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High Serum High Mobility Group A1 (HMGA1) Levels are associated with presence of Metabolic Syndrome: Case-control study 高血清高迁移率A1组(HMGA1)水平与代谢综合征的存在相关:病例对照研究
mjl@ kly@ lTb Pub Date : 2023-04-27 DOI: 10.32007/jfacmedbagdad.6512036
Mirna Faiq, Eman S. Saleh, Omar B. Fathalla
{"title":"High Serum High Mobility Group A1 (HMGA1) Levels are associated with presence of Metabolic Syndrome: Case-control study","authors":"Mirna Faiq, Eman S. Saleh, Omar B. Fathalla","doi":"10.32007/jfacmedbagdad.6512036","DOIUrl":"https://doi.org/10.32007/jfacmedbagdad.6512036","url":null,"abstract":"Background: Metabolic syndrome is a complex series of metabolic defects, characterized by high levels of serum glucose, hypertension, abdominal obesity, and dyslipidemia. The high mobility group AT-hook1, an architectural transcript factor, affects the homeostasis of glucose. No previous studies have been performed to examine whether HMGA1 can be secreted into the extracellular milieu.\u0000Objectives: this case-control study aimed to examine whether HMGA1 secretes into the extracellular milieu and compares its serum level in two groups of metabolic syndrome (with and without diabetes) and a control group composed of apparently healthy individuals of Iraqi population with different nationalities.\u0000Patients and Methods: Sixty-one patients with metabolic syndrome and thirty healthy Iraqi participants included in this study. Serum HMGA1 concentrations were determined by enzyme linked immuno sorbent assay (ELISA). Lipid profile, serum (glucose and insulin), HbA1c, systolic/diastolic blood pressure, body mass index, and waist circumference were also measured. The statistical analysis was done using IBM SPSS software for Windows version 26.0.\u0000Results: Significant difference in HMGA1 level was seen (P = 0.000), between metabolic syndrome with diabetes, metabolic syndrome without diabetes and control group. Higher concentrations were seen in metabolic syndrome patients with diabetes followed by metabolic syndrome patients without diabetes and then the control group, and no significant difference was seen in the serum level based on nationality. Significant positive correlation was found between HMGA1 and fasting blood glucose (p=0.001) as well as between HMGA1 and HbA1c (p= 0.015) in patients with metabolic syndrome. Moreover there was a significant association between HMGA1 levels and the risk of metabolic syndrome. The risk of metabolic syndrome was found to be increased by a high HMGA1 level, odds ratio (OR), 0.411 (95% CI, 0.208-0.813).\u0000Conclusions: This case-control study found that circulating HMGA1 concentration was significantly higher in Mets mainly in those with T2DM. Also, the high concentration of HMGA1 was found to present a significant risk of metabolic syndrome regardless of whether diabetes is present or not. Besides HMGA1 serum level was positively correlated with parameters of diabetes including HbA1c and FBG.\u0000                                           ","PeriodicalId":33125,"journal":{"name":"mjl@ kly@ lTb","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43073556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Prevalence and Demographic characteristics of Metabolic Syndrome in Iraqi Patients with Acute Coronary Syndrome 伊拉克急性冠状动脉综合征患者代谢综合征的患病率和人口学特征
mjl@ kly@ lTb Pub Date : 2023-04-27 DOI: 10.32007/jfacmedbagdad.6511951
Zina S. Abdulrahman Aldaggistany, Ihab S. Ahmed, Zuhair Al-Johar
{"title":"Prevalence and Demographic characteristics of Metabolic Syndrome in Iraqi Patients with Acute Coronary Syndrome","authors":"Zina S. Abdulrahman Aldaggistany, Ihab S. Ahmed, Zuhair Al-Johar","doi":"10.32007/jfacmedbagdad.6511951","DOIUrl":"https://doi.org/10.32007/jfacmedbagdad.6511951","url":null,"abstract":"Background: The demographic characteristics of Iraqi patients with the metabolic syndrome (MS) and presenting with acute coronary syndrome (ACS) has been scarcely studied before.\u0000Aim of the study To study the socio-demographic characteristics of a group of Iraqi patients with MS presenting with ACS.