@article { author = {ABDELKADER, NADIA and ZAKI, MONA and SAAD, WESSAM and HAMDY, GEHAN and SABRY, DINA}, title = {CLINICAL SIGNIFICANCE OF SERUM N-TERMINAL PRO C-TYPE NATRIURETIC PEPTIDE IN HEPATITIS C-RELATED CHRONIC LIVER DISEASES}, journal = {Journal of the Egyptian Society of Parasitology}, volume = {45}, number = {2}, pages = {219-226}, year = {2015}, publisher = {The Egyptian Society of Parasitology}, issn = {1110-0583}, eissn = {2090-2549}, doi = {10.21608/jesp.2015.89808}, abstract = {To evaluate the clinical utility of serum levels of N- terminal pro C- type natriuretic peptide (NT-pro CNP) in patients with hepatitis C related chronic liver disease (CLD), in prospective to disease complications and progression. This study included 66 hepatitis C- related CLD patients with and without ascites and 15 healthy individuals (control group). Serum NT-pro CNP was measured by ELISA. A stepwise progressive increase in NT-pro CNP levels was recorded through controls, patients without ascites and patients with ascites (p< 0.05). In addition, patients with hematemesis or encephalopathy had more than its double values than those without (p<0.01). Moreover, a significant difference was observed in the marker levels among esophageal varcies stages 1, 2, 3 (H=13.679, p=0.001), with highest levels in grade 3. NT-pro CNP correlated positively with alpha fetoprotein (rs =0.455, p=0.008) with no significant correlation neither with MELD nor Child scores (p>0.05). ROC curve analysis revealed the overall performance of the marker in discriminating CLD patients collectively from controls, the optimum cut-off level was 85 ng/L (AUC= 0. 803, sensitivity 84.8%& specificity 53.3%). An increased level of NT-pro CNP is a promising non-invasive marker of hepatitis C related CLD complications and diseaseprogression.}, keywords = {Natriuretic peptide,NT-pro CNP,Chronic liver disease,hepatitis C}, url = {https://jesp.journals.ekb.eg/article_89808.html}, eprint = {https://jesp.journals.ekb.eg/article_89808_0fcc032eb17395d6bb86ea29c3df4c0a.pdf} } @article { author = {ALANAZI, ABDULLAH and ALANAZI, ASHRAF and EL-KABBANY, AMIRA}, title = {FINE STRUCTURAL STUDY ON EIMERIA SP. INFECTING THE LIBYAN JIRDS (MERIONES LIBYCUS) IN SAUDI ARABIA: MEROGONY, MACROGAMETOGENESIS AND HOST-PARASITE RELATIONSHIP}, journal = {Journal of the Egyptian Society of Parasitology}, volume = {45}, number = {2}, pages = {227-232}, year = {2015}, publisher = {The Egyptian Society of Parasitology}, issn = {1110-0583}, eissn = {2090-2549}, doi = {10.21608/jesp.2015.89809}, abstract = {Ultrastructural characteristics of merogony and the development of mature merozoits and macrogametogensis of Eimeria sp. infecting the Libyan jird were investigated. Mono and binucleated schizonts were detected. Developed merozoites showed all the apicomplexan architecture (Pellicle, conoid, rhoptries, micronemes … etc). Transformation into macrogametes were studied. Early macrogamonts characterized by the loss of all apicomblexan characters and the appearance of wall-forming bodies were the first indication for macrogametogenesis. As development precepded, two types of wall forming bodies (I, II) were clearly detected. Cell organelles including amylopectin granules and lipid globules were greatly increased in mature macrogametes. Young oocyst (zygote) with double-layer oocyst wall were also detected. Host cell reaction due to infection included hypertrophy of the infected host cell, enlargement, deformation and displacement of the host cell nucleus. Swollen and degeneration of mitochondria, endoplasmic reticulum and cytoplasmic vacuolation of the host cell. All parasite stages were enclosed in parasitophorous vacuole limited by unit membrane. Extended damage effect appeared in some neighboring host cell indicating the secretion of some toxins by the parasite.}, keywords = {Eimeria spp,oocyst,Ultrastructure,Libyan jird,Saudi Arabia}, url = {https://jesp.journals.ekb.eg/article_89809.html}, eprint = {https://jesp.journals.ekb.eg/article_89809_5febdaf91af5341c321b07c2d6bcf799.pdf} } @article { author = {SABRY, ABD EL HAMID and ABD EL-AAL, AMANY and MAHMOUD, NAGLAA and NABIL, YOSSRA and ABDEL AZIZ, INAS}, title = {AN INITIAL INDICATION OF PREDISPOSING RISK OF SCHISTOSOMA MANSONI INFECTION FOR HEPATOCELLULAR CARCINOMA}, journal = {Journal of the Egyptian Society of Parasitology}, volume = {45}, number = {2}, pages = {233-240}, year = {2015}, publisher = {The Egyptian Society of Parasitology}, issn = {1110-0583}, eissn = {2090-2549}, doi = {10.21608/jesp.2015.89810}, abstract = {Estimated 500,000 - 1 million cases of hepatocellular carcinoma (HCC) are reported to occur yearly worldwide, with a mean annual incidence of around 3 – 4% of global population. HCC is rapidly fatal in most patients; that makes its incidence and mortality rates almost equal. In the last 5–10 years there were many alarming reports of sharply increased incidence of HCC. In Egypt, HCC reported to account for about 4.7% of chronic liver disease (CLD) patients, which has tremendous impact on socio-economic development in the country. Available data suggests indirect evidence of an association between Schistosoma mansoni and hepatocellular carcinoma, possibly through potentiation of hepatitis infections. The present study was conducted case control analysis of 60 HCC patients. Chronic schistosomiasis cases were confirmed by finding Anti-Schistosoma mansoni antibodies IgG by ELISA. Hepatitis C viral infection was proved by detection of viral load by quantitative Real time PCR. Among the study group 56.6% (34/60) were dweller in rural in Al-Fayoum governorate. Within hepatocellular carcinoma cases 26.7% (16/60) and 33.3% (20/60) suffered mono chronic schistosomiasis and mono hepatitis C (HCV) infections respectively, with no statistically significant differences (p=0.37), indicating comparable risk value of both infections in predisposing directly to HCC. Additionally; frequency of HCC patients with assumed potentiated HCV infection by chronic Schistosoma mansoni 6.7% (4/60) were statistically significant (p<0.05) less among total HCC patients included in this study, when compared to HCC patients preceded by either pure chronic schistosomiasis 26.7% (16/60) or pure HCV infection 33.3% (20/60). Our present study is one of few, addressing the possibility of direct relation between S. mansoni & hepatic carcinoma, concluding an initial indication of equal risk value of both human chronic S. mansoni infection and hepatitis C viral infections in precipitating hepatocellular carcinoma among Egyptian patients.