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PubMed1977

Genetic markers in Libyan Jews.

Blood groups, serum proteins, and red-cell enzyme frequencies were determined on a random sample of 148 Libyan Jews now settled in Israel. Comparisons with data on Libyan non-Jews show significant differences in most systems, implying maintenance of a high degree of genetic isolation of the Jewish group from surrounding populations. The relative lack of the African component in their gene pool shows that they have interbred very little, if at all, with their negroid neighbours.

Blood Group Antigens↗
PubMed1993

Transferrin (TF) polymorphism in Libyans.

The genetic polymorphism of transferrin (TF) was investigated in 110 unrelated Libyans, using ultrathin layer polyacrylamide gel isoelectric focusing followed by staining with Coomassie brilliant blue R250. Five common and one rare phenotypes were observed. The estimated allele frequencies were as follow: TF*C1 = 0.7455, TF*C2 = 0.2091, TF*C3 = 0.0409 and TF*D = 0.0045. The theoretical exclusion rate in cases of disputed paternity is 19.2%.

Alleles↗
PubMed1989

Genetic polymorphism of the B subunit of coagulation factor XIII in Libyans: occurrence of a fourth common allele, FXIIIB*6.

FXIIIB phenotypes were determined in neuraminidase-pretreated serum samples by using isoelectric focusing in ultrathin-layer polyacrylamide gels containing 1 M urea and subsequent immunoblotting. In a Libyan population sample from Tripoli, (n = 108) nine different phenotypes as products of four common alleles were recognized, with frequencies as follows: FXIIIB*1 = 0.6574, FXIIIB*2 = 0.2454, FXIIIB*3 = 0.0741 and FXIIIB*6 = 0.0231. It is suggested that FXIIIB*6 is the fourth common allele of the FXIIIB system in this population.

Alleles↗
PubMedDate not supplied

In vitro antibiotic sensitivity pattern of common bacterial isolates from cases of acute bacterial meningitis with special reference to ceftriaxone.

Ceftriaxone (RO 13-9904) has only recently been introduced in Benghazi and many parts of the word. We determined its in-vitro antibacterial activity against the primary aetiological agents of childhood meningitis in Benghazi, that included eighteen (23.3%) strains of H. influenzae, 17 (22.1%) of Str. pneumoniae and 1 (1.3%) of N. meningitidis isolated from 77 cases of acute purulent meningitis above the age of neonatal period. All strains of H. influenzae. Str. pneumoniae and N. meningitidis were sensitive to ceftriaxone and showed wide zones of inhibition by the disc diffusion technique of Kirby-Bauer. Ampicillin and chloramphenicol resistance was observed for H. influenzae (23% and 11% respectively), and Str. pneumoniae (12% and 0% respectively), in addition, 18% of strains of Str. pneumoniae showed resistance to penicillin. The broad spectrum activity of ceftriaxone has been confirmed for our locality and this finding, together with its exceptionally long half-life, excellent penetration into the C.S.F. and ease of administration (single daily dose) warrants it as the drug of choice in empherical treatment of cases of acute bacterial meningitis in children in Benghazi and in cases where resistance to ampicillin and chloramphenicol are found on subsequent testing.

Acute Disease↗
PubMedDate not supplied

Dexamethasone as an adjunctive treatment of bacterial meningitis.

This study was conducted on 77 Libyan infants and children aged month to 10 years with acute bacterial meningitis. Upon admission, the patients were divided randomly in two groups. Group I (38 patients) received ceftriaxone plus dexamethasone i.v. Group II (39 patients) received ceftriaxone alone. Both groups were compared for mean changes in CSF sugar, CSF protein and CSF polymorph count at 4th day of treatment. There was a significant difference between the two groups in CSF sugar and protein changes (P < 0.05) but not in CSF polymorph (P > 0.05). Both groups showed prompt clinical response and similar occurrence of acute complications, fatality rate and permanent neurological sequelae. However, group I manifested shorter duration of fever (P < 0.05). Dexamethasone improved the inflammatory reaction in acute bacterial meningitis and shortened the duration of fever but it did not have any significant effect on the fatality and the occurrence of neurological sequelae of this disease.

