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Morphological description of the pancreas in male and female swan geese 雄性和雌性天鹅胰腺的形态学描述
Pub Date : 2023-06-30 DOI: 10.36326/kjvs/2023/v14i110853
Fatima Saad, Iman Ibrahim Dle
One of the organs that can be found in the abdominal cavity is called the pancreas. It is a vital component in the process by which the food we eat is transformed into fuel for the cells of the body. For investigation of morphological description of the pancreas, the study was performed on twenty adult swan geese (10 males and 10 females). According to the morphological findings, the pancreas of geese was located on the right side of their abdominal cavity. It possessed four lobes—dorsal, splenic, ventral, and third and a distinctive duodenal papilla. It was between the ascending and descending duodenal loops. The goose pancreas has a thin covering of connective tissue over its mesothelium. The pancreatic parenchyma was divided by connective tissue septa, into numerous lobules, and these lobules extended outward from the pancreatic capsule. There was a wide range of diameters for the blood vessels. It consists of significant blood arteries, which can be identified by their oval or circular, bright nuclei. They have oval or circular, brilliant nuclei with the nucleolus. In the swan goose, serous acini and islets of Langerhans made up most of the pancreatic parenchyma. Exocrine cells had pyramidal shapes, acidophilic granules, and serous acini. In conclusion, the pancreas of geese like the most bird and is different from domestic animals.
在腹腔中可以找到的一个器官叫做胰腺。它是我们所吃的食物转化为身体细胞燃料的过程中的一个重要组成部分。为了研究胰腺的形态学描述,本研究对20只成年天鹅(雄雌各10只)进行了研究。从形态学上看,鹅的胰腺位于腹腔右侧。它有四个叶——背叶、脾叶、腹叶、第三叶和一个独特的十二指肠乳头。它位于十二指肠上升袢和下降袢之间。鹅胰腺的间皮上覆盖着一层薄薄的结缔组织。胰腺实质被结缔组织隔分隔成许多小叶,这些小叶从胰腺被膜向外延伸。血管的直径范围很广。它由重要的血动脉组成,可以通过其椭圆形或圆形明亮的核来识别。它们有椭圆形或圆形的带核仁的明亮细胞核。在大雁中,浆液腺泡和朗格汉斯胰岛构成了大部分胰腺实质。外分泌细胞呈锥体状,嗜酸颗粒状,浆液腺泡状。综上所述,鹅的胰腺与鸟类最相似,与家畜不同。
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引用次数: 0
Effects of Alcoholic Extracted and Dry Eggplant (Solanum Melongena) on Hyperlipidemia Treatment in Rats 醇提干茄对大鼠高脂血症的治疗作用
Pub Date : 2023-06-30 DOI: 10.36326/kjvs/2023/v14i112070
Hayder Hasan Khudiar, Saadia Saleh Mehdy
This study was carried out to investigate the potential of crude ethanolic extracts of eggplant (Solanum melongena) peels, fruit, and seeds, as well as dry eggplant, in the treatment of hyperlipidemia in rats. Forty-nine adult female Sprague Dawley rats were used with a weighting between (280-340) grams. Following the establishment of hyperlipidemia by providing them with a high-fat diet consisting of 4% cholesterol with 5% egg yolk for a period of 30 days in all groups except the control negative. Afterward, the rats were divided into seven groups of 7 rats as followed: The first group control negative was given standard pellets and water only, and the second group control positive induction hyperlipidemia this applied to all groups. Other groups (third, fourth, and five) were administered with alcoholic extracts of Solanum Melongena parts including the peel group, fruit group, and seed group, at a dose of 400 mg/kg/B.W. orally once a day, and group six received dry eggplant without extract at a dose of 200 mg/kg/diet once daily. The seven groups received atorvastatin at a dose of 20 mg/ B.W. orally once daily for a period of 45 days for all groups. The results of the study on serum lipid profile in rats indicated that the peel and atorvastatin groups exhibited a significant decrease in levels of total cholesterol (TC), triglyceride (TG), low-density lipoprotein (LDL), and low-density lipoprotein (VLDL). Furthermore, the peel and atorvastatin groups had substantially elevated high-density lipoprotein (HDL) levels. The study suggests that eggplant peel extract and atorvastatin, a common drug, can potentially treat hyperlipidemia in rats. 
