PSYCHIATRIC MANIFESTATION OF PATIENTS WITH BRONCHIAL ASTHMA IN MOSUL, IRAQ

Aims and methods: To identify risk factors and psychiatric morbidity in bronchial Asthma. Patients who consented to participate in the study, were checked for bronchial asthma. They were interviewed and their sociodemographic data were recorded, the hospital anxiety and depression was administered. Results were inputted in a computer programme and software statistical programme Minitab version 14.1 was utilised to analyse these data. Results: It showed statistically significant correlation between age, duration of asthma and HAD score. Implications: Psychiatric morbidity is a neglected area in the management and care of physical illnesses, especially, bronchial asthma, where patients may get very worried and scared during acute attacks when they feel that they may suffocate. Assessing and managing the psychiatric morbidity of such patients will be reflected on the outcome of the illness and improve the quality of life of such patients

PSYCHIATRIC MANIFESTATION OF PATIENTS WITH BRONCHIAL ASTHMA IN MOSUL, IRAQ

Aims and methods: To identify risk factors and psychiatric morbidity in bronchial Asthma. Patients who consented to participate in the study, were checked for bronchial asthma. They were interviewed and their sociodemographic data were recorded, the hospital anxiety and depression was administered. Results were inputted in a computer programme and software statistical programme Minitab version 14.1 was utilised to analyse these data. Results: It showed statistically significant correlation between age, duration of asthma and HAD score. Implications: Psychiatric morbidity is a neglected area in the management and care of physical illnesses, especially, bronchial asthma, where patients may get very worried and scared during acute attacks when they feel that they may suffocate. Assessing and managing the psychiatric morbidity of such patients will be reflected on the outcome of the illness and improve the quality of life of such patients

PSYCHIATRIC MANIFESTATION OF PATIENTS WITH EPILEPSY IN MOSUL, IRAQ

Background: It has been proven that physical morbidity is related to psychiatric illness. Some physical illnesses are more related to psychiatric morbidity compared to others. Epilepsy is considered one of them, as patients who suffer from epilepsy has disturbances of consciousness and this leads to a variety of psychological disturbance in addition to the psychological and social impact of the illness. Aims: To identify risk factors and psychiatric morbidity in epilepsy, in order to try to manage it and improve outcome of this illness and enhance quality of life. Methods: Patients who were referred to the department of Neurology at Mosul Teaching hospital from primary care centres between October 2012 and February 2013 and consented to participate in the study, were checked and if they fulfilled the criteria for the diagnosis of epilepsy, they were interviewed and their sociodemographic data were recorded, the hospital anxiety and depression questionnaire (HAD) was administered. Results were input in a computer programme and software statistical programme Minitab version 14.1 was utilised to analyse these data. Results: The whole sample was 100 patients. 55 females and 45 males were included. Mean age was 30 years. Mean duration of illness was 5.5 years. Mean HAD score was 17. Male patients were a little bit older but there was no statistically significant difference compared to females and they both scored similar HAD score. There was no difference between urban and rural population with regards to HAD score. The results showed statistically significant correlation between age and duration of the illness and HAD score. Discussion: The present study showed that there is a correlation between epilepsy and psychiatric morbidity. It has confirmed that females are more affected compared to males, which is expected as compared to the general population. It has also confirmed that psychiatric morbidity is positively related to epilepsy as it showed that the duration of illness has increased the psychiatric morbidity. Conclusion: Psychiatric morbidity is a neglected area in the management and care of physical illnesses, especially, epilepsy, where patients may get stigmatised and traumatised in the society. They may live in constant fear of having a fit. Assessing and managing the psychiatric morbidity of such patients will be reflected on the outcome of the illness and improve the quality of life of patients

