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دراسة تجريبية لانزيمات البروتييز للزائفة الزنجارية المعزولة من المرضى العراقيين المصابين بتقرح القرنية ودورها في علاج تقرح القرنية المتسبب عن المكورات العنقودية == Experimental Study of Pseudomonas aeruginosa Proteases Isolated from Corneal Ulcer of Iraqi Patients and Their Role in the Treatment of Staphylococcus aureus Keratitis

Author name: عائدة حسين ابراهيم
Supervisor name: جاسم محمد كرحوت | منيرة جلوب اسماعيل
General topic: Medicine
Specific topic: Microbiology
Degree: Doctorate
Language: English
University location: Baghdad
First pages:
Abstract: One - hundred and twenty samples ( corneal scraping) were collected from patients diagnosed to have microbial keratitis (corneal ulcer) who attended Ibn Al - Haitham Teaching Eye Hospital from the period between May 2013 and November 2013, Pseudomonas aeruginosa was reported 26 (21.6%) from the total cases. All bacterial isolates were diagnosed by conventional and biochemical tests, and confirmed by Vitek 2 Compact System.The role of proteases enzymes ( Elastase ( LasB), LasA, Alkaline protease and Protease IV ) of Pseudomonas aeruginosa in the corneal ulcer was studied by using genetic and molecular biological method by real time PCR, and the results indicated that three bacterial isolates of Pseudomonas aeruginosa possessed elastase gene (LasB) (11.5%), and only one bacterial isolate of Pseudomonas aeruginosa harbored LasA protease gene ( 3.8%). All bacterial isolates of Pseudomonas aeruginosa were harbored alkaline protease gene (100%), and twenty bacterial isolates were harbored protease IV (76.9%).The results of real - time PCR analysis indicated that four bacterial isolates of Pseudomonas aeruginosa (15.3%) were harbored more than one gene of different proteases enzymes ( elastase, alkaline protease, and protease IV).On the other hand our results showed that one bacterial isolates (3.8%) harbored both LasA protease and alkaline protease genes, and twenty bacterial isolates of Pseudomonas aerugenosa (76.9%) were harbored alkaline protease and protease IV genes.The LasA protease was extracted from Pseudomonas aeruginosa isolate by cooling centrifuge and precipitated supernatant by ammonium sulfate at saturation (80%). The resulted extracted crude enzyme concentration was 60 μg/ml. Then the crude enzyme was partially purified by dialysis and gel filtration chromatography by using Sephadex G - 100. The concentration of partial purified enzyme reached 40μg/ml.IIISummaryThe results of the experimental treatment of bacterial keratitis ( in vivo) of infected eyes rabbits caused by Methicillin Sensitive Staphylococcus aureus showed that the efficacy of LasA protease was effective was as Lysostaphin in eradicating Methicillin Sensitive Staphylococcus aureus from the infected corneas after approximately 15 h after giving the drug at dose 100 μl ( concentration 1μg / ml ) . While Vancomycin gave us very little potency in eradicating S. aureusfrom corneas in comparison with potency of LasA protease and Lysostaphin duringthis time but showed good potency very late approximately after 3 days of applicationof treatment.The results of the experimental treatment in vitro (in the test tube ) that is caused by Methicillin Sensitive Staphylococcus aureus showed that the efficacy of LasA protease was similar to that of Lysostaphin drug in the killing of Methicillin Sensitive Staphylococcus aureus in the bacterial broth.

قيمة العلامات المصلية في فحص وتشخيص التطور في فحص وتشخيص التطور لسرطان القولون == The Value of Serological Markers (CA19 - 9 and CCSA - 4) in Screening and Prognosis of Colon Cancer

Author name: عذراء احمد محمد يعقوب
Supervisor name: هيفاء سلمان الحديثي | عقيل شاكر محمود
General topic: Medicine
Specific topic: Microbiology
Degree: Master
Language: English
University location: Baghdad
First pages:
Abstract: Colonic cancer is a very common disease world - wide being fourth most common cancer characterized by abnormal proliferation of the epithelium of colon at beginning then taking full colon wall thickness then to surrounding lymph nodes and tissues and finally metastasis. It is one of most complicated diseases with debilitating symptoms which becomes more severe, prominent and specific with advancing stage with high percent of fatality and relatively short survival if diagnosed late or if left untreated.Therefore, finding an easy, non - invasive and readily available means (marker) of screening and diagnosing colonic cancer would be of great value particularly if the same biomarker can be used for diagnosis, screening, prognosis and monitoring the efficacy of different treatment modalities.Aims of study : - To investigate the efficacy and validity of serum Cancer Antigen 19 - 9 (CA19 - 9) and Colon Cancer Specific Antigen - 4 (CCSA - 4) levels in the screening and prognosis of colon cancer and their validity for this.Patients and methods : - This study was applied on 35 patients (17 females & 18 males) with colon cancer with ages ranged 53 - 82 years old ( 6 patients received chemotherapy and 5 of them have undergone surgical removal of the primary tumor and 4 different patients received immunotherapy) with 20 smokers and 4 alcoholic, 35 patients (19 females & 16 males) with benign polyps ages ranged 29 - 56 years old and 16 (7 females & 9 males) negative controls ages ranged 25 - 43 years age. According to DUKE's staging : 6 colon cancer patients were stage A, 12 were stage B, 12 were stage C and 5 were stage D.All individuals in this study (whom attended Baghdad Teaching Hospital and Gastroenterology and Hepatic Diseases Center) were subjected to blood sampling for measuring their serum CA19 - 9 and CCSA - 4 using Enzyme Linked ImmunoSorbent Assay (ELISA) technique which was done at microbiology unit / university of Baghdad.Results : - The present study has shown that colonic cancer patients were presented at ages between 53 - 82 years of age (mean 68.5±6.4 years of age).Serum levels of CCSA - 4 were significantly elevated in those patients with advancing stages (C & D) compared with stages (A & B) and lower levels found in patients who had surgical removal of tumor or received chemotherapy.Also a positive relation found between CCSA - 4 with alcohol intake and smoking, however, less significant levels and relations found with CA19 - 9.Conclusion : - Serum CCSA - 4 is sensitive and specific indicator for diagnosis, prognosis and screening of colonic cancer.

قيمة العلامة المصلية اختيار مصل رباط محفز التكاثر نوع A في تشخيص سرطان القولون في المرضى العراقيين == The value of serological marker serum A proliferation Inducing Ligand test in the Diagnosis of colon cancer in Iraqi patients

Author name: عقيل حاتم محمود
Supervisor name: سرمد محمد حسين الزيني | عقيل شاكر محمود
General topic: Medicine
Specific topic: Microbiology
Degree: Master
Language: English
University location: Baghdad
First pages:
Abstract: Colonic cancer is a very common disease world - wide being fourth most common cancer characterized by abnormal proliferation of the epithelium of colon at beginning then taking full colon wall thickness then to surrounding lymph nodes and tissues and finally metastasis. It is one of most complicated diseases with debilitating symptoms which becomes more severe, prominent and specific with advancing stage with high percent of fatality and relatively short survival if diagnosed late or if left untreated.Therefore, finding an easy, non - invasive and readily available means (marker) of diagnosing colonic cancer would be of great value particularly if the same biomarker can be used for diagnosis, screening, prognosis and monitoring the efficacy of different treatment modalities.Study objectives : -  To investigate the efficacy and validity of serum Carcinoembryonic Antigen (CEA) and serum A Proliferation inducing Ligand (sAPRIL) levels in the diagnosis of colon cancer as individual and as combined tests. Analyze the case - control differences in serum CEA and APRIL.  Evaluate the diagnostic performance of serum CEA and APRIL and their combination in predicting colon cancer and Assess the association between the two markers.  Suggest an optimum cut - off value for these two serum markers. Evaluate the effect of age, gender, tumor stage, alcohol and smoking habits, chemotherapy, surgical excision and immunotherapy on serum CEA and APRIL in cases with colon cancer. Patients and methods : - This study was applied on 35 patients (14 females & 21 males) withcolon cancer with ages ranged 58 - 88 years old (9 patients receivedchemotherapy and all of them have undergone surgical removal of the primarytumor and 4 different patients received immunotherapy which is monoclonalantibody) with 15 smokers and 7 alcoholic, 35 patients (19 females & 16 males)with benign polyps ages ranged 30 - 56 years old and 15 (7 females & 8 males)negative controls ages ranged 25 - 37 years age, samples were collected in theperiod between October 2016 and July 2017.According to DUKE's staging which is determined according histopathology after colonoscopy and few from surgery : 4 colon cancer patients were stage A, 9 were stage B, 12 were stage C and 10 were stage D.All individuals in this study (whom attended Baghdad Teaching Hospital and Gastroenterology and Hepatology teaching hospital) were subjected to blood sampling for measuring their serum CEA and sAPRIL using Enzyme Linked ImmunoSorbent Assay (ELISA) technique which was done at microbiology unit / university of Baghdad.Results : - The present study has shown that colonic cancer patients were presented at ages between 58 - 88 years of age ( 69 ± 8.2 years of age).Serum levels of CEA & sAPRIL were significantly elevated in those patients with advancing stages (C & D) compared with stages (A & B) and lower levels found in patients who had surgical removal of tumor or received chemotherapy.Also a positive relation found between CEA & sAPRIL from hand with alcohol intake & smoking on the other hand.

المستويات المصلية للكلكتين - 4 وللمستقبل شبيه التول - 2 في النساء المصابات باورام الثدي == SERUM LEVELS OF GALECTIN - 4 AND TOLL - LIKE RECEPTOR - 2 (TLR - 2) IN WOMEN WITH BREAST TUMOR