本研究旨在探讨茄子(Solanum melongena)果皮、果实、种子以及干茄子的粗乙醇提取物治疗大鼠高脂血症的潜力。选用体重在280-340克之间的成年雌性斯普拉格·道利大鼠49只。在高脂血症建立后,除对照组阴性外,其余各组均饲喂含4%胆固醇和5%蛋黄的高脂肪饮食,为期30 d。然后将大鼠分为7组,每组7只,第一组对照阴性只给予标准颗粒和水,第二组对照阳性诱导高脂血症,各组均适用。其余3、4、5组分别给予龙葵果皮组、果实组和种子组的酒精提取物,剂量为400 mg/kg/ bw第6组给予不含提取物的干茄子,剂量为200 mg/kg/日粮,每日1次。7组均给予阿托伐他汀20mg / bw口服,每日1次,疗程45天。对大鼠血清脂质谱的研究结果表明,果皮组和阿托伐他汀组大鼠的总胆固醇(TC)、甘油三酯(TG)、低密度脂蛋白(LDL)和低密度脂蛋白(VLDL)水平显著降低。此外,果皮组和阿托伐他汀组高密度脂蛋白(HDL)水平显著升高。该研究表明,茄子皮提取物和阿托伐他汀(一种常见的药物)可能治疗大鼠的高脂血症。
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引用次数: 0
The Role of Certain Specific Hormonal Treatments in Estrus Synchronization of Ewes: A mini Review 某些特定激素治疗在母羊发情同步中的作用:综述
Pub Date : 2023-06-30 DOI: 10.36326/kjvs/2023/v14i110923
Hanan Waleed Kasim Aqwaan
Reproductive function is the cornerstone in achieving better profitability for sheep; researchers have developed several ways to guide the reproduction of ewes and develop their reproductive efficiency by its needs. This contributed to reducing the vaccination season and the timing of births in ewes during a limited year to provide optimal care conditions. The optimal use of these techniques in the reproductive function enables us to enter estrus, increase the ovulation rate, and the appropriate timing of artificial insemination, which in turn increases the reproductive efficiency of ewes. Therefore, it has become necessary to use modern biotechnologies such as estrus synchronization technology, which is one of the technologies that help reduce the time and effort required to detect estrus by collecting estrus cases in treated animals. By applying reproductive care programs such as synchronizing estrus and increasing fertility using compounds such as injections of human chorionic gonadotropin, gonadotropin-releasing hormone or progesterone after mating and prostaglandin F2alpha, prostaglandin E and melatonin hormone, it may help to be performed at a specific time
繁殖功能是绵羊获得更好盈利能力的基石;研究人员已经开发了几种方法来指导母羊的繁殖,并根据母羊的需要提高它们的繁殖效率。这有助于减少疫苗接种季节和在有限的一年内母羊分娩的时间,以提供最佳的护理条件。这些技术在生殖功能上的最佳应用使我们能够进入发情期,提高排卵率,并适当地进行人工授精,从而提高母羊的繁殖效率。因此,有必要使用现代生物技术,如发情同步技术,这是一种通过收集治疗动物的发情病例来帮助减少检测发情所需时间和精力的技术之一。通过应用生殖保健程序,例如同步发情和使用诸如在交配后注射人绒毛膜促性腺激素、促性腺激素释放激素或孕酮以及前列腺素f2α、前列腺素E和褪黑激素等化合物来提高生育能力,可能有助于在特定时间进行手术
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引用次数: 0
Histopathological Effect of Annona Muricata Fruit Extract on Methyl nitrosourea -Induced Mammary Gland Carcinoma in Female Albino Mice 茉莉果提取物对甲基亚硝基脲诱导的雌性白化小鼠乳腺癌的组织病理学影响
Pub Date : 2023-06-30 DOI: 10.36326/kjvs/2023/v14i110352
Aaya Sabah Abdulhur, B. Hamza Fares
The Annona muricata (Family-Annonaceae) fruit contain annonaceous acetogenins which have an effect on cancer cell as reported in many research studies. This study was aimed to evaluate the effect of methanolic fruit extract of Annona muricata (MFEAM) on breast cancer histology and invasive cell of MNU-induced breast cancer mice. Fifty female albino mice were divided into five groups (of ten each): control; MNU-induced breast cancer; MNU-induced breast cancer + (MFEAM) 200 mg/kg, MNU-induced breast cancer + (MFEAM) 300 mg/kg and MNU-induced breast cancer + (MFEAM) 500 mg/kg. The research indicates that breast cancer invasive ductal carcnoma (IDC) developed in the MNU-induced breast cancer group. The control group showed normal duct structure. The (MFEAM) -treated group showed lower invasive (DCIS) compared with the untreated cancer group. We concluded that (MFEAM), that improved the histological changes of breast cancer-induced MNU. Also (MFEAM) reduced proliferative epitheal cell of breast cancer-induced MNU and the most effective dose was 300 mg/kg. The present study concluded that the methanol extracts derived from Annona muricata fruit potentially exhibit antitumor activity.              The control group showed normal duct structure. The (MFEAM) -treated group showed lower invasive (DCIS) compared with the untreated cancer group, We concluded (MFEAM) that improved the histological changes of breast cancer-induced MNU. Also (MFEAM) reduced proliferative epitheal cell of breast cancer-induced MNU and the most effective dose in 300 mg/kg.
