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1.
J Appl Microbiol ; 129(3): 575-589, 2020 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-32147927

RESUMO

OBJECTIVE: The present study was performed to examine the role of pqqE inhabiting rhizobacteria in organic acid production and relationship of the organic acids with phosphate solubilization by the bacteria in vitro as well as in vivo. METHODS AND RESULTS: The pqqE gene was PCR amplified and sequenced in genomic DNA of Pantoea sp. WP-5 and Pseudomonas sp. NN-4. Nucleotide sequence obtained from WP-5 and NN-4 showed maximum sequence similarity (88 and 89%, respectively) with the pqqE gene of Pseudomonas fluorescens strain CMR12a (KM251420). Deduced amino acid sequence from pqqE gene of Pseudomonas sp. NN-4 and Pantoea sp. WP-5 showed 75 and 93% similarity, respectively, with protein pyrroloquinoline quinone. Phosphate solubilization and acid production assay were quantified on spectrophotometer and high-profile liquid chromatograph, respectively, by each bacterial strain. Both strains produced organic acids such as acetic, citric, gluconic, succinic and malic acid and lowered the pH of Pikovskaya broth medium under laboratory conditions. Phosphate solubilization by Pantoea sp. WP-5 was 311 ± 4 and 204 ± 3 µg ml-1 in the culture medium supplemented with glucose and sucrose as carbon source, respectively. Pseudomonas sp. NN-4 solubilized 176 ± 3 and 298 ± 5 µg ml-1 phosphate in Pikovskaya broth medium under similar conditions. In field experiments conducted during two consecutive years, the concentration of acetic acid and gluconic acid was higher in root exudates of plants treated with Pantoea sp. WP-5 at 30% reduced doses of nitrogen (N)- and phosphorus (P)-based chemical fertilizers as compared to non-inoculated plants. Values of chlorophyll contents, crop growth rate, leaf area index, straw yield and P contents were recorded higher in plants inoculated with Pantoea sp. WP-5 and Pseudomonas sp. NN-4 as compared to non-inoculated control. Grain yield was increased by 10-12% due to inoculation with Pantoea sp. WP-5 and Pseudomonas sp. NN-4 over non-inoculated control in the field experiments. CONCLUSIONS: These results lead to the conclusions that the rhizobacteria inhabiting pqqE gene produced organic acids and solubilized the phosphate in vitro. On inoculation to wheat plants in field experiments, these strains produced the organic acids, solubilized the phosphate, and improved the P uptake and productivity of wheat. SIGNIFICANCE AND IMPACT OF THE STUDY: The Pantoea sp. WP-5 and Pseudomonas sp. NN-4 are the potential candidates for inoculation to wheat as phosphate solubilizer even with reduced chemical fertilizer dose. The inoculation of the strains may enhance grain yield and net income of the farmer even with less chemical fertilizer application. This practice will be helpfull inminimizing environmental pollution.


Assuntos
Proteínas de Bactérias/genética , Pantoea/fisiologia , Pseudomonas/fisiologia , Triticum/crescimento & desenvolvimento , Triticum/microbiologia , Ácidos/metabolismo , Proteínas de Bactérias/metabolismo , Grão Comestível/crescimento & desenvolvimento , Grão Comestível/metabolismo , Fertilizantes/análise , Pantoea/genética , Pantoea/metabolismo , Fosfatos/metabolismo , Pseudomonas/genética , Pseudomonas/metabolismo , Solo/química , Microbiologia do Solo , Triticum/metabolismo
2.
Hemoglobin ; 44(6): 397-401, 2020 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-33092414

