Suggested New Scoring Index for Diagnosis of Stressfulness Life's Events Among Adult's People within related effectiveness of Chronic Diseases.

Background: The relationship between stress and illness is complex. The susceptibility to stress varies from person to person. An event that causes an illness in a person may not cause illness in other person. Events must interact with a wide variety of background factors to manifest as an illness. Hypertension, Heart diseases including Ischaemic heart disease was associated with personal stress (e.g. relationship breakdown) and but not with work-related stress (e.g. job loss) in middle-aged men. Personal stress being negatively associated with asthma. Objective: To assess negative and positive association of stress fullness of life's events  on adult's people according to new scoring scales for classification chronic diseases. Patients and Methods: Cross sectional study done among patients who had chronic diseases, of size (100) patients in Baghdad city from two sectors in Al- karkh and Rusafa during the period from 15th December  2015 till 30th March 2016. It was taking into account the views of experts on the scoping study stage (Validity) agreement, which came experts support the redistribution of the paragraphs of the proposed measure of stressfulness of life's events. The reliability coefficient index results came under the scale (alpha-kronor Bach) for internal consistency of a very high degree of reliability, which reflects the validity of the circulating current research on all members of the community the results of the study. Using statistical analysis of the relationship (arithmetic mean, standard deviation, and relative sufficiency, chi square test). Results: Showed that a meaningful non linear regression model tested in two tailed alternative of statistical hypothesis between the two factors, chronical diseases problems concerning stressfulness of life's events. The slop value indicating that with increasing one unit of (chronic diseases problems factor) throughout reverse scoring scales, a negative decrement should be occurred in the unit of stressfulness of life's events factor, and estimated with (-0.15824) by the Logarithmic -Shape mode, and that decrement recorded a highly significant impact at P<0.01. Conclusion: The incidence of chronic diseases can put people in a position not to scorn or attention to detail from the painful life compared with people who do not have chronic diseases accidents, which was accomplished through the study of the stressfulness of life's events with increased diseases  problems there found an inverse relationship, which has been achieved through the use of simple logarithmic regression mode

Hormonal dysfunction in patients with chronic obstructive pulmonary disease

AbstractBackgroundSystemic response to chronic disease in COPD patients might cause hormonal imbalance which in turn affects the severity of the disease. The severity of hypoxia in COPD patients causes alterations in thyroid function tests and IGF-1 levels.MethodsThis work was carried on 50 COPD patients diagnosed and classified according to GOLD criteria and 20 healthy controlled subjects. All subjected to full clinical history, examination, chest X-ray and spirometry. Levels of TT3, TT4, FT3, FT4, IGF-1 and insulin were measured.ResultsTT4, FT3, FT4, TSH, and insulin levels were normal in all COPD. Despite the TT3 hormone level were normal in all stages of COPD, there is reduction in hormone levels in stage III and stage IV than control subjects. There is also reduction in TT3/TT4 ratio in severe COPD and there is correlation between TT3/TT4 ratio and PaO2 in stage III and stage IV but no correlation between TT3/TT4 ratio and PaO2 in stage I and stage II. IGF-1 hormone levels were variable among different stages of COPD.ConclusionThere is was no significant difference between some hormonal levels in COPD and in controls, accordingly hormonal replacement therapy in these patients is doubtful