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Dental Occlusion as A Health Risk for Visual Acuity in Relation to Salivary Transforming Growth Factor Beta-1 ( TGF-Β1) Among Students Aged 8-10 Years 牙齿咬合是影响 8-10 岁学生视力的健康风险与唾液转化生长因子 β-1( TGF-Β1) 的关系
Pub Date : 2024-07-01 DOI: 10.32007/jfacmedbagdad.6622213
Noor A. Ajeel Alrikabi, Ban S. Diab
Background: Correct mouth function is one of the functional matrices that contribute to the growth of the maxilla, which is connected to the growth of orbit, and vice versa.Objective: to ascertain how dental malocclusion affects the visual acuity-related salivary transforming growth factor beta-1 (TGF-β1).Patients and Methods: This is a cross-sectional study on 653 students, 8–10 years of age from elementary schools in the governorate of Al-Diwaniyah during the period from 1st of November 2022 to 30th March 2023. Using the Snellen E chart and Angle's classification to identify malocclusion, they were subjected to visual-capacity testing for refractive disorders. Sub-samples were selected from the normal and visually impaired groups for salivary transforming growth factor beta-1 salivary analysis measurement.Results: Only 70 out of 653 students were found to have reduced visual acuity. When compared to students with normal visual acuity, they had significantly higher levels of salivary transforming growth factor beta-1. Those with reduced visual acuity were found to have a much higher occurrence of dental malocclusion utilizing molar's relation of Angle's categorization.Conclusion: The students with impaired visual acuity were more likely to have dental malocclusions and increased levels of TGF-β1.
背景:正确的口腔功能是促进上颌骨生长的功能性基质之一,而上颌骨的生长又与眼眶的生长相关,反之亦然。目的:确定牙齿咬合不正如何影响与视觉咬合相关的唾液转化生长因子β-1(TGF-β1):这是一项横断面研究,研究对象是 2022 年 11 月 1 日至 2023 年 3 月 30 日期间迪瓦尼耶省小学的 653 名 8-10 岁学生。研究人员使用斯奈伦 E 光图和 Angle's 分类法识别错颌畸形,并对他们进行了屈光障碍视力测试。从正常组和视力受损组中选取子样本进行唾液转化生长因子 beta-1 唾液分析测量:结果:653 名学生中只有 70 人视力下降。与视力正常的学生相比,他们的唾液转化生长因子 beta-1 水平明显更高。根据臼齿与角的关系分类,视力下降的学生牙齿错合畸形的发生率要高得多:结论:视力受损的学生更容易出现牙齿畸形和 TGF-β1 水平升高。
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引用次数: 0
Molecular Detection of the mecA Gene and Virulence Factor Genes in Methicillin-Resistant Staphylococcus aureus (MRSA) Isolated from Clinical Sources in Selected Baghdad Hospitals, Iraq. 伊拉克巴格达部分医院从临床来源分离的耐甲氧西林金黄色葡萄球菌 (MRSA) 中 mecA 基因和毒性因子基因的分子检测。
Pub Date : 2024-07-01 DOI: 10.32007/jfacmedbagdad.6622282
Wed L. Khalil, Huda S. Al-Hayanni
Background: Methicillin Resistant Staphylococcus aureus (MRSA) is globally acknowledged as a prominent contributor to both hospital-acquired and community infections. Understanding key virulence factors including coagulase production, hemolysis ability and biofilm formation, is crucial.Objective: The study aimed to establish a molecular characterization of mecA gene and virulence factors genes (hla, icaA, and coa) in clinical isolates of MRSA obtained from two hospitals in Baghdad.Materials and Methods: A hundred and five isolates were obtained from clinical sources from November 2022 to March 2023 and their antibiotic sensitivity was assessed using the agar diffusion test against seven different antibiotics (Azithromycin, Ciprofloxacin, Nitrofurantoin, Rifampin, Trimethoprim, Ofloxacin and Oxacillin), through Conventional Polymerase Chain Reaction, the presence of virulence factor genes including mecA, hla, icaA, and coa, was determined in MRSA isolates.Results: All MRSA isolates (100%) harbored the mecA, hla, and icaA genes while the coa gene was recognized in 50% of the isolates. Regarding antibiotic susceptibility, all MRSA isolates (100%) demonstrated sensitivity to Nitrofurantoin. Additionally, 96.8% of the isolates were sensitive to Oxacillin.Conclusion: Molecular detection of methicillin resistance genes and virulence genes can be used to diagnose MRSA isolates in hospitals. The presence of these genes may affect their pattern of sensitivity to antibiotics.