RESUMO

Thalassemia is the most common congenital monogenic disorder in Bangladesh. Prenatal diagnosis (PND) and pregnation termination of an affected child is one of the best options to reduce the burden of thalassemic children. This article reports the results of DNA analyses of chorionic villus sampling (CVS) and amniocentesis of fetuses of mothers who came to the thalassemia center of Dhaka Shishu (Children) Hospital, Dhaka, Bangladesh. DNA analysis was done by real-time polymerase chain reaction (qPCR) and Sanger sequencing. Maternal contamination was ruled out by variable number of tandem repeats (VNTRs). A total of 232 samples were analyzed. Hb E (HBB: c.79G>A)/ß-thalassemia (Hb E/ß-thal) was the most common type of thalassemia seen in 32 samples (13.79%) followed by ß-thal major (ß-TM) in 10 cases (4.31%). Molecular characterization of the most predominant mutation was IVS-I-5 (G>A) (HBB: c.92+5G>C). The analysis also revealed five rare mutations: IVS-II-654 (C>T) (HBB: c.316-197C>T), IVS-II-1 (G>A) (HBB: c.315+5G>A), codon 44 (-C) (HBB: c.135delC), -86 (C>A) (HBB: c.-136C>A) and codons 14/15 (+G) (HBB: c.45_46insG), which have not been reported previously in Bangladesh. This study provides important information for PND and will help in the development of similar diagnostic programs for other DNA centers in Bangladesh.


Assuntos
Mutação , Diagnóstico Pré-Natal , Talassemia alfa/diagnóstico , Talassemia alfa/genética , Talassemia beta/diagnóstico , Talassemia beta/genética , Alelos , Bangladesh/epidemiologia , Feminino , Frequência do Gene , Loci Gênicos , Genótipo , Humanos , Masculino , Gravidez , Diagnóstico Pré-Natal/métodos , Talassemia alfa/epidemiologia , Talassemia beta/epidemiologia
4.
Entropy (Basel) ; 21(1)2019 Jan 16.
Artigo em Inglês | MEDLINE | ID: mdl-33266790

RESUMO

This article is devoted to study sustainability of entropy generation in an incompressible thermal flow of Newtonian fluids over a thin needle that is moving in a parallel stream. Two types of Newtonian fluids (water and air) are considered in this work. The energy dissipation term is included in the energy equation. Here, it is presumed that u∞ (the free stream velocity) is in the positive axial direction (x-axis) and the motion of the thin needle is in the opposite or similar direction as the free stream velocity. The reduced self-similar governing equations are solved numerically with the aid of the shooting technique with the fourth-order-Runge-Kutta method. Using similarity transformations, it is possible to obtain the expression for dimensionless form of the volumetric entropy generation rate and the Bejan number. The effects of Prandtl number, Eckert number and dimensionless temperature parameter are discussed graphically in details for water and air taken as Newtonian fluids.

6.
Hemoglobin ; 41(4-6): 311-313, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-29313434

RESUMO

ß-Thalassemia (ß-thal) is one of the most common inherited hemoglobin (Hb) disorders, worldwide. A 28-year-old female and her husband came to Dhaka Shishu (Children) Hospital, Bangladesh for prenatal diagnosis for thalassemia mutations. We identified and characterized a novel ß-thalassemia (ß-thal) mutation due to an insertion of cytosine between codons 77 and 78 (p.Leu78Profs*13) found in mother in a heterozygous state. This mutation caused an insertion in the normal reading frame of the ß-globin coding sequence and the new stop codon being the amino acid 90 (HBB: c.235_236insC) in exon 2 that leads to a ß0-thal phenotype.


Assuntos
Códon , Mutação da Fase de Leitura , Hemoglobinas/genética , Mutagênese Insercional , Talassemia beta/genética , Adulto , Bangladesh , Família , Feminino , Humanos
7.
Artigo em Inglês | MEDLINE | ID: mdl-27314274

