY Mohammad S.Al SOUFI Muhammad F.ezzat Ammar elSHEIKH College of Mechanical and Vehicle Engineering Hunan UniversityChangsha 410082China Production Engineering and Mechanical Design Department Faculty of EngineeringMinia UniversityEl Minya 61519Egypt Mechanical and Aerospace Engineering Department College of EngineeringUnited Arab Emirates UniversityAl-Ain 15551United Arab Emirates Department of Production Engineering and Mechanical Design Faculty of EngineeringTanta UniversityTanta 31527Egypt Mechanical Engineering Department Faculty of EngineeringKafrelsheikh UniversityKafrelsheikh 33516Egypt Mechanical Engineering Department College of Engineering and Islamic ArchitectureUmm Al-Qura UniversityMakkah 24231Saudi Arabia Mechanical Engineering Department Faculty of EngineeringUniversity of AlbertaEdmonton T6G 2R3Canada Automotive and Tractors Engineering Department Faculty of EngineeringMinia UniversityEl Minya 61519Egypt Tokyo Institute of Technology Tokyo 152-8550Japan

Grinding technology is an essential manufacturing operation,in particular,when a component with a superfinishing and an ultra-resolution is *** the required strict quality checklist with maintaining a high level of productivity and sustainability is a substantive *** recent paper outlines the lubrication and cooling technologies and mediums that are used for ***,it provides a basis for a critical assessment of the different lubrication/cooling techniques in terms of machining outputs,environmental impact,hygiene effect,***,the paper put light on the sustainability of different cooling/lubrication *** sustainability of machining aims to get the product with the best accuracy and surface quality,minimum energy consumption,low environmental impact,reasonable economy,and minimum effect on worker’s *** paper revealed that despite some cooling/lubrication mediums like mineral oils and semisynthetic,afford sufficient lubrication or cooling,they have a significant negative impact on the environment and public *** the other hand,emulsions can overcome environmental problems but the economy and the energy consumption during grinding are still a matter of *** and vegetable oils are considered eco-friendly oils,but they suffer from a lack of thermal stability which affects their ability of efficiently *** the cooling medium with the lowest amount can achieve the goal of the economy but it may be reflected negatively on the ***,cryogenic lubrication doesn’t provide sufficient lubrication to reduce friction and hence energy *** research described in the paper is such a comprehensive compilation of knowledge regarding the machinability and machining performance under different cooling and lubrication systems that it will aid the next generation of scientists in identifying current advancements as well as potential future directions of research on ecolo

关键词： Cryogenic cooling Dry lubrication Minimum quantity lubrication Precision grinding Solid lubrication Sustainable machining Vegetable oils

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Unique situation of hepatocellular carcinoma in Egypt:A review of epidemiology and control measures

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World Journal of Gastrointestinal Oncology 2021年第12期13卷 1919-1938页

作者： Reem ezzat mohamed eltabbakh mohamed el Kassas Internal Medicine Department Faculty of MedicineAssiut UniversityAssiut 71515Egypt Tropical Medicine Department Faculty of MedicineAin Shams UniversityCairo 11566Egypt Endemic Medicine Department Faculty of MedicineHelwan UniversityCairo 11795CairoEgypt

Hepatocellular carcinoma(HCC)is the sixth most common primary malignancy worldwide,and the third most common cause of death among cancers *** occurs in several pre-existing conditions,including hepatitis C,hepatitis B virus,and non-alcoholic *** used to be the country with the heaviest hepatitis C virus(HCV)*** relationship between HCV and HCC is an important research *** Egypt,HCC is a significant public health problem.A possible cause for the increasing rates of detection of HCC in Egypt is the mass screening program that was carried by the government for detecting and treating HCV.A multidisciplinary approach is now widely applied to HCC management in health centers all over *** treatment modalities are available in Egypt,with success rates comparable to global *** Egyptian health authorities have made the elimination of HCV from Egypt a special priority,and this approach should lead to a decrease in number of HCC cases in the near *** this article we review the current situation of HCC in Egypt,including epidemiological aspects,relevant risk factors for HCC development,strategies,and efforts established by health authorities for the screening and prevention of both HCV and HCC in *** highlight the different modalities for HCC treatment.

