Serum Creatine Kinase Muscle-Brain Fraction (CK-MB) and Lactate Dehydrogenase (LDH) as Markers of Perinatal Asphyxia in Term Neonates

2020 ◽  
Vol 17 (2) ◽  
pp. 2-6
Author(s):  
Piush Kanodia ◽  
Sudesh Shrestha ◽  
Santosh Gautam ◽  
Sachin Chawla
Keyword(s):  
Analytical Study ◽  
Operating Characteristic ◽  
Perinatal Asphyxia ◽  
Significant Rise ◽  
Control Group ◽  
P Value ◽  
Case Group ◽  
Roc Curve Analysis ◽  
Cross Sectional ◽  
Term Neonates

Background: The enzymes CK-MB & LDH are used as potential predictors of timing and grade of HIE in newborns with perinatal asphyxia. Objectives: To differentiate HIE neonates from non-HIE ones on the basis of significant rise of LDH & CK-MB. Methodology: Prospective cross-sectional analytical study. Among 164 newborns, 82 comprising the cases and 82 neonates comprising the controls met the inclusion and exclusion criteria. The umbilical cord blood samples for CK-MB and LDH was drawn and sent for analysis. A serum CK-MB value >92.6 U/L and LDH value >580 U/L was taken as the cut-off level. Descriptive statistical analyses were done to find the significance between two groups. ROC Curve analysis was performed to find the diagnostic performance of CK-MB and LDH. Results: Out of total 164 neonates studied, 18.3% had moderate HIE & 11%had severe HIE while 56.1%had No HIE. Seventy-two newborns were found to have LDH levels >580 U/L out of which 71 were in case group and 1 was in control group. Among the 164 neonates studied, 7.9% from case group were found to have CK-MB levels >92.6 U/L. Both the results of LDH & CK-MB levels were very significant with P value <0.001. Area under ROC (Receiving operating Characteristic) value of LDH when compared to CK-MB is (0.978 vs. 0.731). Conclusion: Estimation of CK-MB and LDH enzymes can help to distinguish asphyxiated from non-asphyxiated term neonates when correlating with their history and clinical features.

scholarly journals OPG / RANKL / RANK Gene Methylation Among Alcohol-induced Femoral Head Necrosis in Northern Chinese Men

2021 ◽  
Author(s):  
Tiantian Wang ◽  
Fei Wang ◽  
Tingting Liu ◽  
Menghu Sun ◽  
Feimeng An ◽  
...  
Keyword(s):  
Femoral Head ◽  
Methylation Status ◽  
Control Group ◽  
Case Group ◽  
Roc Curve Analysis ◽  
Male Population ◽  
Cross Sectional ◽  
Chinese Men ◽  
Cpg Sites ◽  
Rank Gene

Abstract Background and purpose: Alcohol-induced osteonecrosis of the femoral head (ONFH) is a complex and heterogeneous disease. Genetic factors and epigenetic modifications are one of the pathogenesis of the disease. However, the influence of epigenetic factors on the disease has not been systematically studied. Our research aims to determine the methylation changes of alcohol-induced ONFH.Methods：An analytical cross-sectional study of a Chinese male population (50 lung cancer patients and 50 controls). The EpiTYPER of the Sequenom MassARRAY platform was used to detect the DNA methylation status of 132 Cytosine-phosphate-Guanine (CpG) sites in the OPG/RANKL/RANK gene promoter region.Results: In the whole study group，Chi-square test was used to analyze the methylation rate between the two groups, and six CpG sites were found to be different, among which OPG1_CpG_2, OPG3_CpG_4, RANK1_CpG_6, RANK3_CpG_10, RANKL2_CpG_21, and RANKL2_CpG_46 in the case group were higher than those in the control group, while OPG4_CpG_2 was lower than that in the control group. Our results showed that 146 CpG sites were measured, of which 32 were undetectable, and of the remaining 114 methylation sites, methylation levels were different in 23 CpG sites in patients with alcohol-induced ONFH compared to healthy controls. Receiver operator characteristic (ROC) curve analysis demonstrated the methylation levels of OPG/RANKL/RANK could efficiently predict the existence of alcohol-induced ONFH.Conclusion: Our study of Chinese men suggests that several CpG sites in the OPG/RANKL/RANK gene in peripheral blood leukocytes of patients with alcohol-induced ONFH are in abnormal methylation state(hypermethylation tended to be more frequent).

scholarly journals An Empirical Study of Social Support among Depressive and Non-Depressive Elderly People