RESUMO

This investigation was undertaken to monitor particulate polycyclic aromatic hydrocarbons (PAHs) concentrations in order to determine their emission sources and potential human health risks in remote and rural areas of Japan. Seventeen PAHs in aerosol samples collected in remote (Kamihaya), coastal (Hiki) and inland (Higashi-Hiroshima) areas of Japan during 2013-2014 were analyzed using gas chromatography/mass spectrometry. Total PAH (Σ17PAH) concentrations in aerosol samples were in the range of 0.08-6.51 ng m(-3), 0.09-4.74 ng m(-3), and 0.21-6.53 ng m(-3) at Kamihaya, Hiki, and Higashi-Hiroshima sites, with mean concentrations of 1.63, 1.18, and 2.43 ng m(-3), respectively. Significant seasonal variation in concentrations occurred at Hiki and Higashi-Hiroshima, while no significant variation occurred at Kamihaya. Ambient air temperature greatly affected PAH concentrations in Higashi-Hiroshima, but had only moderate effects in Kamihaya and Hiki. Wind direction also influenced the concentrations of PAHs. Vehicle exhaust, industrial emissions, biomass combustion, and domestic heating and cooking were identified as the main PAH emission sources using principal component analysis. Backward trajectory calculations showed that domestically generated PAHs were significant in Kamihaya and Hiki, while in Higashi-Hiroshima concentrations were mainly influenced by long-range transport. The incremental lifetime lung cancer risk had values of 3.38 × 10(-5) and 1.84 × 10(-5) at Higashi-Hiroshima and Hiki, which are greater than the US EPA acceptable level (10(-6)). Typically, 5-6-ring PAHs contributed 95% to this overall health risk, of which benzo(a)pyrene was the largest contributor, followed by dibenz(a,h)anthracene at both residential sites. Clearly, stricter guidelines for PAHs need to be implemented at these sites to protect the population.


Assuntos
Monitoramento Ambiental/métodos , Hidrocarbonetos Policíclicos Aromáticos/análise , Aerossóis/química , Poluentes Atmosféricos/análise , Benzo(a)pireno/análise , Cromatografia Gasosa-Espectrometria de Massas , Humanos , Japão , Neoplasias Pulmonares/induzido quimicamente , Neoplasias Pulmonares/diagnóstico , Modelos Teóricos , Análise de Componente Principal , Controle de Qualidade , Medição de Risco , Estações do Ano , Temperatura , Emissões de Veículos/análise , Vento
8.
Foodborne Pathog Dis ; 12(7): 626-30, 2015 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-25946095

RESUMO

Aeromonads are ubiquitous foodborne pathogens with a global distribution. Animal-origin foods and contaminated animals are the main sources of Aeromonas infection to humans. So far little is known about the occurrence of Aeromonas spp. in food-producing animals in India. The present study was conducted to determine the prevalence and seroprevalence of Aeromonas species from 50 each of meat, blood, and sera samples collected from cattle, buffaloes, goats, and pigs slaughtered in and around Nagpur, Central India. Alkaline peptone water and ampicillin dextrin agar were used to isolate Aeromonas spp. An indirect enzyme-linked immunosorbent assay (ELISA) was standardized by use of whole-cell antigen (WC) and outer membrane protein (OMP) of Aeromonas hydrophila (MTCC 646). Aeromonads were isolated from 44 (22%) of the meat samples, and 1 (0.5%) from the blood samples. Seroprevalence by indirect ELISA-based WC antigen was estimated as 68% in cattle, 44% in buffaloes, 60% in goats, and 30% in pigs. OMP-based ELISA yielded a seroprevalence of 56%, 48%, 52%, and 22% in cattle, buffaloes, goats, and pigs, respectively. The results revealed that OMP-based ELISA and WC-based ELISA were in agreement with one another. Isolation along with high seropositivity demonstrates the presence of foodborne Aeromonas spp. in the Nagpur city of Central India.


Assuntos
Matadouros , Aeromonas/isolamento & purificação , Carne/microbiologia , Aeromonas/genética , Animais , Antígenos de Bactérias/genética , Antígenos de Bactérias/metabolismo , Proteínas da Membrana Bacteriana Externa/genética , Proteínas da Membrana Bacteriana Externa/metabolismo , Búfalos , Bovinos , Ensaio de Imunoadsorção Enzimática , Contaminação de Alimentos/análise , Microbiologia de Alimentos , Cabras , Infecções por Bactérias Gram-Negativas/diagnóstico , Infecções por Bactérias Gram-Negativas/veterinária , Índia , Suínos
10.
J Pediatr Gastroenterol Nutr ; 59(1): 57-60, 2014 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-24509307