许多研究报道,番荔枝科果实中含有番荔枝素,对癌细胞有一定的作用。本研究旨在探讨番荔枝果甲醇提取物(MFEAM)对mnu诱导乳腺癌小鼠乳腺癌组织学及侵袭细胞的影响。50只雌性白化小鼠分为5组(每组10只):对照组;mnu诱导的乳腺癌;mnu诱导乳腺癌+ (MFEAM) 200 mg/kg, mnu诱导乳腺癌+ (MFEAM) 300 mg/kg, mnu诱导乳腺癌+ (MFEAM) 500 mg/kg。研究表明,乳腺癌浸润性导管癌(invasive ductal carcinoma, IDC)在mnu诱导的乳腺癌组发生。对照组导管结构正常。与未治疗的癌症组相比,MFEAM治疗组的侵袭性(DCIS)较低。我们认为(MFEAM)可以改善乳腺癌诱导的MNU的组织学改变。MFEAM还能抑制乳腺癌诱导的MNU上皮细胞增殖,其最有效剂量为300 mg/kg。本研究表明,番荔枝果实甲醇提取物具有潜在的抗肿瘤活性。对照组导管结构正常。与未治疗的癌症组相比,(MFEAM)治疗组的侵袭性(DCIS)更低,我们认为(MFEAM)改善了乳腺癌诱导的MNU的组织学改变。MFEAM还能减少乳腺癌诱导的MNU上皮细胞的增殖,其最有效剂量为300 mg/kg。
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引用次数: 0
Antifungal potency of clove (Syzygium aromaticum) essential oil extract against induced systemic infection by Candida albicans in mice 丁香精油提取物对白色念珠菌诱导的小鼠全身感染的抗真菌作用
Pub Date : 2023-06-30 DOI: 10.36326/kjvs/2023/v14i111158
Orooba M.S. Ibrahim, Ban M. Ali
Fungal infection is a serious health problem, involved with the life threatening mycosis and mortality. Emerging of resistance and limited antifungal drugs against most antifungal agents lead to the requirement for development of effective and alternate strategies to fight fungal infections. The aim of this study is to investigate the antifungal activity of clove oil extract against systemic induced infection In vivo by Candida albicans in mice. Fifty mice were used to induce systemic infection by injecting 1 ml of 1×106 C.albicans suspension intra-peritoneally for seven days consecutive, then sacrificed to observe the incidence of infection in internal organs (gross lesion) and measure the level of IL-6 and serum creatinine plus histopathological changes. The development of systemic infection with C. albicans (1 × 106 cells) was observed daily for 14 days which was accompanied with clinical signs of infection, including weight loss, depression, and ruffled appearance. IL-6 level showed no significant difference in all group before treatment and after inducing infection the level of IL-6 showed significant increase (P≤0.01) in control positive group while group treated with clove oil 5 mg/kg and 10 mg/kg showed significant decrease in the level compared with infected group and fluconazole treated group . Serum creatinine concentration was within the normal values in all groups (p>0.01) before the infection. There were an increase significantly (P≤0.01) in the level in all infected mice after 7 days of infection. The serum creatinine values of treated group with clove oil extract 5 mg/kg and 10 mg/kg showed decreased in the creatinine concentration . The present results demonstrated that the essential oil of clove extract rich with eugenol has great antifungal power. This extract can be suggested as antimicrobial and antifungal to treat candidemia and reduce the incidence of mortality rate due to systemic candidiasis.