背景:耐甲氧西林金黄色葡萄球菌(MRSA)是全球公认的医院感染和社区感染的主要致病菌。了解包括凝固酶生成、溶血能力和生物膜形成在内的关键毒力因子至关重要:本研究旨在确定从巴格达两家医院获得的 MRSA 临床分离株中 mecA 基因和毒力因子基因(hla、icaA 和 coa)的分子特征:通过常规聚合酶链反应,使用琼脂扩散试验对七种不同的抗生素(阿奇霉素、环丙沙星、硝基呋喃妥因、利福平、甲氧苄啶、氧氟沙星和氧西林)进行抗生素敏感性评估,确定 MRSA 分离物中是否存在毒力因子基因,包括 mecA、hla、icaA 和 coa。结果:所有 MRSA 分离物(100%)都含有 mecA、hla 和 icaA 基因,而 50%的分离物含有 coa 基因。在抗生素敏感性方面,所有 MRSA 分离物(100%)均对硝基呋喃妥因敏感。此外,96.8%的分离株对奥沙西林敏感:结论:甲氧西林耐药基因和毒力基因的分子检测可用于诊断医院中的 MRSA 分离物。这些基因的存在可能会影响它们对抗生素的敏感性。
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引用次数: 0
استخراج وتحديد المكونات الرئيسية لمستخلص زيت القرنفل (Syzygium Aromaticum L.) ونشاطه المضاد للميكروبات ضد جرثومة المكورات العنقودية الذهبية المقاومة للميثيسيلنMRSA. 丁香油提取物(Syzygium aromaticum L.)主要成分的提取和鉴定及其对耐甲氧西林金黄色葡萄球菌(MRSA)的抗菌活性。
Pub Date : 2024-07-01 DOI: 10.32007/jfacmedbagdad.6622187
Mays U. Hashim, Orooba M.S.Ibrahim
خلفية: تزايد استخدام الأدوية العشبية بدلاً من الأدوية التقليدية نتيجة مقاومة المضادات الحيوية ، مما يشكل خطراً على الصحة العامة. الأهداف: دراسة التركيب الكيميائي واخنبارالنشاط المضاد للبكتيريا في المختبر لمستخلص زيت القرنفل ضد جرثومة المكورات العنقودية الذهبية المقاومة للميثيسيلن MRSA))  . الطريقة: تم الحصول على مستخلص زيت القرنفل باستخدام التقطير المائي بواسطة جهاز Clevenger. بعد ذلك ، تم إجراء التحليل الكيميائي النباتي عن طريق التحليل الكروماتوجرافي-مطياف الكتلة. تم إجراء فحص في المختبر لمضادات الميكروبات لزيت القرنفل باستخدام طريقة انتشار القرص المزدوج ، وطريقة التخفيف الدقيق ، وحركة منحنى وقت القتل في المختبر. النتائج: بلغت نسبة استخلاص مستخلص القرنفل 50٪. وقد أظهر التحليل الكيميائي النباتي وجود مكونات مختلفة وبشكل رئيسي هي Caryophyllen و Humulene و Eugenol. حيث تبين ان المكورات العنقودية الذهبية كانت حساسة لمستخلص القرنفل بتركيزات مختلفة علاوة على ذلك ، وجد أن أقل تركيز مثبط (MIC) وأقل تركيز مبيد للجراثيم (MBC) كان 2.5 ميكروغرام / مل ، 5.0 ميكروغرام / مل على التوالي. الاستنتاجات: أظهرت الدراسة الحالية أن مستخلص القرنفل أظهر نشاطًا جيدًا مضادًا للبكتيريا في المختبر
背景:由于抗生素耐药性的产生,使用草药代替传统药物的情况日益增多,这对公共健康构成了威胁。研究目的研究丁香油提取物的化学结构和对耐甲氧西林金黄色葡萄球菌(MRSA)的体外抗菌活性。方法:丁香油萃取物是用一种特殊的方法获得的:丁香油提取物通过克利文格尔仪器进行水蒸馏获得。然后用色谱-质谱分析法进行植物化学分析。采用双盘扩散法、微量稀释法和体外杀菌时间曲线动力学法对丁香油进行体外抗菌筛选。结果表明丁香提取物的提取率为 50%。植物化学分析显示,丁香油中含有不同的成分,主要是石竹烯、胡茂烯和丁香酚。研究发现,金黄色葡萄球菌对不同浓度的丁香提取物敏感,最低抑菌浓度(MIC)和最低杀菌浓度(MBC)分别为 2.5 µg/ml 和 5.0 µg/ml。结论本研究表明,丁香提取物在体外具有良好的抗菌活性
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引用次数: 0
The Role of Ramadan Fasting on Secretory IgA and Statherin Levels in Individuals with Dental Caries 斋月禁食对龋齿患者分泌型 IgA 和 Statherin 水平的影响
Pub Date : 2024-07-01 DOI: 10.32007/jfacmedbagdad.6622252
Baraa S. Mohammad, Ghada I. Taha
Background: Tooth decay happens when bacteria in the mouth create acid from carbohydrates that can be fermented. Along with factors related to the person (like genetics or oral hygiene habits) and saliva, this process leads to cavities. During Ramadan fasting, when eating habits change, there could be effects on health, particularly on the salivary biomarkers that are important for dental well-being.Objectives: This  cross-sectional study aimed to detect the activity and concentrations of salivary levels of secretory immunoglobulin A and Statherin during and after Ramadan fasting and to evaluate the association between these biomarkers with dental caries.Methods: The study comprised 40 individuals, aged 20-25 years, diagnosed with dental caries. Participants were assessed for periodontal parameters using the Plaque Index  and the Gingival Index. Saliva samples were collected during the fourth week of Ramadan fasting and two weeks after Ramadan fasting. The concentrations of both secretory IgA and Statherin were measured in salivary samples using Enzyme-Linked Immunosorbent Assay .Results: A significant decrease in the mean concentration of secretory immunoglobulin A was observed during Ramadan fasting (2.14±0.21 ng/L) compared to post-fasting (3.34±0.35 ng/L) (p=0.001). However, there was a non-significant difference (p=0.05) in statherin levels between the fasting state  (2.25±0.18 ng/L) and the post-fasting state (2.85±0.22 ng/L). No statistically significant difference was found concerning both the Plaque Index and the Gingival Index within fasting and post-fasting state.Conclusion: Low concentration of sIgA and Statherin during Ramadan fasting may indicate altered salivary gland activity or systemic response to fasting, potentially affecting oral health.
