The Journal of Middle East and North Africa Sciences

1-5

Authors: Ahmed Tabbabi; Khadija Bekhti

The identification of species that belong to Maculipennis complex is very difficult because of the morphological similarity within this group. The molecular identification of species belonging this complex showed the existence of a single species called Anopheles labranchiae in Tunisia, Algeria and Morocco. This is important information for malaria control in the North Africa. The arid climate of Lybia excluded the members of Maculipennis complex except An. labranchiae and An. sacharovi. In the neighboring country, no species of this complex has been identified in Egypt. The accurate and correct identification of mosquito vectors is very important for the implementation and development of vector control strategies.

9-12

Authors: Ahmed Tabbabi, Khadija Bekhti

West Nile Virus (WNV) can cause neurological disease and death in people. Culex pipiens is the suspected vector in the transmission of WNV. The objective of this study is to review the history of transmission foci in order to help the implementation of an effective and permanent human surveillance in North Africa. West Nile fever first appeared in Algeria in 1994 and was responsible for 20 cases, including 8 deaths. In 1997, a second epidemic was reported in Tunisia, with 173 cases, including 8 deaths. In Morocco, an epizootic was reported in 1996 with 42 equidae. North of Cairo was the first place where WNV was isolated in Egypt in 1950. The re-emergence of WNV cases in the following years confirms an enzootic circulation of the virus in North Africa. West Nile virus has and will remain a formidable clinical and public health problem hence the necessity of prevention against this disease.

17-22

Authors: Mario Metry; Mohamad Shaaban; Robert Thomas; Sunil Amonkar; Garry Bristow; Magdi Youssef; Michael Carr; Neil Mclean

Introduction: There is still controversy in the literature as regards the role of mammography in diagnosing carcinoma of the breast in women with breast prosthesis, the primary aim of this study was to assess the efficacy of mammography in the management of breast cancer following augmentation of the breast by implants. Methods: Review of our database and case records from October 2009 till October 2015, along with a detailed analysis of the current medical literature Results: 15 patients were identified, all developed breast cancer following breast implant insertion. Mammography failed to show any abnormality in 10 patients (66.7%), mammograms detected incidental benign looking microcalcifications (M2) in 2 patients (13.33%), in 2 patients’ mammography showed indeterminate findings (M3) (13.33%), only one patient (6.67%) had suspicious mammographic findings (M4). In contrast, Ultrasound Scan (USS) demonstrated lesions in all of 15 patients, the Magnetic Resonance Imaging (MRI) scans, confirmed the lesions denoted in the USS on all of the 6 patients who underwent MRI mammography (100%). Conclusion: Mammography is a poor modality for the diagnosis of early breast cancer in women following breast augmentation surgery. Authors would advise the consideration of MRI mammography and focused Ultrasound scan in the radiological assessment of these women.