关键词： Hepatocellular carcinoma Liver cancer Hepatitis C virus Hepatitis B virus Screening Egypt

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Predictors of long-term survival after pancreaticoduodenectomy for peri-ampullary adenocarcinoma: A retrospective study of 5-year survivors

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Hepatobiliary & Pancreatic Diseases International 2018年第5期17卷 443-449页

作者： Ayman el Nakeeb mohamed el Sorogy Helmy ezzat Rami Said mohamed el Dosoky mohamed Abd el Gawad Ahmed M elsabagh Ehab el Hanafy Gastroenterology Surgical Center Mansoura University

Background: Pancreaticoduodenectomy(PD) is the standard curative treatment for periampullary tumors. The aim of this study is to report the incidence and predictors of long-term survival( ≥ 5 years) after PD. Methods: This study included patients who underwent PD for pathologically proven periampullary adenocarcinomas. Patients were divided into 2 groups: group(I) patients who survived less than 5 years and group(II) patients who survived ≥ 5 years. Results: There were 47(20.6%) long-term survivors( ≥ 5 years) among 228 patients underwent PD for periampullary adenocarcinoma. Patients with ampullary adenocarcinoma represented 31(66.0%) of the long-term survivors. Primary analysis showed that favourable factors for long-term survival include age < 60 years old, serum CEA < 5 ng/mL, serum CA 19-9 < 37 U/mL, non-cirrhotic liver, tumor size < 2 cm, site of primary tumor, postoperative pancreatic fistula, R0 resection, postoperative chemotherapy, and no recurrence. Multivariate analysis demonstrated that CA 19-9 < 37 U/mL [OR(95% CI) = 1.712(1.24 8–2.34 8), P = 0.001], smaller tumor size [OR(95% CI) = 1.335(1.032–1.726), P = 0.028] and R0 resection [OR(95% CI) = 3.098(2.095–4.582), P < 0.001] were independent factors for survival ≥ 5 years. The prognosis was best for ampullary adenocarcinoma, for which the median survival was 54 months and 5-year survival rate was 39.0%, and the poorest was pancreatic head adenocarcinoma, for which the median survival was 27 months and 5-year survival rate was 7%. Conclusions: The majority of long-term survivors after PD for periampullary adenocarcinoma are patients with ampullary tumor. CA 19-9 < 37 U/mL, smaller tumor size, and R0 resection were found to be independent factors for long-term survival ≥ 5 years.

关键词： Pancreatic carcinoma Pancreatic head carcinoma Pancreaticodudenectomy Long-term survival

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Biliary leakage following pancreaticoduodenectomy:Prevalence,risk factors and management

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Hepatobiliary & Pancreatic Diseases International 2019年第1期18卷 67-72页

作者： Ayman el Nakeeb mohamed el Sorogy Hosam Hamed Rami Said Mohamad elrefai Helmy ezzat Waleed Askar Ahmed M elsabbagh Gastroenterology Surgical Center Mansoura University

Background: Few studies investigated biliary leakage after pancreaticoduodenectomy(PD) especially when compared to postoperative pancreatic fistula(POPF). This study was to determine the incidence of biliary leakage after PD, predisposing factors of biliary leakage, and its management. Methods: We retrospectively studied all patients who underwent PD from January 2008 to December 2017 at Gastrointestinal Surgery Center, Mansoura University, Egypt. According to occurrence of postoperative biliary leakage, patients were divided into two groups. Group(1) included patients who developed biliary leakage and group(2) included patients without identified biliary leakage. The preoperative data, operative details, and postoperative morbidity and mortality were analyzed. Results: The study included 555 patients. Forty-four patients(7.9%) developed biliary leakage. Ten patients(1.8%) had concomitant POPF. Multivariate analysis identified obesity and time needed for hepaticojejunostomy reconstruction as independent risk factors of biliary leakage, and no history of preoperative endoscopic retrograde cholangiopancreatiography(ERCP) as protective factor. Biliary leakage from hepaticojejunostomy after PD leads to a significant increase in development of delayed gastric emptying, and wound infection. The median hospital stay and time to resume oral intake were significantly greater in the biliary leakage group. Non-surgical management was needed in 40 patients(90.9%). Only 4 patients(9.1%) required re-exploration due to biliary peritonitis and associated POPF. The mortality rate in the biliary leakage group was significantly higher than that of the non-biliary leakage group(6.8% vs 3.9%, P = 0.05). Conclusions: Obesity and time needed for hepaticojejunostomy reconstruction are independent risk factors of biliary leakage, and no history of preoperative ERCP is protective factor. Biliary leakage increases the risk of morbidity and mortality especially if concomitant with POPF. Howeve

