RESUMEN
OBJECTIVE: To assess the correlation between bacterial pathogens in the adenoid core and the middle meatus, in children with hypertrophied adenoids and chronic or recurrent sinusitis. DESIGN: The study was conducted at Alexandria University Hospitals. We included 103 children aged four to 12 years who were scheduled for adenoidectomy and who had clinical and/or radiological evidence of chronic or recurrent sinusitis. Adenoid core specimens and middle meatal swabs were obtained from every patient and were sent for bacteriological evaluation using standard qualitative and quantitative microbiological techniques. The results were statistically analysed. RESULTS: The bacterial species isolated most frequently from the adenoid core were coagulase-negative staphylococci (40.8 per cent), Staphylococcus aureus (22.3 per cent), Streptococcus pneumoniae (18.4 per cent), Haemophilus influenzae (16.5 per cent) and group A streptococci (15.5 per cent). The bacterial species isolated most frequently from the middle meatus were coagulase-negative staphylococci (41.7 per cent), S aureus (32 per cent), S pneumoniae (28.1 per cent), H influenzae (21.6 per cent) and group A streptococci (19.4 per cent). The adenoid core and middle meatal cultures were both positive for at least one bacterial species in 63 cases, and were both negative in 25 cases. In six cases, a positive adenoid core culture was associated with a negative middle meatal culture. In five cases, a negative adenoid core culture was associated with a positive middle meatal culture (for one or more pathogenic species). Thus, adenoid core culture had a positive predictive value of 91.5 in forecasting the middle meatal culture result, and a negative predictive value of 84.3. CONCLUSION: Apart from its effect on nasal airway patency, adenoidal tissue may function as a bacterial reservoir initiating and maintaining sinus infection in children. These study findings support a potential role for adenoidectomy in the treatment of chronic or recurrent paediatric sinusitis.
Asunto(s)
Tonsila Faríngea/microbiología , Cavidad Nasal/microbiología , Rinitis/microbiología , Sinusitis/microbiología , Adenoidectomía , Tonsila Faríngea/patología , Biopsia , Niño , Preescolar , Enfermedad Crónica , Cocos Grampositivos/aislamiento & purificación , Haemophilus influenzae/aislamiento & purificación , Humanos , Valor Predictivo de las Pruebas , RecurrenciaRESUMEN
AIMS: The protective effects of natural honey against acetic acid-induced colitis were investigated in rats. METHODS: Honey and glucose, fructose, sucrose, maltose mixture were administered, orally and rectally, daily for a period of 4 days. Induction of colitis was done on the third day using 3% acetic acid. Animals were killed on day 4 two hours after administration of the dose and colonic biopsies were taken for macroscopic scoring, histopathological and biochemical studies. RESULTS: Honey dose-dependently afforded protection against acetic acid-induced colonic damage. There was almost 100% protection with the highest dose (5 g/kg) used while glucose, fructose, sucrose, maltose mixture produced no significant protective effect. Also, honey prevented the depletion of the antioxidant enzymes reduced glutathione and catalase and restored the lipid peroxide malondialdehyde towards normal levels. CONCLUSIONS: Further studies are required to explore the active ingredients responsible for the antioxidant effect of honey and its therapeutic potential in humans.
Asunto(s)
Colitis/prevención & control , Miel , Ácido Acético , Administración Rectal , Animales , Colitis/inducido químicamente , Colitis/patología , Colitis Ulcerosa/prevención & control , Colon/patología , Masculino , Ratas , Ratas WistarRESUMEN
Carbamate insecticides are widely used in industry, agriculture and for public health purposes. Numerous incidents of acute carbamate poisoning have resulted from inhalation of sprays or contamination of crops or food. This work was conducted to study the effect of chronic exposure to methomyl on hormonal, histopathological and histochemical changes in rat testes. The treated group received methomyl orally (17 mg kg(-1)in saline) daily for 2 months, while the control group received saline. A significant decrease in the level of testosterone was observed in the intoxicated animals, while the levels of FSH, LH and prolactin were significantly increased. Histopathological studies of the intoxicated rat testes revealed variable degrees of degenerative changes in the seminiferous tubules up to total cellular destruction. As regards the histochemical results, it was found that both acid phosphatase and alpha esterase enzyme activity was significantly increased compared to the control group. On the other hand succinic dehydrogenase enzyme activity was significantly reduced. No significant change was observed in alkaline phosphatase enzyme activity. The hormonal changes and testicular damage continued for 30 days after withdrawal of the insecticide indicating a persistent effect. From the above-mentioned findings, it has been concluded that chronic exposure to methomyl insecticide has deleterious effects on rat testes. Therefore application of such insecticide should be limited to a designed program with special care in handling to limit or minimize its hazards.
Asunto(s)
Insecticidas/toxicidad , Metomil/toxicidad , Reproducción/efectos de los fármacos , Testículo/efectos de los fármacos , Fosfatasa Ácida/análisis , Fosfatasa Alcalina/análisis , Animales , Esterasas/análisis , Estudios de Evaluación como Asunto , Hormona Folículo Estimulante/metabolismo , Masculino , Microscopía Electrónica , Ratas , Ratas Wistar , Reproducción/fisiología , Succinato Deshidrogenasa/análisis , Testículo/enzimología , Testículo/metabolismo , Testículo/ultraestructura , Testosterona/metabolismoRESUMEN
This study examines the effect of intake of oral contraceptive steroid in S. mansoni infected mice as regards parasitological, biochemical, histopathological and ultrastructural changes. Three groups were studied group I: S. mansoni infected mice received contraceptive pills six weeks post-infection (p.i.), group II: S. mansoni infected control and group III: non-infected control. Administration of oral contraceptive pills to S. mansoni infected mice results in significant reduction in tissue egg count with a high percentage of dead eggs as observed in the oogram study. There was statistically significant increase in all parameters of the hepatic functions except the prothrombin activity which showed significant decrease. Histopathological examination revealed less cellular granulomas with marked fibrosis, foci of hyperplastic changes in the liver cells and accentuation of cellular degenerative changes. On the subcellular level, there were marked proliferation and dilatation of rER and SER, evident increase of ribosomes, alteration in mitochondrial cristae with intra luminal inclusions and increase glycogen content of hepatocytes.