عرض: 25 50 75 100 النتائج

نتائج البحث: 25 من أصل 391

تقييم بعض الدلائل الحيوية وصورة الدهون وعلاقتها مع مرضى السكري من النوع الثاني == Assessment of Some Biomarkers And Lipid Profile In Relation With Diabetic Patients Type 2

اسم المؤلف: عذراء باقر حسن الشيباوي
اسم المشرف: ارشد نوري غني الدجيلي
الموضوع العام: علوم الحياة
السنة: 2014
الموضوع الدقيق: الحيوان - الفسلجة
الدرجة: دكتوراه
اللغة: الانكليزية
مكان الجامعة: النجف
الصفحات الاولى:
المستخلص: لازال البحث مستمرعن ايجاد متغيرات جديدة قد تساعد في تشخيص ومتابعة مرض السكر وهو من المجالات المهمة في ميادين البحث العلمي حيث ركزت بعض الدراسات على حالة الانسولين بينمراكزت بحوث اخرى على صورة الدهون والشدة التاكسدية كاسباب للسكري. اجريت هذه الدراسة لمرض | The search of a new parameters for monitoring and even prediction of diabetes mellitus (DM) are still an important issue in many research fields. Some studies focused on the role of insulin status, while others concentrated on lipid disturbances or even oxidative stress disorders in the diabetes. This study was conducted on randomly selected 68 type 2 diabetic patients (27 Males and 41 Females) attending the diabetes mellitus center in Al - Sadder Teaching Hospital in Al - Najaf province, Iraq and a group of 20 apparently healthy subjects (10 Males and 10 Females) were included as a control group. The study was carried out from February 2013 to July 2013. The age of patients and control groups were range of 35 - 65years. The concentration of fasting blood glucose, cholesterol, triglyceride, LDL, VLDL, HDL, Apelin, Omentin, Vaspin, Visfatin and BMI were estimated in patients and control groups. The results show significant increase (P?0.05) in fasting blood glucose, cholesterol, triglyceride, LDL, VLDL, Apelin, Vaspin and Visfatin levels in patients compared with control groups, also the results show significant decrease (P?0.05) in HDL and Omentin level in patients compared with control groups. The results revealed that all biomarkers (Apelin, Omentin, Vaspin and Visfatin) not significant difference (P>0.05) in patients at different ages. The results also revealed that biomarkers (Apelin, Vaspin and Visfatin) levels increase significantly (P?0.05) in males than females in both patients and control groups, while the result of omentin level reveal no significant difference (P>0.05) between males and females in both patients and control groups. The results also revealed that significant increase (P?0.05) in BMI in patients compared with control groups. The results also show that biomarkers (Apelin, Vaspin and Visfatin) concentration increase significantly (P?0.05) with increasing BMI in males than females compared with control groups, while the result of omentin concentration show no significant difference (P>0.05) in patients and control groups and show lower significantly increase (P?0.05) in females than males compared with control groups. The results have been shown significant positive correlation (P?0.05) between biomarkers (Apelin, Vaspin and Visfatin) and FBG, cholesterol, triglyceride, LDL and VLDL in patients (males and females), while the results have been shown significant negative correlation (P?0.05) between biomarkers (Apelin, Vaspin and Visfatin) and HDL in patients (males and females). The results also have been shown significant negative correlation (P?0.05) between omentin and FBG, cholesterol, triglycerides, LDL and VLDL in patients (males and females), while the results have been shown significant positive correlation (P?0.05) between omentin and HDL in patients (males and females). The results also have been shown no significant correlation (P>0.05) between Vaspin and FBG in patients (males and females). The present study concluded that Apelin, Omentin, Vaspin and Visfatin levels maybe that could be adopted as markers for detection and diagnosis of diabetic patients type 2.

تقييم قابلية بعض انزيمات السليليز الفطري على تخمير تخمير بقايا النباتات لانتاج الايثانول == Evaluation of Capability of Some Fungal Cellulase In Fermentation of Plant Residues For Ethanol Production

اسم المؤلف: عذراء حرجان محسن الدحيدحاوي
اسم المشرف: فاطمة عبد الحسين التميمي | محسن هاشم رسن
الموضوع العام: علوم الحياة
السنة: 2014
الموضوع الدقيق: الاحياء المجهرية
الدرجة: دكتوراه
اللغة: الانكليزية
مكان الجامعة: النجف
الصفحات الاولى:
المستخلص: هدفت الدراسة الحالية الى تقييم قابلية بعض انزيمات السليليز الفطري على تخمير بقايا النباتات على انتاج الايثانول من بعض الفطريات المحلية المعزولة من 50 نموذج من التربة والذي تضمن Aspergillus oryzae , A. niger, A. terreus , A.flavus , A.fumigatus, A.parasiti | The present study was conducted to proceed a Bioethanol production using some of the waste fermentation plant by cellulosic hydrolysis enzyme produced by some local fungi isolated from 50 samples from soil which were including Aspergillus oryzae, A.niger, A.terreus , A.flavus , A.fumigatus, A.parasiticus, A.nidulans, Penicilliuum chrysogenum, Trichoderma longi, Rhizopus stolonifer, Cladosporium spp, Mucor indicus, Trichothecium spp. The prominent isolates were A. oryzae, A.niger, A. terreus which were chosen for further studies and screening to producing cellulase enzymes the fungal isolates revealed variation values of clear zone It’s (5.1, 5, 5, 4.8) cm to A. oryzae, A.niger, A. terreus , A.flavus respectively. The results revealed that the suitable carbon source to the cellulase activity was induced in different raw plant substrate, the highest was produced when using Corn cobs, Rice husk and Reed reached to (1.72, 2, 1.26)IU/ ml respectively when using A. oryzae and (1.24, 1.17, 1.89) IU/ ml when using A.niger, and (1.31, 1.19, 1.93)IU/ ml when using A. terreus. but using the cellulose powder and CMC, Avical sole carbon source total cellulase given least activity compare with raw plant substrate.on the other hand, using Mandels - Weber medium activity of enzyme production by A. oryzae, A.niger, A. terreus recorded (6.51, 4.14, 5.61) U/ ml respectively when using Corn cobs and (5.79, 4.03, 5.24) U/ ml and (5.55, 3.97, 5.19) U/ ml when using Rice husk and Reed by different fungi. The results refers that , the best chemical pretreatment results were appear when using NaOH at 100Co in 30min on Corn cobs, the total cellulase activity were (1.63, 1, 1.21) U / ml when using fungal isolated to degradation after treatment, while using hot water at100Co without NaOH in 15 min to pretreatment Rice husk activity were (2.16, 2.07, 2.12) U / ml but Reed are appear high activity when pretreatment with NaOH at 100C0 in 15min activity It’s (2.28, 1.65, 2.09) U / ml. The results revealed that, The optimized conditions of the enzymes were different in this study that give activities of Fpase, CMCase and ? - glucosidases to fungus A. oryzae compared to the rest of the fungi using Corn cobs as carbon source, it reached to(2.21, 2.30, 46.72) IU / ml respectively when pH6, and temperature tested for these enzymes recorded (1.64, 1.61, 30.86) IU\ ml respectively at a temperature of 30 C° and when using the concentration of substrate gave activity (2.4o, 2.48, 42.34) IU / ml of 6 % from Corn cobs and recorded when using nitrogen source concentration at 6 % (1.92, 1.89) IU\ ml in KNO3 and (NH4)2SO4 to Fpase and CMCase and the effectiveness of ? - glucosidase at the same nitrogen source (43.54, 50) IU / ml. on the other hand, showed enzymes Fpase, CMCase and ? - glucosidase high activities to ? - glucosidase, CMCase to fungus A. oryzae compared to the rest of the fungi using Reed as carbon source reached (2.31, 2.21, 46.15) IU/ml respectively at pH 6, and at different temperatures were (1.66, 30.94) IU/ml to Fpase and ? - glucosidase at 30 C°, but CMCase gave the highest efficacy (1.60) IU \ml at 25 C° and decreased effectiveness to (2.60, 2.57, 49.69) IU / ml at 6 % of the carbon source recorded effectiveness of the enzyme Fpase (1.19, 1.09) IU / ml when using (NH4)2PO4 and (NH4)2SO4 at 6 % as a nitrogen source of from either enzymatically CMCase and ? - glucosidase was effective at same nitrogen source (1.29, 2) and (35.19, 40.41) IU / ml respectively.The results showed when you use a Rice husk recorded higher effective enzymatic Fpase and CMCase and ? - glucosidases of fungus A. oryzae was (2.32, 39.27) IU /ml for Fpase and ? - glucosidases at pH 6 but CMCase gave the highest efficacy at 5 pH as recorded (2.04) IU / ml at temperatures 30 C°, reached to (1.64, 1.58, 29.13) IU / ml respectively for Fpase and CMCase and ? - glucosidases at a temperature of 30 C°, and when using 6% of the substrate was effective (2.47, 2.19, 44.86) IU / ml, activity recorded when using (NH4)2PO4 and (NH4)2SO4 at 6 % as a nitrogen source of (1.1) IU / ml to FPase on either enzymatically CMCase and ? - glucosidase was effective when use same a nitrogen source (1.18, 1.83) and (31.92, 36.91) IU/ml, respectively. In addition, The results refers when precipitation by ammonium sulfate specific activity were (38.69, 1.25, 5767.5) IU of the enzyme with 0.012 mg protein and then, Elution protein of crude enzyme solution of A.oryzae from DEAE - cellulose column was shown to the protein was separated in (33) fractions.It was found that only the fractions (F - 8) contained cellulase activity, while fraction (F - 30) eluted in column containing buffer and different concentrations of NaCl then using gel filtration and gave three peak of enzymes alone and Characterize enzymes purified FPase activity was found at 5.5 pH which (0.91) U and temperature was having activity at 25 and 30 C°, were (0.14, 0.15) U and CMCase found that the enzyme exhibited maximum activity at 25 C° was (0.33) U but 30 C° for ? - glucosidase was (38.22) U and the molecular weight of the protein was found to be about (38, 52 and 49) kD for (FPase, CMCase, ? - glucosidase) respectively. Finally, estimated ethanol density (0.80 - 0.91) g /ml and ethanol concentration (60 - 97) % but using chromic acid test of purified ethanol the complex enzyme with Reed, complex enzyme with Corn cobs recoded high value of ethanol which were (0.98, 1.72, 1.87, 1.89 ) % and (1.09, 1.83, 1.92, 1.99) % respectively but complex enzyme with Rice husk were given (1.01, 1.12, 1.48, 1.79) % in 4, 5, 6, and 7 days respectively on the other hand, when using the A.oryzae and A.terreus with Reed gave high ethanol value from other fungi with substrate in this study, and observed Rice husk in all results was recorded less absorbance at 350 nm and determination of ethanol concentration by gas chromatography mass used ethanol concentration 99 % as standard, also we showed the ethanol when using enzyme pure with substrate in which were (93.7, 97.1, 88) % ethanol to enzyme with Corn cobs and Reed and Rice husk respectively

