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اعتلال الجهاز العصبي الذاتي في متلازمة تكيس المبيض == Dysautonomia in polycystic ovary syndrome

اسم المؤلف: زينب حسن هاشم
اسم المشرف: فرقد بدر حمدان | انعم رشيد عب الرزاق
الموضوع العام: الطب
السنة: 2014
الموضوع الدقيق: الفسلجة
الدرجة: دكتوراه
اللغة: الانكليزية
مكان الجامعة: بغداد
الصفحات الاولى:

دور هرمون الكسببتين في متلازمة مقدمة الارتعاج وعلاقته مع هرمونات التناسل عند الام == The Role Of Kisspeptin Hormone In Preeclampsia And Its Relation To Maternal Reproductive Hormones

اسم المؤلف: ميسون عبد الجليل زيارة الكعبي
اسم المشرف: فرقد بدر حمدان | لقاء رياض الخزاعي
الموضوع العام: الطب
السنة: 2014
الموضوع الدقيق: الفسلجة
الدرجة: دكتوراه
اللغة: الانكليزية
مكان الجامعة: بغداد
الصفحات الاولى:

فرط الحديد لدى مرضى الثلاسيميا نوع بيتا الكبرى وتاثيره على الغدة النخامية == Iron Overload in Beta - thalassemia Major Patients and its Effect on Pituitary Gland

اسم المؤلف: فضيلة سلمان عزيز محمد
اسم المشرف: نسرين قادر كامل | نوال بهجت مهدي
الموضوع العام: الطب
السنة: 2014
الموضوع الدقيق: الفسلجة
الدرجة: ماجستير
اللغة: الانكليزية
مكان الجامعة: صلاح الدين
الصفحات الاولى:

تاثير اعطاء الترامادول على بعض المتغيرات الفسلجية والكيموحيوية والنسيجية في ذكور الجرذان المختبرية (Rattus norvegicus) == Effect of Tramadol in Some Physiological, Biochemical and Histological Changes of Male rats (Rattus Norvegicus

اسم المؤلف: محمد عبد الحميد يونس راضي
اسم المشرف: محمد علي الديوان | عادل موسى الزبيدي
الموضوع العام: الطب البيطري
السنة: 2014
الموضوع الدقيق: الفسلجة
الدرجة: ماجستير
الجامعة: جامعة البصرة
اللغة: الانكليزية
مكان الجامعة: البصرة
الصفحات الاولى:

دراسة تشريحية ونسيجية لمقلة العين في الولادات الحديثة للارانب

اسم المؤلف: نهاد جاسم خلف العتابي
الموضوع العام: الطب البيطري
السنة: 2014
الموضوع الدقيق: الفسلجة
الدرجة: ماجستير
مكان الجامعة: بغداد
الكلمات الدلالية:
  • الارانب - فسلجة

الدور العلاجي المتفورمين والسبارونولاكتون في علاج تكيس المبايض المتعدد المستحدث في اناث الجرذ بالاستراديول فاليريت Rattus norvegicus == Role of metformin, spironolactone treatment and their combination in estradiol valerate induced polycystic ovarian female rats. (Rattus norvegicus

اسم المؤلف: محسن صغير غالب محسن المزيعل
اسم المشرف: جاسم محمد احمد الكلبي | علاء عبد الخالق سواد
الموضوع العام: الطب البيطري
السنة: 2014
الموضوع الدقيق: الفسلجة
الدرجة: دكتوراه
الجامعة: جامعة البصرة
اللغة: الانكليزية
مكان الجامعة: البصرة
الصفحات الاولى:

تقييم كهروفسلجي لبعض الاعصاب المحيطية للبالغين الذين يعانون من زيادة في الوزن == Electrophysiological assessment of some peripheral nerves in overweight adults

اسم المؤلف: سهير حميد خيون
اسم المشرف: احسان محمد عبود عجينة
الموضوع العام: الطب
السنة: 2014
الموضوع الدقيق: الفسلجة
الدرجة: ماجستير
اللغة: الانكليزية
مكان الجامعة: النجف
الصفحات الاولى:

قياس مستوى الهوموسستين ومقاومة الانسولين في بلازما مرضى متلازمة تكيس المبايض == Plasma Homocysteine and Insulin Resistance in Patients with Polycystic Ovary Syndrome

اسم المؤلف: ظلال قاسم محمد
اسم المشرف: حواء عبد الرزاق الظاهر | صباح مهدي حسين
الموضوع العام: الطب
السنة: 2014
الموضوع الدقيق: الفسلجة
الدرجة: ماجستير
اللغة: الانكليزية
مكان الجامعة: بغداد
الصفحات الاولى:
المستخلص: خلفية البحث - : ان متلازمة تكيس المبايض هي اكثر انواع اعتلال الغدد الصماء شيوعا عند النساء في سن الانجاب ومن الممكن ان تكون مترابطة مع مقاومة الانسولين . الهوموسستين ممكن ان يكون مرتبطا مع تكيس المبايض ويساهم في العوامل الخطرة للاصابة بامراض القلب والاوعية الدموية وكذلك الاسقاط المبكر.الهدف - : لدراسة العلاقة بين الهوموسستين ومقاومة الانسولين في المريضات المصابات بمتلازمة تكيس المبايض.منهجية البحث - : خمسة وتسعون مريضة مسجلة في هذه الدراسة قد ارتدن عيادة العقم في مستشفى اليرموك التعليمي للفترة من تشرين الثاني 2013 - ايار 2014. مجموعة المريضات تتضمن النساء المصابات بتكيس المبايض وعددهن 55 مريضة وكانت اعمارهن تتراوح من 18 - 40 سنة بمعدل ( 26.95± 5.5) ومــعدل معامل الكــتلة (32.63± 4.27).المجموعة الثانية تتضمن النساء السليمات (المجموعة الضابطة) وعددهن 40 امراة وهن متقاربات في العمر ومعامل الكتلة مع النساء السليمات. قيمت كل مريضة من خلال التاريخ المرضي الكامل والفحص السريري، اما عينات الدم فقد سحبت من النساء في وقت مبكر من الدورة الشهرية (اليوم الثاني - اليوم الخامس) لقياس الهرمون اللوتيني (LH) والهرمون المحفز للمبايض (FSH) وكذلك الهرمون المحفز للغدة الدرقية (TSH) وهرمون الحليب (prolactin) والهرمون الذكري (testosterone). خضعت كل مريضة ايضا الى الفحص بالموجات فوق الصوتية (السونار) لقياس حجم المبايض ووجود التكيسات الصغيرة في محيط المبايض او عدم وجودها.الهرمون اللوتيني والهرمون المحفز للمبايض والهرمون الذكري قيست بواسطة جهاز ال(MINIVIDUS) اما هرمون الحليب والهرمو المحفز للغدة الدرقية قيست بواسطة جهاز ال (GAMMA) في مختبرات مستشفى اليرموك التعليمي.وبعد تشخيص المريضات المصابات بمتلازمة تكيس المبايض من النساء السليمات تم سحب الدم في الصباح بعد 12 ساعة من الصيام لقياس نسبة الدهون، نسبة السكر، نسبة الانسولين ونسبة الهوموسستين في الدم.نسبة الدهون والسكر في الدم قيست بطريقة ال (Auto - Analyzer) اما نسبة الانسولين قيست بطريقة الـ (ELISA) وحسبت مقاومة الانسوليين بمعادلة الـ (HOMA - IR) : - نسبة الانسولين (µU/ml) × نسبة السكر (mg/dl) /405 . مقاومة الانسولين الطبيعية ≤ 3، مقاومة الانسولين المتوسطة 3 - 5، مقاومة الانسولين الشديدة >5 . الهوموسستين كذلك قيس بطريقة الـELISA) ) والقراءة الاكثر من 13 تعتبر زيادة في نسبة الهوموسستين. النتائج : - نسبة الانسولين ومقاومة الانسولين والهوموسستين اختلفت احصائيا بين المجموعتين وكانت اعلى في النساء المصابات(17.64 ± 9.3) (4.15 ± 2.54), (12.84 ± 6.98), بالتعاقب بالمقارنة مع النساء السليمات (8.02 ± 2.19) (1.69 ± 0.54) ( 9.51 ± 1.92) بالتعاقب، ولكن لا يوجد اي اختلاف احصائي في هذه المتغيرات بين النساء ذات الوزن العالي والنساء السمينات في مجموعة النساء المصابات بمتلازمة تكيس المبايض. هناك اختلافا احصائيا المتعلق بالهرمون المحفز للمبايض والهرمون اللوتيني ونسبة الهرمون اللوتيني الى هرمون المحفز للمبايض بين مجموعة المريضات المصابات بتكيس المبايض والنساء السليمات وكانت نسبة الهرمون المحفز للمبايض اقل في المريضات المصابات(5.8 ± 1.8) مقارنة مع النساء السليمات(7.15 ± 1.59) بينما كان الهرمون اللوتيني ونسبة الهرمون اللوتيني الى الهرمون المحفز للمبايض اكثر في المريضات المصابات (1.75±1.22), (9.5 ± 5.9) مقارنة بالنساء السليمات (0.76 ± 0.28) (5.45 ± 2.16), بالتعاقب لكن لا يوجد اختلاف احصائي في الهرمون الذكري بين المجموعتين.لا يوجد اي اختلاف احصائي المتعلق بهرمون الحليب والهرمون المحفز للغدة الدرقية ولكن يوجد اختلاف واضح في نسبة السكر وتكون اعلى في المريضات المصابات (5.11± 0.6) مقارنة مع النساء السليمات(4.73±0.62).نسبة الدهون اختلفت احصائيا بين المجموعتين وكانت اعلى في النساء المصابات بتكيس المبايض بالنسبة للكولسترو(4.75 ± 0.68),، الدهون الثلاثية (1.67 ± 0.72) والبروتينات الدهنية منخفضة الكثافه (2.24 ± 0.47) اما البروتينات الدهنية مرتفعة الكثافة كانت اقل (1.08 ± 0.3) بالمقارنة مع النساء السليمات.في مجموعةالنساء المصابات بتكيس المبايض كانت العلاقةايجابيه ولكنها لاتمتلك دلالة احصائية بين مقاومة الانسولين وكل من(الهرمون اللوتيني (r=0.044, p=0.752)، نسبة الهرمون اللوتيني الى الهرمون المحفز للمبايض (r= 0.043, p= 0.756)، نسبة قياس الخصر الى قياس الورك (r=0.013, p=0.924).(في مجموعة النساء المصابات بتكيس المبايض كانت العلاقة ايجابية ولكنها لا تمتلك دلالة احصائية بين الهوموسستين و(الهرمون اللوتيني (r=0.062, p=0.653),, نسبة قياس الخصر الى قياس الورك (r=0.061, p=0.661),) . توجد علاقة ضعيفه بين الهوموسستين ونسبة الهرمون اللوتيني الى الهرمون المحفز للمبايض (r= 0.009, p= 0.756).لانوجد علاقة احصائية واضحه بين الهوموسستين ومقاومة الانسولين في المريضات المصابات بتكيس المبايض(r= - 0.003, p=0.983)..الاستنتاج : - في هذه الدراسة تبين ان هناك علاقة بين مقاومة الانسولين ومتلازمة تكيس المبايض وعلاقة اخرى بين الهوموسستين وتكيس المبايض ولكن لا توجد علاقة بين الهوموسستين ومقاومة الانسولين في المريضات المصابات بتكيس المبايض ومن الممكن ان يكون لكل متغير عمله الخاص. | Polycystic ovary syndrome (PCOS) is the most common endocrine disease among women in fertility age and may be associated with sever insulin resistance. Homocysteine may be associated with of polycystic ovary syndrome and it has been implicated as a significant risk factor for cardiovascular disease, pre - eclampcia, and recurrent pregnancy loss.Aims of the study : - Examine the correlation between serum homocysteine level and insulin resistance in PCOS patients attending infertility center.Patients and method : - Ninety - five women attending the infertility center in AL - Yarmook Teaching Hospital were enrolled in this study, in the period from January 2014 to May 2014. Women who had PCOS were selected as patients group (n=55). Their ages were between18 - 40 years (mean 26.95± 5.5 year) and their mean body mass index (BMI ) was (32.63± 4.27 kg/m2) and women who had no PCOS considered as control group(n=40) who had age and BMI approximately matched with the first group. Each patient was assessed by full history and physical examination. Blood samples were aspirated during the early follicular phase (cycle day2 - 5) of the menstrual cycle for hormonal assessment : - follicular stimulating hormone (FSH), luteinizing hormone (LH), thyroid stimulating hormone (TSH), total testosterone, and serum prolactin. The serum levels of FSH, LH, and total testosterone were examined by MINIVIDUS device while TSH and prolactin were examined by GAMMA device. Pelvic ultrasound was done to evaluate the size of the ovary and the presence or absence of small multi - follicles on the periphery of the ovary. After The diagnosis of PCOS patients, fasting blood sample was collected for the measurement of lipid profile [cholesterol, triglyceride, high density lipoprotein (HDL), low density lipoprotein (LDL)], fasting blood sugar (FBS), insulin, and homocysteine. Lipid profile and FBS were measured by Auto - analyzer method while the insulin was measured by ELIZA method and insulin resistance was calculated by Homeostatic Model Assessment of IR (HOMA - IR) according to this equation : - Insulin Resistance (IR) = (Blood glucose (mg/dl)× serum insulin (µU/ml) )/405 Normal IR ≤ 3, moderate IR 3 - 5, sever IR>5. Homocysteine also measured by ELISA method and the level > 13 considered as hyperhomocysteinemia.Results : - Insulin, IR, and homocysteine, differed significantly being higher in patients (17.64 ± 9.3), (4.15 ± 2.54), (12.84 ± 6.98) respectively, than control, (8.02 ± 2.19), (1.69 ± 0.54), ( 9.51 ± 1.92), but there was no significant difference in these variables between overweight and obese patients within the PCOS group. There was a significant difference in FSH, LH, LH/FSH ratio being lower FSH (5.8 ± 1.8) and higher LH (9.5 ± 5.9), LH/FSH (1.75 ± 1.22) ratio in PCOS group as compared to control (7.15 ± 1.59), (5.45 ± 2.16), (0.76 ± 0.28) respectively, but there was no difference related to total testosterone levels. There was no significant difference between patients and control related to prolactin and TSH while there was significant difference in fasting blood sugar (FBS) being higher in PCOS (5.11 ±0.6) than control (4.73 ± 0.62). In term of lipid profile (cholesterol, triglyceride, LDL, HDL) which differed significantly between PCOS group and the control being higher cholesterol (4.75 ± 0.68), triglyceride (1.67 ± 0.72), LDL (2.24 ± 0.47) and lower HDL (1.08 ± 0.3) in PCOS group than control (3.95 ± 0.54), (1.1 ± 0.34), (1.85 ± 0.35), (1.28 ± 0.13) respectively. Insulin resistance was found to correlate positively but not significantly with LH (r=0.044, p=0.752), LH/FSH ratio (r= 0.043, p= 0.756), and waist/hip ratio in PCOS group (r=0.013, p=0.924). Homocysteine had non - significant positive correlation with LH (r=0.062, p=0.653), and waist/hip ratio (r=0.061, p=0.661), but there was weak positive correlation with LH/FSH ratio (r= 0.009, p= 0.756) In PCOS group. There was no obvious correlation between insulin resistance and homocysteine in PCOS patients (r= - 0.003, p=0.983).Conclusion : - Insulin resistance and homocysteine were increased significantly in PCOS patients as compared to control, but there was no correlation between homocysteine and IR within the PCOS group, the two variables may have a different mechanism of action.

