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Biomedical subjects

S Sayed

Publications and source records attributed to S Sayed.

At least 19 recordsLinked to original sources

Embryonal rhabdomyosarcoma with uterine inversion: case report.

Presented here is a 16-year-old nulliparous girl who had embryonal rhabdomyosarcoma causing uterine inversion. She had been referred with a one year history of continuous vaginal bleeding and vaginal swelling. Histology had shown sarcoma botyroides and had received five courses of chemotherapy at the referring hospital. At surgery she was found to have uterine inversion and extended hysterectomy was carried out to be followed by radiotherapy.

Adolescent↗

A review of biological factors implicated in abdominal aortic aneurysm rupture.

Abdominal aortic aneurysm (AAA) rupture is the 13th commonest cause of death in the Western World. Although considerable research has been applied to the aetiology and mechanism of aneurysm expansion, little is known about the mechanism of rupture. Aneurysm rupture was historically considered to be a simple physical process that occurred when the aortic wall could no longer contain the haemodynamic stress of the circulation. However, AAAs do not conform to the law of Laplace and there is growing evidence that aneurysm rupture involves a complex series of biological changes in the aortic wall. This paper reviews the available data on patient variables associated with aneurysm rupture and presents the evidence implicating biological factors in AAA rupture.

Aorta, Abdominal↗

Endovascular stent graft repair of mycotic aneurysms of the thoracic aorta.

Traditional open surgical repair for mycotic aneurysms of the thoracic aorta is associated with significant morbidity and mortality. Endovascular repair has been reported as an alternative treatment in patients with mycotic thoracic aneurysms. This article reports our experience of endovascular stent graft placement in three patients with mycotic aneurysms of the thoracic aorta and compares the results with similar reports on the literature.

Aged↗

Decentralised treatment of concentrated sewage at low temperature in a two-step anaerobic system: two upflow-hybrid septic tanks.

The decentralised treatment of concentrated sewage (about 3,600 mgCOD/l) at low temperature was investigated in a two-step anaerobic system: two-anaerobic hybrid (AH) septic tanks (each 0.575 m3). The two reactors were placed in a temperature controlled-room and the HRT was 2.5 days for each reactor. The system was fed with concentrated domestic sewage, mainly black water from about 40 toilets flushed with only 4 litre of water and a limited amount of grey water. The system showed high removal efficiency for the different COD fractions. Mean removal efficiencies in the two-step AH-septic tank at 5 days HRT and 13 degrees C were 94, 98, 74 and 78% for total COD, suspended COD, colloidal COD and dissolved COD respectively. The results of short run experiments indicated that the presence of reticulated polyurethane foam (RPF) media in the AH-septic tank improved the removal of suspended COD by 22%. The first AH-septic tank was full of sludge after 4 months of operation due to the high removal of particulate COD and the limited hydrolysis at low temperature conditions. Therefore, a simple mathematical model was developed based on ADM1 (the IWA model in 2002). Based on the experimental results and the mathematical model, only a one-step AH septic tank is required. An HRT of 5.5-7.5 days is needed for that one-step AH septic tank to treat concentrated sewage at a low temperature of 13 degrees C. Such a system can provide a total COD removal as high as 87% and will be full of sludge after a period of more than a year.

Bacteria, Anaerobic↗

Na(+)-requiring mechanisms modulate capacitation and acrosomal exocytosis in mouse spermatozoa.

Mouse spermatozoa require extracellular Na+ for both capacitation and acrosomal exocytosis, but the minimum concentrations differ widely: > 1 < or = 25 mmol Na+ l-1 will support capacitation, but > 125 mmol Na+ l-1 is needed for acrosomal exocytosis in capacitated cells. Our conclusions are based on evidence obtained from sperm cells preincubated in iso-osmotic media with differing concentrations of Na+ and then analysed for occurrence of the acrosome reaction, capacitation-related changes in chlortetracycline (CTC) fluorescence and in vitro fertilization. The modified Tyrode's medium used as the control medium in these experiments contained 150 mmol Na+ l-1 and supported full sperm function. At least some of the Na+ needs to be internalized to promote the functional changes, as evidenced by the ability of the monovalent cation ionophore monensin to accelerate capacitation and trigger acrosomal exocytosis in control medium. However, in low Na+ (25 mmol l-1) medium, monensin could only modulate the transition to the capacitated state, assessed with CTC, indicating that higher concentrations of extracellular Na+ are required for initiation of acrosomal exocytosis. We suggest that changes in the composition of the female reproductive tract fluids serve to control expression of sperm functional potential. Before ovulation in the mouse, sufficient Na+ and Ca2+ are present to promote capacitation. However, the Na+ concentration is marginal for support of acrosomal exocytosis and the relatively high K+ reinforces an inhibition of exocytosis. At ovulation, the release of follicular fluid would increase the Na+ and decrease the K+ concentrations, thereby permitting full expression of fertilizing potential. Possible mechanisms that might be involved in the Na(+)-related responses, including a Na(+)-Ca2+ exchanger, a Na(+)-K+ ATPase and a Na(+)-H+ exchanger, were also investigated. If a Na(+)-Ca2+ exchanger has a role to play, it is not during capacitation per se. Incubation of sperm cells in high Na+, low Ca2+ (90 mumol CaCl2 l-1) medium that supports capacitation, followed by introduction of monensin, which would have promoted an influx of Na+ and could have, in turn, activated a Na+ out, Ca2+ in response, did not accelerate transition to the capacitated state (B pattern of CTC fluorescence). In contrast, it is possible that a Na(+)-K+ ATPase may play a role during capacitation. Incubation of suspensions in control medium plus ouabain, which would inhibit the ATPase, significantly accelerated the transition from the incapacitated to the capacitated state, although it did not trigger acrosomal exocytosis.(ABSTRACT TRUNCATED AT 400 WORDS)

Acrosome↗