真菌感染是一个严重的健康问题,涉及危及生命的真菌病和死亡率。对大多数抗真菌药物的耐药性和有限的抗真菌药物的出现导致需要开发有效的和替代的策略来对抗真菌感染。本研究旨在探讨丁香油提取物对小鼠体内白色念珠菌全身性感染的抗真菌活性。50只小鼠腹腔注射1×106白色念珠菌悬液1 ml,连续7 d诱导全身感染,处死后观察脏器感染发生率(肉眼病变),测定IL-6、血清肌酐水平及组织病理学变化。每天观察全身白色念珠菌感染(1 × 106个细胞)的发展,持续14 d,并伴有体重减轻、抑郁、外观皱褶等临床感染症状。治疗前各组IL-6水平差异无统计学意义,诱导感染后,对照阳性组IL-6水平显著升高(P≤0.01),丁香油5 mg/kg和10 mg/kg组IL-6水平较感染组和氟康唑治疗组显著降低。感染前各组血清肌酐浓度均在正常范围内(p < 0.01)。感染7 d后,各感染小鼠血清总水平均显著升高(P≤0.01)。丁香油提取物5 mg/kg和10 mg/kg处理组血清肌酐浓度降低。结果表明,丁香酚提取物精油具有很强的抗真菌活性。该提取物具有抗菌和抗真菌作用,可降低因全身念珠菌病引起的死亡率。
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引用次数: 0
Assessment Of Bone Minerals Density Among Vitamin D Deficient Hypertensive Patients 维生素D缺乏症高血压患者骨密度的评估
Pub Date : 2023-06-15 DOI: 10.36330/kmj.v19i1.11356
Rabie Alagib Abdallah, Mohamed Abdelrhaman Altahir, Reem Tajelsir Ali, Amar Mohamed Ismail, Abuagla M. Dafalla, Hani M. Abdalla, G. Modawe
Background: One of the main risk factors for cardiovascular illnesses and a widespread health issue, is hypertension which can result in improper calcium metabolism. Vitamin D may lessen the prevalence of hypertension as it has been suggested that rickets and osteomalacia are frequently brought on by vitamin D insufficiency. Objective: the present study aims to assess bone minerals density in hypertensive patients with vitamin D deficiency. Materials and Methods:  this is a cross-sectional study conducted in April through June of 2019. Eighty-eight hypertension patients were included in the study, 46 men and 42 women, and they were divided into two groups depending on their vitamin D results: normal, >20 ng/ml, and case, 20 ng/ml. The data were analyzed by using SPSS version20. Serum vitamin D level was determined by using an ELISA competitive assay, serum ALP and Mg level was determined by using spectrophotometric methods, and serum Ca and Ph level was determined by using dye colorimetric methods. Results: Females, overweight subjects and more than 5 years patients showed a decrease in vitamin D level, with P-values (0.000, 0.003 and 0.041) respectively. The mean serum level of ALP and Mg were significantly increased in overweight group (P-values 0.048 and 0.041). The mean serum levels of ALP, Ca, Ph and Mg showed insignificant differences in the study group classified based on gender P-values (0.844, 0.546, 0.173 and 0.716) respectively. Patients with long history of disease (> 5 years) have significant increase in Ca levels p-value (0.019). Conclusion Patients with obesity have lower vitamin D levels, while having higher levels of ALP and Mg. Patients with long histories of disease (> 5 years) have higher levels of Ca. Females are more susceptible to vitamin D deficiency. There is no discernible difference in serum ALP, calcium, phosphate, or magnesium between hypertensive patients with normal or lower of levels vitamin D.