هرمون مضاد مولريان كعلامة للحمل بعد عمليات التلقيح المجهري عند النساء اللاتي يعانين من متلازمة تكييس المبايض == Anti - Mullerian Hormone as a Marker for Pregnancy following Intracytoplasmic Sperm Injection in Women with Polycystic Ovarian Syndrome

اسم المؤلف: انعام عبد الواحد ذيب
اسم المشرف: عفان عزت حسن | باسل عويد محمد صالح
الموضوع العام: الطب
السنة: 2014
الموضوع الدقيق: الفسلجة
الدرجة: دكتوراه
اللغة: الانكليزية
مكان الجامعة: بغداد
الصفحات الاولى:
المستخلص: العقم هو مرض من امراض الجهاز التناسلي يقصد به عدم قدرة الزوجين على الانجاب او تحقيق الحمل السريري بعد 12 شهرا او اكثر من الجماع الطبيعي الغير المحمي. هرمون مضاد مولريان (AMH) هو البروتين الذي يرتبط هيكليا الى اكثر من 35 الببتيدات مثل انهيبين، اكتيفين، وبروتينات العظام الشكلية وعوامل تمايز النمو، وكثير من هذه الببتيدات تشارك في الوظيفة الانجابية في كلا الجنسين. هرمون مضاد مولريان يمثل علامة بيولوجية للحجم النسبي لاحتياطي المبيض، وعدد الخلايا في الاحتياطي الجريبي الذي يساعد في التقنيات المساعدة على الانجاب ويمكن استخدامها للتنبؤ بتوقيت انقطاع الطمث. قد يكون هرمون مضاد مولريان مفيد كعلامة لضعف المبيض في متلازمة تكيس المبايض، حيث تعكس مستويات هرمون مضاد مولريان عدد الجريبات النامية من المبيض. وهومفيد ايضا في التنبؤ ببعض حالات عجز المبيض في متلازمة تكيس المبايض لكون مستويات هرمون مضاد مولريان تعكس عدد جريبات المبيض النامية. وهو مفيد ايضا في التنبؤ في حالة عدم استجابة المبيض خلال عمليات التخصيب في المختبر او اطفال الانابيب (IVF). مستويات هرمون مضاد مولريان مفيدة في اتخاذ قرار بشان بروتوكولات التحفيز في عمليات اطفال الانابيب (IVF) ويساعد في تحديد عدد الاجنة التي يتم نقلها في عمليات التقنيات المساعدة على الانجاب لزيادة معدلات نجاح الحمل وتقليل خطر متلازمة فرط المبيض. اجريت هذه الدراسة في مستشفى كمال السامرائي لعلاج العقم واطفال الانابيب ومركز بغداد التخصصي لعلاج العقم واطفال الانابيب / بغداد - العراق، تم تقسيم مجموعات الدراسة الى مجموعتين، اللواتي لديهن متلازمة تكيس المبايض والمجموعة الثانية تتالف من الذين ليس لديهم تكيس المبايض (انثى عادية على ما يبدو مع عامل العقم ذكري)، وقد سجلت في هذه الدراسة المرتقبة ، خمسة واربعين مريضة تتراوح اعمارهن بين 18 و42 عاما يخضعن لعملية الحقن المجهري. وقد صممت الدراسة لمعرفة دور مستويات مصل الدم ومستويات السائل الجريبي( (FFمن هرمون مضاد مولريان(AMH)، الهرمون المنبه للجريب ((FSH ،الهرمون المنشط للجسم الاصفر( (LH،هرمون الاسترادايول (E₂) والانسولين في التنبؤ بالنتيجة السريرية (الحمل) بعد عمليات الحقن المجهري في النساء اللواتي يعانين من متلازمة تكيس المبايض واللواتي لديهم اباضة اعتيادية (عامل ذكري). ولاعداد قيم قطعية محددة لهرمون مضاد مولريان في مصل الدم والسائل الجريبي للاستفادة منها في التنبؤ بنتائج الحمل، وكدلك تقييم العلاقة بين النتائج التي تم الحصول عليها للهرمونات المدروسة في مصل الدم والسائل الجريبي. اظهرت نتائج هذه الدراسة وجود زيادة معنوية في مستوى هرمون مضاد مولريان في مصل الدم لدى النساء اللواتي يعانين من تكيس المبايض من النساء اللواتي لا يعانون من تكيس المبايض (P = 0.001)، فيما يتعلق بالهرمونات المقاسة الاخرى، اظهرت النتائج عدم وجود فرق معنوي بين مستويات الهرمونات في مصل الدم بين النساء اللواتي يعانين من تكيس المبايض من النساء اللواتي لا يعانين من تكيس المبايض (P = 0.034)، كما لوحظ وجود زيادة معنوية في مستوى هرمون الاسترادايول في مصل الدم في اليوم الثاني للدورة الشهرية لدى النساء اللواتي يعانين من تكيس المبايض من النساء اللواتي لا يعانين من تكيس المبايض (P = 0.025) فيما يتعلق بالهرمونات المقاسة الاخرى، كشفت النتائج عن عدم وجود فرق معنوي بين مستويات السائل الجريبي لهذه الهرمونات في النساء اللواتي يعانين من تكيس المبايض من النساء اللواتي لا يعانين من تكيس المبايض. عند اجراء المقارنة بين مستوى هرمون مضاد مولريان في مصل الدم وسائل الجريبات ومستويات الهرمونات الاخرى عند النساء اللواتي يعانين من تكيس المبايض والنساء اللواتي لا يعانين من تكيس المبايض من خلال قياس قيم الاختلافات المقترنة، كانت اكبر القيم في مستوى هرمون الاسترادايول ₂E بعده هرمون مضاد مولريان ، ثم هرمون المنبه للجريب (FSH) ، ثم الهرمون المنشط للجسم الاصفر (LH)،ثم الانسولين تعاقبا. عند اجراء دراسة القيم القطعية في مصل الدم والسائل الجريبي لهرمون مضاد مولريان لغرض التنبؤ بنتائج الحمل باستخدام منحنى النسب المئوية 90 و95 عند النساء اللواتي يعانين من تكيس المبايض والنساء اللواتي لا يعانين من تكيس المبايض وجميع المرضى في الدراسة، وهذا قد يساعد في التنبؤ بالنتائج السريرية (الحمل). لوحظ ارتباط مستوى هرمون مضاد مولريان مباشرة مع نتائج الحمل السريري. باستخدام غير الحوامل (الذين لديهم تكيس المبايض والذين لا يعانون من تكيس المبايض) بشكل عام لادخال مستوى قيم قطعية للتنبؤ بنتيجة الحمل. اظهرت مؤشرات حساسية وخصوصية هرمون مضاد مولريان والهرمونات الاخرى في المصل والسائل الجريبي ان مؤشر حساسية وخصوصية هرمون مضاد مولريان في المصل هي (79٪) وفي السائل الجريبي هي (70.3٪) وهما يمثلان اعلى قيمة مقارنة بالهرمونات المقاسة الاخرى، وهي هرمون الاسترادايول ₂E ، هرمون المنبه للجريب (FSH) ، الهرمون المنشط للجسم الاصفر (LH)، الانسولين ومقاومة الانسولين. ومن خلال دراسة منحنى روك للمصل والسائل الجريبي لهرمون مضاد مولريان وغيرها من الهرمونات وهي الاسترادايول ₂E ، هرمون المنبه للجريب (FSH) ، الهرمون المنشط للجسم الاصفر (LH)، الانسولين ومقاومة الانسولين ، تبين ان اكبر مساحة لما تحت المنحنى ((AUC كانت تعود لهرمون مضاد مولريان في المصل وبعدها لهرمون مضاد مولريان في السائل الجريبي. من هذه الدراسة نستنتج الاهمية السريرية لقياس هرمون مضاد مولريان في المصل وفي السائل الجريبي في تقييم النتائج السريرية (الحمل) بعد عمليات الحقن المجهري في النساء اللواتي تعانين من متلازمة تكيس المبايض ، ايضا ان قياس مستويات هرمون مضاد مولريان في المصل وفي السائل الجريبي مهمة في التنبؤ بحالات متلازمة تكيس المبايض في النساء التي تقوم بعملية الحقن المجهري، حيث ان زيادة مستويات هرمون مضاد مولريان تعكس شدة المرض. ان القيم القطعية التي تم الحصول عليها من تركيزات هرمون مضاد مولريان في المصل وفي السائل الجريبي مهمة جدا للتنبؤ بنتائج تقنية الحقن المجهري (ICSI) واستكمالها او انهاءها في (النساء اللواتي يعانين من متلازمة تكيس المبايض والنساء اللواتي لا يعانين منها ). | Infertility is a disease of the reproductive system refers to an inability of a couple to achieve a clinical pregnancy after 2 years or more of regular unprotected sexual intercourse. Anti - Müllerian hormone (AMH) is a protein that is structurally related to more than 35 peptides like inhibin , activin, bone morphogenetic proteins (BMPs) and growth differentiation factors, many of these involved in reproductive function in both sexes. AMH serves as a biomarker for the relative size of the ovarian reserve; the number of cells in the follicular reserve that helps in assisted reproduction and can be used to predict the timing of menopause. AMH may be useful as a marker of ovarian impairment in polycystic ovary syndrome, since AMH levels reflect number of the developing ovarian follicles. It is also useful in prediction of poor ovarian response during in vitro fertilization (IVF). AMH levels are useful in deciding what stimulation protocols for IVF cycles and helps in decisions about the number of embryos to transfer in assisted reproduction techniques to increase the pregnancy success rates and decreasing the risk of ovarian hyperstimulation syndrome. The study was designed to investigate the role of serum and follicular fluid levels of AMH, Follicular stimulating hormone (FSH), Luteinizing hormone (LH), Estradiol (E2) and insulin in prediction of clinical outcome (pregnancy) in women with PCOS undergoing intracytoplasmic sperm injection(ICSI) and those with normal ovulation and to set up the cutoff values of serum and follicular fluid AMH concentration for prediction of pregnancy outcome, and to evaluate the relationship between the obtained results of the studied women’s in blood serum and in follicular fluid (FF). This study was conducted in Kamal Al - Samarrai hospital for infertility treatment and IVF and in Baghdad Specialist Center for treatment of infertility and IVF/Baghdad - Iraq, the study groups were divided into two groups, those with polycystic ovarian syndrome (PCOs) and those without PCOs (normal female with male factor infertility), forty five female patients aged between 18 - 42 years undergoing IVF/ICSI treatment were enrolled in this prospective study. The results of this study showed a significant increase in serum AMH level of PCOs women’s than that of non PCOs women’s (0.001), in regard to other measured hormones, the results revealed that there was no significant difference between serum levels of these hormones in PCOs and non PCOs women’s. There was significant increase in follicular fluid (FF) AMH level of PCOs women’s than that of non PCOs women’s (P= 0.034).There was also a significant increase in FFE₂ level in non PCOs women’s than in PCOs women’s (P=0.025), in regard to other measured hormones, the results revealed that there was no significant difference between FF levels of these hormones in PCOs and non PCOs women’s. In comparison between the serum and follicular fluid ( FF) AMH level and other parameters in PCOs women’s and in non PCOs women’s by measuring the paired differences values, the greatest values was in the E₂ level after that the AMH, then the FSH, LH, Insulin consequently. By studying the cutoff values of the serum and follicular fluid AMH concentration for prediction of pregnancy outcome by using the percentiles 90 and 95 in PCOs, non PCOs and all patients in the study, this may help in prediction of clinical outcome (pregnancy). AMH was directly correlated with clinical pregnancy outcome. Using non pregnant (PCOs and non PCOs) in general to introduce a cutoff level for prediction of pregnancy outcome. The sensitivity and specificity index of serum and follicular AMH and other hormones, revealed that the sensitivity and specificity index of serum AMH (79%) and of follicular AMH (70.3%) have the highest value in comparison with other routine measured hormones, E₂, FSH, LH, Insulin and Insulin resistance. The Receiver operating characteristic (ROC) curve for serum and follicular fluid AMH and other parameters, E₂, FSH, LH, Insulin and Insulin resistance, the greater area was founded belong to serum AMH then the FF AMH. From this study concluded the clinical importance of the measurements of serum and FF levels of AMH in assessment of successful ICSI techniques in PCOS infertile women, also the measurements of serum and FF levels of AMH are important in prediction of cases of PCOS in women’s undergoing ICSI techniques. The obtained cut - off values of serum and FF AMH concentrations are very important for prediction of the outcome of the ICSI technique and its continuation or termination in (PCOs and non PCOs).

