Show: 25 50 75 100 Results

Search results: 25 out of 444

تقييم التاثيرات الفيزيولوجية لحوض ماء ال (CO2) على القدم السكري == Evaluation of physiological Effect of (CO2) Water bath on diabetic Foot

Author name: غزوان رياض عبد الحمزة
Supervisor name: حنان لؤي العمري
General topic: Medicine
Specific topic: Physiology
Degree: Master
Language: English
University location: Baghdad
First pages:
Abstract: تعتبر قرحة القدم السكرية واحدة من اكثر المضاعفات التي تقلق المصابين بمرض السكري غير المتحكم والمسيطر علية. حيث تعتبركواحدة من اهم ومن اكثر المضاعفات الشائعة والمعروفة لدى المصابين بهذا المرض وهي سبب رئيسي للاعاقة والمراضة والوفيات بين المرضى المصابين بمرض السكري ، وقد تم تقدير ان 15٪ من جميع الاشخاص المصابين بالسكري سيصابون بقرحة في بعض مراحل حياتهم العمرية . ان الهدف من هذة الدراسة هو تقييم تاثير علاج الماء المشبع بغازثاني اكسيد الكربون على قرحة القدم مرضى السكري ومقارنتها مع المرضى الذين يعانون من قرحة القدم السكري الذين يتعالجون بالعلاج التقليدي ، ان منهاج العمل لهذة الدراسة هو اخذ مئة مريض مصابين بمرض السكري ويعانون من قرحة القدم السكري (متوسط العمر 51.6 سنة ± 8.43 سنة ؛بتصنيف 59 ذكر و41 انثى) انقسما الى مجموعتين ،المجموعة الاولى بالعلاج التقليدي بالضمادات (التنظيف ، والكحول والشاش) والمضادات الحيوية ، في حين ان مجموعة الثانية هي ايضا بالعلاج التقليدي بالضمادات (التنظيف ، والكحول والشاش) والمضادات الحيوية مع اضافة العلاج بالماء المشبع بغاز ثاني اكسيد الكربون.تم اجراء هذه الدراسة في خلال فترة سبعة اشهرعلى الذين تم علاجهم باستخدام العلاج التقليدي كمجموعة والمجموعة الثانية باستخدام العلاج التقليدي بالضافة الى الماء المشبع بغاز ثاني اكسيد الكربون بواقع 4 ايام من بداية سبتمبر/ ايلول عام 2017 الى مارس / اذار 2018 في مركز القدم السكري Diabetic Foot Center في مدينة الصدر الطبية التابعة الى دائرة الصحة في النجف / وزارة الصحة العراقية ، في مدينة النجف / العراق . خلال الدراسة تم قياس مؤشر الكاحل العضدية ودراسة الدوبلر للشرايين ايضا ،و تم التقييم الكلي لحجم ولون والاحساس في منطقة التقرحية في قدم المريض المصاب بالسكري والمقارنة بينو وبين المريض المصاب بتقرح القدم السكري من المجموعة الثانية.واظهرت النتائج تحسن تدفق الدم الى القدم المصابة التي اظهرتها في اختلافات كبيرة في مؤشر الكاحل العضدية وفحص الدوبلر في مجموعة العلاج بالماء المشبع بغاز ثاني اكسيد الكربون قبل وبعد العلاج ثاني اكسيد الكربون. وكذلك تحسين الاحساس وحجم ولون المنطقة التقرحية. فاعلية هذه الطريقة في علاج قرحة القدم السكرية ويشير الى انها فائدة محتملة كشكل من اشكال العلاج الطبيعي في علاج قرحة القدم المصابة بالسكري والتي اظهرت ان هناك تحسنا كبيرا في مؤشر الكاحل العضدي وقياس فحص الدوبلر في المريض مع قرحة القدم السكري بعد العلاج الماء المشبع بغاز ثاني اكسيد الكربون ، كما اظهر تحسن كبير في حجم القرحة ، لون القرحة والاحساس بعد العلاج ثاني اكسيد الكربون في مرضى القدم السكري بعد العلاج ثاني اكسيد الكربون. تهدف هذه الدراسة الى تقييم تاثير علاج الماء المشبع بغاز ثاني اكسيد الكربون في تقييم تدفق الدم من خلال مراقبة مؤشر العضد في الكاحل وفحص الدوبلر وكذلك لتقييم تاثير علاج الماء المشبع بغاز ثاني اكسيد الكربون في فحص شفاء الجروح عن طريق دراسة حجم ولون القرحة والاحساس في مرضى السكري المصابين بتقرح القدم | Diabetic foot ulcer is considered one of the most anxious complications associated with uncontrolled diabetes mellitus. Foot ulcers are one of the most feared andxcommon complications ofxdiabetes. They are a majorxcause of disability, morbidity, and mortality amongxdiabetic patients, and it has been estimatedxthat 15% of all people withxdiabetes will have an ulcer at some stagexof their life, The aim is to evaluate the effect of carbon dioxide therapy on patients with diabetic foot ulcer and compare it with patients had diabetic foot ulcer on traditional therapy, Patients & Methods handred patients with diabetic foot ulcer (mean age 51.6 ± 8.43 years; 59 male and 41 femal) we divided into two groups , traditional treatment by dressings (cleaning, alcohol and gauze) and antibiotics, while carbon dioxide therapy group who were treated using a traditional treatment and carbon dioxide therapy this study was done in period of seven moths 4 days per start from Sumptember 2017 to March 2018 at Diabetic Foot Centre in Al Sadier Medical City / Najaf Directorat of Health, in Al - Najaf city. Ankle brachial index and Doppler were measured also, the size, color and sensation of the ulcerative area were all evaluated and compared between two groups. The results showed improvement of blood flow to the affected foot that shown in significant differences in Ankle brachial index and Doppler study in carbon dioxide group therapy pre and post carbon dioxide therapy (P <0.001). As well as improvement in the sensation, size and color of the ulcerative area. The effectiveness of this method in the treatment of diabetic foot ulcer and indicates it is potential utility as a form of physiotherapy in the treatment of diabetic foot ulcer which was showed there is significant improvement in Ankle brachial index and Doppler measurement in patient with diabetic foot ulcer after carbon dioxide therapy, It also was showed an significant improvement in the size of ulcer, color of ulcer and sensation after carbon dioxide therapy in diabetic foot patient after carbon dioxide therapy. The aims of this study is to evaluate the effect of carbon dioxide water bath therapy in assessing blood flow by monitoring ankle brachial index and Doppler study inxdiabetic foot ulcer patient and also To evaluate the effect of carbon dioxide water bath therapy in assaying wound healing by monitoring size and color of ulcer and the sensation in diabetic foot ulcer patient.

تقييم التغيرات في البطين الايسر للحوامل في الثلث الاخير من الحمل في حالة الضغط الطبيعي وارتفاع الضغط اثناء الحمل باستخدام جهاز صدى القلب == EVALUATION OF ECHOCARDIOGRAPHIC CHANGES OF LEFT VENTRICLE DURING THE THIRD TRIMESTER IN NORMOTENSIVE AND GESTATIONAL HYPERTENSION

