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  • 1
    Electronic Resource
    Electronic Resource
    Copenhagen : Munksgaard International Publishers
    Allergy 55 (2000), S. 0 
    ISSN: 1398-9995
    Source: Blackwell Publishing Journal Backfiles 1879-2005
    Topics: Medicine
    Notes: Background: Bronchial asthma is common in Kuwait, a desert country, but the sensitizing allergens are uncertain. This study investigated the sensitizing allergens in Kuwaiti patients with extrinsic asthma. Methods: A total of 553 asthmatics (male:female ratio: 1.4; mean age: 31.7 years [range 3–76 years]) and 112 matched controls were studied. Sera from all patients/subjects were tested by the CAP-RAST method for specific IgE to 14 locally relevant inhalant allergens. Results: Specific IgE to at least one allergen was detected in 87.2% of the patients compared with 24.1% in controls. Among the confirmed extrinsic asthmatics, the sensitization rates for the allergen groups were as follows: pollens (87.1%), house dust (76.1%), and molds (30.3%). The three most prevalent sensitizing pollens were from Chenopodium (70.7%), Bermuda grass (62.9%), and Prosopis (62.7%), all of which are horticultural plants imported for the purpose of “greening” the desert. For all allergens, except the molds, the prevalence rate was higher in males than females, but age had only a weak effect. Severe asthma occurred significantly more frequently among mold-sensitized patients. Conclusions: These results show that even in a desert environment, pollens and house dust allergens may be important sensitizing allergens. They also illustrate how practices that “green” the desert can affect public health.
    Type of Medium: Electronic Resource
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  • 2
    ISSN: 1432-2277
    Keywords: Key words Cytomegalovirus infection ; Kidney transplantation ; Long-term outcome ; Organ allocation ; Single centre experience
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract To analyse the contribution of cytomegalovirus (CMV) serology to long-term graft survival in cadaveric kidney transplantation, 404 transplants from a single centre were divided into four subgroups with respect to the combination of donor and recipient CMV antibody status. Graft survival was estimated according to Kaplan-Meier for 1, 3, 5 and 7 years post-transplantation. The single-centre results confirm a negative impact of CMV-positive donor organs for initial graft survival in CMV-negative recipients within the first 3 years after transplantation. However, when 5- and 7-year long-term graft survival was studied, Donor +/Recipient − pairs showed a favourable long-term result, whilst D +/R − pairs had surprisingly a poorer outcome. Therefore, the concept of avoiding transplantation in the D +/R + CMV serology group should be ignored whereas attempts could be made to improve the poor long-term outcome of D +/R + pairs or to reduce its size by organ allocation.
    Type of Medium: Electronic Resource
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  • 3
    Electronic Resource
    Electronic Resource
    Springer
    European radiology 10 (2000), S. 1085-1094 
    ISSN: 1432-1084
    Keywords: Key words: Crohn's disease – Paediatrics – Investigation – Complications
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract. Paediatric Crohn's disease can be a serious and complex condition which is not always easy to diagnose if it presents in an atypical manner. Although the pathological processes are the same in adults and children, the clinical presentation and disease distribution can be different in children. The impact of the disease can also be much more significant in a growing and developing child than in an adult. Numerous investigations are available to establish the diagnosis, define the complications and to demonstrate the extra-intestinal manifestations. Close co-operation is required between the clinician and radiologist when investigating a child suspected of having Crohn's disease or its symptoms to minimise the radiation dose and the psychological and physical trauma. We review the clinical and radiological aspects of Crohn's disease and discuss the imaging modalities available in diagnosing Crohn's disease and its complications and suggest an investigation pathway as used in our institution.
    Type of Medium: Electronic Resource
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  • 4
    ISSN: 1435-5604
    Keywords: Key words Osteogenesis imperfecta ; Mineral ; Composition ; FTIR ; 31P-NMR
    Source: Springer Online Journal Archives 1860-2000
    Topics: Medicine
    Notes: Abstract Fourier transform infrared spectroscopy and 31P solid-state nuclear magnetic resonance spectroscopy were used to determine if any structural or compositional differences in osteogenesis imperfecta (OI) bone mineral could be detected that might help to explain the bone fragility observed in this disease. A previous study by Cassella et al. used an electron probe X-ray microanalytical technique to compare the calcium to phosphorus (Ca/P) molar ratios in normal bone and bone from patients with OI. It was demonstrated that bone from OI patients had a lower Ca/P molar ratio. This study demonstrated that OI bone mineral had a general hydroxyapatite structure and that isomorphous substitutions in the carbanoapatite lattice could account for the low Ca/P molar ratio.
    Type of Medium: Electronic Resource
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  • 5
    ISSN: 1432-1955
    Source: Springer Online Journal Archives 1860-2000
    Topics: Biology , Medicine
    Notes: Abstract Sequential development and histopathologic effects of Fasciolopsis buski larvae were examined in two species of pulmonate snail, Hippeutis umbilicalis and Segmentina trochoideus. Miracidial attachment and penetration began 5 min post-exposure (PE). On day 2 PE, the sporocysts rapidly increased in size and over days 3–7 PE, they transformed into mother rediae which migrated to the ovotestis on day 10 PE. In both species of snail, daughter rediae were initially observed on day 17 PE, the first cercariae emerged on day 21 PE, and from that day onward daughter rediae were the dominant larval form occupying the ovotestis. Histopathologic changes were confined exclusively to the ovotestis and included lytic lesions due to mechanical damage, and disappearance of all cellular elements. No inflammatory responses were observed in the ovotestis, and no degenerated larvae of any kind were observed in the snails. Infected snails did not produce egg masses and lived no longer than 35 days. The lack of differences in miracidial recognition and penetration, and in the temporal, sequential, and spatial development of F. buski larvae in H. umbilicalis and S. trochoideus indicate that both these snail species are equally susceptible to F. buski.
    Type of Medium: Electronic Resource
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