Author name: هند حامد عبد العامري
Supervisor name: عائدة رشيد منصور الدرزي
General topic: Medicine
Specific topic: Microbiology
Degree: Master
Language: English
University location: Baghdad
First pages:
Abstract: اشتملت هذه الدراسة على 30 مريضة مصابة بسرطان الثدي, وذات اعمار تتراوح مابين سبعة وعشرين سنة الى ستة وسبعين سنة, وبمتوسط عمر (11.8 50± ) سنة. وقد تم تشخيص هؤلاء المرضى سريريا وشعاعيا من قبل متخصصين, وقد كانوا من بين المرضى الذين حضروا للمركز الوطني للكشف المبكر عن الاورام - مدينة الطب /وزارة الصحة, خلال الفترة من تشرين الاول 2011 حتى شباط 2012.وتضمنت هذه الدراسة مجموعتا ضبط قياسية للمقارنة, المجموعة الاولى - مجموعة السيطرة المرضية لمريضات يعانون من ورم غدي ليفي حميد (الاورام الحميدة) وقد تم تشخيص هؤلاء المرضى ايضا سريريا وشعاعيا من قبل متخصصين, وقد كانوا من بين المرضى الذين حضروا للمركز الوطني للكشف المبكر عن الاورام - مدينة الطب /وزارة الصحة, خلال الفترة من تشرين الاول 2011 حتى شباط 2012., والمجموعة الثانية - مجموعة السيطرة الصحية والتي اشتملت على 20 امراة سليمة ظاهريا. وكشفت الدراسة عن النتائج الاتية : 1. اظهرت النتائج وجود فرق معنوي عالي جدا(P<0.001) في مستوى الكلكتين - 4 بين مرضى سرطان الثدي ومجموعة الضبط الصحية وحتى بين مجموعة السيطرة المرضية (الاورام الحميدة) ومجموعة السيطرة الصحية (P<0.001),ومع ذلك لم يكن هناك فروق ذات دلالة احصائية (P=0.92) بين المرضى ومجموعة السيطرة المرضية (الاورام الحميدة).لذلك لعدم وجود اختلافات ذات دلالة احصائية في القيم الوسيطية للكلكتين - 4 الموجود في المصل بين مرضى سرطان الثدي (الاورام الخبيثة) والمجموعة الضابطة (الاورام الحميدة), لذلك يمكن للمرء التعامل مع حالات اورام الثدي بشكل عام فيما يتعلق بالكلكتين - 4 الموجود في الانسان.2. ايضا هذه الدراسة اظهرت وجود فرق معنوي عالي جدا(P<0.001) في مستوى المستقبل شبيه التول - 2 بين مرضى سرطان الثدي ومجموعة الضبط الصحية وحتى بين مجموعة السيطرة المرضية (الاورام الحميدة) ومجموعة السيطرة الصحية (P<0.001) ومع ذلك لم يكن هناك فروق معنوية ذات دلالة احصائية (P=0.44) بين المرضى ومجموعة السيطرة المرضية (الاورام الحميدة).لذلك لعدم وجود اختلافات معنوية ذات دلالة احصائية في القيم الوسيطية للمستقبل شبيه التول - 2الموجود في المصل بين مرضى سرطان الثدي (الاورام الخبيثة) والمجموعة الضابطة (الاورام الحميدة), لذلك يمكن للمرء التعامل مع حالات اورام الثدي بشكل عام فيما يتعلق بالمستقبل شبيه التول - 2 الموجود في الانسان.3. تمت دراسة القيمة التكهنية للكلكتين - 4 المفحوص لتقييم نفاذية هذا المعامل وقد تم اثبات امتلاكه لاعلى دقة (98.8)مع حساسية 100%بقيم ثبوتية قطعية ( 0.44نانوغرام/مليليتر; ( لذلك ظهور النتائج الموجبة عند هذه القيمة الثبوتية القطعية سوف يساعد للتوصل الى تشخيص مؤكد من قبل الطبيب في العيادة مع نسبة ثقة (95.2% ( في وقت ان التشخيص الاولي للورم يساوي 50%) احتمالية قبل الاختبار ) ومع نسبة ثقة في العيادة (99.4%) في وقت التشخيص الاولي (على اساس تاريخ الحالة والفحص) للورم بنسبة احتمالية عالية (90% احتمالية قبل الاختبار(.4. تمت دراسة القيمة التكهنية للمستقبل شبيه التول - 2 المفحوص لتقييم نفاذية هذا المعامل وقد تم اثبات امتلاكه لاعلى دقة (97.5)مع حساسية 100% بقيم ثبوتية قطعية ( 0.14 نانوغرام/مليليتر; (لذلك ظهور النتائج الموجبة عند هذه القيمة الثبوتية القطعية سوف يساعد للتوصل الى تشخيص مؤكد من قبل الطبيب في العيادة مع نسبة ثقة (90.9% ( في وقت ان التشخيص الاولي للورم يساوي 50%) احتمالية قبل الاختبار) ومع نسبة ثقة في العيادة (98.9%) في وقت التشخيص الاولي (على اساس تاريخ الحالة والفحص ) للورم بنسبة احتمالية عالية (90%احتمالية قبل الاختبار(.5. اوضحت هذه الدراسة ارتفاعا ملحوظا بمتوسط تركيز الكلكتين - 4 (0.895 نانوغرام/مليليتر) بين المرضى الذين قضوا مدة طويلة بالمرض (ثلاثة اشهر فمافوق) بالمقارنة مــــع المرضى حديثي الاصابة بالمرض (اقل من ثلاثة اشهر) بتركيز وسيطي (0.552 نانوغرام/مليليتر(ومع ذلك هذا الاختلاف لم يصل الى مستوى الدلالة الاحصائية (p=0.12 ( لذلك الملاحظة الاحصائية للعلاقة الخطية بين فترة المرض وارتفاع تركيز الكلكتين - 4 تعتبر ضعيفة (r=0.268, p=0.039).6. وقد لوحظ ايضا ارتفاعا ملحوظا بمتوسط تركيز المستقبل شبيه التول - 2(0.619نانوغرام/مليليتر) بين المرضى الذين قضوا مدة طويلة بالمرض (سنة فمافوق) بالمقارنة مع المرضى حديثي الاصابة بالمرض (اقل من ثلاثة اشهر) بتركيز وسيطي (0.343 نانوغرام/مليليتر( ومع ذلك هذا الاختلاف لم يصل الى مستوى الدلالة الاحصائية (p=0.049 ( لذلك الملاحظة الاحصائية للعلاقة الخطية بين فترة المرض وارتفاع تركيز الكلكتين - 4 تعتبر ضعيفة (r=0.16, p=0.22).7. كشفت هذه الدراسة وجودعلاقة ايجابية لكن ضعيفة وعلاقة احصائية خطية غير ملاحظة بين حجم الورم وتركيزالكلكتين - 4 فمقارنة بتصنيف حجم الورم والذي صنف حسب نتائج هذه الدراسة الى فئات, كان التركيز الوسيطي للكلكتين - 4 الموجود بمصل المرضى ذوي الحجم الفئة الرابعة (اعلى حجم) اعلى بوضوح (0.895 نانوغرام/مليليتر) مقارنة مـــــع (0.567 نانوغرام/مليليتر) ذوي الحجم الاول (اقل حجم). (r=0.046, p=0.76).8. اتضح وجود علاقة ايجابية لكن ضعيفة وعلاقة احصائية خطية غير ملاحظة بين حجم الورم وتركيز المستقبل شبيه التول - 2 فمقارنة بتصنيف حجم الورم والذي صنف حسب نتائج هذه الدراسة الى فئات, كان التركيز الوسيطي للمستقبل شبيه التول - 2الموجود بمصل المرضى ذوي الحجم الفئة الرابعة (اعلى حجم) اعلى بوضوح (0. 619 نانو غرام/مليليتر) مقارنة مع (0. 288 نانوغرام / مليليتر) ذوي الحجم الاول (اقل حجم). (r=0.145, p=0.34).9. واخيرا,تبين الدراسة الحالية عدم وجود فروق ذات دلالة احصائية في متوسط تركيز مصل الدم الحاوي كلا من الكلكتين - 4 والمستقبل شبيه التول - 2 للمرضى المصابين بسرطان الاقنية (الموضعي) والاخرون المصابين بالسرطان الارتشاحي (p =0.12, 0.64 على التوالي.( | Thirty patients with breast cancer were enrolled in this study, their ages ranged between (27 - 76) years; with the mean age was 50+ 11.8 years. Also, 30 patients with benign fibroadenoma as case control group their ages ranged between (19 - 52) years; with the mean age was 33.1+ 10.2 years. Those patients were diagnosed clinically, radiologically and cytologically and histopathologically by specialists, and they were among patients who attending the National Center For Early Detection Of Cancer - Medical City Complex / Ministry of Health, during the period from October 2011 to February 2012. Twenty apparently healthy subjects as a control group were included in the present study for comparison. Major findings of current study were the following : - 1. There was a statistical significant difference in the serum level of galectin - 4 between breast cancer patients and healthy control group (p > 0.001) and even between case control and healthy control groups (p>0.001), however , there was no statistical differences between patients and case control groups (p=0.92). Since no statistical significant differences in serum galectin - 4 median values between breast cancer patients (malignant tumors) and case control groups (benign tumors), therefore one can deal with breast tumor cases in general regarding serum galectin - 4.2. Also, The current study has been demonstrated that there was a statistical significant difference in the serum level of Toll like receptor - 2 between breast cancer patients and healthy control group (p > 0.001) and even between case control and healthy control groups (p >0.001), however, there was no statistical differences between patients and case control groups (p =0.44). Since no statistical significant differences in serum Toll like receptor - 2 median values between breast cancer patient (malignant tumors) and case control groups (benign tumors), therefore one can deal with breast tumor cases in general regarding serum Toll like receptor - 2 .3. The predictive value of the tested galectin - 4 to detect the validity of this parameter was studied since it had the highest accuracy (98.8) with sensitivity 100% within the cut off value (0.44ng/ml); therefore, testing positive at this cut - off value will establish a possible diagnosis of tumor with (95.2%) confidence in a clinical setting where the primary diagnosis of tumor had equal odds probability (50% pretest probability), and with (99.4% )confidence in a clinical setting where the primary diagnosis (based on history and examination) of tumor had a high probability (90% pretest probability).4. The predictive value of the tested Toll like receptor - 2 to detected the validity of this parameter was studied since it had the highest accuracy (97.5) with sensitivity 100% within the cut off value (0.14ng/ml); therefore, testing positive at this cut - off value will establish a possible diagnosis of tumor with (90.9%) confidence in a clinical setting where the primary diagnosis of tumor had equal odds probability (50% pretest probability), and with (98.9% )confidence in a clinical setting where the primary diagnosis (based on history and examination ) of tumor had a high probability (90% pretest probability).5. The median concentration of serum galectin - 4 was obviously higher (0.895 ng/ml) among those patients with average to long duration of disease (3months +) in comparison to those with very recent disease (> 3 months) and whose median concentration of galectin - 4 was (0.552 ng/ml). The difference observed failed to reach the level of statistical significance (p value= 0.12); however, there was a statistic significant weak positive linear correlation between disease duration and human galectin - 4 (r=0.268, p=0.039).6. The median concentration of serum Toll like receptor - 2 was obviously higher (0.619 ng/ml) among those patients with average to long duration of disease (1years +) in comparison to those with very recent disease ( > 3 months) and whose median concentration of Toll like receptor - 2 was (0.343 ng/ml). The difference observed failed to reach the level of statistical significance (p value= 0.049); however, there was a statistically non significant weak positive linear correlation between disease duration and serum Toll like receptor - 2 (r=0.16, p=0.22).7. Concerning tumor size categories, the median concentration of serum galectin - 4 was obviously higher (0. 895 ng/ ml) among those patients who were within the fourth (highest) quartile in comparison to those within the first (lowest) quartile (0 .567 ng /ml). There was a weak positive and statistically not significant linear correlation between tumor size and serum galectin - 4 concentration (r=0.046, p=0.76).8. Concerning tumor size categories, The median concentration of serum Toll like receptor - 2 was obviously higher (0.619 ng/ ml) among those patients who were within the fourth (highest) quartile in comparison to those within the first (lowest) quartile (0.288 ng /ml). There was a weak positive and statistically not significant linear correlation between tumor size and Toll like receptor - 2 concentration (r=0.145, p=0.34).9. For both (Galectin - 4 and Toll like receptor - 2) there were no statistical differences in serum median concentration between ductal carcinoma in situ and infiltrative carcinoma (p =0.12, 0.64 respectively)

فايروس البارفو بي تسعة عشر وعلاقته بنوبة انعدام التنسج في الاطفال المصابين بابيضاض اللمفاويات الحاد == PARVOVIRUS B19 ASSOCIATED APLASTIC CRISISIN CHILDREN WITH ACUTE LYMPHOBLASTIC LEUKEMIA

