Search

This investigation aims to provide epidemiological features of the COVID-19 patients that admitted to Shahid Dr Hemin Teaching Hospital in Sulaimani city, Iraq. To carry out this work, cross-sectional method was used. A convenience sampling method was applied for data collection which started from 2nd October to 31th December 2020. The current study included only 371 patients who admitted for having COVID-19. The data were collected from patient’s medical record and a direct interview method was used for filling in the questionnaire forms. The collected data were statistically analysed by SPSS program with considering a p-value ≤ 0.05 as a significant interpretation. The findings show that the age of patients ranged from 19-95 years old and mean age of the participants was (63.69±12.73). The majority of patients 159 (42.9%) were between 65-79 years old and followed by 124 (33.4%) of them were between 50-64 years old. Male to female ratio was 2:1. Most of the patients were retired 119 (32.1%) in comparison to other occupations and illiterate patients 151(40.7%) were dominance over other patient’s education levels. In addition, majority of patients had hypertension 278(74.9%), diabetes 132 (35.6%) and cardiovascular disease (CVD) 130 (35.0%). On the other hand, regarding to condition of patients 230 (62.0%) and 141(38.0%) of them were in severe and moderate stage of disease respectively. Also, a. significant association were observed between the age group, occupation, education level, stage of the disease and patients’ outcome, while for gender, marital status and residency there were statistically non-significant. The presence of CVD, hypertension and diabetes increase the mortality rate among the patients. In conclusion, the age of COVID-19 patients has a great impact on increasing mortality rate and the presence of comorbidities among the COVID- 19patients significantly raise the mortality rate. [ABSTRACT FROM AUTHOR]

In the current investigation, a number of chromatographic methods with the accurate, precise and specific criteria have been developed and validated for diclofenac sodium and lidocaine hydrochloride Commitment of their large quantities ampule of pharmaceutical dosage form. The High-Performance Liquid Chromatography (HPLC) system was performed at 25 ° C; with appropriate chromatographic isolation accomplished through the use of Waters Symmetry SB-C7 column with a mobile phase containing 0.1 M sodium acetate and methanol (40:60) (v/v). During development the portable stage was delivered at a stream rate of 1 mL/min, the wavelength was adjusted at 254 nm. First of all, the retention times for diclofenac sodium and lidocaine HCl were about 4.1 and 10.8 min accordingly. A performance and technical demonstration of the suggested Revers phase-HPLC method has been numerically challenged with support to process appropriateness, verticality, scales, simplicity, repeatability, sensitivity, stability, discovery and limits of quantification. In addition, the calibration curves for diclofenac sodium active pharmaceutical ingredient (API) with linear regressions > 0,999895 obtained linear in the distances 1870-5600 μg / mL. Moreover, for determining of lidocaine HCl drug, a range of 500 - 1500 μg/mL of working standard was used, the result showed for lidocain HCl that a linear curve with correlation coefficients of > 0.99980. Finally, the both drugs were isolated and resolute with selective and stable characteristics by the proposed technique. In the conclusion, successful validation of the HPLC approach has been demonstrated with high precision and accuracy for the assessment of both the mixed dosage form type of both diclofenac sodium and lidocaine HCl. [ABSTRACT FROM AUTHOR]

Antibiotic resistance phenomena among pathogenic bacteria considered as a major health problem and associated with increased mortality or long-term hospitalization, which lead to open a new era by using plant and herbal extracts as an alternative source of various chemotherapeutic drugs, also to increase antibiotic efficiency by combining with plant extract for obtaining a powerful and broad spectrum action. The current investigation aims to investigate antibacterial actions of fixed oils of (Olea europaea L., Ricinus communis L. and Linum usitatissimum) and volatile oil of (Nigella sativa, Curcuma longa L and Zingiber officinale) against both Staphylococcus aureus strain (6734151) and Escherichia coli strain (5344572). This study conducted on antibacterial effect of six different extracted oils from medical herbs. The findings revealed that the oil extracts have different antibacterial activities with efficacy. Bacterial inhibition zone was detected by using disk diffusion method. Furthermore, volatile oil of N. sativa showed a great inhibitory action against resistant S. aureus, which was (27.7± 1.2 mm). The antimicrobial effects of other fixed and volatile oils against S. aureu, the inhibition zone was (10 ± 1.0 mm) for (Zingiber officinale), (9 ± 1.0 mm) for Ricinus communis L., (7.7 ± 0.6 mm) for Olea europea L., (7.3 ± 0.6 mm) for Linum usitatissimum and for Curcuma longa L. was (6.7 ± 0.6mm). Moreover, antimicrobial effect of N. sativa against E. coli was more active in comparison with other oils, while other oils showed a slight antibacterial effect. In conclusion, volatile oil of N. sativa reveals great antibacterial activities in comparison with other extracted oils. [ABSTRACT FROM AUTHOR]