تقييم وعزل فيروس الانفلونزا للانسان ودراسة الاستجابة المناعية في الجرذان التجريبية == Evaluation And Isolation of Human Influenza Virus And Studying Their Immune Response In Experimental Rats

اسم المؤلف: فاديه مهدي مسلم العبيدي
اسم المشرف: عبد المجيد عبد الله السعدي | يونس عبد الرضا الخفاجي
الموضوع العام: علوم الحياة
السنة: 2014
الدرجة: دكتوراه
اللغة: الانكليزية
مكان الجامعة: النجف
الصفحات الاولى:
المستخلص: This study has been conducted for the first time in Najaf / Iraq, and the study included the preparation of a local inactivated vaccine (whole and subunit).The number of cases infected with seasonal influenza virus were 647 cases out of one thousand suspected case. They were distributed into eleven groups. Seasonal influenza virus was detected by two diagnostic methods (rapid test device and real time PCR).The present study has reflected that the most diagnosed cases infected with seasonal influenza virus during the period extended from March 26, 2012 up to April 30, 2013 represented by were type A (H3N2) (283) cases. Whereas H1N1 (148) cases, H3N2+H1N1, (56) cases, H1N1 + H3N2 + B were (30) cases and 130 cases were infected with type B.Current study also revealed that age group of 46 - 60 years old infected with seasonal influenza virus were (159) case including (368) male and females were (279) of different infected group..The spread of seasonal influenza virus in Najaf varies from one region to another depending on the population density. Clinical cases were collected randomly during the months of the year. It has been found that the spread of disease has something to do with temperature and humidity as high humidity and low temperature lead to increased spread of the disease because of their relationship at the stage of the spread of epidemic influenza that spread from Dec 26, 2012 and up to April 1, 2013 in addition to expatriates infected..Two techniques were used for isolation of seasonal influenza virus first inoculation of embryonated chicken egg and secondly chicken fibroblast cell culture.It was found that at the embryonated egg lethal dosage (ELD 50 / 0.5 ml) (109.6) whereas tissue culture infective dosage (TCID50 / 0.1 ml) was (109.3) of (H1N1+ H3N2) and type (B) virus..Virus was purified by two ways that are depending on the vaccine type. The gamma irradiation that dosage used for inactivating vaccine of the purified virus which was extracted from allantoic fluid and tissue culture was (5.702) mSv/h for subunit virus vaccine type whereas gamma irradiation dosage for complete (whole) virus vaccine was (8.816) mSv/h. The results proved that immunoglobulins (IgM, IgA and IgG) levels as well as (IL - 17, IL - 10 and INF - 1?) indicated significant differences among vaccinated, infected and control groups.Subunit and whole virus vaccine extracted from chicken fibroblast cell culture are considered the best of derived from virus propagated in embryonated chicken eggs.Subunit virus vaccine is better than the whole virus vaccine derived from virus propagated in embryonated chicken eggs and extracted from chicken fibroblast cell culture.The current study also reflected that locally prepared virus subunit vaccine and purified whole virus killed vaccine capable of inducing humoral and cellular immune response in experimentally vaccinated rats..Histopathological changes appeared clearly on tissue sections (lung, trachea, heart, liver, spleen, kidney) of the infected group as compared with control and the vaccinated groups.

دور الفيروس المضخم للخلايا CMV في مرضى التهاب الكبد الفيروسي ذاتي المناعة في حالات التهاب الكبد المزمن نمط B == The Role of CMV In Autoimmune Hepatitis Among Chronic Cases of Hbv