Author name: اقبال معافي عبد لله المساري
Supervisor name: شذى فاروق عبد الله | مازن فیصل فرحان الجادري
General topic: Medicine
Specific topic: Microbiology
Degree: Master
Language: English
University location: Baghdad
First pages:
Abstract: Parvovirus B19 is a small single - stranded DNA virus and the only member of the species Parvoviridaeknown to infect humans. The virus exhibits a strong tropism for erythroid progenitor cells using the erythrocyte globoside P antigen as a surface viral receptor. In the setting of shortened red blood cell survival, mild pancytopenia characterized by transient and spontaneous recovery in healthy subjects. Nevertheless; severe aplastic anemia associated with parvovirus B19 infection may precede or be associated with acutelymphoblastic leukemia (ALL) that has been described in a number of reports.The attenuated immune response in these patients may obscure the serologic and clinical manifestations of infection. Infection may mimic a leukemic relapse or therapy - induced cytopenia, and may lead to hospital admission, frequent blood sampling, renewed bone marrow aspirates, multiple transfusions of red blood cells (RBCs) or platelets, and cessation of maintenance chemotherapy for up to 3 weeks in children with ALL.Materials & Methods : A cross sectional study involved forty five patients with ALL were currently attending department of oncology in Children'sWelfare Teaching Hospital in medical city of Baghdad between December 2012 and April 2013.Twenty one patient who newly diagnosed with ALL and 24 who underwent chemotherapy.Their age ranged from 8 months to 15 years with mean age ±SD equal to6.54±4.2 years. Compared to forty five of apparently healthy children who were already under pre operative screening tests. They included in this study as a control group, age and sex were matched.The practical part of this study performs the followings : 1 - Serological detection of parvovirus B19 specific antibodies (IgM and IgG) in patients’ serum using enzyme linked immunosorbant assay (ELISA).2 - Molecular detection of parvovirus B19 - DNA using Real - time PCR for viral load measurement.3 - Other tests : include hematological tests which were done routinely for patient assessment.ResultsB19 - IgM was detected in 7 out of 45 patients tested (15.6%) compared to 2 out of 45 (4.4%) apparently healthy children whom belong to control group. No Statistical significant difference was observed (P - value >0.05) and the risk of parvovirusB19 infection in children with ALL was 3.96 times (odds ratio).B19 - IgG was detected in 18 out of 45 patients (40%) compared to 6 out of 45 (13.3%) of apparently healthy children. Statistical significant difference was clearly noticed (P - value < 0.05).Four out of 21(19.05%) children whom newly diagnosed with ALL had acute parvovirus B19 infection compared to 3 out of 24 (12.5%) children on maintenance chemotherapy gave positive parvovirusB19 - IgM.Parvovirus B19 IgG antibodies were detected in 8 out of 21(38.1%) 0f newly diagnosed children with ALL compared to 10 out of 24 (41.7%) children on maintenance chemotherapy.The correlation between parvovirus B19 IgG - and IgM - Antibodies among study groups shows that 4 out of 45 (8.9%) was detected to be positive in children with ALL group compared to control group which revealed no detectable combined B19 IgG/IgM antibodies.Parvovirus B19 - DNA was detected in 6 out of 45(13.3%) compared to none detectable DNA signals among the control group. All cases with positive parvovirus B19 nucleic acid signals were underwent maintenance chemotherapy which were represented in 6 out of 24(25%), statistical significant difference were noticed among study cases. The viral load was ranged from (65x103 - 106 copies/ml) with mean of (36x104 copies/ml).In newly diagnosed ALL cases, only one case (4.7%) had IgM/IgG antibodies and 3 out of 21 cases (14.3%) gave IgM positive antibodies. While children on maintenance chemotherapy ,a combined IgM/IgG were detected in 3 cases out of 24(12.5%), 3 cases with both IgG and B19 DNA signal detection and only two (8.3%) children on maintenance chemotherapy gave positive B19 DNA signal (P - value < 0.05).The effect of B19 infection on blood parameters during recent, prior and absent infection for studied groups showed that the mean values of hemoglobin were 8.5±1.8, 6.5±2.5 and 8.5±2(g/dl) in children with ALL who were proved to have positive IgG, IgM and B19 DNA respectively compared to12.8±0.7 among control group (P<0.05). Other blood parameters showed a decreased RBC count which were estimated in cases with positive anti B19 IgG was 3±0.7 anti B19 IgM was 2.5±0.9whereas, mean RBC count was2.9±0.6 in association with B19 cases DNA detected signals (P<0.05). Furthermore, acute B19 - infection associated with a decreased WBC count among ALL cases with (p<0.05), a remarkable decrease in platelets count was appeared in cases with acute B19 infection (P<0.05).Regarding clinical symptoms and signs associated with B19 infection, 2 out of 7 (28.6%) cases with peticheal rash had acute infection with B19 virus, 3 out of 7 (42.9%) ALL cases with acute B19 infection complained from Arthralgia and 8 out of 18(44.4%) cases had non - specific fever and proved to have acute B19 infection, one ALL case with positive B19 IgM and/or B19 DNA out of 3 (33.3%) with bilateral cervical lymphadenopathy, 5 out of 6 (83.3%) cases with acute B19 infection had hepatosplenomegaly.Based on the sample studied, 15% of true B19 - IgM was identified by ELISA test compared to13% of true B19 - DNA signal detection by real time - PCR, whereas 100% of correctly no detectable B19 - DNA signal was identified in healthy control using real time - PCR, compared to 95% of negative B19 - IgM in serum level among control group using ELISA.A child who has a detected B19 - DNA signal by real time - PCR has a 100% chance of having acute infection compared to 77% chance of using ELISA test.Conclusions The study results are consistent with previous studies which appear that children who suffering from ALL are at increased risk of B19 infection. The use of real time PCR detects high B19 - DNA viral load. Notable percentage ofpersistent B19 infection was recorded among children with ALL who are receiving ongoing treatment, in addition, most of acute B19 infected ALL cases were asymptomatic. Acute B19 - infection was shown to be an important cause of anemia and cytopenia in children with ALL.Recommendation : Further follow up studies are necessary to clarify the role

دراسة الفطريات المسببة التهابات الجروح بين المرضى العراقيين في مدينة بغداد == Mycological study of wound infections among Iraqi patients in Baghdad city

Author name: انعام خليفة جاسم سلمان
Supervisor name: جاسم محمد كرحوت | توفيق وليد توفيق
General topic: Medicine
Specific topic: Microbiology
Degree: Master
Language: English
University location: Baghdad
First pages:
Abstract: Two hundred fifty swabs were collected from patients admitted to Burn Unit , Surgical and Plastic Surgery at Burn Specialist Hospital ,Al - Kindy Teaching Hospital , Al - Wasety Specialized Hospital , Sheik Zaed Emergency Hospital and Baghdad Teaching Hospital and they divided in to 150 swabs from burned patients and 100 swabs from other types of infected wounds ( surgical ,fractures ,car accident , gun shot and other types of trauma) during the period from November 2011 till October 2012 . The handling and diagnoses of these swabs were carried out at Teaching Laboratories ,Central Health Laboratory and Ibn - Albalady Hospital.Three major types of wounds were seen including burn , surgical and different kinds of trauma . All isolates obtained in this study identified depending on the microscopical appearance ,colonial morphology of fungi and by using RapID™ Yeast Plus System and with some other tests ,the confirmation of these results was done by using Vitek 2 Compact System.Burn wounds were having the largest number (60%) of studied wound infections and in positive fungal cultures 92(61.33 % of total burn wound), there was 89 isolates(49.17%)of yeasts out of the total fungal isolates which isolated from all kinds of wounds 181isolates , 14 isolates(7.7%)of mold out of the total fungal isolates , the most common fungal pathogen isolated from burn wound was Candida spp. 49 isolates (27%) followed by Cryptococcus spp. 24 isolates(13.25%)and Aspergillus spp. 9 isolates(4.97%).The incidence of wound infections was high in burn patients, and dry heat 133(88.6) was the most common causes of burn wounds , burn wound was higher in females 122(81.33%) than males 28(18.66%), females were admitted to burn hospital with a history of attempted suicide 30(96.8%) moreSummaryIIthan males 1(3.2%) , and there was a significant difference between them ,the difference was also significant in the prevalence of wound infections among males and females , burn injuries occurred in relation to age represented a higher percentage (60.6%) among ages (20 - 29) years old , while the lowest occurrence (33.3%) in ages less than one year , fungal burn infections represented a (100%) in ages less than one year , while (33.3%) was seen in ages between (1 - 9) years old burned patients .The largest number of burn patients was 39(26%)with TBSA(30 - 39%) , the TBSA>30% was mostly infected with fungal elements(82%) ,and reach 10 fungal isolations(100%) with TBSA more than 70 % TBSA. Mortality rate in positive fungal infections was with TBSA 30 - 39 %(50%) and reach (100%) in 50 - 59 % TBSA . Infections was higher in burned patients 31(33.7%) in the second week post injury and the lower incidence in the fourth week 5(5.4%) ,the number of single isolates was 59(32.6%)and mixed isolates 46(25.4%) .While other wounds showed positive fungal cultures 75 ( 75%) , as 62 (34.25%) isolates of them were yeasts from all kinds of wounds 181isolates , and 14 (7.73%) isolates of them were mold , the most common fungal pathogen isolated from these wound was Candida spp. 40 isolates (22.09%) followed by Cryptococcus spp. 9 isolates(4.97%) and Aspergillus spp. 7 isolates(3.86%).In other wounds the infection rate was higher in males 66(66%) than females 34 ( 34% ) , as there was a significant difference between males and females in relation to age when represent a high percentage seen among age group( 1 - 9) years old ( 20 % ) , while the lowest percentage ( 3 % ) was seen in age group less than 1year , the fungal infections occurred in relation to age represent a high percentage (100%) in patients less than one year and in ageSummaryIIIgroup ( 60 - 69) years old , while the lowest infection rate (33.3%) was seen in ages between (20 - 29) years old in patients suffering from other wounds.A high percentage of patients showed infection in the second week post injury 17 ( 23 % ) and the lowest percentage of infection seen in other wounds 2 patients ( 2.7 % ) was in the fourth and eight weeks after injury ,the number of single isolates was 56(30.9%)and mixed isolates 20(11.0%) .Sensitivity test was done by disc diffusion method ,six antifungal discs were used ( Amphotericin - B , Nystatin , Clotremazole , Ketoconazole , Fluconazole and Flucytosine ) , in this study Amphotericin - B was the most antifungal effective against most fungal isolates while , Fluconazole and Flucytosine were the less effective against these isolates

دراسة بعض الجوانب المناعية والبكتريولوجية لمرضى ذات الرئة Pneumonia == Study Some Immunological And Bacteriological Aspects of Pneumonia Patients