}, keywords = {patients,Schistosoma mansoni,hepatitis C,Hepatocellular carcinoma}, url = {https://jesp.journals.ekb.eg/article_89810.html}, eprint = {https://jesp.journals.ekb.eg/article_89810_538acb6958e99e64935f2ad8465c8428.pdf} } @article { author = {HASSAN, MOSTAFA and HAMMAD, KOTB and SAEED, SAEED}, title = {REPELLENT EFFECT OF OCIMUM BASILICUM AND GLYCYRRHIZA GLABRA EXTRACTS AGAINST THE MOSQUITO VECTOR, CULEX PIPIENS (DIPTERA: CULICIDAE}, journal = {Journal of the Egyptian Society of Parasitology}, volume = {45}, number = {2}, pages = {241-248}, year = {2015}, publisher = {The Egyptian Society of Parasitology}, issn = {1110-0583}, eissn = {2090-2549}, doi = {10.21608/jesp.2015.89811}, abstract = {Essential or volatile oils of plants have been variously reported to have many medicinal applications. Methanol, acetone and petroleum ether extracts of Ocimum basilicum and Glycyrrhiza glabra were screened for their repellency effect against Culex pipiens mosquito. The repellent action of the present plants extracts were varied depending on the solvent usedand dose of extract. Methanol extract of O. basilicum exhibited the lowest repellent activity as it recorded 77.4% at 6.7mg/cm2. The petroleum ether and acetone extract of O. basilicum showed repellency of 98.1 & 84.6% respectively, at dose of 6.7mg/cm2, while methanolic extract of G. glabra recorded 73.8 & 50.3% at dose of 6.7 &1.7mg/cm2 respectively, the petroleum ether and acetone extract of G. glabra showed repellency of 76.3 & 81.6%, respectively atdose of 6.7mg/cm2, compared with the commercial formulation, N.N. diethyl toulamide (DEET) which exhibited 100% repellent action at dose of 1.8mg/cm2, respectively. The results may contribute to design an alternative way to control mosquitoes currently based on applications of synthetic insecticides. These extracts could be developed commercially as an effective personal protection measure against mosquito bites and thus to control diseases caused by mosquito–borne pathogens.}, keywords = {repellent,methanol extract,Acetone extract,Petroleum ether extract,Ocimum basilicum,Glycyrrhiza glabra,Culex pipiens}, url = {https://jesp.journals.ekb.eg/article_89811.html}, eprint = {https://jesp.journals.ekb.eg/article_89811_0c7489436d330d97a8c4501b078fc245.pdf} } @article { author = {EL-BAHNASAWY, MAMDOUH and MEGAHED, LAILA and SALEH, HALLA and MORSY, TOSSON}, title = {TRAINING PROGRAM FOR THE NURSING STAFF REGARDING THE VIRAL HEMORRHAGIC FEVERS (VHFs) IN A FEVER HOSPITAL}, journal = {Journal of the Egyptian Society of Parasitology}, volume = {45}, number = {2}, pages = {249-272}, year = {2015}, publisher = {The Egyptian Society of Parasitology}, issn = {1110-0583}, eissn = {2090-2549}, doi = {10.21608/jesp.2015.89812}, abstract = {Viral hemorrhagic fevers (VHFs) refer to a group of illnesses caused by several distinct families of viruses. In general, the term "viral hemorrhagic fever" is used to describe a severe multisystem syndrome (multisystem in that multiple organ systems in the body are affected). Characteristically, the overall vascular system is damaged, and the body's ability to regulate itself is impaired. These symptoms are often accompanied by hemorrhage (bleeding); however, the bleeding is it rarely life-threatening. While some types of hemorrhagic fever viruses can cause relatively mild illnesses, many of these viruses cause severe, life-threatening disease. The selected disaster diseases for this study included: 1- Crimean-Congo hemorrhagic Fever, 2- Dengue Fever, 3- Ebola Fever, 4- Hemorrhagic Fever with renal syndrome (HFRS), 5- Hantavirus Pulmonary Syndrome, 6- Lassa Fever, 7- Marburg Fever, 8- Rift Valley Fever and 9- Yellow Fever. The educational training program was given over ten sessions to a group of Staff Nurses. The results showed that the program succeeded in enhancing nurses’ knowledge, awareness, responsibility, and obligations toward patients with the Viral Hemorrhagic Fevers The results showed a significant impact of training sessions illuminated in the follow-up test on the knowledge score of nurses in all types of diseases except for the Congo hemorrhagic fever, while, statistical significance varied in some diseases in the study when it comes to the comparison between pretest and post-test. All results confirmed on the positive impact of the training program in enhancing the knowledge of nurses toward VHFs patients and their relevant. There was a significant positive impact of the training sessions on changing the attitude of nurses toward patients with VHFs. This result was confirmed on the collective level since the total scores on tests revealed significant positive impact of the study on changing the attitude of nurses toward relevant patients. The relationship included personal data (age, sex, level of education, & years of experiences) and main variables (knowledge scores & attitude change to patients) with the disease in question. This part revealed a significant relationship between all personal data and total knowledge score among nurses except for the level of education, while all results were insignificant for the relationship between the personal data and the nurses’ attitude. Difference between the total nurses’ attitude change and the total knowledge scores was significant on the three tests’ levels; pre, post, and the follow-up. The overall evaluation showed that six criteria were adopted, regarding the educator, the length of presentations, and the evaluation of the studied groups regarding the training facilities, the subject matters, the overall training program, and the importance of diseases in question to their practical working environment. The frequency distribution showed that the educator met nurses’ expectations; the material tools were plausible enough to satisfy trainees and presentations were fairly short. But, the training facilities were just excelle t by the vast majority of trainees. The entire material met specific needs of relevant health care organizations, but about 43% reported that it was difficult. The vast majority of trainees favored the program under almost all criteria studied in the final questionnaire... Above 50% of trainees were not confident enough toward their ability in applying their knowledge acquired practically. The final evaluation showed that the most important were Rift Valley fever, Ebola fever, Hanta virus pulmonary syndrome, Crimean Congo fever and lastly Dengue fever. Lassa and Marburg fevers were of less interest to nurses.}, keywords = {Egypt,Staff nurses,educational training program,Viral Hemorrhagic Fevers}, url = {https://jesp.journals.ekb.eg/article_89812.html}, eprint = {https://jesp.journals.ekb.eg/article_89812_2cfc7a811b76b305af0fe67a699d64fe.pdf} } @article { author = {SELIM, MONIRA and TAHA, AFAF and ABD EL- AAL, NAGLAA and FARAG, TAHANI and YOUSEF, ASMAA}, title = {DETECTION OF GIARDIA INTESTINALIS COPROANTIGENS IN DIARRHEIC SAMPLES BY IMMUNOCHROMATOGRAPHIC AND ELISATECHNIQUES}, journal = {Journal of the Egyptian Society of Parasitology}, volume = {45}, number = {2}, pages = {273-283}, year = {2015}, publisher = {The Egyptian Society of Parasitology}, issn = {1110-0583}, eissn = {2090-2549}, doi = {10.21608/jesp.2015.89897}, abstract = {Giardia intestinalis is one of the most common diarrhea-causing protozoa. The present study aimed to search for specific and sensitive diagnostic tests to avoid loss of infected cases with Giardia intestinalis by detection of G. intestinalis coproantigens in diarrheic samples through comparison between direct parasitological method, an enzyme linked immunosorbent assay (ELISA) and immunochromatographic test (ICT). A comparative cross-sectional study including75 cases suffering from diarrhea and other gastrointestinal symptoms suggestive of intest inal giardiasis as abdominal distention, abdominal pain, anorexia, nausea, vomiting and weight loss, and 25 cases were without any clinical manifestations enrolled in this study. For every case, complete history taking and full clinical examination were done. Stool samples were collected from all cases and investigated by direct parasitological method, ELISA, and immunochromatographic techniques. The results showed that the sensitivity of immunochromatographic technique was 96% and specificity was 96% while sensitivity of ELISA was 98% and specificity was 96% on comparing their results to the microscopic examination of stool samples for Giardia intestinalis.