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Hemoglobin Variants in Patients Attending Aden Diagnostic Center by High Performance Liquid Chromatography 通过高效液相色谱法分析亚丁诊断中心就诊患者的血红蛋白变异情况
Pub Date : 2024-03-27 DOI: 10.47372/yjmhr.2024(13).2.3
Abeer M. Gawi, Anisa M. Abood
Introduction: High performance liquid chromatography (HPLC) is emerging as the method of choice for initial screening and diagnosis of hemoglobinopathies. The use of alkaline and acid gel electrophoresis may result in incorrect diagnosis of hemoglobinopathies. The aim of the study is to investigate the hemoglobin pattern using the HPLC and to correlate the hematological profile with the types of hemoglobin. Methods: A cross-sectional study was conducted in Aden Diagnostic Center from July– December 2022. Over a six-month period, 250 samples of patients aged between six months to thirty years, were evaluated by HPLC for detection of hemoglobinopathies using the Lifotronic Hemoglobin Analyzer H9: β-thalassemia Analysis Mode. Red blood cell and red cell indices were determined using automated hematology analyzer. Results: A total of 152 samples (60.8%) showed different abnormal hemoglobin variants. Sixty-four (25.6%) were diagnosed to have sickle cell anemia, 46 (18.4%) as sickle cell trait, two (0.8) as beta – heterozygous thalassemia based on high level of HbA2 (>3.9%), four (1.6%) as beta – homozygous thalassemia (HbF 25–91%), 18 (7.2%) as compound heterozygous state of sickle - β+ thalassemia, 17 (6.8%) as beta thalassemia trait, and one (0.4%) sample had HbD variant on HPLC was diagnosed as HbD trait. Conclusion: H9-HPLC is suitable for the routine investigation of hemoglobinopatheis because it is very powerful tool in the evaluation of Hb variants, rapid assay time and accurate quantification.
简介:高效液相色谱法(HPLC)正在成为初步筛查和诊断血红蛋白病的首选方法。使用碱性和酸性凝胶电泳可能会导致血红蛋白病的错误诊断。本研究旨在使用高效液相色谱法研究血红蛋白模式,并将血液学特征与血红蛋白类型相关联。研究方法2022 年 7 月至 12 月在亚丁诊断中心进行了一项横断面研究。在 6 个月的时间里,使用 Lifotronic 血红蛋白分析仪 H9:β-地中海贫血分析模式,通过高效液相色谱法对 250 份年龄在 6 个月至 30 岁之间的患者样本进行了血红蛋白病检测评估。红细胞和红细胞指数由自动血液分析仪测定。结果共有 152 份样本(60.8%)出现不同的异常血红蛋白变异。其中 64 例(25.6%)被诊断为镰状细胞性贫血,46 例(18.4%)被诊断为镰状细胞性状,2 例(0.8%)因 HbA2 水平过高(>3.9%)而被诊断为β-杂合型地中海贫血,4 例(1.6%)被诊断为β-同型地中海贫血。6%)为β-同型地中海贫血(HbF 25-91%),18 例(7.2%)为镰状-β+地中海贫血的复合杂合状态,17 例(6.8%)为β地中海贫血性状,1 例(0.4%)样本的 HPLC 检测结果为 HbD 变异,被诊断为 HbD 性状。结论H9-HPLC适用于血红蛋白血症的常规调查,因为它是评估血红蛋白变异的有力工具,检测时间短,定量准确。
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引用次数: 0
Knowledge, Attitude and Practice on Adverse Drug Reactions Reporting among Pharmacists in Aden 亚丁药剂师对药物不良反应报告的认识、态度和做法
Pub Date : 2024-03-27 DOI: 10.47372/yjmhr.2024(13).2.6
Mohammed A. Goban, Khaled A. Zain
Introduction: Once a medicine is registered and marketed, healthcare systems rely heavily on spontaneous reporting of adverse drug reactions (ADRs) to monitor the safety of drugs. ADRs reporting is considered a cornerstone of pharmacovigilance (PV) system. Underreporting has been a major obstacle and poses a great challenge to PV activities that negatively influence public health. Therefore, this study aimed to assess pharmacists' knowledge, attitude and practice toward ADRs reporting in Aden City - Yemen. Methods: A comparative cross-sectional study was conducted during November and December 2022 in Aden city. A self-administered, pretested questionnaire- comprised of sections on pharmacists’ characteristics, knowledge of PV concepts and ADR reporting process, attitudes towards ADR reporting and practice of ADR reporting- was administered to selected community and hospital pharmacists. Data were summarized using descriptive statistics and the Pearson’s Chi-square test was used to examine the differences between both groups of pharmacists. Results: Four hundred pharmacists participated in the study. Three quarters of them were males. About half of them correctly identified PV definition and purposes as well as ADR definition, but 38.5% and 37.8% were heard about national ADR scheme/guideline and aware of the existence of an ADR system in Yemen respectively. Only 29.3% and 10.8% showed adequate knowledge of PV concepts and ADRs reporting process respectively. The majority showed positive attitude towards PV and ADR reporting, 97.8% agreed that reporting process can benefit the public health, 94.3% contributes to drug safety and 87.3% agreed that PV should be taught in detail to health care professionals. However, in practice, 48.3% and 41.5% of pharmacists had ever diagnosed an ADR and encountered one or more ADRs in their daily practice respectively and only 12.3% of them had ever reported an ADR. The differences between community and hospital pharmacists by their overall knowledge, attitude scores and in ADR reporting practice were statistically insignificant. Conclusion: The majority of community and hospital pharmacists had inadequate knowledge and poor practice, with a positive attitude towards ADRs reporting. Therefore, strategies to improve knowledge and practices regarding ADR reporting should be implemented. Regular mandatory education and continuous in job training should be provided to all pharmacists and others health care professionals.