2016 ◽  
Vol 4 (1) ◽  
Author(s):  
Satvinder Singh Saini
Keyword(s):  
Social Support ◽  
Elderly People ◽  
Protective Factor ◽  
Sampling Technique ◽  
The Elderly ◽  
Control Group ◽  
P Value ◽  
Case Group ◽  
Cross Sectional ◽  
Depressive Group

It has been documented that elderly are more prone to psychological problems and depression is the commonest geriatric psychiatric disorders. In fact the elderly in India face a multitude of psychological, social and physical health problems. In a cross-sectional study, it was found that in persons 65 years and older, the perceived adequacy of emotional and tangible support was clearly associated with depressive symptoms.  Aim and Objective: This study intends to see the relationship between depression and social support among depressive and non-depressive elderly. Samples and Methods: This study comprised of 60 (30 with depression and 30 without depression) participants of age 60 or above. The sample was selected with purposive incidental sampling technique. Material used: GDS-30 and PGI- SSQ were administered after taking consent. Results and conclusion: Result shows the comparison of means between depressive (case-group) and non-depressive (control-group) as per the scores on Social Support Questionnaire (SSQ). The mean score (40.53) of depressive group was lesser than that of non-depressive group (50.30). The t-value (20.373) was found to be statistically significant at 0.01. (p-value 0.000). Conclusion: In brief, the findings of the study show that depressed people perceive lack of social support than non-depressed elderly people. It has been observed that social support is a protective factor from depression in elderly people.

scholarly journals Association Between Geographic Tongue and Personal Temperament Based on the Knowledge of Persian Medicine

2020 ◽  
Vol In Press (In Press) ◽  
Author(s):  
Sara Pourshahidi ◽  
Arash Mansourian ◽  
Maryam Habibzadeh ◽  
Mohammad Mahdi Parvizi ◽  
Majid Nimrouzi
Keyword(s):  
Significant Relationship ◽  
Basic Research ◽  
Cross Sectional Study ◽  
Unknown Etiology ◽  
Control Group ◽  
P Value ◽  
Case Group ◽  
Oral Diseases ◽  
Cross Sectional ◽  
Persian Medicine

Background: Geographic tongue (GT) is one of the benign inflammatory oral diseases with unknown etiology. Objectives: The present study aimed to find the correlation between temperament (mizaj) and GT lesions in the context of Persian medicine and conventional approach. Methods: In this cross-sectional study, 401 eligible participants were selected, 201 as the case group and 200 as the control group. After obtaining informed consent, the participants were asked to fill out a questionnaire. Then, the collected data were analyzed using SPSS, version 21. Results: Patients with GT were moderate regarding hot-cold temperament, and they had dry temperament. There was a statistically significant relationship between dry temperament and GT lesions (P value = 0.037). In the control group, people without GT lesion possessed average temperament either regarding hot-cold or wet-dry temperament. Moreover, there was a statistically significant relationship between hot-dry temperament and GT lesions (P value = 0.002). Conclusions: The results of our study showed a higher frequency of GT in dry temperament. The dominant pattern for people with GT in compound and simple temperament was hot-dry and dry, respectively. The second more frequent temperament was hot. Following temperament change, treatment of GT lesion or alleviation of its disturbing symptoms is an issue, which might be determined by conducting basic research and well-designed clinical trials in the future.

scholarly journals Correlation of Cord Lactate with Cord pH as a Morbidity Predictor in Term Neonates Delivered with Non-Reassuring Fetal Heart Status

2020 ◽  
Vol 8 (3) ◽  
pp. 17-22
Author(s):  
Aluru Ananya ◽  
Kanta Kumari PML ◽  
B Vijayalakshmi ◽  
R Chandrasekhar ◽  
Naga Saritha Kolli
Keyword(s):  
Fetal Heart ◽  
Perinatal Asphyxia ◽  
Multiple Logistic Regression Analysis ◽  
Colorimetric Method ◽  
Area Under The Curve ◽  
Birth Asphyxia ◽  
Roc Curve Analysis ◽  
Cross Sectional ◽  
Term Neonates ◽  
Significant Difference

