AIM To analyse cumulative loss of heterozygosity (LOH) of chromosomal regions and tumor suppressor genes in hepatocellular carcinomas (HCCs) from 20 southern African blacks. METHODS p53, RB1, BRCA1, BRCA2, WT1 and E c...AIM To analyse cumulative loss of heterozygosity (LOH) of chromosomal regions and tumor suppressor genes in hepatocellular carcinomas (HCCs) from 20 southern African blacks. METHODS p53, RB1, BRCA1, BRCA2, WT1 and E cadherin genes were analysed for LOH, and p53 gene was also analysed for the codon 249 mutation, in tumor and adjacent non tumorous liver tissues using molecular techniques and 10 polymorphic microsatellite markers. RESULTS p53 codon 249 mutation was found in 25% of the subjects, as was expected, because many patients were from Mozambique, a country with high aflatoxin B 1 exposure. LOH was found at the RB1, BRCA2 and WT1 loci in 20%(4/*!20) of the HCCs, supporting a possible role of these genes in HCC. No LOH was evident in any of the remaining genes. Reports of mutations of p53 and RB1 genes in combination, described in other populations, were not confirmed in this study. Change in microsatellite repeat number was noted at 9/*!10 microsatellite loci in different HCCs, and changes at two or more loci were detected in 15%(3/*!20) of subjects. CONCLUSION We propose that microsatellite/genomic instability may play a role in the pathogenesis of a subset of HCCs in black Africans.展开更多
Background: Fibroadenoma is the commonest benign tumour of the breast affecting the majority of young females below the age of thirty in our environment. It is a source of concern and psychological problems in females...Background: Fibroadenoma is the commonest benign tumour of the breast affecting the majority of young females below the age of thirty in our environment. It is a source of concern and psychological problems in females requiring medical attention in our hospitals. Aim: This study describes the clinicopathologic characteristics of fibroadenoma in Eastern Nigerian Igbo females. Methodology: The archives of the Department of Pathology Federal Medical Centre, Owerri was used for the data collection and analyzed using simple statistics. Results: 504 fibroadenomas were analyzed. The average size was 1.99 cm with a range of 0.5 cm to 18 cm. The average age of the patients was 22.6 ± 6.7 years with a range of 9 to 60 years. The peak age of incidence was in the 11 - 20 (44.64%) age group followed closely by the 21 - 30 (43.45%) age group. The ratio of involvement of the left to the right breast was 1:1.2. Fibroadenoma was 18% multiple and 10.7% bilateral. 5.3% (27), 0.6% (3), and 0.2% (1) of the cases were giant, complex fibroadenoma and malignant breast disease in fibroadenoma respectively. Conclusion: This study has provided insights into the clinicopathologic characteristics of fibroadenoma among Nigerian Igbos and calls for more research in this area in other parts Nigeria and elsewhere.展开更多
Culture,has the same characteristics with race,inherently speaking,without being superior or inferior in origin.However,when different kinds of cultures meet in one society,due to the economy,politics,the value concep...Culture,has the same characteristics with race,inherently speaking,without being superior or inferior in origin.However,when different kinds of cultures meet in one society,due to the economy,politics,the value conception systems in the society and other influential factors,there must exist the differences of being superior or not.Culture is thought to be a major element to influence people’s thinking modes and actions.In addition,with the great pressure of the white people and their culture,in black community,there are more and more cases of gender oppression and self-discrimination among the black people.展开更多