背景介绍当口腔中的细菌将碳水化合物发酵产酸时,就会发生蛀牙。加上与人有关的因素(如遗传或口腔卫生习惯)和唾液,这一过程就会导致龋齿。在斋月斋戒期间,饮食习惯发生改变,可能会对健康产生影响,特别是对牙齿健康非常重要的唾液生物标志物:这项横断面研究旨在检测斋月禁食期间和禁食后唾液中分泌型免疫球蛋白 A 和 Statherin 的活性和浓度,并评估这些生物标志物与龋齿之间的关联:研究对象包括 40 名被诊断患有龋齿的人,年龄在 20-25 岁之间。使用牙菌斑指数和牙龈指数对参与者的牙周参数进行评估。在斋月禁食的第四周和斋月禁食两周后收集唾液样本。使用酶联免疫吸附测定法测量唾液样本中分泌型 IgA 和 Statherin 的浓度:与禁食后(3.34±0.35 ng/L)相比,斋月禁食期间分泌型免疫球蛋白 A 的平均浓度(2.14±0.21 ng/L)明显下降(p=0.001)。然而,禁食状态(2.25±0.18 纳克/升)与禁食后状态(2.85±0.22 纳克/升)之间的石炭酸水平差异不显著(p=0.05)。空腹和空腹后的牙菌斑指数和牙龈指数在统计学上没有明显差异:结论:斋月禁食期间 sIgA 和 Statherin 的低浓度可能表明唾液腺活动或系统对禁食的反应发生了改变,从而可能影响口腔健康。
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引用次数: 0
Proportion and Potential Risk Factors of Poor Glycemic Control among Patients with Type 2 Diabetes Mellitus: Experience of a Tertiary Center in Baghdad, Iraq, 2020 2 型糖尿病患者血糖控制不良的比例和潜在风险因素:伊拉克巴格达一家三级医疗中心的经验,2020 年
Pub Date : 2024-07-01 DOI: 10.32007/jfacmedbagdad.6622070
Zahraa A. Zaboon Al-Majidi, Faris H. Lami, S. Hakimi
Background: Diabetes Mellitus is the most prevalent metabolic disorder worldwide. Effective diabetes self-management and keeping the Glycosylated hemoglobin level within the normal range could decrease the burden on the health system by reducing hospital admissions and diabetic complications, lowering the financial strain on the health system.Objective: To recognize the potential risk factors of poor glycemic control in patients having type 2 Diabetes Mellitus in Baghdad, Iraq.Patients and Methods: This cross-sectional study was conducted in the Diabetes and Endocrine Center at Al-Kindy Teaching Hospital, Baghdad, Iraq, from June to November 2020. The total number of the study's participants was 234. Based on the cutoff point of glycosylated hemoglobin of 7, the patients with glycosylated hemoglobin of ≥7 were considered uncontrolled, and those with glycosylated hemoglobin of <7 were considered controlled.Results: The proportion of cases with uncontrolled diabetes was 68.4% (160). The remaining 74 patients had controlled diabetes. Age, sex, marital status, and employment status were not significantly associated with the control status (P>0.05). The binary analysis showed a significant association observed between the control status and level of education (P=0.001), income (P=0.001), presence of comorbidities (P=0.028), positive family history (P=0.03), dyslipidemia (P=0.001), cholesterol level (P=0.002), high triglyceride level (P=0.001), and low-density lipoprotein-cholesterol level (P=0.025). The smoking status, body mass index, and high-density lipoprotein-cholesterol level were not significantly associated with the control status (P>0.05). The disease characteristics, including the disease duration, fasting blood glucose, type of medication, self-monitoring, healthy diet, physical activity, and medication adherence, were significant factors (P<0.001). The multivariate regression method showed that dyslipidemia, FBS≥130, physical inactivity, and poor medication adherence were significant predictors for uncontrolled DM (P-value = 0.03, 0.001, 0.03, and 0.043, respectively).Conclusion: The most important potentially modifiable risk factors for poor diabetes control were dyslipidemia, physical inactivity, and poor adherence to the management protocol. Enhancing the education of patients and their healthcare providers on these factors is crucial to improving the patients’ control status.
