Parasitological and clinical studies on human scabies in Cairo

This study is a parasitological and clinical study on human scabies. This study was carried out on 100 patients attending the Dermatology Outpatient Clinic at Ain Shams University Hospitals, including 54 males and 46 females. All patients were subjected to detailed history taking, complete dermatological examination including Skin Scraping Test and Burrow Ink Test. Younger patients attended the dermatology clinic earlier than older patients, who usually delayed their visits until complications occurred. Scratching, erythematous papules and secondary infected lesions were the commonest lesions. The hands, wrist and external genitalia were the most frequently affected sites while the feet, ankles, knees and back were the least affected. Burrows could only be detected in 40% of patients. The most frequent sites were the web spaces, external genitalia, and finger sides. Burrow Ink Test was positive among 85% of patients with burrows while mites could be identified by Skin Scraping Test in 55% of patients. The most frequent clinical manifestations in the parasitologically positive patients were itching, burrows, and papules, and the most frequent sites were the web spaces, and the finger sides. Multiple sites affection was the characteristic feature among the preschool age children who represented 14% of cases.     

Dilation of venous vessels at the splenic hilum in normal sized spleens as an indication of pathologic splenic involvement: preliminary results

Twelve hundred patients without liver or heart disease, having a normal sized spleen without focal lesions, were examined by ultrasonography to measure the inner diameter of the splenic vein in relation to possible current or recent recovery from pathologic processes. SVD was measured at the hilum of the spleen with the patients supine. Ten of the patients in whom dilation of the SVD was found, together with a group of healthy controls (25), were subsequently studied with a duplex Doppler analysis to measure the venous outflow from the spleen. The results showed 1,175 spleens (98%) with SVD at the hilum of < 8 mm and 25 spleens (2%) with SVD of > 8 mm. Twenty-three of 25 patients (92%) with enlarged SVD had recent histories of hematopoietic or infectious diseases. Ten of 23 patients with enlarged SVD were studied further with a Doppler analysis. They demonstrated a rapid splenic blood flow with maximum flow velocities ranging from 14 to 27 cm/sec and high outflow volumes (from 430 to 1,227 ml/min, averaging 786 ml/min +/- 266), both significantly increased in comparison with controls (outflow volume from 200 to 355 ml/min, averaging 274 +/- 40; P < 0.0001). We conclude that dilation of the SVD accompanied by an increased intrasplenic blood flow volume without splenic enlargement would indicate a state of increased perfusion of splenic tissue associated with an immune response, reflecting reaction of the spleen to disease.     

State anxiety and ambulatory blood pressure following resistance exercise in females

The purpose of this investigation was to examine state anxiety and blood pressure responses during ambulatory recovery from resistance exercise. Fourteen females completed three separate bouts of resistance exercise in which the sets (N = 3), repetitions (N = 10), exercise type (knee extension, knee flexion, arm pull down, chest press, shoulder press, and abdominal curl), and time (30 min) were held constant, but the intensity was manipulated to equal 40%, 60%, and 80% of the 10-repetition maximum for each exercise. Immediately before as well as 1, 15, 30, 45, 60, 75, 90, 105, and 120 min following the cessation of exercise blood pressure and heart rate were assessed. State anxiety assessments were initiated immediately following blood pressure measurements. The subjects were ambulatory during the post-exercise period, and information about body posture during the cardiovascular assessments was obtained. MANOVAs, ANOVAs, and Tukey tests revealed that post-exercise state anxiety levels were reduced compared with pre-exercise values from 90 to 120 min following exercise. Systolic blood pressure was elevated at 1 and 15 min following the 80% intensity condition, and at 1 min following the 60% intensity condition. It is concluded that during ambulatory recovery from resistance exercise: 1) reductions in state anxiety are realized; and 2) systolic blood pressure, in contrast to what has been shown to occur following aerobic exercise, is not reduced.