Author name: زينب عبد الخالق الركابي
Supervisor name: غسان ثابت سعيد | غازي فرحان الحاجي
General topic: Medicine
Specific topic: Physiology
Degree: Master
Language: English
University location: Baghdad
First pages:
Abstract: Pregnancy is considered as the “nature’s silent stress test” as it challenges the maternal cardiovascular system to undergo several cardiovascular adaptations. At the same time, it may reveal some hidden cardiac diseases. Furthermore, maladaptation of the mother’s cardiovascular system to these challenges can leads to several obstetric complications, more commonly, gestational hypertension which is the main cause of maternal death.The aims of this study are : to assess the maternal left ventricular structure and function during the last trimester of pregnancy and to find the impact of gestational hypertension on the maternal heart using transthoracic echocardiography.This cross sectional study was carried out in Baghdad teaching hospital. A total of 215 women were studied and 200 of them were included, they were classified into three groups : 100 women with mean age (29.83± 5.33 year) with gestational hypertension defined as increased systolic blood pressure ≥ 140 mmHg or diastolic blood pressure ≥ 90mmHg emerging after 20 weeks of gestation with no proteinuria, were considered as gestational hypertensive women group (GHW), 50 normotensive pregnant women with normal singleton pregnancy and mean age (28 ± 3.18 year) matched for gestational age with gestational hypertensive women were considered as normal pregnant women (NPW) group and 50 nulliparous normotensive women aged (30.1 ± 5.03 year) served as controls. All omen were submitted to a detailed medical history and physical examination focusing on hypertension risk factors. Their blood pressure was measured in the left lateral decubitus position and their body weight, height were measured to calculate bodymass index and body surface area. The left ventricle structure and function were evaluated using transthoracic echocardiography. The results of this study revealed that Gravidity was significantly higher and parity was significantly lower in GHW group compared to NPW group (P= 0.001 and P= 0.004 respectively). GHW had significantly higher BMI and BSA and 63% of them had edema. NPW had significantly higher LVIDd, IVST, PWT and RWT than controls with no significant change in EF, they also had higher LVMI over controls (P= 0.002, P= 0.0001, P= 0.0003, P= 0.0001 and P= 0.0002). 76% had normal LV geometry, 20% had eccentric hypertrophy and 4% had concentric remodeling. They also had larger LA area with higher A wave velocity and E/A ratio (P= 0.001, P= 0.001, P= 0.0012) and longer IVRT (P= 0.00013) with no significant change in Tei index.GHW compared to NPW had significantly higher IVST, PWT and RWT (P= 0.0001, P= 0.0003, P= 0.0001) they also had higher LVMI (P= 0.00022). 59% had abnormal LV geometry; of which : 34% had eccentric hypertrophy, 19% had concentric hypertrophy and 6% had concentric remodeling. 41% had normal LV geometry.The A wave velocity and E/A ratio were higher in GHW (P= 0.001, P= 0.0012) with significantly lower é velocity and higher E/é ratio (P= 0.0002 and P= 0.00012). Their IVRT and IVCT were significantly longer (P= 0.00013, P= 0.0003), with higher Tei index value (mean 0.56034 ± 0.07487) and P value of 0.001.In conclusion, pregnancy causes volume overload on the left ventricle which adapts through physiological hypertrophy with no further effect on the systolic and diastolic function of the heart. While, gestational hypertension adds the effect of pressure overload leading to further LV hypertrophy and remolding and might cause Grade I diastolic dysfunction.

تقييم كفاءة البطين الايسر لمرضى ناضمات القلب الصناعية باستخدام تقنية تتبع النقط في تخطيط صدى القلب == ASSESSMENT OF LEFT VENTRICULAR FUNCTION IN PATIENTS WITH CARDIAC PACING USING SPECKLE TRACKING ECHOCARDIOGRAPHY

Author name: فهد عباس عبد الرحمن
Supervisor name: عفان عزت حسن
General topic: Medicine
Specific topic: Physiology
Degree: Master
Language: English
University location: Baghdad
First pages:
Abstract: ان نظام التوصيل الكهربائي للقلب يتالف من خلايا عضلة القلب والياف التوصيل (الياف غير عصبية) والتي تكون متخصصة في انشاء النبضات وايصالها بسرعة خلال القلب.هذه الخلايا والالياف تنشيء الدورة القلبية الطبيعية وتنظم انقباضات الحجرات القلبية.كلا الاذينين ينقبضان سويا وكذلك البطينين سويا ,لكن انقباضة الاذينين تحدث اولا . ان نظام التوصيل الكهربائي للقلب يوفر له ضربات ايقاعية تلقائية. ولاجل ان يضخ القلب الدم بكفائة , ولعمل الدورة الدموية الجهازية والدورة الدموية الرئوية بتزامن يجب ان تكون الاحداث في الدورة القلبية متزامنة .باستخدام الاختبارات غير المعقدة نسبيا (مثلا تخطيط صدى القلب ) التي من الممكن ان توفر المعلومات عن المرض ومعرفة تطور المرض مستقبلا ومدى تزامن الانقباضات القلبية والسعة الوظيفة للقلب ولجهاز الدوران باستعمال تخطيط صدى القلب (( Speckle Tracking ان هدف هذه الدراسة هو تقييم دور تخطيط صدى القلب في تحديد عدم التزامن ومستوى التزامن قبل وبعد زرع ناظمة القلب الصناعية ثنائية الحجرة اوعلاج اعادة التزامن القلبي والى حد الوصول الى توقع الاستجابة الى علاج اعادة التزامن القلبي والية الاستجابة مع التركيز بشكل خاص على المعلمات المستمدة من Speckle Tracking ، وغيرها من التدابير. ان هذه الدراسة قد شملت 18 مريض يعانون من القصور القلبي وتمت معالجتهم باعادة التزامن القلبي . لقد تم اجراء هذه الدراسة في الفترة بين كانون الاول 2016 وحزيران 2017 في مستشفى بغداد التعليمي ,مدينة الطب , مركز الدراسات العليا لامراض القلب وتخطيط صدى القلب . ان خطة هذه الدراسة تكونت من اخذ التاريخ المرضي بدقة (مع التاكيد على عوامل الخطورة المتعلقة بامراض القلب وهي ارتفاع ضغط الدم ,داء السكري, ارتفاع الدهون ) وبعد ذلك يتم الفحص السريري وبخاصة القلب وجهاز الدوران ومن ثم اخذ القياسات الفيزياوية للجسم والتي تشمل الوزن والطول مع احتساب معامل كتلة الجسم ,بالاضافة الى قياس ضغط الدم وحساب ضربات القلب بعد ذلك يتم اخذ تخطيط صدى القلب وهذه تمثل القيم الاساسية قبل عملية انظام ناظمة القلب الصناعية, حيث تمثل معلمات مزامنة القلب المعلومات الرئيسية لهذا الدراسة . فيما يخص تخطيط صدى القلب , تم اجراء تخطيط صدى القلب بشكل مفصل وفقا لبروتوكول شامل للحصول على الصور.حيث اجري تخطيط صدى القلب قبل وبعد 3 اشهر من عملية انظام ناظمة القلب الصناعية لجميع المرضى وشمل تخطيط صدى القلب على (التصوير ثنائي الابعاد القياسي، وتخطيط تدفق الالوان، دوبلر الموجة النبضية والموجة المستمرة ودوبلر تصوير الانسجة). وتم توصيل اقطاب تخطيط القلب الكهربائي التقليدية (الذراع اليمنى، الذراع اليسرى، والساق اليسرى) لكل مريض من اجل توفير تخطيط القلب الكهربائي للاطراف الاول والثالني والثالث.بعد ذلك يتم وضع المريض بوضعية شبه راقد على الجانب الايسر للتصوير القصري والقمي، ومستلق للتصوير تحت الضلع. لقد تم اختيار تخطيط القلب اثناء تصوير صدى القلب من اجل الحصول على صور اكثر وضوحا مع بداية QRS ، وبالتالي اعطات قياسات دقيقية . ان نتائج هذه الدراسة اظهرت ان 78 % قد استجابوا الى علاج اعادة التزامن القلبي فيما ان 22 % لم يستجيبو الى علاج اعادة التزامن القلبي حسب نتائج تصوير صدى القلب قبل وبعد عملية انظام ناظمة القلب الصناعية , علاوة على ذلك، لا يوجد فرق ذو دلالة احصائية بين المجموعتين في الخصائص الاولية (الديموغرافية، عوامل الخطر، معلمات تخطيط صدى القلب). فيما كانت احصائيات تاريخ مرض القلب الاقفاري وداء السكري اعلى احصائيا في مجموعة غير المستجيبين مقابل المستجيبين ( 0.0002p لمرض القلب الاقفاري ، 0.015 p لمض داء السكري ).اخيرا، معلمة واحدة من صدى القلب حول التزامن غير كافية للتنبؤ بالاستجابة لعلاج اعادة التزامن القلبي . ومع ذلك، فقد تم تحديد العديد من اليات الاستجابة لعلاج اعادة التزامن القلبي بواسطة تخطيط صدى القلب ،لهذا يبقئ تخطيط صدى القلب ذو اهمية قيمة في التقييم المسبق لكل المرضئ الذين يخضعون لعلاج اعادة التزامن القلبي .ان تخطيط صدى القلب ثنائي الابعاد (speckle Tracking ( تقنية مجدية غيرة معتمدة علئ زاوية معينة للتصوير مع معدل عالي من الاطر، وهي قادرة على اظهار اي التواء في اي اتجاه كان . ان قياس الالتواء الطولي بواسطة تخطيط صدى القلب (speckle Tracking ( ثلاثة اشهر بعد انظام ناضمة القلب الصناعية لديه دقة تنبؤية عالية لتحديد المرضى الذين من الممكن ان يضهروا في وقت لاحق قصور في البطين الايسر والناتج عن ناضمات القلب الصناعية .لذلك يعتبر قياس مدى الالتواء الطولي اداة مفيدة سريريا لتحديد مجموعة الاشخاص الذين من الممكن ان يظهروا قصور في كفاءة البطين الايسر بعد انظام ناضمات القلب الصناعية | The conducting system of the heart consists of cardiac muscle cells and conducting fibers (not nervous tissue) that are specialized for initiating impulses and conducting them rapidly through the heart. They initiate the normal cardiac cycle and coordinate the contractions of cardiac chambers. Both atria contract together, as do the ventricles, but atrial contraction occurs first. The conducting system provides the heart its automatic rhythmic beat. For the heart to pump efficiently and the systemic and pulmonary circulations to operate in synchrony, the events in the cardiac cycle must be coordinated” synchronized “ Simple investigation measure (echocardiography) can provide information, estimate prognosis and determine synchrony & functional capacity of the heart pumping using “speckle tracking” Echocardiography . The aims of the study were to assess the role of echocardiographic dyssynchrony parameters before & after implantation of cardiac resynchronization therapy & to the extent of prediction of response to resynchronization therapy & mechanisms of response, with a particular focus upon parameters derived from speckle tracking echocardiography, and other echocardiographic measures. This study involved Eighteen subjects (18) with History of Heart Failure & typical Left Bundle Branch Block treated with cardiac resynchronization therapy, This Cross sectional observational study was performed between December 2016 & June 2017 & conducted at Iraq - Baghdad , medical city, Baghdad Teaching Hospital, cardiology & Echocardiography Higher Education (Diploma) center.The plan of this study consisted of case history (with special emphasis regarding risk factors for Cardiovascular diseases) clinical & physical examination, physical measurement including Body mass index calculation, these measurements were followed echocardiography, Resynchronization forms the primary data set for this study. Detailed echocardiography was therefore performed according to a comprehensive protocol for image acquisition. Baseline & after 3 months of implantation echocardiography was performed in all subjects (standard 2D imaging, color flow mapping, pulsed wave (PW) and continuous wave (CW) Doppler and tissue Doppler imaging (TDI)). Conventional ECG electrodes (right arm, left arm, and left leg) were connected to the patient providing standard axial ECG limb leads I, II and III. The patient was positioned semi - recumbent in the left lateral position for parasternal and apical imaging, and in a supine position for subcostal imaging. The appropriate ECG lead to record during image acquisition was chosen in order to most clearly define the onset of the QRS complex, and therefore aid accuracy of subsequent measurements. The results of the study showed that seventy eight (78%) of subjects showed echocardiographic response to cardiac resynchronization therapy and considered as responders , whereas (22%) show no Echocardiographic Response to cardiac resynchronization therapy and considered as Non Responders . Furthermore, there is no statistical significant difference between the Two groups in baseline characteristics (demographic, risk factors, Echocardiography parameters); the history of Ischemic Heart disease and diabetes mellitus where statistically significant higher in the non - responders group versus responders (p 0.0002, p 0.015 respectively ).In conclusion, Single echocardiographic dyssynchrony parameters appear to have no role in the prediction of CRT response. However, several mechanisms of response to CRT are identified, each of which may be identified echocardiographically, and echocardiography therefore continues to have an important role in pre assessment of patients undergoing CRT. Two - dimensional STE is a feasible echocardiographic technique with an angle independency and high frame rate, which is capable of obtaining any directional strain. Global longitudinal strain (GLS) measured Three month after implantation has high predictive accuracy for identifying patients who later develop Pacemaker induced ventricular dysfunction. Global longitudinal Strain may represent a clinically useful tool to identify group of subjects who may benefit from heightened echocardiographic surveillance of LV dysfunction following pacemaker implantation.

