Medical
Xiaolei Li; Mohammad Reza Mohammadi
Abstract
This study was designed to investigate the value of red blood cell distribution width (RDW), prealbumin (PA), platelet to lymphocyte ratio (PLR), and carcinoembryonic antigen (CEA) in the diagnosis of colorectal cancer. There was 500 colorectal cancer (CRC) patients, 250 polyps of colorectal ...
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This study was designed to investigate the value of red blood cell distribution width (RDW), prealbumin (PA), platelet to lymphocyte ratio (PLR), and carcinoembryonic antigen (CEA) in the diagnosis of colorectal cancer. There was 500 colorectal cancer (CRC) patients, 250 polyps of colorectal patients, and 250 healthy volunteers performed to complete blood counts with automated differential counts. The differences in RDW, PA, PLR, and CEA among the three groups were statistically significant (P<0.05). RDW, PA, PLR, CEA, and RDW+PA+PLR+CEA all had a high accuracy rate for the diagnosis of colorectal cancer. RDW, PA, PLR, CEA, and RDW+PA+PLR+CEA were divided into high-expression groups and low-expression groups according to ROC cut-off values. Age was statistically different between the high and low groups in RDW, PA, and CEA. M staging was statistically different between high and low groups in CEA, and PLR. T staging was statistically different between high and low groups in PA, CEA, PLR, and RDW+PA+CEA+ PLR. N staging and blood vessel invasion were statistically different between the high and low groups in CEA. TNM staging was statistically different between high and low groups in PA, CEA, PLR, and RDW+PA+CEA+PLR. Perineural invasion was statistically different between the high and low groups in PA and CEA. The number of lymph node metastases was significantly and positively correlated with CEA. CEA and PLR were independent risk factors for the TNM staging. And they had good diagnostic efficacy for the TNM staging of colorectal cancer.
Medical
Neeli Sumanth; Paspula Soumya; Asma Tabassum; Pothuganti Mamatha; Gunti Yamini; Kodhiripaka Meghamala; Ganganamoni Pravalika
Abstract
The purpose of the study was to evaluate the prevalence, co-morbidities, pharmacological therapy, and effectiveness of common lifestyle changes for metabolic dysfunction in women with the polycystic ovarian syndrome (PCOS) and related comorbidities in the gynaecology division. This 6-month prospective ...
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The purpose of the study was to evaluate the prevalence, co-morbidities, pharmacological therapy, and effectiveness of common lifestyle changes for metabolic dysfunction in women with the polycystic ovarian syndrome (PCOS) and related comorbidities in the gynaecology division. This 6-month prospective observational study of 120 PCOS patients who were gynaecology patients at a tertiary care hospital was conducted from September 2021 to February 2022. An interview with the patient was done using an assessment form. This study highlighted the supportive evidence among PCOS patients for the advantages of changing one's lifestyle. This study involved 90 PCOS individuals out of a total of 120 participants, many of them were in the 20–30 age group. This research analyses the high prevalence of cardiovascular disease co-morbidities and demonstrates that a high BMI is the most common risk factor for PCOS. The findings of our study indicate the necessity of evaluating the complications seen in individuals who are at risk, such as infertility. This line of research demonstrates the critical impact that medication and lifestyle modifications play in managing PCOS. Patients with the polycystic ovarian syndrome should get advice regarding lifestyle modifications from a clinical pharmacist.
Medical
Kodipelly Ramana Raju; Afreen Sharifa; Paspula Soumya; Rumana Khanam; Koyala konda Banda Sanjay Bhargav
Abstract
The objective of the study is to compare and evaluate the efficacy of atorvastatin (group – A) versus rosuvastatin (group – B) on baseline parameters like lipid profile tests and to assess the risk of metabolic syndrome using a Mets calculator. A total of 100 patients were enclosed in the ...
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The objective of the study is to compare and evaluate the efficacy of atorvastatin (group – A) versus rosuvastatin (group – B) on baseline parameters like lipid profile tests and to assess the risk of metabolic syndrome using a Mets calculator. A total of 100 patients were enclosed in the present study who met the inclusion criteria. They were divided into two groups based on their treatment plan Group A includes 24 males and 26 females while Group B includes 23 males and 27 females. The mean differences before treatment for group A and group B are as follows, HDL (31.52±0.35 and 28.34±0.480), LDL (161.4±1.09 and 163.16±0.94), Total cholesterol (252.82±1.09 and 255.56±1.26) and Triglycerides (214.2±0.86 and 215.98±0.62), VLDL (35.98±0.56 and 36.12±0.43). The mean differences after treatment for group A and group B are as follows HDL (39.92±0.46 and 42.04±0.30), LDL (144.96±0.68 and 138.34±0.73), Total cholesterol (181.48±1.98 vs 174.32±2.08), Triglycerides (185.94±1.22 vs 181.74±1.77), VLDL (27.14±0.21 and 24.72±0.27). Group B (P=0.001) exhibited a significantly greater reduction in cholesterol levels as compared to Group A (P = 0.002). The reductions in LDL, VLDL, Total Cholesterol, and Triglycerides along with increased HDL levels were found to be significantly more in the Rosuvastatin group. In this study, we observed that patients on Rosuvastatin exhibited better control over lipid profile when compared to patients who are on Atorvastatin. Since, this study was conducted on a smaller number of patients, to make consecutive remarks about the superiority of either of the treatment regimen; further analysis of clinical trials is required for appropriate selection of the best statin therapy.