اسم المؤلف: هـدى جميل باقر الخلخالي
اسم المشرف: محمد عبود محسن | محمد عبد كاظم السعدي
الموضوع العام: علوم الحياة
السنة: 2014
الدرجة: دكتوراه
اللغة: الانكليزية
مكان الجامعة: النجف
الصفحات الاولى:
المستخلص: هدفت الدراسة الحالية الى تشخيص التهاب الكبد الفايروسي نمط (ب) وتشخيص التهاب الكبد ذاتي المناعة في المرضى المصابين بالتهاب الكبد.ودور الاصابة بالفايروس المضخم للخلايا البشرية CMV في حث التهاب الكبد ذاتي المناعة.من مجموع 360 حالة مشبه بها جمعت من مستشفى ال | This study aimed to investigate the existence of hepatitis B virus and autoimmune hepatitis in hepatitis B patients as well as to detect the role of cytomegalovirus in the induction of AIH disease. A total of 360 suspected cases were collected from Center Health laboratory/Al - Hakeem Hospital, and AL - Sadder medical city in AL - Najaf city, during the period from January (2013) to August (2013). Only 76 were seropositive hepatitis B (55 males and 21 females with age ranging 11 - 72 years).In addition, 15 healthy individuals without any evidence of chronic inflammatory disease were depended on the control group, age ranging 21 - 50 years.Blood samples were collected from patients and healthy controls were tested for HBsAg and Anti - HBc Ab using Enzyme Linked Immunosorbent Assay (ELISA) technique to investigate hepatitis B seropositive and chronic hepatitis B respectively. For investigated AIH disease was performed depending on the Line Immune Assay technique. While for detection CMV were initially identified by serological technique (ELISA, MiniVIDAS) to detect anti - CMV IgM and anti - CMV IgG; then confirmed employment molecular technique using Real Time Polymerase Chain Reaction for the detection the presence of DNA of CMV. Samples were collected from patients and control to estimation immunological level (C3, C4, IL - 10 & TFN - ?) by using ELISA and radial immunodiffusion method.The results showed that 76 HBsAg seropositive in all age groups but the age group 44 - 54 year revealed high significance (p<0.05) than other age groups. While 35 out of 76 seropositive with HBc Ab, the age group 55 - 65 years showed high significance (p<0.05) than other age groups, and males more infection than females. The result also revealed that the AIH disease was 5 out of 76 patients infected with Type 1 AIH. Included 2(40%) have demonstrated the infection HBsAg positive with reactivation CMV While 3(60%) infected with HBsAg only.The results showed that 68 out of the 76 samples were positive for anti - CMV IgG antibodies, and 4(5.26%) samples were positive for anti - CMV IgM. While the MiniVIDAS test results showed 73 out of the 76 samples was positive for anti - CMV IgG antibodies. 2(2.6%) were positive for anti - CMV IgM antibodies. The results of the Real - Time PCR revealed that DNA of CMV were detected in 23 out of 76 patients were found in all age groups with viral loads ranging from (0.24 - 1730000) Copies/ml, and the results of controls group in Real - Time PCR were CMV negative. The results of cytokines (TNF - ?) showed a high significance (P<0.05) elevation in the serum of all patients than control (419.3 ± 27.8) pg/ml, and the results that AIH showed increase in cytokine level was (1218.2±44) pg/ml than other patients. Whereas chronic hepatitis B patients recorded high significance (P<0.05) in level (IL - 10) was (901.5±22.2) pg/ml than other patients and control (373 ±30.3) pg/ml. According to sex no - significance difference between males and females in results of cytokines profile (IL - 10, TNF?). Complement fraction C3 decreased in all patients compared to those healthy control, while the AIH patient recorded high significance (P<0.05) 142.2±8 mg/dI than the other patients. In regard to C4 was revealed normal level in all patients compared with control groups while in the AIH revealed high significance (P<0.05) was 41.7±5.1 mg/dI compared with other patients and no - significance difference (P<0.0) between males and females in level of C3and C4.The overall finding results showed that the activation cytomegalovirus with hepatitis B virus Contribute to the induction of AIH and cause immune suppressor for them by increase and decrease many immune factors.

تقييم مستوى الثرومبوسبوندين لدى مرضى السكري النوع الثاني == Assessment of Thrombospondin Level In Diabetic Patients Type II

اسم المؤلف: وجدان راجح حمزة الكريطي
اسم المشرف: ارشد نوري غني الدجيلي
الموضوع العام: علوم الحياة
السنة: 2014
الموضوع الدقيق: الحيوان
الدرجة: ماجستير
اللغة: الانكليزية
مكان الجامعة: النجف
الصفحات الاولى:
المستخلص: The present study is intended to asses serum levels of Thrombospondin - 1, Fasting blood glucose, Glycated Hemoglobin A1c, Lipid profile and BMI in type 2 diabetic patients, also correlation between Thrombospondin - 1 with all criteria above in both males and females.The study was conducted on randomly selected 65 type 2 diabetic patients (34 males and 31 females) attending the diabetes mellitus center in Al - Sadder Teaching City in Al - Najaf province, Iraq and a group of 24 apparently healthy subjects (12 Males and 12 Females) were included as a control group. The Study was carried out from August 2013 to February 2014.The patients' age was ranging of 35 to 64 years old.The results indicated a significant increase (p<0.05) in serum FBG, Cholesterol, TG, VLDL - C, LDL - C, TSP - 1 levels and a significant decrease (p>0.05) in serum HDL - C level in diabetic patients in comparing with healthy groups. The results also revealed that significant increase (p<0.05) in serum HbA1c level and BMI in diabetic patients in comparing with healthy groups.The results also revealed no significant differences (p> 0.05) in serum Cholesterol, Triglyceride, VLDL - C, LDL - C, HDL - C and TSP - 1 levels between males and females in both patients and health groups, while the results of FBG and HbA1c levels increase significantly (p<0.05) in females than males in both patients and health groups.The results show that Cholesterol, Triglyceride, VLDL - C, LDL - C, TSP - 1, FBG and HbA1c levels increase significantly (p<0.05) in both males and females patients groups in comparing with males and females of healthy groups respectively, and a significant decrease (p<0.05) in serum HDL - C in both males and females patients groups in comparing with males and females of healthy groups respectively.The results indicated a significant increase (p<0.05) in serum TSP - 1 level in females than males patients at same BMI (over weight and obese) except normal weight there is no significant differences (p>0.05) and there is no significant differences (p>0.05) between males and female of control groups at same BMI.The results show that TSP - 1 increase significantly (p<0.05) with increasing age of patients in males and females patients and the ages (55 - 64y) are highly significant(p<0.05) than (45 - 54y) and (35 - 44y), But there is no significant differences (p>0.05) in males and females of healthy groups at different ages. while there is a significant increase (p<0.05) in serum TSP - 1 level at same ages in both males and females patients in comparing with males and females of healthy groups respectively. The results also indicated that TSP - 1 increasing significantly (p<0.05) with increasing duration of disease in males and females patients and the (11 - 15y) reveals a highly significantly (P<0.05) than (6 - 10y) and (1 - 5y). The results have been shown significant positive correlation (P<0.05) between TSP - 1 and FBG, TSP - 1 and HbA1c, TSP - 1 and BMI, TSP - 1 and cholesterol, TSP - 1 and TG, TSP - 1 and LDL - C, TSP - 1 and VLDL - C in (males and females), males, females DM patients. The results have been shown significant negative correlation (P<0.05) between TSP - 1 and HDL - C in (males and females), males, females DM patients. The present study concluded that Thrombospondin - 1 and HbA1c levels were markers for detection and diagnosis of diabetic patients type

تحديد الصفات المظهرية والوراثية لانواع بكتريا المكورات المعوية المعزولة من المرضى في محافظة النجف الاشرف == Phenotypic And Genotypic Detection of Enterococcus Sp. Isolated From Patients In Al - Najaf Al - Ashraf Governorate

