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Association of Cd40 (rs1883832) SNP in some Iraqi patients with Rheumatoid Arthritis and their correlation with disease activity 伊拉克部分类风湿关节炎患者Cd40 (rs1883832) SNP的关联及其与疾病活动度的相关性
Pub Date : 2023-10-06 DOI: 10.47391/jpma.iq-20
None Sattar Brissm Hassan, None Hanaa Abdullah, None Khaled Yassin Zakair
Objective: To determine the genotyping of CD40 gene (rs1883832) single nucleotide polymorphism (SNP) amongrheumatoid arthritis patients, and to investigate its correlation with disease activity.Method: The case-control study was conducted at Baghdad Teaching Hospitals, its affiliated Rheumatology units andAl-Yarmouk Teaching Hospital, Baghdad, Iraq, from July 2020 to May 2021, and comprised adult females withrheumatoid arthritis in group A and healthy controls in group B. The disease activity in group A was evaluated usingthe Disease Activity Score in 28 Joints scale. Samples from both groups were genotyped using TaqMan Assay for clusterof differentiation gene rs1883832 single nucleotide polymorphism. Data was analysed using SPSS 28.Results: Of the 118 participants, 76(64.4%) were in group A with mean age 45.38±1.23 years, and 42(35.6%) were incontrol group B with mean age 46.48±2.02 years. At cluster of differentiation gene rs1883832 single nucleotidepolymorphism, there was a non-significant difference in the frequency of T and A alleles as well as in TT, AA and TA ingroup A patients compared to group B controls (p>0.05). Rheumatoid factor and C-reactive protein concentrationswith TT, TA and AA genotypes in group A were significantly higher in group A compared to group B (p<0.05). Withingroup A, there was a significant increase in the TT genotype and a significant decrease in the TA genotype in severecases compared to mild cases. (p<0.05).Conclusion: The cluster of differentiation gene rs1883832 single nucleotide polymorphism T allele was found to be arisk factor for rheumatoid arthritis and disease severity. The TT and AA alleles acted as protective factors.Keywords: Polymorphism, Disease activity, Genotype.
目的:测定类风湿性关节炎患者CD40基因(rs1883832)单核苷酸多态性(SNP)的基因分型,并探讨其与疾病活动度的相关性。方法:病例对照研究于2020年7月至2021年5月在伊拉克巴格达巴格达教学医院及其附属风湿病科和al - yarmouk教学医院进行,A组为患有类风湿关节炎的成年女性,b组为健康对照。A组采用28关节疾病活动度评分(disease activity Score in 28 joint scale)评估疾病活动度。两组样品采用TaqMan法分型分化基因rs1883832单核苷酸多态性。数据采用SPSS 28进行分析。结果:118例患者中,A组76例(64.4%),平均年龄45.38±1.23岁;B组42例(35.6%),平均年龄46.48±2.02岁。在分化基因rs1883832单核苷酸多态性簇上,a组患者T、a等位基因频率以及TT、AA、TA等位基因频率与B组比较差异无统计学意义(p>0.05)。A组TT、TA和AA基因型的类风湿因子和c反应蛋白浓度显著高于B组(p < 0.05)。在A组中,与轻度病例相比,重症患者TT基因型显著增加,TA基因型显著减少。术中,0.05)。结论:分化基因rs1883832单核苷酸多态性T等位基因簇是类风湿关节炎发病及病情严重程度的危险因素。TT和AA等位基因是保护因子。关键词:多态性,疾病活动性,基因型
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引用次数: 0
Investigating the possibility of treating Serratia marcescens with an antibioticresistant mixture containing nanoparticles using AgNPs as a new type of antimicrobial: An experimental study 利用AgNPs作为一种新型抗菌剂,研究含有纳米颗粒的耐抗生素混合物治疗粘质沙雷氏菌的可能性:一项实验研究
Pub Date : 2023-10-06 DOI: 10.47391/jpma.iq-27
None Qasim Hussein, None Thaer Al Baqer, None Rajaa Radhi Kashash
Objective: To explore the possibility of treating serratia marcescens with an antibiotic-resistant mixture containingsilver nanoparticles.Method: The experimental study was conducted at the Bacteriology Laboratory of Ibn Al-Baladi Hospital, Baghdad,Iraq, from December 2021 to April 2022, and comprised human urine samples, a wound sample from local chickens,and respiratory secretions from pigeons. The isolates were kept on a brain-heart infusion medium with glycerol. Theirresponse to antibiotics with different concentrations of 9% and 7% silver nanoparticles were checked. To optimisefactors for the effect of silver nanoparticles, incubation time, temperature and silver nitrate concentration were thethree parameters used. Disc diffusion method was used to evaluate the antibacterial activity of silver nitrate againstserratia. The inhibitory zone developed was measured. Clinical and Laboratory Standards Institute’s guidelines werefollowed.Result: Optimal silver nitrate concentration was 9%, and 37°C temperature and incubation time 24h was needed forsilver nanoparticle production. Silver nanoparticle had 100% antibacterial activity.Conclusion: Nanoparticles were found to have the potential to become a viable therapeutic option.Keywords: Silver nitrate, Serratia marcescens, Nanoparticles, Temperature, Biocompatible, Silver, Anti-infective.