احتساب هرمون الميلاتونين في مصل مرضى احتشاء العضلة القلبية الحاد == ESTIMATION OF SERUM MELATONIN HORMONE IN PATIENTS WITH ACUTE MYOCARDIAL INFARCTION

اسم المؤلف: حيدر عامر توفيق
اسم المشرف: اسراء فائق جعفر | معتز فوزي الحديثي
الموضوع العام: الطب
السنة: 2014
الموضوع الدقيق: الفسلجة
الدرجة: ماجستير
اللغة: الانكليزية
مكان الجامعة: بغداد
الصفحات الاولى:
المستخلص: هرمون الميلاتونين ، وهو منتج الغدد الصماء من الغدة الصنوبرية ، يفرز الهرمون تحت تاثير الساعة البيولوجية التي تنظم العديد من الوظائف الفسيولوجية والهرمونية العصبية . هورمون الميلاتونين له ادوار مهمة في مجموعة متنوعة من العمليات الفزيولوجية المرضية للقلب والاوعية الدموية مثل مضاد للالتهابات ، مضاد الاكسدة ، وظائفه الخافضة للضغط والمضادة للدهون .احتشاء العضلة القلبية الحاد هو السبب الرئيسي للوفيات في جميع انحاء العالم . في حالة احتشاء عضلة القلب الحاد يزداد انتاج انواع الجذور الحرة مثل الفائق انيون الراديكالي ( O2 • - ) وبيروكسيد الهيدروجين ( H2O2 ) ويمكن ان يؤدي الى توليد تاكسد اكثر سمية مثل الهيدروكسيل ( OH • ) . الميلاتونين ومكوناته ومنتجاتها من الايض هي قادرة على الحد من التفاعلات المؤكسدة من خلال تنظيفها الجذور الحرة المباشرة وغير المباشرة وكذلك من خلال النشاط المضاد للاكسدة لذلك للهرمون دورا هاما في حماية القلب . تصلب الشرايين هو العامل المسبب الرئيسي لاحتشاء العضلة القلبية الحاد ، حيث الاكسدة والالتهابات هي المكونات الرئيسية لتصلب الشرايين وان هورمون الميلاتونين من خلال وظيفة النشاط المضاد للالتهابات ومضادة للاكسدة فانه بمثابة عاملا مضادا للدهون . الهدف من هذه الدراسة هو : 1 - تقييم مستوى هرمون الميلاتونين في الدم في المرضى الذين يعانون من احتشاء العضلة القلبية الحاد . 2 - مقارنة بين مستوى الميلاتونين في المجموعة الضابطة والمرضى. 3 - دراسة التغيرات في مستوى الميلاتونين في المرضى الذين يعانون من احتشاء العضلة القلبية الحاد بعد خمسة ايام من الاصابة . 4 - تحديد العلاقة بين مستوى تحليل الدهون في الدم ومستوى الميلاتونين في المرضى والمجموعة الضابطة.وكان العدد الاجمالي المشمولة في الدراسة ( 80 ) من كلا الجنسين ، تتراوح اعمارهم من ( 40 - 60 ) سنة ، وتم تقسيمهم الى مجموعتين : 1 - اربعة واربعون المرضى الذين يعانون من احتشاء العضلة القلبية الحاد مع متوسط عمر ( 51.2 ± 6.12 سنة ) مدة دخولهم في ,وحدة العناية القلبية اقل من 24 ساعة . 2 - ستة وثلاثون شخصا اصحاء بمتوسط عمر ( 46.94 ± 4.86 سنة ) . وقد تم اخذ التاريخ الطبي الكامل ، تخطيط القلب الكهربائي وقياس ضغط الدم لكل الاشخاص , كما تم جمع عينات من الدم لتقدير هرمون الميلاتونين وصورة لنسبة الدهون في الدم .نتائج هذه الدراسة اكدت وجود فرق كبير فيما يتعلق بالميلاتونين في الدم بين مجموعة المرضى والمجموعة الضابطة ( P < 0.0001 ) ، ومستوى الميلاتونين في المرضى هو( 5.15 ± 1.56 ) والاصحاء هو( 9.37 ± 2.76 ) .وفيما يتعلق بصورة الدهون في الدم ، كشفت هذه الدراسة مجموع الكولسترول في الدم اعلى بكثير في مجموعة المرضى ( 196,16 19.2 ± ) مقابل في المجموعة الضابطة هو ( 185.58 ± 21.88 ملغ / دل ) وP = 0.0262 وذو دلالة معنوية احصائية .و بالنسبة للدهون الثلاثية في مجموعة المرضى فكان المعدل ( 190.64 ± 53.19 ملغ / دل ) مقابل في المجموعة الضابطة هو ( 171.39 ± 31.96 ملغ / دل ) وP = 0.0493 .و اما الدهون عالية الكثافة فكان المعدل في مجموعة المرضى ( 35.91 ± 6.89 ملغ / دل ) مقابل في المجموعة الضابطة ( 45.58 ± 8.93 ملغ / دل ) وP < 0.0001 .و بالنسبة للدهون قليلة الكثافة فكان المعدل في مجموعة المرضى ( 122.12 ± 19.13 ملغ / دل ) مقابل في المجموعة الضابطة كانت ( 105.72 ± 21.01 ملغ / دل ) وP < 0.0006 .اما مؤشر تصلب الشرايين فكان في مجموعة المرضى هو ( 0.72 ± 0.17 ) مقابل في المجموعة الضابطة هو ( 0.58 ± 0.14 ) وP< 0.0001 . نتائج هذه الدراسة لم تكشف عن فروق معنوية بين مستوى الميلاتونين في يوم الدخول واليوم الخامس من الدخول الى المستشفى بالنسبة للمرضى المصابين باحتشاء العضلة القلبية الحاد.نستنتج من هذه الدراسة وجود نقص واضح في مستوى هرمون الميلاتونين بالنسبة للمرضى المصابين باحتشاء العضلة القلبية الحاد مقارنة مع المجموعة الضابطة وان مستوى الكولستيرول , الدهون الثلاثية , الدهون قليلة الكثافة ومؤشر تصلب الشرايين اعلى منه في مجموعة المرضى مقارنة بالمجموعة الضابطة ، في حين ان مستوى الدهون عالية الكثافة اقل منه في مجموعة المرضى مقارنة بالمجموعة الضابطة . هذا الانخفاض في مستوى هرمون الميلاتونين يمكن تفسيره بان الميلاتونين تم استهلاكه للحد من الجذور الحرة التي تشكلت بعد نقص التروية القلبية | Melatonin hormone is an endocrine product of the pineal gland , it is released follow a circadian rhythm that regulates several physiological and neuroendocrine functions .Melatonin has an important roles in a variety of cardiovascular pathophysiologic processes like anti - inflammatory , antioxidant, antihypertensive and antilipidemic functions. Acute myocardial infarction ( AMI ) is the major cause of mortality worldwide . In acute myocardial infarction, excess production of active oxygen species such as superoxide anion radical ( O2• − ) and hydrogen peroxide (H2O2) can lead to the generation of more toxic oxidants such as the Hydroxyl radical ( •OH ) . Melatonin and it's precursors are able to reduce oxidative reactions by direct free radical scavenging and indirect antioxidant activity so it has an important role in cardioprotection . Atherosclerosis is the major causative factor of AMI , where oxidation and inflammation are key components of atherogenesis and melatonin by it's anti - inflammatory and antioxidant activity acts as antilipdemic factors. The aim of this study was to : 1 - Evaluate the level of serum melatonin hormone in patients with AMI . 2 - Compare melatonin level between normal control group and AMI patients. 3 - Study the changes in melatonin level in patients with AMI after 5 days of hospital admission. 4 - Correlate between lipid profile and melatonin level in AMI patients and in normal control subjects.Forty four Patients with AMI with a mean age of (51.2±6.12) of either sex and Thirty six age and sex matched healthy control subjects were enrolled in this study. Each patient and control subject was submitted to full medical history, ECG and blood pressure determination. Blood samples were collected for estimation of melatonin hormone and lipid profile expect that for patient group another blood sample was collected at day 5 for estimation of melatonin hormone .The results of this study revealed significant difference regarding serum melatonin between patient and control subject p > 0.0001, melatonin level in AMI patients was (5.15±1.56) and in control subjects was (9.37±2.76).Regarding lipid profile , this study revealed significantly higher total serum cholesterol in AMI patients ( 196.16± 19.2 mg / dl ) versus ( 185.58 ±21.88 mg / dl ) in control subjects , p = 0.0262 . S.TG in AMI patients was (190.64±53.19 mg / dl) versus (171.39±31.96 mg / dl) in control subjects , p = 0.0493 . S.HDL in AMI patients was (35.91±6.89 mg / dl) versus (45.58±8.93 mg / dl) in control subjects, p>0.0001. S.LDL in AMI patients was (122.12±19.13 mg / dl) versus (105.72±21.01 mg / dl) in control subjects, p> 0.0006. Atherogenic index of plasma (AIP) in AMI patients was (0.72 ± 0.17) versus ( 0.58 ± 0.14 ) in control subjects , P > 0.0001 .The results of this study revealed no significant difference between melatonin level at day 0 and day 5 in AMI patients.From this study we can conclude that serum melatonin is obviously decreased in patient with AMI than control group .Lipid profile show higher level of total S.CH, S.TG, LDL and AIP in patients than control group, while HDL was lower in patient group. Melatonin level is decreased in day 5 but statistically it was not significant

علاقة معامل ضغط الدم الشرياني للكاحل نسبة للعضد بعمل البطين الايسر للمصابين بمرض قصورالشرايين التاجية == RELATION OF ANKLE BRACHIAL INDEX TO THE LEFT VENTRICULAR FUNCTION IN PATIENTS WITH CORONARY ARTERY DISEASE