背景:糖尿病是全球最普遍的代谢性疾病。有效的糖尿病自我管理和将糖化血红蛋白水平控制在正常范围内,可以减少入院人数和糖尿病并发症,从而减轻医疗系统的负担,降低医疗系统的经济压力:认识伊拉克巴格达 2 型糖尿病患者血糖控制不佳的潜在风险因素:这项横断面研究于 2020 年 6 月至 11 月在伊拉克巴格达 Al-Kindy 教学医院的糖尿病和内分泌中心进行。参与研究的总人数为 234 人。根据糖化血红蛋白 7 的临界点,糖化血红蛋白≥7 的患者被视为未受控制,糖化血红蛋白为 0.05 的患者被视为未受控制。)二元分析显示,控制状态与受教育程度(P=0.001)、收入(P=0.001)、是否有合并症(P=0.028)、阳性家族史(P=0.03)、血脂异常(P=0.001)、胆固醇水平(P=0.002)、甘油三酯水平高(P=0.001)和低密度脂蛋白胆固醇水平(P=0.025)之间存在显著关联。吸烟状况、体重指数和高密度脂蛋白胆固醇水平与控制状况无明显相关性(P>0.05)。病程、空腹血糖、用药类型、自我监测、健康饮食、体力活动和用药依从性等疾病特征是重要的影响因素(P<0.001)。多变量回归法显示,血脂异常、FBS≥130、缺乏体力活动和服药依从性差是DM失控的重要预测因素(P值分别为0.03、0.001、0.03和0.043):结论:导致糖尿病控制不良的最重要的潜在可改变风险因素是血脂异常、缺乏运动和不遵守管理方案。加强对患者及其医疗服务提供者有关这些因素的教育对于改善患者的控制状况至关重要。
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引用次数: 0
Correlation between demographic characteristics and Oxidized Low Density Lipoprotein (oxLDL-IgM and oxLDL-IgG) levels in patients with systemic lupus Erythematosus 系统性红斑狼疮患者的人口统计学特征与氧化低密度脂蛋白(oxLDL-IgM 和 oxLDL-IgG)水平之间的相关性
Pub Date : 2024-07-01 DOI: 10.32007/jfacmedbagdad.6612002
Nusaibah K. Al-Zubaidi, Suha A. Al-Fakhar, Mohammad H. Al-Osami
قد يؤثر داء الذئاب الحمامي المجموعي (SLE) على واحد أو أكثر من أجهزة الجسم، ومع مرور الوقت، قد تبدأ المظاهر الأخرى بالظهور. الجهاز العضلي الهيكلي، والجلد، والكلى، وأنظمة الغدد الصماء كلها متورطة في مرض الذئبة الحمراء. إن اختلال توازن الجهاز العصبي، الدم، الأوعية الدموية، الرئوي، الجهاز الهضمي، والعين في الاستجابة المناعية وإنتاج الأجسام المضادة الذاتية كأجسام مضادة للأكسدة LDL (مضادات oxLDL) لها تأثير واضح على أعضاء الجسم وتطور مضاعفات المرض.الهدف من الدراسة: تقييم مستويات oxLDL (IgM) وoxLDL (IgG-Abs) كمؤشرات حيوية لنشاط المرض لدى مرضى الذئبة الحمراء وعلاقتها بالخصائص الديموغرافيةالمرضى وطرق العمل: اشتملت الدراسة على 100 مريض بمرض الذئبة الحمراء 7 ذكور (7٪) و93 (93٪) إناث تتراوح أعمارهم بين 33.4 ± 9.95 سنة والذين التحقوا بوحدة الروماتيزم بمستشفى بغداد التعليمي. تم تقييم مستويات مصل oxLDL IgM وoxLDL IgG باستخدام المقايسة الامتصاصية المناعية بالإنزيم المرتبط (ELISA).التحليل الاحصائي: تم استخدام البرنامج الإحصائي للعلوم الاجتماعية لإجراء التحليل الإحصائي (SPSS؛ الإصدار 20.0 لنظام التشغيل Windows، SPSS، Chicago، IL، USA ) يتم استخدام المتوسط ​​والانحراف المعياري والمدى لتصوير البيانات الكمية. تم استخدام اختبار الطالب لفحص الاختلافات بين مجموعات المريض والسيطرة. بسبب التوزيع غير الطبيعي لـ oxLDL (IgM) وoxLDL (IgG)، تم استخدام الوسيط وIQR (المدى الرباعي) لوصفهما (اختبار Kolmogorov-Smirnov). وتم استخدام اختبار مان ويتني لدراسة الفرق بين المجموعتين. يتم تمثيل البيانات النوعية كعدد ونسبة مئوية. تم استخدام اختبار مربع كاي لاختبار العلاقة بين البيانات النوعية. تم استخدام اختبار ارتباط بيرسون لاختبار العلاقة بين البيانات الكمية. واعتبرت قيمة P <0.05 ذات دلالة إحصائيةالنتائج: أظهرت الدراسة الحالية أن هناك فرقا معنويا بين مستويات الأجسام المضادة OxLDL IgM في مرضى داء الذئبة الاحمراري الذين يعانون من السمنة المفرطة ومجموعات غير البدينين، حيث أن مستويات oxLDL-IgM في المرضى الذين يعانون من السمنة كانت (3.14 ميكروغرام / لتر) والمرضى غير البدينين كانت (5.13 ميكروغرام / لتر). كانت قيمة P 0.005 بينما مرضى الذئبة الحمامية المجموعية كانت مستويات ox LDL-IgM حيث (3.80 ميكروغرام / لتر) وفي مرضى الذئبة الحمراء الذين ليس لديهم مرض السكري كانت (5.13 ميكروغرام / لتر)، بينما أظهرت النتائج عدم وجود فروق ذات دلالة إحصائية. بين مستويات oxLDL IgG في مرضى الذئبة الحمراء الذين يعانون من السمنة المفرطة وغير البدينين. ومرضى الذئبة الحمراء مع مرض السكري. كانت قيمة P>0.05.الاستنتاجات: عند مقارنة مرضى الذئبة الحمراء، تم العثور على فروق ذات دلالة إحصائية بين مستويات OxLDL IgM في مرضى السمنة مع مرض الذئبة الحمراء وغير البدناء وعدم وجود فروق ذات دلالة إحصائية بين مستويات OxLDL IgG. مزيد من الدراسات. مطلوب لتنفيذ وتوضيح دور OxLDL IgM في الخصائص الديموغرافية لمرضى الذئبة الحمراء.