背景:高血压是心血管疾病和广泛存在的健康问题的主要危险因素之一,可导致钙代谢不正常。维生素D可以降低高血压的患病率,因为有研究表明,佝偻病和骨软化症通常是由维生素D不足引起的。目的:探讨维生素D缺乏症高血压患者的骨密度变化。材料和方法:这是一项横断面研究,于2019年4月至6月进行。88名高血压患者被纳入研究,46名男性和42名女性,根据他们的维生素D结果分为两组:正常组,>20 ng/ml,病例组,20 ng/ml。采用SPSS version20软件对数据进行分析。采用ELISA竞争法测定血清维生素D水平,采用分光光度法测定血清ALP和Mg水平,采用染料比色法测定血清Ca和Ph水平。结果:女性、超重、5岁以上患者维生素D水平下降,p值分别为0.000、0.003、0.041。超重组平均血清ALP和Mg水平显著升高(p值分别为0.048和0.041)。按性别分组的研究组ALP、Ca、Ph、Mg平均血清水平p值分别为0.844、0.546、0.173、0.716,差异无统计学意义。病史长(> 5年)患者Ca水平显著升高p值(0.019)。结论肥胖患者维生素D水平较低,ALP和Mg水平较高。病史长(> 5年)的患者钙水平较高。女性更容易出现维生素D缺乏症。在维生素D水平正常或较低的高血压患者之间,血清ALP、钙、磷酸盐或镁没有明显差异。
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引用次数: 0
Sensorineural Hearing Loss in Diabetes Mellitus 糖尿病患者的感音神经性听力损失
Pub Date : 2023-06-15 DOI: 10.36330/kmj.v19i1.11076
Anmar Abdullah Jassim Alhamadani, Ghassan Mohammad Ahmed Alrawy, Ahmed Saadallah Ahmed Alhankawi, Samet Almoula
Background: Sensorineural hearing loss are common neurological deficit, and diabetes mellitus is a common cause for these problems. Hearing impairment affects the quality of life of diabetic patients. Many researchers found hearing impairment in diabetic patients because diabetes mellitus can cause sensorineural hearing loss (SNHL) because of neuropathy and microvascular complications of diabetes mellitus.Aim of the study: The study aims to sensorineural hearing loss in diabetic patients compared with non-diabetic control.Patients and methods: A prospective case control study is performed during the period between Jan 2018 and May 2019. This case series study included 100 known cases of diabetes mellitus, their ages were between 20-60 years, treated at Al-wafaa center, which is specialized center for treatment and follow up of diabetic patients, and Al-Jumhory Teaching Hospital in Mosul. The control group included 100 individuals who did not have any diabetes mellitus or any of the exclusion criteria mentioned in the study.Results: It has been found that sensorineural hearing loss (SNHL) was more common in diabetic patients group than controls group, 21% versus 8%. The prevalence of (SNHL) was more in male 31.7% than female diabetic patients 13.5%. Hearing threshold in diabetic patients was higher than that in control group. The hearing loss in diabetic patients is slowly progressive and directly related to the duration of diabetes.Conclusions: Sensorineural hearing loss has been found to be more common in diabetic patients than in control group, and the hearing loss in diabetic patients is slowly progressive. The hearing threshold in diabetic patients had a direct correlation with the duration of disease.
背景:感音神经性听力损失是一种常见的神经功能障碍,糖尿病是常见的病因。听力障碍影响糖尿病患者的生活质量。许多研究者发现糖尿病患者存在听力障碍,因为糖尿病可因其神经病变和微血管并发症引起感音神经性听力损失(SNHL)。研究目的:本研究旨在将糖尿病患者的感音神经性听力损失与非糖尿病对照组进行比较。患者和方法:2018年1月至2019年5月进行前瞻性病例对照研究。该病例系列研究包括100例已知的糖尿病病例,年龄在20-60岁之间,在糖尿病患者治疗和随访的专门中心Al-wafaa中心和摩苏尔的Al-Jumhory教学医院接受治疗。对照组包括100名没有任何糖尿病或研究中提到的任何排除标准的人。结果:糖尿病组感音神经性听力损失(SNHL)发生率高于对照组,分别为21%和8%。男性(31.7%)高于女性(13.5%)。糖尿病患者的听力阈值高于对照组。糖尿病患者的听力损失进展缓慢,与糖尿病病程直接相关。结论:感觉音神经性听力损失在糖尿病患者中较对照组更为常见,且糖尿病患者听力损失进展缓慢。糖尿病患者的听力阈值与病程有直接关系。
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引用次数: 0
The Role of Interleukin-22 in The Diagnosis and Evaluation of Disease Activity in Rheumatoid Arthritis 白细胞介素-22在类风湿关节炎疾病活动性诊断和评价中的作用
Pub Date : 2023-06-15 DOI: 10.36330/kmj.v19i1.12223
S. Almurshedi, R. Alasady
Background: Rheumatoid Arthritis (RA) is a chronic autoimmune disease that primarily affects small joints, resulting in joint inflammation, pain, and limited mobility. The identification of novel biomarkers specific to RA could enhance early diagnosis and treatment and also improve the monitoring of the disease activity and treatment response. In this study, the levels of IL-22 were measured in 133 patients with inflammatory arthritis using the ELISA method with the aim of assessing the diagnostic value of IL-22 in the diagnosis of RA and evaluating the disease activity. The findings revealed that serum IL-22 levels were significantly higher in RA patients compared to patients with other types of inflammatory arthritis. Additionally, positive correlations were observed between IL-22 and disease activity scores as determined by CDAI, DAS-28 ESR, and DAS-28 CRP. Notably, when IL-22 was used as a diagnostic tool, with a cut-off value of ≥ 26.9 pg/ml, it exhibited a sensitivity of 83%, specificity of 75%, and an AUC of 0.838. Furthermore, significant associations were found between IL-22 levels and the age of RA patients, while no significant correlations were observed with gender, BMI, and smoking index. It is noteworthy that IL-22 levels were significantly correlated with ESR, RF titer, and ACPA levels. Consequently, IL-22 can be regarded as a valuable biomarker for diagnosing RA and evaluating disease activity. Subjects and method: This cross-sectional study was conducted from September 2022 to January 2023, involving 133 patients with inflammatory arthritis, including RA and other forms of inflammatory arthritis. All patients were recruited from As-Sader Teaching Hospital in Najaf. The ages of the patients included in the present study range  from 20 to 70 years, with a sample comprising 116 females and 17 males. Results: The higher median (IQR) value of IL-22 was observed among the RA patients [36.9 (28.6-63.7) pg/ml] compared to that of the other patients with inflammatory arthritis [23.6 (19.8-26.8) pg/ml]. The difference between the two groups of patients was highly significant (P < 0.0001). Among the RA patients, a highly significant difference in the median (IQR) level of IL-22 was observed among the disease activity groups according to CDAI, DAS-28 ESR, and DAS-28 CRP (P < 0.0001). Conclusion: Interleukin-22 can be regarded as a reliable biomarker for the diagnosis of RA and holds potential for assessing disease activity.