Medical
Musa Yakubu Tula; Joel Filgona; Serah Erold Kyauta; Richard Elisha
Abstract
The ability of the bacterial isolate to cause debilitating effects on the host is intricate and is a function of many factors, particularly that of the host and the bacteria. Among the bacterial factors are the virulence mechanisms. As such this research was a cross-sectional study conducted between ...
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The ability of the bacterial isolate to cause debilitating effects on the host is intricate and is a function of many factors, particularly that of the host and the bacteria. Among the bacterial factors are the virulence mechanisms. As such this research was a cross-sectional study conducted between October–December 2021 to establish the existence of virulence determinants on bacterial isolates from hospital fomites and the hands of healthcare workers. To achieve this, 100 samples (including sink, beddings, door handles, benches, and hands of healthcare workers) from children, female and male wards of Mubi General Hospital were analyzed for bacterial growth and were identified by standard procedure. Isolates were subsequently screened for virulent determinants (hemolysis, hemagglutination, biofilm production, and heteroresistance) phenotypically by standard methods. From the 72 bacterial isolates recovered, 23(31.9%) were biofilm-producing organisms. Of these, 15(20.8%) and 8(11.1%) were moderate and high biofilm-producing organisms respectively with no statistical difference (P=0.665). Pseudomonas aeruginosa (13.9%) was the most predominant biofilm-producing organism. Furthermore, hemolysin production was predominant in Staphylococcus aureus (71.4%), while positive hemagglutination reaction was predominant in P. aeruginosa (38.5%). Sixteen (16) bacterial isolates showed heteroresistance (HR) to various antibiotics; of these, Escherichia coli (43.8%) constitute the majority of the isolates. The expression of such virulence determinants by bacterial isolates in the study area may constitute a health risk to patients and hamper the quality of health care delivery.
Medical
Hateme Alavi; Farzaneh Zaheri; Roonak Shahoei
Abstract
Childbirth is one of the most important experiences in the life of mothers, which can bring tensions and worries due to physical and psychological changes. Therefore, the present study was conducted to determine the amount of support and control during childbirth and attachment after birth in mothers ...
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Childbirth is one of the most important experiences in the life of mothers, which can bring tensions and worries due to physical and psychological changes. Therefore, the present study was conducted to determine the amount of support and control during childbirth and attachment after birth in mothers who were referred to comprehensive health centers in Bijar County, in 2019. In this descriptive-analytical study, the studied population consisted of all the mothers who were referred to the comprehensive health centers of Bijar, who had passed 28 days after giving birth. The participants in the study were available to choose and completed the questionnaires for support and control during childbirth and attachment after birth. The collected data were analyzed using SPSS statistical software version 22 and multiple regression statistical tests, and a significance level of p<0.05 was considered. The results of the study showed that the level of support and control during childbirth was 83.32±17.038 and the level of attachment after birth was 47.70±4.688. Also, the results of the study showed that none of the investigated demographic variables were related to support and control during childbirth. The type of delivery (vaginal delivery with episiotomy r=-2.226, p=0.012) and the baby's gender (r=9.927, p=0.047) were related to support and control during delivery. Also, the results showed that among the demographic variables examined with attachment after birth, the variable of income (equal to monthly expenses r=6.307, p=0.01) had a positive and significant relationship with attachment after birth. The findings showed that support and control are at a moderate level and attachment after birth is at an average level, so it seems that with the necessary training on the importance of mother and child attachment to medical personnel, an effective step can be taken to improve these two factors and their consequences.
Medical
Namrata Malik; Umesh Pravin Dhuldhaj
Abstract
The sudden outbreak of coronavirus turned into a pandemic and resulted in huge socio-economic and human losses becoming a public health emergency. It took just 3-4 months to spread and encroach all over the world and not even a single country is left was unaffected by the coronavirus. WHO started clinical, ...
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The sudden outbreak of coronavirus turned into a pandemic and resulted in huge socio-economic and human losses becoming a public health emergency. It took just 3-4 months to spread and encroach all over the world and not even a single country is left was unaffected by the coronavirus. WHO started clinical, epidemiological, and laboratory investigations in response to this outbreak to control the further spread of the virus. The coronaviruses are enveloped and pleomorphic. The spike proteins present on the virus surface mediate its entry into host cells. The vaccines recommended have been shown to reduce COVID-19 illness symptoms but somehow their role in the transmission of the disease is unclear. By contrast, immunomodulatory therapy has also benefitted patients. As long as SARS-CoV-2 spreads in the population there are chances of its mutation as RNA viruses mutate over time and its upcoming variants. The previous Delta variant and the latest Omicron variant may cause much more serious deaths and health issues. Variants reduce the effectiveness of monoclonal antibodies or antibodies generated by previously administered vaccines. This review focuses on the pathogenicity of coronavirus and various drug therapies available to date to cure the disease. The present study also highlights the target sites and side effects of available drugs for treating COVID-19.
Medical
Poluri Koteswari; Pilly Aishwarya Lakshmi; Mohammed Yaseen; Sameera sultana; Amena Tabassum; Paspula Soumya; Aasimah Kawkab
Abstract
The main aim of the study was to identify factors associated with preterm birth. The study was conducted for a period of 6 months from September 2019 to February 2020 in 1607 women at SVS Medical College and Hospital, and Sushrutha Hospital, Mahabubnagar and it eventually selected 80 pregnant women for ...
