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Biomedical subjects

A Hamdi

Publications and source records attributed to A Hamdi.

47 records · Page 3Linked to original sources

[Hydatid cyst of the brain. Apropos of a series of 14 cases].

The authors report a series of 14 cases of cerebral hydatid cysts. This is a rare site (1.5% of all sites) which usually presents in the form of intracranial hypertension, sometimes associated with localizing signs, the diagnosis is no longer a problem since the development of computed tomography. Treatment is exclusively surgical and the prognosis depends on the degree of preoperative neurological impairment. Twenty-eight per cent of cases had postoperative neurological sequelae which stresses the importance of early diagnosis and treatment.

Adolescent↗

Distribution of surgical hydatidosis in central Tunisia (1982-1985).

The mean annual surgical incidence rates (MASIR) of hydatidosis were measured for the 1982-1985 period in central Tunisia in order to investigate the natural history of human hydatidosis and provide baseline data for the evaluation of future prevention campaigns. 986 cases were identified from surgical records of regional hospitals to which cases from central Tunisia are mandatorily referred. The overall MASIR was 19.3 per 10(5) inhabitants. The MASIR according to district varied from 0 to 56.6 per 10(5), was higher in women than in men (22.6 versus 15.8 per 10(5] and increased with age (maximum 53.0 per 10(5) in the 50-59 age group for women and 27.1 per 10(5) in the 40-49 group for men). Among the 940 cases with single organ hydatidosis, liver ranged first (55.3%, 545/940), then lung (32.4% 320/940), kidney (2.7%) and spleen (1.8%). Among the 865 subjects with single lung or liver hydatidosis, liver was more often involved in women (349 out of 503) than in men (196 out of 362) (chi 2 = 20.9, p less than 0.001). In both sexes, the lung/liver ratio decreased with age. These data reveal the existence of highly endemic foci of hydatidosis within central Tunisia. The predominance of infection in women might be due to sex related behavioral differences. The causes of liver predominance in women and variation of lung/liver ratio are open to question.

Age Factors↗

Serological screening for hydatidosis in households of surgical cases in central Tunisia.

Household members of surgical cases of hydatidosis were screened for the disease in two high-risk districts in Central Tunisia. Seventy-four index cases were identified from the 1980-1984 surgical records of Sousse University Hospital. Household members over five years of age were tested by ELISA, and if positive by counterelectrophoresis (CEP) for detection of band 5. Positive subjects underwent a chest X-ray and echotomography (ECT). Eight of the 355 household members (2.2%) living in four different houses were serologically positive. All eight had a normal chest X-ray; a hepatic cyst was detected in seven of them. Five of the seven subjects in whom a cyst was diagnosed lived in two neighbouring houses (19 household members from the same family). Among these 19 subjects, six had been previously operated on for hydatidosis (cumulative rate: 11/19). The comparisons of these results with results obtained through community-based screening in the same area suggest that households members of patients are not at particularly high risk of hydatidosis.

Adolescent↗

[Epidemiology of hydatidosis in Tunisian children and adolescents].

Analysis of the operative reports of hospitals in the central area of Tunisia allowed to define the epidemiology of echinococcosis in children and adolescents. Four hundred forty-three patients under 20 years of age were operated on between 1980 and 1985. In children less than 10 years of age, boys are more often concerned than girls, whereas prevalence in girls occurs after 10 years of age. Liver involvement is more frequent in girls, whatever their ages. Prevention programs should consider the high frequency in young children.

Adolescent↗

[Surgical incidence of hydatidosis in the Sahel and Central Tunisia].

A retrospective hospital survey of patients having undergone surgery for hydatidosis was undertaken in order to evaluate hydatic endemicity in central Tunisia and the Sahel. The study made it possible to establish the following: an average prevalence of 22.8 cases per 100,000 inhabitants; a significant underregistration of the illness, only 51.5% of the cases being reported; certain high-risk rural areas are characterized by a prevalence exceeding 40 per 100,000 inhabitants; the disease is more frequent among women; surgical hydatidosis is not rare among the very young and the very old; among adults, the liver is the first organ affected, followed by the lungs; among children, it is the opposite. Hydatidosis thus represents a commonly-occurring disease that is frequently underestimated in official statistics. A preventive program must be conceived to control this scourge.

Adolescent↗

Bidirectional changes in striatal D2-dopamine receptor density during chronic ethanol intake.

Results of previous studies on the effects of ethanol consumption for a single fixed period on the properties of D2 dopamine receptors appear contradictory and inconclusive. In this study, we have examined the time course of the effects of dietary ethanol on the properties of striatal D2 dopamine receptor. Ethanol intake led to a significant decrease in the maximum number (Bmax) after 1 (35% of control) and 2 weeks (48% of control), but not after 3 (93% of control) or 4 weeks (97% of control) of treatment. However, there was a significant increase in Bmax after 6 (118% of control) and 10 weeks (123% of control) of ethanol consumption. The affinity (Kd) of the receptor, however, remained unaltered in all cases. In conclusion, these data show that the duration of ethanol exposure may be an important determinant regulating D2-dopamine receptor density.

Animals↗