关键词： Pancreatic head carcinoma Pancreaticodudenetomy Postoperative pancreatic fistula Biliary leakage

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Outcomes of pancreaticoduodenectomy in elderly patients

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Hepatobiliary & Pancreatic Diseases International 2016年第4期15卷 419-427页

作者： Ayman el Nakeeb Ehab Atef Ehab el Hanafy Ali Salem Waleed Askar Helmy ezzat Ahmed Shehta mohamed Abdel Wahab Gastroenterology Surgical Center Mansoura University

BACKGROUND： Although the mortality and morbidity of pancreaticoduodenectomy（PD） have improved significantly over the past years, the concerns for elderly patients undergoing PD are still present. Furthermore, the frequency of PD is increasing because of the increasing proportion of elderly patients and the increasing incidence of periampullary tumors. This study aimed to analyze the outcomes of PD in elderly ***： We studied all patients who had undergone PD in our center between January 1995 and February 2015. The patients were divided into three groups based on age： group I（patients aged 〈60 years）, group II（those aged 60 to 69 years） and group III（those aged ≥70 years）. The primary outcome was the rate of total postoperative complications. Secondary endpoint included total operative time, hospital mortality, length of postoperative hospital stay, delayed gastric emptying, re-exploration, and survival ***： A total of 828 patients who had undergone PD for resection of periampullary tumor were included in this study. There were 579（69.9%） patients in group I, 201（24.3%） in group II, and 48（5.8%） in group III. The overall incidence of complications was higher in elderly patients（25.9% in group I, 36.8% in group II, and 37.5% in group III; P=0.006）. There were more patients complicated with delayed gastric emptying in group II compared with the other two groups. There was no significant difference in the incidence of postoperative pancreatic fistula, biliary leakage, pancreatitis, pulmonary complications and hospital ***： PD can be performed safely in selected elderly patients. Advanced age alone should not be a contraindication for PD. The outcome of elderly patients who have undergone PD is similar to that of younger patients, and the increased rate of complications is due to the presence of associated comorbidities.

关键词： pancreaticoduodenectomy elderly pancreatic fistula delayed gastric emptying

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Impact of referral pattern and timing of repair on surgical outcome after reconstruction of post-cholecystectomy bile duct injury:A multicenter study

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Hepatobiliary & Pancreatic Diseases International 2021年第1期20卷 53-60页

作者： Ayman el Nakeeb Ahmad Sultan Helmy ezzat mohamed Attia mohamed Abd elWahab Taha Kayed Ayman Hassanen Ahmad AlMalki Ahmed Alqarni Mohammed M Mohammed Gastrointestinal Surgical Center Mansoura UniversityMansouraEgypt Minia University Hospital MiniaEgypt Aseer Central Hospital Aseer regionSaudi Arabia