}, keywords = {Giardia intestinalis,coproantigens,Diagnosis,ELISA,Immunochromatographic test}, url = {https://jesp.journals.ekb.eg/article_89897.html}, eprint = {https://jesp.journals.ekb.eg/article_89897_4ec3afccdd5e503d3b9870df9fdcf1f5.pdf} } @article { author = {ISMAIL, MOHAMED and KAMAL, AHMED and GHOBASHY, SAMIR and AL BAZ, AHMED and ROSHDY, MAMDOH}, title = {COMPARISON OF PAIN CONTROL DURING TRUS GUIDED BIOPSIES BETWEEN BASAL PERI-PROSTATIC LOCAL INFILTRATION ANESTHESIA VERSUS COMBINED TOPICAL ANAL LIGNOCAINE OINTMENT AND LOCAL INFILTRATION ANESTHESIA}, journal = {Journal of the Egyptian Society of Parasitology}, volume = {45}, number = {2}, pages = {285-289}, year = {2015}, publisher = {The Egyptian Society of Parasitology}, issn = {1110-0583}, eissn = {2090-2549}, doi = {10.21608/jesp.2015.89898}, abstract = {Control of pain associated with TRUS guided biopsies was the target of many researches that tried peri-prostatic local infiltration anesthesia (PLIA) either basal, apical, combined or topical anesthesia (TA). Thus, the efficacy of (PLIA) alone versus (PLIA) combined with (TA) in pain control during TRUS guided biopsies was compared. A total of 163 patients with a mean age±2stdev (61±1.4 years) and a mean PSA ± 2stdev (8.5±1.1ng/ml) 84 patients (G1) were randomized to receive either PLIA alone (G1) or 79 patients (G2) combined TA (using lignocaine 5% ointment of the anal ring, anal canal, and anterior rectal wall and basal PLIA via injecting 5 ml 2% xylocaine in both sides of the base), with cross-matched mean ages. Patients were asked to scale pain from 0-10 during probe insertion (P1), periprostatic infiltration (P2) and after taking biopsies in all patients (P3) using the visual analogue pain scale to complete a visual analogue scale questionnaire. The patients in G2 showed significantly less pain scores at all stages of the procedure (P1, P2 & P3) in comparison to patients in G1 especially regarding P1 and P2. The mean reported pain score was 24, 4±5, 6 and 15, 8±3.8 for G1 & G2 respectively, with significant difference (p=0,022).}, keywords = {patients,Transrectal ultrasonography,a prospective randomized study}, url = {https://jesp.journals.ekb.eg/article_89898.html}, eprint = {https://jesp.journals.ekb.eg/article_89898_18fb7f95b1410e017873b7d1e798d185.pdf} } @article { author = {EL-BAHNASAWY, MAMDOUH and MOHAMMAD, AMINA and RAGAB, IBRAHIM and MORSY, TOSSON}, title = {A TRAINING PROGRAM FOR NURSING STAFF ON HEALTH HAZARDS OF CHEMICAL INSECTICIDES EXPOSURE IN A PRACTICAL FIELD}, journal = {Journal of the Egyptian Society of Parasitology}, volume = {45}, number = {2}, pages = {291-308}, year = {2015}, publisher = {The Egyptian Society of Parasitology}, issn = {1110-0583}, eissn = {2090-2549}, doi = {10.21608/jesp.2015.89899}, abstract = {An insecticide is an agent used against insects, ticks, mites and other animals affecting human welfare. Exposure to Insecticides is one of the most important occupational risks among staff worker in Military camp, veterinary medicine, industry and household as well as schools and hospitals. This study Aimed to improve nursing staff knowledge regarding adverse health effects of chemical insecticides exposure in a military field. Setting: The study was conductedin one of the Main Military Hospital. Research design: was used a quasi-experimental research design to conduct this study. Subject: all nursing staff who work in a Military Hospital (n=55) who accept to participate in the research study. Results: A significant improvement in the Nurses’ Total knowledge score was found in post-test as compared to that in pre-test. All nurses obtained a satisfactory level of knowledge after the 1st & 2nd post-tests; all of them evaluate the program in relation to trainees' expectations as “excellent”.}, keywords = {chemical insecticides,hazards,Nurses,Training program}, url = {https://jesp.journals.ekb.eg/article_89899.html}, eprint = {https://jesp.journals.ekb.eg/article_89899_5cd0e88c34b8025e6376780c7f196127.pdf} } @article { author = {NOUR, HANI and ELGOBASHY, SAMIR and ELKHOLY, AMR and KAMAL, AHMAD and Ali, Mohamed and ROSHDY, MAMDOUH and ELBAZ, AHMAD and RIAD, ESSAM}, title = {LAPAROSCOPIC MANAGEMENT OF DISTAL URETERIC STONE IN BILHARZIAL URETER: RESULTS OF A SINGLE CENTER PROSPECTIVE STUDY}, journal = {Journal of the Egyptian Society of Parasitology}, volume = {45}, number = {2}, pages = {309-314}, year = {2015}, publisher = {The Egyptian Society of Parasitology}, issn = {1110-0583}, eissn = {2090-2549}, doi = {10.21608/jesp.2015.89900}, abstract = {No doubt, Bilharzial ureters are complicated by distal stricture due to precipitation of Bilharzial ova in distal ureter. These cases are associated with poorly functioning and grossly hydronephroic kidneys that hinder endoscopic manipulation of the coexistent distal, high burden, long standing impacted stones. Thus, laparoscopic uretrolithotomy was performed in 51 bilharzial patients with distal ureteric stones 4 trocars were used. The ureter was opened directly over the stone and the stone was extracted. A double-J stent was inserted into the ureter which was closed by 4-0 polyglactin running suture.The results showed that among 51 cases 33 males and 18 females; the mean age was 40.13 years. the mean stone size was 2.73 cm. Conversion to open surgery was in only one case; the mean operative time 92.05 (range 75-120 minutes); postoperative pain score ranged from 20 to 60 , the mean number of PO analgesic request was 1.72 (range 1-3); it was once in 21, twice in 23 and thrice in 7 cases. Hospital stay ranged from 2 to 5 with a mean of 2.74 days; total durationof follow up ranged from 7 to 12 with a mean of 9.68. Stone recurrence reported in 4 cases; ureteric stricture reported in 2 cases. Stone free rate was reported to be 100%.}, keywords = {Egyptian bilharzial ureter,Laparoscopy,transperitoneal,stone}, url = {https://jesp.journals.ekb.eg/article_89900.html}, eprint = {https://jesp.journals.ekb.eg/article_89900_cc9d4c68e59914c6188a5d0e12c415c4.pdf} } @article { author = {EL HADY, HANAA and HUSSEIN, S. and MOHAMED, ASHRAF and ABD ELRAHIM, BADAWY}, title = {ASSOCIATION BETWEEN PHLYCTENULAR CONJUNCTIVITIS AND INTESTINAL PARASITES}, journal = {Journal of the Egyptian Society of Parasitology}, volume = {45}, number = {2}, pages = {315-320}, year = {2015}, publisher = {The Egyptian Society of Parasitology}, issn = {1110-0583}, eissn = {2090-2549}, doi = {10.21608/jesp.2015.89906}, abstract = {This study was carried out on fifty children suffering from Phlyctenular keratoconjunctivitis and attending ophthalmology outpatient clinics of Sohag University Teaching Hospital and Sohag Ophthalmology Hospital, of them 30 (60%) male and 20 (40%) females with age range from 6months to 14 years. Fifty stool samples were collected and examined microscopically for detection of any parasitic infection. 