导言:药品注册和上市后,医疗系统在很大程度上依赖于药品不良反应(ADRs)的自发报告来监控药品的安全性。药物不良反应报告被视为药物警戒(PV)系统的基石。报告不足一直是一个主要障碍,对药物警戒活动构成了巨大挑战,对公众健康产生了负面影响。因此,本研究旨在评估也门亚丁市药剂师对药物不良反应报告的认识、态度和实践。研究方法2022 年 11 月至 12 月期间在亚丁市进行了一项横断面比较研究。研究人员向选定的社区和医院药剂师发放了一份自填的预试问卷,问卷内容包括药剂师的特征、对PV概念和ADR报告流程的了解、对ADR报告的态度以及ADR报告的实践。采用描述性统计方法对数据进行总结,并使用皮尔逊卡方检验法检验两组药剂师之间的差异。研究结果四百名药剂师参与了研究。其中四分之三为男性。约半数药剂师正确识别了 PV 的定义和目的以及 ADR 的定义,但分别有 38.5% 和 37.8% 的药剂师听说过国家 ADR 计划/指南,并知道也门有 ADR 系统。分别只有 29.3%和 10.8%的受访者对 PV 概念和 ADR 报告程序有足够的了解。大多数人对 PV 和 ADR 报告持积极态度,97.8%的人认为报告程序有益于公众健康,94.3%的人认为报告程序有助于药品安全,87.3%的人认为应向医护人员详细传授 PV 知识。然而,在实际工作中,分别有 48.3% 和 41.5% 的药剂师在日常工作中诊断过 ADR 和遇到过一次或多次 ADR,只有 12.3% 的药剂师报告过 ADR。社区药剂师和医院药剂师在总体知识、态度评分和 ADR 报告实践方面的差异在统计学上并不显著。结论大多数社区药剂师和医院药剂师的知识不足,实践能力差,但对报告 ADR 持积极态度。因此,应实施相关策略,提高药剂师对药物不良反应报告的认识和实践能力。应为所有药剂师和其他医护人员提供定期的强制性教育和持续的在职培训。
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引用次数: 0
A Comparative Study on the Antibiotics’ Resistance in Nosocomial and Environmental Isolates of Pseudomonas Aeruginosa in Aden, Yemen, 2023 2023 年也门亚丁假单胞菌病原菌和环境分离菌对抗生素耐药性的比较研究
Pub Date : 2024-03-27 DOI: 10.47372/yjmhr.2024(13).1.1
W. M. Al-Qashbari, M. A. Al-Baghdadi
Introduction: Pseudomonas aeruginosa is a common bacterial pathogen with wide spread distribution in health care settings. It is a multidrug resistant pathogen recognized for its ubiquity and intrinsically advanced antibiotic resistance mechanisms. This study aims to find out the isolation rate and to determine antimicrobial susceptibility patterns, and level of multidrug resistance from nosocomial and environmental isolates of P. aeruginosa. Methods: A cross-sectional study was carried out over a 6-months period from September 2022 to February 2023 and a total of 217 samples were enrolled which included 130 different clinical specimens from patients with nosocomial infections and 87 samples of hospital environment at different departments in four hospitals in Aden governorate, Yemen. The isolates were identified by biochemical tests as well as the susceptibility patterns which were tested by 22 types of antibiotics. All data were analyzed using SPSS statistics version 22 with a significance level of P<0.05. Results: The P. aeruginosa were isolated from 23.1% of clinical specimens and 32.2% from environmental samples. The statistical analysis showed no statistically significant difference between clinical and environmental samples in prevalence (P˃0.05). The most effective antibiotic against clinical isolates was Pipracillin/tazobactam with only 6.7% resistance value. In contrast, the most effective antibiotic against environmental strains was ciprofloxacin without any resistance value. The resistance to other antibiotics was found to be high or completely resistant. Ninety percent of clinical P. aeruginosa isolates and 96.4% of environmental isolates were multidrug resistant.