اسم المؤلف: زهراء حميد عودة القريشي
اسم المشرف: مهدي حسين محيل العمار
الموضوع العام: علوم الحياة
السنة: 2014
الدرجة: ماجستير
اللغة: الانكليزية
مكان الجامعة: النجف
الصفحات الاولى:
المستخلص: The study aimed to isolate and identify the Enterococcus spp. from different clinical specimens and study the virulence factors of predominant species, as well as detected the virulence factors encoding genes such as efaA (endocarditis - associated antigen), esp (enterococcal surface protein), eep (stimulating of pheromones expression) and enlA (enterolysin A) genes by PCR techniques.There were three hundred clinical specimens collected from patients suffering from different clinical infections during the period from September 2013 to January 2014 in AL - Sadder Medical City and AL - Hakem General Hospital. The identification of the Enterococcus spp. isolates were depended on colonial morphology, microscopic examination and biochemical tests as a primary identification. The final identification was performed with the automated VITEK - 2 compact system using Gram positive - Identification (GP - ID) cards.According to the results obtained by the VITEK tests forty two clinical isolates of Enterococcus were detected, which distributed into : (22) isolates from urine, (8) vaginal swabs, (6) seminal fluid, (4) throat swabs and two isolates from wound swabs with no isolates from cerebral spinal fluid, stool and blood specimens.This study revealed that the E. faecalis is more distributed with 25(59.52%), followed by E. faecium with 10 (23.80%), E.avium with 5 (11.90 %), E. durans and E. raffinosus with 1(2.39%) for each.The study investigated the virulence factors of E. faecalis, E.faecium and E.avium, which play a major role in enterococcus pathogenicity. E. faecalis and E.faecium had the ability to producecapsule, gelatinase, biofilm, adhesion, protease, bacteriocin, haemolysin and cytolysin except ? - lactamase produced only by E. faecalis while E.avium produced all these virulence factors except gelatinase, bacteriocin and cytolysin.The results revealed variation in the resistance of bacteria to antibiotics, E.faecalis express absolute resistance (100%) to Erythromycin, high resistance against Gentamycin, Tetracyclin and Vancomycin but high susceptibility to Ciproflaxacin and Penicillin and moderate susceptibility to Chloramphenicol. E.faecium exhibited absolute resistance (100%) to Erythromycin, Gentamycin and Tetracyclin, high resistance against Chloramphenicol, Penicillin and Vancomycin but high susceptibility to Ciproflaxacin while E.avium exhibited susceptibility (100%) to all these antibiotics except Tetracyclin showed absolute resistance.Then detected the virulence factors encoding genes : efaA, esp, eep and enlA genes by using PCR techniques and Electrophoresis Systems.Finally, The genotypic method. Regard to genotypic study the outcome showed that 21(84%) isolates of E.faecalis, 4(40%) of E.faecium and 5(100%) of E.avium were carrying efaA gene and 17(68%) of E.faecalis, 5(50%) of E.faecium, 5(100%) of E.avium were carrying esp gene while eep gene was carrying only by E.faecalis and E.faecium ; 12(48%) and 3(30%) respectively. Also the results revealed that only 1(4%) isolates of E.faecalis have enlA gene.

التحري عن بعض المؤشرات المناعية وارتفاع نسبة وجود الفيروس HCMV في المرضى المصابين بالفشل الكلوي == Assessment of Some Immunological Markers And Viral Load For Hcmv In Patients With Renal Failure

اسم المؤلف: احمد جاسم شوالة الخويلدي
اسم المشرف: مهدي حسين محيل العمار | زياد متعب الخزاعي
الموضوع العام: علوم الحياة
السنة: 2014
الدرجة: دكتوراه
اللغة: الانكليزية
مكان الجامعة: النجف
الصفحات الاولى:
المستخلص: اجريت هذه الدراسة على 150 مريضا الراقدين في مستشفى الصدرالتعليمي ومستشفى الحكيم (قسم الكلى) في محافظة النجف خلال الفترة الممتدة من كانون الاول 2012 الى شهر اب 2013. وكان الغرض من هذه الدراسة بيان علاقة الفيروس المضخم للخلايا بمرض الفشل الكلوي، تراوحت اعما | This study was carried out on 150 renal failure patients, who were admitted to the kidney department in AL - Sadder Medical City and Al - Hakeem hospital in AL - Najaf governorate during the period from December 2012 to August, 2013. Subjects of this study were Investigated for the role of Cytomegalovirus among them, their age ranged between (1 - 88) years. Twenty four (age - and sex - matched) healthy individuals without any evidence of chronic inflammatory disease depended as control. All patients and control divided in four age groups. Blood and urine samples were collected from patients and control for immunological (IgM, IgG, C3, C4, IL - 6, IL - 10, IL - 12 & IFN - ?) by using ELISA and molecular study by RT - PCR, respectively. The obtained results showed that HCMV - IgG antibody was 100% for all cases, while IgM was 18.66% compared with that of control. Real time - PCR amplification for presence of HCMV DNA in urine samples revealed that HCMV genome were detected in 22(14.66%) of the 150 urine samples in all age groups, that distributed into 12(21.05%) with viral load ranged (20 - 543840) Copy/ml in females and 10 (10.75%) with viral load ranged (40 - 28050) Copy/ml for males. The results of cytokines profile showed a highly significant(P<0.05) elevation in patients than control. According to sex females appeared higher IFN - ?, IL - 6, IL - 10 ( 83.86, 82.67, 9.06 pg/ml, respetively) than males were (76.57 , 79.36, 6.51 pg/ml, respectively). Where's IL - 12 were recorded higher elevation in male (28.83 pg/ml ) than females (27.35 pg/ml). According to age groups 41 - 60 age group showed high level in IFN - ?, IL - 6, IL - 10 were (96.45, 90.40, 9.62) pg/ml , respectively.While IL - 12 appeared high level (37.43 pg/ml ) in age group 1 - 20 years Complement fractions C3, C4 decreased in all groups of patients compared to those of a healthy control. C3 was recorded (64.37 mg/dl) in females, and (70.24 mg/dl) in males and decreased to (63.41 mg/dl) in age group (1 - 20) years, while C4 decreased significantly among sex it was (21.06 mg/dl) in females and(24.22 mg/dl) in males, and down to (21.65 mg/dl) in age group (21 - 40) years.The overall finding results showed that HCMV are more prevalence among chronic renal failure patients and cause immune suppressor for them by increase and decrease many immune factors.

دراسة جزيئية لعوامل ضراوة المكورات النعقودية السالبة لانزيم التجليط والمعزولة من اصابات مختلفة == Molecular Study of Virulence Factors of Some Coagulase Negative Staphylococci Isolated From Different Infections

اسم المؤلف: سعاد عبد الهادي عبد الرزاق الحلو
اسم المشرف: عباس شاكر جواد المحنة
الموضوع العام: علوم الحياة
السنة: 2014
الدرجة: دكتوراه
اللغة: الانكليزية
مكان الجامعة: النجف
الصفحات الاولى:
المستخلص: The study aimed to investigating the role of coagulase - negative staphylococci in human infections, and determining the predominance genes of the virulence factors. Three hundred clinical specimens were collected from out and inpatients undergoing catheter related infections and twenty specimens were collected from healthy hospital staff as a control from January 2013 to July 2013 of Al - Zahraa Teaching Hospital, Al - Sader Teaching Hospital and Al - Hakeem Hospital in Al - Najaf Al - Ashraf province. The specimens were included urine, blood, vaginal swabs, seminal fluid and wound swabs. The specimens were cultured on mannitol salt agar and the primary identification was depended on Gram stained and biochemical tests. Then finally identification with Vitek 2 system is done.One hundred isolates were identified as coagulase - negative staphylococci (CoNS), Staphylococcus haemolyticus was identified as the most frequently isolated species in (53%), followed by Staphylococcus epidermidis (26%) and Staphylococcus hominis were recorded in (21%). Most of CoNS isolates were highly resistance to penicillin G (benzylpenicillin), oxacillin, cefoxitin and erythromycin; and low resistance to rifampicin, levofloxacin and others. While, control isolates results showed moderate resistance to penicillin G and erythromycin; low - level of resistance to cefoxitin, oxacillin and other antibiotics.The investigation of virulence factors revealed that 93% of coagulase - negative staphylococci isolates were production of slime layer, DNase 58%, protease 29% and hemolysin 88%. But the results gave negative result for TNase and lipase enzymes.Monoplex and multiplex PCR were used to explore the MecA, aap, icaA, icaD, atlE, sea, seb, sec, sed, hla, hlb, sspA, sspB, geh, nuc genes. The results showed that all CoNS isolates (100%) had mecA and atlEgenes, but 98% of isolates had aap, 93% icaA and icaD genes. PCR revealed that only (14%) of isolates had genes for enterotoxins expression. (92.86%) and (7.14%), sea and seb respectively, in contrast, the sec and sed genes were not be recorded.The result showed that 47% of CoNS isolates had hla gene and 41% contain hlb gene, 29% were positive for the sspA gene whereas the sspB gene and geh and nuc2 genes not found in any of staphylococcal isolates. Finally, the result indicated that 58% of CoNS isolates were expressed the nuc1 gene.Plasmid curing was carried out in order to determine the origin of resistance and some virulence factor genes (chromosomal or plasmid - borne gene). The curing (elimination) of the plasmids of coagulase - negative staphylococci isolated was catalyzed using ethidium bromide in different concentration and high temperature (44?C). The results showed that the oxacillin resistant coagulase - negative staphylococci were plasmid mediated since 93% of the isolates showed negative result on oxacillin resistance screening agar, and absence of mecA gene from all isolates. Also, 41 of coagulase - negative staphylococci isolates that showed ? - hemolysin became non - hemolysin after manipulated with ethidium bromide.Finelly, taking into consideration the etiological importance of CoNS has often been neglected, the present investigation confirmed that these microorganisms should not be ignored or classified as mere contaminant.