12(24%) cases were infected with Hymenolepis nana, one (2%) case was infected with E. hyistolytica, one case was infected Enterobius vermicularis, one case was infected with Giardia lamblia and one case was infected Tenia spp., regarding to age and sex distribution of the disease, male gender and age ranged from 6-8years were more affected, rural children were more affected than urbans one.}, keywords = {Phlyctenular keratoconjunctivitis,children,gastro-intestinal parasites}, url = {https://jesp.journals.ekb.eg/article_89906.html}, eprint = {https://jesp.journals.ekb.eg/article_89906_97815bf4ae66d6d7ab31c8e962101c6c.pdf} } @article { author = {WISHAHI, MOHAMED and ELGANZOURY, HOSSAM and ELKHOULY, AMR and KAMAL, AHMED and BADAWI, MOHAMED and ESEAILY, KHALID and KOTB, SAMIR and MORSY, MOHAMED}, title = {COMPUTED TOMOGRAPHY VERSUS PLAIN RADIOGRAM IN EVALUATION OF RESIDUAL STONES AFTER PERCUTANEOUS NEPHROLITHOTOMY OR PYELONEPHROLITHOTOMY FOR COMPLEX MULTIPLE AND BRANCHED KIDNEY STONES}, journal = {Journal of the Egyptian Society of Parasitology}, volume = {45}, number = {2}, pages = {321-324}, year = {2015}, publisher = {The Egyptian Society of Parasitology}, issn = {1110-0583}, eissn = {2090-2549}, doi = {10.21608/jesp.2015.89909}, abstract = {This study compared the efficacy of computed tomography of the urinary tract (CT urography) versus plain X-ray of the urinary tract (KUB) in detection and evaluation of the significance of residual stone after percutaneous nephrolithotripsy (PCNL) or surgical pyelonephrolithotomy (SPNL) for complex branching or multiple stones in the kidney. A retrospective prospective archival cohort of 168 patients underwent PCNL or SPNL for large stag horn or multiple stones in the kidney were evaluated, they were 113 patients who underwent SPNL, and 55 patients underwent PCNL. In all patients they had KUB second day of the operation, those who had multiple kidney punctures in the PCNL procedure for multiple stones, or multiple nephrotomies in the SPNL procedure, or had a radiolucent stones had an additional imaging with CT urography. Indications for the CT urography were cases of radiolucent stones and multiple small calyceal stones detected pre-operatively. The study was conducted between March 2010 and December 2014, data were retrospectively analyzed. Preoperatively multiple or branching stones were diagnosed with intravenous urography and CT urography. Stone size and location were mapped pre-operatively on a real-size drawing, and three dimensional computed construction images in multiple planes. All patients were informed about the advantages, disadvantages and probable complications of both PCNL and SPNL before the selection of the procedure. Patients decided the type of the surgery type by themselves and writteninformed consent was obtained from all patients prior to the surgery. Patients were in two groups according to the patient`s preference of surgery type. Group 1 consisted of 113 patients who underwent SPNL and Group 2 consisted of 55 patients treated with PCNL. Detection of residual stones stone postoperatively using KUB and CT urography was evaluated in both groups. There was statistical significance between the two imaging methodology in detection of residual stones after PCNL and/or SPNL. CT urography detected stones of 2 mm and up to 5mm which was not visualized with KUB. CT urography was statistically significant and precise in detecting the radiolucent stones of uric acid, urate, and phostate stones which were not detected by KUB.}, keywords = {kidney stones,Percutaneous nephrolithtripsy,Pyelonephrolithotomy,residual stones,surgical procedures, operative,Computed tomography,imaging}, url = {https://jesp.journals.ekb.eg/article_89909.html}, eprint = {https://jesp.journals.ekb.eg/article_89909_61891d9af8068b5654d1106817c0a8a3.pdf} } @article { author = {ELSAGHEIR, ASMAA and ABD ELLAH, OSAMA and SAYED, FATMA and MONIB, MOHAMMED and ABDEL-KADER, MOHAMMAD}, title = {SODIUM DODECYL SULPHATE POLYACRILAMIDE GEL ELECTROPHORESIS (SDS-PAGE) FOR DIFFERENTIATION OF DIFFERENT SCHISTOSOME AND FASCIOLID SPECIES}, journal = {Journal of the Egyptian Society of Parasitology}, volume = {45}, number = {2}, pages = {325-330}, year = {2015}, publisher = {The Egyptian Society of Parasitology}, issn = {1110-0583}, eissn = {2090-2549}, doi = {10.21608/jesp.2015.89911}, abstract = {Fasciola and Schistosoma spp. are digenetic trematodes that have a major detrimental impact on human health worldwide. It is not unusual to find common molecules among parasites of different species, genera, or phyla. In this study Sodium dodecyl sulphate polyacrylamide gel electrophoresis (SDS-PAGE) was used to identify the common proteins of adult Fasciola and Schistosoma spp. Adult Fasciola spp, were collected from the bile ducts of naturally infectedcattle and sheep. Schistosoma mansoni and S. haematobium adults surface antigens were prepared in Theodor Bilharz Research Institute were used. Results showed sharing bands between all worms, which have the same molecular weight of 36 kDa. On the other hand, band with molecular weight 41 kDa was sharing between them except F. hepatica. Bands at 48 and 170 kDa were sharing between all species of Fasciola spp and Schistosoma mansoni.}, keywords = {F. gigantica,F. hepatica,S. mansoni,S. haematobium,Electrophoresis,bands}, url = {https://jesp.journals.ekb.eg/article_89911.html}, eprint = {https://jesp.journals.ekb.eg/article_89911_6ccb9dd173fdb0d11c64768316044f85.pdf} } @article { author = {AMMAR, KHALAF}, title = {ULTRASTRUCTURAL STUDY OF TWO PARASITES INFECTING DOMESTICATED TURKEY MELEAGRIS GALLOPAVO LINNAEUS, 1758 (GALLIFORMES: MELEAGRIDINAE) QENA, EGYPT}, journal = {Journal of the Egyptian Society of Parasitology}, volume = {45}, number = {2}, pages = {331-343}, year = {2015}, publisher = {The Egyptian Society of Parasitology}, issn = {1110-0583}, eissn = {2090-2549}, doi = {10.21608/jesp.2015.89913}, abstract = {The work gave a detailed systematic morphology by optic and scan electron microscopy of two parasites; Raillietina echinobothriida Megnin, 1880 and Spirora meleagaris n. sp. infecting domesticated turkey, with some important description characters. SEM revealed that tegument of R. echinobothriida exhibits, filamentous, microtriches and sensory papillae densely covered the tegument of entire body, rostellum armed with two rows of hummer-shaped hooks and provide by 16-20 rows of small, rose thorn-shaped accessory spines. In addition, a number of taxonomic features in S. meleagaris n. sp. that differ from other species of the genus, mouth circular, bounded by a cuticular three circles plates, five pairs of cephalic papillae, an inner circle of two pairs situated on the wall of the buccal cavity, one pairs of larges sub-median amphids, and an outer circle of two pairs papillae. Buccal cavity supported by four chitinious cusped molar teethanteriorly directed .Vulva near the end of the first third of the body, vulvular lips prominent. The male has unique rose like shaped pedunculated and unarranged numerous distributed sessile cervical papillae at the second third of the body that are distinguishable from other spirorid.