目的:探讨含纳米银耐药合剂治疗粘稠沙雷菌的可能性。方法:实验研究于2021年12月至2022年4月在伊拉克巴格达Ibn Al-Baladi医院细菌学实验室进行,包括人类尿液样本、当地鸡的伤口样本和鸽子的呼吸道分泌物样本。分离株保存在含甘油的脑-心输注培养基中。观察不同浓度的9%和7%银纳米颗粒对抗生素的反应。以孵育时间、温度和硝酸银浓度为影响因素,对纳米银的影响进行了优化。采用圆盘扩散法评价硝酸银对沙雷菌的抑菌活性。测定其形成的抑制带。遵循临床和实验室标准协会的指导方针。结果:硝酸银的最佳浓度为9%,温度为37℃,孵育时间为24h。纳米银具有100%的抗菌活性。结论:纳米颗粒有可能成为一种可行的治疗选择。关键词:硝酸银,粘质沙雷菌,纳米颗粒,温度,生物相容性,银,抗感染
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引用次数: 0
Pregnant women’s knowledge of Tetanus disease and immunization against Tetanus disease in the City of Baghdad 巴格达市孕妇对破伤风疾病的了解和破伤风免疫接种
Pub Date : 2023-10-06 DOI: 10.47391/jpma.iq-07
None Shatha Mahmood Niazi, None Abeer Abed Gatea
Objective: To estimate the understanding of tetanus and tetanus toxoid injections among pregnant women.Method: The cross-sectional study was conducted at the Baghdad General Hospital and a primary healthcare centrein Bab-Almuadham, Iraq, from November 15, 2020, to January 15, 2021, and comprised 100 pregnant women aged15-45 years. Data was gathered through face-to-face structured interviews using a complete self-assessmentquestionnaire. Data was analysed using SPSS 27.Results: Of the 100 women with mean age of 28.4±10.6 years (range: 15-44 years), 27(27%) were aged 20-24 years,70(70%) were from the urban areas, 40(40%) had primary education, 69(69%) were housewives, and 85(85%) had hadfull or partial tetanus toxoid vaccine doses. With respect to knowledge about tetanus disease, 60(60%) subjectsanswered correctly that tetanus is a serious disease, 52(52%) knew that tetanus infection could also kill the foetus,and 30(30%) recognised that tetanus produces significant side effects. Besides, 80(80%) women considered the vaccinea necessity, and the most common source of information about tetanus vaccination was the health authorities 76(76%).Conclusion: The pregnant women studied were found to have an acceptable level of knowledge about tetanus andtetanus toxoid immunisation.Keywords: Pregnancy, Tetanus, Clostridium tetani, Asymptomatic infections, Tetanus toxoid, Nervous system,Demography, Uterus, Foetus
目的:了解孕妇对破伤风及破伤风类毒素注射的了解情况。方法:横断面研究于2020年11月15日至2021年1月15日在伊拉克巴格达总医院和Bab-Almuadham的初级卫生保健中心进行,包括100名15-45岁的孕妇。数据通过面对面的结构化访谈收集,使用完整的自我评估问卷。数据采用SPSS 27进行分析。结果100例妇女中,平均年龄(28.4±10.6)岁(15 ~ 44岁),20 ~ 24岁27例(27%),城区70例(70%),小学文化程度40例(40%),家庭主妇69例(69%),接种过全部或部分破伤风类毒素疫苗85例(85%)。在对破伤风疾病的认识方面,60名(60%)被调查对象正确回答了破伤风是一种严重疾病,52名(52%)被调查对象知道破伤风感染也会导致胎儿死亡,30名(30%)被调查对象认识到破伤风有明显的副作用。此外,80名(80%)妇女认为接种疫苗是必要的,关于破伤风疫苗接种的最常见信息来源是卫生当局76名(76%)。结论:所调查的孕妇对破伤风及破伤风类毒素免疫的知识水平可接受。关键词:妊娠,破伤风,破伤风梭菌,无症状感染,破伤风类毒素,神经系统,人口统计学,子宫,胎儿
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引用次数: 0
Naegleria Fowleri - Prevention is the best cure 福氏奈格里氏菌——预防是最好的治疗
Pub Date : 2023-09-13 DOI: 10.47391/jpma.7657
None Muhammad Musab Niazi