系统性红斑狼疮(SLE)可能会影响一个或多个身体系统,随着时间的推移,可能会开始出现其他表现。系统性红斑狼疮会累及肌肉骨骼、皮肤、肾脏和内分泌系统。神经、血液、血管、肺、胃肠道和眼部系统在免疫反应中的失衡以及自身抗体(如抗氧化低密度脂蛋白(anti-oxLDL)抗体)的产生对身体器官和疾病并发症的发展有着明显的影响:研究目的:评估作为系统性红斑狼疮患者疾病活动性生物标志物的氧化低密度脂蛋白(IgM)和氧化低密度脂蛋白(IgG-Abs)水平及其与患者人口统计学特征和治疗方式的关系:研究对象包括 100 名系统性红斑狼疮患者,其中男性 7 名(占 7%),女性 93 名(占 93%),年龄为 33.4 ± 9.95 岁,均在巴格达教学医院风湿病科就诊。使用酶联免疫吸附试验(ELISA)评估血清中氧化低密度脂蛋白 IgM 和氧化低密度脂蛋白 IgG 的水平:统计分析采用社会科学统计软件包(SPSS;Windows 20.0 版,SPSS,芝加哥,伊利诺斯州,美国)。 平均值、标准偏差和范围用于量化数据的可视化。患者组和对照组之间的差异采用学生 t 检验。由于 oxLDL (IgM) 和 oxLDL (IgG) 呈非正态分布,因此采用中位数和 IQR(四分位数间距)来描述它们(Kolmogorov-Smirnov 检验)。Mann-Whitney 检验用于检测两组之间的差异。定性数据以数字和百分比表示。卡方检验用于检验定性数据之间的关系。皮尔逊相关检验用于检验定量数据之间的关系。P 值在 0.05 以内为显著:在对系统性红斑狼疮患者进行比较时,发现肥胖系统性红斑狼疮患者的 OxLDL IgM 水平与非肥胖患者的 OxLDL IgM 水平在统计学上有明显差异,而 OxLDL IgG 水平在统计学上无明显差异。进一步的研究需要进一步研究,以明确 OxLDL IgM 在系统性红斑狼疮患者人口统计学特征中的作用。
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引用次数: 0
Evaluation of some Biochemical and Hematological Parameters in Patients with Chronic Kidney Disease 评估慢性肾病患者的一些生化指标和血液指标
Pub Date : 2024-07-01 DOI: 10.32007/jfacmedbagdad.2269
Hadeel T AlAni, Makarim Q. Al-lami
Background: Chronic kidney disease is a condition that results from an indefinite change in the structure and function of the kidneys. A slow, steady progression characterizes it and is irreversible. Objectives: This study aims to evaluate the findings of certain biochemical and hematological tests in samples from Iraqi CKD patients. Methods: This study included 90 subjects, where 70 patients with chronic kidney disease and 20 healthy individuals. Blood samples were collected from the patients during their visits to Ghazi Al-Hariri Surgical Specialties' Hospital- Medical City, Baghdad, Iraq. Age, sex and body mass index were assessed for each participant followed by renal function tests [serum blood urea, creatinine, uric acid and estimated glomerular filtration rate], and complete blood count. Also, serum levels of uromodulin and cystatin C were measured statistically studies were carried out using analysis of variance (ANOVA).Results:  the study demonstrated a highly significant (P<0.001) increase in blood urea, serum creatinine and uric acid levels, while a significant (P<0.05) decrease in estimated glomerular filtration rate levels in patients compared to the control group. On the other hand, it showed a highly significant (P<0.001) decrease in hemoglobin and hematocrit values and a significant (P<0.05) decrease in the red blood cell count. Patients had revealed a significant (P<0.05) increase in cystatin C level and a decrease in uromodulin level when compared to the control group.conclusion: the present study shows that chronic kidney disease patients have upregulated renal function parameters blood urea, serum creatinine and with downregulated estimated glomerular filtration rate, while hematological disorder was more prevalent in patients.  On the other hand, cystatin C level revealed an increase while uromodulin level showed a decrease in Iraqi patients.
背景:慢性肾脏病是一种肾脏结构和功能发生无限变化的疾病。慢性肾脏病的特点是缓慢而稳定的发展,并且是不可逆的。研究目的本研究旨在评估伊拉克慢性肾脏病患者样本中某些生化和血液学检测的结果。方法:本研究包括 90 名受试者,其中 70 名慢性肾脏病患者和 20 名健康人。血液样本是患者在伊拉克巴格达医疗城加齐-哈里里外科专科医院就诊时采集的。对每位患者的年龄、性别和体重指数进行了评估,然后进行了肾功能检测(血清尿素、肌酐、尿酸和估计肾小球滤过率)和全血细胞计数。结果表明,与对照组相比,患者的血尿素、血清肌酐和尿酸水平显著增加(P<0.001),而估计肾小球滤过率水平显著下降(P<0.05)。另一方面,血红蛋白和血细胞比容值有非常显著的下降(P<0.001),红细胞计数也有显著下降(P<0.05)。结论:本研究表明,慢性肾脏病患者的肾功能指标血尿素和血清肌酐升高,估计肾小球滤过率降低,而血液病在患者中更为普遍。 另一方面,伊拉克患者的胱抑素 C 水平升高,而尿调素水平下降。
{"title":"Evaluation of some Biochemical and Hematological Parameters in Patients with Chronic Kidney Disease","authors":"Hadeel T AlAni, Makarim Q. Al-lami","doi":"10.32007/jfacmedbagdad.2269","DOIUrl":"https://doi.org/10.32007/jfacmedbagdad.2269","url":null,"abstract":"Background: Chronic kidney disease is a condition that results from an indefinite change in the structure and function of the kidneys. A slow, steady progression characterizes it and is irreversible.\u0000 Objectives: This study aims to evaluate the findings of certain biochemical and hematological tests in samples from Iraqi CKD patients.\u0000 Methods: This study included 90 subjects, where 70 patients with chronic kidney disease and 20 healthy individuals. Blood samples were collected from the patients during their visits to Ghazi Al-Hariri Surgical Specialties' Hospital- Medical City, Baghdad, Iraq. Age, sex and body mass index were assessed for each participant followed by renal function tests [serum blood urea, creatinine, uric acid and estimated glomerular filtration rate], and complete blood count. Also, serum levels of uromodulin and cystatin C were measured statistically studies were carried out using analysis of variance (ANOVA).\u0000Results:  the study demonstrated a highly significant (P<0.001) increase in blood urea, serum creatinine and uric acid levels, while a significant (P<0.05) decrease in estimated glomerular filtration rate levels in patients compared to the control group. On the other hand, it showed a highly significant (P<0.001) decrease in hemoglobin and hematocrit values and a significant (P<0.05) decrease in the red blood cell count. Patients had revealed a significant (P<0.05) increase in cystatin C level and a decrease in uromodulin level when compared to the control group.\u0000conclusion: the present study shows that chronic kidney disease patients have upregulated renal function parameters blood urea, serum creatinine and with downregulated estimated glomerular filtration rate, while hematological disorder was more prevalent in patients.  On the other hand, cystatin C level revealed an increase while uromodulin level showed a decrease in Iraqi patients.","PeriodicalId":516152,"journal":{"name":"Journal of the Faculty of Medicine Baghdad","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141697988","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