اسم المؤلف: محاسن محمد عبد المجيد
اسم المشرف: نجيب حسن محمد | هلال بهجت الصفار
الموضوع العام: الطب
السنة: 2014
الموضوع الدقيق: الفسلجة
الدرجة: ماجستير
اللغة: الانكليزية
مكان الجامعة: بغداد
الصفحات الاولى:
المستخلص: يعد تصلب الشرايين من اهم العوامل المتسببة في مرض الشرايين التاجية ويعد فحص قياس ضغط الدم الشرياني الانقباضي للكاحل نسبة للعضد من الفحوصات الامنة وطريقة اجراءه سهلة وبسيطة لتشخيص امراض الشرايين الطرفية .حيث استخدم في وقت لاحق كمؤشر على تصلب الشرايين في مواقع اخرى للاوعية الدموية. ويعد فحص صدى القلب ( الايكو) من الفحوصات الامنة واداة تشخيصية ويوفر امكانية لتقييم وظائف القلب.الهدف من هذه الدراسة هو : 1) تقييم فائدة ودقة فحص قياس ضغط الدم الشرياني للكاحل نسبة للعضد في تشخيص الخلل في عمل البطين الايسر. 2) تحديد نوع اختلال عمل البطين الايسر في المرضى الذين لديهم نتائج غير طبيعية في فحص قياس ضغط الدم الشرياني للكاحل نسبة للعضد سواء اكان الاختلال في عمل البطين الايسر انقباضي او انبساطي او كليهما. 3) ايجاد علاقة فحص قياس ضغط الدم الشرياني للكاحل نسبة للعضد بشدة وعدد الشرايين التاجية المصابة بالتضييق الشرياني لدى مرضى قصور الشرايين التاجية.ثمانون (80) شخصا مصابون بقصور الشرايين التاجية كما هو موثق عن طريق فحص تصوير الشرايين التاجية (قسطرة الشرايين التاجية) من كلا الجنسين شاركوا في هذه الدراسة للفترة من كانون الاول 2013 الى ايار عام 2014 حيث اجريت هذه الدراسة في المركز العراقي لامراض القلب / مستشفى غازي الحريرى التعليمي. تم اخذ عينة من المرضى المحالين الى المركز العراقي اما لغرض اجراء فحص تصوير الشرايين التاجية (قسطرة الشرايين التاجية) او لاجراء عملية التمييل للشريان التاجي ومن المرضى الراقدين في قسم جراحة القلب في المركز لاجراء عملية مجازة الشريان التاجي.المرضى خضعوا للفحص السريري , القياسات الفيزياوية للجسم (الطول والوزن ومعامل كتلة الجسم ومحيط الورك، ومحيط الخصر ونسبة الخصر الى الورك) وقياس ضغط الدم ثم فحص قياس ضغط الدم الشرياني للكاحل نسبة للعضد وتم حساب قيمة معامله بقسمة ادنى قيمة لضغط الدم الانقباضي للكاحل ( ضغط الانقباضي لشريان ظهر القدم اوشريان الظنبوب الخلفي ) على اعلى قيمة لضغط الدم الشرياني للعضد. وقد حسب المعامل لكل ساق على حدة، وادنى القيمتين استخدمت لتحديد قيمة معامل فحص قياس ضغط الدم الشرياني للكاحل نسبة للعضد للمريض باستخدام جهاز hand - held 8MHz Doppler كما واجري فحص تخطيط صدى القلب لكل مريض M - mode, Doppler , tissue Doppler ثم ارسل المرضى لاجراء فحص تصوير الشرايين التاجية ( القسطرة). صنف المرضى الى ثلاث مجموعات وفقا لنتائج فحص قياس ضغط الدم الشرياني للكاحل نسبة للعضد : المجموعة الاولى ذات النتائج الغير طبيعية المنخفضة ) 0.79±0.12) ؛ تتالف من تسعة وعشرين (29) من المرضى)20 رجلا و9 امراة بمتوسط عمر مقداره 58 ± 6 سنة) والمجموعة الثانية ذات النتائج الغير طبيعية العالية (1.43±0.05 )؛ تتالف من ثلاثة عشر (13) من المرضى(10 رجال و3 امراة بمتوسط عمر مقداره 56 ± 6 سنة والمجموعة الثالثة تمثلت بالمرضى اصحاب النتائج الطبيعية للفحص (1.03±0.10) والذي يمثل مجموعة السيطرة؛ تتالف من ثمانية وثلاثين (38) من المرضى (27 رجلا و11 امراة بمتوسط عمر مقداره 58 ± 7 سنة).كما واظهرت نتائج هذه الدراسة بخصوص المقارنة بين الاختلال الوظيفي الانقباضي للبطين الايسر فقد سجلت نتائج نسبة الكسر القذفي (EF%) انخفاضا ملحوضا في المجموعتين الاولى والثانية مقارنة بالمجموعة الثالثة وكذلك اظهرت النتائج انخفاضا ملحوظا في التقصر التجزيئي FS٪ .بالاضافة الى ذلك تبين بان هنالك تباين ملحوظ في الاختلال الوظيفي الانبساطي للبطين الايسر عند المقارنة بين المجموعة الاولى والثانية مع المجموعة الثالثة حيث سجل تباطؤا ملحوظا في عامل الوقت التباطؤي (DT) مع زيادة ملحوظة في عامل E/Em في حين لم تظهر النتائج تباينا ملحوظا في عامل سرعة موجة E وEm ونسبة E/ A وIVRT.فيما يخص مؤشر معامل اداء عضلة القلب (MPI) بينت الدراسة زيادة كبيرة في المعامل لدى المجموعتين الاولى والثانية مقارنة بالمجموعة الثالثة كما واظهرت نتائج هذه الدراسة ان الذكور اكثر عرضة للاصابة بقصور الشرايين التاجية من الاناث . وتبين من النتائج ان هنالك ازدياد في نسبة عدد الشرايين التاجية المصابة بالتضيق من شريان واحد الى شريانين الى ثلاثة شرايين في المجموعتين الاولى والثانية مقارنة بالمجموعة الثالثة خصوصا لدى المرضى المصابيين بداء السكري حيث تزداد نسبة الشرايين المصابة بالتضيق لديهم اكثر من باقي المرضى. واستنتجت هذه الدراسة ان فحص الضغط الشرياني للكاحل نسبة للعضد يكشف عن وجود علاقة ويعطي فكرة وانطباع عن وظائف البطين الايسر الانقباضي وعن عدد الشرايين التاجية المصابة بالتضييق الشرياني لدى المرضى المصابيين بقصور الشرايين التاجية. | Measurement of the ankle - brachial index (ABI) represents sensitive, specific, noninvasive, safe and simple objective way to diagnose peripheral arterial diseases. Coronary artery disease (CAD) is most commonly due to atherosclerotic occlusion of the coronary arteries. It was shown that the ABI is an indicator of coronary atherosclerosis in addition to other vascular sites and can serve as a prognostic marker and a predictor for cardiovascular events and functional impairment, even in the asymptomatic patients.The aim of this study is to : 1) Prove the usefulness and the accuracy of ABI in the assessment of left ventricular dysfunction. 2) Determine the type of left ventricular dysfunction whether systolic, diastolic or combined in patient with abnormal ABI. 3) Determine the relationship between ABI with the angiographic extent of coronary artery disease. Eighty (80) patients of either sex with coronary artery disease proved by coronary angiography included in this study. They are selected from those referred to the Iraqi Center for Heart Disease for either diagnostic coronary angiography or for percutaneous coronary intervention and from those admitted to the surgical department for coronary artery bypass graft. Each patient is submitted for Medical history and clinical examination, anthropometric measurements (height, weight, waist circumference and hip circumference to calculate body mass index and waist to hip ratio), systolic ankle - brachial index test and echocardiography examination in addition to coronary angiography. The systolic blood pressure (SBp) is measured at the right and left brachial, dorsalis pedis and posterior tibial arteries using Doppler probe. The ABI for each leg was calculated by dividing the lowest value of either ankle SBP (dorsalis pedis or posterior tibial) by the highest value of either brachial SBP where the lower of the two values was considered to define the patient ABI. Then after that, Transthoracic M - mode, pulsed - wave Doppler and tissue Doppler echocardiography are performed for all participants to obtain measurements to assess left ventricular function and interpreted with the ABI results. This study was conducted from December 2013 till May 2014 at Iraqi Center for Heart Disease / Ghazi Al - Hariry Teaching Hospital.The patients are classified according to the normal cut off values of the ABI (0.9< ABI ≤1.30) : Group І with abnormally low ABI (0.79±0.12) including twenty nine (29) patients (20 men and 9 women with a mean age of 58 ± 6 years), Group ІІ with abnormally high ABI (1.43±0.05); composed of thirteen (13) patients (10 men and 3 women with a mean age of 56 ± 6 years) and Group ІІІ with normal ABI (1.03±0.10) which represents the control group; composed of thirty eight (38) patients (27 men and 11 women with a mean age of 58.93 ±7.85years).The results of this study reveal that male gender being involved by CAD more than females among the studied groups (69 %, 84 % and 71 % respectively with p < 0.05). Regarding left ventricular systolic function, the results account a statistically significant decrease in the left ventricular ejection fraction (EF %) among low and high ABI Groups when compared to that of normal ABI Group (53.4±14.7 and 42.6±10.4 vs. 63.1±8.9 respectively. Diastolic dysfunction when assessed by pulsed wave Doppler the results reveal a statistically significant comparison between abnormal ABI Groups (low and high ABI Group) and with those of normal ABI Group in the prolongation of the deceleration time (DT) (171 and 149vs.195) respectively, decreases in the Ea velocity(0.09 ± 0.03 and0.07 ± 0.02 vs. 0.10 ± 0.03) respectively and increasing E/Ea ratio (10.32 and 10.61 vs. 7.76 ) while there are no significant differences between abnormal ABI Groups (low and high ABI Groups) with those of normal ABI Group; regarding Peak E,A waves velocity, E/ A ratio and isovolumic relaxation time (IVRT). Moreover myocardial performance index (MPI) there is statistically significant increase in the MPI in low and high ABI Groups when compared to normal ABI Group (0.64 and 0.64 vs. 0.40). Concerning the number of coronary arteries involved as obtained from coronary angiography, this study reports increasing frequency from single vessel, two vessels to three vessels involvement in the abnormal ABI groups when compared to the normal ABI Group particularly in those patients with diabetes mellitus, more coronary vessels are involved. In conclusion, apart from that an abnormal ABI (<0.9 and > 1.4) serves as an indicator and predictor for coronary artery disease, it is associated with left ventricular systolic and diastolic dysfunction. In addition, ABI is a useful bedside predictor for the extent of coronary artery disease

تاثير بعض معطلات الغدد الصم على بعض المعايير الفسلجية والتغيرات النسجية في ذكور الجرذان البالغة Rattus norvegicus == The Effect of Some Endocrine Disruptors On Some Physiological Parameters And Histological Changes In Adult Male Rats “ Rattus Norvegicus“

اسم المؤلف: سارة جعفر سعدون الازيرجاوي
اسم المشرف: جاسم محمد احمد الكلبي
الموضوع العام: الطب البيطري
السنة: 2014
الموضوع الدقيق: الفسلجة
الدرجة: ماجستير
اللغة: الانكليزية
مكان الجامعة: البصرة
الصفحات الاولى:
المستخلص: اجريت الدراسة الحالية في البيت الحيواني لكلية الطب البيطري / جامعة البصرة خلال الفترة الممتدة من 22/2/2013 الى 1/6/2013. لتقييم التاثيرات الصميه والتكاثرية لمعطلات الغدد الصم وايجاد الرابط بينهما في الذكور البالغة. استخدم في هذه الدراسة عقارين : بروبيل | The present study was carried out in the animal house of the College of Veterinary Medicine /University of Basrah during the period extending from 22/2/2013 to 1/6/2013. To evaluate the endocrine and the reproductive effects of endocrine disruptors chemicals and find the link between them in adult male rats. This study was done using two drugs : propylthiouracil (PTU) and flutamide (FLU) (anti - thyroid and anti - androgen agents) respectively, as a model of endocrine disruptors; to reveal their effects, they were used separately and in co - treatment manner for the first time using adult male rats (Rattus norvegicus) as animal models. For this purpose the study was divided into two experiments : The first experiment : forty adult male rats weighed (146 - 200) gm were divided into four equal groups (10 rats/group). The first group (control) was administered 0.3 ml/rat of distilled water, the second group was administered (PTU) (15mg/ kg B.W), the third group was administered (FLU) (37.5 mg/ kg B.W), and the fourth group was administered (PTU+ FLU) (15mg/kg + 37.5 mg/kg B.W ) respectively, in co - treatment dose. The treatments extended for 45 days; in the end of experiment the rats were euthanized and blood was collected and stored for hormonal and biochemical parameters and some of internal organs were weighed and kept in 10% formalin for histological examination. The results of the first experiment revealed the following : 1 - A significant decrease (P?0.05) in body weight gain in 2nd and 3rd periods (The animals were weighed four times in the begining of the experiment and every 15 days till the end of the experiment) in PTU and PTU+FLU treated groups.2 - A hypothyroidism state were induced after treatment with PTU and PTU+FLU by significant decrease (P?0.05) of Thyroxine (T4) and Triiodothyronine (T3) and significant increase (P?0.05) of TSH.3 - A significant decrease (P?0.05) in testosterone (T), Follicle Stimulating Hormone (FSH), and Luteinizing Hormone (LH) of PTU group while a significant increase (P?0.05) in T, FSH, and LH of FLU group. Moreover a significant decrease (P?0.05) in T and LH of PTU+FLU group occurred.4 - A significant increase (P?0.05) in Aspartate Aminotransferase (AST) and Alanine Aminotransferase (ALT) in all treatments, except in FLU no significant change has been observed in ALT. 5 - A significant increase (P?0.05) in total cholesterol, triglycerides, low density lipoprotein and very low density lipoprotein in all treatment, while, there was a significant decrease (P?0.05) in high density lipoprotein in all treatments as well.6 - A significant decrease (P?0.05) in serum glucose and a significant increase (P?0.05) in total protein in PTU and PTU+FLU groups, while, a significant decrease (P?0.05) in total protein of FLU group occurred.7 - A significant decrease (P?0.05) in sperm count of FLU and PTU+FLU groups. And a significant decrease (P?0.05) in individual motility in all treatments, while, a significant increase (P?0.05) in dead and abnormal sperm was observed in all treatments.8 - A significant increase (P?0.05) in thyroid relative weight of PTU and PTU+FLU groups and a significant increase (P?0.05) in liver relative weight in all treatments, while, a significant decrease (P?0.05) in kidney relative weight of PTU and PTU+FLU groups observed. Prostate relative weight significantly decrease (P?0.05) in FLU group and seminal vesicles relative weight significantly decrease (P?0.05) in FLU and PTU+FLU groups.9 - At the end of experiment six rats of each group was sacrificed and some of internal organs has been removed for histopathological examination and it was revealed changes as follows : 1 - Thyroid gland of PTU and PTU+FLU groups show increased number of different sizes of thyroid follicles with some vacuolation of colloid. Some follicles are misshaped. 2 - Testis of PTU group, most of seminiferous tubules are normal, a little number of them suffers from dilated lumen containing little number of spermatogonia and abnormal arrangement with degenerated Sertoli cells, little number of immature spermatid in the lumen, some vacuolation in the spermatogonia and edematous of interstitial tissue, FLU group shows clear degenerative changes in the Sertoli cells, there are few spermatogonia in some tubules and clear vacuolation in the cell with empty lumen (no spermatids). PTU+FLU group show most of the seminiferous tubules contain large number of spermatogonia but there are very thin irregular lining epitheliums, and nearly disappearance of interstitial tissue. 3 - Prostate of PTU group shows clear destructive changes in the lobules of the prostate. FLU group shows misshaped acini of the prostate lobules some of them are very enlarged and contain a large amount of secretion, others are empty with thickened irregular lining epithelium. Absence of inter acinar tissue, and PTU+FLU group show irregular shape of multiple number acini of the lobules of the prostate gland filled with shrinkage prostatic secretion. Moreover, the interstitial tissue between acini somewhat thickened with enlarged nuclei of many cells in addition to degeneration of others.4 - The liver of PTU group shows flattening of hepatocyte, clear enlargement of pyknotic nuclei and disarrangement of hepatic architecture, FLU show normal central vein, engorged with blood, disarrangement of hepatocyte architecture, and enlarged nuclei of hepatocyte. PTU+FLU show engorgement of central vein with clear flattening of hepatocyte containing enlarged nuclei.5 - The kidney of PTU group shows narrowing of lumen of renal tubules, engorgement of blood vessels, irregular sizes of glomeruli and different structure of their Bowman's capsule, FLU group shows a complete disappearance of Bowman's capsule of some glomeruli. Other glomeruli shows shrinkage and destructive changes of the content. The cuboidal epitheliums of the renal tubules shows some disarrangement of basement membrane with clear enlarged nuclei, and PTU+FLU group shows an irregular shape of renal tubules with absence of walls of the cuboidal lining epithelial cells with enlarged nuclei and shrinkage of Bowman's capsule of some glomerli. The second experiment : This experiment was carried out on 32 well experience female rats. They have been mated with 16 adult male rats which remained from the first experiment; they were divided into 4 groups : The first group : Untreated 8 female rats mated with 4 untreated male rats, the second group : Untreated 8 female rats mated with 4 treated male rats with PTU, the third group : Untreated 8 female rats mated with 4 treated male rats with FLU, the fourth group : Untreated 8 female rats mated with 4 cotreated male rats with PTU +FLU. The results of second experiment revealed a decrease in number of offspring as well as reduction in percentage of fertility and pregnancy rates.