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.

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.

توازن الحركيات الخلوية وعلاقة اليللات التطابق النسجي في كل من النوع الاول لمرضى السكري واشقائهم في دراسة مقارنة == Cytokine Balance (Th1/Th2) And Hla - Dr Association In Type I Diabetic Patients And Their Siblings In A Comparative Study A Thesis

اسم المؤلف: محمد علي سلمان علیوي الكعبي
اسم المشرف: كریم ثامر مشكور الكعبي | جعفر كاظم الموسوي
الموضوع العام: الطب
السنة: 2014
الدرجة: دكتوراه
اللغة: الانكليزية
مكان الجامعة: النجف
الصفحات الاولى:
المستخلص: It has been proposed that the balance of Th1 and Th2 cells is critical in the development of Type 1 diabetes and much of the genetic susceptibility to IDDM maps to the MHC class II region, thus one approach to investigate the immunopathogenesis of diabetes is to study first degree relatives of affected individuals.A case - control study was performed on 120 persons, they divided into three group which are diabetic, siblings and control (40 persons in each group), who attended to Al Zahraa Teaching Hospital /Diabetic Center in Al Kut between the period from April; 2012 till April; 2013. OGTT performed on both diabetic siblings and control, results have showed that the means of OGTT is highly Significant (P value = 0.000) in both siblings and control groups, whereas there were no Significant differences in the Means of differences of OGTT in both tested groups (Siblings and Control), P value = 0.288, although the mean of differences of OGTT is higher in siblings group (25.3250) than that in control group (22.0750). Cytokines levels (IFN - gamma, IL - 2, IL - 4 and IL - 10) were determined among the study groups (type 1 diabetes, siblings and control) by ELISA method, results showed that the means of IFN - gamma and IL - 2 levels were highly Significant (P value = 0.012, 0.037 respectively) in type 1 diabetic group , in comparison to their corresponds among both siblings and control groups, whereas the mean of IL - 4 levels was non - significant (P value = 0.738) among the study groups (type 1 diabetes, siblings and control), in spite it was higher in control group (0.81936) than that in both type 1 diabetic patients and their sibling (0.74387, 0.77593 respectively).While in case of IL - 10 results showed that the mean was highly significant among control group (P value = 0.030) in comparison to its corresponds among both type 1 diabetic patient and their siblings. Distribution of HLA - DRB1 loci among the study groups (type 1 diabetic patients, siblings and control group) were performed using MR.SPOT ROBOTING system, results showed that the frequencies of HLA - DRB1*3,*4 {25 (69.4%)} among diabetic group were Significant in differences (P value = 0.002), in comparison to the corresponding frequencies among control group {11 (30.6%)}, in comparison to the frequencies of other HLA - DRB1 loci in both diabetic group and control group { 15 (34.1%), 29 (65.9%)} respectively.Meanwhile results showed that there were no Significant differences (P value = 0.116), in the frequencies of HLA - DRB1*3,*4 {25 (58.1%)} among diabetic group in comparison to the frequencies of HLA - DRB1*3,*4 {18 (41.9%)} among siblings group, in compare to the frequencies of other HLA - DRB1 loci among diabetic group and sibling group {15 (40.5%), 22 (59.5%)} respectively, also results have showed that there were no Significant (P value = 0.104), in the frequencies of HLA - DRB1*3,*4 {18 (62.1%)} among sibling group in compare to the frequencies of HLA - DRB1*3,*4 {11 (37.9%)} among control group, in compare to the frequencies of other HLA - DRB1 loci among sibling group and control group {22 (43.1%), 29 (56.9%)} respectively. In another part of this study we estimate the relation between means of HbA1c and their corresponding HLADRB1 Loci among the study groups, result have showed that there was a significant relation (P value = 0.010) between the Means of HbA1c and their corresponding HLA - DRB1*03 Locus among the study groups. In conclusion the higher Mean of differences of OGTT among Siblings group might reflect the potential of them to develop diabetes, also T1D is Th1 mediated disorder, while Th2 cytokines profile might play a protective role against the development of T1D,in addition the genetic predisposition of diabetic Siblings for development of diabetes since, both diabetic group and sibling group showing the highest frequencies of HLA - DRB1 *3,*4, in compare to Control group and finally HbA1c might have an inheriting pattern. In conclusion diabetic siblings more prone for development of diabetes in future.

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.

تاثير التلميزارتان والاجسام المضادة لمستقبلات الانجيوتنسين نوع 1 في انقاص الارواء الدموي واعادته لعضلة القلب وموت الخلايا المبرمج في ذكور الفئران == Effects of Telmisartan And Angiotensin II Type1 Receptor Antibody In Myocardial Ischemia/Reperfusion Injury And Apoptosis In Male Mice

اسم المؤلف: سعاد تريجي زامل العكيلي
اسم المشرف: نجاح رايش هادي الموسوي | فاضل غالي يوسف العمران
الموضوع العام: الطب
السنة: 2014
الموضوع الدقيق: الادوية والسموم
الدرجة: ماجستير
اللغة: الانكليزية
مكان الجامعة: النجف
الصفحات الاولى:
المستخلص: يمثل نقص ارواء عضلة القلب واعادة الارواء مشكلة ذات صلة سريريه مرتبطة بالجلطات والقسطرة وجراحة تغيير الشرايين التاجيه. الانجيوتنسين الثاني قد يساهم في الاصابة بسبب اعادة الارواء عن طريق زيادة الاكسدة والعوامل الالتهابية. الانجيوتنسين الثاني يمارس معظم ا | Background : Myocardial ischemia - reperfusion represents a clinically relevant problem following thrombolysis, angioplasty and coronary bypass surgery. Angiotensin II may contribute to reperfusion injury by increasing oxidative stress and inflammatory factors. Ang II exerts most of its effects via AT1Rs. Objective : This study was undertaken to investigate the potential role of Telmisartan and AT1 - AB in amelioration of myocardial I/R injury induced by ligation of coronary artery in mouse model. Materials & method : Adult male Swiss - albino mice were randomized into 6 equal groups. Group (1) sham group : Mice underwent the same anesthetic and surgical procedure as the active control group except ligation of LAD coronary artery.Group( 2) active control group : Mice were subjected to regional ischemia for 30 min by ligation of LAD coronary artery and reperfusion for 2 hours.Group( 3) control vehicle group (1) : Mice in this group injected with DMSO (vehicle for Telmisartan ) via IP route & underwent Myocardial ischemia for 30 minutes by ligation of (LAD) coronary artery & reperfusion for 2 hr. Group( 4) control vehicle group (2) : Mice injected with D.W ( vehicle for AT1 - AB) via IV route & underwent Myocardial ischemia for 30 minutes by ligation of (LAD) coronary artery & reperfusion fore 2 hr. Group (5)Telmisartan treated group : Mice pretreated with Telmisartan 0.5mg/kg i.p 30 minutes before ligation of LAD coronary artery. Group(6) AT 1 - AB treated group : Mice pretreated with AT 1 - AB (1Mcg/gm.) of body weight via IV route 30 minutes before ligation of LAD coronary artery. Results : Compared with the sham group, Levels of TNF - ? & IL - 1?, IL - 6,caspase 3 and plasma level of cardiac troponin I increased in control group (p<0.001).Levels of Bcl2 decreased in control group(p<0.001). Histologically ,All mice in control group showed a significant (p<0.001) cardiac injury. Both Telmisartan and AT1 receptor antibody significantly counteract the increase in myocardium level of TNF - ?, IL - 1B,IL - 6,caspase 3 ,plasma cTnI (P < 0.001). Furthermore, the Telmisartan and AT1 receptor antibody significantly increased in myocardium level of Bcl2. Histological analysis revealed that both Telmisartan and AT1 receptor antibody markedly reduced (P < 0.001) the severity of cardiac injury in the mice underwent LAD ligation procedure. Conclusion : The results of the present study reveal that Telmisartan and AT1 receptor antibody ameliorate myocardial I/R injury in Mice via interfering with inflammatory reactions & apoptosis which induced by I/R injury.