Comparison of Pharmacokinetic Characteristics of Bilosomal Dispersion Versus Pure Solution of Oral Ropinirole Hydrochloride in Rats 大鼠口服盐酸罗匹尼罗双体分散液与纯溶液的药代动力学特性比较
Pub Date : 2024-07-01 DOI: 10.32007/jfacmedbagdad.6622210
S. K. Ali, Entidhar J. Al-Akkam
Background: Ropinirole hydrochloride is a non-ergoline antiparkinson drug. It is a highly hydrophilic drug and classified as class III according to Biopharmaceutical Classification System with low absolute oral bioavailability of approximately 50% upon oral administration due to significant hepatic first-pass metabolism.Objective: to compare the pharmacokinetic parameters of Ropinirole,  when administered orally in the form of a Ropinirole bilosomal dispersion in contrast to an oral Ropinirole solution.Methods: This study involved the use of twelve male Wistar rats, with an average weight of 220±11 g, and these rats were divided into two groups, comprising six rats each. A 1.1mg/kg doses of pure Ropinirole and Ropinirole bilosomes were administered orally through gavage after reconstituting in distilled water. Ropinirole was quantified in the rat's plasma using HPLC, subsequently establishing a spiked calibration curve with plasma samples and utilizing paracetamol as an internal standard. The statistics included mean values (± SD; n = 6) for pharmacokinetic parameters, with statistical significance assessed using a Student's t-test.Results: For the oral bilosomes, the values were 9.4±0.11 μg /ml for Cmax, 3±0.00 h for Tmax, and 55.56±2.12 μg h/ml for AUC0-24. In contrast, for the oral solution, the corresponding values were 7.2±0.14 μg/ml for Cmax, 1.5±0.00 h for Tmax, and  23.70±2.23 μg h/ml for AUC0-24. These parameters were significantly higher (P<0.05) as compared with a pure drug solution. The comparative bioavailability of Ropinirole (AUC0-24 oral solution / AUC0-24 oral bilosomes ) is equal to 42.66%, which indicates the bioavailability of the oral RH solution was less than that of RH bilosomal dispersion.Conclusions: The use of nano vesicular carriers (bilosomes) shows significant potential as an effective delivery system for improving the oral bioavailability of ropinirole hydrochloride
背景:盐酸罗匹尼罗是一种非麦角碱类抗帕金森药物。目的:比较盐酸罗匹尼罗双体分散片与罗匹尼罗口服溶液的药代动力学参数:本研究使用 12 只雄性 Wistar 大鼠(平均体重 220±11 克),将这些大鼠分为两组,每组 6 只。将 1.1mg/kg 剂量的纯罗匹尼罗和罗匹尼罗双糖体在蒸馏水中重构后通过灌胃口服给药。采用高效液相色谱法对大鼠血浆中的罗匹尼罗进行定量,随后用血浆样本建立加标校准曲线,并使用扑热息痛作为内标。统计包括药代动力学参数的平均值(± SD;n = 6),统计显著性采用学生 t 检验:双管口服液的 Cmax 为 9.4±0.11 μg /ml,Tmax 为 3±0.00 h,AUC0-24 为 55.56±2.12 μg h/ml。相比之下,口服溶液的 Cmax 为 7.2±0.14 μg/ml,Tmax 为 1.5±0.00 h,AUC0-24 为 23.70±2.23 μg h/ml。与纯药物溶液相比,这些参数明显更高(P<0.05)。罗匹尼罗的比较生物利用度(AUC0-24 口服溶液/AUC0-24 口服双糖体)等于 42.66%,这表明 RH 口服溶液的生物利用度低于 RH 双糖体分散液:纳米囊状载体(双体)作为一种有效的给药系统,在提高盐酸罗匹尼罗的口服生物利用度方面具有巨大潜力。
{"title":"Comparison of Pharmacokinetic Characteristics of Bilosomal Dispersion Versus Pure Solution of Oral Ropinirole Hydrochloride in Rats","authors":"S. K. Ali, Entidhar J. Al-Akkam","doi":"10.32007/jfacmedbagdad.6622210","DOIUrl":"https://doi.org/10.32007/jfacmedbagdad.6622210","url":null,"abstract":"Background: Ropinirole hydrochloride is a non-ergoline antiparkinson drug. It is a highly hydrophilic drug and classified as class III according to Biopharmaceutical Classification System with low absolute oral bioavailability of approximately 50% upon oral administration due to significant hepatic first-pass metabolism.\u0000Objective: to compare the pharmacokinetic parameters of Ropinirole,  when administered orally in the form of a Ropinirole bilosomal dispersion in contrast to an oral Ropinirole solution.\u0000Methods: This study involved the use of twelve male Wistar rats, with an average weight of 220±11 g, and these rats were divided into two groups, comprising six rats each. A 1.1mg/kg doses of pure Ropinirole and Ropinirole bilosomes were administered orally through gavage after reconstituting in distilled water. Ropinirole was quantified in the rat's plasma using HPLC, subsequently establishing a spiked calibration curve with plasma samples and utilizing paracetamol as an internal standard. The statistics included mean values (± SD; n = 6) for pharmacokinetic parameters, with statistical significance assessed using a Student's t-test.\u0000Results: For the oral bilosomes, the values were 9.4±0.11 μg /ml for Cmax, 3±0.00 h for Tmax, and 55.56±2.12 μg h/ml for AUC0-24. In contrast, for the oral solution, the corresponding values were 7.2±0.14 μg/ml for Cmax, 1.5±0.00 h for Tmax, and  23.70±2.23 μg h/ml for AUC0-24. These parameters were significantly higher (P<0.05) as compared with a pure drug solution. The comparative bioavailability of Ropinirole (AUC0-24 oral solution / AUC0-24 oral bilosomes ) is equal to 42.66%, which indicates the bioavailability of the oral RH solution was less than that of RH bilosomal dispersion.\u0000Conclusions: The use of nano vesicular carriers (bilosomes) shows significant potential as an effective delivery system for improving the oral bioavailability of ropinirole hydrochloride","PeriodicalId":516152,"journal":{"name":"Journal of the Faculty of Medicine Baghdad","volume":"45 44","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141690057","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