تاثير التمنيع الميسر ضد وحدات الانهبين الفا وبيتا اي وبيتا بي في نمو وتطور الغدة اللبنية لاناث الجرذان == Effect of Passive Immunization Against Inhibin - ?, ?A, or ?B Subunits On Mammary Gland Growth And Development In Female Rats

اسم المؤلف: منهل جبار عبد السعيدي
اسم المشرف: جبار عباس احمد الساعدي | جاسم محمد احمد الكلبي
الموضوع العام: الطب البيطري
السنة: 2014
الموضوع الدقيق: الفسلجة
الدرجة: ماجستير
اللغة: الانكليزية
مكان الجامعة: البصرة
الصفحات الاولى:
المستخلص: هنالك علاقة وثيقة بين اعضاء عائلة عوامل نمو بيتا الانتقالية TGF - ? مع توجيه الاحداث المتعلقة بالتكاثر. اجريت الدراسة الحالية في قسم الفسلجة بكلية الطب البيطري في جامعة البصرة خلال المدة بين شهر نيسان، 2013 وكانون الثاني، 2014، لاختبار دور التمنيع ضد وحد | The present study, which has been carried out at the department of physiology, College of Veterinary Medicine, University of Basrah, during the peroid extended from April, 2013 to May, 2014, has been designed to examine the role of immunoneutralization of endogenous inhibin - ?, ?A, and ?B subunits on mammary gland growth and development in primiparous female Wister rats, by evaluating serum growth and differentiation hormones, expression levels of pituitary GH and PRL, and mammary GH - r and PRL - r genes, and immunohistochemical expression of pituitary somatotrophic and lactotrophic cells, and mammary GH and prolactin.Eighty four pregnant female rats were randomly divided into four groups (21 per each). On 5th and 10th day of gestation, control was injected with saline (100?l, i.p.), Ta group was injected with inhibin - ? antiserum (1µg in 100?l of saline, i.p.), Tba group, was injected with inhibin - ?A antiserum (1µg in 100?l of saline, i.p.), and Tbb group was injected with inhibin - ?B antiserum (1µg in 100?l of saline, i.p.). Each group was allocated to 3 equal subgroups : pregnancy, delivery, and lactation subgroups was sacrificed on the 16th day of gestation, on the 1st day after parturition, and the 11th day of lactation, respectively. Body weights of females have been monitored during pregnancy. At parturition and 11th day of lactation, litters weight have been recorded. At the end of each subgroups period, females were anesthetized, dissected and blood samples were obtained for assessment of inhibin - A, - B, activin - A , - B, - AB, GH, and prolactin levels. Pituitary and mammary glangs from each female were removed for evaluation of expression levels of GH, PRL, GH - r, and PRL - r genes using qRT - PCR technique and other samples for histophysiological and immunohistochemical study.The results demonstrate significant increase in cumulative dam weight in Tba group during pregnancy period starting from 8th of gestation compared with control, Ta, Tbb groups. Litters of Ta group at parturition, revealed siginificant higher weight compared with Tba group, and no siginificant difference compared with control and Tbb groups. Litter of Tba group recorded a highest siginificant weight gain among experimental groups.Serum inhibin - A in Tbb group during pregnancy, recorded higher level among experimental groups. During delivery, the higher significant level has been registered in control and Tbb groups. During lactation, no siginificant difference has been recorded between groups. In comparison between periods, the level in control during delivery showed the higher level compared with pregnancy and lactation periods, whereas Ta and Tba groups recorded no difference between periods, while Tbb group showed significantly higher level during pregnancy and decreased during delivery and lactation. Inhibin - B during pregnancy in control females recorded the highest level among the experimental groups. During delivery, higher levels have been recorded in control and Tba groups. At lactation, there is no siginificant difference between Ta, Tba, and Tbb groups but they were significantly higher than control. In comparison between periods, the concentration in control during pregnancy recorded higher level than other periods. Ta, Tba, and Tbb groups recorded no siginificant differences between pregnancy and delivery periods but they were significantly higher in lactation period.Activin - A concentration during pregnancy and delivery in Tbb was higher among experimental groups. During lactation, there is no difference between experimental groups. In comparison between periods, all groups showed higher levels at delivery. Activin - B during pregnancy and delivery in Tbb group recorded the lowest concentration. During lactation, no differences has been shown between groups. In comparison between periods, the levels in all groups was higher at lactation followed by pregnancy period and delivery periods. Activin - AB concentration in control and Ta groups were higher during pregnancy and delivery periods, while no siginificancy was recorded during lactation. In comparison between periods, all groups showed higher levels at lactation period followed by pregnancy and delivery periods.Serum GH in Ta group during pregnancy recorded higher level among groups During delivery, the higher level has been recorded in Ta and Tba groups. During lactation, the higher level has been recorded by Ta group among groups. In comparison between periods, the levels in all groups were higher at delivery followed by pregnancy and lactation. Serum prolactin during pregnant, delivery, and lactation showed no siginificant difference between experimental groups. In comparison between periods, the levels in all groups showed higher levels at delivery followed by lactation and pregnancy.Result of pituitary GH gene expression levels in Ta and Tba groups increased significantly compared with Tbb in all of studied periods.Result of pituitary PRL gene expression levels during pregnancy increased siginificantly in Tba group among experimental groups. During delivery, the fold changes in Ta and Tba groups showed no significant difference between each other, but they were significantly higher than Tbb group. At lactation period, there is no siginificant difference between groups.Result of mammary GH - r gene expression levels during pregnancy and delivery registered siginificant elevation in Ta, whereas lactation period showed no siginificant difference between groups. Mammary PRL - r gene expression levels during pregnancy was higher in Tbb group, whereas delivery and lactation showed siginificant elevation in Ta and Tba groups.Expression of pituitary somatotrophic cells during pregnancy showed significant higher score (number of positive stained cells and intensity of staining) in Ta group among the experimental groups. At delivery and lactation, scores of Ta and Tba groups, increased significantly. In comparison between periods, in all groups, higher score has been shown at delivery, whereas the lowest score recorded at lactation. Expression of pituitary lactotrophic cells during each periods showed no difference between groups. In comparison between periods, in all experimental groups, higher score of staining was recorded at delivery and lowest score recorded at pregnancy.Expression of mammary GH during pregnancy showed significant higher score in Ta group among the experimental groups. At delivery, the score of Ta group increased siginificantly. At lactation, Ta and Tbb groups registreted no siginificant difference between them, whereas they were siginificant higher than control and Tba groups. In comparison between periods, in all groups, higher scores have been shown at parturition and the lowest at lactation. Expression of mammary PRL during pregnancy and lactation revealed no siginificant difference between experimental groups. In comparison between periods, in all experimental groups, higher score of staining has been shown at delivery, whereas the lowest score recorded at pregnancy.Histological findings in treated groups, pituitary sections reveals progress in the morphological appearance of secretory cells which appeared larger and contains profuse cytoplasmic secretory granules. Ta females reveals more proliferation and cytoplasmic secretory granules. These differences continued at delivery and retarded at lactation. Mammary glands of treated groups at pregnancy showed marked development in alveolar morphogenesis. At delivery, Ta and Tbb females showed high number of lobules and alveoli. Lactation period showed well - developed vacuolated epithelial cells.In conclusion, passive immunization against inhibin - ?, ?A, subunits but not ?B subunit, at 5th and 10th day of pregnancy, have potent role in mammary gland growth and development in primiparous female Wister rats.

دراسة تاثير مستخلص الشاي الاخضر مقارنة بالانسولين على بعض الصفات الفسلجية والتعبير الجيني في الارانب المستحدثة تجريبيا بالسكري == Study The Effect of Green Tea Extract As Compared With Insulin On Some Physiological Parameters And Gene Expression In Experimentally Induced Diabetic Rabbits

اسم المؤلف: ماهر مهدي صالح العارضي
اسم المشرف: حيدر عبد الكاظم نغيش الزاملي
الموضوع العام: الطب البيطري
السنة: 2014
الموضوع الدقيق: الفسلجة
الدرجة: ماجستير
اللغة: الانكليزية
مكان الجامعة: القادسية
الصفحات الاولى:
المستخلص: هدفت الدراسه الحاليه لتحديد التاثيرات المحتملة للمستخلص المائي للشاي الاخضر200 ملغم / كغم في اناث الارانب المستحدث فيها السكري تجريبيا. استخدام 35 انثى ارنب بالغة من النوع المحلي تراوحت اعمارها 6 - 10 اشهر معدل اوزانها 1 - 1،5 كغم. قسمت الى خمسة مجاميع مت | The present study aimed to determine the effect of aqueous extract of green tea (200 mg / kg B.W) in experimentally induced diabetic female rabbits.Thirty five female rabbits with arange age of 6 - 10 months and 1 - 1.5 kg weight were used.They are divided into five equal groups.The first group used as negative control (C),The diabetes melltitus (DM) was induced in T1,T2 and T3 by injection of single dose of alloxan 100 mg /kg B.W in marginal ear vein , The T1 assigned as positive control. The T2 treated with 200 mg / kg B.W of aqueous extract of green tea for 8 weeks.The T3 treated with 3 IU/ SC of insulin for 8 weeks while the T4 was given 200 mg / kg B.W of aqueous extract of green tea alone for 8 weeks. After 5 days of diabetes mellitus induction the blood samples were taken from the same vein, the rabbits which have blood glucose more than 200 mg / dl blood consider as diabetic. At the end of the experiment blood samples were taken by cardiac puncture and the blood serum was separated by Centrifuge to measure glucose , albumin, total protein ,liver enzymes and lipid profile and histological sections for pancrease,liver and kidney were done. the Real - time PCR was done to measure the gene expression of (Ins 1) and (Ins 2) which are responsible for insulin hormone production.the results were revealed that there is significant ( p <0.05) decrease in glucose,Low density lipoprotein,very Low density lipoprotein , Triglyceride , Total cholesterol , Alkaline phosphatase , Aspartate Transaminase and Alanine transaminase and significant increase (p <0.05) in Highy density lipoprotein , albumin and total protein in T2 group compared with T1, there is non significant differences in these parameters with T3 group , also there is significant decrease in ( p < 0.05) in Low density lipoprotein,Very Low density lipoprotein , Triglycerid , Total cholesterol and significant increase ( p < 0.05) in Highy density lipoprotein in T4 group compared with all groups. The gene expression results revealed that there is significant ( p < 0.05) increase in Ins 1 and Ins 2 gene expression in T2 compared with T1.The histological study of T1 was explain that there is severe congestion in pancrease with necrosis and absent of islets of langerhans while in the liver there is congestion with large thrombus in central vein with hepatic necrosis. In the kidney there is thrombus and congestion in renal tissue and destruction in renal tubules. While in T2 most damage caused by alloxan was disappeared through regeneration of cells of studied organs

تاثير معايير النطف ونضوج مادة الصبغين على نتائج عملية الحقن المجهري == Impact of Sperm Parameters And Sperm Chromatin Maturity On Intracytoplasmic Sperm Injection Outcome