Author name: كرم رياض حسن الجراح
Supervisor name: رسمية عبد ابو ريشة
General topic: Biology
Specific topic: Microbiology
Degree: Master
University: University of Baghdad
Language: English
University location: Baghdad
First pages:
Abstract: جمعت 120 عينة قشع من اشخاص مصابين بمرض ذات الرئه للمدة من ايار 2013 الى شباط 2014 من ثلاثة مستشفيات في مدينة بغداد وشملت مستشفى اليرموك التعليمي, مستشفى دار التمريض الخاص, مستشفى بغداد التعليمي. شخصت العينات باستخدام الفحوص البايوكيميائية, نظامApi 20 E و| From May 2013 to Feburey 2014, 120 sputum and Aspiration samples of patients with pneumonia disease were collected from different hospitals in Baghdad included : Al Yarmouk Teaching Hospital, Hospital Nursing Home sector and Baghdad Teaching Hospital. All samples were diagnosed by biochemical tests, Api 20 E and Api20 strep. Systems, The results was found to be 28 isolates (23.3%) belong to K.pneumoniae, 26 isolates (21.7 %) belong to S.pneumonia while 66 isolates(55%) belong to causes : E.coli, Pseudomonas sp., Moraxella catrrhalis, S.pyogens, Monilia and S.aureus. From (55) blood samples of pneumonia patients and 30 blood samples from healthy individuals, number of white blood cell (Neutrophil) counts were measured, percentage of Neutrophil cell count in female (53%) higher than the cell count in male(47%). Some markers of pneumonia disease were studied such as ratio of infection between male and female, chronic and acute cases and smoker and non smoker, the results were showed the ratio of infection in female more than in male, (60%, 40%), respectively. And number of acute cases of pneumonia patients 41(74.55%) more than chronic cases 14(25.45%). While infection ratio in smoker patients more than nonsmoker patients at ratio 24(57.14%)18(42.86%), respectively. The result of interleukin - 8 level through acute and chronic phases in pneumonia patients sera was showed high level in patients compared with healthy persons (86.4403 ± 25.50919 vs. 58.7636 ± 4.73152 pg / ml, respectively) with a non significant difference statistically (P?0.05). Also in the age group (age 15 - 60years), The results showed the results interleukin 8 levels higher than the age groups of (2month - 3years) and (age 60 - 85) (93.63 ± 51.65, 68.88 ± 17.17, 65.68 ± 11.73 pg / ml, respectively) with non significant difference (P?0.05). The result of Leukotriene B4 level through acute and chronic phases in pneumonia patients sera showed high level in patients compared with healthy persons (36.00 ± 3, 82 vs. 25.96 ± 4.44 pg / ml, respectively) with a significant difference (P?0.05). Also in the age group (two months - 3 years) were showed the results interleukin 8 levels higher than the age groups (age 15 - 60) (age (60 - 85)(33.61 ± 11.06, 19.29 ± 4.67, 16.86 ± 4.51 pg / ml respectively) with no siginificant difference (P?0.05), the correlation coeifficient between interleukin - 8 and leukotriene B4 was (0.12) with no siginificant difference. The phagocytic activity was determined in pneumonia patients sera according to measurement C3 protein level through acute and chronic phases, the result were showed the ratio of C3 protein levels in healthy persons more than in patients (135.93 ± 12.74, 133.19 ± 12.01 pg / ml, respectively) with a difference was not significant statistically (P?0.05).

التمنيع باضداد الخمل النوع الاول المنتجة من بكتريا الاشريكية القولونية المسببة لالتهاب المجاري البولية ضد استيطان واصابة المثانة == Immunization With Type 1 Fimbriae of Uropathogenic Escherichia Coli Against Colonization And Infection of Bladder

Author name: اروى علي شكر
Supervisor name: رسمية عبد ابو ريشة
General topic: Biology
Specific topic: Microbiology
Degree: Master
University: University of Baghdad
Language: English
University location: Baghdad
First pages:
Abstract: Between September and November 2013 a total of 140 urine specimens obtained from patients in Al - Kadhmiah Teaching Hospital, Ibn - Al Naffees Teaching Hospital, and Educational Laboratories in Medical city. These midstream urine specimens were obtained from patients clinically suspected to have urinary tract infection (UTI) in sterilized containers. All specimens were processed immediately after collection.A total number of 140 specimens of mid - stream urine were collected from patients suffering urinary tract infection symptoms. These isolates were obtained from 41 male and 99 female patients. They were distributed in the age group of 5 - 60 years old. All specimens were identified using biochemical tests and API 20 E system. 60 (42.85%) of urine specimens was Escherichia coli and 15(10.71%) of specimens growth was Klebsiella spp. and 25(17.85%) growth was Proteus spp. and 40 (28.57%) was G+ve bacteria.The adherence ability of E.coli isolates were evaluated by using Congo red agar and detected their ability to produce biofilm by using methylene blue staining technique in polystyrene microtiter plates and then Optical density was determined at 580 nm.All sixty isolates of E.coli were grown on Congo red agar medium to detect their adherence ability. Twenty (33.3%) isolates were given negative result by forming pink colonies on congo red agar, were as, forty (66.6%) isolates were given positive result by forming black colonies with a dry crystalline. Three isolates give strong results E.coli (13, 8, and 40). Consistency indicated biofilm production by microtiter plate. E. coli 40 which isolated produced the thickest biofilm (O.D. : =3.17).Type 1 fimbriae expression by E.coli 40 isolate was detected by mannose - resistant hemagglutination (MRHA) of human blood group (O) IRBCs in the presence of 2% D - mannose. The isolate showed strong MRHA characteristics of type 1 fimbriae under microscope (40x). The E.coli E.40isolate which produced the thickest biofilm and gave strong MRHA was elected to be the source of type 1 fimbriae.Type 1 fimbriae was extracted by heating and mechanical shearing and partially purified by Ultracentrifugation (48, 000xg for 3hrs). SDS - PAGE with a molecular weight 20, 000 Dalton.Anti - type1 fimbriae antisera were prepared in rabbits. The specificity and titration of anti - type1fimbriae antibodies were determined using IgG protein by radial immunodiffusion plate and bacterial agglutination. IgG antibodies to fimbriae type 1 were also detected in rabbit sera from immunized rabbit and non - immunized. Immunized rabbit test 1 had increases in Fim1 - specific IgG antibodies (9.5) mg/dl. Immunized rabbit test 2 had increases in Fim1 - specific IgG antibodies (8.6) mg/dl. The non - immunized rabbit had no increase in absolute IgG antibodies to Fim1.The antisera agglutinated bacterial cells up to 1/80 dilution confirming the presence and titer of specific antibodies against type1 fimbriae.The microtiter plate method was applied to estimate the role of the prepared anti - type1fimbriae antibodies in reducing the biofilim formation by E.coli. Prevention of bacterial adherence and subsequent biofilm formation to polystyrene microtiter plate was studied by employing different dilutions (1/10, 1/20, 1/40, 1/80, 1/160, 1/320, 1/640) of rabbit sera containing anti - type 1 fimbriae antibodies. The maximum inhibition of biofilm formation in terms of optical density (580 nm) was found in lowest dilution (1/10) (highest concentration of Abs). However, the minimum inhibition was observed in highest dilution of rabbit antisera (1/640) (lowest concentration of Abs). Here the inhibition occurs in a dose dependent manner as the biofilm formation increased dramatically with increasing in antisera dilution. The results also showed that there is a significant difference(P<0.05) among data treated with sera and data without sera and among serial dilutions.General urine examination and culture for urine that absorbed from test 2 and control was done (GUE) show that pus cell in urine was (1 - 2/HPF). There was no growth of bacteria in urine culture.The Histological section show that the Control and test 1 rabbit (have been immunized with fimbriae and adjuvant and injected with E.coli intra muscular) and Test 2rabbit (that has been immunized with fimbriae and adjuvant and injected with E.coli directly in bladder has normal epithelial cells and mucosa.

تاثير انزيم SNase المنقى من العنقودي في الغشاء الحياتي للايشيركية القولونية والكليبسيلا الرئوية == Impact of Snase Purified From Staphylococcus Aureus On Biofilm of Klebsiella Pneumoniae And Escherichia Coli

Author name: هند تحسين ابراهيم
Supervisor name: حارث جبار فهد المذخوري
General topic: Biology
Specific topic: Microbiology
Degree: Master
University: University of Baghdad
Language: English
University location: Baghdad
First pages:
Abstract: SDS - PAGE showed that a single sharp band with an approximately 16.8 KDa molecular weight has been seen. A matter indicates that the enzyme is consistently pure. PCR technique was applied to approve the existence of nuc gene in S.aureus Nevertheless, only those which depicted positive results on DNase agar harboured nuc gene, as it is specified by single band appearance of nuc at assumed molecular weight (ca. 255 pb) of marker that being used. The current study findings highlighted the participation of SNase purified from S. aureus in significant (P< 0.05) preventing biofilm formation by E. coli and K. pneumoniae compared with untreated controls. Evidently, the inhibitory effect of SNase on biofilm formation is undoubtedly perceived, indicating the degradation of the structural major component of biofilm formation (i.e. extracellular DNA). Results revealed that SNase was able to significantly (P< 0.05) reduce the number of the uropathogens; E. coli and K. pneumoniae attached to the uroepithelial cells. 1 Chapter one : Introduction and literature Review 1. Introduction and Literature Review 1.1. Introduction Staphylococcus aureus is a persistent human pathogen that is responsible for a range of diseases that vary widely in clinical presentation and severity. The pathogenesis of S. aureus infection is a complex process involving a diverse array of secreted and surface - associated virulence determinants that are coordinately expressed at different stages of infection (Loughman et al., 2009). Escherichia coli is a genetically diverse species that causes a variety of infections which fulfill many or all of the proposed criteria for biofilmassociated infections (Kaper et al., 2004). Klebsiella pneumoniae is an opportunistic pathogen responsible for a wide range of nosocomial infections. One important factor associated with virulence in K. pneumoniae is its capacity to adhere to surfaces and form biofilms (Cruz et al., 2012). Bacteria often exist as sessile communities called biofilms which are exquisite structures caused by a genetically programmed developmental process. It is estimated that biofilms are involved in 65% of human bacterial infections, since cells in biofilms are 1000 times more resistant than cells in the planktonic state, making medical treatments fail (Shal? et al., 2011). Extracellular DNA (eDNA) plays a significant role in biofilm formation, as revealed by studies in several bacteria including E. coli (Nakao, 2012) and K. pneumoniae (Whitchurch et al., 2002); however, there is no definite proof on a cause - and - effect relationship between DNA release and biofilm formation (Beenken et al., 2012) or becomes a key component of the macromolecular scaffold in many different biofilms (Jakubovics et al., 2013). In rare cases eDNA has been shown to inhibit bacterial settlement. Therefore, it is possible that nuclease mediated eDNA degradation would therefore promote adhesion. Consequently, it is not clear whether microbial nucleases contribute to the gross biofilm structure in clinically relevant situations (Sheilds et al., 2013). 2 Chapter one : Introduction and literature Review All previous studies used both commercial bovine and recombinant human DNaseI in the disruption of medically important biofilms; whilst, extracellular nuclease of S. aureus (SNase) was used against biofilm of S. aureus themselves (Benenken et al., 2012b ; Kiedrowski et al., 2014). Thus, to date, the role of S. aureus exonucleases in biofilm of other bacteria remains unclear. However, in the present study SNase is used against biofilm of other bacterial species (viz. K. pneumoniae and E. coli). To address this, the following steps were undertaken : 1 - Investigating the negative impact of SNase extracted from S. aureus on K. pneumoniae and E.coli biofilm formation. 2 - Studying the preventive activity of SNase on the adherence of K. pneumoniae and E. coli on uroepithelial cell.