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

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

العلاقة بين كمية الخلية الحرة في السائل الجريبي وعلاقته بنوعية الجنين لدى النساء المصابات بتكيس المبايض

Author name: هبة رشيد قاسم
Supervisor name: حنان لؤي العمري | شيماء جمال احمد
General topic: Medicine
Specific topic: Physiology
Degree: Master
Language: English
University location: Baghdad
First pages:
Abstract: Poly cystic ovary syndrome is still consider as the most contra versal disease that affect females at reproductive age. It accounts about (5 - 10%) of females worldwide and can cause primary or secondary infertility. Cell free DNA is found as a result of apoptosis and lately it is used as an indicator for embryo quality. It is found to be present in follicular fluid as a result of folliculogenesis of granulose cell of oocyte and then can be measured in blood to determine the quality of oocyte and embryo in the in vitro fertilization procedures to have a better and higher success rate in these procedures, since in vitro fertilization are considered expensive procedures and they are the last hope for families to have children .Aiming of this study is to find a non expensive, most reliable and most accurate way to determine oocyte and embryo quality for a good result during in vitro fertilization procedure this through measurment of cell free DNA in follicular fluid and correlating it with embryo quality.Sixty females have been participated in this research were (32)of them having Polycytic ovary syndrome as a cause of infertility, while (28) of them are considered control group having un - explained infertility. All patient had passed through the antagonist protocol of ovarian stimulation preparing for intracytoplasmic sperm injection procedureBlood samples were drawn before and after stimulation for the hormonal measurements. Follicular fluid have been collected at day 14 at time of oocyte retrieval ,DNA extracted from this follicular fluid and cf DNA have been calculated by electrophoresis.Cell free DNA was with no significant difference between control (2.49±1.41 ng/μl) and PCOS patient (2.15±1.31ng/μl) . The good quality oocyte has significantly lower cf DNA level than that in bad quality one (1.04±0.5ng/μl vs 3.58±0.68 ng/μl for control and 0.89±0.65ng/μl vs 3.17±0.77ng/μl for poly cysticIXovary syndrome ) (p value =˂o.oo1). At the same time 17 ß - estradiol level was measured at time of oocyte collection and it was found to have a negative correlation with cf DNA (r= ¬ 0.033 and p=0.869 for control and r= - 0.0238 and p=0.18 for poly cystic ovary syndrome) . cf DNA was significantly lower in top quality embryo for both control and poly cystic ovary syndrome females (r= - 0.874 ,p=˂0.001 for control and r= - 912 ,p=˂0.001 for poly cystic ovary syndrome females).There is no difference in quantity of cf DNA in the follicular fluid for control and poly cystic ovary syndrome females .cf DNA is a good predictor of the embryo quality being higher in follicular fluid of oocytes yeilding poor quality embryos.

تقييم شكل البطين الايسر ووظيفة القلب الانبساطية لعينة من الرجال المصابين بالسمنة بواسطة جهاز صدى القلب (الايكو) == ECHOCARDIOGRAPHIC ASSESSMENT OF LEFT VENTRICULAR GEOMETRICAL PATTERNS AND DIASTOLIC FUNCTION IN OBESE MALE SUBJECTS

