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Correlation between Serum Ferritin and Haemoglobin Level in Females with Hair Fall Count in Females with Chronic Telogen Effluvium 女性慢性休止期汗液患者血清铁蛋白和血红蛋白水平与毛发脱落数的相关性
Pub Date : 2023-06-01 DOI: 10.33899/mmed.2023.137418.1178
Mustafa Nooruldden Abdulqader, H. Fathi, Basma Mahmood, O. Abdullah
Background: Excessive hair shedding among child-bearing women has been linked to low iron store. Despite this, multi-studies looked at this connection have yield inconsistent results. ferritin Aim: To compare hemoglobin and ferritin level of childbearing women with telogen effluvium and those in otherwise good health. To evaluate the link between iron store level and amount of hair shed. Patients and Methods: The case-controlled study included 74 women with telogen effluvium and 22 age matched healthy women recruited from Al-Salam Teaching Hospital in Mosul. Participants underwent an assessment of hair fall count using a standardized hair fall count in 60 seconds. Five ml of blood was drawn to assess the iron status (hemoglobin and ferritin). Difference in iron status between groups were compared by t-test and their link with amount of hair fall was assessed by Pearson correlation and regression tests. P-value <0.05 is significant. Results: Alopecia patients were 27.81±9.63 years old on average. The difference in hemoglobin levels between Alopecia patients and the control group were not-significantly (11. 83±4.59 gm/dl vs. 12.72±0.88 gm/dl) while differences in ferritin level was highly significant (27.84±22.06 ng/ml vs. 57.75±19.75ng/ml). Strong inverse linear were detected in the number of hair falls and ferritin (r=-0.53, P 0.0001). Regression analysis revealed that changes in hemoglobin accounts for only 9% of variation in the total number of hair falls, while ferritin accounts for 28% of them. Two prediction equations based on hemoglobin and ferritin were created for predicting hair fall count in 60 seconds. Conclusions: The study provides additional evidence for the role of low iron stores reflected by ferritin level in hair fall count in women with chronic telogen effluvium. A nonanemic iron deficiency is probably responsible for unexplained non-specific symptoms like diffuse hair loss. The suggested regression equation provides dermatologists with a tool to predict the amount of hair fall based on estimated ferritin and hemoglobin.
背景:育龄妇女脱发过多与铁储量低有关。尽管如此,针对这一联系的多项研究得出了不一致的结果。目的:比较休止期排尿妇女与其他健康妇女的血红蛋白和铁蛋白水平。评价铁储存水平与脱毛量之间的关系。患者和方法:病例对照研究包括从摩苏尔Al-Salam教学医院招募的74名患有休止期排尿的妇女和22名年龄匹配的健康妇女。参与者在60秒内使用标准化的头发脱落计数来评估头发脱落计数。抽取5ml血液评估铁状态(血红蛋白和铁蛋白)。采用t检验比较各组铁含量的差异,采用Pearson相关检验和回归检验评价铁含量与脱发量的关系。p值<0.05为显著性。结果:脱发患者平均年龄27.81±9.63岁。脱发患者与对照组血红蛋白水平差异无统计学意义(11。(83±4.59 gm/dl vs. 12.72±0.88 gm/dl),而铁蛋白水平差异极显著(27.84±22.06 ng/ml vs. 57.75±19.75ng/ml)。毛发脱落数和铁蛋白呈明显的负线性关系(r=-0.53, P = 0.0001)。回归分析显示,血红蛋白的变化只占脱发总数变化的9%,而铁蛋白的变化占28%。建立了两个基于血红蛋白和铁蛋白的预测方程,用于预测60秒内的毛发脱落数。结论:该研究为铁蛋白水平反映的低铁储量在慢性休止期女性脱发数量中的作用提供了额外的证据。非贫血性缺铁可能导致无法解释的非特异性症状,如弥漫性脱发。建议的回归方程为皮肤科医生提供了一种基于估计的铁蛋白和血红蛋白来预测头发脱落量的工具。
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引用次数: 1
Recovery Patterns of Olfactory Disorders in Covid-19 Patients Covid-19患者嗅觉障碍的恢复模式
Pub Date : 2023-06-01 DOI: 10.33899/mmed.2023.136334.1167
Yousif Salama, Haitham Alnori
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引用次数: 0