}, keywords = {Egypt,Raillietina echinobothriida,spirorid parasites,Spirora meleagaris n. sp}, url = {https://jesp.journals.ekb.eg/article_89913.html}, eprint = {https://jesp.journals.ekb.eg/article_89913_117c3c5af413222a2e25cc08b8d5c94b.pdf} } @article { author = {EL-AHWANY, EMAN and NAGY, FATEN and ZOHEIRY, MONA and EL GHANNAM, MAGED and EL KHASHAB, MOHAMED and AHMADI, WALID and EL-REFAIY, MOHAMED and ZADA, SUHER and SHAKER, ZEINAB}, title = {ROLE OF T REGULATORY CELLS IN CHRONIC HCV INFECTED EGYPTIAN PATIENTS AND THEIR IMPACT ON THE RESPONSE TO PEGYLATED INTERFERON THERAPY}, journal = {Journal of the Egyptian Society of Parasitology}, volume = {45}, number = {2}, pages = {345-355}, year = {2015}, publisher = {The Egyptian Society of Parasitology}, issn = {1110-0583}, eissn = {2090-2549}, doi = {10.21608/jesp.2015.89917}, abstract = {Treatment of patients with chronic hepatitis C with the current standard pegylated interferon (PEG-IFN) and ribavirin achieves overall response (SVR) rates of ~55%. A role of CD4+ CD25+ regulatory T cells (Treg cells) has been proposed as they can suppress HCV-specific T cells in HCV-infected patients. Patients with chronic HCV legible for PEG-IFN plus ribavirin treatment, were classified according to their response to treatment into two groups (responders and nonresponders, 32 and 27 patients respectively). Blood and plasma samples were collected at the start of treatment and at 12 and 24 weeks during treatment. Immunophenotyping by flow cytometry for Treg cells, the FOXP-3 expression using real-time PCR and measurement of IL-10, TGF-β CXCL-9 and CXCL-10 were performed. Increased expression of Treg cells was detected in patients who didn't respond to treatment before and during treatment. Also, the levels of IL- 10, TGF-β, CXCL-9 and CXCL-10 revealed significant increase in non-responders all through compared to responders group. Evaluation of Treg cells, cytokines (IL-10 & TGF-β) and chemokines (CXCL-9 & CXCL-10) before starting the treatment could be a predictor of response to treatment with PEG-IFN plus ribavirin. The optimum levels which would differentiate between responders and non-responders are needed to be defined before- hand.}, keywords = {T Regulatory cells,Chronic HCV,Pegylated Interferon,Ribavirin,Chemokines- Cytokines}, url = {https://jesp.journals.ekb.eg/article_89917.html}, eprint = {https://jesp.journals.ekb.eg/article_89917_0f152c48a46bff2e58e1d4f0adf73e14.pdf} } @article { author = {ZOHEIRY, MONA and EL-AHWANY, EMAN}, title = {ROLE OF EPITHELIAL MESENCHYMALTRANSITION IN HEPATIC FIBROGENESIS}, journal = {Journal of the Egyptian Society of Parasitology}, volume = {45}, number = {2}, pages = {357-365}, year = {2015}, publisher = {The Egyptian Society of Parasitology}, issn = {1110-0583}, eissn = {2090-2549}, doi = {10.21608/jesp.2015.89919}, abstract = {Liver fibrosis is a gradual process of increased secretion and decreased degradation of extracellular materials. Two cell types are now well recognized as being involved in liver fibrosis, i.e. hepatic stellate cells (HSCs) and portal mesenchymal cells. This process is initiated by the damage of hepatic cells, which leads to activation of hepatic stellate cells that differentiate into myofibroblasts leading to the formation of liver fibrosis. On the other hand, the epithelialmesenchymal transition and mesenchymal-epithelial transition are crucial for the regulation of cellular plasticity during liver fibrosis. The EMT is a process in which molecular reprogramming leads epithelial cells to adopt a mesenchymal phenotype. During EMT, epithelial cells gain mesenchymal features which include changes in the expression of epithelial markers. The EMT process plays fundamental roles during embryogenesis, tissue fibrosis, and carcinogenesis. As multiple experimental studies of liver fibrosis have confirmed that established liver fibrosis is reversible upon cessation of the causative agent, modulation of the EMT markers could be promising as potential therapeutic agents. Better understanding of the molecular cascades of intracellular fibrogenic signaling and genetic factors that controlling the expression of EMT markers would be a powerful strategy for early diagnosis and treatment liver fibrosis at the genetic level. Activating or silencing of the responsible genes may be an efficient and more specific approach for treating liver fibrosis either through the arrest of EMT or the induction of MET.}, keywords = {Liver fibrosis,epithelial-mesenchymal transition,TGF-β,Extracellular matrix,miRNA}, url = {https://jesp.journals.ekb.eg/article_89919.html}, eprint = {https://jesp.journals.ekb.eg/article_89919_1b0a58bb18e535d6bee0189ecb3efe1a.pdf} } @article { author = {AHMED, MONA and ALAM-ELDIN, YOSRA and ELTAWEEL, NAGWA and ELMORSY, SOHA}, title = {INTESTINAL PARASITES DETECTED DURING PRE-EMPLOYMENT STOOL EXAMINATION AT TERTIARY HEALTH CARE CENTER IN MAKKAH, KINGDOM OF SAUDI ARABIA}, journal = {Journal of the Egyptian Society of Parasitology}, volume = {45}, number = {2}, pages = {367-373}, year = {2015}, publisher = {The Egyptian Society of Parasitology}, issn = {1110-0583}, eissn = {2090-2549}, doi = {10.21608/jesp.2015.89921}, abstract = {This retrospective study determined the intestinal parasites discovered in 2490 new employees in a tertiary health care center in Makah as regards nationalities, age groups and sex over the period from January 2010 to January 2014 to decrease introduction of communicable diseases. All the data were provided through the electronic hospital information system. The overall positive cases were 16%, significantly higher in females 57.4% than males 42.6%. Differences in distribution of positive records among different geographical areas were highly significant being highest in East Asia 59.8 %. Blastocystis hominis was the most common parasite. It occurred in 78.9% of positive cases followed by Entamoeba coli 9.3%, Giardia lamblia 5.8% and Entamoeba histolytica/dispar 5.3%. These findings should motivate any other country importing expatriate employees to have effective screening programs for intestinal parasites.}, keywords = {Intestinal parasites,Saudi Arabia,Immigrant employees,pre-employment examination}, url = {https://jesp.journals.ekb.eg/article_89921.html}, eprint = {https://jesp.journals.ekb.eg/article_89921_0b34ead3ee8c990a3e5e726cf2b70712.pdf} } @article { author = {AMMAR, KHALAF}, title = {ULTRASTRUCURAL STUDY OF BEE LOUSE VARROA DESTRUCTOR ANDERSON &TRUEMAN 2000 (ACARI: VARROIDAE) WITH RESISTANCE MODELS FROM APIS MELLIFERA L}, journal = {Journal of the Egyptian Society of Parasitology}, volume = {45}, number = {2}, pages = {375-384}, year = {2015}, publisher = {The Egyptian Society of Parasitology}, issn = {1110-0583}, eissn = {2090-2549}, doi = {10.21608/jesp.2015.89923}, abstract = {The ectoparasitic mite Varroa destructor is the most dangerous pest of honeybee Egyptian race Apis mellifera L., as it causes many losses in apiculture worldwide. Adult female mites are flattened with a dome-shaped dorsal shield. The present SEM study revealed that the flat ventral surface is composed of series of plates. There are 5 rows of small, chemoreceptor papillae posterior to the genito-ventro anal shield, and a unique respiratory structure (peritreme) is located laterally above Coxa III. Peritreme is a chitinized elongated area surrounding stigma opening, provided by a lid that looks like a rose with a curly thick inner membrane which has numerous teeth-like projections. Mite’ legs appeared to be modified for parasitism and each is tipped by one distal empodium. The pretarsus of the first pair of legs becomes a concave sucker and the pretarsus of the 3 pairs of the posterior legs consists of membranous amblacral pad (the caruncle). The mouthparts appeared well modified for its diet on bee hemolymph with its’ powerful pedipalp for host attachment. High magnification revealed different types of setae distributed on the body, the mechano-receptor pedipalp short and long anal setae and dorsal shield sensory simple setae.