Background: Perinatal asphyxia is accounting to 20% of neonatal mortalityin India. Cord lactate can be an alternative that is more readily available than cord pH and may help in early identification of birth asphyxia in resource limited settings. The aim of the current study is to correlate cord lactate levels with cord pH in term neonates with non-reassuring fetal heart status and thereby its use as a surrogate for cord    pH. Subjects & Methods: Study design: Cross-sectional study. Setting: Neonatology unit at NRI general hospital, Chinakakani from August 2018 to July 2019. Study participants: All singleton term neonates delivered by assisted vaginal delivery or emergency caesarean section due to non-reassuring fetal heart status. Umbilical cord blood gas and lactate was obtained. Lactate was analysed by colorimetric method. Results: A total of 74 neonates were included. An analysis of cord pH & lactate, using correlation coefficient showed statistically significant p-values. Cord lactate was found to be statistically significant predictor for admission to NICU, post resuscitation care, invasive/noninvasive ventilation, and therapeutic hypothermia on multiple logistic regression analysis. Cord Lactate was found to have an Area under the curve (AUC) of 0.88 with no significant difference to cord pH on ROC curve analysis. Conclusion: Cord Lactate can be used as an objective test in predicting the neonates requiring NICU admission for morbidities related to fetal hypoxia similar to that of cord pH in term neonates.

scholarly journals IMPACT OF PARENTAL PSYCHIATRIC PROBLEMS ON ADJUSTMENT BEHAVIOUR OF ADOLESCENTS: A STUDY THROUGH ADJUSTMENT INVENTORY OF SCHOOL STUDENTS

2021 ◽  
pp. 1-4
Author(s):  
Babita Goyal ◽  
Alka Sabharwal ◽  
Arora Dhingra
Keyword(s):  
Psychiatric Disorders ◽  
Cross Sectional Study ◽  
Control Group ◽  
P Value ◽  
Case Group ◽  
New Delhi ◽  
School Students ◽  
Cross Sectional ◽  
Adolescent Students ◽  
Parental Psychiatric Disorders

Objective- It has been revealed by various studies that parental psychiatric disorders affect several aspects of children's development, including their adjustment behaviour. This study aims to study impact of parent's psychiatric health on adjustment behaviour of adolescent students using Adjustment Inventory of School Students. Methods- A Case-Control cross-sectional study was conducted on adolescent students of class XI in New Delhi, India (Control group) and adolescents of parents diagnosed suffering from some psychiatric disorders as identified by DSM IV in a New Delhi hospital (Case group). A total number of 116 respondents between the age-group 15-18 years were selected. Results- The effect of parents’ psychiatric health is observed with Adjustment Inventory of School Students for ‘Case’ and ‘Control’ groups. The differences in social and emotional adjustments of the two groups were statistically significant (p-values < 0.001) but the difference between educational adjustments was not significant as the means of scores for both the groups were higher than the healthy range. However the total adjustment scores were significantly different as p-value < 0.001.

scholarly journals OPG/RANKL/RANK gene methylation among alcohol-induced femoral head necrosis in northern Chinese men

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Tiantian Wang ◽  
Fei Wang ◽  
Tingting Liu ◽  
Menghu Sun ◽  
Feimeng An ◽  
...  
Keyword(s):  
Femoral Head ◽  
Methylation Status ◽  
Control Group ◽  
Case Group ◽  
Roc Curve Analysis ◽  
Male Population ◽  
Cross Sectional ◽  
Chinese Men ◽  
Cpg Sites ◽  
Rank Gene

Abstract Background and purpose Alcohol-induced osteonecrosis of the femoral head (ONFH) is a complex and heterogeneous disease. Genetic factors and epigenetic modifications are one of the pathogenesis of the disease. However, the influence of epigenetic factors on the disease has not been systematically studied. Our research aims to determine the methylation changes of alcohol-induced ONFH. Methods An analytical cross-sectional study of a Chinese male population (50 alcohol-induced ONFH patients and 50 controls). The EpiTYPER of the Sequenom MassARRAY platform was used to detect the DNA methylation status of 132 cytosine-phosphate-guanine (CpG) sites in the OPG/RANKL/RANK gene promoter region. Results In the whole study group, the chi-square test was used to analyze the methylation rate between the two groups, and six CpG sites were found to be different, among which OPG1_CpG_2, OPG3_CpG_4, RANK1_CpG_6, RANK3_CpG_10, RANKL2_CpG_21, and RANKL2_CpG_46 in the case group were higher than those in the control group, while OPG4_CpG_2 was lower than that in the control group. The results showed that in patients with alcohol-induced ONFH, 146 CpG sites were examined for differences in methylation levels compared with healthy controls, 32 of which were not detected, and 23 of the remaining 114 sites showed differences in methylation levels compared with alcohol-induced ONFH patients. Receiver operator characteristic (ROC) curve analysis demonstrated the methylation levels of OPG/RANKL/RANK could efficiently predict the existence of alcohol-induced ONFH. Conclusion Our study of Chinese men suggests that several CpG sites in the OPG/RANKL/RANK gene in peripheral blood leukocytes of patients with alcohol-induced ONFH are in an abnormal methylation state (hypermethylation tended to be more frequent).