引言铜绿假单胞菌是一种常见的细菌病原体,广泛分布于医疗机构。它是一种多重耐药病原体,因其无处不在和内在先进的抗生素耐药机制而被公认。本研究旨在了解铜绿假单胞菌的分离率、抗菌药敏感性模式以及对多种药物的耐药性水平。研究方法在 2022 年 9 月至 2023 年 2 月的 6 个月期间开展了一项横断面研究,共收集了 217 份样本,其中包括 130 份来自也门亚丁省四家医院不同科室的院内感染患者的不同临床样本和 87 份医院环境样本。通过生化测试和对 22 种抗生素的药敏模式测试,对分离出的细菌进行了鉴定。所有数据均采用 SPSS 统计 22 版进行分析,显著性水平为 P<0.05。结果23.1%的临床样本和32.2%的环境样本中分离出了铜绿假单胞菌。统计分析表明,临床样本和环境样本的铜绿假单胞菌感染率没有明显的统计学差异(P˃0.05)。对临床分离菌株最有效的抗生素是哌拉西林/他唑巴坦,耐药率仅为 6.7%。相比之下,对环境菌株最有效的抗生素是环丙沙星,没有任何耐药性。对其他抗生素的耐药性较高或完全耐药。90% 的临床铜绿假单胞菌分离物和 96.4% 的环境分离物具有多重耐药性。
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引用次数: 0
Eating Disorders Attitudes and Behaviors among Hadhramout University Students in Mukalla, Yemen 也门穆卡拉 Hadhramout 大学生对饮食失调的态度和行为
Pub Date : 2024-03-27 DOI: 10.47372/yjmhr.2024(13).2.1
Abdulla S. Alhanshi, Yahya Almualm, Nawal S. Banafa
Introduction: Eating disorders have serious implication on all aspects of physical, psychological, and social health if left untreated. Adolescents and college students are more affected group with this disorder. The study aimed to identify eating disorders attitudes and behaviors among university students and compare with certain variables among students at Hadhramout University in Mukalla, Yemen. Methods: A descriptive cross-sectional study was carried out during the period November 2022 until June 2023. The total number of participants was 369 students in the following faculties: Medicine and Health Sciences, Nursing, Faculty of Engineering, Law, Women, and Administrative Sciences. Data were gathered by a self-administered questionnaire prepared for this purpose. Results: More than half of the participants were male (56.9%). A total of 314 (85.1%) students scored ≥20 points on the EAT-26 which was considered to be at low risk of disordered eating attitudes while 55 (14.9%) scored< 20, indicating a high risk of developing eating disorders. In addition, most of the students have normal weight (53.1%), underweight (22.5%) and obese represented 8.1%. Although the number of students from the scientific colleges was more than the students from the literature, the percentage of eating disorders attitudes was more prevalent among the literature faculties. Conclusion: There is a growing number of university students with eating disorders. The university classes represent an ideal setting for growing eating disorders due to the influences of peers. Eating disorders attitudes progress to behavioral symptoms. The researchers recommend further studies with a large sample across multiple colleges and universities in Yemen. Comprehensive education programs among students are also necessary.
引言饮食失调症如果不及时治疗,会对身体、心理和社会健康的各个方面造成严重影响。青少年和大学生是饮食失调症的高发人群。本研究旨在确定大学生对饮食失调的态度和行为,并将其与也门穆卡拉哈德拉毛大学学生的某些变量进行比较。研究方法在 2022 年 11 月至 2023 年 6 月期间开展了一项描述性横断面研究。参与研究的学生总数为 369 人,分别就读于以下院系:医学与健康科学院、护理学院、工程学院、法学院、妇女学院和行政管理学院。数据通过为此准备的自填式问卷收集。结果显示一半以上的参与者为男性(56.9%)。共有 314 名学生(85.1%)在 EAT-26 中得分≥20 分,被认为是饮食失调态度的低风险人群,而 55 名学生(14.9%)得分低于 20 分,表明患饮食失调的高风险人群。此外,大部分学生体重正常(53.1%),体重不足(22.5%)和肥胖占 8.1%。虽然理学院学生人数多于文学院学生,但文学院学生饮食失调的比例更高。结论患有饮食失调症的大学生越来越多。由于受到同龄人的影响,大学班级是饮食失调症滋生的理想环境。饮食失调的态度会发展为行为症状。研究人员建议对也门的多所高校进行大样本的进一步研究。在学生中开展全面的教育计划也很有必要。
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引用次数: 0
Lifestyle Practices Predictors of Nutritional Status among Basic Public-School Children in Aden, Yemen 也门亚丁基础公立学校儿童营养状况的生活方式预测因素
Pub Date : 2024-03-27 DOI: 10.47372/yjmhr.2024(13).1.6
Nada M. Badi, Huda O. Basaleem
Introduction: Since March 2015, children's nutrition in Yemen is increasingly threatened and acute malnutrition is now at serious levels across the country. This study aimed to determine the association between nutritional status and lifestyle practices of basic-public school children in Aden-Yemen. Methods: A cross-sectional study was conducted in January 2022 on a randomly selected basic public schools’ children aged 6-10 years. Lifestyle practices including breakfast consumption at home, physical activity, screen time and sleeping time were assessed by a self-administered questionnaire filled by the parents. Measurement of Z-score was done for height-for-age, weight-for-age and body-mass-index for-age to define stunting, underweight, thinness, overweight and obesity respectively. The