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.

التشخيص المقارن المصلي والجزئي لداء المقوسات وبعض الاصابات الفيروسية لبعض النساء الحوامل اللوات يعانينن من الاجهاض في محافظة النجف الاشرف == Serological And Molecular Comparative Diagnosis of Toxoplasmosis And Certain Types of Viral Infections (Torch) In Aborted Women In Al - Najaf Province

اسم المؤلف: ذكرى عبد الله محمود المياحي
اسم المشرف: باقر عبيس سلطان | صباح نعمة محمد الفتلاوي
الموضوع العام: الطب
السنة: 2014
الموضوع الدقيق: الاحياء المجهرية
الدرجة: دكتوراه
اللغة: الانكليزية
مكان الجامعة: النجف
الصفحات الاولى:
المستخلص: اجريت هذه الدراسة في محافظه النجف الاشرف / العراق، وتضمنت جمع عينات من دم النساء الحوامل اللواتي يعانين من الاجهاض اول مرة او متكررة وكان عدد الحالات 57 حالة. اعمارهن يتراوح بين 15سنة الى40 سنة واللواتي يراجعن مستشفى الزهراء التعليمي والمختبر المركزي وبع | Toxoplasmosis and viral infections such as Rubella , Cytomegalovirus and Herpes virus (TORCH) are feared risk during pregnancy. The rate of toxoplasmosis and of subclinical infected infants at birth with the risk of late manifestation is still unclear, whereas such data are fairly well - known for Rubella , Cytomegalovirus and Herpes virus. The respective major diagnostic issues in pregnancy, the laboratory diagnosis, and its rational use in combination with clinical information are presented , also the value of passive prophylaxis, therapy, and prenatal diagnosis as well as the possible management for diminishing the infection problems in pregnancy.Aims of study : The study was aimed to evaluate the ELISA result for Toxoplasma, rubella, cytomegalovirus (CMV) and Herpes virus (TORCH) IgM and IgG and compare the results of the ELISA with RT - PCR to arbitrate discordant results.Methodology : The present study was carried out on 57 pregnant women, all of them had with bad obstetric history (BOH) of abortion twice or more. Patients were between 15 - 40 years of age, and they were attending Al - Zahraa Maternity and pediatric Teaching Hospital, Al - Hakeem Hospital and some private clinics, in AL - Najaf province during the period from May 2012 till May 2013. Serological evaluation for TORCH infections was carried out by using IgM and IgG Enzyme Linked Immunosorbent Assay (ELISA ) method and molecular technique ( DNA; RNA - RT - PCR). Each blood sample was divided into two part , one part plane tube for separation of serum that were screened for the presence IgM and IgG antibodies against Toxoplasma gondii ,Cytomegalovirus Rubella virus and Herpes simplex virus by using (ELISA test ).The tests were performed according to manufactures instruction.The other part (blood )EDTA tube was used for DNA 0f detection Toxoplasma , CMV and Herpes simplex virus , while RNA extraction of Rubella virus.The blood and serum sample were stored in refrigerator (2 - 8C?) before the analysis.The extracted DNA and RNA were stored at - 20C? till used within 24 hours. All ELISA Results samples were compared with Real - Time PCR result. Statistical analysis : Statistical program SPSS version (20.0) was used to study the significant difference between tests in each type of antibody (IgM and IgG). (X2 - test) was used after detection of normal distribution to the data and appropriate P<0.001 consider significant. Results : Both IgM / IgG was Seropositive to T. Gondii , Rubella , CMV and HSV - 2 which were 49.12/80.70%, 21.05/49.12% , 45.61/70.18% and 1.21/36.20% respectively. Samples were seropositive to IgM and results were retested by RT - PCR method. Maximum number of IgM /IgG seropositive cases of aborted women was 19(32.75%)/57 that associated with Toxoplasma ,Rubella and CMV infection by RT - PCR ( 10(17.54%), 6( 10.53%) and 3(5.26%) respectively ). The ELISA TORCH IgM and IgG assays provided results comparable to RT - PCR indicated significant differences among Toxoplasma and viral infection. The ELISA TORCH infection IgM and IgG assays showed a lower specificity with for Toxoplasma IgM (p=0.001), poor for CMV IgM and moderate for Rubella virus IgM.Conclusion : The accurate diagnosis of TORCH infection should be done by molecular method.

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).

تعقب الليشمانيا الجلدية بالاختبارات التحليلية الوبائية والطفيلية والجزيئية والكيمياحياتية == Tracking of Cutaneous Leishmaniasis By Epidemiological, Parasitological, Molecular And Biochemical Analysis

اسم المؤلف: سندس نصیف الحجیمي
اسم المشرف: باقر عبیس سلطان | محسن عبد الحسین الظالمي
الموضوع العام: الطب
السنة: 2014
الموضوع الدقيق: الاحياء المجهرية
الدرجة: دكتوراه
اللغة: الانكليزية
مكان الجامعة: النجف
الصفحات الاولى:
المستخلص: The present study was performed to identify the species and strain of Leishmania parasite isolated from different endemic areas. It was carried out on cutaneous leishmaniasis (CL) in five Iraqi provinces as following : Al - Najaf province ( Al - Hakeem and Al - Sadder teaching hospitals), Babylon province ( Marjan hospital ), Al - Qadisya province (AL - Sadder Teaching hospital ), Karbala province (Al - Hussain General Hospital) and Kut province (Al - Zehraa Teaching and Al - Kerama Hospitals). It covered seven hospitals as a field of investigations from October 2010 to December 2012.Cellulose acetate electrophoresis has been performed in Walter Reed Institute of researches in USA. A total of 126 cases comprising 48(38%) females and 78(62%) males were studied. The highest infected age group was 21 - 30 years with a rate of 27.8% and the lowest rate was 11.9% at the age group of 10 and less years.Geographical distribution of CL among hospital patients indicated that rural areas were with highest rate (54%) while in urban areas were with(46%).The number of ulcers per one patient differs for each patient. The highest rate of multiple lesions was 73% in comparison with single lesion (27%).The type of infection showed that disease was in wet type (82.5%) more than in dry type (17.5%). Direct smears were made by lesion aspiration,skin scraping and discharged blood methods , by which 90 (71%) patients gave positive result under light microscope.Modified NNN medium and RPMI - 1640 with fetal bovine serum followed by sub - culture in drosophila Schniders media were performed for each case. Out of 126 cases,83(65%) gave positive growth. Further characterization of the causative parasite species and strain made by molecular and biochemical techniques.Out of 83 postive growth culture,only 52 specimens were studied by nested - PCR, using kinetoplast minicircle fraction amplification to detecte the species of parasite.It was found that 45(86.5%) cases in the generation of a 560 bp DNA and 7(13.4%)patients displayed a fragment of 750 bp, corresponding to L. major and L. tropica, respectively.This test revealed that L. tropica and L. major are the causative agents of infection with dominant shifting to the L. major.Cellulose acetate electrophoresis (CAE) was performed for 20 mass cultivated cultures. Isoenzyme profiles of these isolates were compared with reference strains of Leishmania spp. using cellulose acetate electrophoresis and 4 enzyme systems (glucose phosphateisomerase,leucil phosphate,manose phosphate isomerase and 6phosphogluconate dehydrogenase). The results showed that L.major(LV39) isolate were in 20 mass cultivated culture.Most of the CL patients in Najaf province(2011,2012) were from Haidariya in north district. High prevalence of disease was observed in Autumn and Winter.The highest number of cases was recorded during February and December.