Role of Interleukin-6 in Type 1 Diabetes Mellitus (Review of Articles) 白细胞介素-6在1型糖尿病中的作用(文献综述)
Pub Date : 2023-06-01 DOI: 10.33899/mmed.2023.137090.1175
Ikram Khazal Qasim Al-hasso
Type one diabetes mellitus (T1DM) is an autoimmune condition wherein islet cells of pancreas are damaged, necessitating extrinsic insulin therapy for the remainder of life. T1DM affects kids and teenagers and accounts for roughly 5-10% of diabetes cases. Cytokines are low-molecular-weight extracellular molecules that serve as immune modulators which cause β cells impairment in T1DM patients by generating nitric-oxide. Comprehending and controlling autoimmune inflammatory factors, on the contrary, may aid in treating or even avoiding disease advancement. Interleukin-6 (IL-6) is a versatile mediator that have an influential purpose in inflammation besides autoimmune conditions and one of variables implicated in autoimmune inflammation. This cytokine, however, was demonstrated to play a significant function in metabolic control, notably homeostasis of glucose
1型糖尿病(T1DM)是一种自身免疫性疾病,胰腺胰岛细胞受损,需要终生使用外源性胰岛素治疗。T1DM影响儿童和青少年,约占糖尿病病例的5-10%。细胞因子是低分子量的细胞外分子,作为免疫调节剂,通过产生一氧化氮导致T1DM患者的β细胞损伤。相反,理解和控制自身免疫炎症因子可能有助于治疗甚至避免疾病进展。白细胞介素-6 (IL-6)是一种多功能介质,除自身免疫性疾病外,在炎症中也有重要作用,是自身免疫性炎症的变量之一。然而,这种细胞因子被证明在代谢控制中起着重要的作用,尤其是葡萄糖的体内平衡
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引用次数: 0
The Global Resurgence of Monkeypox: A Review 全球猴痘死灰复燃:综述
Pub Date : 2023-06-01 DOI: 10.33899/mmed.2023.139171.1194
Maimonah Q. Yahya
Background: The World Health Organization led a program to eliminate smallpox, which was validated 40 years ago. According to estimates, most nations have stopped vaccinating their citizens against the disease on a regular basis. Cross immunity has been affected as a result, and a sizable section of the world's population no longer possesses protection to orthopox viruses that are directly connected to one another, such monkeypox and smallpox. These data raise the possibility that emerging or re-emerging human would fill the epidemiological gap left by smallpox, along with occasional instances of human pathogens with many orthopox viral infections. Aim of this study: This review focused on the disease caused by the monkeypox virus and its significant modes of transmission, which has recently reemerged in some nations globally, as well as how to prevent the disease from spreading. Conclusion: The monkeypox virus can spread in a variety of methods, all of which need intimate contact with ill people or infected animals. Small mammals are occasionally able to carry the virus without showing any symptoms. Monkeys, hedgehogs, rodents, anteaters, prairie dogs, dogs, and squirrels are just a few of the many animal species that can contract the monkeypox virus. Viral transmission between humans is less frequent than with infected animals, however, close contact either exposure to respiratory droplet, mouth contact to mouth or to skin, or skin contact with mucosal skin lesions of an infected person are the methods of transmission. Good personal hygiene and vaccination is recommended to build immunity against monkeypox. Further research is needed to clarify the role of host as well as viral components in the pathogenesis of serious and lethal infection, as well as to gain a better understanding of their risks, genes, and natural histories. This will enable global healthcare strategists to develop effective protection plans.
