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Impact of COVID-19 lockdown on physical activity of university students 新冠肺炎疫情防控对大学生体育活动的影响
Pub Date : 2023-01-01 DOI: 10.4103/abhs.abhs_32_23
Samah Mohamed Kannas, Omar Wardan Habbal, Ferdos Ibrahim Aman, Aisha Mohamed Alzahmi, Souad Ousama Mahdi, Ali Ahmed Azeez, Mohamed Ahmed Eladl, Amal Hussein
ABSTRACT Background: The prevalence of physical activity (PA) in the United Arab Emirates was a source of concern before the outbreak of the COVID-19 pandemic. It was crucial to examine the effects of the lockdown measures on PA in the region. This study aimed to evaluate the impact of COVID-19 lockdown on PA levels and characteristics among university students in the United Arab Emirates. Methods: This cross-sectional study was conducted between February 2021 and March 2021 using an online questionnaire. A total of 410 responses were received and analyzed using SPSS v26. Results: The prevalence of PA decreased from 62.7% to 59.3% after the lockdown. Most students (43.58%) used to practice 1–3 times/week; this percentage decreased to 35.8% after the lockdown. During the pandemic, 39.5% of the students had their usual PA affected. Consequently, 41.6% decided to quit exercising and 53% started practicing at home as an alternative. Regarding exercise outcomes, 54.4% of the students did not meet their exercise goals. Among those whose PA was restricted during the pandemic, 51.9% started eating junk food. Men were twice as likely to maintain their PA schedules as women (odds ratio [OR] = 1.90, 95% confidence interval [CI] = [1.07–3.34]). Moreover, men were 3.5 times less likely to engage in light exercise than moderate-intensity exercise compared to women (OR = 3.47, 95% CI = [1.15–10.41]). Conclusion: This study showed that COVID-19 lockdown in the United Arab Emirates had a detrimental impact on university students’ PA and dietary choices. This emphasizes the need for health promotion and preparedness strategies for future pandemics.
背景:在2019冠状病毒病(COVID-19)大流行爆发之前,阿拉伯联合酋长国的身体活动(PA)流行率是一个令人担忧的问题。检查封锁措施对该地区PA的影响至关重要。本研究旨在评估COVID-19封锁对阿拉伯联合酋长国大学生PA水平和特征的影响。方法:本横断面研究于2021年2月至2021年3月期间通过在线问卷进行。共收到410份回复,并使用SPSS v26进行分析。结果:封城后,PA患病率由62.7%降至59.3%。大多数学生(43.58%)习惯每周练习1-3次;封锁后,这一比例降至35.8%。在流感大流行期间,39.5%的学生的正常PA受到影响。结果,41.6%的人决定放弃锻炼,53%的人开始在家锻炼。在运动结果方面,54.4%的学生没有达到运动目标。在大流行期间限制PA的人中,51.9%的人开始吃垃圾食品。男性维持其PA计划的可能性是女性的两倍(优势比[OR] = 1.90, 95%可信区间[CI] =[1.07-3.34])。此外,与女性相比,男性从事轻度运动的可能性是中等强度运动的3.5倍(OR = 3.47, 95% CI =[1.15-10.41])。结论:本研究表明,阿联酋的新冠肺炎封锁对大学生的饮食和饮食选择产生了不利影响。这强调需要制定促进健康和防范未来流行病的战略。
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引用次数: 0
Evaluating the acceptance of COVID-19 vaccine among the adult population in the United Arab Emirates 评估阿拉伯联合酋长国成人对COVID-19疫苗的接受程度
Pub Date : 2023-01-01 DOI: 10.4103/abhs.abhs_39_22
Radwa Ahmed Hassan, Yazan Yaser, Ahmed Abdelhamid Aboeldahab, Maryam O. Alqallaf, Alya Al Hamadi, Amal-Saad Hussein
Background: Ever since the emergence of coronavirus disease-2019 (COVID-19) infection in the UAE, the government had taken several preventive measures against the disease, including vaccination. Acceptance of the vaccine among the population played a crucial role in determining whether the pandemic could be successfully controlled. This study aimed to assess the acceptance, knowledge, and perception of the COVID-19 vaccine among the adult population of the UAE. Methods: A cross-sectional study was conducted using a snowball sampling method among UAE residents above 18 years of age. Data were collected using an online questionnaire consisting of 33 close-ended questions divided into three sections. Results: A total of 825 adults (males = 18.4% and females = 81.6%) participated in the study. Males were 3.3 times more likely to get vaccinated than females (95% confidence interval [CI]: 1.9–5.7). Those participants who took the flu vaccine before were 1.4 times more likely to get vaccinated (95% CI: 1.003–1.897). Employed participants were three times more likely to take the vaccine as compared with students and those who were unemployed (95% CI: 2.078–4.577). Likewise, those who were over 40 years old and those who believed in the efficacy and safety of vaccines were more willing to get vaccinated. Conclusion: The acceptance of the COVID-19 vaccine was overall high, especially among males and employees. Our findings may help identify vulnerable groups in order to expand vaccination coverage and help raise awareness among UAE residents.