RESUMO

We investigated the volume of endoscopic retrograde cholangiopancreatographies (ERCPs) performed in hospitalized children in the United States using a nationwide healthcare administrative database for the years 2000 to 2009. A total of 22,153 cases of ERCP were identified: 6372 diagnostic and 17,314 therapeutic (1533 cases were recorded as undergoing both types during a single hospitalization). The number of ERCPs increased from 5337 to 6733 per year; diagnostic ERCPs decreased 43% and therapeutic increased 69% (significant decreasing trends for diagnostic and increasing for therapeutic ERCPs, P<0.001 for each analysis). Our results define a recent increase in the use of therapeutic ERCPs in hospitalized children.


Assuntos
Doenças Biliares/diagnóstico , Doenças Biliares/terapia , Colangiopancreatografia Retrógrada Endoscópica/estatística & dados numéricos , Colangiopancreatografia Retrógrada Endoscópica/tendências , Pancreatite/diagnóstico , Pancreatite/terapia , Adolescente , Negro ou Afro-Americano/estatística & dados numéricos , Doenças Biliares/epidemiologia , Criança , Pré-Escolar , Bases de Dados Factuais , Feminino , Hispânico ou Latino/estatística & dados numéricos , Hospitalização , Humanos , Lactente , Classificação Internacional de Doenças , Masculino , Pancreatite/epidemiologia , Estados Unidos/epidemiologia , População Branca/estatística & dados numéricos , Adulto Jovem
11.
ScientificWorldJournal ; 2014: 451274, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24695517

RESUMO

Genetic algorithms are employed to optimize dimensionless temperature in nonlinear heat conduction problems. Three common geometries are selected for the analysis and the concept of minimum entropy generation is used to determine the optimum temperatures under the same constraints. The thermal conductivity is assumed to vary linearly with temperature while internal heat generation is assumed to be uniform. The dimensionless governing equations are obtained for each selected geometry and the dimensionless temperature distributions are obtained using MATLAB. It is observed that GA gives the minimum dimensionless temperature in each selected geometry.


Assuntos
Algoritmos , Evolução Molecular , Temperatura Alta , Condutividade Térmica , Simulação por Computador/tendências
12.
ScientificWorldJournal ; 2014: 576101, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-24688407

RESUMO

Solar heating is one of the important utilities of solar energy both in domestic and industrial sectors. Evacuated tube heaters are a commonly used technology for domestic water heating. However, increasing cost of copper and nickel has resulted in huge initial cost for these types of heaters. Utilizing solar energy more economically for domestic use requires new concept which has low initial and operating costs together with ease of maintainability. As domestic heating requires only nominal heating temperature to the range of 60-90 °C, therefore replacing nickel coated copper pipes with any cheap alternate can drastically reduce the cost of solar heater. We have proposed a new concept which utilizes double slope triangular chamber with EPDM based synthetic rubber pipes. This has reduced the initial and operating costs substantially. A detailed analytical study was carried out to design a novel solar heater. On the basis of analytical design, a prototype was manufactured. Results obtained from the experiments were found to be in good agreement with the analytical study. A maximum error of 10% was recorded at noon. However, results show that error is less than 5% in early and late hours.


Assuntos
Transferência de Energia , Calefação/instrumentação , Modelos Teóricos , Energia Solar , Simulação por Computador , Desenho Assistido por Computador , Desenho de Equipamento , Análise de Falha de Equipamento
13.
J Ayub Med Coll Abbottabad ; 26(3): 368-70, 2014.
Artigo em Inglês | MEDLINE | ID: mdl-25671950

