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Biomedical subjects

A Jurjus

Publications and source records attributed to A Jurjus.

11 recordsLinked to original sources
PubMed2002

Heterosexual awareness and practices among Lebanese male conscripts.

To assess sexual behaviour and awareness about sexually transmitted infections (STIs) among young male adults in Lebanon, and to explore determinants associated with increasing levels of sexual risk, a cross-sectional survey of 730 conscripts was conducted. About 50% reported any lifetime heterosexual experience. Non-mutually exclusive sex predominated, and only half of the respondents reported consistent condom use during insertive vaginal sex. Higher sexual risk-taking was associated with urban residence, higher education, lower family crowding and younger age at first sexual experience. A national strategy with epidemiological and behavioural surveillance and educational programmes must be initiated before sexual risk-taking and incidence of STIs become a major public health issue.

Adult↗
PubMed1998

Surgical anatomy of the infratemporal fossa: the styloid diaphragm revisited.

INTRODUCTION: The infratemporal fossa (ITF) gives passage to most major cerebral vessels and cranial nerves. Dissection of the ITF is essential in many of the lateral cranial base approaches and in exposure of the high cervical internal carotid artery (ICA). We reviewed the surgical anatomy of this region. METHODS: Direct foraminal measurements were made in seven dry skulls (14 sides), and the relationship of these foramina to each other and various landmarks were determined. Ten ITF dissections were performed using a preauricular subtemporal-infratemporal approach. Preliminary dissections of the extracranial great vessels and structures larger than 1 cm were performed using standard macroscopic surgical techniques. Dissection of all structures less than 1 cm was conducted using microsurgical techniques and instruments, including the operating microscope. The anatomic relationships of the muscles, nerves, arteries, and veins were carefully recorded, with special emphasis regarding the relationship of these structures to the styloid diaphragm. The dissection was purely extradural. RESULTS: The styloid diaphragm was identified in all specimens. It divides the ITF into the prestyloid region and the retrostyloid region. The prestyloid region contains the parotid gland and associated structures, including the facial nerve and external carotid artery. The retrostyloid region contains major vascular structures (ICA, internal jugular vein) and the initial exocranial portion of the lower Cranial Nerves IX through XII. Landmarks were identified for the different cranial nerves. The bifurcation of the main trunk of the facial nerve was an average of 21 mm medial to the cartilaginous pointer and an average of 31 mm medial to the tragus of the ear. The glossopharyngeal nerve was found posterior and lateral to stylopharyngeus muscle in nine cases and medial in only one. The vagus nerve was consistently found in the angle formed posteriorly by the ICA and the internal jugular vein. The spinal accessory nerve crossed anterior to the internal jugular vein in five cases and posterior in another five cases. It could be located as it entered the medial surface of the sternocleidomastoid muscle 28 mm (mean) below the mastoid tip. The hypoglossal nerve was most consistently identified as it crossed under the sternocleidomastoid branch of the occipital artery 25 mm posterior to the angle of the mandible and 52 mm anterior and inferior to the mastoid tip. CONCLUSION: The styloid diaphragm divides the ITF into prestyloid and retrostyloid regions and covers the high cervical ICA. Using landmarks for the exocranial portion of the lower cranial nerves is useful it identifying them and avoiding injury during approaches to the high cervical ICA, the upper cervical spine, and the ITF.

Arteries↗
PubMed1995

The value of chest X ray in asymptomatic young adults with positive PPD test.

The value of chest radiograph in the management of asymptomatic tuberculin positive (> 10mm) individuals is controversial. We reviewed the results from two centers in Beirut: The Employment Health Program at Makassed General Hospital (MGH) in 1984 and the Visa Applicants Program at the American University of Beirut Medical Center (AUB-MC) 1990-1991. All subjects were free of symptoms and their physical examination was unrevealing. At MGH, out of 450 PPD tests, 46 (10.2%) were positive and chest-x-rayed. Forty-four (95.6%) were reported as normal, one had a chronic inflammation and one had metastasis. At AUB-MC, 67 PPD positive persons were x-rayed, of whom 65 (97%) were normal and the remainder two showed inactive granulomatous disease. No active tuberculosis case was detected. Isoniazid (INH) prophylaxis is recommended in the above selected group of subjects. We conclude that routine chest radiograph is of no significant value in the management of asymptomatic positive skin reactors, age group (16-35). A larger study is being undertaken for further delineating the usefulness, as well as the cost effectiveness of routine chest X ray being done on the above mentioned groups of individuals in our population.

Adult↗
PubMed1988

Prostacyclin-inhibition of lysine accumulation by the rat left ventricle.

1. Left ventricular slices of male Sprague-Dawley rats were incubated with a fixed concentration of 0.5 microCi/ml 3H-lysine and several concentrations of unlabelled lysine ranging from 0.2 to 5.0 mM in control and prostacyclin-treated experiments. The time of incubation ranged from 0.5 to 90 min. 2. Left ventricular slices were cut to have an optimal thickness of 0.47 +/- 0.09 mm. 3. Lysine was taken up against a concentration gradient. Saturation was reached at 0.5 mM and steady state accumulation of lysine was attained within 60 min. 4. Prostacyclin in concentrations ranging from 1.2 x 10(-8) to 4.8 x 10(-8) M inhibited lysine transport in left ventricular slices significantly (P less than 0.01).

Animals↗
PubMed1988

Prostacyclin-enhanced calcium sequestration by microsomes isolated from rat left ventricle.