التحري عن بعـض عوامل الفوعة لبكتريا المكورات Enterococci المعوية المقاومة للمضاد الحيوي الفانكومايسين == Detection of Some Virulence Factors of Vancomycin - Resistant Enterococci

Author name: حيدر صباح كاظم الخماسي
Supervisor name: مي طالب فليح
General topic: Biology
Specific topic: Microbiology
Degree: Master
University: University of Baghdad
Language: English
University location: Baghdad
First pages:
Abstract: تم الحصول على (20) عزله لبكتريا المكورات المعوية البرازية من اصل (135) عينة جمعت من مستشفى مدينة الطب ومستشفى الكندي وهي كما ياتي (15 عينة الادرار, 60 عينة دم, 50 عينة من قنوات الجذر للاسنان و10 عينة من الحروق).اختبرت الحساسية لهذه العزلات العشرون لـ 11 | Clinical sampling was carried out between September and December 2013, Twenty Enterococcus faecalis isolates were obtained from 135 clinical specimens. The samples included of patients in Medical City Hospital and Al - kindy Hospital (15 urine, 60 blood, 50 root canal and 10 wound swabs) Antibiotics susceptibility test for 20 isolates was done against 11 antibiotics, it was revealed that the isolates showed multi drug resistance were (18) isolates. The vancomycin susceptibility was determined by the minimum inhibitory concentration (MIC). Resistant and intermediate resistant to vancomycin was distributed among isolates at a ratio of 65% and 20%, respectively. Imipenem was found to be the most bactericidal agent against E. faecalis isolates E. faecalis virulence factors were detected phenotypically, The results showed that all isolates (100%) were hemolysin, protease and aggregation substance producer. 30% of isolates showed an ability to produce gelatinase. While (40.7%) of the isolates were a lipase producer. The results of the tube method showed that all E. faecalis isolates (100%) were slime layer and biofilm producer but the amount of adherent layer were different among the isolates ranged from strong to moderate and weak.The extracted DNA was subjected to Polymerase chain reaction (PCR) technique in a monoplex pattern to amplify the virulence factor Enterococcal Surface Protein (esp) which is chromosomal, results of this investigation showed that 20 (100%) E. faecalis isolates gave the amplicon size 933 base pair for the esp gene.The genetic determinants of Vancomycin - Resistant vanA and vanB genes were amplified using monoplex and multiplex PCR techniques in order to identify vancomycin resistant (van+) and sensitive (lacking van) among (13) E. faecalis. The vanA, vanB genes were detected in 11 and 4 E. faecalis isolates, respectively. The results of monoplex and multiplex PCR revealed that the molecular weight of vanA and vanB genes were 550 and nearly 600 bp, respectively. The results revealed that the vanA and vanB amplicons have a genetic variation in their molecular weight during the electrophoresis of PCR product.

استخلاص وتوصيف المنشط السطحي الحيوي Rhamnolipid من بكتيريا Pseudomonas aeruginosa المعزولة من بعض الحالات السريرية والبيئية == Extraction And Identification of Rhamnolipid Biosurfactant From Pesudomonas Aeruginosa Isolates From Clinical And Environmental Cases A Thesis Submitted

Author name: مها هاني توفيق الخزرجي
Supervisor name: ندى صباح رزوقي
General topic: Biology
Specific topic: Microbiology
Degree: Master
Language: Arabic
University location: Baghdad
First pages:
Abstract: هدف البحث الى التعرف على فاعلية التدريس باستراتيجية التعلم بالتعاقد في تحصيل مادة علم الاحياء لدى طلاب الصف الثاني المتوسط وتفكيرهم الابداعي. وللتحقق من ذلك تم صياغة الفرضيتين الصفريتين الاتيتين : 1 - لا يوجد فرق ذو دلالة احصائية عند مستوى (05.0) بين مت | 50 isolates of the bacteria Pseudomonas aeruginosa was obtained from 201 clinical samples were distributed between Burn Specialist Hospital and teaching laboratories from patients with burns, infected wounds, middle ear infection, urinary tract infection and respiratory tract infection for a period from 1st February till 1st May. And we obtained 50 bacterial isolates from 20 samples from contaminated and non - contaminated soils were distributed different areas of Baghdad for a period of 1st May 2013 till 1st August.Number of cultural microscopically, biochemical and sensitivity to antibiotics tests had been, than diagnosis was confirmed by API20E system.These isolates was tested for ability to production of biosurfactants (rhamnolipid) by haemolysis, oil spreasding test, calculate value of emulisification factor (E24) and measuring surface tension for liquid media. Tow isolates (PS42 and PP8) had been selected, first one was from soil samples and other was from pathological samples because of they have highest productivity, haemolysis ability, oil spreading, highest emulisification factor value and highest in lowering surface tension, there for these tow isolates selected for study their inhibitory activity against types of bacteria. The rhamnolipid was extracted from tow isolates P. aeruginosa PP8 and P. aeruginosa PS42 by using mixture of solvents as was obtained 15.45 g and 18.25 g per liter of each of the PP8 and PS42 respectively. The rhamnolipid was diagnosed by thin layer chromatography technology (TLC) and high - performance liquid chromatography (HPLC) showed that tow bacteria produced three types of rhamnolipids (mono - , di - rhamnolipid and rhamnolipid A). The rhamonlipid efficiency was tested for inhibitory activity against bacteria by measuring diameter of inhibitory zone surrounding holes and discs. The inhibitory activity was high against Bacillus cersus bacteria followed by P. aeruginosa, than Staphylococcus aeraus and the lowest one was E. colli. The inhibitory activity for biosurfactant was approached to inhibitory activity for industrial surfactants. Also in this study has been determined minimum inhibitory concentration (MIC) value and Minimum Bactericidal Concentration (MBC) value for biosurfactants and the results varied depending on different types of biosurfactants and type of bacteria and the lowest values for MIC and MBC of biosurfactant produced by P. aeruginosa PS42 on growth of B. cereus and reached to 16.It was first time at local level for testing inhibitory activity of biosurfactant against pathogenic bacteria S. aureus and P. aeruginosa which was studied in vivo (injuried skin) after introduction these pathogens experimentally into laboratory mice with clinical symptoms appeared in injured skin after 48 hours and then treated mice groups with of 30 mg \ ml concentration of biosurfactants produced from isolates of bacterial (P. aeruginosa PP8 and P. aeruginosa PS42), resulted in a decrease in the time required for healing as found from the results obtained by the different length of period needed for healing (depending on the nature of injury and type of microorganism that causes injury).The mice had been recovered after 5 days when used biosurfactant at concentration 30 mg/ml produced P. aeruginosa PS42 followed by mice recovered after 6 days when used biosurfactants 30 mg/ml produced by P. aeruginosa PP8 in comparison with control group which recovered after 12 days for mice infected with S. aureus. In mice infected with P. aeruginosa recovered after 10 days when used biosurfactant produced by P. aeruginosa PS42 at concentration 30mg/ml and followed by mice recovered after 12 days when used biosurfactant produced by P. aeruginosa PP8 at concentration 30mg/ml in comparison with control group which recovered after 17 days.

دراسة وبائية لطفيليات القناة الهضمية عن منطقتي ابو غريب والعامرية وتاثيرها في بعض مستويات الدم == Survey of Intestinal Parasites In Abu - Ghreeb And Al - Ameria Areas And Their Effect On Some Blood Components A Thesis Submitted

Author name: دعاء بهاء عبد الجبار
Supervisor name: طالب عبد الله حسين
General topic: Biology
Specific topic: Microbiology
Degree: Master
Language: Arabic
University location: Baghdad
First pages:
Abstract: تضمنت الدراسة الحالية اجراء مقارنة حول نسب انتشار الطفيليات المعوية وعلاقة الاصابة ببعض مكونات الدم المحيطي (اقيام الهيموغلوبين والعدد الكلي لكريات الدم البيض واعداد الحمضات) في مرضى من منطقتي ابو غريب والعامرية خلال المدة مابين شهر تشرين الاول 2011 ولغاي | The present study has included the comparison 0f prevalence rates of intestinal parasites and the relationship of infection of certain components peripheral blood (hemoglobin values, the total number of white blood cells, eosinophils numbers) in patients of each of the regions of Abu Ghraib and Amiriyah during the period from October, 2011 until July, 2012 as it has been collected (2449) stool samples that were distributed between (1430) stool samples from Abu Ghraib Hospital auditors and (1019) stool samples of auditors of the Health Center in Amiriya and also it has been collected blood samples. Stool samples were examined by direct method using brine (Normal Saline) and tincture of iodine (Lugol's Iodine) and the floating way by sulphate zinc water (ZnSo4.7H2O) to investigate the prevalence of intestinal parasites and the relationship of infection by age, sex, number of family members, and the type of water used for drinking. The results showed the presence of significant difference at the possibility(p<0.05) in total infection for the regions of Abu Ghraib and Ameriyah where the percentage was (36.29%) in the area of Abu Ghraib and (27.57%) for the Amiriyah area. It has been diagnosed five types of intestinal parasites (protozoa + Helminthes) as follows : A - Intestinal protozoa in the Abu Ghraib and for the Amiriyah area : 1 - Entamoeba histolytica was (17.62%, 16.68%).2 - Giardia lamblia was (11.95%, 5.49%).3 - Entamoeba coli colon was (2.44%, 2.55%(.B - Helminthes1 - Dwarf tapeworm Hymenolepis nana was (2.37%, 1.76.(2 - pinworm Enterobius vermicularis was (1.88%, 1.07.(We Did not observe any significant differences between the infection of intestinal parasites and sex factor where the total infection for males was (6.53%) while for females, it reached (8.06%) for Abu Ghraib, as to the Amiriya region, also we did not notice any significant differences between the infection of intestinal parasites and sex factor where The total infection for males was (7.26%) while for females, it was (6.84%(. It has been also found that there are significant differences and when probability of (P <0.05) for the infection with parasite (Giardia lamblia) between the areas of Abu Ghraib and Amiriyah where infection rate reached (11.9%) in Abu Ghraib while for the Amiriyah area, it has reached the ratio of, (5.49%) for the same parasite, while there was no significant difference between the other four types of parasites. The individual injuries are prevalent Lama has reached bilateral injuries (56) bilateral injury in the Abu Ghraib area, and (13) in the area of bilateral injury Ameria and most of the injuries were bilateral parasite (E.histolytica+ G.lamblia). The results showed that there is a significant difference when probability (P <0.01) for the distribution of age groups, reaching the highest infection rate in the age group of (29 - 20) years, (56.68%) and the lowest infection in the age group (60 years and over) the percentage of infection was (21.42%) in the Abu Ghraib area, while for Amiriyah area, it has been recorded the highest infection rate in the age group of (29.20), where it reached (49.22%) and the lowest injury in the age group (60 years and above) where The percentage of infection was (4.82%(. Also, it was noticed the emergence of variation in the values of the components of the peripheral blood and the lack of significant difference when probability (P <0.05) in the area of Abu Ghraib where it recorded the highest proportion of hemoglobin in the parasite (Entamoeba histolytica), amounting to (12.40 g / 100 ml) and the lowest percentage hemoglobin was recorded in parasite (Enterobius vermicularis) amounting to (9.46 cells / mm3), and the lack of a significant difference in the total number of white blood cells where it recorded the highest rate in the parasite (Entamoeba histolytica) 6776.32 cells / mm3 while the lowest rate was recorded in the parasite (Enterobius vermicularis (5074.37cell\mm3, and lack of a significant difference for eosinophile numbers was recorded the highest proportion in parasite Hymenolepis nana 516.63 cell\mm3 and the lowst rate was recorded in parasite Entamoeba histolytica 159.63 cell\mm3. As for the Amiriyah, it hasn’t been noticed any significant differences when probability (P <0.05), where the highest proportion of hemoglobin in the parasite (Entamoeba histolytica), was (11.76 g / 100 ml) and the lowest percentage hemoglobin recorded in parasite (Enterobius vermicularis) was (9.90 g / 100ml), and there was the lack of a significant difference in the total number of white blood cells, where it has been recorded the highest rate in the parasite (Entamoeba histolytica) 6574.59 cells / mm3 and the lowest rate was recorded in the parasite (Entamoeba coli) 5700.00 cells / mm3 and the lack of a significant difference for eosinophile numbers. The highest proportion in parasite Enterobius vermicularis was 518.65 cell\mm3 and the lowst rate in parasite Entamoeba coli was 140.29 cell\mm3. The results also showed that there is a high significant difference when the probability (P <0.01) in the incidence of intestinal parasites and the relationship of water used for drinking where the study proved that the highest infection rates recorded of the people who use canal waters and water tank where It percentages was (49.54%, 39.00%), respectively while the lowest rate of infection was recorded in people who use boiling water which reached (14.02%). The same applies to the Amiriya district which recorded the highest percentage of people who use tap water and the lowest percentage of those using boiling water reaching ratios (41.49 %, 12.5%), respectively.