背景:自2019冠状病毒病(COVID-19)感染在阿联酋出现以来,政府采取了包括疫苗接种在内的多项预防措施。民众对疫苗的接受程度在决定能否成功控制大流行方面发挥了关键作用。本研究旨在评估阿联酋成年人对COVID-19疫苗的接受程度、知识和认知。方法:采用滚雪球抽样法对18岁以上的阿联酋居民进行横断面研究。数据是通过一份在线问卷收集的,该问卷由33个封闭式问题组成,分为三个部分。结果:共有825名成年人参与研究,其中男性占18.4%,女性占81.6%。男性接种疫苗的可能性是女性的3.3倍(95%可信区间[CI]: 1.9-5.7)。那些之前接种过流感疫苗的参与者接种疫苗的可能性是前者的1.4倍(95% CI: 1.003-1.897)。有工作的参与者接种疫苗的可能性是学生和失业者的三倍(95% CI: 2.078-4.577)。同样,那些超过40岁的人以及那些相信疫苗有效性和安全性的人更愿意接种疫苗。结论:新冠肺炎疫苗接受度总体较高,男性和员工接受度最高。我们的研究结果可能有助于确定弱势群体,以扩大疫苗接种覆盖率,并帮助提高阿联酋居民的意识。
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引用次数: 0
Sclerosing encapsulating peritonitis: Report of a case and review of literature 硬化性囊性腹膜炎1例报告并文献复习
Pub Date : 2023-01-01 DOI: 10.4103/abhs.abhs_59_22
H. Al Trabulsi, Tala Muassess, S. Guraya
Sclerosing encapsulating peritonitis (SEP) is a rare clinical condition that occurs secondary to a triggering factor such as peritoneal dialysis. The condition entails the encasement of a part of or entire small bowel in a fibro-collagenous membrane, causing subacute, acute, or chronic bowel obstruction. This case report presents a middle-aged man with recurring episodes of vague abdominal pain. The clinical examination and investigations showed small-bowel obstruction mostly focused around the previous area of mesh placement for umbilical hernia repair. The abdominal exploration showed a fibrous sac encasing the small-bowel loops, which necessitated adhesiolysis. Most of the fibrous encapsulating membrane was removed. The patient made an uneventful recovery. The treating surgeons for patients with vague manifestations of small obstruction should have a high index suspicion for rare causes of abdominal pain such as SEP.