Ceftriaxone↗
PubMedDate not supplied

Immunoglobulin isotypes in childhood asthma.

Immunoglobulin isotypes (IgG, IgA, IgM, IgD, IgE) in serum were investigated in 64 Libyan children with mild to moderately severe asthma (age: 1-12 years; sex: 39 males, 25 females) (Group A) and in 57 healthy Libyan children (age: 1-12 years; sex: 30 males, 27 females (Group B). The patients were classified according to age into three groups (A1: 1-3 years; A2: > 3-5 years; A3: > 5-12 years); according to disease activity into two groups (AA: active disease; NA: inactive disease); and according to age plus disease activity into six groups (AA1, NA1; AA2, NA2; AA3, NA3). The healthy children were also divided according to age into three groups (B1: 1-3 years; B2: > 3-5 years; B3: > 5-12 years). IgG, IgA, IgM and IgD were measured by radial immunodiffusion method and IgE was estimated by enzyme immunoassay technique utilizing immunokits from bioMerieux, France. Serum levels of IgG, IgD and IgE were elevated significantly in patients compared to controls (A vs B: p < 0.05) while IgA and IgM levels were normal (p > 0.05). IgG and IgD levels were raised in A3 (p < 0.05), while IgD levels were raised in both A2 and A3 (p < 0.05) and IgE was elevated in all age groups (p < 0.05). However, IgG was elevated significantly in AA only, while IgD and IgE levels were high in both AA and NA (p < 0.05) and IgE was even considerably higher in AA compared to NA (p < 0.02). Further elevated levels were observed for IgG in AA3 only (p < 0.05), for IgD in NA2 (p < 0.01), AA3 (p < 0.01) and NA3 (p < 0.05) and IgE was much higher in patients with active disease than with inactive disease in all age groups (p < 0.05). The fact that asthmatic attack in majority of our patients can be explained as mediated through IgE and the possibilities that IgG and IgD may play roles as aetiopathogenetic or protective regulatory factors in childhood asthma are discussed.

Age Factors↗
PubMed2002

Atresias of the gastrointestinal tract in an inbred, previously unstudied population.

Retrospective analysis of the records of newborns with gastrointestinal (GI) atresias in a 16-year period revealed that more than 25% of patients had genetically-influenced atresias. Among these, an appreciable increase was observed in atresias confined to the antral region and in a syndrome of hereditary multiple GI atresias. In the absence of environmental and teratogenic factors, this increase could be due to the traditional social practice of endogamy in this population. However, this clinical finding remains to be supported by relevant prospective genetic studies.

Consanguinity↗
PubMed2003

Chronic eosinophilic ascites in a very young child.

UNLABELLED: A case of chronic eosinophilic ascites with onset in early infancy is described. An intensive diagnostic work-up ruled out other known causes of ascites in childhood. The final diagnosis was made at 2 years of age when a large number of eosinophils was detected in the ascitic fluid. The outcome was complicated by an ex vacuo intraperitoneal haemorrhage. Steroids were able to control the disease only after complete aspiration (1600 ml) of the ascitic fluid. On discontinuation of treatment, peritoneal inflammation recurred indicating steroid-dependency. CONCLUSION: eosinophilic ascites, a very rare disorder in children, should be considered in the differential diagnosis of even very young children presenting with ascites.

Ascites↗
PubMed2002

Megalencephalic leukoencephalopathy with subcortical cysts; a founder effect in Israeli patients and a higher than expected carrier rate among Libyan Jews.

Megalencephalic leukoencephalopathy with subcortical cysts (MLC) is a progressive inherited neurological disorder characterized by macrocephaly, deterioration in motor functions and cerebellar ataxia. In Israel the disease is found in an increased frequency among Libyan Jews. The disease is caused by mutations in the MLC1 gene, which encodes a putative CNS membrane transporter. We describe three novel mutations (p.G59E, p.P92S, and 134_136insC) in seven MLC families. One of these mutations, p.G59E, was found in the vast majority of MLC patients in Israel. Screening of 200 normal Libyan Jewish individuals for the p.G59E mutation, revealed a carrier rate of 1/40 compared with an expected carrier rate of 1/81. Several explanations could account for this difference the most likely one is an admixture of the Libyan Jewish population.