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The main aim of the study was to identify factors associated with preterm birth. The study was conducted for a period of 6 months from September 2019 to February 2020 in 1607 women at SVS Medical College and Hospital, and Sushrutha Hospital, Mahabubnagar and it eventually selected 80 pregnant women for the final experiment. Those pregnant women who had pre-eclampsia, intrahepatic cholestasis during pregnancy, placenta previa or chorioamnionitis were more likely to experience pre-term birth. A patient interview was conducted in a detailed manner and all the necessary information regarding the mother and the infant were collected to carry out the study. Among 80 patients, collected the highest number of 39 cases i.e. 49% in between the age group of 17-23 years and the least number of cases therefore 19 i.e. 24% in between the age group of 35-45 years. We studied that maternal variable such as social status and educational status also impacts deliveries. Alcoholics had the highest number of very pre-term deliveries i.e., 36.25%. And among undergraduates, moderate preterm deliveries were a predominant number, i.e. 38.75%. Among the cases collected, 22.5% of women who have previous abortions had the highest number of preterm births with 31 cases and 5% of women with thyroid had the least number of pre-term births. 41% of preemie births were observed in the gestational gap of < 18 months, while 24% were recorded in > 30 months. In between two types of deliveries, 69% of preemie births were observed in the cesarean section and normal delivery includes 31%. The results of our study reveal that there is a need to assess the causes and complications among pregnant women who are at risk of delivering a premature baby. We have concluded that counseling the patients about their risk factors is necessary, and the patients should be told that harmful social habits will have a huge impact on their baby, before or after the delivery.
Medical
Musa Yakubu Tula; Joel Filgona; Musa Sale Pukuma
Abstract
This systematic review appraised the current status of DEC in Nigeria from the year 2000 to August 2022 with regards to their prevalence, pathotypes distribution, and dominance within the 6 geopolitical zones. Three research databases (AJOL, PubMed, and Google Scholar) were explored for articles of interest. ...
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This systematic review appraised the current status of DEC in Nigeria from the year 2000 to August 2022 with regards to their prevalence, pathotypes distribution, and dominance within the 6 geopolitical zones. Three research databases (AJOL, PubMed, and Google Scholar) were explored for articles of interest. From the outcome of the search, 19 full-length research articles from January 2000 to August 2022 that described the prevalence of DEC by molecular technique were recruited into the study. The results show that the studies of DEC were higher in the southern (52.63%) than in the northern (47.37%) region. Based on specimen types, 47.37% (9/19) and 52.63% (10/19) articles documented DEC from non-clinical and clinical sources, respectively. From the clinical sources, 70% of the studies targeted children of less than five years of age for the detection of DEC. The mean prevalence of DEC in Nigeria stands at 18.8%. The regional prevalence varies with the highest in the SW (32.57%) and the lowest in the NC (10.07%). The relationship between the prevalence of DEC to age group, gender, sample sources (clinical or non-clinical), study design (experimental and control groups), and regional differences were examined using odd ratios and chi-square statistics. Significance differences (P=0.0001) were obtained for all the parameters except gender which shows a lack of significant difference (P=0.1129). The most prevalent DEC pathotype was EAEC pathovar (44.62%) and the least was DAEC (2.23%). The regional distribution of the DEC pathotypes varies with the type of sample (clinical and non-clinical). Hybrid pathotypes were detected and constitute 4.89 % of the total DEC detected. The most prominent hybrid detected was EAEC/ETEC (39.13%). In that order, the DEC pathotypes were mostly resistant to ampicillin, penicillin, cotrimoxazole, and tetracycline, but were mostly susceptible to imipenem, gentamycin, and ofloxacin. We, therefore, advocate regular or periodic surveillance of DEC, and their drug resistance pattern, which will be useful to clinical personnel in their choice of a treatment regimen.
Medical
Farzaneh Fazeli; Masumeh Ahanjan
Abstract
Diabetes, a chronic metabolic disease, is recognized as the most frequent disorder in the endocrine system with hyperglycemia dealing with either insulin resistance or insufficiency or both. This disease is usually associated with numerous acute and chronic complications. Also, the treatment of diabetes ...
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Diabetes, a chronic metabolic disease, is recognized as the most frequent disorder in the endocrine system with hyperglycemia dealing with either insulin resistance or insufficiency or both. This disease is usually associated with numerous acute and chronic complications. Also, the treatment of diabetes complications has imposed a heavy financial burden on most societies. During the last decade, pancreatic islet transplantation has been widely studied as a potential therapy for diabetes. Of course, due to its limitations removing pancreatic cells from the corpse is very difficult. Stem cells are renewable cellular sources that are proposed as a substitute for organ transplantation. These cells which can be found in almost all multicellular organisms are capable of division and transforming into highly specialized cells, they can also replace injured and lost cells. The possibility of using stem cells in diabetes therapy and building insulin-producing islets has long been considered by most scientists and can be a future hope for controlling diabetes. Interestingly, human stem cells derived from hematopoietic organs, liver, pancreas, and embryonic human stem cells are among these factors. In this article, a series of studies carried out on this field is briefly reviewed.