Toxoplasmosis is a zoonotic infection that caused by an obligated intracellular parasite Toxoplasma gondii of many types of tissues, including nervous, muscular and intestinal epithelial tissue. Congenital toxoplasmosis is most severe condition when occurs in early period of pregnancy. The main aim of this study is to determine prevalence of toxoplasmosis among aborted women in Garmian region by using both Latex Agglutination Test (LAT) and Enzyme Linked Immunosorbent Assay (ELISA). The study was carried out in Kalar General Hospital to detect Toxoplasma antibodies among 350 samples, in which 250 samples were from aborted women and 100 samples were from normal birth women as a control. Participants' age was range from < 18 to > 35 years old. The data were collected form 15th January 2009 to 25th June 2010 by using a special questionnaire form to obtain full information from each participant. For statistical analysis of the data, Statistical Package for Social Sciences (SPSS) version 22 was used. The study showed that (112) cases out of 250 were seropositive for Toxoplasma gondii by using LAT, (65) cases for IgG and (50) cases for IgM by using ELISA. In the abortion group, it showed (87) cases out of 150 were seropositive by using LAT, (51) cases for IgG and (40) cases for IgM (26.6%), whereas in normal birth group (control), it showed (25) case out of 100 were seropositive by using LAT, (14) case for IgG and (10) case for IgM by using ELISA. A High seropositivity percentage was recorded among housewives (35.2%) than teachers and employees (29.4%), (28.5%) respectively. Furthermore, a higher percentage of Toxoplasma seropositivity was recorded in rural area than urban area. The aborted women who were in contact with soil showed the higher rate of Toxoplasma seropositivity (38.7%) than those were not in contact with soil (25%). This study concluded that the prevalence of toxoplasmosis was higher in Garmian region and especially among those women who have lower education level and who live in rural areas. [ABSTRACT FROM AUTHOR]

Ultraviolet (UV) and blue light are affecting eyes during the daily time and may cause many eye's problems and diseases. Therefore, this study aimed to explore the awareness of patients with ophthalmological problems on UV/blue light protection measures and to evaluate their knowledge and protection measures about radiation that emits from sun light and other electronic devices. It comprised a cross-sectional survey on a representative target population with eye diseases who visited the Shahid Aso Eye Hospital at Sulaimani city (sample size = 500). A special designed cross-sectional questionnaire was performed on a random sampling for data collection from 9th September 2017 to 1st January 2018. The statistical analysis was performed using SPSS version 22.0. There was an even distribution between male and female participants across the groups. The highest percentage of patients with light sensitivity was (79.6%) and the lowest percentage with eye injury was (7.8%). Most of participants had knowledge about the effects of UV/blue light on eye diseases by (52%), cataract (57.8%), glaucoma and red eye with percentage of (45.8%) and (43.4%) respectively. There was a significant difference for the males who were more game-player and using electronic devices like smartphone/tablet /iPad than females. There was a significant difference between male and female participants about the knowledge on harmful effects of radiation from electronic devices. Furthermore, only the patients with sun light sensitivity and cataract had a significant knowledge about harmful effects of radiation from electronic devices on human eyes. Finally, most of the patients with dry eyes, eye/lid infection and glaucoma and cataract had significantly more practices for taking visual breaks when using electronic devices. This study concluded that the patients with ophthalmological problems show a low level of knowledge and protection measurements on the harmful effects of UV/blue light on human eyes and radiation protection. Additionally, this study has discovered that sun protection measures are commonly inadequate among the participants and on a regular basis only a small portion of participants were used the sun protection requirements. [ABSTRACT FROM AUTHOR]

Knowledge and practice of public, especially patients about eye diseases are important to reduce magnitude of human blindness. Vision and sight are very essential because they allow us to connect to each other's. In accordance to the recently published data; the estimation of 253 million people lives with vision impairment, 36 million are blind and 217 million suffer from moderate to severe vision impairment. A descriptive cross-sectional study was conducted at Shahid Dr. Aso Hospital in Sulaimani city-Iraq, from April to August 2017 by face-to-face interview through close ended questionnaire for data collecting. All data were analyzed by Statistical Package for Social Sciences version 22.0 software. P-value of < 0.05 was considered as a statistically significant. A total of 430 patients were randomly chosen to participate in the study. They were 254 (59.1%) males and 176 (40.9%) females. 76.7% of respondents was worrying about vision loss, 0.7% was worrying about hair loss. Of the participants, 32.8% was with a good knowledge level and 40.5% was with a poor knowledge level, as well as 3.1% was in a good practice and 58.8% was in a poor practice level. Female knowledge mean score was 9.53±4.96 and male knowledge mean score was 8.42±5.45, the practice mean score of males was 4.33±1.96 and mean practice score of females was 4.13±1.93. The study data indicate the worrying of participates about vision loss is in the highest proportion and the awareness and practice of patients about eye diseases is unsatisfactory. Health education campaigns are needed to improve personal awareness about vision related problems and for better eye health. [ABSTRACT FROM AUTHOR]

The effects of clinical symptoms, laboratory indicators, and comorbidity status of SARS-CoV-2-infected patients on the severity of disease and the risk of death were investigated. Questionnaires and electronic medical records of 371 hospitalized COVID-19 patients were used for data collection (demographics, clinical manifestation, comorbidities, laboratory data). Association among categorical variables was determined using Kolmogorov-Smirnov test (P-value ≤0.05). Median age of study population (249 males, 122 females) was 65 years. Roc curves analysis found that age ≥64 years and age ≥67 years are significant cut-offs identifying patients with more severe disease and mortality at 30 days. CRP values at cut-off ≥80.7 and ≥95.8 significantly identify patients with more severe disease and mortality. Patients with more severe disease and risk of death were significantly identified with platelet value at the cut-off ≤160,000, hemoglobin value at the cut-off ≤11.7, D-Dimer values ≥1383 and ≥1270, and with values of neutrophil granulocytes (≥8.2 and ≤2) and lymphocytes (≤2 and ≤2.4). Detailed clinical investigation suggests granulocytes together with lymphopenia may be a potential indicator for diagnosis. Older age, several comorbidities (cancer, cardiovascular diseases, hypertension) and more laboratory abnormalities (CRP, D-Dimer, platelets, hemoglobin) were associated with development of more severity and mortality among COVID-19 patients.