背景:世界卫生组织领导了一项消灭天花的计划,该计划在40年前得到证实。据估计,大多数国家已停止定期为其公民接种疫苗。因此,交叉免疫受到了影响,世界上相当大一部分人口不再拥有对彼此直接相连的正痘病毒(如猴痘和天花)的保护。这些数据提出了一种可能性,即新出现或再出现的人类将填补天花留下的流行病学空白,以及偶尔出现的人类病原体与许多正痘病毒感染的情况。本研究的目的:本文综述了最近在全球一些国家重新出现的猴痘病毒引起的疾病及其主要传播方式,以及如何预防该疾病的传播。结论:猴痘病毒可通过多种途径传播,传播途径均需要与患者或受感染动物密切接触。小型哺乳动物偶尔能够携带病毒而不表现出任何症状。猴子、刺猬、啮齿动物、食蚁兽、草原土拨鼠、狗和松鼠只是许多可以感染猴痘病毒的动物物种中的一小部分。病毒在人与人之间的传播比在受感染动物之间传播的频率要低,但是,接触呼吸道飞沫、口对口或皮肤接触或皮肤接触感染者的粘膜皮肤病变都是传播方法。建议保持良好的个人卫生并接种疫苗,以增强对猴痘的免疫力。需要进一步的研究来阐明宿主和病毒成分在严重和致命感染发病机制中的作用,并更好地了解它们的风险、基因和自然历史。这将使全球卫生保健战略家能够制定有效的保护计划。
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引用次数: 0
Pediatric Septoplasty: A Case Series Study 小儿鼻中隔成形术:病例系列研究
Pub Date : 2023-06-01 DOI: 10.33899/mmed.2023.137591.1182
B. Saeed, M. Sheet, Emanuel Sargon Emanuel
Background: The controversy of pediatric septoplasty exists. Septoplasty is an uncommon procedure in pediatric populations. Still, there is a lack of consensus about the age and extent of septoplasty in this age group. Moreover, delayed surgical correction of septal deviation may adversely affect normal nasal and facial growth. There is a recent trend toward major cartilage work in pediatric patients with severe septal deviation. The aims of this study are to evaluate the health-related quality of life in pediatric patients after septoplasty and to assess the early as well as the long-term outcomes of surgery. Ethical Approval: The Collegiate Committee for Medical Research Ethics approved the study with approval code CCMRE-MED-22-1 on 17/01/2022. It aligns with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards . Patients and methods: This case series study was conducted on 25 children (24 males and one female) who underwent septoplasty for severe symptomatic septal deviation. This assessment was done three months and 1-year post-operatively to assess the operation's effect on the quality of life and overall patient satisfaction. The follow-up was done utilizing NOSE and VAS scales and they were compared with pre-operative ones. In most cases, the cartilage was delivered, remodelled, and reinserted. Results: The mean age of patients was 8.5±3.8 years. There were 24 (96.31%) males and 1 (3.69%) females. The current study reveals significant differences in postoperative NOSE and VAS scores compared to pre-operative ones at three months and one year post-operatively with P-values <0.001. Synechia, infection due to crust formation, and residual deviation were the common complications in this study. Conclusion: The significant improvement in quality of life and the low complication rate justifies septoplasty in the pediatric age group in indicated cases, even if considerable cartilage work was needed.