Medical
Hasan Kamel Alsaedy; Ali Reza Mirzaei; Redha Alwan Hasan Alhashimi
Abstract
Cancer is one of the most complex and common diseases affected by many factors. In recent years, many studies have been conducted on the genetic characteristics of cancer, among which we can mention lncRNA Long Non-Coding RNAs, which effectively eliminate cancer tumors. LncRNAs are non-coding protein ...
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Cancer is one of the most complex and common diseases affected by many factors. In recent years, many studies have been conducted on the genetic characteristics of cancer, among which we can mention lncRNA Long Non-Coding RNAs, which effectively eliminate cancer tumors. LncRNAs are non-coding protein transcripts with a length of more than 200 nucleotides that react with other molecules through their unique structure and affect many cellular processes and chemical reactions in this way; they act as tumor suppressors and oncogenes in tumorigenic responses. On the other hand, lncRNAs play an essential role in cell proliferation, apoptosis, regulation of gene expression at different epigenetic levels of transcription, post-transcription, and interaction of molecules with other vital factors such as DNA, proteins, and other RNAs. Some lncRNAs can react with enzymes that change the state of chromatin and increase the transcriptional activity of some genes or turn off another group of genes. Also, lncRNAs are present in essential processes such as directing ribonucleoprotein complexes, regulating alternating processing, and maintaining the state of multipotency. Examining the function of lncRNAs has greatly impacted the early diagnosis and treatment of cancer cells. This review closely examines recent research on the use of lncRNAs in progression as clinical biomarkers and promising therapeutic targets in cancer.
Medical
Ismail Muhammad; Pukuma Micah Sale; Tanko Mahmoud Mohammed; Saleh Zaliha Miyim; Asiya Muhammad Usman
Abstract
Malaria control and its elimination heavenly depend on successful and reliable diagnosis using recommended diagnostic techniques. These available techniques often have certain peculiarities and mode applications, thus making them have different levels of performance and accuracy. Therefore the aim of ...
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Malaria control and its elimination heavenly depend on successful and reliable diagnosis using recommended diagnostic techniques. These available techniques often have certain peculiarities and mode applications, thus making them have different levels of performance and accuracy. Therefore the aim of this study was to evaluate the performance of PCR in relation to Rapid Diagnostic Test Kit (SD Bio line Malaria Ag P.f (05fk50)) in malaria diagnosis. A total of 200 blood samples were collected from the consented study subjects using the vein puncture technique and analysed using PCR and RDTs. Plasmodium falcifarum’s DNA was extracted using Quick-DNA™ Miniprep Plus Kit with catalog number D4069. 18SrRNA gene of Plasmodium falciparum from chromosome 13 was amplified using the two primers. For the RDTs technique, the SD Bio line Malaria Ag P.f (05fk50) test kit was used. Malaria prevalence of 106(53.0%) and 132(66.0%) were recorded using PCR and RDTs respectively. The PCR demonstrates an overall accuracy of 0.53 with sensitivity and specificity values of 56.06 and 52.94% respectively. The negative and positive predictive values were 69.81 and 38.30% respectively. PCR demonstrated a good level of performance and is therefore recommended as an effective diagnostic tool for malaria, especially in patients where the parasite density/parasitaemia level is very low.
Medical
Palle Rishitha Reddy; Golla Poojitha; Sandaram Kavitha; Syeda Lubna Samreen; Ayman Naseer; Poluri Koteswari; Paspula Soumya
Abstract
The study aimed to assess established and non-established risk factors and drug therapy problems in the cardiology department and perform a Prospective Observational Study. The study was conducted for a period of 6 months from September 2019 to February 2020 in 200 patients with established heart diseases ...
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The study aimed to assess established and non-established risk factors and drug therapy problems in the cardiology department and perform a Prospective Observational Study. The study was conducted for a period of 6 months from September 2019 to February 2020 in 200 patients with established heart diseases attending a tertiary care hospital in the cardiology department. A patient interview was conducted using an evaluation form. Among 100 patients with established cardiovascular diseases that were engaged in this study, a high number of patients were males and the majority of the patients were in the age group ‘Between’ 41-60 years. This study shows smoking and alcohol consumption is the most common risk factors in males, hypertension was the mainly 'established' risk factor for cardiovascular disease followed by Angina and Myocardial infarction. Among non-established risk factors, CKD was the main risk factor in cardiovascular disease followed by cardiovascular accidents. ACE Inhibitors and BB are the drugs mainly used in cardiovascular diseases followed by statins and diuretics. This study throws light on the statistical evidence among the age group and gender risk factors, and drug utilization. In the course of this study use of drug pattern was as follows: Anticoagulants are used in (29%) patients, ACE in (22.5%) patients, Antiplatelets in (68%) patients, diuretic in (34%) patients, Statins in (57%) patients, BB in (67.5%) patients, PPI in (22%) patients, CCB in (19.5%) patients, Nitrates (26.5%) patients, OHA (25%) patients. Similar findings in other studies (Blessy Rachel Thomas) (26) on drug therapy usage were found. There is a need to assess both non-established and established risk factors among patients with established heart diseases as in this study, CKD and HTN were the most common peril and counsel patients about their risk factors and social habits and lifestyle changes. There is a need for a clinical pharmacist to counsel about lifestyle changes and assess drug therapy utilization patterns in cardiac patients.
