Objectives: It was previously thought that adiponectin influenced insulin activity in tissues. Insulin resistance caused by obesity is associated to reduced plasma adiponectin levels. Researchers may be able to better understand the role of adiponectin in insulin resistance and type 2 diabetes by comparing adiponectin levels in T2DM patients to non-diabetic patients, as well as its connection with BMI and WC. Method: A case-control study was conducted at the Abu A'gla Health Care Center for diabetes care in Wad Madani, Gezira State, Sudan, between April 2012 and March 2013. The study involved a total of 181 participants. To measure adiponectin, FPG, and HbA1C levels, patients were divided into diabetes and non-diabetic groups. The body mass index (BMI) was calculated, and the waist circumference (WC) was measured. Personal information (age and gender) were obtained. Samples were analyzed for many biochemical parameters using the A15, a random-access auto-analyzer bio system. To quantify adiponectin, ELIZA employed the techniques of a human adiponectin ELISA kit. A statistical software for social sciences was used to conduct the statistical analysis (SPSS version 16, Chicago, IL, USA). Result: The mean BMI (29.007) increased significantly between diabetic and non-diabetic groups (p=0.001) indicating that the study participants were overweight. There was significant increased (p<0.0001) in FPG (160.10) and HbA1C (6.9813) and non- significant decreased in adiponectin mean (1.567) concentration. SBP and DBP mean (116.52) and (75.51) were significantly low (p=0.006) and (0.054), respectively. Conclusion: Adiponectin levels were lower in diabetic and non-diabetic patients. Only two diabetics had excessive quantities. Adiponectin and BMI were thought to have an inverse relationship, with no association between adiponectin and WC.
Background: Aim: Estimation of alkaline phosphatase levels in prostate cancer patients attending the National Cancer Institute of Gezira University to determine the association between elevated alkaline phosphatase levels and metastases in prostatic cancer patients. Methods: This is a descriptive cross-sectional hospital-based study to estimate alkaline phosphatase enzyme levels in patients with prostatic cancer who attended National Cancer Institute, Gezira University's between September and December 2018. A structured questionnaire was developed and prescribed to 100 subjects, which included personal and medically important information. The level of alkaline phosphatase was determined, and a biopsy was performed, with the results interpreted by a histopathologist. SPSS-23 was used to analyze the data. Results: Patients with metastatic prostatic cancer accounted for 50% of the patients in the research, and 51% of them had an alkaline phosphatase level greater than (124U/L). Bone metastasis was the most prevalent site of metastasis, accounting for 50% of all cases, whereas liver metastasis accounted for 12% of all cases. Radiation prostatectomy plus radiotherapy was the most prevalent treatment for prostatic cancer, accounting for 86 % of cases. In comparison to individuals with non-metastatic prostate cancer, the majority of patients with metastatic prostatic cancer had an elevated alkaline phosphatase. Conclusion: Finally, we discovered that the level of alkaline phosphatase is significantly raised in patients with metastatic prostate cancer. Early detection and treatment will limit the impact of this serious condition.
Background: Sepsis is a complicated disorder highlighted by the concurrent acceleration of coagulation and inflammation as a consequence of microbial assault. It has an important influence on hospitalized patients' need for mechanical ventilation and ICU admission. Objectives: The study's primary goal is to determine whether septic patients who require invasive mechanical ventilation fared well and whether their clinical condition improved or worsened after being connected to mechanical ventilation. The research also attempts to evaluate how additional medical interventions and other comorbidities affect the patient's prognosis. Material and methods: From November 2017 to May 2018, 160 patients with severe sepsis or septic shock were taken part in a prospective cross-sectional trial. The information was gathered using a straightforward, standardized questionnaire that included questions regarding the admission, progress, and outcome of septic patients who received mechanical ventilation in an intensive care unit. Results: 58 (36%) of the 160 patients were female, with 102 (64%) of the patients being male. In the age range of 60 to 70 years, 41 of them (or 25.6%) were detected. The majority of patients (59/369) had sepsis from a chest infection. Most of the patients, 87 (54.4%), got a combination of midazolam and fentanyl for sedation and analgesia. The majority of the patients, 85 (53%) had SIM/PS ventilation. Ultimately, 71 patients (44.4%) died, 80 patients (50%) were extubated, and 9 patients (5.6%) remained stationary and had a tracheostomy. Additionally, age, reasons, sedative type, and duration of stay were all substantially linked with the MV consequences (P 0.05). Conclusion: The better the outcome, the earlier septic patients who need IMV were identified and attached to IMV. It has been demonstrated that receiving IMV decreased mortality in septic patients by around 50%. The findings suggest that this intervention should be made more widely available and more reasonably priced by the authorities, along with the training of additional staff and the development of standard protocols for treating patients with such a condition. Focusing on health education awareness, establishing a focused outpatient department, and promptly screening patients who necessitate early referral to a tertiary care facility are the three most crucial aspects.
Background: Caffeine is a significant component of coffee, which is one of the most extensively, consumed non-alcoholic beverages. Caffeine is a methylxanthine-class central nervous system stimulant that is one of the most extensively utilized medications on the planet. Caffeine stimulates the central nervous system and is perhaps the most extensively used psychoactive stimulant. It causes gastrointestinal disturbances, tremor, headache, and sleeplessness, palpitations, cardiac arrhythmias, and it has been proposed that caffeine is possibly hypertensive. Aim: The goal of the study was to see how caffeine affected the blood pressure of Sudanese adult females in Gezira state's east during July and August 2018. Methods: A descriptive cross-sectional prospective study of 400 females aged 18 to 70 years old from various areas of Gezira State was conducted. Caffeine was not consumed by the participants for 12 hours before to the test. Blood pressure was monitored at baseline after 20 minutes of rest, then 45 minutes later after consuming a 150 mL cup of boiling coffee (120 mg caffeine) (each cup contain teaspoon 10 g of coffee powder). A questionnaire was created to collect personal and demographic information. Body mass index (BMI) was computed after measuring weight and height. Results: The researchers discovered that 120 mg of caffeine increased systolic blood pressure by 5 to 18 mmHg, diastolic blood pressure by 6 to 16 mmHg, and mean blood pressure by 3 to 13 mmHg. Caffeine had a higher effect in older and hypertensive people, according to the study, with a P value of <0.0001. With regular coffee consumption, there was no tolerance to the pressure impact of caffeine, according to the study. There was also racial variance in the caffeine presser response, with the Tama tribe having a stronger response and the Rufaah tribe having a higher baseline BP (P value is <0.0001). In addition, the prevalence of hypertension was 5.8% lower in rural areas. Conclusion: Caffeine raises systolic, diastolic, and mean blood pressure in Sudanese adult females, with a particularly noticeable effect on the elderly and hypertensive.
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