背景:类风湿关节炎(RA)是一种慢性自身免疫性疾病,主要影响小关节,导致关节炎症、疼痛和活动受限。识别新的RA特异性生物标志物可以增强RA的早期诊断和治疗,也可以改善疾病活动和治疗反应的监测。本研究采用ELISA法检测了133例炎性关节炎患者的IL-22水平,目的是评估IL-22在RA诊断和疾病活动性评价中的诊断价值。研究结果显示,与其他类型的炎症性关节炎患者相比,RA患者血清IL-22水平明显较高。此外,通过CDAI、DAS-28 ESR和DAS-28 CRP测定的IL-22与疾病活动性评分之间观察到正相关。值得注意的是,当IL-22作为诊断工具时,截断值≥26.9 pg/ml,其敏感性为83%,特异性为75%,AUC为0.838。此外,IL-22水平与RA患者的年龄有显著相关性,而与性别、BMI和吸烟指数无显著相关性。值得注意的是,IL-22水平与ESR、RF滴度和ACPA水平显著相关。因此,IL-22可被视为诊断RA和评估疾病活动性的有价值的生物标志物。研究对象和方法:本横断面研究于2022年9月至2023年1月进行,涉及133例炎性关节炎患者,包括RA和其他形式的炎性关节炎。所有患者均从纳杰夫的As-Sader教学医院招募。本研究纳入的患者年龄从20岁到70岁不等,样本包括116名女性和17名男性。结果:RA患者IL-22的中位数(IQR)值[36.9 (28.6-63.7)pg/ml]高于其他炎性关节炎患者[23.6 (19.8-26.8)pg/ml]。两组患者差异极显著(P < 0.0001)。在RA患者中,根据CDAI、DAS-28 ESR和DAS-28 CRP,疾病活动期组之间IL-22中位(IQR)水平差异极显著(P < 0.0001)。结论:白细胞介素-22可作为RA诊断的可靠生物标志物,并具有评估疾病活动性的潜力。
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引用次数: 0
Evaluation of Inhaler Technique In COPD And Asthma Patients 吸入器技术在COPD和哮喘患者中的应用评价
Pub Date : 2023-06-15 DOI: 10.36330/kmj.v19i1.12014
Mohammed Hussein Abdulredha, Haydar Jawad Aljobouri, Mohammed Dhamin Alareedh
Background: Asthma and COPD remain poorly controlled diseases that significantly affect the quality of life of patients. Inhalers are the main therapeutic options. Poor inhaler technique is a major factor that leads to poor clinical consequences, affecting the effectiveness of treatment and further control of symptoms. Aim of the Study: the present study aims at evaluating the inhaler technique and its clinical consequence in COPD and asthma patients .Patients and Methods: This is a cross sectional study of 70 patients, 35 with COPD and 35 with Asthma, who are already on inhaler drugs in their treatment. The use of inhaler was evaluated by a checklist that contains seven steps of inhaler use; by asking the patients to use their inhalers as usual, the correct or incorrect steps were recorded. The result of each patient checklist was correlated with the patient demographic parameters and level of control of his disease (COPD or asthma) by using COPD assessment test (CAT) or asthma control test (ACT) respectively. The Results: A total of 70 patients were enrolled in this study; 35 had COPD and 35 were asthmatic. The COPD patients were significantly older than asthmatic, mean age was 65.5 ± 5.8 (range: 55 – 75) years and 36.4 ± 13.9 (range: 16 – 65) years, respectively. (P. value < 0.05).  Males were dominant among COPD patients than asthmatic group; they contribute to 80% and 45.7%, respectively,(P. value < 0.05). The level of education was not significantly different between the groups (P > 0.05). Current smokers were significantly more frequent in COPD group than in asthmatic group, 40% vs. 14.3%, respectively.  The duration of inhaler use was significantly longer in asthmatics than in the COPD group members; the mean duration of use was 5.2 ± 4.5 (range: 1 – 20) years in asthmatic compared to 2.4 ± 1.1 (range: 1 – 6) years in COPD group. Dry powder inhalers (DPI) were relatively more frequently used than metered dose inhalers (MDI) where DPI used by 51.4% and 54.3% in COPD and asthmatic group, respectively. The level of education of patients and longer duration of inhaler use correlate positively with good technique, while no significant correlation with other variables. Conclusion: A large proportion of the participants had a poor inhaler technique regardless of the type of disease and of inhaler (DPI or MDI). There was a positive correlation between proper use of inhaler and high educational level of patients and longer duration of use.