Medical
Mohammad Reza Mohammadi; Amir Hossein Omidi; Hoda Sabati
Abstract
SARS-CoV- 2 is the causative agent of the global pandemic, also known as Covid-19. This virus belongs to a group of coronaviruses and has affected more than ten million people across the globe, causing nearly half a million deaths worldwide. The pandemic has spread worldwide, originating in the Wuhan ...
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SARS-CoV- 2 is the causative agent of the global pandemic, also known as Covid-19. This virus belongs to a group of coronaviruses and has affected more than ten million people across the globe, causing nearly half a million deaths worldwide. The pandemic has spread worldwide, originating in the Wuhan Hubei province of China in 2019. The disease is a significant challenge as there is no antiviral treatment. This review will address current trends and emerging new methods for detecting SARS-CoV-2 in the laboratoryat present. Reverse transcriptase PCR or RT-PCR is the gold standard for detecting SARS-CoV-2 disease. The seroprevalence of Covid-19 is performed using antibody detection tests using ELISA and antigen detection as rapid tests. In clinical practice, preliminary disease identification is made based on Chest radiographs, computed tomography, and positron emission tomography (PET) scans. As the pandemic has progressed, newer methods of detection like CRISPR, nanotechnology-enabled solutions, and biosensors have emerged as new methods of detecting SARS-CoV-2.
Medical
I Nyoman Arsana; Ni Ketut Ayu Juliasih; A A Ayu Sauca Sunia Widyantari; Ni Luh Suriani; Agus Manto
Abstract
Pepper (Piper nigrum L.) has been utilized since antiquity and is considered the king of spices due to its wide use. This study aims to analyze the active compounds of white pepper through GC-MS and their pharmacological effects. Pepper seeds were extracted using 96% ethanol as solvent by the maceration ...
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Pepper (Piper nigrum L.) has been utilized since antiquity and is considered the king of spices due to its wide use. This study aims to analyze the active compounds of white pepper through GC-MS and their pharmacological effects. Pepper seeds were extracted using 96% ethanol as solvent by the maceration method. The active compounds in the dry extract were then analyzed by GC-MS. Identification of the active compound was carried out by matching it to the Willey7 Library database. Based on the results chromatogram, is known that there are 127 components of the compound, of which there are 11 main components. Most of the main components are alkaloids and have various pharmacological effects discussed. Piperidine, Caryophyllene, and Ethyl iso-allocholate are some of active compounds in ethanol extract. Ethyl iso-allocholate acts as an anti-inflammatory with a strong affinity for the target protein and also acts as an antiviral for SARS-CoV by inhibiting the attachment of the viral genome to target proteins, namely angiotensin-converting enzyme 2 (ACE2) and main protease (MPro).
Medical
Mehdi Doosti-Moghaddam; Hamid Reza Miri; Arezou Ghahghaei; Mohammad Reza Hajinezhad; Hadi Saboori
Abstract
Hyperlipidemia is a major risk factor for the development of cardiovascular disease. In this study, the effects of an unripe fruit extract of Momordica charantia on total cholesterol, total triglyceride and lipoproteins in the blood of mice with hyperlipidemia were investigated. In this study, 28 adult ...
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Hyperlipidemia is a major risk factor for the development of cardiovascular disease. In this study, the effects of an unripe fruit extract of Momordica charantia on total cholesterol, total triglyceride and lipoproteins in the blood of mice with hyperlipidemia were investigated. In this study, 28 adult male Wistar rats weighing 210 to 250 g were selected and randomly divided into four groups of seven. One group was on a normal diet and the other groups were fed a high-fat diet for 8 weeks to develop hyperlipidemia. Experimental groups in this study were included group 1: control, oral administration of normal food without any drugs or extracts. Group 2: hyperlipidemia mice, feeding with normal food. Group 3: hyperlipidemia mice with a diet containing 4%. Group 4: hyperlipidemia mice with a diet containing 8%. The animals were fed by gavage at a dose of 4% and 8% of M. charantia powder solution for 15 days. Blood samples were taken and the level of total cholesterol, total triglyceride, and high-density lipoproteins (HDL) were measured enzymatically. The amount of low-density lipoproteins was calculated by Friedewald's formula. Data were analyzed using the analysis of variance. Experimental results showed that immature fruit powder of M. charantia quarantine significantly reduced serum triglycerides in group 8% mice fed rats fed a high-fat diet. Moreover, immature fruit powder of M. charantia increased the level of high-density lipoproteins. There was a statistically significant difference between the level of cholesterol and the level of low-density proteins (LDL). The highest reduction belonged to the group receiving immature powder. The results of the experiment showed that the unripe fruit extract of M. charantia has strong antilipidemic effects on rats fed with a high-fat diet.
Medical
Mohammad Reza Mohammadi; Hoda Sabati
Abstract
NCP (new coronavirus pneumonia) was discovered in Wuhan towards the end of 2019 and quickly spread throughout the city. The infection was identified as a novel coronavirus, and the World Health Organization (WHO) called it coronavirus disease-19 (COVID-19). Most people with this infection can experience ...