\u0000Patients and Methods: A convenience sample of 150 cases presenting with ACS and admitted to the coronary care unit (CCU) of Al-Yarmouk Teaching Hospital in Baghdad from mid-January through July 2011 were included in the current cross-sectional study. The data needed for the study was collected through a direct interview to fill a questionnaire by all cases carried out by a consultant physician.","PeriodicalId":33125,"journal":{"name":"mjl@ kly@ lTb","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43087258","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Clinical importance of imaging anatomical signs in predicting transverse sinus dominance using conventional magnetic resonance imaging 应用常规磁共振成像预测横窦优势的解剖征象的临床意义
mjl@ kly@ lTb Pub Date : 2023-04-27 DOI: 10.32007/jfacmedbagdad.6511910
Maryam AL-Ani, Qusay A. Fahed, Ali I. Shyaa
{"title":"Clinical importance of imaging anatomical signs in predicting transverse sinus dominance using conventional magnetic resonance imaging","authors":"Maryam AL-Ani, Qusay A. Fahed, Ali I. Shyaa","doi":"10.32007/jfacmedbagdad.6511910","DOIUrl":"https://doi.org/10.32007/jfacmedbagdad.6511910","url":null,"abstract":"Background: Differentiating flow gaps associated with hypoplastic transverse sinus from venous thrombosis is a diagnostic challenge in brain magnetic resonance imaging with venography.\u0000Objectives: To assess the clinical benefit of anatomical signs to anticipate the side of the dominant transverse sinus.\u0000Patients and Methods: A total of 100 patients underwent brain magnetic resonance imaging with venography at the radiology department /medical city and were retrospectively reviewed for the direction of superior sagittal sinus flow void, inclination of sulcus for the superior sagittal sinus, angulation of the posterior falx and direction of occipital lobe bending in axial non-contrast T1 weighted image, then compare these findings with a side of the dominant transverse sinus in magnetic resonance venography.\u0000Results: Inclination of sulcus for superior sagittal sinus and superior sagittal sinus flow void direction toward the right side had high positive predictive values (95.5%) and (93.2 %) in proper matching with the right transverse sinus dominance, respectively. Right-sided angulation of the posterior flax and rightward direction of the occipital lobe had a positive predictive value of (90.9 %) in predicting transverse sinus dominance.\u0000Conclusion: The side of dominant transverse sinus can be anticipated by reviewing anatomical signs in T1 weighted image, which may help to differentiate hypoplastic transverse sinus from venous thrombosis that aid in better interpretation of brain MRI- MRV examinations.\u0000 ","PeriodicalId":33125,"journal":{"name":"mjl@ kly@ lTb","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46847385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
The Use of Off-label and Unlicensed Drugs for Neonates: A Report from a Teaching Hospital in Baghdad 新生儿使用标示外和未经许可的药物:巴格达一家教学医院的报告
mjl@ kly@ lTb Pub Date : 2023-04-27 DOI: 10.32007/jfacmedbagdad.6512014
N. Hameed, Shealan Khudhair Abbas Abbas
{"title":"The Use of Off-label and Unlicensed Drugs for Neonates: A Report from a Teaching Hospital in Baghdad","authors":"N. Hameed, Shealan Khudhair Abbas Abbas","doi":"10.32007/jfacmedbagdad.6512014","DOIUrl":"https://doi.org/10.32007/jfacmedbagdad.6512014","url":null,"abstract":"Background: Neonates who are admitted to hospitals will need various drugs. The use of unlicensed or off-label drugs without scientific evidence makes this exposure unsafe.\u0000Aim of study: We aimed to assess the use of drugs for neonates based on the British National Formulary for Children and IBM Micromedex Neofax.\u0000Patients and methods: This is a descriptive study which reviewed the clinical files of enrolled neonates who have stayed in the hospital for more than 24 hours and received at least one drug. It was conducted in the neonatal care unit of the Children Welfare Teaching Hospital/ Medical City Complex in Baghdad during the period from 1st of January to 30th of June/2018. The data was entered on a predesigned format and analyzed by using the appropriate statistical methods.