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 ArticleREVIEW ABOUT DIABETES MELLITUS AND URINARY TRACT INFECTIONS
Diabetes mellitus (DM) is a clinical disease correlated with a deficiency of insulin secretion or action.It is one of the leading causes of morbidity and mortality worldwide. The global burden of diabetes is rising dueto increasing obesity and population aging. Urinary tract infections (UTI) are common microbial infections knownto affect the different parts of the urinary tract accounting for major antibacterial drug consumption. About 150million UTI cases were diagnosed every year. Urinary tract infections are the most important and most commonsite of infections in a diabetic patient. Diabetic patients have been found to have a 5-fold frequency of acutepyelonephritis at autopsy than non-diabetics. Most of the urinary tract infections in patients with diabetes arerelatively asymptomatic. The presence of this syndrome predisposes to much more severe infections,particularly in patients with acute ketoacidosis, poor diabetic control, diabetic complications such as neuropathy,vasculopathy, and nephropathy. The Gram-negative aerobic bacilli are the large group of bacterial pathogensthat cause UTI with few species of Gram-positive bacteria. However, some fungi, parasites, and viruses havealso been reported to invade the urinary tract. Urinary tract infection affects women more than men due toseveral factors such as proximity of the genital tract to the urethra, anatomy of the female urethra, sexualactivity, menopause, and pregnancy. Other possible risk factors of UTI include allergy, obesity, diabetes, pasthistory of UTI, contraceptive use, catheter use, and family history.
Read ArticleINVESTIGATION OF PHOSPHATE-ION RETENTION STRENGHT IN SOME TYPES OF KAKHETI SOILS
The presented article describes the soil types existing in east Georgia, particularly in several villages of Gurjaani Municipality-Vazisubani, Kalauri, Mukuzani, Shashiani. Meadow-brown and brown soils represent good soil types for viticulture development in Kakheti. The vineyards cultivated on these soils produce such wellknown wines as Tsinandali, Vazisubani, Mukuzani, Akhasheni, Gurjaani, Manavi. The study explores brown carbonate and meadow-brown soil lab tests to examine the absorption of phosphate ions by them. The study showed that the amount of phosphorus deposited through soils is sufficiently absorbed under various conditions, having a positive effect on the amount of crop. Was compared the rates of phosphate absorption in these soils with the efficiency of phosphorus fertilizers, which showed that the higher the absorption of phosphorus, the lower the amount of phosphorus available to the plant and the lower the yield, and the lower the strength of phosphorus retention, the higher the amount of phosphorus to be consumed by the plant and the higher the yield. But under the conditions of high cultivation degree, the strength of phosphorus absorption became weak, resulted in a large amount of exchangeable and movable phosphates already existing in the soil, which is available to the plant. So, the efficacy of phosphorus fertilizers on such soil is weak. The speed of phosphorus absorption in the soil of Gurjaani municipality villages is satisfactory. However, in case of a high degree of cultivation (or in case of excess fertilization), the degree of phosphorus retention decreases. Accordingly, phosphorus-containing fertilizers should be used within strictly controlled limits.
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