data were processed and analyzed using SPSS-25 and World Health Organization’s (WHO) Anthro plus program. Results: The study involved 930 students having the following prevalence: 26.9% for stunting; 32.5% for underweight and 23.1% for thinness. In addition, 1.2% were obese and 3.2% were overweight. According to the binary logistic regression, children aged >8-10 years were more likely to be stunted (AOR=5.269; 95% CI:3.339-8.313), underweight (AOR=9.156; 95% CI: 5.631-14.890) and thin (AOR=3.901; 95% CI: 2.400-6.339) compared to younger age. Male children were more likely to be stunted (AOR= 1.496; 95% CI: 11.091-2.053), underweight (AOR=3.026; 95% CI: 2.195-4.172) and thin (AOR=8.001; 95% CI: 5.313-12.048) compared to female children. Less than daily consumption of breakfast increased the risk of stunting (AOR=1.505; 95% CI:1.109-2.042), underweight (AOR=4.724; 95% CI:3.421-6.524) and thinness (AOR=6.053; 95% CI:4.033-9.084) compared to daily breakfast consumption. Children sleeping < 9 hours was associated with increased risk of stunting (AOR=1.479; 95% CI:1.093-2.001) and thinness (AOR=1.548; 95%CI:1.102-2.176) than sleeping ≥ 9 hours. Additionally, increasing likelihood of overweight (AOR= 50.848 ;95% CI: 6.211-416.301) and obesity (AOR= 8.977;95% CI: 1.098-73.422) was observed among children play outside < 1 hour compared to playing ≥ 1 hour. Furthermore, increasing risk of overweight was associated with children’s screen time ≥ 2 hours compared to < 1 hours (AOR=12.034 ;95% CI: 2.311-62.668). Conclusion: Stunting, underweight and thinness are major nutritional problems among basic public-school children in Aden. Unhealthy dietary and bad lifestyle practices associated with malnutrition indicators. This calls for attention by policymakers to address the challenges of malnutrition and implementing urgent intervention for awareness raising to maintain healthy lifestyle among school children.
导言:自 2015 年 3 月以来,也门儿童的营养状况日益受到威胁,目前全国各地严重营养不良。本研究旨在确定亚丁-也门基础公立学校儿童的营养状况与生活方式之间的关联。研究方法2022 年 1 月,对随机抽取的基础公立学校 6-10 岁儿童进行了横断面研究。通过由家长填写的自填式问卷对生活方式进行了评估,包括在家吃早餐、体育活动、屏幕时间和睡眠时间。通过测量年龄身高、年龄体重和年龄体质指数的 Z 值,分别界定发育迟缓、体重不足、消瘦、超重和肥胖。数据使用 SPSS-25 和世界卫生组织(WHO)的 Anthro plus 程序进行处理和分析。研究结果研究涉及 930 名学生,他们的发育迟缓率为 26.9%,体重不足率为 32.5%,瘦弱率为 23.1%。此外,1.2%的学生肥胖,3.2%的学生超重。根据二元逻辑回归,与年龄较小的儿童相比,年龄大于 8-10 岁的儿童更有可能发育迟缓(AOR=5.269;95% CI:3.339-8.313)、体重不足(AOR=9.156;95% CI:5.631-14.890)和消瘦(AOR=3.901;95% CI:2.400-6.339)。与女性儿童相比,男性儿童更有可能发育迟缓(AOR=1.496;95% CI:11.091-2.053)、体重不足(AOR=3.026;95% CI:2.195-4.172)和消瘦(AOR=8.001;95% CI:5.313-12.048)。与每天吃早餐相比,少于每天吃早餐会增加发育迟缓(AOR=1.505;95% CI:1.109-2.042)、体重不足(AOR=4.724;95% CI:3.421-6.524)和瘦弱(AOR=6.053;95% CI:4.033-9.084)的风险。与睡眠时间≥9 小时的儿童相比,睡眠时间<9 小时的儿童发育迟缓(AOR=1.479;95% CI:1.093-2.001)和瘦弱(AOR=1.548;95% CI:1.102-2.176)的风险增加。此外,与户外活动时间≥1 小时相比,户外活动时间<1 小时的儿童超重(AOR=50.848;95% CI:6.211-416.301)和肥胖(AOR=8.977;95% CI:1.098-73.422)的可能性增加。此外,儿童使用屏幕时间≥2 小时比<1 小时的超重风险更高(AOR=12.034;95% CI:2.311-62.668)。结论发育迟缓、体重不足和消瘦是亚丁地区基础公立学校儿童的主要营养问题。不健康的饮食和不良生活方式与营养不良指标有关。这就需要决策者关注营养不良问题,并采取紧急干预措施,提高学童对保持健康生活方式的认识。
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引用次数: 0
The Value of Admission Glycated Hemoglobin and Associated Factors in Non-Diabetic Patients with Heart Failure in Aden 亚丁非糖尿病心衰患者入院时糖化血红蛋白及相关因素的价值
Pub Date : 2024-03-27 DOI: 10.47372/yjmhr.2024(13).1.2
Mohaned G. Al-Khamri, Omer A. Baselm
Introduction: Heart failure (HF) is a multifactorial disorder characterized by impaired cardiac function, systemic inflammation and neurohormonal activation. It is a major cause of morbidity and mortality worldwide and has significant impacts on the quality of life, cost and longevity. This study was conducted to investigate the value of admission glycated hemoglobin (HbA1c) and associated factors among non-diabetic patients with heart failure. Methods: This is a descriptive prospective-hospital based study included 42 non-diabetic patients with HF on first occasion for admission at three major Aden hospitals for the period (January1st–December 31st, 2021). After thorough clinical history and examination, patients were investigated for random blood sugar, lipid profile, Pro Brain Natriuretic Peptide (Pro-BNP), HbA1c and followed till