}, keywords = {Apis mellifera,honeybee Egyptian race,pest-mites,Varroa destructor,SEM}, url = {https://jesp.journals.ekb.eg/article_89923.html}, eprint = {https://jesp.journals.ekb.eg/article_89923_89abd7e8623aea0db4ee35ac49cab8ee.pdf} } @article { author = {N. MINA, SAMIR and ANTONIOS, SANAA}, title = {LYMPHOEPITHELIOMA- LIKE CARCINOMA OF THE URINARY BLADDER ASSOCIATED WITH SCHISTOSOMIASIS: A CASE REPORT AND REVIEW OF LITERATURE}, journal = {Journal of the Egyptian Society of Parasitology}, volume = {45}, number = {2}, pages = {385-388}, year = {2015}, publisher = {The Egyptian Society of Parasitology}, issn = {1110-0583}, eissn = {2090-2549}, doi = {10.21608/jesp.2015.89925}, abstract = {Lymphoepithelioma-like carcinoma is an undifferentiated carcinoma with histological features similar to undifferentiated, non-keratinizing carcinoma of the nasopharynx. Lymphoepithelioma- like carcinoma of the urinary bladder is uncommon with a reported incidence of 0.4% -1.3% of all bladder cancers. This case describes an 80 years old Egyptian male patient presented with recurrent hematuria and necroturia. Cystoscopy revealed a tumor involving theleft lateral and the posterior wall of the urinary bladder. The patient underwent transurethral resection of the bladder tumor. Pathological examination showed muscle invasive lymphoepithelioma-like carcinoma associated with schistosomiasis of the urinary bladder. To the best of our knowledge the association of schistosomiasis with lymphoepithelioma–like bladder cancer was not described in the literature before this case report}, keywords = {Egypt,Schistosomiasis,lymphoepithelioma-like,Urinary Bladder Carcinoma}, url = {https://jesp.journals.ekb.eg/article_89925.html}, eprint = {https://jesp.journals.ekb.eg/article_89925_132ce832759a5cd4e67d816d233a988d.pdf} } @article { author = {OMRAN, EMAN and MOHAMMAD, ASMAA}, title = {INTESTINALPARASITES IN PATIENTS WITH CHRONIC ABDOMINAL PAIN}, journal = {Journal of the Egyptian Society of Parasitology}, volume = {45}, number = {2}, pages = {389-396}, year = {2015}, publisher = {The Egyptian Society of Parasitology}, issn = {1110-0583}, eissn = {2090-2549}, doi = {10.21608/jesp.2015.89928}, abstract = {Information about intestinal parasites in Sohag (Upper Egypt) in patients with chronic abdominal pain is scarce. This study determined the intestinal parasites symptoms in 130 patients with chronic abdominal pain and cross-matched 20 healthy persons. Parasitic infection was confirmed by stool analysis.The most commonest clinical data with stool analysis was as following: 1- Entamoeba histolytica associated with nausea 20 (37.74%) followed by anorexia 19 (35.85%), 2- Entamoeba coli associated with diarrhea 3 (100%) followed by nausea 2 (66.67%) and vomiting 2 (66.67%), 3- Enetrobius vermicularis associated with nausea 2 (66.67%), diarrhea 2 (66.67%) followed by flatulence 1(33.33%), 4- Giardia lamblia associated with anorexia 3 (42.86%), vomiting 3 (42.86%) followed by diarrhea 2 (28.57%)., 6- Hymenolepis nana associated with anorexia 10 (40.00%) followed by flatulence 9 (36.00%), 7- Taenia saginata associated with dyspepsia 3 (60.00%) followed by flatulence 2 (40.00%), and 8- Ancylostoma duodenal associated with anorexia 2 (66.67%) and diarrhea 2 (66.67%).}, keywords = {Upper Egypt,Chronic abdominal pain,parasitic infections}, url = {https://jesp.journals.ekb.eg/article_89928.html}, eprint = {https://jesp.journals.ekb.eg/article_89928_f8c9ec8318eeb69997388474e73344bf.pdf} } @article { author = {ABD ELLAH, OSAMA and ZAYTOUN, SAMEH and AHMED, AHMED and HUSSEIN, ABDEL-NASSER and AHMED, AMAL}, title = {SCHISTOSOMIASIS IN NAG HAMMADY CITY, RELATIONSHIP BETWEEN INFECTION AND ANEMIA AMONG CHILDREN AND YOUTH, QENA GOVERNORATE, EGYPT}, journal = {Journal of the Egyptian Society of Parasitology}, volume = {45}, number = {2}, pages = {397-402}, year = {2015}, publisher = {The Egyptian Society of Parasitology}, issn = {1110-0583}, eissn = {2090-2549}, doi = {10.21608/jesp.2015.89939}, abstract = {The highest prevalence of schistosomiasis is usually found in school-age children and youth, where it represents the main cause of iron deficiency anemia. Study was done on 859 patients; their age from 5-18 years old at Nag Hammady at the period from July 2013 to July 2014 all of them had subjective history of contact or swimming in water canals. Urine was examined for urinary schistosomiasis by concentration and positive cases were subjected to urine analysis by Nucleopore filtration technique, S. haematobium was 30.96%, while stool samples were macroscopically examined mainly for enterobiasis and gravid segments and then were microscopically examined as stained direct smear and by sedimentation and Kato-Katz techniques. The intestinal parasites other than intestinal schistosomiasis were not encountered and thepure S. mansoni was 0.69% of examined patients. The overall pure schistosomiasis was 31.66%. Iron deficiency anemia was 27.7% in non-infected cases and in schistosomiasis patients iron deficiency anemia were found in 43.38% with statistically significant (P value= 0.001).}, keywords = {Upper Egypt,Nag Hammady,Schistosoma haematobium Schistosoma mansoni,Anemia}, url = {https://jesp.journals.ekb.eg/article_89939.html}, eprint = {https://jesp.journals.ekb.eg/article_89939_919e3c4e239d4bd1a27ed47c2b569621.pdf} } @article { author = {ABDELRAHMAN, RAAFAT and MOHAMAD, HANAA and MORSY, AYMAN and MORSY, TOSSON}, title = {ALLERGIC REACTIONS CAUSED BY VENOM OF HYMENOPTEROUS STINGING INSECTS AND THE ROLE OF HEALTH CARE WORKERS}, journal = {Journal of the Egyptian Society of Parasitology}, volume = {45}, number = {2}, pages = {403-412}, year = {2015}, publisher = {The Egyptian Society of Parasitology}, issn = {1110-0583}, eissn = {2090-2549}, doi = {10.21608/jesp.2015.89945}, abstract = {The Hymenoptera are the third largest order of insects, comprising the sawflies, wasps, bees and ants. Worldwide, over 150,000 species are recognized, with many more remaining to be described. The name refers to the wings of the insects, but the original derivation is ambiguous. The Ancient Greek ὑμήν (hymen) for membrane provides a plausible etymology for the term because these insects have membranous wings. However, a key characteristic of this order is that the hind wings are connected to the fore wings by a series of hooks called hamuli. Thus, another plausible etymology involves, Hymen, the Ancient Greek god of marriage, as these insects have "married wings" in flight. Stinging insects and the medical risk associated with their venoms are complex topics, and presentation of information pertaining to them requires the use of technical terms. The most common reactions to these stings are transient pain and redness at the site lasting a few hours (local reaction), and exaggerated swelling lasting a few days (large local reaction). The most dangerous immediate reaction is anaphylaxis, which is potentially fatal.