Respected Editor, With the temperatures rising every summer and the quality of water deteriorating in Pakistan and specially Karachi the ‘brain-eating amoeba’ Naegleria fowleri was on rise during this summer too. 6 cases of primary amebic meningoencephalitis (PAM) caused by N. fowleri were reported which took at least 5 lives in 2022.1 Naegleria fowleri is a non-parasitic, thermophilic, disease-causing flagellate amoeba. N. fowleri can tolerate high temperatures (up to 45%) and mainly consumes bacteria due to which it is usually found in warm freshwater bodies.2 The stage in which it is considered most infective is the trophozoite stage which is also its reproductive stage and it requires favourable conditions for this stage to be exhibited.2 The main route of entry for N. Fowleri is the olfactory route when water contaminated with this pathogen is forcefully inhaled during water-related activities like swimming and ablution etc.2 Signs and symptoms of PAM are similar to those of viral or bacterial meningitis including fever, headache, stiff neck, vomiting, anorexia, and seizures. This is the reason Naegleria fowleri is also commonly known as “brain-eating amoeba”. This similarity makes it difficult for physicians to diagnose it early. PAM can cause death within 3 to 7 days after the symptoms appear.3 After the first case of PAM which was reported in 2008, approximately 150 cases have been reported from Karachi alone. In only a decade, the number of PAM cases in Pakistan exceeded those reported in the USA in half a century (i.e. 142 cases between 1968 and 2019)4. Aga Khan University Hospital, Karachi, Pakistan has observed a death rate of approximately 20 deaths per year due to PAM in Pakistan.5 Naegleria fowleri can be killed by chlorinating water and the ensuing disease and deaths can be eliminated but due to the failure of the Karachi Water and Sewerage Board before supplying it to houses and then the use of that water for bathing and ablution, this pathogen continues to cause deaths every year.6 According to the WHO, free chlorine having residual concentration equal to or more than 0.5 mg/L, at pH less than 8.0 and 20°C, after a contact time of at least 30 minutes is effective for chlorine disinfection. The government should make sure that this level of chlorine is maintained throughout the distribution system.2 ---Continue
尊敬的编辑,随着每年夏天气温的上升和巴基斯坦水质的恶化,尤其是卡拉奇,“食脑变形虫”福氏耐格里虫在今年夏天也在增加。2012年报告6例由福氏奈格里虫引起的原发性阿米巴脑膜脑炎(PAM),造成至少5人死亡。福氏奈瑟菌能耐受高温(高达45%),主要以细菌为食,因此它通常存在于温暖的淡水水体中它被认为最具传染性的阶段是滋养体阶段,这也是它的繁殖阶段,它需要有利的条件来展示这一阶段福氏奈瑟菌的主要进入途径是嗅觉途径,当在与水有关的活动中,如游泳和洗澡等,被该病原体污染的水强行吸入时。2帕姆氏菌的体征和症状与病毒性或细菌性脑膜炎相似,包括发烧、头痛、颈部僵硬、呕吐、厌食和癫痫发作。这就是为什么福氏奈格里亚原虫通常也被称为“食脑阿米巴”。这种相似性使得医生很难及早诊断。PAM可在症状出现后3至7天内导致死亡在2008年报告了首例小儿麻痹症病例之后,仅卡拉奇就报告了大约150例病例。仅在十年内,巴基斯坦的PAM病例数就超过了美国半个世纪以来报告的病例数(即1968年至2019年期间的142例)。巴基斯坦卡拉奇的阿加汗大学医院观察到,巴基斯坦每年约有20人死于PAM。5福氏耐格里氏菌可以通过用水加氯消毒杀死,由此产生的疾病和死亡可以消除,但由于卡拉奇供水和污水处理委员会未能将水供应给住户,然后将其用于沐浴和沐浴,这种病原体每年继续造成死亡6根据世界卫生组织的规定,游离氯的残留浓度等于或大于0.5 mg/L, pH值小于8.0,温度为20°C,接触时间至少为30分钟,才能有效消毒。政府应该确保在整个分配系统中保持这种水平的氯。2,继续
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引用次数: 0
Vitamin A deficiency, a potential threat to sight in transplant recipients 维生素A缺乏,对移植受者的视力有潜在威胁
Pub Date : 2023-09-13 DOI: 10.47391/jpma.23-78
None Fatema Ali Lanewala
Vitamin A (Vit A or Retinol) is an essential nutrient for proper human body functioning including embryogenesis, vision, cell proliferation and differentiation, immune regulation, and glucose and lipid metabolism. It is mainly acquired through diet rich in Retinol or Retinyl esters; or its precursors like carotenoids, Provitamin A, and beta carotene.1,2 Continue...
