Background: The kidneys perform glomerular filtration, tubular reabsorption, and tubular secretion and the study of urinary excretion of some enzymes considered as a sensitive test for the detection of early stages of renal disease, particularly N-acetyl-β-D-glucosaminidase (NAG) which is a hydrolytic lysosomal enzyme present in the epithelial cells of the proximal convoluted tubule. Increased urinary NAG due to tubular damage could be used as a marker by a simple non invasive test for prediction of urinary tract problems like pelviureteric junction(PUJ) obstruction ,vesicouretric reflux(VUR) and pyelonephritis.
Objectives: to assess urinary NAG/ urinary creatinine (NAG/ Cr) ratio in children with different urinary tract anomalies and compare it with normal healthy children.
Patients and Methods: A prospective study was conducted from November, 2012 to April, 2013. Urine samples were collected from 51 patients with Urinary tract problems, and 40 healthy children as a control group, their age range (1month-13years). Children were admitted to Pediatric nephrology department, Children Welfare Teaching Hospital / Medical City Complex, Baghdad, Iraq. The Glomerular filtration rate was in normal range in all of them. Urine samples were tested for NAG by (ELISA,Cusabio ,China) while, both Serum creatinine (S-Cr) and urine creatinine (U-Cr) were estimated by Jaffe’s kinetic method.
Results: The current results revealed that NAG/creatinine index was significantly higher in patients with vesicoureteral reflux, Pelviureteric junction obstruction and pyelonephritis in comparison with cystitis.
Conclusions: The assessment of urinary NAG could be considered as a useful marker in prediction of the vesicoureteral reflux, hydronephrosis secondary to Pelviureteric junction obstruction .Urinary NAG is elevated in children with pyelonephritis and it can be considered as a further criterion in the diagnosis of upper urinary tract infection.
Background; determining what radiologic studies to obtain following the diagnosis of a urinary tract infection(uti) is an area of medicine that is still not agreed upon, nor is there a gold standard.
Objective; to study the radiological abnormalities in paediatric patients with urinary tract infections.
Patients and methods; this prospective study was done from the first of june 2008 to the first of may 2009 include 104 pediatric patients who were referred to children welfare hospital ,(pediatric nephrological out patient clinic) with signs and symptoms of urinary tract infections, all of them had culture positive urine examination , ultrasonograhy was done for all patients, voiding cystouretherography was done for patients with re
Background: Urinary tract infections (UTIs) are common in dialysis patients, are associated with increased rate of complications, and may be difficult to diagnose due to often subclinical presentation.
Objectives: To examine theprevalence of urinary tract infections in hemodialysis patients with renal failure, and to evaluate the diagnostic accuracy of pyuria as a screening test in hemodialysis patients.
Patients and Methods: A total of forty hemodialysis patients (27 males and 13 females) with renal failure were selected according to the study criteria. Clean-catch mid-stream urine specimens were obtained from study patients, their urinalysis and bacterial culture were performed according to standard techn
Background: Urological anomalies are frequently associated with anorectal malformations which are a common source of significant morbidity.
Objective: Is to evaluate the incidence and nature of the urological anomalies with patients of anorectal malformations (ARM).
Patients & methods: The data from 95 patients with ARM were studied from January 2009 to January 2012 in this cross-sectional study. All patients underwent sonography of urinary tract. Voiding cystourethrogram (VCUG) was done in patient with abnormal sonography & to all male patients with ARM who underwent colostomy. Other imaging studies were done in selected cases.
Results
... Show MoreBackground: Urinary tract infection is a highly prevalent disease all over the world and affects females more than males. In the former, it may complicate pregnancy to potentially lethal septicaemia. Therefore, the aim of current case report was to show how misinterpretation of symptoms of septicaemia can lead to inadequate, and probably inappropriate, management with subsequent medico-legal consequences. Methods: A case study of a young pregnant female who developed urinary tract infection and treated with parenteral cephalosporins. The infection developed into septicaemia with subsequent miscarriage and death of the patient. Discussion: Misinterpretation of the symptoms of septicaemia
... Show MoreObjective(s): The study aims Finding relationship between UTI and demographic variable include: child's age, child's gender, if males are circumcised or not, child's order in his family, father's level of education, mother's level of education, place of residence and family socioeconomic status. Methodology: A descriptive study was conducted on students of primary schools for both sexes, for the period from 19th. February 2014 through to 4th March 2014. A selected sample from two steps the first stage is to choose a school by a stratified- cluster sample, getting schools that have been selected (12) sch
Background: Nephrotic syndrome is an immune mediated disorder of the kidney associated with T cell dysfunction and secondary disturbance of B cell with changes in levels of immunoglobulin.
Objectives: The objectives of this study were to compare immunoglobulin levels in children with nephrotic syndrome in relapse and healthy children, and to assess relationship between the degree of albuminuria and the mean concentrations of immunoglobulin.
Methods: We studied 60 children with nephrotic syndrome during January 2008 to January 2011 in the Pediatric Nephrology consultation clinic, Children Welfare Teaching Hospital –Baghdad Medical Complex –Iraq. Urine protein and blood samples were collected from the 60
Background: Polycystic ovary syndrome (PCOS) is a common endocrinopathy in women of
reproductive age with primary features of infertility, menstrual irregularity, and clinical or biochemical
evidence of hyperandrogenism (hirsutism, acne and high androgen level). Vitamin D has a role in the
development of metabolic and endocrine abnormalities in PCOS mediated by insulin resistance.
Objective: Measure serum 25-hydroxy vitamin D levels in women with polycystic ovary syndrome and
compare their levels with age and body mass index matched healthy controls. Also, assess the
correlation between insulin resistance and 25-hydroxy vitamin D among women with PCOS.
Subjects and Methods: Eighty eight women were involved in this st
Antibiotic resistance is a problem of deep scientific concern both in hospital and community settings. Rapid detection in clinical laboratories is essential for the judicious recognition of antimicrobial resistant organisms. So, the growth of Uropathgenic Escherichia coli (UPEC) isolates with Multidrug-resistant (MDR) and Extensively Drug-resistant (XDR) profiles that thwart therapy for (UTIs) has been detected and has straight squeezed costs and extended hospital stays. This study aims to detect MDR- and XDR-UPEC isolates. Out of 42 UPEC clinical isolates were composed from UTI patients. The bacterial strains were recognized by standard laboratory protocols. Susceptibility to antibiotic was measured by the standard disk diffusi
... Show MoreUrine samples had been gathered from females living in Baghdad city. The sample consisted of 30 females who suffered from U.T.I (Urinary tract infections) and 20 healthy females. The type of urine U.T.I was specified by the emergency lab in Al-Kindy hospital, and alpha tracks were determined by the nuclear track detector CR-39. The concentrations of alpha in 30 urine samples taken from females who had U.T.I ranged from 0.327ppm-1.583ppm, with an average of 0.94965 ppm. The maximum value 1.583 ppm is belonging to females with an aged 57 years old. The results of healthy female concentration ranged from 0.022 ppm-0.459ppm with an average of (0.30855ppm). The findings revealed that alpha emitter concentrations differed from woman to woman,
... Show MoreObesity is an escalating health problem in developing countries. One to ten children worldwide are overweight in a report showed by the International Obesity Task Force. Ghrelin, orexigenic peptide, has 28 amino acids, it is considered the greatest remarkable promotion in the last two decades for understanding the physiological changes of action regulating food intake and hunger. Obestatin is a 23-amino acid peptide nearly connected to ghrelin that secures from substitutio
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