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NCP (new coronavirus pneumonia) was discovered in Wuhan towards the end of 2019 and quickly spread throughout the city. The infection was identified as a novel coronavirus, and the World Health Organization (WHO) called it coronavirus disease-19 (COVID-19). Most people with this infection can experience mild to severe and even fatal symptoms after a period of disease incubation of 4 to 14 days. In up to 10% of patients, gastrointestinal symptoms such as nausea and diarrhea, as well as associated abdominal discomfort, may occur before respiratory symptoms. Several SARS-CoV-2 variations have been identified during the epidemic, however, only a handful are deemed variants of concern (VOCs) by the WHO due to their worldwide public health effect. In this article, we looked at new mutations in COVID-19 as well as the adverse effects of the virus on the cardiovascular and gastrointestinal tract. The discovery of these novel SARS-CoV-2 variations threatens to undo the substantial success made so far in restricting the spread of this viral disease, despite the extraordinary speed with which vaccines against COVID-19 have been developed and vigorous worldwide mass immunization efforts. Through mechanisms involving the dysregulated ACE 2 receptor and TMPRSS2, the SARS-CoV-2 virus has the potential to induce significant systemic disease in the GI tract, liver, biliary tract, and pancreas. Due to the observation of new and daily mutations of this dangerous virus, the definitive treatment of this disease is becoming more and more difficult and facing major challenges that it requires many clinical trials and researches.
Medical
Ismail Muhammad; Bala Abubakar; Tanko Mahmoud Muhammad
Abstract
Human beings are sometime expose to the same to predisposing factors of a given infectious disease, but the outcome in terms of disease manifestation differs greatly. This variation is mainly attributed to the genetic makeup of such individuals; this is because human genetic has long been associated ...
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Human beings are sometime expose to the same to predisposing factors of a given infectious disease, but the outcome in terms of disease manifestation differs greatly. This variation is mainly attributed to the genetic makeup of such individuals; this is because human genetic has long been associated with the variation in susceptibility to various infectious diseases, which is termed as genetic resistance. Therefore the aim of this paper was to review the state of knowledge on genetic resistance associated with malaria infection. Genetic resistance to malaria can be describe as an inherited alteration or changes in the genetic material of humans specifically DNA molecule and other vital biomolecules which increases the chances of resistance to malaria and thus, result in an increased survival of individuals with those genetic alterations. In addition such changes also affect the general wellbeing and survival of the parasite to the extent that the parasite cannot even multiply or replicate itself while in such infected erythrocyte. This is because such alteration in the DNA molecule interferes with some of the vital chemical and biochemical processes of the parasite (Plasmodim spp). Therefore, several genetic disorders and or trait which include: Sickle cell disease, Glocose-6-Phosphatedehyrogenase deficiency, Pyruvate Kinase deficiency, Duffy antigen, Ovalocytocytosis, Thalassemia and ABO blood group are known to offer special protection against malaria disease in individuals who possessed at least one of such disorders or trait.
Medical
Razieh Behzadmehr; Khadije Rezaie-Keikhaie
Abstract
Diabetes is one of the most common non-contagious diseases in the world. This disease is the fourth or fifth cause of death in most developed countries. The relationship between tuberculosis and diabetes had been introduced years ago and diabetes is considered a threatening factor in tuberculosis in ...
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Diabetes is one of the most common non-contagious diseases in the world. This disease is the fourth or fifth cause of death in most developed countries. The relationship between tuberculosis and diabetes had been introduced years ago and diabetes is considered a threatening factor in tuberculosis in the research history. Not only tuberculosis is prevalent among diabetic persons, but also diabetes can affect the appearance of imaging of tuberculosis. This is a kind of analytic study, a case-control study, which was carried out between the years 2014 and 2015 in Zabol City. In this study, the radiographic findings from the patients suffering from pulmonary tuberculosis in diabetic patients and not diabetic patients are compared. These radiographic were handed to a radiologist and the radiologic findings of these graphs from the anatomic location (upper and lower half of the right and left bellows), Presence or absence of cavities, nodules, density and pleural involvement were recorded and compared with the diabetic and non-diabetic group. After gathering of the data using SPSS software, descriptive statistics were presented in the form of (frequency, percent) graphs and a chi-square test (p<0.05) was used to analyze and comparing of the results of diabetic and un-diabetic patients. The population of the study consisted of Chest radiographs for 124 TB patients which 61 (49.19 %) were suffering from diabetics. In this study, 45 (71.43%) non-diabetic and 42 (65.85%) diabetic patients were women (p=0.7). There were 12 diabetic TB patients (19.67%) and 3 non-diabetic- TB patients (4.76%) with the consolidation of middle part of left lung (p=0.01) and 8 (13.11%) diabetic TB and 1 (1.59%) non-diabetic TB with reticulonodular infiltration of lower part of left lung (p=0.02). There was no significant difference in the rest of the radiographic results. The findings of this study indicate that reticulonodular infiltration and consolidation of lower &middle parts of the lung in TB diabetic patients is more than in TB non-diabetic patients and diabetes can affect the findings of pulmonary tuberculosis radiography.
Medical
Amir Hossein Omidi; Hoda Sabati; Sara Amini; Mohammad Ali Zonobian; Mohammad Reza Mohammadi
Abstract
Staphylococcus aureus is gram-positive cocci, which is consistently one of the four causes of hospital infections. S. aureus is a member of the normal nasal and intestinal flora in 30-50% of the population. But this organism is carried in almost 90% of the clinical staff of hospitals. S. aureus is an ...