Oral Findings and Salivary Alpha-Amylase in Major Depressive Disorder Patients 重度抑郁症患者的口腔检查结果和唾液中的α-淀粉酶
Pub Date : 2024-07-01 DOI: 10.32007/jfacmedbagdad.6622188
Ameer AlThabhawee, Taghreed F Zaidan, Mohammed Ali
Background: The increasing global prevalence of major depressive disorder (MDD) has become an important challenge, leading to a heightened demand for oral medicine in developed nations. This demand arises from the recognition of the association between psychiatric disorders and other conditions, including various orofacial pain disorders.Objective: This study are to evaluate oral conditions such as recurrent aphthous ulcers, burning mouth syndrome, and altered taste and to assess salivary alpha-amylase in individuals diagnosed with major depressive disorder.Methods: This research uses a cross-sectional study design that includes a sample of 49 patients who have been diagnosed with major depressive disorder and who have undergone treatment for at least two weeks. The control group consists of 34 healthy subjects with no signs or symptoms of systemic disease. The study group received the diagnosis in Najaf City according to the criteria in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). With respect to recurrent aphthous ulcers, the results of this study show the percentage of patients with oral ulcers is significantly higher than in the control group.Results: The results also show that the prevalence of burning mouth syndrome is significantly higher in patients with major depressive disorder than in healthy controls. A highly statistically significant difference was found between the study group and the control group regarding altered taste. There is also a significant difference in salivary alpha-amylase levels between the study and control groups (p = 0.009).Conclusion: Major depressive disorder patients have much higher incidences of reported recurrent aphthous ulcers, burning mouth syndrome, and altered taste than healthy subjects, indicating the importance of psychological factors in these conditions. Additionally, salivary alpha-amylase levels were higher in patients with major depressive disorder than in the control group.
背景:重度抑郁症(MDD)在全球的发病率不断上升,这已成为一项重要挑战,导致发达国家对口腔医学的需求增加。这种需求源于人们认识到精神疾病与其他疾病(包括各种口腔疼痛疾病)之间的关联:本研究旨在评估复发性阿弗他溃疡、灼热口腔综合征和味觉改变等口腔状况,并评估重度抑郁症患者的唾液α-淀粉酶:本研究采用横断面研究设计,样本包括 49 名被诊断为重度抑郁障碍并接受过至少两周治疗的患者。对照组由 34 名无全身疾病症状或体征的健康受试者组成。研究组是根据《精神疾病诊断与统计手册第五版》(DSM-5)的标准在纳杰夫市接受诊断的。关于复发性阿弗他溃疡,本研究结果显示,口腔溃疡患者的比例明显高于对照组:结果还显示,重度抑郁症患者口腔烧灼综合征的发病率明显高于健康对照组。在味觉改变方面,研究组与对照组之间存在高度统计学差异。研究组和对照组的唾液α-淀粉酶水平也存在明显差异(p = 0.009):结论:与健康人相比,重度抑郁症患者复发性口腔溃疡、口腔灼烧综合征和味觉改变的发生率要高得多,这表明心理因素在这些疾病中的重要性。此外,重度抑郁症患者唾液中的α-淀粉酶水平高于对照组。
{"title":"Oral Findings and Salivary Alpha-Amylase in Major Depressive Disorder Patients","authors":"Ameer AlThabhawee, Taghreed F Zaidan, Mohammed Ali","doi":"10.32007/jfacmedbagdad.6622188","DOIUrl":"https://doi.org/10.32007/jfacmedbagdad.6622188","url":null,"abstract":"Background: The increasing global prevalence of major depressive disorder (MDD) has become an important challenge, leading to a heightened demand for oral medicine in developed nations. This demand arises from the recognition of the association between psychiatric disorders and other conditions, including various orofacial pain disorders.\u0000Objective: This study are to evaluate oral conditions such as recurrent aphthous ulcers, burning mouth syndrome, and altered taste and to assess salivary alpha-amylase in individuals diagnosed with major depressive disorder.\u0000Methods: This research uses a cross-sectional study design that includes a sample of 49 patients who have been diagnosed with major depressive disorder and who have undergone treatment for at least two weeks. The control group consists of 34 healthy subjects with no signs or symptoms of systemic disease. The study group received the diagnosis in Najaf City according to the criteria in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5). With respect to recurrent aphthous ulcers, the results of this study show the percentage of patients with oral ulcers is significantly higher than in the control group.\u0000Results: The results also show that the prevalence of burning mouth syndrome is significantly higher in patients with major depressive disorder than in healthy controls. A highly statistically significant difference was found between the study group and the control group regarding altered taste. There is also a significant difference in salivary alpha-amylase levels between the study and control groups (p = 0.009).\u0000Conclusion: Major depressive disorder patients have much higher incidences of reported recurrent aphthous ulcers, burning mouth syndrome, and altered taste than healthy subjects, indicating the importance of psychological factors in these conditions. Additionally, salivary alpha-amylase levels were higher in patients with major depressive disorder than in the control group.","PeriodicalId":516152,"journal":{"name":"Journal of the Faculty of Medicine Baghdad","volume":"176 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141694886","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 Serum Insulin and Interleukin-6 levels with Breast Cancer in Post-Menopausal Iraqi Women 绝经后伊拉克妇女血清胰岛素和白细胞介素-6 水平与乳腺癌的关系
Pub Date : 2024-01-01 DOI: 10.32007/jfacmedbagdad.2111
Mohammed A. Abd, ٍShaymaa A. Majeed