RESUMO

BACKGROUND: Diabetes is a major cause of heart disease. Death rate for heart disease is about 2-4 times higher among adults with diabetes then among those without diabetes. In setting of acute Myocardial infarction hyperglycemia is associated with adverse out come even after numerous "cardiac" variable linked to the outcome are adjusted. Elevated plasma glucose at admission is predictor of long term and in hospital outcome in patients with acute Myocardial infarction. After acute myocardial infarction high admission blood glucose level are common with increased risk of death in subjects with or without diabetes. The objective of study was to determine the frequency of newly diagnosis diabetes presenting with acute myocardial infarction. METHODS: This cross sectional study was conducted in department of Cardiology, Ayub Teaching Hospital from June to November 2014. All patients admitted to coronary care unit with acute myocardial infarction and who were not known diabetics were enrolled by consecutive non probability sampling. Patients of either gender were included Hospital. Descriptive statistics were used to determine the frequency of newly diagnosed diabetics. RESULT: Out of 91 enrolled patients in our study, 60 (65.9%) were male, 31 (34.1%) were female. 27 (29.6%) patients were newly diagnosed diabetics. CONCLUSION: The frequency of newly diagnosed diabetics is quite high in patients with acute myocardial infarction. Hence all patients were not known diabetics and present with acute myocardial infarction should be screened for new onset of diabetes.


Assuntos
Glicemia/metabolismo , Diabetes Mellitus/epidemiologia , Infarto do Miocárdio/epidemiologia , Adulto , Idoso , Estudos Transversais , Diabetes Mellitus/sangue , Diabetes Mellitus/diagnóstico , Feminino , Humanos , Hipertensão/epidemiologia , Masculino , Infarto do Miocárdio/sangue , Fumar/epidemiologia
14.
Cureus ; 16(3): e56434, 2024 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-38638776

RESUMO

Cushing's syndrome is a constellation of features occurring due to high blood cortisol levels. We report a case of a 47-year-old male with a history of recurrent olfactory neuroblastoma (ONB). He presented with bilateral lower limb weakness and anosmia and was found to have Cushing's syndrome due to high adrenocorticotropic hormone (ACTH) levels from an ectopic source, ONB in this case. Serum cortisol and ACTH levels declined after tumor removal.

15.
Cureus ; 16(1): e51783, 2024 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-38322064

RESUMO

Background Hepatitis C, a highly contagious viral infection transmitted through blood-to-blood contact, poses a significant threat to public health owing to its potential to induce extensive liver damage, leading to the development of life-threatening conditions such as liver cirrhosis and hepatocellular carcinoma, commonly known as liver cancer. Objective This cross-sectional study aims to assess the level of awareness of hepatitis C among the general population in Riyadh, Saudi Arabia. Methodology The study was conducted in Riyadh, Saudi Arabia. A national cross-sectional survey was conducted using a predesigned self-administered validated electronic questionnaire. The questionnaire was distributed electronically to the general population from April to September 2023. Results Out of the 800 participants, most were females (472, 59%), and the largest age group was between 23 and 29 years old (305, 38.1%). Saudi Arabians constituted the highest proportion of participants (609, 76.1%), and most participants were single (437, 54.6%). In terms of occupational status, 288 (36%) worked in occupations not listed. The study found that 463 (57.9%) participants had a low level of awareness about the global prevalence of hepatitis C. Additionally, 489 (61.1%) were aware that hepatitis C can cause both acute and chronic hepatitis, and 441 (55.1%) knew that most infected patients may develop chronic hepatitis. A majority (484, 60.5%) were aware of the importance of washing with soap and water after an accidental needle stick injury. Most participants (574, 71.8%) were aware of the common modes of hepatitis C transmission, such as unsterilized instruments, needle stick injuries, and sharing contaminated needles during drug use. Furthermore, 548 (73%) were aware of the transmission risk through unscreened blood transfusion, and 561 (70.1%) were aware of the higher risk of infection for individuals with multiple sexual partners. Conclusion The study highlights a low level of awareness among participants regarding the treatment and prevention of hepatitis C. To address the low level of awareness regarding the treatment and prevention of hepatitis C, targeted strategies and interventions are needed. This includes the development and implementation of public awareness campaigns, creation of informative educational materials, specialized training programs for healthcare professionals, establishment of support groups and counseling services for individuals living with hepatitis C, and continued support for research efforts and knowledge dissemination. By increasing awareness about hepatitis C, its treatment, and prevention, we can improve outcomes for individuals affected by the disease and reduce its overall burden on communities.