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Staphylococcus aureus is gram-positive cocci, which is consistently one of the four causes of hospital infections. S. aureus is a member of the normal nasal and intestinal flora in 30-50% of the population. But this organism is carried in almost 90% of the clinical staff of hospitals. S. aureus is an important cause of a wide variety of infectious diseases in humans. This bacterium often causes infections such as endocarditis, bacteremia, and pneumonia. S. aureus species are typically resistant to a large number of drugs. These bacteria are able to sustain and grow properly in the hospital environment and are easily transmitted to people who have weak immune systems. So far, methicillin-resistant S. aureus (MRSA) has been limited to hospitals, but with the increase in skin and soft tissue infections and necrotizing pneumonia in younger patients, methicillin-resistant staphylococci in the community (CA-MRSA) has spread throughout the world.
Medical
Khadije Saravani; Soleyman Saravani; Fatemeh Dadras
Abstract
Based on the lack of acceptance of screening programs, including breast cancer screening, and cultural-social and economic differences in different regions of our country, the purpose of this research is to determine the attitudinal barriers to breast cancer mammographic screening among women of Zabol ...
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Based on the lack of acceptance of screening programs, including breast cancer screening, and cultural-social and economic differences in different regions of our country, the purpose of this research is to determine the attitudinal barriers to breast cancer mammographic screening among women of Zabol city. The study method is cross-sectional and descriptive-analytical. The statistical population includes 200 women aged over 40 years in Zabol city in 2020 who have not had mammography and were selected by census. The standard questionnaire of professional ethics criteria was used to collect research data. The study data were analyzed using SPSS software. In this study, 200 women were questioned. 5% of women were single and 85.5% were married. 56% of the surveyed women were housewives and 82% employed. 13.5% of women were illiterate and 44.5% university education. The most frequent attitudinal barriers among women were related to the barrier "not having breast cancer symptoms" and "mammography performed by male staff and physicians" so that these two factors were agreed by 75.5% and 49.5% of women, respectively. On the other hand, the lowest frequency of the above factors is related to the three factors "The lack of diagnostic significance of mammography in early cancer diagnosis" with 6% agree and completely agree, and "Not trusting mammography" and "Not trusting national policies and guidelines” with 9% agree and completely agree. Our study revealed the most important factors of reducing motivation among women in the Sistan region regarding mammography. Also, this study showed that women's employment, education and economic status can be effective in their attitude towards mammography.
Medical
Lester Raymundo Dominguez Huarcaya; Mohammad Reza Mohammadi; Maria Fernanda Dominguez Rios
Abstract
It is possible for the non-motor symptoms (NMS) of Parkinson's disease (PD), which include constipation, sleep difficulties, and olfactory impairments, to appear up to 20 years before the motor symptoms of the disease. There is a growing body of research that suggests the pathology of Parkinson's disease ...
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It is possible for the non-motor symptoms (NMS) of Parkinson's disease (PD), which include constipation, sleep difficulties, and olfactory impairments, to appear up to 20 years before the motor symptoms of the disease. There is a growing body of research that suggests the pathology of Parkinson's disease may begin in the gastrointestinal tract and progress to the brain. Numerous studies provide credence to the idea that the microbiota in one's gut communicates with one's brain in Parkinson's disease (PD) via way of the immune system, a certain amino acid metabolism, and the neurological system. Through what has become known as the "gut microbiota-brain axis" (GMBA), the gut microbiota is thought to play an important part in the modulation of several neurochemical pathways.In the process of mediating the crosstalk between the gut microbiota and the physiology of the host, many of the metabolites produced by the gut microbiota, such as fatty acids, amino acids, and bile acids, carry signaling activities. In Parkinson's disease (PD), the quantity of amino acids and species-specific alterations of amino acids, such as glutamate and tryptophan, may interfere with the signaling transmission between nerve cells and disrupt the normal operation of the basal ganglia. Certain amino acids and the receptors that bind to them are being looked at as new possible targets for the treatment of PD. The purpose of the current investigation was to compile and analyze all of the evidence that is currently available on the gut microbiota-derived amino acid metabolic changes that are related with PD.
Medical
Mahsa Keikha; Iraj Shahramian; Khadije Saravani
Abstract
Although liver biopsy is a gold standard for evaluating liver fibrosis, due to the invasive nature of the biopsy and complications related to it in thalassemia major patients, it is important to use new, valid and non-invasive methods to estimate the stage of liver fibrosis. Therefore, this study aimed ...
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Although liver biopsy is a gold standard for evaluating liver fibrosis, due to the invasive nature of the biopsy and complications related to it in thalassemia major patients, it is important to use new, valid and non-invasive methods to estimate the stage of liver fibrosis. Therefore, this study aimed to evaluate the status of non-invasive liver parameters such as FIB-4, APRI, and AAR in thalassemia major patients. The present descriptive-analytical study was conducted in 2019 on patients with thalassemia major. In this study, 140 thalassemia patients were evaluated for demographic findings, liver enzymes and non-invasive indicators of liver fibrosis. Also, underlying diseases such as diabetes, ischemic heart disease and other cases were extracted from patients' medical records. Finally, the data were entered into SPSS V20 software and evaluated. In the present study, 38.6% of the patients were male and the mean age of the patients was 18.47 ± 8.21 years with an age range of 1 to 37 years. Evidence from the present study indicated that patients with thalassemia who had an abnormal liver echo had a significantly higher abnormal APRI index that was consistent with an abnormal liver echo (P = 0.019). However, these items are not applicable for AAR and FIB-4 indicators (P˃0.05). The correlation coefficient of APRI and AAR indices with ALT, AST and ferritin was relatively high and was statistically significant (P˂0.05). Therefore, it can be concluded that these enzymes are well associated with changes in these indices, while there was no significant correlation between the ALKP enzyme and the above indicators. The evidence of the present study showed that non-invasive tests for liver fibrosis including APRI and AAR can have a suitable substitute in assessing the progression of liver fibrosis in thalassemia patients.