Background: Obesity rates are increasing day by day affecting all populations at different ages. The most prevalent kind of cancer among women worldwide is breast cancer, with increasing rates in the present time and in the future. Substantial connections between obesity and breast cancer are demonstrated. Elevated circulating levels of insulin and interleukin-6 have a substantial link to obesity and breast cancer development.Objective: This study aimed to examine the serum levels of insulin and interleukin-6 in postmenopausal breast cancer patients and to study the connection between these biomarkers and breast cancer development.Method: In this research, 120 postmenopausal women actively participated., 30 had a body mass index of >30kg/m2 diagnosed with breast cancer and considered as obese (group 1), 30 with a body mass index of <30kg/m2 with breast cancer and considered as not obese (group 2), 30 had a body mass index of >30 kg/m2 who were apparently healthy and were obese (group 3), and 30 participants with a body mass index of <30 kg/m2 , were apparently healthy and were not obese (group 4). Five millilitres of venous blood were provided by each individual. Insulin and interleukin-6 levels in the blood were measured using ELISA (enzyme-linked immunosorbent assay) kits.Results: Serum insulin levels were higher in the groups of obese participants (groups 1 and 3) than the groups of non-obese participants (groups 2 and 4), serum levels of interleukin-6 were the lowest in the healthy control group without obesity (group 4). Substantial moderate correlation was found between body mass index and both insulin and interleukin-6. Postmenopausal breast cancer risk is increased with elevations of serum insulin and interleukin-6.Conclusions: Elevated levels of serum interleukin-6 and insulin were linked to higher body mass index. In addition, in addition interleukin-6 elevated levels were linked to the cancer state of the non-obese patients. Risk of breast cancer increased with higher levels of circulating insulin and intereukin-6.Received: Mar,, 2023Accepted: May, 2023Published: Jan.2023 
背景:肥胖率与日俱增,影响着不同年龄段的所有人群。乳腺癌是全球女性中最常见的癌症,其发病率在当前和未来都会不断上升。肥胖与乳腺癌之间有着密切的联系。循环中胰岛素和白细胞介素-6 水平的升高与肥胖和乳腺癌的发生有很大关系:本研究旨在检测绝经后乳腺癌患者血清中的胰岛素和白细胞介素-6水平,并研究这些生物标志物与乳腺癌发病之间的联系:本次研究共有120名绝经后妇女积极参与,其中30名体重指数大于30kg/m2的乳腺癌患者被诊断为肥胖(第1组),30名体重指数为30kg/m2且表面健康的肥胖者被诊断为肥胖(第3组),30名体重指数小于30kg/m2且表面健康的非肥胖者被诊断为肥胖(第4组)。每人提供 5 毫升静脉血。使用酶联免疫吸附试验(ELISA)试剂盒测定血液中的胰岛素和白细胞介素-6水平:结果:肥胖参与者组(第 1 组和第 3 组)的血清胰岛素水平高于非肥胖参与者组(第 2 组和第 4 组),而无肥胖的健康对照组(第 4 组)的血清白细胞介素-6 水平最低。在体重指数与胰岛素和白细胞介素-6之间发现了显著的中度相关性。结论:血清胰岛素和白细胞介素-6水平升高会增加绝经后患乳腺癌的风险:结论:血清白细胞介素-6 和胰岛素水平升高与体重指数升高有关。此外,白细胞介素-6 水平的升高还与非肥胖患者的癌症状态有关。乳腺癌风险随着循环胰岛素和白细胞介素-6水平的升高而增加:收稿日期:2023年3月接受日期:2023年5月发表日期:2023年6月收稿日期:2023 年 3 月接受日期:2023 年 5 月发表日期:2023 年 1 月2023年1月
{"title":"Association between Serum Insulin and Interleukin-6 levels with Breast Cancer in Post-Menopausal Iraqi Women","authors":"Mohammed A. Abd, ٍShaymaa A. Majeed","doi":"10.32007/jfacmedbagdad.2111","DOIUrl":"https://doi.org/10.32007/jfacmedbagdad.2111","url":null,"abstract":"Background: Obesity rates are increasing day by day affecting all populations at different ages. The most prevalent kind of cancer among women worldwide is breast cancer, with increasing rates in the present time and in the future. Substantial connections between obesity and breast cancer are demonstrated. Elevated circulating levels of insulin and interleukin-6 have a substantial link to obesity and breast cancer development.\u0000Objective: This study aimed to examine the serum levels of insulin and interleukin-6 in postmenopausal breast cancer patients and to study the connection between these biomarkers and breast cancer development.\u0000Method: In this research, 120 postmenopausal women actively participated., 30 had a body mass index of >30kg/m2 diagnosed with breast cancer and considered as obese (group 1), 30 with a body mass index of <30kg/m2 with breast cancer and considered as not obese (group 2), 30 had a body mass index of >30 kg/m2 who were apparently healthy and were obese (group 3), and 30 participants with a body mass index of <30 kg/m2 , were apparently healthy and were not obese (group 4). Five millilitres of venous blood were provided by each individual. Insulin and interleukin-6 levels in the blood were measured using ELISA (enzyme-linked immunosorbent assay) kits.\u0000Results: Serum insulin levels were higher in the groups of obese participants (groups 1 and 3) than the groups of non-obese participants (groups 2 and 4), serum levels of interleukin-6 were the lowest in the healthy control group without obesity (group 4). Substantial moderate correlation was found between body mass index and both insulin and interleukin-6. Postmenopausal breast cancer risk is increased with elevations of serum insulin and interleukin-6.\u0000Conclusions: Elevated levels of serum interleukin-6 and insulin were linked to higher body mass index. In addition, in addition interleukin-6 elevated levels were linked to the cancer state of the non-obese patients. Risk of breast cancer increased with higher levels of circulating insulin and intereukin-6.\u0000Received: Mar,, 2023\u0000Accepted: May, 2023\u0000Published: Jan.2023\u0000 ","PeriodicalId":516152,"journal":{"name":"Journal of the Faculty of Medicine Baghdad","volume":" 28","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139396116","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}
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