}, keywords = {Hymenoptera insects,Sting venom,Clinical pictures,Management,Infection control}, url = {https://jesp.journals.ekb.eg/article_89945.html}, eprint = {https://jesp.journals.ekb.eg/article_89945_03307f3fa7f6e7656f75a1f50cc7d536.pdf} } @article { author = {AL GHWASS, MOHAMED and EL DASH, HANAA and AMIN, SAYED and HUSSIN, SHIMAA}, title = {INTESTINAL PARASITIC INFECTIONS AND ATOPIC DISEASES IN CHILDREN: A HOSPITAL BASED STUDY}, journal = {Journal of the Egyptian Society of Parasitology}, volume = {45}, number = {2}, pages = {413-419}, year = {2015}, publisher = {The Egyptian Society of Parasitology}, issn = {1110-0583}, eissn = {2090-2549}, doi = {10.21608/jesp.2015.89948}, abstract = {Different helminth parasites may have different effects on allergy depending on the timing of the exposure. A meta-analysis of many of studies reported the association between the presence of geohelminth eggs in stool samples and asthma provided some evidence for parasite-specific effects. This study evaluated the occurrence of allergy among different intestinal parasitic infected patients. A cross sectional study was carried out from June, 2013 to October, 2013 in the Pediatric Outpatient Clinic of Al-Fayoum University Hospitals among 55 children aged 2 years to 13 years. The data were collected using ISSAC questionnaire of allergy (International Study of Asthma and Allergies in Childhood) also laboratory analysis of complete blood picture, stool analysis and measurement of total serum IgE were performed for the patients. Among the patients 27 suffered from allergy and 28 had no allergic complain. Stool examinations showed Entrobius vermicularis (15), Trichostrongylus species (9), Hymenolepis nana (8), Entameba histolytica (8), Giardia lamblia (6), and mixed infections (9). The allergic group by parasitological examination 7 children (25.9%) had Entrobius vermicularis; 6 children (22.2%) Entameba histolytica; and 2 children (7.4 %) Giardia lamblia, with eosinophilic count was higher in the enterobiasis infected children than in protozoa infected ones. There were significantly high IgE levels in mixed parasitic infection (P= 0.006) and with Entrobius vermicularis infections (P=0.04). Also statistically significant difference between allergic groups by ISAAC score and the non allergic group regarding Ig E levels (P= 0.03). There wasno significant difference between numbers of children with allergy and those without allergy among different parasitic infections. However, a marked significant association between the allergy and parasitic infected children was not declaimed.}, keywords = {Al-Fayoum,children,allergy,parasitosis}, url = {https://jesp.journals.ekb.eg/article_89948.html}, eprint = {https://jesp.journals.ekb.eg/article_89948_5ba43700d4e3824b3617140153c2ebfe.pdf} } @article { author = {El Ray, Ahmed and Azab, Mohamed and Abd El-Aleem, Ahmed and El-Talkawy, Mohamed and Abd El-Badea, Mohamed and El Ansary, Mahmoud and Saleem, Abdelaziz and Diab, Tarek}, title = {NON-INVASIVE PREDICTORS FOR THE PRESENCE, GRADE AND RISK OF BLEEDING FROM ESOPHAGEAL VARICES IN PATIENTS WITH POST-HEPATITIC CIRRHOSIS}, journal = {Journal of the Egyptian Society of Parasitology}, volume = {45}, number = {2}, pages = {421-428}, year = {2015}, publisher = {The Egyptian Society of Parasitology}, issn = {1110-0583}, eissn = {2090-2549}, doi = {10.21608/jesp.2015.89956}, abstract = {Variceal bleeding is the last step of a chain of events initiatedby an increase in portal pressure, followed by the development and progressive dilation ofvarices until these finally rupture and bleed. The ideal method to diagnose portal hypertension should be accurate, noninvasive, objective, and reproducible. The study evaluated the predictive value of two non-invasive parameters for the diagnosis of esophageal varices (EV): 1- Right liver lobe diameter/serum albumin ratios (RLLD /S. albumin), and 2- Platelet count/splenic bipolar diameter ratios (Platelets count/SBPD). This study included eighty Egyptian patients with post-hepatitic cirrhosis (45males and 35 females). They underwent laboratory ultrasono-graphic and endoscopic examinations within one week. RLLD/S. albumin and Platelets count/SBPD ratios were calculated. The results showed that EV were not detected by upper digestive endoscopy in 25%, while grade I of EV wasfound in 17.5%, grade Ⅱ in 17.5%, grade Ⅲ in 20%, & grade Ⅳ in 20%. RLLD/S. albumin concentration ratio diagnosed the varices at cut off value of 3.43 with 95% sensitivity and 80% specificity. Also, it was positively correlated with grading of E.V, when this ratio increased the grading of E.V increases and vice versa. Besides, it predicted bleeding from E.V. at cut off value of 5.096 with 63% sensitivity and 73% specificity. Platelet count/ SBPD ratio predicted the presence of varices at cut off value 1847 with 95% sensitivity and 93% specificity, and negatively correlated with grading of EV, when this ratio decreased grading of E.V increase and vice versa. It also predicted bleeding from E.V. at cut off value of 4809 with 50% sensitivity and 93% specificity.}, keywords = {Right liver lobe diameter,Esophageal varices,platelet count,splenic bipolardiameter}, url = {https://jesp.journals.ekb.eg/article_89956.html}, eprint = {https://jesp.journals.ekb.eg/article_89956_740d31a4e2b4e8db810cb7d042447d3c.pdf} } @article { author = {KAMAL, AHMED and WISHAHI, MOHAMED and NOUR, HANY and ELGANZOURY, HOSSAM and ELKHOULY, AMR and SALAH, AHMED and KAMEL, AHMED and ELBAZ, AHMED and ROUSHDY, MAMDOUH}, title = {AMBULANT FLEXIBLE CYSTOSCOPY FOR FOLLOW-UP OF Ta-T1 UROTHELIAL CARCINOMA OF THE URINARY BLADDER: PAIN PERCEPTION AND COST EFFECTIVE}, journal = {Journal of the Egyptian Society of Parasitology}, volume = {45}, number = {2}, pages = {429-433}, year = {2015}, publisher = {The Egyptian Society of Parasitology}, issn = {1110-0583}, eissn = {2090-2549}, doi = {10.21608/jesp.2015.89959}, abstract = {Ambulant flexible cystoscopy is the standard procedure in the urological practice for follow-up of Ta-T1 urothelial carcinoma (UC) due to its ability to survey the bladder for a variety of indications. It is the principal means of diagnosis and surveillance of bladder tumors. The follow-up of patients treated for Ta-T1 UC is of great importance because of the high incidence of recurrence and progression of the disease, whereby patients with Ta-T1 UC undergo cystoscopy every three months .The aim of this study to evaluate the procedure of ambulant flexible cystoscopy in proper diagnostic follow-up of Ta-T1 UC, patient´s acceptance in regard to pain tolerance, non-hospital stay and expenses. Twenty one patients (18 male and 3 female) were diagnosed before as Ta-T1 UC by rigid cystoscopy and transuretheral resection of bladder (TURB) lesion scheduled for follow up by flexible cystoscopy under local anesthesia using 20 ml 2% lidocain gel on an ambulatory bases. Comparison was done using a cohort of 32 patients who underwent the procedure of follow-up of Ta-T1 cystoscopy and TURB using rigid cystoscopy and resectoscope. Seventeen patients 80.9% (16 male and 2 female) proved to be bladder free from recurrent lesion, 4 patients {19.1%} (3males and one female) which revealed recurrent lesions in spite of that the urinary bladder was free in pelvic ultrasonography. Cold cup biopsy from the lesions sent for histopathological examination which revealed recurrence of the tumor in 3 patients (two patients with Ta and one patient T1. TURB was done to have complete resection in 4 patients, the histopathological examination revealed ulcerating mucosa and free lamina propria in 3 specimens, and T2 in the fourth specimen. Comparison between the 2 groups revealed more patient′s acceptance for the flexible cystoscopy group as regard pain tolerance, nonhospital stay and expenses. Ambulatory flexible cystoscopy with 20 ml of 2% lidocaine gel anesthesia is tolerated well by patients, with advantage of no hospital stay in the regular follow up of Ta-T1 tumors, pain perception was accepted by all patient provided delayed cystoscopy after lidocaine-gel instillation.