背景:小儿鼻中隔成形术存在争议。鼻中隔成形术在儿科人群中并不常见。尽管如此,对于这个年龄段的鼻中隔成形术的年龄和程度仍缺乏共识。此外,鼻中隔偏曲的延迟手术矫正可能会对正常的鼻腔和面部生长产生不利影响。有一个最近的趋势,主要软骨工作的儿童患者严重的中隔偏差。本研究的目的是评估小儿中隔成形术后与健康相关的生活质量,并评估手术的早期和长期结果。伦理批准:医学研究伦理合议委员会于2022年1月17日批准了该研究,批准代码为CCMRE-MED-22-1。它与1964年《赫尔辛基宣言》及其后来的修正案或类似的道德标准保持一致。患者和方法:本病例系列研究对25名儿童(男24名,女1名)进行了严重症状性中隔偏曲的鼻中隔成形术。该评估分别在术后3个月和1年进行,以评估手术对患者生活质量和总体满意度的影响。随访采用鼻部鼻部鼻部鼻部鼻部鼻部鼻部鼻部鼻部鼻部鼻部鼻部鼻部鼻部鼻部鼻部鼻部鼻部。在大多数情况下,软骨被移植、重塑和重新植入。结果:患者平均年龄8.5±3.8岁。男性24例(96.31%),女性1例(3.69%)。本研究显示,术后3个月和1年的鼻翼和VAS评分与术前比较差异有统计学意义,p值<0.001。粘连、结痂感染和残留偏差是本研究中常见的并发症。结论:生活质量的显著改善和低并发症率证明了在儿童年龄组的指征病例中隔成形术是合理的,即使需要大量的软骨工作。
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引用次数: 0
Knowledge and Attitude of Nurses about Infection Preventive Measures at Imam Al-Sadiq Hospital in Babil City 巴比勒市伊玛目萨迪克医院护士感染预防知识及态度调查
Pub Date : 2022-12-29 DOI: 10.33899/mmed.2022.136910.1173
A. Jawad, Ammar A. Okab
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引用次数: 0
The influence of Olmesartan on the Renin-angiotensin-aldosterone System of Rats with Thyroid Dysfunction 奥美沙坦对甲状腺功能障碍大鼠肾素-血管紧张素-醛固酮系统的影响
Pub Date : 2022-12-29 DOI: 10.33899/mmed.2022.136645.1171
Kawa F Dizaye
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引用次数: 0
Some Facts about Pneumocystis jirovecii 关于乙氏肺囊虫的一些事实
Pub Date : 2022-12-29 DOI: 10.33899/mmed.2022.135399.1162
Z. Qasim, M. Dawood, Z. Hashim
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引用次数: 0
Expression of Ki-67 antigen in various histological types of BASAL CELL CARCINOMA Ki-67抗原在不同组织学类型基底细胞癌中的表达
Pub Date : 2022-12-29 DOI: 10.33899/mmed.2022.136721.1172
karam turath
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引用次数: 0
Assessment of The Acute Toxic Effects of Ceftriaxone in Chicks 头孢曲松对雏鸡急性毒性作用的评价
Pub Date : 2022-12-29 DOI: 10.33899/mmed.2022.133886.1147
I. Othman, M. Al-Zubaidy
Objective: The current research aims to assess the acute behavioral toxicity and brain histological changes of ceftriaxone in chicks as a biological model. Methods: The acute IM median lethal dose (LD 50 ) by Dexon method was obtained during the first day. The scoring of toxicity was estimated in the open-field activity and body-weight was measured. The acute toxic effects of ceftriaxone on brain tissue were recorded. Results: The IM ceftriaxone LD 50 value in chicks was 2131mg/kg. Intramuscular administration of ceftriaxone at doses of 0.532, 1.065 and 1.598 mg/kg caused signs of toxicity such as dropping of wings, eyelids closure, decreased movements and gasping. Ceftriaxone caused a statistically significant decrement in the body weight, decreased activity in the open field experiment represented by delay in movement, and decrease in the crossing lines. The brain showed histopathological changes such as congestion, bleeding and inflammatory cell infiltration. The lesion was more severe when exposed to high concentrations especially during the first 24 hours. Conclusion : The results of the current study demonstrated that ceftriaxone caused behavioral toxic effects in addition to histological changes in the brain especially with acute administration.
目的:研究头孢曲松对雏鸡的急性行为毒性和脑组织改变。方法:采用Dexon法测定小鼠第1天急性IM中位致死剂量(ld50)。在野外活动中估计毒性评分,并测量体重。记录头孢曲松对脑组织的急性毒性作用。结果:头孢曲松在雏鸡体内的ld50值为2131mg/kg。头孢曲松肌肉注射剂量分别为0.532、1.065和1.598 mg/kg,可引起翅膀下垂、眼睑闭合、运动减少和喘气等中毒症状。头孢曲松导致体重下降,在野外实验中活动减少,表现为运动迟缓,杂交线减少,具有统计学意义。脑组织出现充血、出血、炎性细胞浸润等组织病理改变。当暴露于高浓度时,特别是在最初的24小时内,病变更为严重。结论:目前的研究结果表明,头孢曲松除了引起脑组织的组织学改变外,还引起行为毒性作用,特别是急性给药。
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引用次数: 0
期刊
Annals of the College of Medicine, Mosul
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