PSYCHIATRIC MANIFESTATION OF PATIENTS WITH EPILEPSY IN MOSUL, IRAQ

Background: It has been proven that physical morbidity is related to psychiatric illness. Some physical illnesses are more related to psychiatric morbidity compared to others. Epilepsy is considered one of them, as patients who suffer from epilepsy has disturbances of consciousness and this leads to a variety of psychological disturbance in addition to the psychological and social impact of the illness. Aims: To identify risk factors and psychiatric morbidity in epilepsy, in order to try to manage it and improve outcome of this illness and enhance quality of life. Methods: Patients who were referred to the department of Neurology at Mosul Teaching hospital from primary care centres between October 2012 and February 2013 and consented to participate in the study, were checked and if they fulfilled the criteria for the diagnosis of epilepsy, they were interviewed and their sociodemographic data were recorded, the hospital anxiety and depression questionnaire (HAD) was administered. Results were input in a computer programme and software statistical programme Minitab version 14.1 was utilised to analyse these data. Results: The whole sample was 100 patients. 55 females and 45 males were included. Mean age was 30 years. Mean duration of illness was 5.5 years. Mean HAD score was 17. Male patients were a little bit older but there was no statistically significant difference compared to females and they both scored similar HAD score. There was no difference between urban and rural population with regards to HAD score. The results showed statistically significant correlation between age and duration of the illness and HAD score. Discussion: The present study showed that there is a correlation between epilepsy and psychiatric morbidity. It has confirmed that females are more affected compared to males, which is expected as compared to the general population. It has also confirmed that psychiatric morbidity is positively related to epilepsy as it showed that the duration of illness has increased the psychiatric morbidity. Conclusion: Psychiatric morbidity is a neglected area in the management and care of physical illnesses, especially, epilepsy, where patients may get stigmatised and traumatised in the society. They may live in constant fear of having a fit. Assessing and managing the psychiatric morbidity of such patients will be reflected on the outcome of the illness and improve the quality of life of patients

TRENDS OF ADMISSIONS OF CONVERSION DISORDER IN MOSUL IRAQ

Aims: Our study aims to make inferences from inpatient admission of conversion disorder with regards it’s age and sex distribution, clinical presentation, yearly distribution of admission and morbidity of conversion disorder in comparison to total psychiatric admissions. It also compares it’s results with those of pervious studies in this country, neighbouring countries and western studies. Methods: A case notes review was done for admissions of this disorder for five years in Mosul University Hospital. The data were inputted into SPSS programme and analysed. The statistical analysis was by t-test, Anova and regression. Results: Two hundred seventy five patients were admitted during the period; 224 women and 51 men. The majority of men came from Urban areas compared to 58% of women. Single status wase over represented; 59% compared to 34% married. Women formed 82% of the singles, 90% of the widows and 83% of the divorced. Pseudo-fits was the most frequent diagnosis. There was no significant change in the number of yearly admissions apart from the first year. The proportion of conversion disorders compared to total psychiatric disorders admissions was 7.4%. Impications: Results were consistent with national studies but showed higher figures than neighbouring countries. What was interesting was that, results were consistent with figures in United Kingdom before 1950

Sensored speed control of brushless DC motor based salp swarm algorithm

This article uses one of the newest and efficient meta-heuristic optimization algorithms inspired from nature called salp swarm algorithm (SSA). It imitates the exploring and foraging behavior of salps in oceans. SSA is proposed for parameters tuning of speed controller in brushless DC (BLDC) motor to achieve the best performance. The suggested work modeling and control scheme is done using MATLAB/Simulink and coding environments. In this work, a 6-step inverter is feeding a BLDC motor with a Hall sensor effect. The proposed technique is compared with other nature-inspired techniques such as cuckoo search optimizer (CSO), honey bee optimization (HBO), and flower pollination algorithm (FPA) under the same operating conditions. This comparison aims to show the superiority features of the proposed tuning technique versus other optimization strategies. The proposed tuning technique shows superior optimization features versus other bio-inspired tuning methods that are used in this work. It improves the controller performance of BLDC motor. It refining the speed response features which results in decreasing the rising time, steady-state error, peak overshoot, and settling time

Validation of liquid biopsy for ESR1-mutation analysis in hormone-sensitive breast cancer: a pooled meta-analysis