اسم المؤلف: هند عبد الكاظم
اسم المشرف: يحيى كاظم السلطاني
الموضوع العام: الطب
السنة: 2014
الموضوع الدقيق: الفسلجة
الدرجة: دكتوراه
اللغة: الانكليزية
مكان الجامعة: النجف
الصفحات الاولى:
المستخلص: يعتبر العقم من المشاكل المتعلقة بصحة الانسان ويؤثرعلى سدس الازواج في عمر الانجاب تقريبا. يعد الذكر مسؤلا عن خمسين بالمئه من مجموع الحالات.الوظيفه الرئيسيه لتقنيات الانجاب المعان هي علاج العقم بما فيها حالات العقم الذكري وزيادة فرص الحمل من خلال التغلب عل | Infertility is a health concern affecting nearly 17% of young couples in their reproductive age. Male factor infertility accounts for 50% of all cases. The key responsibility of assisted reproductive technologies (ART) is the management of male infertility by bypassing seminal fluid disorders. Defective Sperm parameters were responsible for deciding the fertility potential and related to pregnancy rate in vivo as well as in vitro.Today, the classic seminal fluid analysis is found to be of limited importance in describing a couple’s fertility status. There is now clinical evidence to show that damage to human sperm DNA may adversely affect reproductive outcomes and the spermatozoa of infertile men possess substantially more DNA damage than do spermatozoa of fertile men and there appears to be a threshold of sperm DNA damage beyond which embryo development and pregnancy are impaired.In view of that, the aims of the present study were : Evaluation of the influence of defective sperm parameters including concentration, morphology and motility on intracytoplasmic sperm injection (ICSI) outcome represented by fertilization rate, cleavage rate, embryo quality and pregnancy rate. Assessment of the sperm chromatin maturity in infertile men using acidic aniline blue stain and compare it with that of men with normal spermiogram. Discovering the relationship between sperm chromatin status and the semen parameters in infertile males. Finding the relationship between sperm chromatin status and ICSI outcome.This study included 60 infertile couples complaining from either primary or secondary infertility attended the clinics of infertility treatment center and underwent intracytoplasmic sperm injection.They were classified according to their spermiogram to normozoospermic group (N), whose female partner had bilateral tubal block, oligoasthenoteratozoospermic group (OAT) and finally, asthenoteratozoospermic group (AT). The female partners of the last two groups had normal reproductive function according to gynecological examination and laboratory investigations. All female partners included in this study were less than 35 years old to minimize the influence of advanced maternal age on ICSI outcome. Seminal fluid analysis were done for all and aniline blue stain was used in this study to evaluate sperm chromatin integrity. The main results of this study showed that infertile couples with impaired sperm parameters show high percentage of positive aniline blue stain i.e., sperm chromatin maturity defect and it is significantly higher than that in couples with normal spermiogram. The best cut off point of positive chromatin percentage associated with pregnancy was 40% i.e., when sperm chromatin abnormality exceeds 40% as detected by aniline blue staining method; the pregnancy rate start to regress. No significant differences in fertilization rate, cleavage rate, embryo quality and pregnancy rate were found among studied groups.No significant difference in ICSI outcome including pregnancy rate between couples with high percentage of sperm chromatin damage ?30% and those with low percentage of sperm chromatin damage < 30% were found. So the main conclusions are : Defective sperm parameters and chromatin immaturity are significantly associated with each other.Forty percent is the threshold of sperm chromatin immaturity after which ICSI outcome deteriorate and depending 30% as a threshold in this study revealed no significant difference in ICSI outcome among studied groups. Intracytoplasmic sperm injection has corrective and therapeutic role for defective sperm parameters and shows a unique capability to treat the most difficult cases of male infertility.

تقييم جهاز كتلة غاز الزفير كوسيلة لفحص وظائف الرئتين عند العراقيين الاصحاء == Evaluation of Expiratory Gas Mass Device As A Measure of Lung Function Test In Healthy Iraqi Subjects

اسم المؤلف: نبراس حسين عبد الساده الحسناوي
اسم المشرف: يسار محمد حسن الشماع | باسم متعب هادي زوين
الموضوع العام: الطب
السنة: 2014
الموضوع الدقيق: الفسلجة
الدرجة: ماجستير
اللغة: الانكليزية
مكان الجامعة: النجف
الصفحات الاولى:
المستخلص: تعد فحوصات وظائف الرئتين من الوسائل المفيدة جدا لاغراض التشخيص والمتابعة والبحث العلمي للاصحاء ومرضى الجهاز التنفسي. وابسط تلك الفحوصات واكثرها معلومة هو الفحص السبايرومتري الذي يتضمن قياس السعة الحيوية القسرية (FVC) , وحجم الزفير القسري في الثانية الا | Lung function tests are very useful diagnostic, follow up and research measures for healthy and respiratory compromised subjects. The simplest, yet the most informative, lung function tests are the spirometric tests.They involve the forced vital capacity (FVC), the forced expiratory volume in first second (FEV1) and the forced expiratory volume ratio (FEV%). Several types of devices are used to perform spirometric tests based on the measurement of lung volumes and their subdivisions. Lung volumes, hence, are represented by the volume of expired air. There was a controversy about the difference between body and ambient temperatures which may extremely affect gas volume , but this is thought to be solved by temperature correction. Temperature correction, however, may not be the precise solution in extremely fluctuating environmental temperatures. A fixed amount of expired gas has a constant mass despite the changes in pressure or volume as is implied by the law of conservation of mass in a closed system by Antoine Lavoisier. The aim of this study is to construct and evaluate a simple device called expiratory gas mass device as a reliable, reproducible, accurate and convenient tool to substitute Vitalograph spirometer as a measure of lung function in healthy Iraqi subjects and testing the hypothesis that expired gas mass could significantly and acceptably alternate or conjugate its volume as measures of lung function. The design of the study is a cross sectional study. The statistically required number of participants was decided by a professional statistician to be 70 healthy subjects. However, 300 healthy subjects are included in the present research to cover the need for subgrouping (146 male and 154 female) aged 20 - 50 years (31.84 ± 9.28 years). The male and female were classified into three age groups for each one, ten years interval was considered to be suitable for classifying subjects.Subjects with abnormal lung function such as smokers were excluded. A uniform case sheet was assigned for every participant in the study which includes, name, gender, age, weight, height, smoking habits, residence, cultural status, socioeconomic status, present and past medical history, family history of respiratory illnesses. They were asked to perform the forced expiratory maneuver through the standardized spirometer and then through the newly constructed gas mass device.The accuracy (systematic error) and reproducibility (random error) were tested for the constructed gas mass device.A comparison between forced vital capacity (FVC) and adjusted gas mass (AGM) was made on two main groups , the male group and female group, both of them were subdivided to three age groups.The results revealed that there were no significant differences in values of FVC and AGM measured by standard Vitalograph spirometer and gas mass device respectively. Regression lines indicated that there were strong positive correlations between gas mass (GM) and FVC in male and female. Separate data for male and female are processed and the results indicated that FVC values and GM (or AGM) values are significantly higher in male than in female , P?0.05. Regression lines indicated that there was a negative correlation between age and both of FVC and GM, a positive correlation between height and both of FVC and GM and a weak positive correlation between weight and both of FVC and GM. From the present study, it can concluded that gas mass device is simple, portable and easily handled device. It is also reproducible and accurate device for the measurement of GM in normal subjects.

تاثير العلاج بعقار الميثوتركسيت على عامل النمو البطاني الوعائي، والعوامل الدموية ومضادات الاكسدة في الصدفية == Effects of Methotrexate Therapy On Vascular Endothelial Growth Factor, Hematological And Antioxidants Parameters In Psoriasis

اسم المؤلف: شكرية حاتم علوان
اسم المشرف: محمد عبيد المحمدي | محمد كاظم الحطاب
الموضوع العام: الطب
السنة: 2014
الموضوع الدقيق: الفسلجة
الدرجة: ماجستير
اللغة: الانكليزية
مكان الجامعة: بابل
الصفحات الاولى:
المستخلص: مبدا الدراسة : الصدفية مرض جلدي شائع ذو علامات جلدية ظاهرة، يتميز بالتهاب مزمن للجلد مع اختلاف في نضوج الخلايا الكيراتينية، التي تزيد من سمك الجلد. عملية تكوين الاوعية الدموية (Angiogenesis) هي المسؤول بالدرجة الاساس عن تطور افة الصدفية، واحد اهم عوامل تكو | Background : Psoriasis is a common skin disease with extra - cutaneous manifestations. It characterized by chronic inflammation of the skin with changes in the maturation of keratinocytes, which manifested by the hyperproliferation of the epidermis. Angiogenesis process is a central regulator of development psoriasis lesion and one of the important angiogenesis factor is vascular endothelial growth factor (VEGF).A major site of oxidative stress occurs in the skin due to reactive oxygen species, which play an important role in inflammatory skin diseases such as psoriasis. Objectives : The aim of this presented study is to evaluating the effect of MTX drug on psoriatic lesions by calculating psoriasis area and severity index (PASI) for three months. In addition, investigate the changes of the level of serum VEGF, antioxidants (GSH and SOD) and lipid profile, which include (TC, TG, HDL, LDL and VLDL). As well as, hematological assessment such as (RBCs, Hb, PCV, RBCs indices, ESR and WBCs) in patients with psoriasis before and after (one and three months) from treatment with oral methotrexate therapy in comparison to their levels in healthy control persons. Materials and Methods : This study was a cohort study in which a total of 80 subjects, half of them(40) with psoriasis (25 male and 15 female) had selected randomly from Marjan Medical City in AL - Hilla city and the other half (40)as healthy controls (21 male and 19 female). These subjects collected during the period from 28th/ October /2014 until 15th/ August/ 2015. Physical examination (body mass index) done to each subject that enrolled in the study. A clinical assessment of psoriasis disease activity in psoriasis patients and methotrexate efficacy was done with the Disease Activity Index (DAI) represented by PASI score. Blood collection was obtained from all psoriatic patients and control to use in determine the level of all biochemical parameter such as VEGF, GSH SOD and lipid profile , as well as hematological investigation which include RBCs, Hb, PCV, RBCs indices, ESR and WBCs. Result : The results of this work showed, The effect of systemic methotrexate therapy on psoriasis lesion by significant reduction of PASI levels after treatment and by a significant mean difference in psoriasis area severity index before and after (one and three months) from treatment in psoriatic lesions (P?0.05). Also, no significant differences (p> 0.05) between the mean of age for psoriatic patients group (male and female) and healthy control group (males and females). The body mass index shows significant increase (P?0.05) in psoriasis patients than control group. The serum of VEGF level was significant increase in patients with psoriasis when compare with control through study periods, and there was significant reduction in the level of VEGF in psoriasis patients as compared its level before and after treatment with MTX for one and three months (P?0.05). While, the level of GSH and SOD significant decrease in patients than control ,during the treatment with MTX ,there was significant difference increase in the level of GSH of patients as compare with baseline level (before treatment) (P?0.05). In addition, the level of SOD of patients appear there was no statically difference before treatment and after treatment with MTX. The results of the present study also show a significant increase (P?0.05) in total cholesterol(TC), triglycerides(TG), low density lipoprotein - cholesterol (LDL) and very low density lipoprotein - cholesterol(VLDL) concentration, while found a significant decrease (P?0.05) in level of HDL in serum of psoriasis group compared with those of the healthy control group. When compare between patients during follow up periods, found there was no significant different of level of TC, TG, LDL and VLDL between psoriasis patients in period before treatment when compared with after one months from treatment with MTX (P>0.05). While there is a significant increase between patients before treatment compare with after three months, and after one month from treatment compare with after three months from treatment with MTX (P? 0.05). The level of HDL in psoriatic patients was significant increase at (P? 0.05) before treatment as comparing with after (one month and three months) from treatment with MTX, but there is no significant difference between patients after one from treatment as compared to with after three month from treatment with methotrexate (P> 0.05). The result of hematological for the results of study showed , there is a significant decrease (P? 0.05) in RBCs counts, Hb, PCV and RBCs indices compared with healthy control. While significant increase in total WBCs counts and ESR in psoriatic patients in all periods of follow up periods as compare with control. When compare the RBCs, Hb, PCV, RBCs indices of patients in all periods before and after (one and three months) from treatment with MTX, found there is no significant difference among them at (P> 0.05). While the result of WBCs count show significant decrease (P?0.05) between patient before treatment and after three months from treatment with MTX , and between after one month from treatment with MTX as compare with after three month from treatment , but there is no significant difference between before treatment compare to after one month from treated with MTX. The results of ESR of psoriasis patient show significant decrease (P? 0.05) between before treatment as compare with after three months from treatment with MTX , and after one month from treatment compare to after three month from treatment.While there is no any significant difference between patient before treatment compare with after one month from treatment with methotrexate (P>0.05). Conclusion : The vascular endothelial growth factor have play important role in the evaluation of psoriasis severity, oral methotrexate therapy have efficacy upon serum levels of vascular endothelial growth factor. Efficacy of oral methotrexate therapy on psoriatic patient’s treatment, have there was faster remission of psoriatic lesions and this reflect the immune - modulatory anti - inflammatory role of The MTX in psoriasis patient.