Author name: ريم جمال جابر
Supervisor name: عفان عزت حسن
General topic: Medicine
Specific topic: Physiology
Degree: Master
Language: English
University location: Baghdad
First pages:
Abstract: السمنة هي مشكلة مهمة في الصحة العالمية وتكون مصحوبة بزيادة احتمال المشاكل الصحية. السمنة تسبب تضخم في عضلة القلب عن طريق زيادة نسبة الانسولين وزيادة مادة IGF - 1 وزيادة حجم السوائل وهي مشابهة لتاثير زيادة ضغط الدم الشرياني.طبيا عندما يكون معامل كتلة الجسم بين 25 - 29.9 (كيلوغرام/متر مربع) تدعى الحالة زيادة في الوزن, وعندما يكون اكثر من 30 كيلوغرام/متر مربع تدعى السمنة.ان هذا الفحص يهدف الى تقييم الجزء الايسر لعضلة القلب (وظيفة وشكلا) في الاشخاص مرتفعي الوزن وفي الاشخاص ذوي السمنة في عينة من الاشخاص باستعمال جهاز صدى القلب, اكتشاف وتعيين نسبة ونوع تغييرات شكل عضلة القلب اليسرى وعجز القلب الانبساطي فيها حسب درجة ذلك العجز ولتقييم الضغط الامتلائي للجهة اليسرى وذلك لتعيين الاشخاص الذين يكونون اكثر عرضة للاصابة بعجز القلب ذومعامل الدفع الطبيعي .شارك في هذه الدراسة مئة وسبعة اشخاص من الرجال بمعدل عمر حوالي تسعة وثلاثون سنة وتم تقسيمهم الى ثلاثة مجاميع حسب معامل كتلة الجسم : المجموعة الاولى وهم ذوي معامل كتلة الجسم 18,5 - 24,9(كيلوغرام/مترمربع) وكان عددهم اربعة وثلاثون شخصا صحيحا من الرجال كشاهد او مراقب وبمعدل عمرسبعة وثلاثون سنه.المجموعة الثانية وهم ذوي معامل كتلة الجسم 25 - 29,9 وهم ذوي زيادة الوزن وكان عددهم سته وثلاثون شخصا من الرجال وبمعدل عمرثمان وثلاثون سنه.المجموعة الثالثة ذوي السمنة وبمعامل كتلة الجسم اكثر من ثلاثين كيلوغرام/متر مربع وبمعدل عمر واحد واربعون سنه.اجريت هذه الدراسة في وحدة صدى القلب التابعة لمستشفى ابن البيطار لجراحة القلب للفترة بين شهر ايلول لسنه الفين واثنا عشر ولغاية تموز لسنه الفين وثلاثة عشر.خطة الدراسة تضمنت اخذ التاريخ الطبي لكل مريض واجراء الفحص الطبي السريري, واجراء تخطيط كهربية القلب لكل مريض وكذلك اجراء فحص صدى القلب وكذلك فحص عينات الدم للدهون, السكر ,اليوريا والكرياتين.لغرض تقييم جزء عضلة القلب الايسر تم قياس العمل الانقباضي والانبساطي باستعمال M - mode , الفحص ثنائي الابعاد وصدى امواج القلب لغرض تقييم عرض عضلة القلب اليسرى الانقباضي والانبساطي وسمك الجزء الوسطي الفاصل بين البطينين لعضلة القلب والجزء السفلي لعضلة القلب الايسر, كتلة العضلة اليسرى , معامل كتلة العضلة اليسرى حجم الاذين اليسر ومعامل حجم الاذين الايسر. نتائج الدراسة اظهرت وجود تغيرات شكلية ووظيفية في البطين والاذين الايسر عند الاشخاص ذوي زيادة الوزن وذوي السمنة علما انهم غير مصابين بمرض في القلب او اي مرض اخرعام في الجسم , حيث ان عجز عضلة القلب الانبساطي كان موجودا في واحد وخمسون بالمائة من العدد الاجمالي لذوي السمنة وفي سبعة وعشرين بالمائة من ذوي زيادة الوزن .كما بينت الدراسة وجود ثمان وستون بالمائة من العدد الاجمالي لذوي عجز القلب الانبساطي من المجموعة الثالثة واثنان وثلاثون بالمائة من المجموعة الثانية., وبينت الدراسة ايضا ان سبع وخمسون بالمائة من ذوي العجز الانبساطي هم من الدرجة الاولى وثلاثة واربعون بالمائة هم من الدرجة الثانية.كما واظهرت الدراسة ان ستة وعشرون بالمائة لديهم تضخم البطين الايسر من النوع المتراكز (ثمان وستون بالمائة في المجموعة الثانية واثنان وستون بالمائة في المجموعة الثالثة) اما الاشخاص الذين لديهم تضخم لا متراكز فيبلغ عددهم خمسة اشخاص(اربعون بالمائة منهم في المجموعة الثانية وستون بالمائة في المجموعة الثالثة).نتائج هذه الدراسة اظهرت ان جهاز فحص صدى القلب اداة مفيدة في تقييم شكل وعمل عضلة القلب اليسرى في الاشخاص ذوي السمنة, كما وبينت ان العلاقة بين معامل كتلة الجسم مع عمل القلب الانبساطي هي علاقة مستمرة وغير معتمدة على عوامل الخطورة الاخرى التي تكون مصحوبة بزيادة الوزن مثل زيادة ضغط الدم ,داء السكري وتضخم عضلة القلب.وكذلك اظهرت هذه الدراسة ان زيادة الوزن تكون مصحوبة بعرقلة عمل عضلة القلب اليسرى الانبساطي وهو مشابه لما يحصل في الاشخاص ذوي السمنة وان زيادة الوزن والسمنة فيها خطورة العمل الانبساطي الكاذب. واخيرا بينت الدراسة ان لدى الاشخاص ذوي زيادة الوزن والسمنة ارتفاع في ضغط الدم بالمقارنة مع الاشخاص الصحيحين ذوي الوزن الطبيعي. | Obesity is a public health concern worldwide associated with significant health risks and comorbid conditions. Obesity induces left ventricular hypertrophy and diastolic dysfunction via hemodynamic changes caused by hyperinsulinemia, increased insulin like growth factor - 1 expression and volume overload which are similar to the effect caused by hypertension. In clinical terms, a body mass index between 25 and 29.9 kg/m represents overweight, and a body mass index greater than 30 kg/m represents obesity. This study aimed to evaluate the left ventricular geometrical remodeling and diastolic function in a sample of overweight and obese subjects by Doppler Echocardiography, explore the percentage and type of left ventricular geometric remodeling and diastolic dysfunction in those people according to the grades of diastolic dysfunction and to assess the left side filling pressure to early specify and diagnose people at risk for development of normal ejection fraction heart failure. One hundred and seven (107) normal male subjects with a mean age of (39.3± 7.5) years involved in this study, they divided into three groups according to their body mass index(BMI) : Group 1with normal body mass index (18.5 - 24.9kg/m²).Group2 overweight (BMI 25 - 29.9kg/m²).Group3 obese (BMI ≥30 kg/m²).This study was performed during the period from September 2012 until July 2013, at the echo unit of Ibn Al - Bitar hospital for cardiac surgery.The plan of the study consisted of the following steps : Case history, Clinical & physical examination, Body mass index (BMI) measurement, Electrocardiography (ECG), Echocardiographic examination and Blood sampling for lipid profile, sugar, urea and creatinine estimation.In order to assess the left ventricular function ( systolic & diastolic) and geometry, the 2 - D echocardiography, M - mode echocardiography, blood flow Doppler and the tissue Doppler echocardiography were performed in all subjects for determining the left ventricular dimensions, interventricular septal thickness, posterior wall thickness, relative wall thickness, left ventricular mass, left ventricular mass index, left atrium volume and left atrium volume index. The results of this study showed structural and functional changes in the left ventricular and left atrium in a sample of healthy subjects with excess weight who have no other clinically appreciable cause of heart disease or any other systemic disease. These changes appear to be related to the obesity and overweight. Diastolic dysfunction was present in 51% of the total number of the obese group and 27% of the overweight group. Sixty eight percent of the total number of the impaired diastolic function grade 1 were from obese group while 32% from overweight group, While 57% of the diastolic dysfunction grade 2 (pseudonormal pattern) were from obese group and 43% from overweight group. This study showed that 55% percent of the total number with diastolic dysfunction had an increased left atrium volume index. Twenty six subjects had concentric remodeling (38% in overweight group and 62% in obese group) and five subjects had eccentric hypertrophy (60% in overweight group and 40% in obese group). Regarding the posterior wall thickness, interventricular septum thickness, left ventricular mass and left atrium volume, a significant statistical difference was found between the group 1 (normal weight) and both the overweight (group 2) and the obese group (group 3). The findings of this study indicate that : Echocardiography is a valuable tool in evaluating Left ventricular geometry and function in obese subjects, the relationship between BMI and diastolic function parameters is continuous and independent of cardiovascular risk factors that cluster with obesity; such as hypertension, diabetes, and left ventricular hypertrophy, the overweight status is already associated with an impairment of left ventricular diastolic function close to that observed in obese persons, overweight and obese subjects developed high percent of a pseudonormalized diastolic pattern with the tendency of an increase in blood pressure (both systolic and diastolic) with increasing body weight

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

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

دراسة الجهد البدني - الحسي المثار في مرضى اعتلال النخاع الناتج عن داء الفقار الرقبية == Somatosensory Evoked Potentials Study in Cervical Spondylotic Myelopathy Patients