硬化性囊性腹膜炎(SEP)是一种罕见的临床状况,发生继发于触发因素,如腹膜透析。这种情况导致部分或整个小肠被纤维胶原膜包裹,引起亚急性、急性或慢性肠梗阻。这个病例报告提出了一个中年男子反复发作的模糊腹痛。临床检查和调查显示,小肠梗阻主要集中在先前脐疝修补补片放置区域周围。腹部探查显示有纤维囊包裹小肠袢,需要进行粘连松解。大部分纤维包封膜被去除。病人平静地康复了。对于表现不明确的小肠梗阻患者,治疗外科医生应对SEP等罕见原因引起的腹痛高度怀疑。
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引用次数: 0
Quality of anticoagulation with the use of warfarin in long-term care in a tertiary care hospital using time spent in therapeutic range as a predictive parameter 三级医院长期护理中使用华法林的抗凝质量,使用治疗范围时间作为预测参数
Pub Date : 2023-01-01 DOI: 10.4103/abhs.abhs_13_23
Ali A. Al Bshabshe, Mir Nadeem, Ahmed M. Assiri, Javed Iqbal Wani, Shahid Aziz, Zia Ul Sabah, Nawaf A. Alqahtani, Fayez Mohammed Alshehri, Riyadh F. Alshubily, Ali M. Alqahtani
ABSTRACT Background: Warfarin was a frequently prescribed long-term anticoagulant before the advent of novel oral anticoagulants or direct oral anticoagulants. These drugs are used for the primary or secondary prevention of stroke in patients with atrial fibrillation or for the treatment and prophylactic prevention of venous thromboembolism. This study aimed to assess the anticoagulation control of patients receiving warfarin at a tertiary care hospital. Methods: This retrospective cohort study was conducted in an anticoagulation clinic at a tertiary care hospital in Saudi Arabia and included 113 patients who had been treated with warfarin for at least 3 months. Thereafter, the international normalized ratio results were collected for 3 years. Anticoagulation control was assessed by calculating time within the therapeutic range (TTR) as per the Rosendaal method. Results: A total of 113 patients (mean age, 56 ± 17.6 years; 64.6% of females) were included. The mean TTR was 48.1%. Almost one-third of the patients (31.3%) had poor anticoagulation control defined as a TTR of <50%. Poor anticoagulation control was significantly associated with a higher CHADS2 (congestive heart failure, hypertension, age, diabetes, and stroke/transient ischemic attack) score ( P = 0.043). TTR did not differ significantly between men and women, and it was not associated with age or anticoagulation therapy duration. Conclusion: Anticoagulation quality was suboptimal in patients receiving warfarin in a tertiary care hospital, with nearly 41% of time spent outside the therapeutic range. Methods should be implemented to improve anticoagulation control in appropriate patient groups.
背景:在新型口服抗凝剂或直接口服抗凝剂出现之前,华法林是一种常用的长期抗凝剂。这些药物用于房颤患者脑卒中的一级或二级预防,或用于静脉血栓栓塞的治疗和预防性预防。本研究旨在评估三级医院接受华法林治疗的患者的抗凝控制。方法:本回顾性队列研究在沙特阿拉伯一家三级医院抗凝门诊进行,纳入113例接受华法林治疗至少3个月的患者。此后,收集了3年的国际标准化比率结果。根据Rosendaal方法计算治疗范围内时间(TTR)来评估抗凝控制。结果:共113例患者(平均年龄56±17.6岁;包括64.6%的女性)。平均TTR为48.1%。几乎三分之一的患者(31.3%)抗凝控制不良,定义为TTR为50%。抗凝控制不良与较高的CHADS2(充血性心力衰竭、高血压、年龄、糖尿病和卒中/短暂性脑缺血发作)评分显著相关(P = 0.043)。TTR在男性和女性之间没有显著差异,并且与年龄或抗凝治疗时间无关。结论:三级医院接受华法林治疗的患者抗凝质量不理想,近41%的时间在治疗范围外。应采取措施改善适当患者群体的抗凝控制。
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引用次数: 0
Short-term exposure to interleukin-6 does not affect angiotensin-converting enzyme 2 expression in human pancreatic islets 短期暴露于白细胞介素-6不会影响人胰岛血管紧张素转换酶2的表达
Pub Date : 2023-01-01 DOI: 10.4103/abhs.abhs_44_23
Anila Khalique, Mawieh Hamad, Jalal Taneera
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引用次数: 0
Semaphorin-3E/plexinD1 axis in allergic asthma 信号素- 3e /plexinD1轴在过敏性哮喘中的作用
Pub Date : 2022-10-01 DOI: 10.4103/abhs.abhs_33_22
M. Matloubi, A. Aktar, Lianyu Shan, L. Koussih, A. Gounni
Semaphorins are cell-membrane bound or secretory proteins that regulate cell migration, differentiation, proliferation, and morphology. Semaphorins are guidance cues that have either repulsive or attractive effects on growth cones and thus determine their direction toward or away from a target place. Moreover, they act as either chemorepellent or attractive molecules in other systems. Semaphorins were initially discovered as axon guidance molecules essential in nervous system development. However, growing evidence shows that they have a crucial role in other systems, including the immune, cardiovascular, and respiratory systems. This review highlights the immunoregulatory effects of semaphorin 3E in allergic airway inflammation.