背景:哮喘和慢性阻塞性肺病仍然是控制不良的疾病,严重影响患者的生活质量。吸入器是主要的治疗选择。不良的吸入器技术是导致不良临床后果、影响治疗效果和进一步控制症状的主要因素。研究目的:本研究旨在评估吸入器技术及其在慢性阻塞性肺病和哮喘患者中的临床效果。患者和方法:这是一项横断面研究,70例患者,35例慢性阻塞性肺病和35例哮喘,已经在治疗中使用吸入器药物。通过包含吸入器使用七个步骤的清单对吸入器的使用进行评估;通过要求患者像往常一样使用吸入器,记录正确或不正确的步骤。通过COPD评估试验(CAT)或哮喘控制试验(ACT)分别将各患者检查表的结果与患者人口学参数及疾病(COPD或哮喘)控制水平进行相关性分析。结果:本研究共纳入70例患者;35人患有慢性阻塞性肺病,35人患有哮喘。COPD患者年龄明显大于哮喘患者,平均年龄分别为65.5±5.8岁(55 ~ 75岁)和36.4±13.9岁(16 ~ 65岁)。(p < 0.05)。慢性阻塞性肺病患者中男性多于哮喘组;它们分别贡献了80%和45.7%。值< 0.05)。各组受教育程度差异无统计学意义(P > 0.05)。慢性阻塞性肺病组吸烟者明显多于哮喘组,分别为40%和14.3%。哮喘患者使用吸入器的时间明显长于COPD组;哮喘组的平均使用时间为5.2±4.5(范围:1 - 20)年,COPD组为2.4±1.1(范围:1 - 6)年。干粉吸入器(DPI)的使用频率相对高于计量吸入器(MDI), COPD组和哮喘组DPI的使用频率分别为51.4%和54.3%。患者的受教育程度和较长的吸入器使用时间与良好的技术呈正相关,而与其他变量无显著相关。结论:无论疾病类型和吸入器(DPI或MDI),很大一部分参与者的吸入器技术都很差。吸入器的正确使用与患者文化程度高、使用时间长呈正相关。
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引用次数: 0
The Impact Of Hepatitis B Infection On The Development Of Anti-Cardiolipin Antibodies In Najaf Province 纳杰夫省乙型肝炎感染对抗心磷脂抗体产生的影响
Pub Date : 2023-06-15 DOI: 10.36330/kmj.v19i1.12180
Ameer Mohammed Kadhim, Hawraa Ameer Mubark, Dhefaf Hameed Al-Mudhafar, Saif Jabbar Yasir
Background: Hepatitis B Virus (HBV) is a partly double-stranded, hepatotropic, non-cytotoxic Hepadnaviridae virus. HBV is linked to many autoimmune diseases, including Rheumatoid Arthritis(RA), Cryoglobulinemia, and Antiphospholipid Syndrome(APS). Anticardiolipin antibodies (ACL) are a type of anti-phospholipid antibodies(APA) that target cardiolipin molecules. They're more common in systemic lupus erythematosus (SLE) and APS. APA may be caused by viral infections such as HBV. Aim of the study: Determination of Anticardiolipin antibody positivity among hepatitis B virus-infected patients in Najaf governorate. material, and methods: a cross-sectional study was conducted between September 2022 to March 2023 in Najaf, a non-random sampling was depended, the sera of 113 HBV-infected patients were collected from the main health facilities in Najaf, and all had no other possible disease that is associated with APA, then it was tested for HBS antigen, total HBc antibodies, IgM HBc antibodies, ACL antibodies by ELISA technique. SPSS version 26 was used to perform the statistical analysis processes. Results: anti-cardiolipin antibodies(ACL) prevalence was 10.6%, The type of HBV infection and ACL production were significantly correlated (p<0.05), males had a higher percentage of ACL autoantibodies and middle age patients presented with the highest rate of ACL antibodies, however, there was no statistically significant relationship between ACL and age or gender.  In Conclusion: hepatitis B virus (HBV) is one of the main viruses that lead to the production of ACL especially in middle-aged people males, the chronic type is more prevalent for ACL than the acute type.
