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91.
Ibrahim M. Hamouda Noha A. El-Waseffy Ahmed M. Hasan Abeer A. El-Falal 《Journal of the Mechanical Behavior of Biomedical Materials》2010,3(8):610-618
The aim of this study was to evaluate fracture toughness, hardness, ceramic/metal bond strength and microstructure of experimental dental porcelain and compare it with commercial type. Specimens of specific dimensions were prepared. Fracture toughness was assessed by a three-point bending test. The Vickers hardness was measured using a microhardness tester. The ceramometal bond strength was measured using a universal testing machine. The load was applied at the porcelain/metal interface via a chisel edged blade with a crosshead speed of 2.0 mm/min until fracture. The polished specimens of dental porcelain were chemically etched and the microstructure was analyzed with a scanning electron microscope. The results showed comparable fracture toughness and bond strength for both materials, while the experimental porcelain exhibited higher hardness. The experimental porcelain showed uniform cohesive failure while the commercial type showed mixed mode of failure. The microstructure of the experimental porcelain was tetragonal leucite crystals dispersed randomly in a glass matrix. The leucite crystals exist in two forms, acicular and rod like structures. It was concluded that the experimental porcelain has adequate fracture toughness and ceramic/metal bond strength that can resist the rapid crack propagation and its consequent catastrophic failure, which indicates a material serviceability in the oral cavity. 相似文献
92.
93.
Mostafa K. El-Awady Ashraf A. Tabll Hassan Yousif Yasmin El-Abd Mohamed Reda Samy B. Khalil Abdel Rahman El-Zayadi Maysa H. Shaker Noha G. Bader El Din 《Vaccine》2010
Introduction
The highest estimated prevalence of HCV infection has been reported in Egypt, nearly 12% mostly type 4. Currently, a commercial vaccine to protect this high risk population as well as global HCV infected patients is not available.Objectives
In the present study, we aim at: (1) examining the viral binding capacities of purified monospecific polyclonal murine antibodies raised against genetically conserved viral protein sequences, i.e. synthetic peptides derived from those sequences located within envelope proteins and (2) assessment of immunogenic properties and safety parameters of those peptides individually and in a vaccine format in mice.Methods
Purified IgG Abs from immunized mice were used in immunocapture RT-PCR experiments to test viral neutralization by Abs raised against each of 4 peptides termed p35 (E1), p36 (E2), p37 (E2) and p38 (E2). Swiss mice were immunized with each of the 3 peptides (p35, p37 and p38) which generated neutralizing antibodies in immunocapture experiments. Antibody responses to corresponding peptides were determined using different routes of administration, different adjuvants, different doses and at different time points post-injection. To explore the dose range for future pharmacological studies, three doses namely 50 ng, 10 μg and 50 μg/25 gm mouse body weight were tested for biochemical and histopathological changes in several organs.Results
Murine Abs against p35, p37 and p38 but not p36 showed HCV neutralization in immunocapture experiments. Subcutaneous injection of peptides elicited higher responses than i.m. and i.p. Immunization with Multiple Antigenic Peptide (MAP) form or coupled to Al PO4 elicited the highest Ab responses. Peptide doses of 50 ng/25 gm body weight or less were effective and safe, however dose assessment still requires further study. Histopathological changes were observed in animals that received doses ∼1000 times higher than the potential therapeutic dose.Conclusion
Exploration of humoral immunogenicity, neutralization capacity and safety suggested that the peptides presented herein are candidate vaccine components for further preclinical assessment. 相似文献94.