\u0000Results: A total number of 1079 neonates were admitted to the NCU during the study period, of whom 967 were included in the current study with 597 (61.7%) males and 370 (38.3%) females. There were 424 (43.8%) preterm, 496 (51.3%) term and post term neonates, and 47 (4.9%) neonates with unknown gestational age. Different classes of drugs were used with a total of 56 drugs, of which 33.9% were unlicensed and 66.1% were off-label. Accordingly, 42.5% of the neonates received unlicensed drugs and almost all patients received at least one off-label drug. Major risk factors for such use include mechanical ventilation, male sex and prolonged hospitalization.\u0000Conclusions: In hospitalized neonates, drugs were more frequently prescribed as an off-label rather than unlicensed. Almost all neonates were exposed to off-label formulations.","PeriodicalId":33125,"journal":{"name":"mjl@ kly@ lTb","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44359686","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Review article of Streptococcus pyogenes infection: Rick factors, prevention and management strategies 化脓性链球菌感染的危险因素、预防与管理策略综述
mjl@ kly@ lTb Pub Date : 2023-04-27 DOI: 10.32007/jfacmedbagdad.6512041
Maryam K. Ali, S. Jawad, Yasmeen J. Al-Bayaa
{"title":"Review article of Streptococcus pyogenes infection: Rick factors, prevention and management strategies","authors":"Maryam K. Ali, S. Jawad, Yasmeen J. Al-Bayaa","doi":"10.32007/jfacmedbagdad.6512041","DOIUrl":"https://doi.org/10.32007/jfacmedbagdad.6512041","url":null,"abstract":"Background:-Streptococcus pyogenes is an exclusively human pathogen. This bacterial species is responsible for a large variety of infections.\u0000Objective: This review identified published articles on the risk factors, prevention and control strategies for streptococcus diseases.\u0000Material and methods: A systematic search was carried out to identify papers published on the Web of Science, PubMed, Scopus, and Google Scholar electronic databases in an attempt to provide basic information about Streptococcus infections, potential risks for their spread, and treatment and prevention strategies.\u0000Results: The more common methods for Streptococcus pyogenes transmission are through respiratory droplets, skin lesions brought on by Streptococcus pyogenes contact with infected objects or devices. Another potential mode is foodborne transmission but more research is needed to determine this infection route. Native communities, and those of low socio-economic status worldwide were found particularly susceptible to Streptococcus diseases, as well as children, older adults and those with impaired immune system. Those groups are susceptible to Streptococcus pyogenes infections and their complications with higher infectious rates in educational institutions, hospitals, over-crowding and the continuous increase in social contact. The importance of improving living conditions and personal and hand hygiene is one of the techniques in the management and prevention of Streptococcus pyogenes infections. Infection control methods must be highlighted with greater precision.\u0000Conclusion: Prevention and control measures should target the improvement of living conditions, and personal and hand hygiene. Adherence to infection prevention and control practices should be emphasized in high-risk settings.","PeriodicalId":33125,"journal":{"name":"mjl@ kly@ lTb","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43163712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of hypertension with and without smoking on salivary electrolytes concentration 高血压伴和不伴吸烟对唾液电解质浓度的影响
mjl@ kly@ lTb Pub Date : 2023-04-27 DOI: 10.32007/jfacmedbagdad.6512046
Maha Alramadany, Layla S. Yas