维生素A (Vit A或视黄醇)是人体正常功能的必需营养素,包括胚胎发生、视力、细胞增殖和分化、免疫调节和糖脂代谢。它主要通过富含视黄醇或视黄醇酯的饮食获得;或其前体,如类胡萝卜素、维生素原A和-胡萝卜素。1、2继续……
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引用次数: 0
Knowledge, attitudes and practices regarding quackery in dentistry at Ayub Dental Hospital, Abbottabad 阿伯塔巴德Ayub牙科医院关于牙科江湖骗术的知识、态度和做法
Pub Date : 2023-05-15 DOI: 10.47391/jpma.7783
Bakhtawer Aziz, Najia Sajjad Khan, Salka Urooj, Sidra Nazir Qazi, Kiran Shambleed
Objectives: To assess knowledge, attitudes and practices of people regarding dental quackery. Method: The descriptive, knowledge-attitude-practice study was conducted June 2 to August 1, 2022, at the Dentistry Department of Ayub Medical Complex, Abbottabad, Pakistan, and comprised adult subjects of ether gender belonging to lower or middle socioeconomic class and visiting the dental outpatient clinic. Data was collected using a predesigned questionnaire. To explore the subjects’ knowledge, attitude and practice regarding dental quackery. Data was analysed using SPSS 21. Results: Of the 261 subjects. 135(51.7%) were males and 126(48.3%) were females. The overall mean age was 29.15+/-10.15 years. Of the total, 243(93.1%) participants had satisfactory socioeconomic status and 18(6.9%) had unsatisfactory status. There were 97(37.2%) subjects having good knowledge, 217(83.1%) with good attitude, and 53(67.1) showing good practices towards dental quackery. Low socioeconomic status, low awareness, and easy accessibility were the main reasons for people visiting dental quacks. Increasing the number of public hospitals was suggested as the main solution by 119(45.6%) subjects. Conclusion: The level of knowledge, attitude and practice regarding dental quackery was good. Low socioeconomic status and lack of awareness were the two important reasons for quackery. Key Words: Dentistry, Frauds, Healthcare, Malpractice, Quackery.
目的:了解人们对牙科江湖的认知、态度和行为。方法:描述性、知识-态度-实践研究于2022年6月2日至8月1日在巴基斯坦阿伯塔巴德Ayub医疗中心的牙科部进行,研究对象为来自中低社会经济阶层并在牙科门诊就诊的成年受试者。使用预先设计的问卷收集数据。探讨被试对牙科江湖医学的知识、态度和行为。数据采用SPSS 21进行分析。结果:261名受试者中。男性135例(51.7%),女性126例(48.3%)。总体平均年龄为29.15±10.15岁。其中社会经济地位满意的243人(93.1%),社会经济地位不满意的18人(6.9%)。有97人(37.2%)对牙科江湖医学知识了解良好,217人(83.1%)态度良好,53人(67.1)行为良好。社会经济地位低、认知度低、易接近是人们就诊的主要原因。119名(45.6%)受访者认为增加公立医院数量是主要解决方案。结论:本区居民对牙医学的知识、态度和行为水平较好。低社会经济地位和缺乏意识是庸医的两个重要原因。关键词:牙科,欺诈,医疗保健,医疗事故,庸医
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引用次数: 0
Knowledge and action related to stimulation development of stunted children 与促进发育迟缓儿童发展有关的知识和行动
Pub Date : 2023-02-01 DOI: 10.47391/jpma.ind-s2-14
Ilya Krisnana, Praba Diyan Rachmawali, Ayu Saadatul Karimah, Eka Mishbahatul Mhas, Lizy Sonia Benjamin
Objective: To analyse the correlation of parental knowledge and parental stimulation with toddler stunting. Method: The cross-sectional study was conducted in April 2020 at the Tlanakan Health Centre, Pamekasan Regency, Indonesia, and comprised mothers of stunted children aged 6-36 months who had no comorbid disease. Data was collected using a questionnaire and a checklist. Data was analysed SPSS with Spearmen Rank correlation. Results: Of the 186 mothers, 125(67.2%) were aged 20-30 years, and 168(90.3%) were housewives. Among the children, 97(52.2%) were boys and 89(47.8%) were girls. The largest age group was that of 25-36 months 80(43%). There was a significant correlation of parental knowledge and stimulation with the development of stunting toddlers (p=0.001). Conclusion: Parental knowledge and actions of developmental stimulation by parents were related to the quality of development of the stunted children. Keywords: Growth disorders, Stunting, Child development, Parental knowledge.