Investigation of Pancreatic Sonography Findings in Patients With Beta-Thalassemia Major

2021 ◽  
pp. 875647932198966
Author(s):  
Razieh Behzadmehr ◽  
Iraj Shahramian ◽  
Pouya Ostad Rahimi ◽  
Mahboobeh Sheikh ◽  
Soosan keikha ◽  
...  
Keyword(s):  
Statistical Tests ◽  
Pancreatic Head ◽  
Thalassemia Major ◽  
Cross Sectional Study ◽  
Beta Thalassemia ◽  
Control Group ◽  
P Value ◽  
Case Group ◽  
Cross Sectional ◽  
Beta Thalassemia Major

Objective: Some structural abnormalities have been reported on sonography of pancreas in patients with beta-thalassemia which can indicate that the patient is developing diabetes. In this study, the aim was to investigate the findings of pancreatic sonography in patients, with beta-thalassemia major. Methods: This cross-sectional study included information extracted from the medical record and entered into an information form. A cohort of 190 people were split into case and control groups, retrospectively. The required data were extracted from patient’s documents. Data were analyzed with SPSS software, version 22; with the chi-square statistical tests. A P value of < .05 was considered statistically significant. Results: This study consisted of 33 males and 61 females in the case group and 32 males and 64 females in the control group. The most common echogenicity observed during pancreatic sonography, in the control group, was an isoechoic feature (72.3%), followed by hyper and hypoechogenicity (18.1% and 9.6%, respectively). The prevalence of an isoechoic texture in the patient case group was 58.3%, while hyper and hypoechogenicity were seen in 26% and 2.1%, respectively ( P = .070). There was a poor negative correlation between diabetes and pancreatic echogenicity ( P = .002 and r = −.226). Also, there was a poor positive correlation between fasting serum glucose levels and pancreatic echogenicity ( P = .034, n = 96 and r = .217). Conclusion: This study demonstrates, in this patient group, that there was a poor relationship between pancreatic head size with serum ferritin levels and pancreatic echogenicity with diabetes. These results may suggest using sonography to diagnose early stages of diabetes in patients with thalassemia.

scholarly journals Evaluating QT dispersion in children with syncope attacks

2018 ◽  
Vol 15 (2) ◽  
pp. 15-20
Author(s):  
Amir Hossein Movahedian ◽  
Ali Mohammad Shakiba ◽  
Mojtaba Sehat ◽  
Maryam Sadat Razavi ◽  
Marzieh Heydarzadeh Arani
Keyword(s):  
Qt Dispersion ◽  
Brain Dysfunction ◽  
Control Group ◽  
P Value ◽  
Case Group ◽  
Healthy Children ◽  
Cross Sectional ◽  
Significant Difference ◽  
The Mean ◽  
And Control

Background and Aims: Syncope is due to brain dysfunction and is a common compliant among children. It accounts for almost 3% of all emergency departments (ED) visits. The aim of this study was to evaluate the QT dispersion in children with syncope in Shahid Beheshti Hospital of Kashan in 2014.Methods: This was a descriptive cross-sectional study performed among 50 children with syncope attacks (case group) referred to the Clinic of Shahid Beheshti Hospital in Kashan during 2014 and 50 healthy children (control group) referred to the center for causes such as a cold or developmental examination. ECG was taken and QT, QTd (QT dispersion), QTc (Corrected QT interval) and QTcd (QTmin-QTmax =QT dispersion) intervals were studied. After proper explanation to the parents, data was obtained from the case and control group and was analyzed using Chisquare, Mann-Whitney, Kolmogorov–Smirnov, Levene›s, Kruskal-Wallis statistical tests.Results: Total, there were 100 children in the study, the participants were divided into two groups of case (n=50) and control (n=50). Among the studied children, a total of 46 of them (46%) were boys. The mean age range of children in the case and control groups were 7.73± 2.33 and 8.09± 2.31 years, respectively (P-value 0.440). The mean QTmax, QTcmax, QTd and QTcd in the case group were 348.80 ± 46.93, 464.94±48.71, 47.80±19.72, 68.36±24.59 ms (millisecond) respectively and 305.28 ±35.52, 395.70 ±50.05, 29.68±13.45, and 45.16±24.46 ms respectively in the control group. There was a significant difference in terms of each of the 4 parameters (P <0.001), and the value of indices in the control group was significantly less than that of the patient group.Conclusion: According to the results of the study, the QTd and QTcd values in the children with syncope attacks were higher than those in the control group. Therefore, precise ECG examination in children suspected of syncope attacks can be helpful in confirming the incidence of syncope. Additionally, the recurrence of attacks can also be predicted in children with higher QTd and QTcd values.