Background: To determine mortality causes and the associated factors. Patients and Method: This cross-sectional study was conducted from June 2014 to May 2015 (1 year) in the department of cardiology at University and...Background: To determine mortality causes and the associated factors. Patients and Method: This cross-sectional study was conducted from June 2014 to May 2015 (1 year) in the department of cardiology at University and teaching Hospital of Brazzaville. Patients admitted for cardiovascular diseases were included. Patients admitted for cardiovascular disease in other departments of the hospital, or without cardiovascular diseases were not included. Results: In total, 1035 patients, 605 women (5804%) were included. Mean age was 57.1 ± 7 years (range: 18 - 85 years). The patients were: elderly (n = 498, 48.1%), educated (n = 809, 78.1%), low-income (n = 253, 24.2%). The medical history of patients was: hypertension (n = 440, 42.5%), diabetes (n = 316, 30.5%), reduced physical activity (n = 154, 14.9%), excessive alcohol intake (n = 56, 5.4%). Heart failure was reported in 386 cases (37.3%). The mortality rate was 8% (n = 83);the mean age of deceased was 61.9 ± 7.3 years (p s in death were dilated cardiomyopathy (n = 37, 44.6%, OR 5, 95%CI 3.1 - 8, p -3.3, p = 0.002), atrial fibrillation (n = 24, 29%, OR 3.6, 95%CI 2.2 - 6, p - 9.8, p = 0.005). The associated death comorbidities were: acute respiratory infection (n = 44, 53%, OR 10.1, 95%CI 6.2 - 16, p - 10 p - 6.8, p Conclusion: Hypertension, heart failure and cardiomyopathies are the leading causes of mortality in the department of cardiology. Prevention and patient education in a low-income environment are essential elements to reduce this morbidity.展开更多
The condemnations of black slavery were not common before the mid-18th century,and they were mostly based on Christian egalitarianism.Around the American Revolution,with the spread of the theory of natural rights,many...The condemnations of black slavery were not common before the mid-18th century,and they were mostly based on Christian egalitarianism.Around the American Revolution,with the spread of the theory of natural rights,many social elites believed that slavery deprived blacks of their natural rights and violated the principle of equality in a democratic republic.Anti-slavery gradually became the mainstream public opinion.However,since slaves were private property of many politicians,the abolition of slavery would act against the interests of white elites,and the ideology of racial confrontation between blacks and whites provided an identity to the white community.Therefore,slavery was reserved from the founding period.In the mid-19th century,various social reforms arose.Humanitarianism was deeply rooted in elites'minds,and the idea that blacks have the general attributes of human beings is gradually accepted by educated white people.The sense of dignity of work in the North constituted a different value from the South and became another theoretical basis for public voice to criticize slavery.However,for the sake of party unity and the national interest,the abolition were not put into practice until the Civil War broke out.By the middle of the 19th century,although the public opinion of anti-slavery was formed in the North,the upper class elites held the position of realpolitik while balancing the morality of abolition and the economic and political interests.展开更多
文摘AIM To analyse cumulative loss of heterozygosity (LOH) of chromosomal regions and tumor suppressor genes in hepatocellular carcinomas (HCCs) from 20 southern African blacks. METHODS p53, RB1, BRCA1, BRCA2, WT1 and E cadherin genes were analysed for LOH, and p53 gene was also analysed for the codon 249 mutation, in tumor and adjacent non tumorous liver tissues using molecular techniques and 10 polymorphic microsatellite markers. RESULTS p53 codon 249 mutation was found in 25% of the subjects, as was expected, because many patients were from Mozambique, a country with high aflatoxin B 1 exposure. LOH was found at the RB1, BRCA2 and WT1 loci in 20%(4/*!20) of the HCCs, supporting a possible role of these genes in HCC. No LOH was evident in any of the remaining genes. Reports of mutations of p53 and RB1 genes in combination, described in other populations, were not confirmed in this study. Change in microsatellite repeat number was noted at 9/*!10 microsatellite loci in different HCCs, and changes at two or more loci were detected in 15%(3/*!20) of subjects. CONCLUSION We propose that microsatellite/genomic instability may play a role in the pathogenesis of a subset of HCCs in black Africans.
