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 ArticlePOTENTIAL EFFECTS OF KETOGENIC DIETS, A NARRATIVE REVIEW
Background: Ketogenic diets have a long history of therapeutic use and have recently attracted significant attention due to their promising effects on a variety of disorders. However, no definitive links have been identified. This review aims to highlight the possible impacts of ketogenic diets as well as the mechanisms involved in metabolic processes and related non-communicable metabolic diseases. Methods: For our analysis, a bibliographic review of articles about ketogenic diets and their therapeutic effect on chronic pathologies was carried out, retrieved from the scientific literature. Results and discussion: These studies found both positive and negative outcomes for the effects and implications of ketogenic diets on metabolism. Significant differences in metabolic markers such as weight, glycemia, serum lipids and lipoproteins, anthropometric measures, and hormones such as insulin, leptin, and adiponectin have been reported. In addition to changes in the microbiome that have modest to moderate concurrent effects, changes in metabolism indicate the significance of dietary changes in treating and preventing chronic non-communicable diseases. Conclusions: In this review, we present the available scientific evidence on the effects of the ketogenic diet, and thus ketone bodies, on metabolism and related chronic diseases.
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.
Read Article