Medical
Fatemeh Shamakhteh; Suhaib Khalid Ibrahim; Morteza Saki; Sahar Taha Hatif
Abstract
One of the most significant harmful microorganisms is Staphylococcus aureus. Due to the rise in the resistance of this bacteria to antibiotics and the lengthening of hospitalized patients' treatments, one of the causes of infection and mortality among patients hospitalized in special care units of hospitals. ...
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One of the most significant harmful microorganisms is Staphylococcus aureus. Due to the rise in the resistance of this bacteria to antibiotics and the lengthening of hospitalized patients' treatments, one of the causes of infection and mortality among patients hospitalized in special care units of hospitals. In this cross-sectional descriptive study, samples of 113 S. aureus isolates were taken from patients who had spent 4 months in the special care units of Ahvaz teaching hospitals. These samples were then tested using antibiograms for oxacillin, cefoxitin, linezolid, ciprofloxacin, clindamycin, trimethoprim sulfamethoxazole, vancomycin, penicillin, and Antibiotic resistance was discovered, and the findings were evaluated against those of previous investigations. 51 (57.63%) of the 113 patient-isolated samples were female, while 62 (70.1%) were male. The oldest person was 89 years old and the youngest was 4 years old. Linezolid antibiotics were effective against every tested strain, although they were ineffective against 6 tested strains (6.31%), 4 tested strains (3.54%), and 1 tested strain (88%) isolated from wound urine. Vancomycin-resistant bacteria have been found. The findings of this study demonstrate that hospital strains of S. aureus are resistant to many antibiotics. Therefore, it is important to avoid prescribing and using available antibiotics unnecessarily. It is also advised to look at the evolution of antibiotic resistance in hospital infection management in order to stop the development of resistance to these antibiotics.
Medical
Khadije Saravani; Zahra Mirsarzai; Monireh Sekhavati
Abstract
A cerebral aneurysm is an abnormal bulge in the cerebral artery that spreads where the blood vessel wall has weakened. Cerebral aneurysms may allow blood to leak into the subcutaneous space around the brain and cause damage to brain cells. Brain aneurysms can also be ruptured and can lead to serious ...
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A cerebral aneurysm is an abnormal bulge in the cerebral artery that spreads where the blood vessel wall has weakened. Cerebral aneurysms may allow blood to leak into the subcutaneous space around the brain and cause damage to brain cells. Brain aneurysms can also be ruptured and can lead to serious and possibly fatal strokes. A cerebral aneurysm is known as swelling of a blood vessel in the brain. In the definition of these conditions, it is said that it looks like a hanging berry from a stem. In cases where most aneurysms do not rupture or cause health problems, samples that experience such conditions cause bleeding in the brain - hemorrhagic stroke. Intracranial hemorrhages have attracted much attention because of the increasing role of indirect maternal mortality and the importance of rapid diagnosis and treatment in reducing mortality, and since in many cases, they occur due to brain vascular aneurysm. The topic is also essential. When faced with an aneurysm in a pregnant woman, the decision about pregnancy, termination and termination is based on the indications of midwifery and decision-making about the diagnosis and treatment of aneurysm based on neurosurgical indications.
Medical
Leli Rezaie-Kahkhaie; Khadije Saravani; Khadije Rezaie-Keikhaie; Seyed Esmaeil Azimi-Khatibani; Abdul Hafiz Daman-Sooz; Mehdi Afshari; Atefeh kamali
Abstract
Today, due to the increase in life expectancy in HIV-infected patients, the incidence of related diseases such as hepatitis B and C due to similarity in transmission routes has become a major concern of the health community. Therefore, this study was performed to determine the prevalence of hepatitis ...
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Today, due to the increase in life expectancy in HIV-infected patients, the incidence of related diseases such as hepatitis B and C due to similarity in transmission routes has become a major concern of the health community. Therefore, this study was performed to determine the prevalence of hepatitis B among HIV + patients in Zabol. This descriptive cross-sectional study was performed on 37 HIV-infected patients in Zabol city (2021-2022). In the present study, HIV-infected patients were screened for hepatitis B by measuring serum levels of HBC Ab and HBs Ag. Finally, the data in SPSS V21 software were analyzed. In the present study, a total of 37 HIV-infected patients with a mean age of 40.81- 11.64 years were evaluated. The present study's prevalence of HIV and HCV co-infection was 21.6%. Also, 13.5% of HIV patients had HBV and HCV simultaneously. Examination of risk factors for viral hepatitis in HIV-infected patients showed that unprotected sex (100%), injecting drug use or IDU (87.5%), dental procedures (75%), history of imprisonment (62.5%) and tattooing (50.5%) were the most common factors in HIV patients. Family history of hepatitis B (12.5%), alcohol (12.5%), transfusion (12.5%) and cupping (25%) were among the lowest cases in these patients. the frequency of HBV infection and co-infection with HCV and HBV in HIV-positive patients were relatively high. Except for the history of tattoos, there is no significant relationship between other risk factors and hepatitis B among HIV-positive patients.
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