文摘Background: Fibroadenoma is the commonest benign tumour of the breast affecting the majority of young females below the age of thirty in our environment. It is a source of concern and psychological problems in females requiring medical attention in our hospitals. Aim: This study describes the clinicopathologic characteristics of fibroadenoma in Eastern Nigerian Igbo females. Methodology: The archives of the Department of Pathology Federal Medical Centre, Owerri was used for the data collection and analyzed using simple statistics. Results: 504 fibroadenomas were analyzed. The average size was 1.99 cm with a range of 0.5 cm to 18 cm. The average age of the patients was 22.6 ± 6.7 years with a range of 9 to 60 years. The peak age of incidence was in the 11 - 20 (44.64%) age group followed closely by the 21 - 30 (43.45%) age group. The ratio of involvement of the left to the right breast was 1:1.2. Fibroadenoma was 18% multiple and 10.7% bilateral. 5.3% (27), 0.6% (3), and 0.2% (1) of the cases were giant, complex fibroadenoma and malignant breast disease in fibroadenoma respectively. Conclusion: This study has provided insights into the clinicopathologic characteristics of fibroadenoma among Nigerian Igbos and calls for more research in this area in other parts Nigeria and elsewhere.
文摘Culture,has the same characteristics with race,inherently speaking,without being superior or inferior in origin.However,when different kinds of cultures meet in one society,due to the economy,politics,the value conception systems in the society and other influential factors,there must exist the differences of being superior or not.Culture is thought to be a major element to influence people’s thinking modes and actions.In addition,with the great pressure of the white people and their culture,in black community,there are more and more cases of gender oppression and self-discrimination among the black people.
文摘Background: To determine mortality causes and the associated factors. Patients and Method: This cross-sectional study was conducted from June 2014 to May 2015 (1 year) in the department of cardiology at University and teaching Hospital of Brazzaville. Patients admitted for cardiovascular diseases were included. Patients admitted for cardiovascular disease in other departments of the hospital, or without cardiovascular diseases were not included. Results: In total, 1035 patients, 605 women (5804%) were included. Mean age was 57.1 ± 7 years (range: 18 - 85 years). The patients were: elderly (n = 498, 48.1%), educated (n = 809, 78.1%), low-income (n = 253, 24.2%). The medical history of patients was: hypertension (n = 440, 42.5%), diabetes (n = 316, 30.5%), reduced physical activity (n = 154, 14.9%), excessive alcohol intake (n = 56, 5.4%). Heart failure was reported in 386 cases (37.3%). The mortality rate was 8% (n = 83);the mean age of deceased was 61.9 ± 7.3 years (p s in death were dilated cardiomyopathy (n = 37, 44.6%, OR 5, 95%CI 3.1 - 8, p -3.3, p = 0.002), atrial fibrillation (n = 24, 29%, OR 3.6, 95%CI 2.2 - 6, p - 9.8, p = 0.005). The associated death comorbidities were: acute respiratory infection (n = 44, 53%, OR 10.1, 95%CI 6.2 - 16, p - 10 p - 6.8, p Conclusion: Hypertension, heart failure and cardiomyopathies are the leading causes of mortality in the department of cardiology. Prevention and patient education in a low-income environment are essential elements to reduce this morbidity.
文摘The condemnations of black slavery were not common before the mid-18th century,and they were mostly based on Christian egalitarianism.Around the American Revolution,with the spread of the theory of natural rights,many social elites believed that slavery deprived blacks of their natural rights and violated the principle of equality in a democratic republic.Anti-slavery gradually became the mainstream public opinion.However,since slaves were private property of many politicians,the abolition of slavery would act against the interests of white elites,and the ideology of racial confrontation between blacks and whites provided an identity to the white community.Therefore,slavery was reserved from the founding period.In the mid-19th century,various social reforms arose.Humanitarianism was deeply rooted in elites'minds,and the idea that blacks have the general attributes of human beings is gradually accepted by educated white people.The sense of dignity of work in the North constituted a different value from the South and became another theoretical basis for public voice to criticize slavery.However,for the sake of party unity and the national interest,the abolition were not put into practice until the Civil War broke out.By the middle of the 19th century,although the public opinion of anti-slavery was formed in the North,the upper class elites held the position of realpolitik while balancing the morality of abolition and the economic and political interests.