hospital discharge. Results: HF in non-diabetic patients predominates in males (81.0%) with a mean age of 56.0 ±11.5 years. The main associated factors were arterial hypertension (47.6%), coronary artery disease (9.5%), Khat chewing (57.1%), smoking (31.0%), obesity (28.6%), and family history of HF (21.4%). patients presented with New York Heart Association (NYHA) class III (47.6%) and low ejection fraction of ≤40.0% (76.2%). The median Pro-BNP was 2166.0 pg/mL, the mean admission HbA1c was 5.8% and the case fatality rate was 4.8%. The mean body mass index (BMI) was increasing with increasing level of admission HbA1c. HbA1c of 6.0-6.4% was associated with mortality cases and had significant positive association with BMI and significant negative association with total cholesterol. Conclusion: The admission HbA1c of 6.0-6.4% was associated with HF hospitalization and mortality in non-diabetic patients. This association is independent of age, gender, hypertension, hypercholesterolemia, glycemia, and clinical outcome suggesting direct effects of BMI on the development of high HbA1c level in non-diabetic patients with HF.
导言心力衰竭(HF)是一种多因素疾病,以心脏功能受损、全身炎症和神经激素激活为特征。它是全球发病率和死亡率的主要原因,对生活质量、成本和寿命有重大影响。本研究旨在探讨非糖尿病心衰患者入院糖化血红蛋白(HbA1c)及相关因素的价值。研究方法这是一项基于医院的描述性前瞻性研究,纳入了亚丁三家主要医院在 2021 年 1 月 1 日至 12 月 31 日期间首次入院的 42 名非糖尿病心衰患者。经过全面的临床病史和检查后,对患者进行了随机血糖、血脂、前脑钠肽(Pro-BNP)和 HbA1c 检查,并随访至患者出院。结果非糖尿病患者中男性占多数(81.0%),平均年龄为(56.0 ± 11.5)岁。主要相关因素包括动脉高血压(47.6%)、冠状动脉疾病(9.5%)、咀嚼阿拉伯茶(57.1%)、吸烟(31.0%)、肥胖(28.6%)和心房颤动家族史(21.4%)。患者表现为纽约心脏协会(NYHA)III级(47.6%)和射血分数低于40.0%(76.2%)。Pro-BNP 中位数为 2166.0 pg/mL,平均入院 HbA1c 为 5.8%,病死率为 4.8%。平均体重指数(BMI)随着入院 HbA1c 水平的升高而增加。6.0-6.4% 的 HbA1c 与死亡病例有关,与体重指数呈显著正相关,与总胆固醇呈显著负相关。结论入院时 HbA1c 为 6.0-6.4% 与非糖尿病患者的心房颤动住院和死亡率有关。这种关联与年龄、性别、高血压、高胆固醇血症、血糖和临床结果无关,表明体重指数对非糖尿病心房颤动患者高 HbA1c 水平的发展有直接影响。
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引用次数: 0
Serum Biochemical Evaluation of Patients with Chronic Renal Failure on Hemodialysis 血液透析慢性肾衰竭患者的血清生化评估
Pub Date : 2024-03-27 DOI: 10.47372/yjmhr.2024(13).1.3
Muna A. Alwan, Saied M. Ismaiel
Introduction: Chronic renal failure (CRF) is associated with aberrations in the metabolism of minerals, such as calcium, phosphates, sodium, and potassium and other biochemical parameters. Various studies have identified parathyroid hormone (PTH) as the main regulator of minerals and biochemical parameters homeostasis. This study was conducted to evaluate the biochemical profile in CRF patients on hemodialysis in Aden. Methods: This study is a descriptive, cross sectional study, conducted in Aden Hemodialysis Center for the period Jan.1st to June 30th, 2022. Included 82 patients with CRF on HD. The data collected included demographic with clinical data, and blood samples taken for complete blood count and serum creatinine; urea; sodium; potassium; total calcium, ionized calcium; phosphate; alkaline phosphatase, and parathyroid hormone. Results: More male were found than female patients with CRF (67.1% vs. 32.9% respectively), with a mean age of 48.8 ± 12.6 years. The mean body mass index was (23.3 ± 4.7 kg/m2) and the mean duration of CRF was (4.8 ± 2.9 years). For renal function, the mean serum creatinine, urea, and estimated creatinine clearance were (9.9 mg/dl, 128.6 mg/dl, and 7.1 mL/min per 1.73 m2 respectively). For minerals, the mean serum sodium, potassium, chloride, phosphorus, calcium and ionized calcium were (134.4 mmol/L, 5.04 mmol/L, 104.1 mmol/L, 4.37 mg/dl, 9.4 mg/dl, and 1.12 mmol/L, respectively). The mean Calcium x Phosphorus product was in the recommended range (40.7mg2/dl2). The mean alkaline phosphatase was (286.2 U/L), and the mean parathyroid hormone was (322.7 pg/ml). Secondary hyperparathyroidism (PTH level of ≥130 pg/ml) was detected in (58.5%) of them. Parathormone concentration showed significant positive correlation to alkaline phosphatase (r: 0.640, p:0.001) in patients with CRF on hemodialysis. Conclusion: This study concluded that in patients with CRF on HD, there is an increase level of alkaline phosphatase which is considered as an adjunct marker of high-turnover bone disease associated with disturbed level of calcium and phosphorus that increase serum PTH level.