信号蛋白是调节细胞迁移、分化、增殖和形态的细胞膜结合或分泌蛋白。信号素是对生长锥具有排斥或吸引作用的引导线索,从而决定它们朝向或远离目标位置的方向。此外,它们在其他系统中充当化学驱避剂或吸引分子。信号蛋白最初被发现是神经系统发育中必不可少的轴突引导分子。然而,越来越多的证据表明,它们在其他系统中也起着至关重要的作用,包括免疫系统、心血管系统和呼吸系统。本文综述了信号蛋白3E在变应性气道炎症中的免疫调节作用。
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引用次数: 0
Clinical pharmacology of cefazolin 头孢唑林的临床药理学研究
Pub Date : 2022-10-01 DOI: 10.4103/abhs.abhs_31_22
G. Pacifici
Cefazolin is a first-generation cephalosporin that is active against gram-positive bacteria and has modest activity against gram-negative organisms, and cefazolin is excreted by glomerular filtration. The efficacy and safety of cefazolin and cefazolin concentration in body tissues have been described. Cefazolin pharmacokinetics have been studied; six patients received cefazolin at a dose of 1 g thrice daily and one patient received cefazolin at a dose of 2 g once daily and this patient had acute kidney injury. The pharmacokinetics of cefazolin have been studied. The prophylaxis, treatment, and trials with cefazolin have been reported. The penetration of cefazolin into the cerebrospinal fluid has been studied. Cefazolin treats the meningitis caused by Staphylococcus meningitis or by methicillin-susceptible S. aureus and cefazolin may become resistant to bacteria. Cefazolin freely crosses the human placenta and poorly migrates into the breast milk. The aim of this review was to describe cefazolin efficacy and safety, tissue concentration, pharmacokinetics, prophylaxis, treatment, trials, penetration into the cerebrospinal fluid, treatment of bacterial meningitis, resistance, transfer across the human placenta, and migration into the breast milk.
头孢唑林是第一代头孢菌素,对革兰氏阳性菌有活性,对革兰氏阴性菌有适度活性,头孢唑林通过肾小球滤过排出。介绍了头孢唑林的疗效和安全性以及头孢唑林在人体组织中的浓度。头孢唑林的药代动力学研究;6例患者服用头孢唑林1 g,每日3次,1例患者服用头孢唑林2 g,每日1次,该患者有急性肾损伤。研究了头孢唑林的药动学。头孢唑林的预防、治疗和试验已有报道。研究了头孢唑林在脑脊液中的渗透作用。头孢唑林治疗由脑膜炎葡萄球菌或甲氧西林敏感金黄色葡萄球菌引起的脑膜炎,头孢唑林可能对细菌产生耐药性。头孢唑林可以自由地穿过人的胎盘,很难迁移到母乳中。本综述的目的是描述头孢唑林的有效性和安全性、组织浓度、药代动力学、预防、治疗、试验、进入脑脊液、细菌性脑膜炎的治疗、耐药性、通过人胎盘转移和迁移到母乳中。
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引用次数: 0
A mixed-method study about performance-enhancing agents: Exploring the insights of university students, public, and sports club stakeholders 一项关于绩效提升代理的混合方法研究:探索大学生、公众和体育俱乐部利益相关者的见解
Pub Date : 2022-10-01 DOI: 10.4103/abhs.abhs_34_22
Amna M Othman, M. Saber-Ayad, Hamzah Alzubaidi, Q. Hamid, N. Sulaiman
Background: This mixed-method study explored knowledge, perceptions, and practices of performance-enhancing agents (PEAs) among university students, the public, and sports club stakeholders in the United Arab Emirates (UAE). Methods: A mixed-method study was conducted; a total of 353 participants (289 students and 64 members of the public) completed the web-based survey, and 34 sports club stakeholders and 6 community pharmacists