Background:Bile duct injury(BDI)after cholecystectomy remains a significant surgical *** guideline exists to guide the timing of repair,while few studies compare early versus late repair *** study aimed to analyze the outcomes in patients undergoing immediate,intermediate,and delayed repair of ***:We retrospectively analyzed 412 patients with BDI from March 2015 to January *** patients were divided into three groups based on the time of BDI *** 1 underwent an immediate reconstruction(within the first 72 hours post-cholecystectomy,n=156);group 2 underwent an intermediate reconstruction(from 4 days to 6 weeks post-cholecystectomy,n=75),and group 3 underwent delayed reconstruction(after 6 weeks post-cholecystectomy,n=181).Results:Patients in group 2 had significantly more early complications including anastomotic leakage and intra-abdominal collection and late complications including anastomotic stricture and secondary liver cirrhosis compared with groups 1 and *** outcome was observed in 111(71.2%)patients in group 1,31(41.3%)patients in group 2,and 157(86.7%)patients in group 3(P=0.0001).Multivariate analysis identified that complete ligation of the bile duct,level E1 BDI and the use of external stent were independent factors of favorable outcome in group 1,the use of external stent was an independent factor of favorable outcome in group 2,and level E4 BDI was an independent factor of unfavorable outcome in group *** BDI and level E4 BDI were independent factors of unfavorable ***:Favorable outcomes were more frequently observed in the immediate and delayed reconstruction of post-cholecystectomy *** ligation of the bile duct,level E1 BDI and the use of external stent were independent factors of a favorable outcome.

关键词： Bile duct injury Hepaticojejunostomy Anastomotic stricture Biloma Biliary peritonitis

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Preliminary Study of Alkali Activation of Basalt: Effect of NaOH Concentration on Geopolymerization of Basalt

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Journal of Materials Science and Chemical Engineering 2017年第11期5卷 58-76页

作者： mohamed el-Shahte Ismaiel Saraya ezzat el-Fadaly Department of Chemistry Faculty of Science Al-Azhar University Cairo Egypt Environmental Studies and Research Institute Sadat City University Sadat City Egypt

The main objective of this study is to examine the possibility of using fresh basalt powder in the preparation of geopolymer pastes. Four NaOH concentrations of 2.5, 5, 7.5 and 10 M were used to alkali activation of basalt. In addition, effect of curing temperature at ambient, 45°C and 65°C were studied. The geopolymer pastes were investigated using FTIR, XRD and SEM-EDS techniques as well as compressive strength up to 90 days. The results were shown the compressive strength of prepared geopolymer increased with concentration of alkali activator up to 90 days. On the other hand, the compressive strength of prepared geopolymer pastes were improved with increased curing temperature. The results showed that there was a change in the chemical and mineral structure, due to the reaction of the sodium hydroxide with the different minerals of the basalt. In addition, the Na/Al and Si/Al ratios were completely different from that of the raw basalt. The geopolymerization reactions occurred at the surface basalt and the unreacted basalt particles actually play a supporting role in the geopolymer properties.

关键词： Fresh Basalt Alkali Activation Geopolymer FTIR XRD EDS-SEM

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Rosmarinic acid attenuates hepatic fibrogenesis via suppression of hepatic stellate cell activation/proliferation and induction of apoptosis

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Asian Pacific Journal of Tropical Medicine 2017年第5期10卷 423-432页

作者： Naglaa M.el-Lakkany Walaa H.el-Maadawy Sayed H.Seif el-Din Olfat A.Hammam Salwa H.mohamed Shahira M.ezzat Marwa M.Safar Samira Saleh Department of Pharmacology Theodor Bilharz Research InstituteWarak El-HadarImbaba P.O.Box 30Giza 12411Egypt Department of Pathology Theodor Bilharz Research InstituteWarak El-HadarImbaba P.O.Box 30Giza 12411Egypt Department of Immunology Theodor Bilharz Research InstituteWarak El-HadarImbaba P.O.Box 30Giza 12411Egypt Department of Pharmacognosy Faculty of PharmacyCairo UniversityCairo 11562Egypt Department of Pharmacology and Toxicology Faculty of PharmacyCairo UniversityCairo 11562Egypt