مقارنة بين النوع الثاني من مرض السكري ومرض السكري المناعي الذاتي المتاخر الظهور للبالغين باستخدام مؤشرات الخلايا اللمفاوية وملف الحركيات الخلوية == Comparison Between Type 2 Diabetes Mellitus And Latent Autoimmune Diabetes of Adults Using Lymphocytes Markers And Cytokines Profile

اسم المؤلف: سوسن محمد جبار الحسناوي
اسم المشرف: سلمان عزيز الجبوري
الموضوع العام: الطب
السنة: 2014
الموضوع الدقيق: الاحياء المجهرية
الدرجة: دكتوراه
اللغة: الانكليزية
مكان الجامعة: النجف
الصفحات الاولى:
المستخلص: This study was done to investigate whether Type 2 diabetes and Latent autoimmune diabetes of adult (LADA) patients have similar or different immunological profile.Therefore, measurement of serum levels of adhesion molecules (Serum intracellular cell adhesion molecule(sICAM - 1), Serum vascular cell adhesion molecule (sVCAM - 1) and Serum endothelial Selectin (sESelectin)), chemokines (CCL2, CCL3 and CCL4) and cytokines (IL - 6, IL - 1receptor antagonist and IFN - ?) in these patients was done. In addition to the influence of BMI, gender, age and diabetes duration on these systemic immune mediators were analyzed. Also, the relationships of the in vivo levelsof these mediators with micro - & macro - vascular complications in type 2 diabetes & LADA were studied.Three hundred individual were enrolled in this study and were divided into two subgroups : patients and control groups (280 patients& 20 control). From the 280 patients group who were clinically diagnosed as type 2 D.M., 34 patients were GADA positive and considered as LADA cases. Serum samples were taken from The 34 LADA cases, 36 cases of D.M.2 (selected randomly from the remaining 246 diabetic type 2 patients) & 20 healthy control subjects.The prevalence of LADA among D.M.2 patients was 12.1%. A significant difference in family history, BMI, FBS, HA1C & duration of D.M. was found in D.M.2 cases compared to LADA cases. The mean sVCAM - 1level of control group was significantly lower than D.M.2 and LADA group, P<0.05. The sE - Selectin level was higher in LADA group than control and D.M. type 2 group & significantly different when compared to control group (P<0.05). The sVCAM - 1 level had a significant positive correlation (R=0.25, P=0.017) with BMI in all groups. LADA group had significantly higher values of CCL2 while D.M. type 2 had the least values (P=0.002). The mean IL - 6 of D.M. type 2 group was (11.6±3.1), for LADA group it was (12.4±1.7) and for the controls it was 0.95 ± 0.14. There was a statically significant difference between D.M.2 vs. controls, and LADA vs. controls (P<0.05), regarding the mean IFN - ?, it was significantly higher in LADA group than D.M.2 group (87.5 ± 20.3) vs. (40.3 ± 4.5) respectively, (P=0.032).The mean IL - 1receptor antagonist was significantly higher in D.M. type 2 and LADA cases than controls (P<0.05). A significant positivecorrelation between IL - 6 and sICAM - 1, (R= 0.27, P= 0.013) & a highly significant positive correlation between IL - 6 and IL - 1RA, (R= 0.35, P=0.001) were found. IL - 6 & IL - 1RA serum levels in D.M. type 2 patientswere significantly associated with the complications where p - value?0.05. For conclusions, LADA is clinically underestimated among D.M. type 2 patients and increases with increasing age. Also, Levels of CCL2 and IFN - ? are associated with autoimmunity, Levels of adhesion molecules & chemokines are associated with complications of diabetes.

تاثير الايتانرسبت على السايتوكينات وموت الخلايا المبرمج جراء انقاص الارواء الدموي واعادته لعضلة القلب في ذكور الفاران == Effect of Etanercept Against Myocardial Ischemia/Reperfusion Injury In Male Mice

اسم المؤلف: سيف محمد حسن
اسم المشرف: نجاح رايش هادي الموسوي | فاضل غالي يوسف العمران
الموضوع العام: الطب
السنة: 2014
الموضوع الدقيق: الادوية والسموم
الدرجة: ماجستير
اللغة: الانكليزية
مكان الجامعة: النجف
الصفحات الاولى:
المستخلص: يمثل نقص ارواءعضلة القلب واعادة الارواء مشكلة ذات صلة سريريه مرتبطة بالجلطات والقسطرة وجراحة تغيير الشرايين التاجيه. تشمل اصابة عضلة القلب بسبب نقص التروية الدمويه واعادتها ضعف مقلص القلب، عدم انتظام ضربات القلب وكذلك تلف الخلايا العضلية التي لا رجعة في | Background : Myocardial ischemia - reperfusion represents a clinically relevant problem associated with thrombolysis, angioplasty and coronary bypass surgery. Injury of myocardium due to ischemia - reperfusion includes cardiac contractile dysfunction, arrhythmias as well as irreversible myocytes damage. These changes are considered to be the consequence of imbalance between the formation of oxidants and the availability of endogenous antioxidants in the heart. Objective : This study was undertaken to investigate the potential role of etanercept in amelioration of myocardial I/R injury induced by ligation of coronary artery in a mice model.Material & method : adult male Albino mice were randomized into four equal groups.1. Group (1) : Sham group : mice underwent the same anesthetic and surgical procedure as the control group except ligation of LAD coronary artery.2. Group (2) : Control group : mice subjected to regional ischemia for 30 min by ligation of the LAD coronary artery and reperfusion for 2 hours.3. Group (3) : Control vehicle group : mice subjected to regional ischemia for 30 min by ligation of the LAD coronary artery and reperfusion for 2 hours and mice received vehicle of etanercept (normal saline) 5 minutes before reperfusion via I.P injection and.4. Group( 4) : Etanercept treated group : mice subjected to regional ischemia for 30 min by ligation of the LAD coronary artery and reperfusion for 2 hours and mice treated with etanercept 5mg/kg i.p 5 minutes before reperfusion XVIIIResults : Compared with the sham group, the levels of TNF - ? & IL - 1?, IL - 6, Caspase 3 and plasma level of cardiac troponin I increased in the control group but decreased level of Bcl - 2 (p<0.01).Histologically, all mice in the control group showed significant (p<0.01) cardiac injury and apoptosis.Etanercept significantly decreased in myocardium level of TNF - ?, IL - 1B, IL - 6,Caspase 3 , and plasma cTnI (P < 0.01), while significantly increased level of Bcl - 2 (P < 0.01). Histological analysis revealed that etanercept markedly reduced (P < 0.01) the severity of cardiac injury in the mice underwent LAD ligation procedure. : ionsConcluThe results of the present study reveal that etanercept may ameliorate myocardial I/R injury in mice via interfering with inflammatory reactions and apoptosis. : RecommendationAfter studying the results of the present study, the following recommendation to further1. Further measuring the P - selctine and E - selectine to show the effect of etanercept on rolling of eutrophils and platelets that cause further occlusion of blood vessels.2. Further measure the adiponectine (that have a cardioprotective effect ).