were interviewed. Results: These showed that most sports club stakeholders were unfamiliar with the prohibited substances in the UAE. Moreover, some interviewees were unwilling to learn more about PEAs. Out of the participants, 72% of the students and 78% of the public had positive perceptions about prohibiting certain and harmful types of PEAs in sports and reported unfavorable views toward doping agents’ users. Regarding the personal experience with banned substance(s), 5.7% of the students and 3.2% of the public reported using them. There was a clear diversity among sports club stakeholders regarding the problem of doping in the UAE. Conclusion: There were gaps in knowledge about World Anti-Doping Agency’s role. Participants have the impression that doping is prevalent among bodybuilders, non-athletes, and young individuals in private gyms. In conclusion, there is a significant gap in knowledge of doping among university students and sports club stakeholders, highlighting the need for tailored education programs specifically designed for sports club stakeholders, and students aiming at reducing PEAs use.
背景:本混合方法研究探讨了阿拉伯联合酋长国(UAE)大学生、公众和体育俱乐部利益相关者对成绩增强剂(pea)的认识、认知和实践。方法:采用混合方法进行研究;共有353名参与者(289名学生和64名市民)完成了网络调查,并采访了34名体育俱乐部利益相关者和6名社区药剂师。结果:这些表明大多数体育俱乐部利益相关者对阿联酋的禁用物质不熟悉。此外,一些受访者不愿意了解更多关于豌豆的信息。在参与者中,72%的学生和78%的公众对在体育运动中禁止某些有害类型的豌豆持积极态度,并报告了对兴奋剂使用者的负面看法。至于个人接触违禁物品的经历,有5.7%的学生及3.2%的市民表示曾使用违禁物品。对于阿联酋的兴奋剂问题,体育俱乐部的利益相关者之间存在明显的分歧。结论:对世界反兴奋剂机构的作用认识存在空白。参与者的印象是,兴奋剂在健美运动员、非运动员和私人健身房的年轻人中很普遍。综上所述,大学生和体育俱乐部利益相关者在兴奋剂知识方面存在显著差距,这凸显了为体育俱乐部利益相关者和学生量身定制旨在减少豌豆使用的教育计划的必要性。
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引用次数: 0
Antiparasitic properties of miltefosine-based nanoformulations against protozoan pathogen, Acanthamoeba castellanii 米特弗辛纳米制剂对原生动物病原体棘阿米巴的抗寄生性能研究
Pub Date : 2022-10-01 DOI: 10.4103/abhs.abhs_35_22
J. Muhammad, N. Akbar, Roberta Cagliani, Mutasem Rawas-Qalaji, B. Saeed, N. Khan, R. Siddiqui
Background: Acanthamoeba castellanii genotype T4 is the causative agent of the progressively increasing sight-threatening Acanthamoeba keratitis and central nervous system infections. Because of the increased prevalence and the ineffectiveness of the current antiamoebic drugs, we synthesized miltefosine poly(lactic-co-glycolic acid) nanoparticles (miltefosine PLGA NP) as a potential potent and biocompatible antiamoebic drug. The advantage to use PLGA NP is to preserve the cells from the toxic effect of miltefosine drug. In particular, miltefosine PLGA nanoformulation offers a better cellular uptake and a sustained drug release compared with the free drug that presents potent cytotoxicity at high concentrations against human colon cancer cell lines. Methods: The miltefosine NP were synthesized using a double emulsion-solvent evaporation