}, keywords = {Flexible cystoscopy,Urothelial carcinoma,Urinary tract pathologies,pain perception}, url = {https://jesp.journals.ekb.eg/article_89959.html}, eprint = {https://jesp.journals.ekb.eg/article_89959_e6d7856b8ca9701ba3a306719284a895.pdf} } @article { author = {ALBOGAMI, BANDAR and KELANY, ABDUL and ABU-ZINADAH, OSAMA}, title = {PREVALENCE OF DICROCOELIUM DENDRITICUM INFECTION IN SHEEP AT TAIF PROVINCE, WEST SAUDI ARABIA}, journal = {Journal of the Egyptian Society of Parasitology}, volume = {45}, number = {2}, pages = {435-442}, year = {2015}, publisher = {The Egyptian Society of Parasitology}, issn = {1110-0583}, eissn = {2090-2549}, doi = {10.21608/jesp.2015.89961}, abstract = {Dicrocoelium dendriticum is a common zoonotic parasite of sheep in many Regions of Saudi Arabia. In chronic infections, this parasite causes biliary cirrhosis in livers of cattle, sheep, or goats and leads to economic losses. This study compared the prevalence of Dicrocoelium dendriticum in local sheep and imported sheep in Taif Province, West Saudi Arabia.This cross-sectional survey was carried out in slaughterhouses in Taif Province. A total 2230 local sheep and 21383 imported sheep were studied. The number of injury in imported sheep was observed as 99 representing 0.46% of the number of animals examined, while no record of any injury was observed in local sheep.}, keywords = {Saudi Arabia,Dicrocoelium dendriticum,local sheep,imported sheep,liver infection}, url = {https://jesp.journals.ekb.eg/article_89961.html}, eprint = {https://jesp.journals.ekb.eg/article_89961_652991a00bf1a483ae63acd6af11999c.pdf} } @article { author = {ELNADI, NADA and HASSANIEN, HASSAN and AHMAD, AMAL and ABD ELLAH, ASMAA}, title = {INTESTINAL PARASITES IN DIABETIC PATIENTS IN SOHAG UNIVERSITY HOSPITALS, EGYPT}, journal = {Journal of the Egyptian Society of Parasitology}, volume = {45}, number = {2}, pages = {443-449}, year = {2015}, publisher = {The Egyptian Society of Parasitology}, issn = {1110-0583}, eissn = {2090-2549}, doi = {10.21608/jesp.2015.89964}, abstract = {Intestinal parasites usually create benign diseases, though they may induce complications with high morbidity and mortality to the immunocompromised, including diabetic patients. The study detected the prevalence of intestinal parasitic infections in diabetic patients, comparing to non-diabetic controls and other parameters. A total of 100 fecal samples were collected from diabetic patients at the outpatient clinic of Sohag University Hospitals and another 100 from cross matched controls. The samples were examined macroscopically and microscopically by direct smear and different concentration methods then stained by Modified Ziehl-Neelsen Acid fast stain. Glycated hemoglobin (Hb A1c) was measured to detect DM controlled patients. The data were organized, tabulated, and statistically analyzed. Intestinal parasites were found in 25 (25%) cases out of 100 patients in diabetic group and 7(7%) cases out of 100 controls with high significance (P<0.001)). In the diabetic group, Giardia lamblia was detected in 22 cases (22%) and 5 (5%) among controls, Entamoeba histolytica in 7 cases (7%) and 3 (3%) among controls, Hymenolypis nana in 5 cases (5%) and 3 (3%) among controls, Entamoeba coli in 8 patients (8%), Entamoeba hartmanni in 3 cases (3%), Dientamoeba fragilis in a case (1%), Cryptosporidium parvum in 5 cases (5%) and microsporidia in 3 cases (3%). But, E. coli, E. hartmanni, D. fragilis and C. parvum nor microsporidia were detected in controls. The rate of G.lamblia in DM patients compared to controls was high significant (P<0.001). Hymenolepis nana was 5% (5 cases) in diabetic patients compared to 3% (3 cases) in controls. Residence and sex differences were not significant, while age, >10 years showed the highest prevalence (P< 0.003), type I infection rate was significantly higher than type II (P<0.001). DM control was also significantly affected the infection rates (P<0.007 in type I and P< 0.01 in type II).}, keywords = {Egypt,Diabetes mellitus,DM type I,Type II,DM control,Intestinal parasites}, url = {https://jesp.journals.ekb.eg/article_89964.html}, eprint = {https://jesp.journals.ekb.eg/article_89964_39afcf68f7e92038f6f97705fe3345a1.pdf} } @article { author = {SELEEM, MOHMED and ABDELRAOUF, AMR and GERGES, SHAWKAT and TAHA, SHERIF and ELSHAFEY, HOSSAM and ELKHOULY, ASHRAF}, title = {LAPAROSCOPIC ASSISTED PER-CUTANEOUS RADIO-FREQUENCY ABLATION (LAPRFA) AS A NEW MODALITY FOR TREATMENT OF HCC IN CIRRHOTIC LIVER}, journal = {Journal of the Egyptian Society of Parasitology}, volume = {45}, number = {2}, pages = {451-456}, year = {2015}, publisher = {The Egyptian Society of Parasitology}, issn = {1110-0583}, eissn = {2090-2549}, doi = {10.21608/jesp.2015.89968}, abstract = {Laparoscopic assisted percutaneous radiofrequency ablation (LAPRFA) for hepatocellular carcinoma (HCC) under guidance of intra-operative laparoscopic ultrasound (IOLUS) is a new modality for obtaining additional assessment of the liver situation, better tumor staging and effective treatment for the hepatic focal lesion (HFL), in patients with a difficult percutaneous approach. Between September 2010 and July 2014, 1150 patients with HCC on top of liver cirrhosis were referred to HCC clinic (MDT clinic) at National Hepatology and Tropical Medicine Research Institute (NHTMRI). Fourty nine patients were submitted to LAPRFA under IOLUS guidanceby the Multidiscipplinary team decision. Operation time, hospital stay, post procedure complications were recorded. A routine spiral CT scan one month postoperative and laporatory investigations with AFP were mandatory during follow up. The results showed that LAPRFA was completed in all patients. The IOLUS examination identified new HFL in three patients. A total of 52 lesions were treated. The mean operativetime was 92 minutes; eight procedures were associated in six patients: cholecystectomy (6) and adhesiolysis (2). A complete tumor ablation was observed in all patients during the procedure by the U/S assessment intra-operatively, and was documented via spiral computed tomography (CT scan) one month after treatment.}, keywords = {Cirrhotic liver,Laparoscopic Assisted Per-Cutaneous Radio-Frequency Ablation}, url = {https://jesp.journals.ekb.eg/article_89968.html}, eprint = {https://jesp.journals.ekb.eg/article_89968_a7a164e39d2d8404ce8cf363fc011234.pdf} }