D-DIMER A RISK FACTOR ASSOCIATED WITH C-REACTIVE PROTEIN FOR PREDICTING THE SEVERITY OF INFECTION BY COVID-19
Background: COVID-19, caused by SARS-CoV-2, has unresolved mortality risk factors and clinical course, highlighting the need for further research. Aims: The study aimed to asses D-dimer and C-Reactive Protein (CRP) as the risk factors for severity covid-19 and who are less capable of surviving. Methods: A retrospective study conduct of COVID-19 in adult inpatients aged >20 at Al-sadder and Alamal Hospital in Iraq. Demographics, clinical trials, treatments, and viral RNA samples were analyzed. The study involved 100 patients, with 67 discharged and 33 hospitalized died. The majority of the participants 45% were aged < 40, but 55% were aged >40 years. Results: A significant and 57% were male 37(55.2%) Survivor vs. 20 (60.6%) non-survivor, p=0.024), more than 43% were female (30(44.8%) Survivor vs. 13(39.4%) non-survivor, p=0.010. Patients had underlying comorbidities (66%), survivor 37(55%), and non-survivor 29(87%). The most prominent comorbidity in non-survivors more than survivors was diabetic mellitus 85%, asthma 58%, stroke 48%, renal failure 42%, heart strake 33%, and hypertension 18%. The study found significant differences in WBC, lymphocyte count, D-dimer, Ferritin, CRP, and LDH levels in non-survivors compared to survivor patients, with a positive correlation between D- dimer and these parameters. The ROC analysis curve showed CRP with a high AUC of 80.2%, 87.9% sensitivity, and 37.3% specificity, while D-dimer and LDH had AUCs of 0.74.9 and 70%, respectively. Discussion: The study found that older age, higher d-dimer, ferritin, CRP, and LDH are associated with disease severity and higher mortality risk in adult COVID-19 patients. Conclusions: These biomarkers could aid in early detection of disease progression signs and better patient management
Read ArticleINQUIRY FOR SUITABLE LOCATIONS FOR A DRILLING REGIME AT AN UPSLOPE ROCKY KNOLL OF LAWU ESTATE, WESTERN BYPASS, MINNA, NIGERIA
Background: A client requested that the study group help determine suitable locations for a drilling regime on his lot, located on an upslope rocky knoll in Lawu Estate, Minna, Nigeria. There is no luxury of conducting an unimpeded wide-area survey for this housing Estate, as it is built up almost entirely. Therefore, the constrained area to be surveyed necessitated the adoption of the "electrical drilling," or vertical electrical sounding, mode of the geoelectrical method to satisfy the client's inquiry. Aim: To carry out a purpose-specific survey to pinpoint the best location in a built-up property at the upmarket Lawu Estate that would be suitable for a drilling regime targeted for household consumption. The specific objectives are to determine the subsurface layer structure, to identify fracture zones with potential for water accumulation, and to estimate the depths of potential aquifers. Methods: The survey crew reconnoitered the study area to georeference locations for the VES survey within the 30 m x 20 m lot. Owing to the extensive build-up at this lot, only a four-point traverse along the 30-metric dimension of the building's frontage was demarcated in the northeasterly direction, thereby limiting the survey crew's desire to define an appropriate survey grid. The VES data acquisition followed the "traditional" sequence of Schlumberger array layout measurements, in which the current and potential probes are maintained at the same relative spacing and the whole spread is progressively expanded about a fixed central point. Results: Log-log and pseudosection plots were generated from the acquired data, from which the conventional three-layer structure is deciphered, with a desired 193 Ωm for VES Station 4 at the third layer. Discussion: The acquired and processed data for this study were subjected to a suite of empirical rules-of-thumb procedures for interpreting VES data in the Nigerian Basement Complex geological province, with VES Station 4 showing the most encouraging 100% result. Conclusion: Drilling to a depth of 100 m at Station 4 is recommended based on the identified fractured basement at this depth.
Read ArticleEVALUATION OF TNF-Α CONCENTRATION LEVEL IN PATIENTS INFECTED WITH HYDATID CYSTS IN AL-NAJAF HOSPITALS
Background: Human echinococcosis is a zoonotic disease caused by Echinococcus granulosus, the etiological agent of cystic echinococcosis (CE). Aim: This study aims to determine the epidemiological prevalence of Echinococcus granulosus in patients with hydatid cysts and evaluate serum TNF-α levels associated with echinococcosis, as well as the correlation between these levels and disease progression. Methods: Radiological examinations were performed to diagnose Echinococcus granulosus by identifying echinococcal cysts. The study included patients of all ages and both sexes from Al-Sader Medical City, Al-Hakeem General Hospital, Al-Haidarya General Hospital, and Al-Hayat Hospital. The study period was from October 2023 to the end of January 2024. Results: The mean TNF-α level in patients was 163.27 pg/ml, significantly higher than the mean level of 38.58 pg/ml in controls (p-value < 0.001). Conclusion: The prevalence of hydatid disease in Al-Najaf Al-Ashraf was found to be 33%. TNF-α levels are notably higher in patients with Echinococcus granulosus who are under 40 years of age compared to those over 40 years of age.
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