导言:慢性肾功能衰竭(CRF)与钙、磷、钠、钾等矿物质代谢及其他生化指标的异常有关。多项研究表明,甲状旁腺激素(PTH)是矿物质和生化指标平衡的主要调节因子。本研究旨在评估亚丁地区接受血液透析的 CRF 患者的生化指标。研究方法本研究是一项描述性横断面研究,于 2022 年 1 月 1 日至 6 月 30 日在亚丁血液透析中心进行。研究对象包括 82 名接受血液透析的 CRF 患者。收集的数据包括人口统计学和临床数据,以及全血细胞计数、血清肌酐、尿素、钠、钾、总钙、离子钙、磷酸盐、碱性磷酸酶和甲状旁腺激素的血液样本。结果显示CRF患者中男性多于女性(分别为67.1%和32.9%),平均年龄为(48.8 ± 12.6)岁。平均体重指数为(23.3 ± 4.7 kg/m2),平均 CRF 持续时间为(4.8 ± 2.9 年)。肾功能方面,平均血清肌酐、尿素和估计肌酐清除率分别为(9.9 mg/dl、128.6 mg/dl 和 7.1 mL/min per 1.73 m2)。矿物质方面,血清钠、钾、氯、磷、钙和离子钙的平均值分别为(134.4 毫摩尔/升、5.04 毫摩尔/升、104.1 毫摩尔/升、4.37 毫克/分升、9.4 毫克/分升和 1.12 毫摩尔/升)。钙磷乘积的平均值在建议范围内(40.7 毫克/分升2)。碱性磷酸酶平均值为(286.2 U/L),甲状旁腺激素平均值为(322.7 pg/ml)。58.5%的患者被检测出继发性甲状旁腺功能亢进(PTH水平≥130 pg/ml)。在接受血液透析的 CRF 患者中,副甲状腺激素浓度与碱性磷酸酶呈显著正相关(r:0.640,p:0.001)。结论本研究得出结论,在接受血液透析的 CRF 患者中,碱性磷酸酶水平会升高,而碱性磷酸酶被认为是与钙磷水平紊乱有关的高周转骨病的辅助标记物,会增加血清 PTH 水平。
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引用次数: 0
Vitamin D Among Type 2 Diabetic Patients Attending Aden Diabetic Center During May-July 2023: A Descriptive Study 2023 年 5 月至 7 月期间在亚丁糖尿病中心就诊的 2 型糖尿病患者中的维生素 D:描述性研究
Pub Date : 2024-03-27 DOI: 10.47372/yjmhr.2024(13).2.5
Anis Z. Kahtan, Samira A. Mahmood
Introduction: Vitamin D plays a crucial role in the pathogenesis and management of type 2 diabetes mellitus (T2DM). However, limited data are available regarding the status of vitamin D among T2DM patients attending healthcare centers, particularly in the Aden Diabetic Center, Yemen. The study aimed to assess the prevalence of vitamin D deficiency among T2DM patients and explore its association with potential factors such as demographics, diabetes characteristics body mass index (BMI). Methods: A descriptive cross-sectional study was conducted on 138 T2DM patients attending Aden Diabetic Center (ADC) between May and July 2023. Data on age, sex, diabetes characteristics (diabetes duration, family history of diabetes, and medication use), RBS, BMI, and serum vitamin D level were measured. Vitamin D status was categorized as deficient, insufficient, or sufficient based on established cutoffs. Descriptive statistics and chi-square tests were used for data analysis. Results: Majority of patients had vitamin D deficiencyy (73.2%) and the remaining had insufficient (17.4%), and sufficient (9.4%) status. Males comprised 53.6% and females 46.4%. Mean age was 53.70±12.93 years, with the highest proportion (60.9%) were in the age group 40-60 years. Majority of the patients (62.3%) had T2DM duration ≥ 5 years, and 89.1% were receiving diabetes medications, and 68.8% had a family history of DM. The mean RBS level was 220.13±86.90 mg/dl, with more than half (55.6%) having RBS levels ≥ 140 mg/dl. Also, the mean BMI was 27.00±5.90 kg/m², and more than half of the patients had overweight and obesity. The study found no significant association between serum vitamin D levels with age, diabetes characteristics, or BMI categories, while a significant association to sex was observed (P = 0.006). Conclusion: The study highlights the high prevalence of vitamin D deficiency among T2DM patients attending the ADC in Aden. The majority of patients were found to have deficient levels of vitamin D, with limited differences based on age, diabetes characteristics, and BMI. The significant association between vitamin D levels and sex, indicating that sex may contribute to the risk of deficiency in T2DM patients. These findings emphasize the importance of assessing and addressing vitamin D status in T2DM patients to optimize their overall health and diabetes management.