{"title":"Effects of hypertension with and without smoking on salivary electrolytes concentration","authors":"Maha Alramadany, Layla S. Yas","doi":"10.32007/jfacmedbagdad.6512046","DOIUrl":"https://doi.org/10.32007/jfacmedbagdad.6512046","url":null,"abstract":"Background: Hypertension from smoking is a chronic medical condition that impacts human health. It has been proved that it could be a significant risk factor for different disorders like brain damage, the lung disease and has been related to the growth of oral diseases. However, there are few and conflicting research on its effect on salivary electrolytes concentrations.\u0000Aim of the study: To assess the effect of hypertension with and without smoking on electrolyte concentrations in saliva and to identify its effect on normal oral balance.\u0000Methods: A total number of 90 subjects included, which is comprised of (49) (54.4 %) males subjects and (41) (45.6 %) females subjects in the gender. They were divided into three groups, G1, G2 and G3 groups. Group 1 comprised 30 subjects of hypertension with smoking, Group 2 comprised 30 subjects of hypertension without smoking and Group 3 comprised 30 subjects of healthy non-smoking controls.  \u0000Results: Findings displayed a highly significant difference in concentration of calcium in saliva and there was no significant difference in potassium and sodium for the three groups. There was a significant difference of calcium in saliva concentration for all study group with respect to P-Value (0.000).\u0000Conclusion: The salivary calcium concentration in the saliva can be affected by hypertension with smoking and the increase in salivary calcium levels might be a risk factor for development of periodontal diseases.","PeriodicalId":33125,"journal":{"name":"mjl@ kly@ lTb","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-04-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48721204","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
تأثير عقار داباغليفلوزين على مستوى هيموجلوبين في الدم 大甘膦对血红蛋白水平的影响
mjl@ kly@ lTb Pub Date : 2023-01-13 DOI: 10.32007/jfacmedbagdad.6441973
Ahmed A. Obeed, Tahseen A. AL-Kinani, Huda Ibrahim AL- Qadhi
{"title":"تأثير عقار داباغليفلوزين على مستوى هيموجلوبين في الدم","authors":"Ahmed A. Obeed, Tahseen A. AL-Kinani, Huda Ibrahim AL- Qadhi","doi":"10.32007/jfacmedbagdad.6441973","DOIUrl":"https://doi.org/10.32007/jfacmedbagdad.6441973","url":null,"abstract":"الخلفية: قصور القلب هو متلازمة إكلينيكية معقدة تنتج عن أي مرض قلبي وظيفي أو هيكلي يقلل من قدرة البطين على تعبئة الدم أو ضخه. فقر الدم شائع لدى مرضى قصور القلب ويرتبط بالتدهور من خلال تنشيط المسارات الهرمونية العصبية. عقار داباكليفلوزين  هو مثبط انتقائي وقابل للانعكاس للناقل المشترك للصوديوم الجلوكوز 2 (SGLT2). يزيد داباجليفلوزين من مستوى الهيموجلوبين من خلال آليات مختلفة مثل زيادة تركيز البلازما عن طريق إدرار البول أو زيادة تخليق الإريثروبويتين.\u0000الهدف: تقييم تأثير الداباجليفلوزين الإضافي في العلاج التقليدي على الهيموجلوبين في مرضى قصور القلب المصابين بمرض الكلى المزمن (CKD) مع أو بدون داء السكري DM.\u0000المرضى والطرق: كانت هذه دراسة سريرية مستقبلية أجريت في أجنحة طبية في مركز  الناصرية  للقلب خلال الفترة من 1 نوفمبر / 2021 إلى نهاية يوليو / 2022. تم إجراء البحث على 120 مشاركًا يعانون من قصور في القلب وضعف كلوي. تم تقسيم المرضى إلى مجموعتين. ضمت المجموعة الأولى 60 مريضاً تم إعطاؤهم داباجليفلوزين بالإضافة إلى الأدوية التقليدية ، وتألفت المجموعة الأخرى من 60 مريضاً تلقوا العلاج التقليدي فقط. تمت مطابقة كلا المجموعتين فيما يتعلق بالخصائص الاجتماعية والديموغرافية. تم تسجيل تركيز الهيموجلوبين في اليوم الأول كزيارة أساسية ثم تمت متابعتها بعد أربعة أشهر.\u0000النتائج: قبل العلاج لم تكن هناك فروق ذات دلالة إحصائية في العوامل الاجتماعية والديموغرافية والسريرية بين المجموعتين. في مجموعة داباجليفلوزين ، كان مستوى الهيموجلوبين أعلى بكثير من مستوى ما قبل العلاج (12.53 جم / لتر مقابل 11.85 جم / لتر ، P = 0.016) ، كان لدى المرضى في المجموعة الضابطة مستوى متوسط ​​أقل بكثير من الهيموجلوبين بعد العلاج مقارنة بمستوى خط الأساس ( 11.88 جم / لتر مقابل 12.56 جم / لتر ، P = 0.001).\u0000الاستنتاج: أظهرت الدراسة أن داباجليفلوزين يزيد تركيز الهيموجلوبين ويصحح  فقر الدم لدى مرضى قصور القلب المصابين بمرض الكلى المزمن مقارنة بمجموعة التحكم.","PeriodicalId":33125,"journal":{"name":"mjl@ kly@ lTb","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"42657570","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
A short-term comparison between the effect of two different concentrations of methotrexate on ovarian tissues and function of female albino rats 两种不同浓度甲氨蝶呤对雌性白化大鼠卵巢组织和功能影响的短期比较
mjl@ kly@ lTb Pub Date : 2023-01-13 DOI: 10.32007/jfacmedbagdad.6441967
Alak Hussein