Central Nervous System Cysts↗
PubMed2006

Comparative metal distribution in hair of Pakistani and Libyan population and source identification by multivariate analysis.

Using nitric acid-perchloric acid wet digestion based FAAS method ten selected metals (Cd, Co, Cr, Fe, K, Mn, Na, Ni, Pb and Zn) were determined in the scalp hair of male Pakistani and Libyan donors (n = 62), between 3-54 years age and residing in typical urban areas. The study was taken up to identify sources of metal distribution in two diverse population segments exposed to different environments. Sodium emerged with the highest mean hair concentration of 511.0 microg/g and 496.9 mug/g for Libyan and Pakistani donors respectively, followed by K, at 266.2 microg/g and 242.4 microg/g for the two donor categories. Cadmium showed the lowest mean hair concentration for both Pakistani (0.380 microg/g) and Libyan (0.530 microg/g) donors. Levels of Na, K, Pb, Cr and Cd were higher in hair of Libyan donors compared with Pakistani counterparts which showed higher comparative levels of Zn, Fe, Co, Ni and Mn. Strong metal-to-metal correlations were found between Na-K (r = 0.638) and Cd-Co (r = 0.574) for Pakistani donors, while for Libyan donors, Na-K (r = 0.680) and Fe-Mn (r = 0.624) correlations emerged as strongly significant. Only K was found to have a strong positive correlation (r = 0.611) with age for Pakistani donors while this correlation was significantly negative (r = -0.500) for Libyan donors, probably arising from individual food habits. Other metals showed no viable relationship with age. Principal Component Analysis (PCA) and Cluster Analysis (CA) of the data evidenced food, industrial emissions and automobile emissions as possible sources of metal distribution. The results of the present study are compared with those reported for subjects from other regions of the world.

Adolescent↗
PubMedDate not supplied

Puberty and early sexual development in Libyan fat-tailed ram lambs.

Puberty and early sexual development were studied in 143 Libyan fat-tailed ram lambs, equally representing Brownhead and Blackhead strains of this breed. The two strains did not differ in any of the measured parameters in a consistent way, yet the Brownhead lambs tended to be slightly heavier and to have a slightly larger testis diameter than Blackheads. At the commencement of the observations when the lambs were 69 days old, 25.2% had fully descended testes at a significantly higher (P less than 0.01) mean (SD) body weight (24.1 +/- 4.1 kg) than those with partly descended (69.2%, 15.7 +/- 6.3 kg) or with non-descended testes (5.6%, 19.5 +/- 3.2 kg). Testes development followed a triphasic pattern with an initial and a final phase of slow growth and a middle phase of fast growth, commencing at a weight of 24.5 kg and an age of 85 days and lasting until the weight of 36-43 kg and age of 180-200 days in both strains. The separation of penile adhesions commenced at a mean body weight and age of 33.6 +/- 3.7 kg and 125.5 +/- 27.4 days respectively and was completed at a mean weight and age of 38.3 +/- 4.2 kg and 153.4 +/- 29.9 days. Only four lambs failed to show complete penile separation. Age had little influence on testis descent or on penile development. Puberty was assessed in 71 lambs using sperm recovery following electroejaculation as an end point. Most of these lambs (92.9%) reached puberty at a mean (SD) age of 171.5 (39.9) days, mean body weight of 39.9 (9.3) kg, mean testis diameter of 4.1 (0.4) cm and mean horn length of 21.4 (3.7) cm. Puberal lambs were significantly superior to non-puberal lambs (P less than 0.01) in all these counts except for age which was similar in both categories. Direct testicular observation showed a strong correlation between testis diameter, testis weight, body weight, sperm concentration/g testis weight and to testis histology. Age was poorly correlated to testis weight, histology or sperm concentration. It is concluded that the body weight is a major determinant of puberty in this breed. It is also considered that the two strains of the breed are remarkably similar in the studied aspects of puberty and sexual development.

Animals↗