الدور الوقائي لبكتريا البفديس ضد خمج الفئران ببكتريا الاشيريكيا القولونية المنتجة لذيفان الشيكا == The Protective Role of Probiotic Bifidobacterium Against Mice Infection With Shiga Toxin Producing E.Coli O157 : H7

Author name: سمر مصطفى محمد
Supervisor name: شادان عباس الوانداوي
General topic: Biology
Specific topic: Microbiology
Degree: Master
University: University of Baghdad
Language: English
University location: Baghdad
First pages:
Abstract: Six Bifidobacterum isolates were isolated from fully breast - fed healthy infant faeces on reduced de Man Rogosa and sharp medium (MRS - C). Isolates identified on the basis of, colonial and microscopical properties, biochemical tests, and fructose - 6 - phosphate phosphoketolase enzyme (F6PPK) activity assay in cellular extracts. Carbohydrates fermentation profile used for identification of isolates to species level. All bacterial isolates diagnosed as Bifidobacterium genus where in this study B. adolescntis was the predominant species (50%), (B4, B5 and B6), followed by B. breve (B3), B. longum (B1) and B. dentium (B2) each one represent 16.67%.Bifidobacterium isolates were screened for their antagonistic effects against test organism, clinical isolate of shiga toxin producing E.coli O157 : H7 (STEC), using agar - well diffusion method. The isolates B3 and B6 showed clear inhibitory actions, 22 mm and 15 mm diameter of inhibitions zones, respectively. The rest of the tested isolates did not pronounce any inhibitory activity.B. breve in vivo antagonistic behavior and the possible protective effects against STEC was evaluated, using streptomycin treated murine model. Murine intestines was stably colonized orally with B. breve for 14 days, in conjunction mice were challenged orally with STEC, 103 CFU / mouse / day on day 8 of experiment. Bacterteriological analysis of mice faeces at time intervals, was indicated high levels of bacterial colonization were achieved in intestine by B. breve and STEC.Colonization of mice intestine by B. Breve did not inhibited STEC cells from proliferation during infection phase. Hence, the excretion level of STEC in faeces reached to 2.4 x 10 6 CFU/ g of faeces.STEC infected mice showed no severe clinical signs, characterized by hairloss, lethargy, paralysis of fore limbs, and shed of loose faeces. In the B. breve - colonized group, the mentioned clinical signs were almost completely inhibited, except the lethargic of some animals.Immunological studies showed an increase in the levels of sIgA by 2.7 - fold from that of blood IgA in B. breve - colonized mice while, reversed values were recorded in mice infected with STEC, blood IgA level was 1.95 - fold higher than that of sIgA.Histological changes in spleen, liver, kidney, and intestine tissues of mice were studied. The histological sections clarified the protective roles of B.breve, where no effective histological disorders were appeared in B.breve and STEC - colonized mice. In the STEC - infected mice, the pathological abnormalities within the kidney was the predominant, diagnozed as ulcers in the lining membranes, glomerular and tubular epithelium necrosis, without evidence of glomerular thrombi, mild damages was appeared in liver and spleen, and characteristic attaching and effacing (A / E) lesions appeared in the large intestine sections

عزل وتشخيص بكتريا Streptococcus spp المسببة لالتهاب اللوزتين من الاطفال وتاثير بعض عزلات بكتريا حامض اللبنيك عليها == Isolation And Identification of Streptococcus Spp Caused Tonsillitis From Children And The Effect of Some Lactic Acid Bacteria (Lab) Strains On It

Author name: رند ثائر عبد اللطيف
Supervisor name: ندى صباح رزوقي
General topic: Biology
Specific topic: Microbiology
Degree: Master
Language: Arabic
University location: Baghdad
First pages:
Abstract: بحثت الدراسة جمع 100 مسحة من اطفال مصابين بالتهاب اللوزتين الحاد والمزمن ممن راجعوا استشارية الانف والاذن والحنجرة في مستشفى اليرموك التعليمي للمدة مابين كانون الاول للعام 2013 ولغاية اذار للعام 2014. وكانت نتيجة الزرع المختبري موجبة في 67 مسحة منها وبالا | In this study 100 swabs were collected from infected children with acute and chronic tonsillitis who attended at Al - Yarmook Teaching Hospital (Eear Nose Tonsils consultation clinic) from December 2013 until March 2014. The result of laboratory culture were positive in 67 samples. Depending on their cultural, morphological and biochemical characterization of bacterial isolates : (37.31%) of them were identified as Streptococcus pyogenes bacteria and the diagnosis is confirmed by the use of Remel Rapid STR System. Whereas (34.33%) belong to S.parasanguinis, (11.94%) S.mitis, (11.94%) S.oralis and (4.48%) S.thoraltensis were identification of them are confirmed by using Vitek - 2 System also. As well as Sensitivity test for S.pyogenes cultures for some of the antibiotics done and the results revealed that all cultures were sensitive to tetracycline and chloramphenicol drugs 100%, while it was different in their sensitivity for other drugs. According to age (2 - 13) years revealed the highest percentage of infection for both male and female, however the percentage of acute and chronic tonsillitis was higher in males than females. In this study, during investigation of the antagonist action of lactic acid bacterial isolates against these pathogenic bacteria, results revealed that the method of L.acidophilus discs gave a high inhibition zones with a diameter of 11.3 mm, while L.fermentum discs yielded a high inhibition zones with a diameter of 7 mm 24 hrs following incubation in comparison with well diffusion method by using suspension of L.acidophilus produced a high inhibition zones with a diameter 7.25 mm 48 hrs after incubation. L.fermentum suspension produced a high inhibition zones with 10 mm diameter 24 hrs following incubation. Also the study included measurement of the inhibition activity for bacteriocins produced by L.acidophilus bacteria against the pathogenic bacteria S.pyogenes on nutrient agar by well diffusion method in which results revealed stability of the bacteriocins effects under different PH (4, 5, 6) with percent (100, 60, 50)% respectively for 24 hrs at higher stability and the highest stability of bacteriocins during PH was 4 with percent 100%, while it lost a lot of its activity with acidic PH less than 2 and basal pH more than 8. During the study the effect of Nacl, Kcl and MgSo4 with different concentrations (1 - 5%) with constant inhibitory effect for bacteriocins produced by L.acidophilus against pathogenic S.pyogenes, The result revealed that Nacl had little effect in inhibition zone with 1&2% concentrations. The salt MgSo4 and Kcl showed reduction in the inhibitory activity with 1, 2, 3% concentration, however the higher concentration of salt caused great reduction as 5% concentration led to loss of inhibitory activity for bacteriocins completely.Also this study showed light on the inhibitory effect of probiotics suspensions against the adhesion property of S.pyogenes after treated with L.acidophilus and L.fermentum.where the Result shown that L.acidophilus inhibit the adhesion of S.pyogenes with percent 68.92% either L.fermentum inhibit the adhesion of this pathogenic bacteria to epithelial cell with percent 30.28%. The study is consisted of showed the inhibitory action for suspensions of L.acidophilus and L.fermentum on biofilm formation by S.pyogenes, it was noticed the action of L.acidophilus in the side more than from the action of L.fermentum. During the study of the effect of suspension and filter of L.acidophilus and L.fermentum on the production of Hemolysin enzyme by S.pyogenes, it was noticed that the ability of suspension belong to L.acidophilus and L.fermentum to reduce the diameter of hemolysis zone which was beta type more than the ability of filter L.acidophilus and L.fermentum to reduce of the hemolysis zone which was beta type.

توصيف العاثيات الحالة للمكورات العنقودية الجلدية (S. epidermidis) == Characterization of Lytic Phage Against Staphylococcus Epidermidis

Author name: ريام سليم هندي الزيادي
Supervisor name: غانم عبود جابر المولى
General topic: Biology
Specific topic: Microbiology
Degree: Master
Language: English
University location: Baghdad
First pages:
Abstract: لحصول على عزلات Staph. epidermidisتم جمع (160 عينة) من حالات سريرية مختلفة كالتهاب المجاري البولية, التهابات جلدية, البلعوم, الانف, والاذن. تم الحصول على 51 (875¸31?) عزلة للمكورات العنقودية الجلدية Staph. epidermidis خلال فترة امتدت من ايلول 2014 الى كان | In order to isolate Staph. epidermidis, 160 clinical specimens were collected from (urinary tract infection, skin infection, pharynx, nose, and ear). Only 51(31.875 %) Staph. epidermidis isolates were obtained during a period from September 2014 to January 2015, depending on some biochemical tests and VITEK2 system. The Staph. epidermidis was given (gram stain, catalase , urase) positive, (coagulase, manital fermentation, oxidase, motility) negative, non haemolytic to human blood with some exception, most of the strain were able to produce biofilm, and (100%), (64.70%), (74.50%) resistant to penicillin G, ampicillin, and amoxicillin respectively. The Staphylococcus species identified during study were 44 (27.5%) isolates of Staph. aureus, 5 (3.125 %) Staph. haemolyticus, 4 (2.5 %) Staph. saprophyticus, 8 (4%) isolates other Staphylococcus spp. such as Staph. hominis ssp. hominis, Staph. capatis, Staph. xylose, Staph. simulanus, Staph. lentus, and 48 (30 %) from unknown genera. To isolate bacterioghages from sewage water, several sewage water samples were assayed using plaque assay of double agar overlay as a source of Staph. epidermidis phages. The bacteriophages were described depending on plaques size and shapes, phage 1 was the most predominant and frequent in the bacterial lawn and able to infect other S. species such as S. aureus. It has been selected to study it is titer, latent, rise period, and burst size were calculated. The effect of temperature, pH , and NaCl ions on it is original titer were studied.The results revealed a gradual decreasing in the phage titer with increasing dilution number. Latent period extended to (30 minutes) , while rise period was started with (40 minutes) extending to (60 minutes) , burst size was 2.346. Each temperature at several incubation periods , pH , and NaCl ions was significantly varied depending on phage titer. The optimum temperature was 40 ° C, while the 80 ° C was represented the inhibitor temperature. L.S.D. at level (0.05) for interaction was 39.552. The pH 6.5 - 7.5 represented the optimal pH for the best phage activity while the phage titer beginning to declining in above and below this range of optimal pH, L.S.D. at level 0.05 was 17.898 , the optimum NaCl ions concentrations were (0.1 M and 0.25 M), while the titer was significantly decreased with increasing the NaCl ion concentration in the culture solution, the L.S.D. at level 0.05 was (10.696). In conclusion of this study found that Phage1 was considered as predominant phage because of their ability to infect other Staphylococci species such as Staph. aureus.