scholarly journals Low Serum Calcium Levels in Pre-eclampsia

2015 ◽  
Vol 7 (3) ◽  
pp. 126-129
Author(s):  
Bushra Rashid ◽  
Mariam Malik Richard ◽  
Gul-E-Rana LNU
Keyword(s):  
Pregnant Women ◽  
Serum Calcium ◽  
Calcium Supplementation ◽  
Venous Blood ◽  
Cross Sectional Study ◽  
Control Group ◽  
P Value ◽  
Case Group ◽  
Cross Sectional ◽  
Low Serum

ABSTRACT Background Pre-eclampsia remains the most threatening obstetric complication in Pakistan, resulting in high fetomaternal morbidity and mortality. Etiology of pre-eclampsia is not still clearly established. Association of low serum calcium levels with pre-eclampsia may be a factor in poorly nourished women, and some preventive measures may help to reduce the burden of disease. Objective To compare mean serum calcium levels in preeclamptic and normotensive pregnant women at third trimester of gestation. Study design Cross-sectional study. Place and duration of study The Department of Obstetrics and Gynecology, Unit-1, Sir Ganga Ram Hospital, Lahore, from July 2012 to July 2013. Methodology Two hundred patients were enrolled in the study. One hundred each in case and control group. History and examination performed. Proteinuria was checked by dip stick methods. Peripheral venous blood samples were taken to determine mean serum calcium levels of both the groups. Oral calcium supplementation was analyzed through stratification. Data was analyzed through SPSS by applying student's t test and calculating p-value. Results The mean serum calcium levels of the case group were 8.313 ± 0.377 while that of control group were 9.40 ± 0.427 with p-value 0.016. With increasing proteinuria (determined by dipstick method) and so the severity of pre-eclampsia, a gradual fall in serum calcium levels was observed. Conclusion Serum calcium levels in pre-eclamptic pregnant women are lower than in normal pregnant women and so hypocalcemia is associated with pre-eclampsia. How to cite this article Rashid B, Richard MM, Gul-E-Rana. Low Serum Calcium Levels in Pre-eclampsia. J South Asian Feder Obst Gynae 2015;7(3):126-129.

ASSESSMENT OF CORRELATION BETWEEN LEUKODERMA AND PSYCHIATRIC ILLNESS

2019 ◽  
Vol 3 (8) ◽  
Author(s):  
Dr. Mukesh Batra
Keyword(s):  
Psychiatric Illness ◽  
Study Participant ◽  
Simple Random Sampling ◽  
Anxiety Symptoms ◽  
Control Group ◽  
P Value ◽  
Common Symptom ◽  
Cross Sectional ◽  
Duration Of Disease ◽  
Illness Anxiety

Background: Leukoderma is an acquired disease of pigmentation which is presented by depigmented areas of different shape and sizes on the skin. In various researches it was reported that these defects in melanocytes occurred due to autoimmune pathway or the complex causation of oxidative stress and genetics. Material & Methods: In the present cross‑sectional prospective study 100 patients who were diagnosed with Leukoderma and controls who were not having depigmentation of skin and without any known clinical disease were enrolled for present study by simple random sampling. Written informed consent was taken from each study participant. Clearance from institutional ethical committee was also taken prior to the study. Results: The prevalence of psychiatric illness among leukoderma group was 22% and among 78% patients we did not found any psychiatric illness. The most common symptom was depression which was present among 22% of patients with Leukoderma and 18% patients with Leukoderma had anxiety symptoms. Among the control group depression was present in 5 % subjects and anxiety symptoms were present in 7% of subjects. The mean WHO-Quality of life scores was low among Leukoderma group in relation to the control group (p value <0.05). On correlation with psychiatric illness, observations were statistically non-significant (p > 0.05) with HAMA-A and HAMA- D. The observations were statistically significant (p < 0.05) with GHQ total and BSA score. Conclusion:  Higher prevalence of psychitric morbidity among patients with leukoderma and it was found associated with duration of disease and BSA scores. The most common symptom was depression which was followed by anxiety symptoms. Key words: Leukoderma, psychiatric illness, anxiety, depression.

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