Several retrospective and prospective studies have shown that genomic alterations in Estrogen-receptor one (ESR1) can be characterized not only in tissue samples but also by sequencing circulating tumor DNA (ctDNA) in liquid biopsy. Therefore, liquid biopsy is a potential noninvasive surrogate for tissue biopsy. This meta-analysis was designed to compare the prevalence of ESR 1 mutation detected with liquid biopsy and tissue biopsy. A pooled meta-analysis of studies published between 1 January 2007 and 1 March 2021 was conducted regarding the methodologies used for ESR1 mutation analysis. Liquid biopsy is a valid, inexpensive, and attractive noninvasive alternative to tumor biopsies for the identification of ESR1 mutations. Liquid biopsy for ESR 1 analysis would facilitate regular testing, allowing monitoring of the sensitivity to ET and guiding treatment strategies

Correlation of lipoprotein (a) level with severity of coronary lesion in coronary heart disease patients

Background: Cardiovascular diseases (CVDs) are the leading cause of death in developing nations, especially in low and middle-income countries (LMICs). Bangladesh has been undergoing an epidemiological transition from communicable to non-communicable diseases. This study aimed to investigate the association of risk factors with coronary heart disease (CHD) in patients from Bangladesh. Methods: This cross-sectional observational study was conducted in the department of cardiology, Chattogram Medical College and Hospital, Chattogram, Bangladesh from July 2018 to June 2019. A total of 100 patients were enrolled. Results: This cross-sectional study enrolled 100 CHD patients with a mean age of 53.21±10.29 years. The majority were obese (64, 64.0%), and hypertension was the most prevalent risk factor (77, 77.0%), followed by smoking (65, 65.0%) and dyslipidemia (58, 58.0%). Most patients had triple vessel disease (53, 53.0%), and significant CHD (81, 81.0%). Patients with severe CHD had higher levels of blood LDL-C, triglycerides, and Lp(a). Lp(a) levels, history of dyslipidemia, and LDL-C were independently associated with a Gensini score ≥20. These findings emphasize the independent association between Lp(a) and CHD severity, warranting greater attention to patients with elevated Lp(a) levels. Conclusions: This study suggested that Lp(a) is an independent risk factor for CHD in patients from Bangladesh. More attention should be paid to such patients with elevated Lp(a) level

Clinical experience with insulin detemir, biphasic insulin aspart and insulin aspart in people with type 2 diabetes: Results from the Central Saudi Arabia cohort of the A 1 chieve study

Background: The A 1 chieve, a multicentric (28 countries), 24-week, non-interventional study evaluated the safety and effectiveness of insulin detemir, biphasic insulin aspart and insulin aspart in people with T2DM (n = 66,726) in routine clinical care across four continents. Materials and Methods: Data was collected at baseline, at 12 weeks and at 24 weeks. This short communication presents the results for patients enrolled from Central Saudi Arabia. Results: A total of 2819 patients were enrolled in the study. Four different insulin analogue regimens were used in the study. Study patients had started on or were switched to biphasic insulin aspart (n = 1100), insulin detemir (n = 1156), insulin aspart (n = 34), basal insulin plus insulin aspart (n = 314) and other insulin combinations (n = 170). At baseline glycaemic control was poor for both insulin naïve (mean HbA 1 c: 9.9%) and insulin user (mean HbA 1 c: 9.8%) groups. After 24 weeks of treatment, both the groups showed improvement in HbA 1 c (insulin naïve: −2.6%, insulin users: −2.5%). SADRs including major hypoglycaemic events did not occur in the study patients. Conclusion: Starting or switching to insulin analogues was associated with improvement in glycaemic control with a low rate of hypoglycaemia

The study of electronic and optical properties of perovskites CH

At present, Organic-inorganic hybrid methylammonium lead halide perovskites MAPbX3 (MA= CH3NH3; X = Cl, Br) have recently attract attention scientific researchers, as a promising candidate for photovoltaic and optoelectronic devices. We have studied the electronic structures and optical properties of perovskites CH3NH3PbBr3 and CH3NH3PbCl3, using density functional theory (DFT). These physical properties are calculated by CASTEP code, such as the band structures, total density of states (TDOS), absorption coefficient, refractive index and optical conductivity. The analysis of band gap shows that these two perovskites are semiconducting materials. Calculated absorption coefficient of CH3NH3PbBr3 and CH3NH3PbCl3 shows an absorption peak around 3.87 eV and 2.04 eV, respectively. The above results provide good agreement with experimental work for optoelectronic properties of CH3NH3PbBr3 and CH3NH3PbCl3 materials