Total L-carnitine and insulin resistance in non-obese and obese Iraqi women with polycystic ovary syndrome

Background: Polycystic ovary syndrome (PCOS) is one of the most frequent endocrine illnesses affecting reproductive - age women. L-carnitine has important roles in oxidative stress, energy production and glucose metabolism. It affects insulin resistance as decreased plasma carnitine level has been well reported in type II diabetes mellitus. Hence, it means L-carnitine may reduce insulin resistance which is found in PCO disease. Objective: This study aims to measure the level of L-carnitine and insulin resistance in both obese and non- obese patients with PCOS. Patients and Methods: Sixty women within the reproductive age with PCOS (30 obese and 30 non- obese) were recruited from the Gynecology and Obstetrics Outpatient Clinic in Baghdad Teaching Hospital from June 2016 to June 2017. The data collected for each case included: Height, weight, waist circumference, blood pressure, obstetrical, medical, and medication history as well as ultrasound results. A physical examination was done to evaluate the clinical signs of hyperandrogenism. Biochemical measurements included fasting blood sugar, leutinizing hormone, follicular stimulating hormone, Testosterone and lipid profile were measured together with total L-carnitine (using L-Carnitine Assay Kit Sigma-Aldrich Co.). Insulin resistance was diagnosed according to National Cholesterol Education Program/Adult Treatment Panel III (NCEP/ATP III). PCOS is diagnosed according to the Rotterdam criteria. Results: This study revealed that insulin resistance (IR) was present in 51.7% of PCOS patients, which was higher in obese PCOS patients (73.3%) than  in the non-obese (30%). Age of patients, serum cholesterol, LH, and FSH were not related to IR. High mean BMI, waist circumference, FBS and triglyceride were significantly associated with IR (p < 0.05), while low serum HDL and L-Carnitine were associated with IR (p < 0.05). The mean serum total L-carnitine in this study was 34.03μmol/L. Obese women had lower carnitine levels than non-obese women and low serum L-Carnitine was associated with IR. Serum triglyceride, FBS and testosterone were correlated negatively with serum L-carnitine (p < 0.05) and serum HDL correlated positively with serum L-carnitine (p value = 0.001). Conclusions: The mean value of serum total L-carnitine among the non-obese PCOS women was higher than among the obese ones. Low serum L-carnitine is associated with insulin resistanc

Effect of PMMA sealing treatment on the corrosion behavior of plasma electrolytic oxidized titanium dental implants in fluoride-containing saliva solution

Titanium (Ti) and its alloys are widely used as dental implant materials because of their high mechanical properties, biocompatibility, and corrosion resistance. This research was undertaken to study the effect of polymethyl-methacrylate (PMMA) sealing layer on the corrosion performance of plasma electrolytic oxidation (PEO)-coated titanium-based dental implants in pure saliva and fluoride-containing saliva solutions. The phase structure, chemical composition, and microstructure of coatings were investigated via x-ray diffraction, Fourier transform infrared spectroscopy, and scanning electron microscopy, respectively. The corrosion behavior of the samples was evaluated by open circuit potential, potentiodynamic polarization, and electrochemical impedance spectroscopy tests. The deposition of the PMMA layer on the PEO-coated Ti dental implants was found to effectively seal the micropores and microcracks of the TiO _2 coatings and block corrosive ions’ penetration routes through the coating. Thereby, the results indicated that better corrosion performance was observed when the PMMA layer is applied on PEO-coated Ti dental implants than on the simple PEO coatings