دراسة امكانية الاستفادة من تركيز بروتين المصل الفعال نوع سي بروتين التفاعلي CRP في التشخيص المبكر للاصابات البكتيرية لحديثي الولادة وتحديد توقف اعطاء العلاج من خلاله == The Study of Usefulness of C - Reactive Protein Concentration In The Early Diagnosis And Determining The Duration of Antibiotic Therapy of Suspected Neonatal Bacterial Infection

Author name: قاسم ابراهيم حسين
Supervisor name: ايمان ناطق ناجي البياتي
General topic: Biology
Specific topic: Microbiology
Degree: Master
Language: English
University location: Baghdad
First pages:
Abstract: ان التشخيص السريع لاصابات تجرثم الدم في الاطفال حديثي الولادة من الامور المهمة وذلك لخطورة الاصابة المؤدية الى الموت.الغرض من دراستنا هو امكانية استخدام فحص سي - البروتين الفعال في التشخيص المبكرلهذا المرض البكتيري وكذلك استخدامه في تحديد نقطة التوقف عن ا | Rapid diagnosis of bacterial infections of newborn infants is very important itcause of morbidity and mortality. Aim of the studyThe aim of the studyis to examin the possibility of using C - reactive protein in the early diagnosis of neonatal sepsis, as well as its use in determining thestop point of the antibiotic treatment.Patent, Materials and methods This study was conducted at the Hospital of Ibn - Albaladi for children and women in Rusafathe Healthoffice / Baghdad.Iraq from February 2013 to February 2014.The number of patients with bacterial infection was 102 (62%) of the total number of patients (165) who were admitted to the neonatal care unit aged less than 28 days and their weights was more than 1500 g,. The number of males was 92 (56%) and the number of females was 73 (44%), the number of patient withearly onset sepsis EOS (less than three days) was 43 (42%) and with late onset sepsis LOS for (more than three days) was 59 (58%), 43 (57%) ofEOSwas normal deliveries infected and cesarean deliveries infected 33 (43%), while51 (57%) of LOS was normal deliveries infected and cesarean deliveries in LOS was 38 (43%). Blood samples were collected and divided into three portion : bloodculture, CRP andhematological profile.1 - Blood culture.Blood was collection from neonatal sepsis patientinto special blood culture bottle and incubate in bact /Alert 3 D device when growth of bacteria then subcultured on blood agar, MaCconkey agar, and incubatedusingvitek /2 to diagnose bacterial infection anddeterminetheir susceptibility to antibiotic treatment.ResultThe Compact results indicated that 63 (38%)of patient were negative and 102 (62%) were positive out of them 23 patients (22.6%)were infected with gram negative bacteria including {Klebsiella pneumonia 30%, Acinetobacterlowffi 17%, Enterobacter cloaca 13%, } while 79 (77.4%) were infected with gram positive bacteria including { staph Homins and staph hemolyticus each 28% then staph epidermidis 13% and staph aureus 10%, while strep spp was 6% }. 2 - c - reactive protein.It was done by twomethod for the same samples in order to characterize the accuracy of the diagnosis. The first method was agglutination test (method 1) the cut off value for positive result ? 6 µg % 79 (48%)were negative, while 86 (52%) werepositive, while the second method was immune test (method 2) µµµusing Nycocard device werethe cut off value for positive result ? 5 µg % the results 102 (62%) were positive while 63 (38% negative.3 - hematological profile.The hematological profile of our patient included PCV, WBC, neutrophil, lymphocyte, monocyte, count were measured using Emerald automated Hematology device. The results of these tests werenot compatible with the results of the blood culture, but normal result were compatible with negative blood cultures. The results adopted of blood culture confirm the presence of bacterial infection and then compared with theresults CRP test and blood profilefor the same samples.Negative result of blood culture and CRP test were 54 (33%) while positive results of blood culture and CRP test were recorded and improved after taking treatment for (, 3, 5, 7,) days for (40, 31, 5)patients respectively.ConclusionWeconcluded C - reactive protein test was useful in the diagnosis of bacterial blood infections and determine the stop - point otreatment. Gram negative bacterial isolates were sensitive impinim, livofloxacin and Amikacin while they were resistant to Ampicillin, Ampicillin /Sollbectam and Gentamycin. on the other hand gram positive bacteria were sensitive to Amikacin, Ampicillin/sulbactam Ciprphloxacin, and Tigecyclin and were resistant to Erythromicin, and Oxacillinand Benzylpencillin.

التحري عن جين الاوتولايسين في المكورات العنقوديه البشروية المقاومة لمضاد الفانكومايسين == Autolysin Gene Detection In Vancomycin Resistant Staphylococcus Epidermidis

Author name: مريم خميس عبد ربة بريس
Supervisor name: مي طالب فليح
General topic: Biology
Specific topic: Microbiology
Degree: Master
University: University of Baghdad
Language: English
University location: Baghdad
First pages:
Abstract: من مجموع مئة عينة سريرية جمعت من مصادر مختلفة شملت الحروق والدم والجروح ومسحات انفية, تمكنت 90 عزلة من النمو على اكار المانيتول الملحي , ومن بينهم 40(44.4 %) عزلة عائدة لبكتريا المكورات العنقودية المنتجة للانزيم المخثر للبلازما و50 (55.5%) عائدة لبكتريا ا | Out of one hundred clinical samples were taken from different sources which include burns, blood cultures, wounds and nasal swabs infections ; 90 isolates developed growth on mannitol salt agar. Among these, 40 (44.4%) were Coagulase positive (Staphylococcus aureus) isolates, 50 (55.5%) belong to coagulase negative staphylococci in which Staphylococcus epidermidis isolates were 30(60%). The pattern of antibiotic susceptibility of Staphylococcus epidermidis isolates to 12 antibotics (Amoxiclav, Ceftazidim, ciprofloxacin, clindamycin, Erythromycin, Gentamycin, Imipenime, Penicillin G, Tetracycline, Rifampin , Methicillin, and Vancomycin) were determined using disc diffusion method. The results revealed that resistance to Penicillin G10 and Amoxiclav (Amoxicillin - clavulanic acid) were 100%, Methicillin were 93%, Erythromycin were 90%, Gentamycin and Clindamycin were 70%, Tetracycline and ceftazidim were 75%, Ciproflaxacin were 60%, Rifampin were30%. 95% of S.epidermidis isolates were sensitive to Imipenim and 5% of them were intermediate resistant, while these isolates showed 90% sensitivity to vancomycin. 19 isolates were multidrug resistance. Minimum inhibitory concentration of S.epidermidis isolates to vancomycin, was determined. The results revealed that (12) S.epidermidis isolates (40 %) were vancomycin resistant, the MIC of them were between 256 ?g\ml and 32 ?g\ml, (4) S.epidermidis isolates (13.3%) were intermediate resistance, the MIC to 3 of them were 16 ?g\ml and the last was 8 ?g\ml. Some virulence factors of VRSE and VSSE were detected including the hemolysin, protease, lipase and urease. The S. epidermidis isolates were produce hemolysin, protases, lipase and urease, were 100%, 100%, 25%, 100% respectively in VRSE, while in VSSE 100%, 100%, 60%, 100% respectively. The isolates were subjected to polymerase chain reaction (PCR) technique in monoplex pattern to amplify resistant incoding gene : the vanA, vanB and autolysine gene aae gene. The results by this study showed that 12 (40%) S. epidermidis isolates gave the implicone size (1030 base pair) of the vanA gene. However the results of MIC and PCR were similar but no any isolates gave product for presence of vanB gene. All S.epidermidis were able to produce implicone size(858bp) of aae gene. The effect of vancomycin resistant S. epidermidis on cell autolysis activity was detected by whole cell autolytic assay.The results revealed that there was significant difference among three isolates, the VSSE isolate (S.epidermidis 22) have the highest autolytic activity in the presence of antibiotic, followed by the VRSE isolate (S. epidermidis 1) and the VISE isolate (S. epidermidis14) which was the lowest autolytic activity with the presence of antibiotic. The result of transmission electron microscope (TEM) showed that the VRSE isolates (S.epidermidis 1) have thicker cell wall followed by VISE (S.epidermidis 14) isolates.However, the VSSE (S.epidermidis 22) didn't showed any cell wall thickening.

التحري عن التعبير الجيني لل FOXP3 وTGF - ?1 باستخدام الطرائق الجزيئية والمناعية في سرطان الرئة اللاصغير الخلية == Detection of FOXP3 Gene Expression And TGF - ?1 Using Molecular And Immunological Methods In Non - Small Cell Lung Carcinoma

Author name: سهاد فيصل حاتم المقدادي
Supervisor name: امنة نصيف جاسم | بان عباس عبد المجيد
General topic: Biology
Specific topic: Microbiology
Degree: Doctorate
Language: English
University location: Baghdad
First pages:
Abstract: Studies have linked FOXP3 and TGF - ? expression to the outcome of certain cancers. FOXP3 is a marker known to be expression in T - regulatory cells while TGF - ? is a secreted protein usually detected in the extra cellular matrix.The present study aimed at focusing on the identification of immune markers namely FOXP3 and TGF - ? with their expression patterns in lung cancer patients as a useful tool to predict disease progression.Also it is aimed to design molecular evaluation of m RNA expression of both FOXP3 and TGF - ? in peripheral blood mononuclear cells and bronchial (brush) cells of patients with lung cancer and benign lesions, using qRT PCR; determining the T - reg level in the peripheral blood employing the High Rsolution Melting (HRM) as a novel method to detect Treg - specific demethylated region (TSDR); molecular DNA analysis of somatic mutation of exons 3, 6, 7 of FOXP3 in patients with lung cancer tissue and benign lesions and immunohistochemical (IHC) estimation of FOXP3 and TGF - ?1 in T - reg and cancer cells in formalin fixed paraffin embedded(FFPE)lung cancer tissue and benign lesions.Blood samples were collected from 30 patients with newly diagnosed, non small cell lung carcinoma and 30 patients with benign lesions.Patients were recruited at The Specialized Surgery Hospital and Oncology Teaching Hospital/Baghdad.Samples from 16 apparently healthy donors were used as control during the period from June 2012 to June 2013. The samples preservation with TRIzol reagent were subjected to molecular study including RNA and DNA extraction; reverse transcription; RT - PCR; HRM assay and DNA sequencing were done in the Molecular Oncology Unit/Guys and ST Thomas? s hospital/ King College/London/UK.The expression level of FOXP3 was high in 16(61.5%)in lung cancer cases.A significant difference was noticed between cancer cases from one side and benign lesions or healthy control on the other side p<0.05.Mean of FOXP3 expression(fold change)was significantly high(2.64±0.09)in cancer cases than in benign cases(1.32±0.04)and healthy control(1.38±0.06)with p<0.05.A significant association between high expression level and >60 age and squamous cell carcinoma in cancer cases P<0.05.The expression level of TGF - ? was high in 16(61.5%)in lung cancer cases.A significant difference was noticed between cancer cases from one side and benign lesions or healthy control on the other side p<0.05.Mean of TGF - ? expression (fold change) was significantly high (6.27±0.56) in cancer cases more than healthy control (2.87±0.09) with p<0.05.The association was significant between TGF - ? expression level (high and low) and age>60in cancer and benign groups (p<0.05), while no significant association with gender and cancer types were noticed.For FOXP3 mRNA expression in bronchial brush cells, the result showed no significant difference between the mean fold change of malignant(3.57 ± 0.06) and benign(4.02 ± 0.06) patients. The low expression was predominated both in cancer and benign cases. No significant differences were found between FOXP3 expression (high and low) and age; gender ; cancer types..According to FOXP3 T - reg specific demethylated region detection, results showed that the mean percentage of FOXP3demethylation in lung cancer patients (4.32 ± 0.04) was significantly higher than in benign lesions (3.22 ± 0.02) patients andhealthy controls(3.33±0.04). A positive correlation coefficient with high significant, was found in the group of cancer samples (R² = 0.6653;r = 0.69;P : 0.0017)on correlating percentage of Treg and demethylation of FOXP3 from one side with its m RNA expression on the other side.In benign lesion group was(R² = 0.5334;r= 0.59;p= 0.0027), While in the control group a positive correlation but a weak significance was found (R²= 0.2383;r=0.28;P=0.0437).FOXP3 gene sequencing revealed high frequency of missense mutations c.715 GTA>CTA : V 239 L in 17 (94.44%) in malignant sample and non cancerous cases7 (87.5%)without statistical differences. Missence mutations were also detected in exone 3 in 3(16.67%) cancer cases and in 1(12.5 %) benign lesion.No missense mutations could be detected in exon 6. Intronic mutations and silent mutation were variable in three exons without statistical differences. Many cases of adenocarcinoma have shown multiple mutations either of missense or Intronic types. Missense mutations of exon 7 were correlated significantly with an age of 60?years. Exon 3 mutations were significantly associated with adenocarcinoma. Positive FOXP3 Immunohistochemistry (IHC) staining in tumor cells was associated with high missense mutations frequency 10(55.55%) in exon7, while in exone 3 was 2(11.11%). Negative FOXP3 IHC staining in the tumor cells was associated with seven missense mutations in exon7 and one (5.55%) in exon 3, in addition 4(23.53%) cases of the exon 7 missense mutations were associated with negative FOXP3 expression in lymphocytes.The result showed that FOXP3 by using IHC staining was positive in 21(70%) of nuclei of cancer cells, and 22(73.3%)in Treg infiltrates.The positive cancer cells and Treg infiltrates associated significantly with age>60 (p<0.05).No significant association was found withgender, cancer type, while there is association with moderate differentiation compared to poorly differentiation (p<0.05). High frequence of FOXP3 expression score 3 and high intensity were appeared in nuclear cancer cells compared to benign lesions cells, while Treg infiltrates with score 1 and high intensity was high frequency in malignant and benign.The result showed that TGF - ?1 by using IHC staining was positive in 25(83.3%) in the cancer cells and 21(70%) in stromal cells. No significant difference was noted between positive expression in malignant and benign lesions p>0.05.No significant association was noticed between positive cells expression and age, gender, cancer type and differentiation p>0.05. High frequency of TGF - ?1 expression score 3 and high intensity in malignant cells and benign. Also stromal cell expression score 3 and high intensity were predominated in malignant and benign lesions. The high and moderate intensity expression was more frequent in matrix surrounding cancer cells compared to non cancerous.Total agreement and kappa coefficient between FOXP3 and TGF - ?1were poor in malignant and benign epithelial cells and stroma, while the perfect agreement was between expression of TGF - ?1in stromal cells