Author name: رؤى محمد كريم
General topic: Medicine
Specific topic: Physiology
Degree: Master
Language: English
University location: Baghdad
First pages:
Abstract: Cervical spondylotic myelopathy (CSM) is considered the most serious consequence of cervical spondylosis and accounts for the majority of non_traumatic paraparesis and/or quadriparesis. The electrical property of the spinal cord and its susceptibility to injuries renders electrophysiology relevant to the management of CSM. SEPs study is an objective assessment of the functional integrity of the neural pathway.With the introduction of MRI, increasing numbers of cases are identified where spondylotic changes and disc herniation reach and compress the cervical spinal cord; however, the significance of these radiological findings with respect to the development of myelopathy is unclear.It is recommended that preoperative sensory - evoked potentials may be considered for patients with CSM in whom clinical factors do not provide clear guidance and would potentially change therapeutic decisions.In this study 22 patients with CSM (11 male and 11 female) and matched with 25 subjects of the control group were enrolled. All subjects were tested with bilateral SNCV of median and sural nerves and with bilateral median and tibial SSEPs tests. Results of SSEPs studies show 19(86.36%) out of 22 patients had abnormal SSEPs study (either tibial or median or both tests abnormal), with 68.2% abnormal tibial and 63.6% abnormal median study. There was no difference between median and tibial SSEPs results in patients (P>0.05) and most of the abnormalities were bilateral and there was no difference between right and left side study of neither median nor tibial SSEPs studies (P>0.05).Median SSEPs showed that abnormality in cortical response N20 and cervical spinal potential N13 compared to control group were highly significant (P<0.0005). Also IPLs were significant regarding (N9 - N13), (N9 - N20), (P14 - N20) and (N13 - N20) with (N13 - N20) was the most significant with 63.6% right and 54.5% left side abnormality. Abnormal cortical response (P37) following tibial stimulation was highly significant compared to control group (P<0.0005) with 14 cases (63.6%) abnormal bilateral tibial SSEPs and 1 patient with unilateral right tibial SSEPs abnormality. Abnormal tibial SSEPs associated with slightly more frequent loss of components than delayed responses. IPL (LP - P37) was highly significant (P<0.0005) with 68.2% right and 63.6% left abnormal results. Patients were classified clinically according to Nurick grading system of cervical myelopathy. Four out of 8 cases with normal median SSEPs of the patients were grade - 1 Nurick, 5 out of 7 cases with normal tibial SSEPs of patients were grade - 1 and 3 out of total 22 patients had normal both median and tibial SSEPs were all grade - 1 and this suggests that normal SSEPs findings mostly correlate with mild and early myelopathy. Six out of 10 cases with abnormal both median and tibial SSEPs were grade - 1 and grade - 2(2 cases grade1 and 4cases grade - 2) and this suggests that abnormal SSEPs findings are useful in prediction the progression of myelopathy in patients with mild clinical neurological deficits in the early stages of the disease.This study concluded that both median and tibial SSEPs montages should be performed to evaluate patients with CSM as the progression of the cervical cord compression may take variable pathways. MRI and SEPs may evaluate different aspects of the disease process; therefore, SEPs study is a useful important objective assessment of the spinal cord function

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

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

علاقة هورمونات الغرلين, اللبتين, غلوكاغون والانسولين بمقاومة الانسولين بمرضى السمنة والناس الغير مصابين بالسمنة == Relationship between Ghrelin, Leptin, Glucagon and Insulin with Insulin Resistance in Obese Patients and Non - Obese Individuals

Author name: دعاء مهدي عمران
Supervisor name: علي حسين البياتي | سعد مرزة الاعرجي
General topic: Medicine
Specific topic: Physiology
Degree: Master
Language: English
University location: Babylon
First pages:
Abstract: تعتبرالسمنة وباءا عالميا حيث انها تؤثرفي حوالي اكثر من 2 مليار شخص حول العالم حتى عام2013, ان ارتفاع نسبة انتشار السمنة في كل من البلدان المتقدمة والنامية كانت نتيجة لعدد من الاسباب والتي تتمثل بالبيئة، الوراثة الطبية مثل اضطراب الغدد الصماء، والعلاج مثل العقاقير المضادة للذهان والمنشطات الستيرويدية, ان اغلب الناس البدينين يكونون عرضة للاخطار الكبيرة حيث تعرضهم للمضاعفات كداء السكري وارتفاع ضغط الدم وتصلب الشرايين، ومشاكل المفاصل، وامراض السرطان وخاصة السرطانات المحفزة بالهرمون، بالاضافة الى مشاكل في الجهاز التنفسي وغيرها من المضاعفات الاخرى, ان الهدف من هذه الدراسة هو اظهار تاثير زيادة الوزن على تمثيل تاهورمونات التالية : الغرلين, اللبتين, الانسولين والغلوكاكون في المرضى المصابين بالسمنة مع او بدون مقاومة الانسولين ومقارنتهم بالناس الغير مصابين بالسمنة مع او بدون مقاومة الانسولين, تم اخذ 100 شخصا منهم 50 شخصا مصابين بالسمنة و50 شخصا غير مصابين للفترة بين شهر كانون الثاني 2015 وشهر حزيران 2016 بمعدل اعمار بلغ (34.00±9.43) بالنسبة لمرضى السمنة و(34.50±7.40) بالنسبة للاشخاص الغير مصابين بالسمنة, تم الاعتماد على معامل كتلة الجسم لتفريق المجموعتين وتم سؤال الجميع حول ان كانوا مصابين بامراض معينة او يتناولون ادوية معينة تؤثر في وزنهم, وتم مختبريا اجراء الفحوصات التالية : فحص نسبة السكر في الدم, هورمون الانسولين, هورمون الغلوكاكون, هورمون اللبتين, هورمون الغرلين وتم قياس مقاومة الانسولين حسب المعادلة بين الانسولين والسكرو اظهرت النتائج وجود فرق معنوي بين المجموعتين (p value ≤ 0.05) فيما يخص اختلاف الجنس والتعليم وكذلك اختلافا معنويا (p value ≤ 0.05) فيما يخص الفحوصات المختبرية لنسبة السكر في الدم, نسبة هورمون الانسولين, هورمون اللبتين ومقاومة الانسولين فيما لم تظهر فرقا فيما يخص هورموني الغرلين والكلوكاكون.اعتمد الباحث في تعريب المصطلحات العلمية على : المعجم الطبي الموحد - انكليزي - عربي. رئيس التحرير د. محمود الجليلي - الطبعة الرابعه 2009 م , مطبعة المجمع العلمي العراقي. | Obesity is representing a global epidemic that affecting more than 2 billion peoples around the world on 2013. The obesity prevalence has risen in both developed and developing countries. Many causes have been implicated for developing obesity such as : environmental, hereditary, medical disease like endocrine disorders furthermore, some medication like antipsychotic drugs and steroids. Obese people are at high risk to develop much complication such as diabetes, hypertension, atherosclerosis, joints problems, cancers especially hormone dependent, respiratory problems and others. The aim of this study was to compare the impact of increase in weight on the clinical presentation of Ghrelin, Leptin, Insulin, and Glucagon in obese patients with or without Insulin resistance and compare it to that of non - obese individuals with or without Insulin resistance, one hundred people are included in this study attending Marjan medical city from December 2015 till June 2016, a fifty normal non - obese and fifty obese, the overall mean age of patients and controls were (34.00±9.43) and (34.50±7.40) years old, respectively, they are classified according to body mass index after measuring their weight, height, the mean BMI of case patients was (39.23±6.71 kg/m²) and (23.08±1.19 kg/m²) for the control individuals, a general questionnaire were done for all patients and control for diagnosis excluded disease and any treatment that effect on obesity, the investigations that were done include : fasting blood sugar with hormonal testing is performed by ELISA kits examining Serum Insulin, Glucagon, Leptin and Ghrelin and the results of this study showed a significantly higher difference in percentage (p value ≤ 0.05) between study and control groups concerning education and gender. Regarding investigation there is significantly higher difference in percentage (p value ≤ 0.05) between study and control groups in parameters of fasting blood sugar, HOMA IR, Leptin and Insulin, while no significant difference (p value ˃ 0.05) in percentage between study and control for Ghrelin hormone and Glucagon hormone, so the conclusion of the results of this study support the evidence that obesity associated with Insulin Resistance, high level of Insulin and Leptin hormones and low concentrations of Ghrelin hormone, while it did not found a link with Glucagon hormone

التشخيص الكهربائي المبكر لاعتلال الاعصاب القحفي غير السريري لدى مرضى السكري المصابين او غير المصابين باعتلال الاعصاب المحيطيه == Early Electrodiagnosis of Subclinical Cranial Neuropathy in Diabetic Patients with or without Peripheral Neuropathy