{"title":"A short-term comparison between the effect of two different concentrations of methotrexate on ovarian tissues and function of female albino rats","authors":"Alak Hussein","doi":"10.32007/jfacmedbagdad.6441967","DOIUrl":"https://doi.org/10.32007/jfacmedbagdad.6441967","url":null,"abstract":"Back ground: methotrexate is an antifolate that is widely used in cancers and inflammatory or auto- immune diseases, it is also known to be contraindicated in pregnancy, breast feeding and not recommended in patients planning to be parents since it has a harmful effect on fetus and gonads. \u0000    Ovarian function can be evaluated by certain parameters like the levels of female hormones or anti- Mullerian hormone which is considered as a good indicator for this purpose or histopathological examination of ovarian follicles especially the primordial follicles. \u0000  Objective: the aim of this study is to determine the effect of two different concentrations of methotrexate on ovarian tissue integrity and function. \u0000  Materials and method: adult female albino rats (n=30) were randomly divided in to 3 groups; group A (n=10) in which animals were treated with i. p injection of normal saline once weekly for four weeks, group B (n=10) in which animals were treated with i. p. injection of 1mg/ kg bw of methotrexate once weekly for four weeks, and lastly group C in which animals were treated with i. p. injection of 2.5 mg/ kg bw of methotrexate once weekly for four weeks. Then serum level of anti- Mullerian hormone were measured and histopathological examination of the ovaries were done to evaluate ovarian injury caused by methotrexate treatment. \u0000    Results: this study has demonstrated that methotrexate in the both 1mg and 2.5 mg / kg of BW doses did not significantly reduce the levels of anti- Mullerian hormone and the number of primordial follicles and atretic follicles were also not significantly affected by the treatment of methotrexate in both doses. While histopathological examination revealed mild ovarian damage in case of treatment with 1mg/ kg bw of methotrexate and moderate damage in case of treatment with 2.5 mg/ kg bw of methotrexate. \u0000     Conclusions: there is no important difference between the effects of 1 and 2.5 mg/ kg of BW of methotrexate on ovarian function but there is a slight difference in the effects of the two different doses on the integrity of ovarian tissue.","PeriodicalId":33125,"journal":{"name":"mjl@ kly@ lTb","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46742628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Effects of liraglutide on weight control and blood pressure in type 2 diabetes mellitus Iraqi patients 利拉鲁肽对2型糖尿病患者体重控制及血压的影响
mjl@ kly@ lTb Pub Date : 2023-01-13 DOI: 10.32007/jfacmedbagdad.6441971
Ahmed J. Abdulrahman, M. Jabarah, Samer A. Najjar
{"title":"Effects of liraglutide on weight control and blood pressure in type 2 diabetes mellitus Iraqi patients","authors":"Ahmed J. Abdulrahman, M. Jabarah, Samer A. Najjar","doi":"10.32007/jfacmedbagdad.6441971","DOIUrl":"https://doi.org/10.32007/jfacmedbagdad.6441971","url":null,"abstract":"Background: Diabetes mellitus is the most common endocrine illness, affecting an increasing number of people all over the world. It is caused by a lack, or inadequate synthesis of insulin by the pancreas leading to an increase in blood glucose concentrations. Type 2 diabetes mellitus is the most strongly linked disease to obesity of all disorders. The number of obesity-related diabetes is predicted to reach 300 million by 2025. The term 'diabesity' was coined as a result of this strong link, therefore, weight loss is seen as a key therapeutic goal in the prevention and management of type 2 diabetes mellitus. Liraglutide is a glucagon-like peptide-1 (GLP-1) receptor agonist that stimulates insulin secretion in a glucose-dependent manner. Also, it has weight-losing benefits which is assumed to be due to appetite suppression and delayed gastric emptying.   \u0000Objectives: To evaluate the effectiveness of Liraglutide on weight management, body mass index, renal function and blood pressure in type 2 diabetic mellitus obese patients in Iraq.