تعدد الاشكال الوراثي للحركيات الخلوية وHLA - DQB1 في مرضى السل الرئوي == Genetic Polymorphisms of Cytokines And HLA - DQB1 In Pulmonary Tuberculosis Patients

Author name: خلود كريم حسن
Supervisor name: علي حسين ادحية
General topic: Biology
Specific topic: Microbiology
Degree: Doctorate
University: University of Baghdad
Language: English
University location: Baghdad
First pages:
Abstract: The present study aimed to understand the correlation between serum level of nine cytokines (IL - 1?, IL - 1RA, IL - 2, IL - 4, IL - 6, IL - 10, IL - 12, IFN - ? and TNF - ?) and their genetic polymorphisms at 16 gene positions defined by sequence specific primer - polymerase chain reaction (SSP - PCR) in pulmonary tuberculosis (PTB) patients, and in addition HLA - DQB1 gene polymorphism was also defined by SSP - PCR to determine their role in susceptibility or resistance to M. tuberculosis. Finally, serum level of cortisol was also determined in the patients.Ninety four Iraqi Arabs PTB patients (70 males and 24 females) were enrolled in the study. They were referred to the Institute of Chest and Respiratory Diseases in Baghdad for diagnosis and treatment during the period May - October 2012. A control sample of 80 apparently healthy individuals was also included and matched patients for gender (60 males and 20 females) and ethnicity. The results are summarized in the following : 1. A significant increased serum level of IL - 1? (24.16 ± 8.82 vs. 3.20 ± 1.18 pg/ml), IL - 1RA (41.31 ± 6.64 vs. 16.85 ± 5.50 pg/ml), IL - 2 (17.63 ± 3.53 vs. 7.80 ± 1.10 pg/ml), IL - 4 (9.56 ± 2.60 vs. 3.81 ± 1.70 pg/ml), IL - 10 (34.49 ± 4.60 vs. 7.61 ± 1.70 pg/ml), IL - 12 (25.16 ± 5.85 vs. 7.70 ± 1.12 pg/ml) and TNF - ? (22.52 ± 4.41 vs. 4.97 ± 1.15 pg/ml) was recorded in PTB patients compared to controls. Also, Cortisol serum level was significantly increased in patients (215.47 ± 1.33 vs. 38.63 ± 1.74 ng/ml).2. Cytokine gene polymorphism analysis revealed that neither genotypes nor alleles of IL1A - 889, IL2 - 330, IL2+166, IL4 - 590, IL4 - 33, IL6+565, IL10 - 819, IL10 - 592, IL12B - 1188 and TNF - 238 genes showed a significant variation between PTB patients and controls. In contrast, the frequency of TT genotype of IL1RN gene at position mspal 11100 showed a significant (P = 0.004) increase in PTB patients compared to controls (65.9 vs. 43.7%). For IL4 - 1098, the frequency of TT genotype was also significantly (P = 0.048) increased inpatients (82.9 vs. 70.0%). At position - 174 of IL6 gene, a significant (P = 0.002) increased frequency of GG genotype was observed in patients (55.3 vs. 31.2%). For IL10 gene, only GG genotype at position IL10 - 1082 was observed with a significant (P = 0.045) increased frequency in patients (18.1 vs. 7.5%). At position - 308 of TNF gene, a significant (P = 6.9 x 10 - 5) decreased frequency of GG genotype was observed in patients (60.6 vs. 87.5%), while GA genotype was significantly (P = 1.3 x 10 - 4) increased (38.2 vs. 12.5%). Finally, the frequency of AA genotype of IFNG gene at position +874 demonstrated a significant (P = 0.006) increase in PTB patients (55.3%) compared to controls (33.7%).3. To determine the impact of cytokine genotypes on cytokines serum level, PTB patients and controls were distributed according to their serum level in the three genotypes of each cytokine. It was found that CC genotype of IL1RNmspal 11100 in patients was observed with the highest IL - 1RA level (52.16 ± 5.81 pg/ml) compared to TT (41.39 ± 3.23 pg/ml) or TC (38.10 ± 4.54 pg/ml) genotype. The TT genotype of IL2 at position - 330 also showed the highest level of IL - 2 (22.16 ± 4.31 pg/ml) compared to TG (17.59 ± 3.40 pg/ml) or GG (13.68 ± 3.53 pg/ml) genotype in patients. The IL4 - 1098 TT genotype showed the highest level of IL - 4 in patients (10.38 ± 2.21 pg/ml) compared to TG (6.09 ± 1.20 pg/ml) or GG (3.93 ± 0.80 pg/ml) genotype. For IL10 gene, the GG genotype of IL10 - 1082 recorded the highest level of IL - 10 (40.67 ± 2.96 pg/ml), which was significantly different from AA genotype (26.66 ± 5.65 pg/ml). At position - 308 of TNF gene, serum level of TNF - ? in GG genotype of patients demonstrated a significant increased mean compared to genotype GA (24.76 ± 1.30 vs. 19.15 ± 1.12 pg/ml). At position - 238, TNF GG genotype showed a significant increase level of TNF - ? (23.02 ± 2.91 pg/ml) in patients compared to AA genotype (17.18 ± 1.53 pg/ml) of patients. Finally, IFNG+874 AA genotype was observed with the highest IFN - ? level in patients (11.07 ± 1.12 pg/ml) compared to AT (7.97 ± 1.81 pg/ml)or TT (6.10 ± 2.20 pg/ml) genotype. In contrast, no such differences were observed in controls.4. Out of the five encountered HLA - DQB1 alleles, DQB1*03 showed a significant (P = 0.005) increased frequency in PTB patients compared to controls (71.3 vs. 50.0%). It was also observed that heterozygosity at such gene locus was significantly (P = 0.03) more frequent in patients than in controls (93.6 vs. 82.5%), while homozygosity was observed with a less percentage frequency in patients compared to controls (6.4 vs. 17.5%) and the difference was also significant (P = 0.03).Accordingly, it is possible to conclude that the cytokine profile was deviated in PTB patients, and such deviation was correlated with the genotypes of some cytokines, which might also together with HLA - DQB1polymorphism confer the individual an immunogenetic predisposition to develop M. tuberculosis infection.

دراسة تاثير استهلاك بكتريا Lactobacillus spp كمعزز حياتي على معدل كتلة الجسم ومحيط الخصر لدى عينة من مرضى السمنة في العراق == Study On The Effect Of Consuming Lactobacillus Spp. As Probiotic On The Body Mass Index (BMI) And Waist Circumference Among Sample Of Iraqi Obese Population

Author name: فخري سليمان العجيلي
Supervisor name: مى طالب فليح | لجين انور الخزرجى
General topic: Biology
Specific topic: Microbiology
Degree: Master
University: University of Baghdad
Language: English
University location: Baghdad
First pages:

التلوث الاشعاعي في مرضى السرطانات وامراض اخرى باستخدام معلمات مناعية وسريرية == Radiation Pollution In Cancer And Other Diseases Using Some Immunological And Clinical Parameters

Author name: وئام سعد الحمداني
Supervisor name: ضحى سعد صالح | مثنى عبد الجبار شنشل
General topic: Biology
Specific topic: Microbiology
Degree: Doctorate
University: University of Baghdad
Language: English
University location: Baghdad
First pages:

انتشاربكتريا Aeromonas spp. في المياه الخام ومياه الشرب والتحري عن قابليتها لتكوين الاغشية الحيوية == Prevalence Of Aeromonas spp. In Raw And Drinking Water ,And Detection Of Their Ability To Form Biofilm

Author name: سناء رحمن عليوي
Supervisor name: رشيد محجوب مصلح
General topic: Biology
Specific topic: Microbiology
Degree: Doctorate
University: University of Baghdad
Language: English
University location: Baghdad
First pages:

العلاقة بين ظاهرة العج والغشاء الحياتي في المتقلبات المعزولة من مرضى خمج المجاري البولية == Relationship between Swarming and Biofilm in Proteus spp. isolated from Urinary tract infection patients.

Author name: ساره صلاح قدوري حسين
Supervisor name: بهاء عبد الله لفته الربيعي
General topic: Biology
Specific topic: Microbiology
Degree: Master
University: University of Baghdad
Language: English
University location: Baghdad
First pages:

الاوكسجين الحرة المستحثة من العائلة المعوية تسبب الدنا في الخلايا الطلائية البولية البشرية == Reactive Oxygen Species Induced By Enterobacteriaceae Caused DNA Fragmentation In Human Uroepithelial Cells

Author name: اسامة باسم عبد الخالق الصفار
Supervisor name: هيفاء هادي حساني
General topic: Biology
Specific topic: Microbiology
Degree: Master
University: University of Baghdad
Language: English
University location: Baghdad
First pages:

انتاج وتوصيف المستحلبات الحياتية من بكتريا Serratia marcescens S10 المعزولة محليا == Production And Characterization Of Bioemulsifier From Locally Isolated Serratia Marcescens S10

Author name: انتصار فرعون احمد الملا
Supervisor name: شذى سلمان حسن
General topic: Biology
Specific topic: Microbiology
Degree: Master
University: University of Baghdad
Language: English
University location: Baghdad
First pages:
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