导言维生素 D 在 2 型糖尿病(T2DM)的发病和治疗过程中起着至关重要的作用。然而,有关在医疗中心就诊的 T2DM 患者(尤其是也门亚丁糖尿病中心的患者)维生素 D 状况的数据却很有限。本研究旨在评估 T2DM 患者中维生素 D 缺乏症的患病率,并探讨其与人口统计学、糖尿病特征体重指数 (BMI) 等潜在因素的关系。研究方法对 2023 年 5 月至 7 月期间在亚丁糖尿病中心(ADC)就诊的 138 名 T2DM 患者进行了描述性横断面研究。研究人员测量了年龄、性别、糖尿病特征(糖尿病病程、糖尿病家族史和用药情况)、RBS、BMI 和血清维生素 D 水平等数据。根据既定的临界值,维生素 D 状态被分为缺乏、不足或充足。数据分析采用了描述性统计和卡方检验。结果大多数患者维生素 D 缺乏(73.2%),其余为不足(17.4%)和充足(9.4%)。男性占 53.6%,女性占 46.4%。平均年龄为(53.70±12.93)岁,其中 40-60 岁年龄段的比例最高(60.9%)。大多数患者(62.3%)的 T2DM 病程≥ 5 年,89.1%的患者正在接受糖尿病药物治疗,68.8%的患者有糖尿病家族史。平均 RBS 水平为 220.13±86.90 mg/dl,超过半数(55.6%)患者的 RBS 水平≥ 140 mg/dl。此外,平均体重指数(BMI)为 27.00±5.90 kg/m²,半数以上患者超重和肥胖。研究发现,血清维生素 D 水平与年龄、糖尿病特征或 BMI 类别无明显关联,但与性别有明显关联(P = 0.006)。结论这项研究表明,在亚丁 ADC 就诊的 T2DM 患者中,维生素 D 缺乏症的发病率很高。研究发现,大多数患者的维生素 D 水平不足,而年龄、糖尿病特征和体重指数之间的差异有限。维生素 D 水平与性别之间存在明显关联,这表明性别可能导致 T2DM 患者缺乏维生素 D 的风险。这些发现强调了评估和解决 T2DM 患者维生素 D 状态以优化其整体健康和糖尿病管理的重要性。
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引用次数: 0
Langerhans Cell Histiocytosis Following Hodgkin Lymphoma in Adult: A Case Report 成人霍奇金淋巴瘤后的朗格汉斯细胞组织细胞增生症:病例报告
Pub Date : 2024-03-27 DOI: 10.47372/yjmhr.2024(13).2.4
Ali Bawahal, Huda O. Basaleem
Introduction: Langerhans cell histiocytosis (LCH) is a very rare disorder, and usually considered a disease of childhood. It is rarely observed in adults. Its etiopathogenesis remains to be elucidated. One possible etiological cause is a reactive proliferation of Langerhans cells following chemotherapy or radiotherapy for Hodgkin's disease (HD). Eosinophilic granuloma is the benign accumulation of histiocytes located primarily in the bones, but which also affects other organs, including the skin, lungs and lymph nodes. The time interval between LCH occurrence and previous lymphoma is variable. The occurrence of eosinophilic granuloma in a patient with Hodgkin disease has rarely been reported. Objective: This case report aimed to describe the clinic-pathological, histopathological, immunohistochemical and other features of LCH and to analyze LCH clinical features for improving diagnosis and decreasing misdiagnosis rate. Case report: In this report, a 38-year-old female presented with LCH twenty-two months after diagnosis and treatment of nodular sclerosing HD. The patient presented with generalized lymphadenopathy and general weakness. The Langerhans cells diffusely infiltrated in the inguinal lymph node and the tumor cells were positive for CD1a and S-100 expression. The patient received chemotherapy and show complete remission. Conclusion: LCH has a very rare occurrence following HD in adult. The definitive diagnosis depends on pathological biopsy and immunohistochemistry. Although specific therapeutic approach hasn't been well established, combined chemotherapy for multisystem lesions and surgical operation or radiotherapy for unifocal lesions may improve the therapy.