目的:分析父母知识和父母刺激与幼儿发育迟缓的关系。方法:该横断面研究于2020年4月在印度尼西亚帕梅卡桑县的特拉纳坎卫生中心进行,研究对象为6-36个月发育迟缓、无合并症的儿童的母亲。通过问卷调查和检查表收集数据。数据用SPSS统计软件Spearmen Rank相关分析。结果186例产妇中,年龄在20 ~ 30岁的有125例(67.2%),家庭主妇168例(90.3%)。其中男孩97例(52.2%),女孩89例(47.8%)。最大年龄组为25-36个月(43%)。父母的知识和刺激与发育迟缓幼儿的发展有显著的相关性(p=0.001)。结论:父母对发育刺激的认识和行为与发育迟缓儿童的发育质量有关。关键词:生长障碍,发育迟缓,儿童发育,父母知识。
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引用次数: 0
Periodontitis is a risk factor for developing cardiovascular diseases. 牙周炎是患心血管疾病的危险因素。
Pub Date : 2020-11-01 DOI: 10.47391/JPMA.12-1265
Z. Fatima, Chand Shahzadi, Ayesha Nosheen, Khan Me, H. Rehman
Objective To find out the link between periodontitis and cardiovascular disease while avoiding chronic infections that lead to heart diseases. METHODS The case-control study was conducted at a tertiary care hospital in Lahore, Pakistan, from October 5, 2017, to January 5, 2018, and comprised patients of cardiovascular disease and healthy controls. Data was collected using questionnaire- based interviews. Data was analyzed using SPSS 20. RESULTS Of the 146 subjects, 73(50%) each were cases and controls. Among the cases, 48(65.75%) had periodontitis, while 25(34.25%) were free from any history or sign of periodontal infections compared to 16(21.91%) controls who had periodontitis and 57(78.08%) who did not have it (p<0.001). Conclusion There was a strong association between periodontitis and cardiovascular disease.
目的探讨牙周炎与心血管疾病的关系,避免慢性感染导致心血管疾病。方法病例对照研究于2017年10月5日至2018年1月5日在巴基斯坦拉合尔的一家三级医院进行,包括心血管疾病患者和健康对照。数据收集采用问卷为基础的访谈。数据采用SPSS 20进行分析。结果146例患者中,病例和对照组各73例(50%)。其中48例(65.75%)有牙周炎,25例(34.25%)无牙周感染史或体征,对照组有牙周炎16例(21.91%),无牙周炎57例(78.08%)(p<0.001)。结论牙周炎与心血管疾病有较强的相关性。
{"title":"Periodontitis is a risk factor for developing cardiovascular diseases.","authors":"Z. Fatima, Chand Shahzadi, Ayesha Nosheen, Khan Me, H. Rehman","doi":"10.47391/JPMA.12-1265","DOIUrl":"https://doi.org/10.47391/JPMA.12-1265","url":null,"abstract":"Objective To find out the link between periodontitis and cardiovascular disease while avoiding chronic infections that lead to heart diseases. METHODS The case-control study was conducted at a tertiary care hospital in Lahore, Pakistan, from October 5, 2017, to January 5, 2018, and comprised patients of cardiovascular disease and healthy controls. Data was collected using questionnaire- based interviews. Data was analyzed using SPSS 20. RESULTS Of the 146 subjects, 73(50%) each were cases and controls. Among the cases, 48(65.75%) had periodontitis, while 25(34.25%) were free from any history or sign of periodontal infections compared to 16(21.91%) controls who had periodontitis and 57(78.08%) who did not have it (p<0.001). Conclusion There was a strong association between periodontitis and cardiovascular disease.","PeriodicalId":16673,"journal":{"name":"Journal of Pakistan Medical Association","volume":"1 1","pages":"1941-1943"},"PeriodicalIF":0.0,"publicationDate":"2020-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79915944","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 3
期刊
Journal of Pakistan Medical Association
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