背景:乙型肝炎病毒(HBV)是一种部分双链、嗜肝、无细胞毒性的肝病毒科病毒。HBV与许多自身免疫性疾病有关,包括类风湿关节炎(RA)、冷球蛋白血症和抗磷脂综合征(APS)。抗心磷脂抗体(ACL)是一种以心磷脂分子为靶点的抗磷脂抗体(APA)。它们在系统性红斑狼疮(SLE)和APS中更常见。APA可能由HBV等病毒感染引起。研究目的:测定纳杰夫省乙型肝炎病毒感染患者的抗心磷脂抗体阳性。材料和方法:于2022年9月至2023年3月在纳杰夫进行横断面研究,采用非随机抽样,从纳杰夫主要卫生机构收集113例hbv感染患者的血清,所有患者均无其他可能与APA相关的疾病,然后采用ELISA技术检测HBS抗原、总HBc抗体、IgM HBc抗体、ACL抗体。采用SPSS version 26进行统计分析处理。结果:抗心磷脂抗体(anti-cardiolipin antibodies, ACL)患病率为10.6%,HBV感染类型与ACL的产生有显著相关(p<0.05),男性自身抗体比例较高,中年患者的ACL抗体比例最高,但ACL与年龄和性别之间无统计学意义的关系。结论:乙型肝炎病毒(HBV)是导致ACL产生的主要病毒之一,特别是在中年男性中,慢性型比急性型更常见。
{"title":"The Impact Of Hepatitis B Infection On The Development Of Anti-Cardiolipin Antibodies In Najaf Province","authors":"Ameer Mohammed Kadhim, Hawraa Ameer Mubark, Dhefaf Hameed Al-Mudhafar, Saif Jabbar Yasir","doi":"10.36330/kmj.v19i1.12180","DOIUrl":"https://doi.org/10.36330/kmj.v19i1.12180","url":null,"abstract":"Background: Hepatitis B Virus (HBV) is a partly double-stranded, hepatotropic, non-cytotoxic Hepadnaviridae virus. HBV is linked to many autoimmune diseases, including Rheumatoid Arthritis(RA), Cryoglobulinemia, and Antiphospholipid Syndrome(APS). Anticardiolipin antibodies (ACL) are a type of anti-phospholipid antibodies(APA) that target cardiolipin molecules. They're more common in systemic lupus erythematosus (SLE) and APS. APA may be caused by viral infections such as HBV. Aim of the study: Determination of Anticardiolipin antibody positivity among hepatitis B virus-infected patients in Najaf governorate. material, and methods: a cross-sectional study was conducted between September 2022 to March 2023 in Najaf, a non-random sampling was depended, the sera of 113 HBV-infected patients were collected from the main health facilities in Najaf, and all had no other possible disease that is associated with APA, then it was tested for HBS antigen, total HBc antibodies, IgM HBc antibodies, ACL antibodies by ELISA technique. SPSS version 26 was used to perform the statistical analysis processes. Results: anti-cardiolipin antibodies(ACL) prevalence was 10.6%, The type of HBV infection and ACL production were significantly correlated (p<0.05), males had a higher percentage of ACL autoantibodies and middle age patients presented with the highest rate of ACL antibodies, however, there was no statistically significant relationship between ACL and age or gender.  In Conclusion: hepatitis B virus (HBV) is one of the main viruses that lead to the production of ACL especially in middle-aged people males, the chronic type is more prevalent for ACL than the acute type.","PeriodicalId":17869,"journal":{"name":"Kufa Journal For Veterinary Medical Sciences","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2023-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80755505","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: 0
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Kufa Journal For Veterinary Medical Sciences
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