简介朗格汉斯细胞组织细胞增生症(LCH)是一种非常罕见的疾病,通常被认为是一种儿童疾病。成人很少发病。其发病机制仍有待阐明。一种可能的病因是霍奇金病(HD)化疗或放疗后朗格汉斯细胞的反应性增生。嗜酸性肉芽肿是组织细胞的良性聚集,主要位于骨骼,但也会影响其他器官,包括皮肤、肺和淋巴结。LCH 发生与既往淋巴瘤发生之间的时间间隔是不固定的。霍奇金病患者发生嗜酸性肉芽肿的报道很少。目的:本病例报告旨在描述 LCH 的临床病理学、组织病理学、免疫组化及其他特征,并分析 LCH 的临床特征,以提高诊断率和降低误诊率。病例报告:在本报告中,一名 38 岁女性在诊断和治疗结节性硬化性 HD 22 个月后出现 LCH。患者出现全身淋巴结肿大和全身乏力。朗格汉斯细胞弥漫浸润腹股沟淋巴结,肿瘤细胞CD1a和S-100表达阳性。患者接受化疗后病情完全缓解。结论成人 HD 后发生 LCH 非常罕见。明确诊断取决于病理活检和免疫组化。虽然具体的治疗方法尚未明确,但对多系统病变进行联合化疗,对单灶病变进行外科手术或放疗,可能会改善治疗效果。
{"title":"Langerhans Cell Histiocytosis Following Hodgkin Lymphoma in Adult: A Case Report","authors":"Ali Bawahal, Huda O. Basaleem","doi":"10.47372/yjmhr.2024(13).2.4","DOIUrl":"https://doi.org/10.47372/yjmhr.2024(13).2.4","url":null,"abstract":"Introduction: Langerhans cell histiocytosis (LCH) is a very rare disorder, and usually considered a disease of childhood. It is rarely observed in adults. Its etiopathogenesis remains to be elucidated. One possible etiological cause is a reactive proliferation of Langerhans cells following chemotherapy or radiotherapy for Hodgkin's disease (HD). Eosinophilic granuloma is the benign accumulation of histiocytes located primarily in the bones, but which also affects other organs, including the skin, lungs and lymph nodes. The time interval between LCH occurrence and previous lymphoma is variable. The occurrence of eosinophilic granuloma in a patient with Hodgkin disease has rarely been reported. Objective: This case report aimed to describe the clinic-pathological, histopathological, immunohistochemical and other features of LCH and to analyze LCH clinical features for improving diagnosis and decreasing misdiagnosis rate. Case report: In this report, a 38-year-old female presented with LCH twenty-two months after diagnosis and treatment of nodular sclerosing HD. The patient presented with generalized lymphadenopathy and general weakness. The Langerhans cells diffusely infiltrated in the inguinal lymph node and the tumor cells were positive for CD1a and S-100 expression. The patient received chemotherapy and show complete remission. Conclusion: LCH has a very rare occurrence following HD in adult. The definitive diagnosis depends on pathological biopsy and immunohistochemistry. Although specific therapeutic approach hasn't been well established, combined chemotherapy for multisystem lesions and surgical operation or radiotherapy for unifocal lesions may improve the therapy.","PeriodicalId":486205,"journal":{"name":"Yemeni Journal of Medical and Health Research","volume":"23 18","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140375577","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
Association between ABO-Rh Blood Groups and Type-2 Diabetes Mellitus in Aden, Yemen, 2022 2022 年也门亚丁 ABO-Rh 血型与 2 型糖尿病之间的关系
Pub Date : 2024-03-27 DOI: 10.47372/yjmhr.2024(13).2.2
Halah N. Hazaea, Hanan H. Omer
Introduction: Ongoing research is examining the possible role of blood groups in the etiopathogenesis of various medical conditions including type-2 diabetes mellitus (T2DM). The purpose of this research is to identify association of ABO and Rh blood group in patients with T2DM in the Diabetic Center Aden, Yemen, 2022. Methods: A cross-sectional study was conducted in the National Blood Transfusion and Research Center (N.B.T.R.C), Aden between May- September 2022. A total of 226 blood samples were collected from type -2 diabetic patients aged ≥ 18 years in the Diabetic Center, Aden, Yemen. Results: There most common blood group was blood group O (+) followed by A (+) and the least common was blood group AB(-). No association was found between ABO and Rh blood group with either the sex or family history in type-2 diabetic Patients. The most frequent complication observed in the different groups is the neuropathy complications (46.8%) followed by retinopathy complications (40.7%) and finally nephropathy complications (12.5%). Conclusion: No significant association in T2DM patients between ABO – Rh with sex or family history and the most frequent microvascular complication is neuropathy.
导言:目前正在研究血型在包括 2 型糖尿病(T2DM)在内的各种疾病的发病机制中可能扮演的角色。本研究的目的是确定 2022 年也门亚丁糖尿病中心 T2DM 患者中 ABO 和 Rh 血型的相关性。研究方法2022 年 5 月至 9 月期间,在亚丁国家输血和研究中心(N.B.T.R.C)进行了一项横断面研究。共收集了 226 份血液样本,这些样本来自也门亚丁糖尿病中心年龄≥ 18 岁的 2 型糖尿病患者。结果:最常见的血型是 O(+)血型,其次是 A(+)血型,最少见的是 AB(-)血型。在 2 型糖尿病患者中,未发现 ABO 和 Rh 血型与性别或家族史有任何关联。不同组别中最常见的并发症是神经病变并发症(46.8%),其次是视网膜病变并发症(40.7%),最后是肾病并发症(12.5%)。结论在 T2DM 患者中,ABO - Rh 与性别或家族史无明显关联,最常见的微血管并发症是神经病变。
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引用次数: 0
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Yemeni Journal of Medical and Health Research
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