method, characterized, and then assessed for their antiamoebic activity against A. castellanii belonging to the T4 genotype. Blank PLGA NP and miltefosine were used as controls. Results: Amoebicidal assays revealed that at 25 and 50 µM, unmodified miltefosine eradicated 83% and 93% of amoebae, respectively. At these same concentrations of 25 and 50 µM, the amount of miltefosine released form PLGA NP formulation was limited to 22.6%. However, it killed 36% and 56% of the protozoa, respectively. Thus, the efficacy of PLGA NP formulation was similar to that of the unmodified miltefosine. Both miltefosine and its PLGA NP significantly inhibited the pretreated amoebae (minimum inhibitory concentration 50% = 37.23 and 55.26 µM, respectively, compared with 147.2 µM of the blank NP; P < 0.05) and reduced amoebae-mediated host cell death. The blank NP and miltefosine NP exhibited minimal cytotoxicity against colon epithelial cell lines. In contrast, the unmodified miltefosine caused 37%, 71%, and 88% of cytotoxicity at 10, 25, and 50 µM, respectively. Conclusion: Overall, these findings suggest that controlling the release of miltefosine from PLGA NP for a short time was almost as effective as miltefosine alone against A. castellanii genotype T4 while reducing host cell toxicity. Hence, this study demonstrates the feasibility of using PLGA NP for the treatment of Acanthamoebic infections.
背景:卡氏棘阿米巴T4基因型是逐渐增加的威胁视力的棘阿米巴角膜炎和中枢神经系统感染的病原体。由于目前抗阿米巴药物的患病率增加和无效,我们合成了米特福辛聚(乳酸-羟基乙酸)纳米颗粒(米特福辛PLGA NP)作为一种潜在的强效和生物相容性的抗阿米巴药物。使用PLGA NP的优点是保护细胞免受米替福辛药物的毒性作用。特别是,与游离药物相比,米替福辛PLGA纳米制剂具有更好的细胞摄取和持续的药物释放,而游离药物在高浓度下对人类结肠癌细胞系具有强大的细胞毒性。方法:采用双乳剂-溶剂蒸发法制备米替福辛NP,对其进行鉴定,并测定其对T4基因型castellanii的抗阿米巴活性。空白PLGA NP和米替辛作为对照。结果:在25µM和50µM浓度下,未修饰的米地辛分别杀灭83%和93%的阿米巴虫。在相同浓度的25和50µM下,从PLGA NP制剂中释放的米替福辛量限制在22.6%。然而,它分别杀死了36%和56%的原生动物。因此,PLGA NP制剂的疗效与未经修饰的米替福辛相似。米替福辛及其PLGA NP对预处理阿米巴虫均有显著抑制作用(最小抑制浓度50%分别为37.23和55.26µM,空白NP为147.2µM;P < 0.05),减少阿米巴虫介导的宿主细胞死亡。空白NP和米替福辛NP对结肠上皮细胞系的细胞毒性最小。相比之下,未经修饰的米替福辛在10、25和50µM时分别造成37%、71%和88%的细胞毒性。结论:总的来说,这些研究结果表明,在短时间内控制米替福辛从PLGA NP中释放,在降低宿主细胞毒性的同时,几乎与单独使用米替福辛对T4基因型castellanii有效。因此,本研究证明了PLGA NP治疗棘阿米巴感染的可行性。
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引用次数: 1
Chromosomal abnormalities and clinical conditions associated with the male infertility among Emirati: 10-year retrospective research study 染色体异常和临床状况与男性不育在阿联酋:10年回顾性研究
Pub Date : 2022-10-01 DOI: 10.4103/abhs.abhs_38_22
Ferdos Ebrahim, I. Mahasneh