The objective of these experiments was to investigate the direct effect of prostacyclin on calcium binding and uptake by microsomal vesicles isolated from rat left ventricle. The protein content of the preparation was found to be 2.73 +/- 0.18 mg microsomal protein/g of left ventricular wet weight. Steady-state calcium binding and uptake by microsomal vesicles was reached at 6 minutes in control animals and 20 sec in prostacyclin-treated experiments. Prostacyclin increased steady-state calcium binding and uptake from a control of 52.48 +/- 4.16 up to 109.31 +/- 3.06 nmol/mg protein (p less than 0.05) and from 238.07 +/- 12.37 up to 314.85 +/- 1.23 nmol/mg protein (p less than 0.05) respectively. Doubling the concentration of prostacyclin from initial dose of 1.2 x 10(-8) M did not alter calcium binding and uptake further.

Animals↗
PubMed1987

Ferritin synthesis by monocyte-derived macrophages in thalassemic patients with intrinsic iron overload.

Macrophage ferritin content was determined following culture of peripheral blood monocytes for a period of 8 d in 40% autologous plasma to render them mature macrophages. Ferritin content was measured prior to and following culture using the radioimmunoassay. The normal range of values was established in a group of 22 healthy volunteer blood donors. A significant increase in the ratio of macrophage/monocyte ferritin was observed in every donor studied (range 1.2 - 1.8, p less than 0.001). Also, a further significant increase was observed when these macrophages were additionally incubated for 6 h with heterologous antibody-coated sheep red blood cells (range 1.2 - 1.57, p less than 0.001). Finally, the same studies were performed on a group of thalassemic patients with and without intrinsic iron overload. Again there were significant increases in monocyte ferritin content following culture as well as ingestion of heterologous sheep red cells, with magnitudes similar to those obtained with normal donor monocytes. Therefore we could not demonstrate the presence of a cellular ferritin synthesis defect in macrophages of thalassemic patients with intrinsic iron overload to explain the uncontrolled absorption of dietary iron from their gut.

Cell Differentiation↗
PubMed1986

Unusual variation of the arterial pattern of the human upper limb.

The anomalous brachial artery, after giving off a profunda brachii artery with no collaterals, divides in its upper one-third into two equal-sized arteries, brachial arteries #1 and 2. These arteries lie next to each other in the normal path of the brachial artery. Brachial artery #1 is possibly a high-origin and persisting radial artery. It gives no collaterals in the arm. At the cubital fossa, it becomes subcutaneous and divides into two equal-sized radial and ulnar arteries. These arteries run completely superficial to flexor muscles of the forearm and are terminated by branches running above the thenar and hypothenar eminences, respectively. Brachial artery #2 is possibly a high-origin artery of the common interosseous. The course of this artery resembles the course of the brachial axial artery of the embryo. It supplies the anterior compartment of brachial muscles and continues as the common interosseous artery. This common interosseous artery in turn branches into the superior and inferior ulnar collaterals, and the anterior and posterior interossei. It does not regress, but has a major role in forming the deep palmar arterial arch in the hand. The clinical implications of such an anomaly are discussed.

Arm↗
PubMed1986

Monocyte ferritin in idiopathic haemochromatosis, thalassaemia and liver disease.

Monocyte ferritin (MF) content was measured in normal subjects and patients with a variety of disorders of iron storage. MF was above the normal range in 4 patients with idiopathic haemochromatosis (IHC). However, in 4 patients with transfusion siderosis (TS), secondary to aplastic anaemia, who had similar elevations in serum ferritin, MF was highly elevated. 10 patients with thalassaemia intermedia and thalassaemia major with no previous history of transfusions, but with elevated serum ferritin, also had significantly elevated MF. Disproportionately low MF in IHC could reflect defective ferritin metabolism in reticuloendothelial cells in this disorder. Finally, in 3 patients with acute rises in serum ferritin caused by acute hepatitis, MF was not increased. This suggests that MF is not directly affected by high circulating levels of serum ferritin raised acutely, but rather reflects iron storage status in conditions not associated with primary disorders of iron metabolism.

Acute Disease↗
PubMed1979

Placenta-bound immunoglobulins.

Low pH eluates were prepared from trophoblasts derived from 8 term human placentas. A qualitative analysis for immunoglobulins revealed the presence of IgG, IgA, and IgM in these eluates. IgC-rich fractions were obtained by DEAE-cellulose chromatography of ammonium sulfate-concentrated eluates. These fractions were able to neutralize, in vitro, the catalytic activity of reverse transcriptases (RT) from several retroviruses. RT from baboon endogenous virus (BEV) seemed to be more susceptible to the neutralizing activity of some eluates. This was in contrast to RT from feline leukemia virus (FeLV) which were neutralized by eluates of leukocytes from chronic myelogenous leukemia. In contrast to previous and present results with purified IgG from leukemic leukocytes, the purified IgG from placenta eluates was incapable of RT neutralization. However, such purified IgG fractions inhibited mixed lymphocyte reactions.

Female↗
PubMedDate not supplied

Frequency of the CCR5-delta 32 chemokine receptor gene mutation in the Lebanese population.

A direct correlation between HIV infection and mutation in the chemokine receptor (CCR5) gene has been established. However, such correlation has never been investigated in Lebanon. We report the frequency of the CCR5-delta 32 mutation in a random sample of 209 healthy, HIV-1 seronegative Lebanese aged 19-68. Overall, 4.8% were heterozygous for the mutation. Homozygosity was absent from our sample. The frequency for the CCR5-delta 32 allele was 2.5%. Distribution of the mutation was unaffected by sex, age, religion or educational level. The frequency in the Lebanese population is consistent with that in the origin of the mutation in northern Europe. This could be attributed to a gene flow into the Middle East from northern Europe.

Adult↗