Author name: ولاء فاضل جلال الحسناوي
Supervisor name: سعد مرزة حسين الاعرجي | كريم مصحب التميمي
General topic: Medicine
Specific topic: Physiology
Degree: Master
Language: English
University location: Babylon
First pages:
Abstract: داء السكري من النوع الثاني هو مشكلة صحية منتشرة على نطاق واسع ويمتاز بمضاعفات عديدة تصيب الاوعية الدموية مما يؤدي الى ارتفاع معدلات الاعتلال والوفيات. الاعتلال العصبي المحيطي السكري هو اكثر المضاعفات شيوعا لداء السكري من النوع الثاني ، وفي الغالب يكون بشكل اعتلال الاعصاب القاصي المتناظر والذي يكون على هيئة قفازات وجوارب. ارتفاع السكر في الدم هو العامل المسبب الرئيسي لاعتلال الاعصاب المحيطية لدى مرضى السكري. اعتلال الاعصاب القحفية عادة تظهر مع الاعتلال العصبي المحيطي السكري اما سريريا او في شكل تحت السريري. الهدف الرئيسي من هذه الدراسة هو تقييم لدور منعكس الطرفة في التشخيص المبكر لاعتلال الاعصاب القحفية لدى مرضى السكري من النوع الثاني مع او بدون اعتلال الاعصاب. الطرق والاساليب : اجريت الدراسة خلال الفترة من شهر كانون الثاني الى شهر اب 2014. شملت الدراسة 83 مريضا ممن يعانون من داء السكري النوع الثاني ضمن الفئة العمرية من 35 - 69 سنة. اعتبر المرضى الذين يعانون من الاعراض السريرية لضعف الاعصاب الطرفية والذين لديهم تخطيط الاعصاب الكهربائي غير طبيعي بانهم مرضى اعتلال الاعصاب المحيطية السكري (61 مريضا)، في حين اعتبر المرضى الذين لايعانون من ضعف الاعصاب الطرفية وتخطيط الاعصاب الكهربائي لديهم كان طبيعيا بانهم لا يشكون من اعتلال الاعصاب المحيطية السكري ( 22 مريضا). شملت الدراسة ايضا اشخاص لا يعانون من اي مرض تتناغم اعمارهم وجنسهم مع المرضى المشمولين بالدراسة سميت مجموعة السيطرة(60مريضا).وقد خضع المرضى ومجموعة السيطرة المشمولين بالدراسة الى التقييم الكامل الذي شمل : التقييم السريري (التاريخ والفحص)، وتقييم الكيمياء الحيوية (قياس سكر الدم بعد الصيام، الهيموجلوبين السكري، قياس نسبة دهون الدم) وتخطيط الاعصاب الكهربائي الذي يشمل دراسات التوصيل الحسية والعصبية الحركية NCS)) مع منعكس طرفة.النتائج : وجدت الدراسة ان مرضى السكري لديهم تاريخ عائلي ايجابي، انخفاض المستوى التعليمي وارتفاع مؤشر كتلة الجسم بالمقارنة مع مجموعة السيطرة. مرضى السكري مع اعتلال الاعصاب المحيطية لديهم رابطة كبيرة مع زيادة العمر (القيمة P <0.01) ، وكبيرة للغاية مع مدة المرض (0.007=P)، واهمية عالية مع الفرق في مؤشر كتلة الجسم (قيمة P <0.01) بالمقارنة مع مرضى السكري من دون اعتلال الاعصاب المحيطية . وكان مرضى السكري المصابون باعتلال الاعصاب المحيطية علاوة على ذلك لديهم ضعف السيطرة على نسبة السكر في الدم التي تعكسها نسبة عالية لقياس سكر الدم بعد الصيام ونسبة الهيموكلوبين السكري, بينما اظهرت صورة الملف الشخصي لقياس دهون الدم قيمة غير مهمه. بينت دراسة التوصيل العصبي (الحسية والحركية) فرق كبير بين الكمون، والسعة، وسرعة التوصيل بين مرضى السكري مع اعتلال الاعصاب المحيطية والذين لا يعانون من هذه الحالة. واظهرت نتائج منعكس الطرفة فرق هام للغاية (قيمة P <0.01) بين مرضى السكري ومجموعة السيطرة.مناقشة : اظهرت نتائج هذه الدراسة ان اعتلال الاعصاب المحيطية السكري يرتبط مع العديد من عوامل الخطورة مثل العمر, مدة المرض، مؤشر كتلة الجسم، وضعف السيطرة على نسبة السكر في الدم . وكشفت الدراسة ايضا ارتفاع معدل اعتلال الاعصاب المحيطية السكري في المرضى قيد الدراسة (73.5٪). اعتلال الاعصاب القحفية تحت الاكلينيكي موجود ايضا في المجموعة قيد الدراسة بغض النظر عن وجود او عدم وجود اعتلال الاعصاب المحيطية السكري. وقد تبين ذلك من خلال منعكس طرفة غير طبيعي في 44.6٪ من المرضى. كان معظم المرضى الذين يشكون من منعكس طرفة غير طبيعي يعانون ايضا من اعتلال الاعصاب المحيطية السكري (89.2٪) . ووفقا لنتائج هذه الدراسة اعتلال الاعصاب المحيطية السكري يزيد من فرصة وجود منعكس طرفة غير طبيعي بخمس مرات اكثر، وهو ينبئ باعتلال قحفي تحت الاكلينيكي لوجود نسبة غريبة بين اعتلال الاعصاب المحيطية السكري ومنعكس طرفة شاذ لا ارادي هي 5.29.اعتمد الباحث في تعريب المصطلحات العلمية على : 1 - اطلس التشريح العصبي. الاستاذ الدكتور محمد توفيق الرخاوي. جمهورية مصر العربية - الطبعة الاولى 2000 م.2 - المعجم الطبي الموحد - انكليزي - عربي. رئيس التحرير د. محمود الجليلي - الطبعة الرابعه 2009 م , مطبعة المجمع العلمي العراقي.3 - الموجز المصور لفحص الجهاز العصبي. ترجمة د. عبد الهادي الخليلي - بغداد - 1992 م , د. موريس فان الن ود. روبرت روزنسكي. | Background : Type 2 diabetes mellitus is a widely spread health problem associated with countless micro - and macro - vascular complications leading to rise morbidity . Diabetic peripheral neuropathy (DPN) is the most common complication of type 2 diabetes mellitus and it may presents as distal symmetrical polyneuropathy in which the body involved in gloves and stock pattern. Hyperglycemia is the main causative factor for peripheral neuropathy in diabetic patients. Cranial neuropathies is usually presenting as mononeuropathies coexist with DPN either presented clinically or in subclinical form. The aim of this study is to detect cranial neuropathy in diabetic patients also to evaluate the role of blink reflex for early diagnosis of cranial neuropathy in diabetic patients with or without polyneuropathy. Materials and methods : The study was conducted from January till August 2014. Eighty three patients with type 2 diabetes mellitus within age group of 30 - 69 years were included in the study. Patients who had clinical features of peripheral nerve dysfunction and recognized with abnormal electrophysiological findings of their peripheral nerves were regarded as patients with DPN (61 patients), while those who did not have complains of peripheral nerve dysfunction and with normal electrophysiological study of their peripheral nerves were considered as patients without DPN (22 patients). The study also involved normal healthy persons whose age and gender are harmonized with that of our patients that were deliberated as control group (60 persons). The patients and the controls joined in the study had undergone full evaluation that included : clinical assessment (history and examination), biochemical assessment (measurement of fasting blood sugar, glycosylated haemoglobin, lipid profile) and electrophysiological assessment that included sensory and motor nerve conduction studies (NCS) with blink reflex.Results : The study found that diabetic patients had positive family history, low educational level and high BMI when compared with control. Diabetic patients with DPN had significant (P value <0.01) difference in age(they were older), highly significant (P value =0.007)difference in the duration of the disease(they had longer disease duration), and highly significance (P value < 0.01) difference in BMI(they were obese ) when compared with diabetic patients without DPN.Furthermore diabetic patients with DPN had poor glycemic control reflected by high FBS and HbA1c, while lipid profile picture showed insignificance difference. Nerve conduction study (sensory and motor) showed a significant difference between latency, amplitude, and conduction velocity between diabetic patients with DPN and those without DPN. The results of blink reflex showed highly significant (p value < 0.01) difference between diabetic patients and controls.Discussion : The results of this study showed that diabetic peripheral neuropathy associated with many factors like age, duration of the disease, BMI, and poor glycemic control.The study also revealed a high prevalence of DPN among the studied group (73.5%). Subclinical cranial neuropathies also present in the studied group which was reflected by abnormal blink reflex found in 44.6% of the patients. Most of the patients with abnormal blink reflex had diabetic peripheral neuropathy (89.2%).According to the results of this study, DPN increases the chance of having abnormal blink reflex five times more, which means prophecy of underlying subclinical craniopathy, since the odd ratio between DPN and abnormal blink reflex is 5.29

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

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

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

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

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

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

قياس تركيز الحديد والفرتين والارثروبويتين وفيتامين ب وحامض الفولك والبيروكسايديز الدرقي في مصل مرضى تضخم الغدة الدرقية حديثي التشخيص في محافظة بابل == Serum Iron,Ferritin,Thyroid Peroxidase ,B12,Erythropoietin And Folate Concentrations In Patients With Newly Diagnosed Hyperthyroidism In Babylon Province