Objective:To investigate the antifibrotic role of rosmarinic acid(RA),a natural polyphenolic compound,on HSCs activation/proliferation and apoptosis in vitro and in vivo. Methods:The impact of RA on stellate cell line(HSC-T6) proliferation,activation and apoptosis was assessed along with its safety on primary hepatocytes. In vivo,rats were divided into:(i) normal;(ii) thioacetamide(TAA)-intoxicated rats for 12 weeks;(iii) TAA+silymarin or(iv) TAA+RA. At the end of experiment,liver functions,oxidative stress,inflammatory and profibrogenic markers,tissue inhibitor metalloproteinases type-1(TIMP-1) and hydroxyproline(HP) levels were evaluated. Additionally,liver histopathology and immunohistochemical examinations of alpha-smooth muscle actin(α-SMA),caspase-3 and proliferation cellular nuclear antigen(PCNA) were determined. Results:RA exhibited anti-proliferative effects on cultured HSCs in a time and concentration dependent manner showing an IC50 of 276 μg/mL and 171 μg/mL for 24 h and 48 h,respectively,with morphological reversion of activated stellate cell morphology to quiescent form. It significantly improved ALT,AST,oxidative stress markers and reduced TIMP-1,HP levels,inflammatory markers and fibrosis score(S1 vs S4). Furthermore,reduction in α-SMA plus elevation in caspase-3 expressions of HSCs in vitro and in vivo associated with an inhibition in proliferation of damaged hepatocytes were recorded. Conclusions:RA impeded the progression of liver fibrosis through inhibition of HSCs activation/proliferation and induction of apoptosis with preservation of hepatic architecture.

关键词： Hepatic fibrosis Hepatic stellate cells Rosmarinic acid Apoptosis Proliferation Profibrogenic markers

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The Lower Peripheral Blood Lymphocyte to Monocyte Ratio Following Completion of First Line Chemotherapy Is a Risk Factor for Predicting Relapse in Patients with Diffuse Large B-Cell Lymphoma

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Journal of Cancer Therapy 2019年第1期10卷 53-68页

作者： Ghada ezzat eladawei Sheref mohamed el-Taher Clinical Oncology and Nuclear Medicine Department Mansoura University Mansoura Egypt Public Health & Community Medicine Department Benha University Benha Egypt

Background and objective: During routine follow up, there is no specific predictor to ascertain relapse after standard first line chemotherapy in diffuse large cell lymphoma. Therefore, this study was designed to assess the prognostic significance of the ratio between absolute lymphocyte and monocyte counts (LMR) in the peripheral blood to verify relapse in diffuse large B cell lymphoma. Patients and methods: A total of 139 patients with newly diagnosed diffuse large B cell lymphoma (DLBCL) were evaluated and treated with CHOP or R-CHOP between the years 2009 and 2016. Three months following completion of first line therapy, Lymphocyte/monocyte ratio (LMR) was calculated from the routine automated complete blood cell count (CBC) attained a plateau after the bone marrow recovery after first line chemotherapy. The absolute lymphocyte count/absolute monocyte count ratio (LMR) was calculated by dividing the ALC by the AMC. Results: ROC curve analysis of 139 patients established 2.8 as cutoff point of LMR for relapse with AUC of 0.97 (95% CI 0.93 - 0.99, P ≤ 0.001). Cox regression analysis was performed to identify factors predicting relapse. In univariate regression analysis, ALC (95% CI 0.003 - 0.03, p ≤ 0.001), AMC (95% CI 15.4 - 128.8, p ≤ 0.001), LMR (95% CI 0.001 - 0.01, p ≤ 0.001), and LDH (95% CI 0.1 - 0.5, p ≤ 0.001) following completion of therapy are significant factors for relapse. Other significant factors for relapse are Ann Arbor stage (95% CI 1.1 - 6.9, P = 0.03), extranodal sites (95% CI 1.2 - 6.1, P = 0.01), age (95% CI 1.3 - 6.5, P = 0.01) and treatment of CHOP protocol (95% CI 0.05 - 0.6, P = 0.007). In a multivariate analysis LMR following completion of therapy was predictive for relapse (95% CI 0.001 - 0.2, P = 0.005). ALC was also significant in multivariate analysis (95% CI 0.01 - 0.8, P = 0.03). LDH following completion of therapy (95% CI 0.2 - 14.9, P = 0.5), AMC following completion of therapy (95% CI 0.3 - 43.1, P = 0.3), age (95% CI 0.9 - 205

关键词： Diffuse Large B Cell Lymphoma Absolute Lymphocyte Count/Absolute Monocyte Count Ratio Relapse Follow up

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