دور تخطيط العضلات احادي الليف على مرضى اعتلال الاعصاب المحيطية السكري وعلاقته بمؤشرات الاكسدة == The Role of Single Fiber Electromyography In Patients With Diabetic Neuropathy And Its Relation To Oxidative Stress Parameters

اسم المؤلف: زاهد محمد علي كاظم
اسم المشرف: احسان محمد عبود عجينة
الموضوع العام: الطب
السنة: 2014
الموضوع الدقيق: الفسلجة
الدرجة: دكتوراه
اللغة: الانكليزية
مكان الجامعة: النجف
الصفحات الاولى:
المستخلص: الخلفية : يعتبر اعتلال الاعصاب المحيطية السكري من اكثر مضاعفات داء السكري شيوعا التي تؤثر على الاوعية الدموية الدقيقة. سريريا يؤثر المرض اولا على الاطراف القصيه مؤديا الى فقدان الاحساس في تلك الاطراف على نمط الجورب والقفاز. يؤثر المرض على كل من الالياف ال | Background : diabetic peripheral neuropathy (DPN) is the most common microvascular complication of diabetes mellitus (DM). Clinically, it affects the most distal extremities first resulting in a stock and glove pattern of sensory loss. It affects both small fibers (myelinated and un - myelinated) as well as the large myelinated nerve fibers. However, the earliest manifestations might be due to small fiber dysfunction. Hyperglycaemia and subsequent metabolic derangement is the main pathogenitic factor of DPN. However, oxidative stress, deficiency of neuroprotective factors and neurovascular insufficiency might play a role.AIMS : This study aims to : 1. Test the value of applying SFEMG in the diagnosis of diabetic peripheral neuropathy. 2. Determine the usefulness of SFEMG, compared to the standard NCS, in the early diagnosis of diabetic peripheral neuropathy. 3. Evaluate the correlation of the antioxidant/oxidant status in patients with and without diabetic peripheral neuropathy.Materials and methods : The study was conducted in the period from Nov. 2012 till Apr. 2014 and included 188 patients with type 2 DM that fall within age group of 45 - 65 years. Diabetics that suffer from clinical features of peripheral nerve dysfunction documented with abnormal electrophysiological findings were considered as patients with DPN (138 patients) and those who had no complaint of peripheral nerve dysfunction with normal electrophysiological study were considered as patients without DPN (50 patients). The study also included normal healthy persons who their age and gender matched that patients and considered as control subjects (50 persons). The patients and control enrolled in the study had undergone comprehensive assessment that included : clinical assessment (history and full examination), biochemical assessment (measurement of fasting blood sugar, glycated haemoglobin, total antioxidant capacity and advanced glycation end products) and electrophysiological assessment that included sensory and motor nerve conduction studies (NCS) with single fiber electromyography (SFEMG).Results : The study found that patients with DPN in comparison to patients without DPN and control subjects are older (p?0.05), had longer duration of DM (p?0.01), poorer glycemic control reflected by fasting blood sugar (p?0.01) and glycated haemoglobin (p?0.01), lower level of total antioxidant capacity (p?0.01) and higher advanced glycation end products level (p?0.01). Also, the study showed that the level of total antioxidant capacity and advanced glycation end products on one hand were correlated with the duration of the diabetes (p?0.01) and not correlated with glycated haemoglobin level on the other hand.The electrophysiological findings showed that patients with DPN had significant differences in NCS parameters when compared to patients without DPN and to control subjects in the form of axonal degeneration and demyelination with abnormal single fiber jitter and fiber density which were correlated with the duration of diabetes (p?0.01) but not correlated with glycemic control. Also the study demonstrated that SFEMG findings were correlated with NCS parameters (namely sural nerve) in patients with DPN. This study had concluded that the duration of diabetes, age, glycemic control and oxidative stress are important risk factors of DPN. Routine NCS is important mean for diagnosing DPN but it has limited sensitivity in the diagnosis of early stages of the disease and in assessing nerve degeneration and regeneration. Sensory nerves of lower limbs are helpful in discovering early stages of DPN when other tested nerves are normal. SFEMG examination in diabetic patients is important in showing the degree of re - innervation and nerve regeneration and in identification of subclinical nerve dysfunction.

دراسة العلاقة النسبية بين جريان الدم المخي - المشيمي والرحمي - المشيمي بالدوبلر للنساء الحوامل المصابات بداء السكري == A Study of Cerebro - Placental And Utero - Placental Ratio Doppler Velocimetry In Diabetic Pregnant Women

اسم المؤلف: رياض وحيد العيساوي
اسم المشرف: عقيل عبد المنعم حسن زوين
الموضوع العام: الطب
السنة: 2014
الموضوع الدقيق: الفسلجة
الدرجة: دكتوراه
اللغة: الانكليزية
مكان الجامعة: النجف
الصفحات الاولى:
المستخلص: يعتبر داء السكري المصاحب للحمل هو احد مضاعفات الحمل الاكثر شيوعا والتي ترتبط بمعدلات هامة من الاعتلال والوفاة ما حول الولادة , ان العلاج الفعال لداء السكري ما قبل الحمل ولداء السكر المصاحب للحمل قد تبين تحسين النتائج والحد من وفيات ما حول الولادة بالمقارن | Diabetes mellitus complicating pregnancy is one of the most common antenatal complications that are associated with significant perinatal mortality and morbidity(Magee et al., 1993, Schmidt et al., 2001and Platt et al., 2002). Effective treatment of pre - existing as well as gestational diabetes mellitus was shown to improve outcome and reduce perinatal mortality, as compared to untreated patients (Lao TT, et al., 2001and Langer , et al., 2005). Doppler studies have conventionally been utilized for fetal surveillance. The use maternal uterine artery Doppler as a screening tool to predict subsequent development of pre - eclampsia and fetal growth restriction in later gestation have gained acceptance in recent years. Umbilical artery Doppler, middle cerebral artery Doppler have been widely used for the assessment of growth restricted fetuses. The role of Doppler study in diabetic pregnancies has not been unequivocally evaluated. An atherogenic factor, that promotes vascular endothelial growth, insulin - like growth factor - 1 has been implicated with micro vascular complication during pregnancy (Kathryn 2000). Presently, short - term beneficial metabolic effects of recombinant human insulin - like growth nfactor - 1 (rhIGF) - 1 therapy have been demonstrated in numerous diabetic conditions, including type 1 diabetes mellitus, type 2 diabetes mellitus. Until recently, insulin - like growth factor - 1, based upon its endothelial growth promotion, was considered a mediator of vascular disease( Bayes - genis et al., 2001a; 2001b). Conversely, increasing evidence indicate the protective mechanism of insulin - like growth factor - 1 against vascular derangements, relating to its ability of nitric oxide production (Okura et al., 2001). We sought to investigate the impact of insulin - like growth factor - 1 levels on maternal/fetal blood flow in diabetic non - hypertensive pregnant women; an avenue of research that has yet to be fully explored. Taken together, this information will materialize the intervention needed to prevent or at least ameliorate diabetes maternal and fetal outcomes. OBJECTIVES1 - To evaluate effect of diabetes mellitus on utero - and cerebro - placental Doppler velocimetry in pregnant women, such as resistive index (RI), pulsatility index (PI), Systolic/diastolic ratio (S/D)2 - To find whether a meaningful correlation exists between the above mentioned parameters and the levels of HBA1c and maternal IGF - 1.3 - To predict the most sensitive parameter detecting complications of diabetes mellitus on fetal outcomes. MATERIAL AND METHOD In this prospective cohort study a total of 190 pregnant women with single viable fetus, cephalic presentation, were enrolled after having their verbal and written consent and approval of the ethical committee at Faculty of Medicine. They were divided into two Groups : group (Ia) women with gestational diabetes mellitus (n=70), group ( Ib ) women with pre - gestational diabetes mellitus (n=64) and the remaining (n=56) participants (group II) were free from diabetes and hypertension and served as a control group. The study performed at Al Ameer Diagnostic Center in Al Najaf, between March, 2013 and August, 2014.Examination of the participants done twice, in the second and third trimesters. In each time, history and clinical examinations performed with Doppler ultrasonography of the pregnant women including interrogations of bilateral maternal uterine arteries, fetal umbilical and middle cerebral arteries in addition to measurement of IGF - 1 and HbA1c concentrations. RESULTS AND CONCLUSIONS 1 - IGF - 1 mean± SD in second trimester was 582.61± 183.7 ng/ml in group Ia, 429.5± 231.3 ng/ml in group 1b and 278.6 ± 60.8 ng/ml in the group II with significant difference among the groups (P=0.0001) In the third trimester the mean± SD was 653.69 ±197.6 ng/ml in group Ia, 487.5± 242.4 ng/ml in group Ib and 316.6 ± 60.9 ng/ml in group II with significant difference among the groups (P=0.0001).2 - HbA1c mean± SD in second trimester was 6.59± 0.89 % in group Ia, 6.42 ± 0.9% in group Ib and 5.35 ± 0.56 % in group II with significant difference between group Ia and group II, as well as between Ib and group II, but no significant difference between Ia and Ib groups.Third trimester HbA1c mean value was 6.29 ± 0.78 % in group Ia , in group Ib 6.27 ± 0.87 % and 5.08 ± 0.57% in group II.There was no significant difference between group Ia and Ib (P=0.843) , while there was a significant difference between group Ia and group II as well as between group Ib and group II(P=0.0001).3 - Uterine artery Doppler velocimetry was considered more sensitive predictor than other arteries in evaluation of fetal outcomes and its sensitivity in the total studied population (190) was 44.3%, in gestational diabetic pregnancy group was 58.3%, in pregestational diabetic pregnancy 34.3% and in control was 29.4%.4 - Multiple maternal and fetal arterial Doppler studies at same time yield high predictive values in evaluation of fetal outcomes with general sensitivity in the total studied population was 63.6%, specificity 79.4%79, PPV 72.2% and NPV 71.7%. In gestational diabetic pregnancy the sensitivity was 94.4%, specificity was 61.8%, PPV was 72.3%, NPV was 91.3%. In pregestational diabetic pregnancy sensitivity was 88.6%, specificity was 86.2 %, PPV was 88.6 %, NPV was 86.2%. In control healthy pregnancies the sensitivity was 70.6 %, specificity was 71.8%, PPV was 52.2%, NPV was 84.8 %.

العلاقة بين اصناف الدم المختلفة وعوامل الخطورة الرئيسية لامراض الشرايين التاجية == The Relationship Between Blood Groups And Major Cardiovascular Risk Factors of Coronary Artery Diseases

اسم المؤلف: رواء هادي شريف
اسم المشرف: سامي رحيم الكاتب | احمد نعمة رجيب
الموضوع العام: الطب
السنة: 2014
الموضوع الدقيق: الفسلجة
الدرجة: ماجستير
اللغة: الانكليزية
مكان الجامعة: النجف
الصفحات الاولى:
المستخلص: امراض الشرايين التاجية السبب الرئيسي لمعظم حالات العجز والوفاة في الدول المتقدمة. العمر, الجنس, السمنة, اختلال مستويات الدهون, التدخين, ارتفاع ضغط الدم, مرض السكر, الالتهابات, والاكسدة الضارة من اهم عوامل الخطورة الرئيسية للمرض. مجموعة من الدراسات اوحت ب | Coronary artery diseases are the most important causes of mortality and morbidity in many developing countries. Age, gender, obesity , lipid disturbance, smoking, hypertension, diabetes mellitus, inflammations and oxidative stress are considered as major risk factors of disease. Many of studies suggest that there is association between blood groups and risk factors of coronary artery diseases.Objective : The aims of study are to find if there is an association between blood groups and CADs and to study some of the causes that may be lead to this association. Also, it aims to determine the type of relation between some important factors such as, C - reactive protein (CRP), advanced glycation end products(AGEPs), and glutathione peroxidase - 3 (GPX - 3) with blood groups and coronary artery diseases. Materials & Methods : Ninety persons included in the study (60 as patients and 30 as healthy controls). Where the patients suffering from CAD, the controls are free from this diseases. Their ages ranged between 25 - 70 years old and they were divided into four groups according to the blood groups (A, B, AB, and O). This study is based on case control study done in Al - Sadder Teaching hospital (Cardiac Center) in Al - Najaf Al - Ashraf city from December 2012 - to October 2013. Some information were taken from each person in the study like, name, age, sex, address, weight and height. Finally and after getting permissions, the blood group was analyzed for each person in the study, then the sera were collected from those 90 persons and analyzed by using enzyme linked immunosorbent assay (ELISA) for CRP, AGEPs, and GPX - 3, meanwhile for lipids assay we used spectrophotometer. Results : The results of the study show that the blood group O( 33.7%) predominates in both studied groups (Patients and controls) followed by A (29.6%), B (27.4%), and AB (9%). There is no significant differences in the percentage of blood groups between patients and controls groups (P >0.05). Also, the results of the study show that the incidence of disease increase with age increases and in male (80%) more than female (20%). Also, the results show that only patients group has obese individuals and most obese were from blood group B(80%), followed by A(66.6%), O(60.8%), and AB(50%). The statistical analysis of the study shows that blood group AB among patients and blood group B among controls have a significant increasing (P<0.05) in the serum level of total cholesterol, and C - reactive protein (CRP). While, the results show that blood groups (B&AB) of patients have a significant increasing in the serum level of triglycerides. The blood group A among patients and blood group B among control show a significant increasing in the LDL cholesterol serum level, while blood groups (A& B) of patients have a significant reduction in the serum level of HDL cholesterol. Also, the study shows that blood group A of both patients and controls has a significant increasing in the serum level of advanced glycation end products (AGEPs), while the blood groups (A& B) of patients have a significant decreasing in the serum level of glutathione peroxidase - 3 (GPX3). Finally, the results of the study show a negative correlation (R= - ) between AGEPs and GPX3 in blood groups ( B&O) of both patients and controls group.Conclusions : Results of the present study show that the blood group O predominates in the studied groups in Al - Najaf Al - Ashraf city followed by A, B, and the last is AB. The incidence of CAD 2 to 4 time more common in male than female and incidence of CAD increase with age increases in both sex. The incidence of CAD 2 to 4 time more common in male than female and incidence of CAD increase with age increases in both sex. Also, There is a high percentage of subjects from blood groups (A, B, and AB) suffering from disturbance in the serum level of lipids and high level of CRP, which they were associated with atherosclerosis disease that was considered one of the most important leading cause of CAD.