Author name: سالينا عبد العباس ناصر الشمري
Supervisor name: محمد عبيد المحمدي | علاء صادق العواد
General topic: Medicine
Specific topic: Physiology
Degree: Master
Language: English
University location: Babylon
First pages:
Abstract: فرط نشاط الغده الدرقيه : هو مرض يصيب الغده الدرقيه وذلك نظرا لارتفاع هرمون تي ثلاثه وتي اربعه وهما هرمونات الدرقيه ولوحظ ان هذا المرض يصيب النساء بنسبه اعلى من الرجال بسبب التاثير الهرموني للاناث مما يجعلها الاكثر عرضه لهذا المرض,من علامات هذا المرض هي زيا | Background : Hyperthyroidism is endocrine disease that occur due to high levels of thyroid gland hormones and this disease affected female more than male due to hormonal effect, the female is more susceptible to this disease.Sign of disease including increase in metabolic rate of patient,sweating,increase pulse,enlargement of thyroid gland(goiter) which by this sign can diagnosis the patient.Objective : Evaluate serum erythropoietin and its relation with increase metabolic rate as well as hemopoiesis,evaluate serum folic acid and vitamin B12 and its role in hyperthyroidism ,evaluate the correlation of thyroid peroxidase with thyroid hormones and evaluate serum iron and ferritin.Materials and methods : This study was done from October/2015 till July/2016.The total number of patients group in this study was seventy man and women.their age ranged 26 - 65 years,58 women and 12 men who was in patients group and 35 female and 5 male in control group.Patients data in this study was history of hypertension ,parity ,age and sex. The difficulty in my research was in collection of spa icemen from patients.Result : The result which obtained from this study found that high significant increase in ferritin,thyroid peroxidase,folate and erythropoietin (p?0.01) in patients as compare to control group.High significant decrease in iron and B12(p?0.01) in patients group compare to control group. in case of the age found the 30 - 39 years more effected age among patients group and the female more effected with disease than male.Conclusion : From this study we conclude that thehyperthyroidism in female more than male due to hormonal effect. Reduce in iron due to high metabolic rate lead to decrease absorption of iron and B12 which lead to anemia.increase thyroid peroxidase which play a role in T3 and T4 synthesis.

التغيرات الحاصلة في نسب الانسولين والاحماض الصفراء والكوليسترول 7 الفا هيدروكسليز وفوق الاكسيد الفائق في مصل مرضى حصى المراره == Serum Insulin, Bile Acid, Cholesterol 7 - Alpha Hydroxylase And Superoxide Dismutase Changes In Patients With Gallstone

Author name: سماح سجاد كاظم الشمري
Supervisor name: محمد عبيد المحمدي | علي خير الله الشاعلي
General topic: Medicine
Specific topic: Physiology
Degree: Master
Language: English
University location: Babylon
First pages:
Abstract: يعتبر مرض حصى المرارةمن اكثر امراض الجهاز الهضمي شيوعا، ووتشكل عبئا كبيرا على انظمة الرعاية الصحية. معظم الناس (حوالي 80 ?) مع حصى المرارة ليس لديهم اعراض. وتشمل مضاعفات حصى المرارة التهاب المرارة والبنكرياس.الهدف من الدراسة : 1 - للتحقيق في العلاقة بين | A gallstone is a stone formed within the gallbladder out of bile components. Cholelithiasis or Gallstone disease (GD) is one of the most prevalent gastrointestinal diseases, with a substantial burden to health care systems. Most people (about 80%) with gallstones are asymptomatic. Complications of gallstones include inflammation of the gallbladder, pancreas. Objective 1. To investigate the association between serum level bile acid and cholesterol 7 - alpha hydroxylase and the development of gallstone disease. 2. To Evaluate the change serum level insulin changes and its effect on gallstone formation. 3. The determination of serum superoxide dismutase changes in patients with gallstone. Material and Methods In this study, one hundred sixty (160) patients with gallstone aged (20 - 70) years and one hundred sixty (160) age and sex match subject (control group) had involved in this study. The patients were intended to undergo surgical removal of gallbladder in Al - Hilla general teaching hospital during the period from November (2015) to May (2016). Blood samples were obtained from all patients prior to surgical treatment. Serum was obtained by usual methods and analyzed for insulin, insulin resistance Cholesterol 7 - alpha hydroxylase, Superoxide Dismutase, Bile acid (Deoxycholic acid and Chenodeoxycholic acid) and lipid profile {total cholesterol, triglyceride, high density lipoprotein - cholesterol and low density lipoprotein cholesterol}. And qualitative analysis of gallstone (Cholesterol stone, mixed stone, pigment stone), then these parameters compared with those of control groups. In addition, a demographic comparison regarding to the age, sex and body mass index between the patients and control groups was carried. Results The results of this study show higher significant percentage of gall stone in female (81%) than male (19%) in the patient group. There was an insignificant difference between male and female patients, according to age group (P<0.05). There is a higher significant (p>0.05) family history in the patients with gallstone compared with control subjects. Additionally, There is highly significant percent of female using oral contraception in pateints than control group (p > 0.01). Similarly, smoking, parity,Type 2 diabetes mellitus and Body Mass Index are found to be significantly higher inpatient group (p>0.01). This study demonstrate that insulin and insulin resistance are significant higher in sera of patients with gallstone as compared with the control group. (p>0.01) Regarding the cholesterol 7 - alpha hydroxylase, superoxide dismutase and Bile acids are found to be significantlylower in sera of patients with gallstone as compared with the control group, p< 0.01). It has also found that there are a higher significant difference in gallstone patients than control regarding total cholesterol, triglyceride, high density lipoprotein - cholesterol and low density lipoprotein cholesterol levels were significantly higher than that of control group (p>0.01). Meanwhile, all these parameters in the study are variated according to gender. However The qualitative analysis of stone that show cholesterol stone is more common than other types.Conclusions In this study the most studied parameters including of Insulin and insulin resistance, cholesterol 7 - alpha hydroxylase, superoxide dismutase and Bile acids, cholesterol, triglyceride, high density lipoprotein - cholesterol and low density lipoprotein cholesterol are significantly different in gallstone patients compared to control subjects and such differences are demographically affected depending on the age, sex, BMI, parity, contraceptive and smoking.

التقييم الفسلجي للاعتلال العصبي الذاتي لمرضى داء السكري

Author name: نسرين قادر كامل
Supervisor name: محمد شريف عبد الله | موسى محمود مربط
General topic: Medicine
Specific topic: Physiology
Degree: Master
Language: English
University location: Baghdad
Key words:
  • Autouomic neuropaty
  • diabetics mellitus
  • heart rate
  • blood pressure
  • E C G
  • cardiovascular reflex
First pages:
Abstract: (Diabetes Mellitus) D.M : - is the most common endocrine disease, characterized by abnormalities of glucose, protein and lipid metabolism. Diabetic neuropathy is one of the long term chronic complications, which contributes to increase the morbidity & mortality rate in diabetes. One of the earliest manifestations of diabetic autonomic neuropathy is denervation of the cardiovascular system, assessment of cardiovascular reflexes affords a satisfactory evaluation. Along duration time.A battery of bedside clinical tests was used to assess the autonomic function of the heart. This is the response of blood pressure to sustained handgrip and standing - up. The R - R interval change and Q - T interval change in the E, C G in response to standing - up, deep breathing and valsalva maneuver. Number of the patients was 40 diabetic subject and 22 age and sex matched healthy controls. Insulin dependent diabetes Mellitus (IDDM) was 25(62.50%) of cases, non insulin dependent Diabetes Mellitus (NIDDM) was 15(37.5%) of cases, autonomic neuropathy was detected in 23 patients (57.5%), Orthostatic hypertension in 19 cases (47.5 %), abnormal blood pressure response to sustained hand grip in 20 (50%), abnormal valsalva ratio in 10 (25%), abnormal heart rate response to deep breathing in 11 cases (27.2%).Among the 13 patients with cardiac diabetic autonomic neuropathy, had a Q - Tc interval of > 440 ms ( p < 0.05 ). Compared to the remaining 4 patients had normal Q - Tc interval of 399.5 ± 37.49ms.Cardiovascular tests for cardiac autonomic neuropathy showed increase prevalence with increase in the duration of Diabetes Mellitus above 15 years.This study showed that diabetics had significantly impaired cardio - autonomic reflexes compared to non diabetics. Also, other group of diabetics who have apparently normal cardio - autonomic reflexes were found to have significantly different values compared to the control group, (heart rate variations with deep breathing and valsalva maneuver had a negative correlation with age)

نمط اصابات الاعصاب المحيطية بين الجنود العراقيين في الحرب باستعمال فحص تخطيط الاعصاب والعضلات == The Pattern Of Peripheral Nerve Injuries In The War Among Iraqi Soldiers By Using Electromyography

Author name: قيصر عبد الرزاق عطيه
Supervisor name: صفاء حسين علي
General topic: Medicine
Specific topic: Physiology
Degree: Master
Language: English
University location: Baghdad
First pages:

تقييم المؤشرات السريرية وبعض الدلائل الحيوية في مرض دواعم الاسنان == Evaluation Of Clinical Parameters And Some Biomarkers In Periodontal Disease