Moataza H Omran Basma E Fotouh Samar S Youssef Noha E Ibrahim Wael Nabil EL-Sayed M Mahdy Wafaa G Shosha Mostafa K El-Awady 《World journal of hepatology》2013,5(3):97-103
AIM: To investigate the relationship between low molecular polypeptide-7 (LMP-7) gene polymorphism and response to interferon (IFN) therapy in chronic hepatitis C virus (HCV) patients.METHODS: LMP-7 polymorphism at codon 49 with nucleotide substitution from A to C was amplified in 104 chronic HCV patients of genotype 4. The amplicons were digested with restriction endonuclease BsmI and the produced restriction fragment length polymorphism was analyzed. Patients received IFN + regional blood volume therapy for 48 wk and the frequency of this single nucleotide polymorphism (SNP) was statistically correlated with treatment response. The exclusion criteria for these patients were stated by the national health program for treating viral hepatitis. Main exclusion criteria included co-infection with hepatitis B virus or schistosomiasis, thyroid dysfunction, uncontrolled diabetes mellitus, history of long term drug or alcohol intake and autoimmune hepatitis. Multivariate analyses were done to correlate LMP-7 SNP plus several factors such as age, gender, weight, serum alpha-fetoprotein (AFP) and alanine aminotransferase levels, liver activity, fibrosis score and viral load with response to therapy.RESULTS: The data presented in this study clearly demonstrated statistically significant differences between sustained virological response (SVR) (defined as the absence of HCV RNA levels in the patient’s sera at least 6 mo after discontinuation of treatment) and non-response (NR) (where HCV RNA levels in the patient’s sera never become undetectable for 6 mo during or after treatment). Variables were described as odds ratio with 95%CI. The data were considered significant if P values were ≤ 0.05; highly significant if P < 0.01 and very highly significant if P < 0.001. Current data showed that 91.7% of patients carrying LMP-7 C/C allele were associated with SVR, while the other two genotypes C/A and A/A were associated with NR patients, 83.3% and 64.3% respectively, showing that genotype CC was strongly associated with response to interferon (95%CI: 12.0719-134.6572, P = 0.0001). The majority of parameters recorded in SVR and NR patients included higher values of mean age (P = 0.004), alanine aminotransferase (P = 0.001), AFP (P = 0.001), body weight (P = 0.025), viral load (P = 0.025), higher fibrosis and histological activity index indices among NR vs SVR patients. Also, the multivariate statistical analysis of the different factors of fibrosis score, liver activity grade, genotypes and alleles of LMP-7 gene polymorphism in responders and NRs of HCV patients in this study showed that HCV patients with A allele had a very highly significant association with the NRs, high fibrosis and higher liver activity, while the C allele had a very highly significant association with the responders, low fibrosis and lower liver activity (95%CI: 3.5800-13.2519, P = 0.0001).CONCLUSION: LMP-7 SNP is a candidate gene that should be considered when designing a mathematical model for predicting response to therapy and disease progression in HCV patients. 相似文献
95.
Adham Mohamed Hegazy Noha Refaat Mohamed Hala Abdalla Gaber 《The journal of maternal-fetal & neonatal medicine》2018,31(20):2649-2655
Objectives: To determine the association between 25-hydroxyvitamin D [25(OH)D] levels on first day of life with respiratory distress syndrome (RDS), need and duration of mechanical ventilation, and subsequent development of bronchopulmonary dysplasia (BPD) among preterm neonates.Study design: In this case–control study, serum 25(OH)D was measured on first day of life in 65 preterm neonates <34 weeks: 40 with RDS and 25 without RDS and compared between them. Serum 25(OH)D levels were categorized into normal (above 30?ng/ml), insufficiency (20–30?ng/ml), moderate deficiency (10–20?ng/ml), and severe deficiency (<10?ng/ml). Neonates with different 25(OH)D levels were compared as regard grade of RDS, initial pH, initial CO2, need and duration of mechanical ventilation, development of BPD, and mortality.Results: Only one of 65 studied preterm neonates had normal vitamin D level. Neonates with RDS had significantly lower mean serum 25(OH)D level than controls (10.6 versus 13.9?ng/dl) (p?=?.028). Neonates with severe 25(OH)D deficiency developed more BPD than those with moderate deficiency (29.4 versus 8.7%) but did not reach significant level (p value?=?.08). There is no correlation between serum 25(OH)D level and duration of mechanical ventilation. Logistic regression analysis shows that low serum 25(OH)D level is an independent risk factor for RDS.Conclusion: Low 25(OH)D level is far frequent among Egyptian preterm neonates. Vitamin D deficiency is an independent risk factor for development of RDS in preterm neonates. 相似文献
96.
Dahlia Abd El-Mohsen Hussein Reem Abd El-Moneim Habeeb Noran Osama El-Azizi Noha Nagi M. Salah El-Deen Caroline Samy Morad Amr Mohammad Hawwash 《The Egyptian Rheumatologist》2017,39(4):227-231
Aim of the work
To estimate prevalence of tuberculosis (TB) infection in systemic lupus erythematosus (SLE) patients; to study its relation to disease duration, activity, damage and treatment as well as to compare the performance of interferon gamma (IFN-γ) release assay and tuberculin skin test (TST) in detection of TB infection.Patients and methods
The study enrolled 100 adult SLE patients. Disease activity was assessed using the British Isles Lupus Assessment Group (BILAG) activity index and damage using the Systemic Lupus International Collaborative Clinics damage Index (SLICCDI). Tuberculin skin tests and QuantiFERON-TB GOLD In-Tube (QFT-GIT) test were performed.Results
The mean age of the patients was 29.82 ± 7.9 years; 90% females and 10% males with a mean disease duration 5.5 ± 5.4 years. The BILAG index showing that 30% had category A renal activity and the mean of SLICCDI was 1.4 ± 1.7. All patients were Bacille Calmette-Guérin (BCG) vaccinated; none of them had a previous history or contact to members with TB infection. QFT-GIT was positive in 13 patients and TST was positive in 2 patients. 15 patients were diagnosed as latent tuberculosis infection (LTBI). No patients were identified with active TB and microscopic examination and culture were negative. The agreement between the QFT-GIT and TST was poor. No significant difference between patients with positive and negative QFT-GIT results as regard disease duration, corticosteroids and immunosuppressive drugs used, BILAG, SLICCDI, chest X-ray and laboratory investigations.Conclusion
The prevalence of LTBI in SLE patients in our study was 15% with poor agreement between the QFT-GIT and TST. 相似文献97.