تقييم حالة الحديد، فيتامين ج والهرمونات في انخفاض الخصوبة لدى النساء == Assessment of Iron Status, Vitamin C And Hormones In Subfertile Women

اسم المؤلف: ميسم محمد حسين الكعبي
اسم المشرف: سامي رحيم الكاتب
الموضوع العام: الطب
السنة: 2014
الموضوع الدقيق: الفسلجة
الدرجة: دكتوراه
اللغة: الانكليزية
مكان الجامعة: النجف
الصفحات الاولى:
المستخلص: انخفاض الخصوبة مشكلة شائعة ولكن علاجها في بعض الاحيان غير كافي لعدم تشخيص الاسباب بالكامل. الحديد عنصر ناقل للاوكسجين ولذلك فهو محفز لحيوية كل الخلايا والانسجة في الجسم. نقص الحديد من اكثر مشاكل نقص الغذاء الشائعة في العالم. لذلك ربط الحديد مع الخصوبة يح | Subfertility is a common problem, but the treatment is sometimes inadequate because the causes are not fully diagnosed. Iron is essential for oxygen transport and therefore promotes health of all cells and tissues. Iron deficiency is the most common nutritional deficiency in the world. Therefore, the connection between iron and fertility need more explanation. Some researchers have suggested that iron may be important for ovulation as the egg has an increased demand for iron while it matures and women who do not get sufficient amounts of iron may suffer anovulation and possibly poor egg health, which can inhibit pregnancy at a rate 60% higher than those with sufficient iron stores in their blood. However women planning to become pregnant should test for serum ferritin level and accordingly if low they can use iron supplements because they may help them to prevent iron deficiency and also improve fertility. Vitamin C is essential for the uptake and absorption of iron. The objective of this study was to assess the iron status, vitamin C and some hormone levels in subfertile women. The sample of study consists of 106 women subdivided into two groups : first consist of 76 subfertile women were taken from the outpatient to fertility center in the gynecological and obstetrical teaching hospital in Kerbala city and from multiple gynecology/obstetrics privet clinics. Second consist of 30 fertile women (control and comparative) who obtained from outpatients and some relatives. The subfertile women subdivided into two subgroups according to the cause of subfertility in presented study : first group : ovarian dysfunction (OD) either due to polycystic ovary syndrom (PCOS) or due to other cause (OC) like anovulation, hyperprolactenemia, premature ovarian failure. Second group : unexplained (idiopathic). Also the subfertile women subdivided into two subgroups according to the type of subfertility : primary and secondary. All of them were at reproductive age (16 - 45) years and there BMI ranged between (20 - 45 kg/m2). The study was achieved throughout a period which extends from July 2012 - October 2013. The protocol of study summarized as following : At day 3±1of menstrual cycle (menstrual phase), all women underwent the measurement of concentrations for multiple hormones in the blood like luteinizing hormone, follicle stimulating hormone, estradiole, prolactine and Testosterone. In addition to iron status (serum iron, serum ferrtin and total iron binding capacity) and vitamin C also assessed. And at day 13 of menstrual cycle (near time of ovulation), all women underwent two investigations : first : the measurement of concentrations of luteinizing hormone, serum Leptin and antioxidants as vitamin C and glutathione. In addition to Iron status (serum iron, serum ferrtin and total iron binding capacity) and hemoglobin concentration also estimated. Second : estimation the size and the number of dominant follicles in both ovaries by ultrasonograghy. While at day 23±1 of menstrual cycle (secretary phase), all women underwent two investigations : first : estimation the concentration of serum progesterone to detect ovulation. Second : estimation the endometrial thickness by ultrasonograghy. The results of study shows : • A significant increase (P<0.05) in number of subfertile women with age group (16 - 25) years and there were highly significant decreases (P<0.001) in number of women with age 36 - 45 years for both primary and secondary subfertility. While no significant difference (p>0.05) in age group (26 - 35) years.• A significant increases (P<0.05) in body mass index for subfertile women due to polycystic ovary syndrome. Also a significant increase (P<0.05) in serum leptin for women with overweight and obese as compared with normal weight.• A significant increase (P<0.05) in serum ferritin level for polycystic ovary syndrome at day 13 of menstrual cycle. Also, a significant decreases (P<0.05) in number of polycystic ovary syndrome in those having serum ferritin lower than normal at day 13 of menstrual cycle.• A significant increase (P<0.05) in the number of subfertile women due to ovarian dysfunction other than polycystic ovary syndrome who having a lower serum level of vitamin C at day 3 of menstrual cycle. • A significant increase (P<0.05) in serum testosterone level in polycystic ovary syndrome group at day 3 of menstrual cycle. • A significant increase (P<0.05) in serum prolactine level in group of ovarian dysfunction due to other cause at day 3 of menstrual cycle. when serum ferritin level lower than or within normal value. • A significant decrease (P<0.05) in serum level of luteinizing hormone for group of ovarian dysfunction due to other cause at day 13 of menstrual cycle when serum ferritin less than normal but no significant differences (P>0.05) in serum luteinizing hormone when serum ferritin within normal value. • A significant decrease (P<0.05) in serum luteinizing hormone for group of ovarian dysfunction due to O.C when vitamin C within normal value at day 13 of menstrual cycle.• A highly significant decrease (p<0.001) in endometrial thickness for all subfertile group at day 23 of menstrual cycle.• No significant difference (P>0.05) in serum levels of follicle stimulating hormone, estradiole and glutathione as compared with other parameters in fertile and subfertile women.It was concluded that the decrease in serum ferritin and vitamin C levels in the blood may be associated directly or indirectly with subfertility caused by ovarian dysfunction.

تغيرات الرسم الكهربائي للدماغ عند الحوامل في مرحلة ما قبل التشنج الحملي وعلاقتها ببعض المؤشرات الحيوية الالتهابية == Electroencephalographic Changes In Preeclamptic Females And Their Relation With Some Inflammatory Biomarkers

اسم المؤلف: مهند يحيى ادريس المحنه
اسم المشرف: احسان محمد عبود عجينة
الموضوع العام: الطب
السنة: 2014
الموضوع الدقيق: الفسلجة
الدرجة: دكتوراه
اللغة: الانكليزية
مكان الجامعة: النجف
الصفحات الاولى:
المستخلص: يسجل الرسم الكهربائي للدماغ الفعالية الكهربائية الذاتية المتولدة في قشرة الدماغ. اشارة الرسم الكهربائي للدماغ هي قياس للتيارات المتحركة في قشرة الدماغ. عندما تحفز خلايا الدماغ (العصيبات), يتم توليد التيار الارتباطي في التشجرات العصبية للخلايا. يولد هذا ال | Electroencephalography (EEG) records the spontaneous electrical activity generated in the cerebral cortex. When brain cells (neurons) are active, synaptic currents are produced within their dendrites and this current generates an electrical field over the scalp. The EEG waves measure this current that flow during synaptic excitations of pyramidal neurons' dendrites. Preeclampsia is a disease of pregnancy characterized by a blood pressure of 140/90 mmHg or more on two separate occasions after the 20th gestational week in a previously normotensive woman. This is accompanied by significant proteinuria (>300 mg in 24 hours) and is associated with endothelial cell damage. The markers of endothelial activation or inflammation have been blamed to play an active role in preeclampsia (Sibai et al., 2005). This study included 97 pregnant with a confirmed diagnosis of preeclampsia as a patient group with a gestational age ranging between 20 - 38 weeks. They are divided into three subgroups according to their gestational age (20 - 26 wk, 27 - 32 wk and 33 - 38 wk) and the mean of their age was 29.34±4.82, 30.14±5.33 and 32.54±6.22 years respectively. In addition, 72 women with normal pregnancy have been included as control group. These were also subdivided into three subgroups just like that of the patients and their age matches them too. Participants belong to both patient and control groups had underwent same procedure, examinations and tests like EEG and serological tests for Intracellular Adhesion Molecule 1 (ICAM I), interleukin - 6 (IL6) and C - reactive protein (CRP), in parallel. Results showed that there were statistically significant increased levels (P < 0.05) of ICAMI, IL - 6 and CRP values between patient and control groups and between the patient with mild and those with severe preeclampsia in all tested gestational age subgroups. This supports the hypothesis stating a role of cytokines and inflammatory biomarkers in the mechanism underlying preeclampsia. Moreover, and at all gestational age subgroups, the ICAMI, CRP and IL - 6 values were higher in patients with severe disease when compared with those having milkd disease. This strengthens more the relation of these biomarkers with the progression of preeclampsia. There were abnormal EEG changes in about 52 % of the patients with preeclampsia and these changes were reported in all gestational age subgroups and were in the form of spikes, polyspikes, slow sharp waves. This shows that preeclamptic females are prone to some excessive brain activities that may put them in danger of abnormal brain function. Furthermore, these EEG abnormalities were related to the severity of the preeclampsia as they were recorded in severe cases more and at all gestational age subgroups. Also there were statistically significant elevation regarding ICAMI (at the second and third gestational age subgroups), IL - 6 values (at the second gestational age subgroup) and CRP (at all gestational age subgroups) among patients with and without abnormal EEG changes. This suggests a strong relation between these inflammatory biomarkers with the occurrence of abnormal EEG changes in preeclamptic females. In conclusion, an inflammatory process is blamed to be the underlying mechanism of preeclampsia as proved by the elevated levels biomarkers in these patients. Both the abnormally elevated biomarkers and the abnormal EEG changes occur in preeclamptic patient in different gestational ages above 20 weeks and occur in different disease severity.

تاثير التعويض الجزئي والكلي للاسنان على فحوصات كفاءة الرئتين عند مرضى السكري نوع - 2 == Effect of Partial And Complete Denture Treatment On Spirometric Tests In Type 2 Diabetic Patients

اسم المؤلف: حسين مهدي حسين الخفاجي
اسم المشرف: يسار محمد حسن الشماع
الموضوع العام: الطب
السنة: 2014
الموضوع الدقيق: الفسلجة
الدرجة: دكتوراه
اللغة: الانكليزية
مكان الجامعة: النجف
الصفحات الاولى:
المستخلص: في هذه الدراسة العرضية, تم اختيار 140 شخصا بصورة عشوائية, من بينهم 90 كان مصابا بالسكري والباقون كانوا سليمين ,لدراسة تاثير ارتداء طقم الاسنان الكلي والجزئي من قبل مرضى السكري على فحوصات كفاءة الرئتين وبالتحديد, , السعة الحيوية القسرية (FVC)و الحجم الزفير | In this cross sectional study, a total number of 140 subjects selected randomly, 90 of them were diabetic and the remaining were normal, to study the effect of complete and partial dentures wearing by diabetic patients on pulmonary function test particularly peak expiratory flow rate (PEFR), forced expiratory volume in the first second (FEV1), forced expiratory volume ratio (FEV1/FVC) ratio (FEV1%), forced vital capacity (FVC), and also the retropharyngeal space (RPS), the level of Endothelial selectin (E - selectin) and the level of Vascular Cell Adhesion Molecule - 1(VCAM - 1)was also compared, in this study, between the diabetic and the normal subjects.The results indicate that the spirolab III was accurate and reproducible and can be used in all related studies.The effect of wearing of complete and partial dentures by diabetic patients on FVC, FEV1, PEFR and also the degree of alteration of the RPS were measured.1) The results of the study shows a significant increase in values of FEV1, FEV1%, PEFR and retropharyngeal space (RPS) (p<0.05), while there was no significant change in the value of FVC after the replacement of complete denture.2) No statistically significant differences in the values of FVC, FEV1, FEV1%, PEFR and retropharyngeal space (RPS) was observed after replacement of partial denture without free end extension3) There was a significant increase in values of FEV1, FEV1%, PEFR and retropharyngeal space (RPS) (p<0.05), never the less there was no significant change in the value of FVC after the replacement partial denture with unilateral free end extension.4) There was a significant increase in values of FEV1, FEV1%, PEFR and retropharyngeal space (RPS) (p<0.05), However there was no significant change in the value of FVC after the replacement partial denture with bilateral free end extension5) The results showed that in poor and good control diabetic patients there was a significant decrease in the values of FEV1, PEFR, FEV1%and RPS after the removal of all types of dentures(p<0.05), while no significant change in FVC.6) Statistical significant increase in Serum E - selectin and VCAM - 1 level was found in diabetic patients when compared to that of the normal subjects (p<0.05).7) No statistical significant difference between serum E - selectin and VCAM - 1 level in diabetic patients after and before denture placement (p>0.05). The cause of the significant change in the values of FEV1, FEV1%, PEFR and retropharyngeal space (RPS) in case of complete and partial denture with free end extension replacement may be due to pressing of the retropharyngeal space bilaterally and unilaterally by the complete and partial denture and the FVC was not significantly changed because it may not be affected by denture support, while the elevated Serum E - selectin and VCAM - 1 level might indicate endothelial activation and inflammation.In conclusion we can conclude that 1. The spirolabIII used in this study is an accurate and reproducible device and can be used in the assessment of lung function test.2. Values of FEV1, FEV1%, PEFR and retropharyngeal space (RPS) where significantly higher after the replacement of complete denture and partial denture with bilateral and unilateral free end extension in diabetic patients (p<0.05), while there was no significant change in the value of FVC.3. No statistically significant differences in the values of FVC, FEV1, FEV1%, PEFR and retropharyngeal space (RPS) was observed after partial denture without free end extension has been replaced in diabetic patients.6. In poor and good control diabetic patients there was no significant change in the value of FVC, while the values of FEV1, PEFR, FEV1%and RPS where significantly decrease after the removal of all types of dentures.8. Statistical significant increase in Serum E - selectin and VCAM - 1 level was found in diabetic patients when compared to that of the normal subjects.9. The results for serum level of E - selectin and VCAM - 1 shows no significant difference diabetic patients after the placement of all types of dentures (p>0.05).