\u0000Methods: An open-label therapeutic trial was conducted from November 2021 to June 2022 at Baquba Teaching Hospital/ Diyala. (23 males and 27 females) with Type 2 Diabetes mellitus for 2 - 4 years were included in the study. They were obese, hypertensive and dyslipidemic. They received metformin and liraglutide for 12 weeks as 0.6 mg/day during the first week, which was gradually increased to 1.2 mg and up to 1.8 mg/day according to patient tolerance and requirement for control at the beginning the study. The patients had their height as well as body weight measured, calculated, blood pressure measured and renal functions tested. The statistical analysis was performed using SAS (Statistical Analysis System - version 9.1). Two-way ANOVA and Least significant differences (LSD) post hoc test were performed as well as paired t-test. P< 0.05 was considered statistically significant.\u0000Results: Treatment with liraglutide for 12 weeks has resulted in a significant decrease in body weight, BMI, and blood pressure (P<0.05). The changes in the results of renal function test of liraglutide-treated patients were not significant.\u0000Conclusion: In obese type 2 diabetic patients, liraglutide has the potential of reducing body weight, body mass index and blood pressure. It seemed safe in terms of its systemic effects\u0000 \u0000 \u0000 \u0000 \u0000 ","PeriodicalId":33125,"journal":{"name":"mjl@ kly@ lTb","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44042559","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 1
Evaluation of serum Podocalyxin in Iraqi women with Polycystic Ovary Syndrome 伊拉克多囊卵巢综合征患者血清Podocalytin的评价
mjl@ kly@ lTb Pub Date : 2023-01-13 DOI: 10.32007/jfacmedbagdad.6441983
Noor Mohammed Fadhil, R. A. Hamdi
{"title":"Evaluation of serum Podocalyxin in Iraqi women with Polycystic Ovary Syndrome","authors":"Noor Mohammed Fadhil, R. A. Hamdi","doi":"10.32007/jfacmedbagdad.6441983","DOIUrl":"https://doi.org/10.32007/jfacmedbagdad.6441983","url":null,"abstract":"Background: Polycystic ovarian syndrome is the most common endocrine disease in females of childbearing time of life. Women with polycystic ovarian syndrome  have a higher chance of developing complications such as dyslipidemia, hypertension, and obesity. Obesity is a state of extreme fat buildup which leads to the development of multiple complications involving non-alcoholic fatty liver disease, cardiovascular disease and type2 diabetes mellitus. Podocalyxin is an element of the endothelial cells plasma membranes that is widely spread, it is limited to the luminal membrane area and is irregularly located on the surface of endothelial cells lining blood vessels.\u0000Objectives: To estimate serum Podocalyxin in polycystic ovarian syndrome women and compare its level with healthy controls. Also, to find the correlation between serum Podocalyxin and anthropometrics parameters which are (body mass index, waist circumference, waist to hip ratio).\u0000 Methods: This case control study included 124 women who were grouped into 2 groups: group 1 included 63 females diagnosed with PCOS (patients) and group 2 included 61 healthy women (controls). Serum podocalyxin was measured by Enzyme-linked immunosorbent assay technique and anthropometrics measures (“body mass index (BMI), waist circumference (WC) and waist to hip ratio WHR”) were done.\u0000Results: The results of this study showed significantly high mean BMI(P=0.001), WC(P=0.002) and WHR(P=0.001) in patients as compared to healthy controls. The results also showed a significant increase in mean value of serum PODXL (P=0.001) in PCOS females when compared with healthy controls. In patients group, significant positive correlations were found between serum PODXL and BMI (r=0.395, p=0.001), waist circumference (WC) (r.=0.433, p.=0.001) and waist to hip ratio (WHR) (r.=0.427, p.=0.001 ).\u0000Conclusion: PCOS women have greater body mass represented by BMI, WC and WHR which reflect the risk of multiple complications like hypertension, dyslipidemia and cardiovascular disease. Moreover, PCOS women have higher serum PODXL which is considered as a marker for the vasculature thus might be a potential marker for prediction of early atherosclerosis.","PeriodicalId":33125,"journal":{"name":"mjl@ kly@ lTb","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44902826","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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