العلاقة بين اعتلال الجهاز العصبي اللاارادي الناتج عن السكري مع مستوى اللبتين وامراض القلب حسب فحص ايكو القلب وفحص اجهاد القلب == Relation of Diabetic Autonomic Neuropathy With Leptin And Cardiac Disease Assessed By Echo And Treadmill Test

اسم المؤلف: زينب فلاح حسن
اسم المشرف: احسان محمد عبود عجينة | علاء حسين عباس
الموضوع العام: الطب
السنة: 2014
الموضوع الدقيق: الفسلجة
الدرجة: دكتوراه
اللغة: الانكليزية
مكان الجامعة: النجف
الصفحات الاولى:
المستخلص: الخلفية : الاعتلال العصبي اللاارادي القلبي له تاثير سلبي على الحياة ونوعيتها للاشخاص المصابين بالسكري. الاعتلال العصبي اللاارادي القلبي يعتبر نوع فرعي من الاعتلال العصبي السكري. هذا النوع من الاعتلال هو الاكثر بروزا لتهديده للحياة وبسبب توفر الفحص القلبي | Background : Cardiac autonomic neuropathy (CAN) has a negative effect on survival and quality of life in people with diabetes mellitus (DM) and is regarded as a subtype of the diabetic autonomic neuropathy. This type of neuropathy is the most prominent focusing because of its life threatening and the availability of the cardiovascular tests that can diagnose it. It has been thought that many factors in DM like leptin causing increase the risk of cardiovascular disease. Researches about the relation of leptin with CAN and cardiovascular disease are yet limited.Aim of study : This study aims to determine the prevalence of CAN in patients with type 2 diabetes mellitus, evaluate the association between CAN the presence of left ventricular dysfunction in these patients, test the association between CAN and ischemic heart disease and assess the relationship between the presence and severity of CAN with fasting serum leptin in these patients.Patients, materials and methods : This cross sectional study included 103 (56 males and 47 females) diabetic patients without hypertension or pre - diagnosis of ischemia. They had attended to the diabetic center in Marjan Medical City in Hilla from March 2013 to February 2014. The patients had undergone thorough assessments that included clinical (history and full examination) and biochemical assessments (measurement of fasting plasma sugar, glycated haemoglobin, lipid profile, blood urea, serum creatinine and serum leptin level). Cardiac autonomic reflex tests were also assessed along with echocardiography and treadmill test. Cardiac autonomic reflex tests included the five tests of Ewing protocol. Patients who had two or more abnormal tests were considered as having CAN (75 patients) and those with less than two abnormal tests were considered as patients without CAN (28 patients). Results : The study found that most diabetic patients (84%) were obese (BMI?25 kg/m2) and most of the diabetic patients presented with CAN (72.8%). Fasting serum leptin level was higher in female than in male in both study groups (with and without CAN). Patients with CAN were older when compared to patients without CAN (p?0.01) and had longer duration of DM (p?0.01) with significantly higher fasting serum leptin levels. The leptin level showed a tendency to increase as the score of CAN increased. However, these changes were not significant (P>0.05). The most abnormal sympathetic response was diastolic blood pressure response to hand grip while the most abnormal parasympathetic response was heart rate response to breathing. On contrary, the lowest abnormal response was found in postural blood pressure test. Echocardiography showed that most of the diabetic patients (89.8%) had a left ventricular hypertrophy by measuring the left ventricular mass index. However, there were no significant changes in echocardiographic results between patients with CAN and those without.Conclusions : This study concludes that CAN is a common complication of type 2 diabetes that affected a large percentage of diabetic patients. The duration of the diabetes and the age of patients are important non modifiable risk factors for the development of CAN. Additionally, heart rate variability is considered as an important test for early detection of CAN. On the other hand, CAN has no impact on the occurrence of left ventricular diastolic dysfunction. Leptin level was high in diabetic patients and even higher in those with CAN and its levels related positively with the severity of CAN. Also, there were high leptin levels in diabetic patients with positive treadmill test results, although these changes were not significant (P>0.05).

تاثير تمرينات تعليمية باستخدام اداوات مساعدة في تنمبة اهم القدرات البدنية والحركية وتعلم بعض المهارات الهجومية بكرة السلة للطالبات == Effect of Compound Teaching Supporting By Exercises Tools According To The Most Important Physical And Kinetic Abilities In Learning Some of The Basic Basketball Offensiv For Female Students A Thesis

اسم المؤلف: زینب عبد السادة علي
اسم المشرف: محمد ناجي شاكر | محمد ياسر مهدي
الموضوع العام: الرياضة
السنة: 2014
الموضوع الدقيق: كرة السلة
الدرجة: ماجستير
اللغة: العربية
مكان الجامعة: النجف
الصفحات الاولى:
المستخلص: This thesis includes five chapters Performing the basic skills has a great effect on basketball; it needs a high level of physical and kinetic abilities to achieve the optimum and effective performance of these skills. So the study importance is clarified; using aiding easy to made tools can assist the trainers and the players in learning these skills.The study problem lays in that the exercises of learning the basketball basic skills lacks to the aiding teaching tools, so the researcher attempts to use teaching Education & Scientific Research Offensive for Female StudentsA ThesisSubmitted By : Abdul - Sadah AliTo : - Education for Girls/University of KufaPhysical EducationSupervised by : - Ghnaim Asst. Prof. Dr. Moammed Yasir Mahdichapters; the first chapter represents the.and tools that can participate in developing the physical and kinetic abilities and the basic skills in basketball. The research aims to define the effect of the compound teaching exercises by using the aiding tools in learning some of the basketball basic skills. The researcher hypothesizes that the compound teaching exercises by using the aiding tools according to the physical and kinetic abilities have a positive effect on learning some of the basketball basic skills. The study scope is the human field of the first year students in Physical Education dept./ Faculty of education for girls/ University of Kufa.The second chapter carries the theoretical studies that relating subjects such as the compound exercises, the physical abilities, the kinetic abilities in basketball, thebasic skills of basketball and the previous studies. The third chapter deals with the experimental method. The study society is (21) of the first year students, three of them are separated for the research experiment.The group is divided into two groups (9) students for each; the experimental group uses the teaching tools and the control group uses the available tools.The researcher concludes a set of results that could be summarized asfollowing : - 1 - The aiding tools have an effective role in developing the physical and kinetic abilities and the skills for the experimental group.2 - The experimental group proves superior to the control group in the physical and kinetic abilities and the skills in basketball.According to these results, the researcher recommends the following : - 1 - To emphasize using the teaching tools aiding in developing the physical and kinetic abilities and the skills in basketball understudy.2 - The necessity of paying attention to the physical and kinetic abilities during the learning or teaching the players, recognizing the weak physical and kinetic abilitiesof the game and how to develop it.

تاثير بعض اساليب الاستشفاء في اهم المتغيرات البايوكيميائية وانجاز عدو 400م للمتقدمين == The Effect of Some Medical Treatment Methods On The Most Important Biochemical Variables And Achieving 400M Track For Advanced Runners

اسم المؤلف: افتخار مطر باقر علي الموسوي
اسم المشرف: محمد جاسم الخالدي | سلمان عكاب الجنابي
الموضوع العام: الرياضة
السنة: 2014
الموضوع الدقيق: الركض
الدرجة: ماجستير
اللغة: العربية
مكان الجامعة: النجف
الصفحات الاولى:
المستخلص: The problem of our sport fields lies in the demands of some of the coaches to increase the requirements of training which increase the burden on the runner accompanied with low medical treatment necessary for exposing the wastes and comprise the lost energy to be prepared for the next training session, as well as the fact that some of the other coaches do not know methods of medical treatment and which is better.This research aims at the following : 1 - revealing the effect of the treatment methods on the biochemical variables and achieving 400m running by the applicants. 2 - Revealing the optimum effect of the treatment methods on the biochemical variables and achieving 400m running by the applicants.The method of the research and its field procedures : The three groups experimental method is used which is suitable for the nature of the research. The research society reached 17 runner from the teams of Al - Najaf governorate for the advanced runners. A sample of 15 runner was chosen And the sample was divided into three groups, five runners for each group.The first group used Massage chair, the second used the Jacuzzi and the third used the laser. The results showed a statistical difference between the effect of the post - tests and the pre - tests on the biochemical variables and achieving 400m track. While in the comparisons of the post - tests, the significant difference was in favor of the first group in all of the variables except for the Glucose variable.The main conclusions were : 1 - The three medical treatments were effective on activating the blood cycle leading to an increase in the glucose ratio and the ratio of O2.2 - The medical treatment methods had an obvious effect on the speed of disposing the lactic acid and decreasing Co2.3 - The effect of the three treatment methods on the studied biochemical variables had an effect on improving the achievement of the runners.The Recommendations : 1 - The coaches have to program the healing sessions in their training methods and pay a great attention to it.2 - Using the healing session researched in the study within their treatments.3 - Conduct a similar study on a sample of Iraq's champions or the Arab ones in the 400m track to obtain data from samples of higher levels.4 - Conduct a similar study on other sports (200m) or (800m, etc
1 ... 10 11 12 13 14 ... 16