Background: Male infertility is a global health issue that is poorly described in United Arab Emirates. Methods: In this 10-year retrospective cross-sectional study, we retrieved data of 312 male patients attending Dubai Fertility Center in United Arab Emirates between January 2011 and January 2021. We identified the type and prevalence of chromosomal abnormalities and hormonal and semen abnormalities among Emirati infertile males as compared with regional and global populations. Results: Total chromosomal abnormalities accounted for 13.9% and 8% among azoospermic Emiratis and total Emirati infertile males, respectively. Numerical chromosomal abnormalities causing male infertility were Klinefelter syndrome, 47,XXY (4.0%); Jacob syndrome, 47,XYY (0.8%); mosaic, 48,XXXY/47,XXY/46,XY (0.4%); and mosaic 47,XXY/46,XY (0.4%). Structural chromosomal abnormalities causing male infertility were Y chromosome microdeletion (1.2%), 46,XX/46,XY (0.4%), 46,XY,inv(5)(p15.1q11.2) (0.4%), and 45,XY,der(13;15)(q10;q10) (0.4%). About 59.0% of the Emirati cohort had azoospermia, whereas 28.46% were diagnosed with other conditions of spermatogenic failure as severe oligoasthenoteratozoospermia (7.63%), severe oligoasthenospermia (5.22%), severe oligozoospermia (4.41%), oligoasthenoteratozoospermia (3.6%), asthenozoospermia (2.4%), oligoasthenospermia (1.6%), oligozoospermia (2%), teratozoospermia (0.8%), asthenoteratozoospermia (0.4%), and aspermia (0.4%). As for male hormonal profile of the Emiratis, azoospermic males with chromosomal defects had higher testosterone abnormality (72.2% vs. 45.4%), interstitial-cell stimulating hormone abnormality (66.6% vs. 42.6%), follicle-stimulating hormone abnormality (72.2% vs. 41.5%), and inhibin B hormone abnormality (100% vs. 83.8%) as compared to azoospermic males without chromosomal abnormalities. Conclusion: This is the first study to report conclusively the profiling of chromosomal abnormality among Emirati infertile males, which falls within the regional and global range, and to highlight the critical role of genetic testing and counseling for evaluating male infertility.
背景:男性不育症是一个全球性的健康问题,但在阿拉伯联合酋长国却鲜为人知。方法:在这项为期10年的回顾性横断面研究中,我们检索了2011年1月至2021年1月在阿拉伯联合酋长国迪拜生育中心就诊的312名男性患者的数据。我们确定了染色体异常、激素和精液异常在阿联酋不育男性中的类型和患病率,并与区域和全球人口进行了比较。结果:阿联酋无精子男性和阿联酋不育男性染色体异常总数分别占13.9%和8%。数字染色体异常导致男性不育的有Klinefelter综合征,47,XXY (4.0%);Jacob综合征,47岁,XYY (0.8%);马赛克,48,XXXY/47,XXY/46,XY (0.4%);和马赛克47,XXY/46,XY(0.4%)。导致男性不育的染色体结构异常为Y染色体微缺失(1.2%)、46、XX/46、XY(0.4%)、46、XY、inv(5)(p15.1q11.2)(0.4%)、45、XY、der(13;15)(q10;q10)(0.4%)。阿联酋队列中约59.0%患有无精子症,而28.46%被诊断为其他生精功能障碍,分别为严重少弱无精子症(7.63%)、严重少弱精子症(5.22%)、严重少精症(4.41%)、少弱无精子症(3.6%)、弱精子症(2.4%)、少弱精子症(1.6%)、少精症(2%)、畸形精子症(0.8%)、弱无精子症(0.4%)和精子症(0.4%)。关于阿联酋男性的激素谱,与没有染色体异常的无精子男性相比,染色体缺陷的无精子男性有更高的睾酮异常(72.2%对45.4%)、间质细胞刺激激素异常(66.6%对42.6%)、促卵泡激素异常(72.2%对41.5%)和抑制素B激素异常(100%对83.8%)。结论:本研究首次结论性地报道了阿联酋不育男性的染色体异常特征,这在区域和全球范围内都是如此,并强调了基因检测和咨询在评估男性不育中的关键作用。
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引用次数: 0
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Advances in Biomedical and Health Sciences
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