Aysha I.Z. Badawi Alaa M. Abd El-Hamid Noha Kh. Mohamed Enas M.M. Darwish Mona Wassef Hala Elfirgani 《The Egyptian Rheumatologist》2017,39(2):75-81
Background
Patients with systemic lupus erythematosus (SLE) and antiphospholipid syndrome (APS) are at increased risk of atherosclerosis, and occurs much earlier compared to the general population even after accounting for traditional risk factors.Aim of the work
To examine the association between serum TWEAK, leptin and subclinical atherosclerosis in SLE and APS patients.Patients and methods
Serum tumor necrosis factor (TNF)-like weak inducer of apoptosis (TWEAK) and leptin were measured in 30 SLE patients, 26 SLE patients with secondary APS (SLE–APS), 14 with primary APS (pAPS) and 20 age and sex matched control. The SLE disease activity index (SLEDAI) was assessed in SLE patients. The intima media thickness (IMT) was measured by carotid ultrasound.Results
Serum TWEAK was significantly higher in patients with pAPS (945.1 ± 16.2 pg/ml) than in SLE–APS (755.3 ± 59.9 pg/ml), SLE patients (499.2 ± 47.1 pg/ml) and control (129.6 ± 18.6 pg/ml) (p < 0.001). Also, serum leptin was significantly higher in pAPS patients (14.0 ± 2.8 ng/ml) compared to that in SLE–APS (6.5 ± 0.9 ng/ml), SLE patients (3.8 ± 1.2 ng/ml) and control (1.6 ± 0.6 ng/ml) (p < 0.001). The IMT was significantly increased in the pAPS patients compared to SLE–APS group (p < 0.001), SLE patients (p = 0.006) and to the control (p < 0.001). A significant correlation was found between TWEAK with the body mass index and high density lipoprotein in SLE–APS and inversely with the random blood sugar and the diastolic blood pressure in SLE patients. Serum leptin only significantly correlated with the total leucocytic count in SLE patients.Conclusion
Patients with pAPS are more liable to develop premature atherosclerosis even in the absence of the traditional risk factors. 相似文献98.
99.
Mohamed A. El-Khalawany Hatem Hassan Dalia Shaaban Noha Ghonaim Bayoumi Eassa 《European journal of pediatrics》2013,172(3):351-356
Topical therapy is usually of limited benefit in the treatment of severe atopic dermatitis (AD), and the need for a safe and effective systemic treatment may be required in certain cases especially in children. We evaluated the efficacy and safety of methotrexate and cyclosporine in the treatment of 40 children with severe AD. Patients were divided into two groups (each consisting of 20 patients); group A was treated with methotrexate (7.5 mg/week) while group B was treated with cyclosporine (2.5 mg/kg/day). The severity scoring for atopic dermatitis (SCORAD) was used to indicate efficacy of treatment. In group A, the mean SCORAD score at the beginning of the study was 57.90?±?3.21 that was reduced at the end of the treatment period to reach 29.35?±?6.32 with a mean absolute reduction of 26.25?±?7.03. In group B, the mean SCORAD score was 56.54?±?4.82 at the start of treatment and was 31.35?±?8.89 at the end of 12 weeks of treatment. The mean absolute reduction was 25.02?±?8.21. There was no statistically significant difference in the reduction of SCORAD score between both groups (P?±?0.93). Mild and temporary adverse effects were reported in some patients in both groups. Conclusion: Methotrexate or cyclosporine in low doses can be considered as effective, relatively safe, and well-tolerated treatments for severe AD in children. 相似文献
100.
Samy A. F. Morad Maria C. Messner Jonathan C. Levin Noha Abdelmageed Hyejung Park Alfred H. Merrill Jr. Myles C. Cabot 《Cancer chemotherapy and pharmacology》2013,71(3):635-645