Author name: امل عليوي حسن
Supervisor name: سعد مرزة حسين الاعرجي | وسام وهاب الحمادي
General topic: Medicine
Specific topic: Physiology
Degree: Master
Language: English
University location: Babylon
First pages:
Abstract: امراض دواعم الاسنان هي مجموعة من امراض الالتهابات التي تصيب التجويف الفموي وتعرض الهياكل الداعمة للاسنان للخطر. تحدث هذه الامراض بسبب عدم التوازن بين الجراثيم المحيطة بالاسنان واستجابة المضيف. يعتبر مرض التهاب اللثة ومرض النساغ المزمن هي من الاقسام الرئيس | Periodontal diseases are a group of inflammatory diseases that affect the oral cavity and jeopardize the supporting structures of teeth. They are caused by an imbalance between periodontal pathogens and host responses. Gingivitis and chronic periodontitis are the major categories of these diseases. The study sample consisted of 80 individual of both genders, their age ranged from 30 to 50 years, and they are divided into three main groups according to the clinical periodontal parameters (plaque index, gingival index, bleeding on probing index, probing pocket depth index and clinical attachment level index). Group ? comprised from 24 (15 female and 9 male) healthy gingival volunteers as a control, group ?? comprised from of 29 (12 female and 17 male) patients with gingivitis, lastly group ??? comprised from 27 (11 female and 16 male) patients with chronic periodontitis. Unstimulated whole saliva samples are collected to determine the levels of Prostaglandin E2, Matrix Metalloprotinase - 8 and Alkaline Phosphatase. Clinical periodontal parameters are recorded at four sites per tooth. The results of present study revealed a highly significant difference (P - value < 0.01) in the mean ± SD for all of clinical periodontal parameters and for the levels of salivary biomarkers (Prostaglandin E2, Matrix Metalloproteinasee - 8 and Alkaline Phosphatase) among chronic periodontitis, gingivitis and control groups. The chronic periodontitis group revealed the higher mean value followed by the gingivitis group and the control group presented the least value. Regarding the correlation between the salivary biomarkers levels and clinical periodontal parameters, the present study showed a significant positive correlation (P< 0.05) and a highly significant positive correlation (P - value < 0.01) between each of salivary biomarker levels and all of clinical periodontal parameters. In addition, this study showed a highly significant positive correlation (P - value < 0.01) between Prostaglandin E2 and Matrix Metalloproteinasee - 8 and a significant positive correlation (P< 0.05) between Prostaglandin E2 and Alkaline Phosphatase and between Matrix Metalloproteinasee - 8 and Alkaline Phosphatase for gingivitis and chronic periodontitis groups. The present study re - emphasized the importance of whole saliva as sampling method in relations of immunological purposes in gingivitis and chronic periodontitis and proposed that the elevated levels of Prostaglandin E2, Matrix Metalloproteinasee - 8 and Alkaline Phosphatase may be one of the host - response mechanisms connect with the clinical appearances of periodontal diseases. Salivary Prostaglandin E2, Matrix Metalloproteinasee - 8 and Alkaline Phosphatase levels may reflected the severity of disease, thus help in the early detection of the disease.

تاثير احمرار الدم الثانوي الدم على وظيفة بطانة الاوعية الدموية الجهازية في محافظة بابل == Effect Of Secondary Polycythemia On Systemic Endothelial Function In Babylon Province

Author name: احمد محي الدين سهراب
Supervisor name: غافل صيهود حسن الشجيري | عامر صاحب المؤمن
General topic: Medicine
Specific topic: Physiology
Degree: Master
Language: English
University location: Babylon
First pages:
Abstract: تغير قطر الشريان العضدي كاستجابة الى الاحتقان , يستعمل بصورة واسعة لتقيم وظيفة بطانة الاوعية الدموية الجهازية بواسطة تسجيل التغير كاستجابة للاحتقان. ضعف او قلة التوسع يلاحظ بصورة واضحة لدى المرضى المصابون باحمرار الدم الثانوي.التوسع المحدث بالمد يقاس كن | Brachial artery diameter variations in response to hyperemia were widely used for the assess endothelial function by recording variations in response to hyperemia. Vasodilation was markedly impaired in polycythemic patients.Flow mediated dilatation (FMD) was measured as the percentage increase in brachial artery diameter at diastole after 5 minute of ischemia.Objectives : Material and MethodsThe present study was conducted at Echo - Doppler department in Marjan medical city / Hilla , in cooperation with the department of physiology of College of medicine / University of Babylon, from November 2015 to April 2016. A history, physical examination, blood pressure, and laboratory were performed on all subjects (patients with secondary polycythemia, and control groups). Seventy subjects were included in the present study. Their ages was ranged between 40 - 60 years. They were divided into two groups. Group 1 : Included 30 healthy subjects without polycythemia, all men, their mean age was 47.20 ± 7.3 years and they served as control group.Group 2 : Included 40 patients, all men, with secondary polycythemia, their mean age 46.90 ± 7.3 years.Method : Measurement of flow - mediated and nitroglycerin - induced dilatation of the brachial artery.Measuring blood pressure, auscultatory method.Assessment of BMI.Laboratory analyses : Serum urea test.Serum creatinin test.White blood cells (WBCs) count : Platelets count.Estimation of packed cell volume (PCV %).Red blood cells (RBCs) count. Hb. level test.Cholesterol test.Triglyceride test.Urea test.Creatinine test.Results : The mean flow mediated dilatation (FMD) on two groups was significantly (p value < 0.01) decreased (16%) in patients group (8%) comparison to control group (24%). The mean Hb concentration was significantly (P value < 0.01) increased in patients group compared to control group.The mean packed cell volume (PCV) was significantly (P vale < 0.01) increased in patients group compared to control group.The mean FMD was found to be significantly (16%) decreased in smoker patients group (8%) compared to nonsmoker control group (24 %).The mean red blood cells count was significantly (P value < 0.01) increased in patients group compared to control group.It was found that triglyceride level significantly increased (P value < 0.01) in patients group compared to control group.There was negative correlation between triglyceride and FMD in patients group. Their are No correlation between age and FMD in patients group.The mean serum cholesterol level was not significantly ( p value < 0.07) increased in patients group compared to control group , while serum triglyceride level, serum creatinin, serum urea were significantly ( p value < 0.01) increased respect in patients comparison to control. Mean glucose, Platelets and red blood cells counts were significantly (P value < 0.01) increased in patients group (polycythemic group) respectively compare to control group respectively.Mean body mass index (BMI) and packed cell volume (PCV) were significant (P value < 0.01) increased respectively in patients group compared to control group. Ages of patients group was non - significantly (P value = 0.89) decreased (46.90 ± 7.00 years) in patients group compare to control group.Conclusions : 1 - The mean flow mediated dilatation (FMD) was significantly decreased (16%) in patients group compared to control group. 2 - The mean Hb concentration , mean packed cell volume (PCV) , red blood cells count, platelets , and body mass index count was significantly increased in patients group compared to control group.3 - Polycythemia as with endothelial dysfunctions that may perform in diagnosis of arterial disease. That used to estimate whereas endothelial dysfunctions result from problem in the cardiovascular system with problem in the prothrombin time.4 - Polycythemia can result in raises causes of thrombosis.Through increase platelet dysfunctions, increase ; white blood cell counts, Hb count, homocystein and cholesterol level as with endothelial dysfunctions.

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

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

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

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

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

Author name: رواء هادي شريف
Supervisor name: سامي رحيم الكاتب | احمد نعمة رجيب
General topic: Medicine
Specific topic: Physiology
Degree: Master
Language: English
University location: Najaf
First pages:
Abstract: 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.

دور حامض الاسكوربيك وحامض السالسليك وكلوريد البوتاسيوم في تخفيف اثر الاجهاد الحراري لفروج اللحم == Role Of Ascorbic Acid, Salicylic Acid And Potassium Chloride In Decreasing Effect Of Heat Stress In Broiler

Author name: افراح جليل عبد
General topic: Veterinary Medicine
Specific topic: Physiology
Degree: Master
Language: English
University location: Qadisiyah
First pages:

الكفاءة التناسلية لصغار الجرذان من امهات معاملة اثناء مدة الرضاعة بخلات الرصاص : دور فيتامين E == Reproductive Efficiency Of Suckling Rats Treated With Lead Acetate During Lactation : Role Of Vitamin E

Author name: سنان ذنون عبد الله الجبوري
Supervisor name: وليد حميد يوسف سندال النصيري
General topic: Veterinary Medicine
Specific topic: Physiology
Degree: Master
Language: Arabic
University location: Mosul
First pages:
1 ... 8 9 10 11 12 ... 18