17.
Heliyon ; 9(8): e18377, 2023 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-37520996

RESUMO

Engineering equipment in medicine, chemical and power engineering, electronics, and other human endeavours use nanofluids. The ability to improve mass and heat transport because of the low concentration of nanoparticles is the primary driver behind the vast array of nanofluid applications. Thus, the famous problems of viscous, incompressible, Newtonian, and 2-D laminar flow are revisited to investigate the mass and heat transmission rates for water-based carbon nanotubes (CNTs) with variable magnetic fields and external pressure gradients. Flow cases considered with varying pressure gradients are the flows upon a flat plate, flow in a planar diverging and converging channel, flow over a wedge, and plane stagnation flows, which are investigated. The impressions of thermophoresis and Brownian motion parameters are examined through the Buongiorno model. Using the Görtler transformation, the leading boundary layer (BL) equations are converted into dimensionless forms of ordinary differential equations (ODEs). Runge-Kutta Fehlberg Method (RKF45) is operated to tackle the ensuing ODEs to find the mass, heat, and skin friction rates. It has been found that the rates of shear stress, mass, and heat transport slow down with an escalating magnetic field. Although mass transport rates are decreased, shear stress and heat transport (HT) rates escalate due to the solid volume portion of carbon nanotubes. Furthermore, the pressure gradient parameter facilitates faster heat and shear stress transmission rates.

18.
Lung India ; 40(3): 271-274, 2023.
Artigo em Inglês | MEDLINE | ID: mdl-37148027

RESUMO

Tuberculosis (TB) is a rare cause of chylothorax and chylous ascites. This is a case of simultaneous TB-chylothorax and chylous ascites in a 20-year-old patient who had been diagnosed with disseminated Multi-Drug Resistant (MDR) Tuberculosis two years ago. Abdominal distention with horseshoe-shaped dullness was found on examination. Abdominal ultrasound revealed gross ascites and bilateral gross pleural effusion. Pleural fluid analysis was positive for chylomicrons and revealed elevated Protein, Albumin, ADA, and Triglyceride. GeneXpert was negative and no growth was seen on culture. Lymphoscintigraphy showed a normal ascent of radio tracer along bilateral lower limb. Lymphangiogram and thoracic ductogram showed multiple dilated lymphatic ducts in the bilateral internal iliac region with obstruction of lymphatic flow in the iliac group of nodes. Low-fat diet was given. No interventional radiological approach or surgical correction could be done for the patient. He died after one and half years with progressive swelling and emaciation.

19.
Saudi Med J ; 44(10): 1054-1060, 2023 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-37777268

RESUMO

OBJECTIVES: To investigate the occurrence and identify the factors contributing to hospitalization among individuals diagnosed with COVID-19. METHODS: From June 15, 2020 to September 30, 2020, a cross-sectional study utilizing an online questionnaire was carried out in Jordan. The study included 657 COVID-19 patients who had recovered and had reached a minimum of 3 months post-illness. Sociodemographic and COVID-19-related data were collected. The questionnaire was distributed to members of the "My Experience with COVID-19 Association" in Jordan. RESULTS: The prevalence of hospitalization among COVID-19 patients was 3%. Patients with hypertension (p=0.00), diabetes mellitus (p=0.00), and heart disease (p=0.009); using angiotensin-converting enzyme inhibitors (ACE) and angiotensin-receptor blockers (ARBs) (p=0.00); with body mass indexes (BMI) above normal (p=0.005); and aged over 45 years (p=0.00) were at higher risk of hospitalization. Using an odds ratio (OR), hypertension (OR=7.1), diabetes mellitus (OR=11.4), heart disease (OR=6.3), angiotensin-converting enzyme inhibitors and angiotensin-receptor blockers use (OR=10.8), and having a BMI >25 (OR=5) were significant hospitalization risk factors. The seasonal influenza vaccine, smoking, and neuropsychological symptoms showed no significance. CONCLUSION: Identifying high-risk groups can help them monitor their health and take preventive measures against COVID-19 infection.


Assuntos
COVID-19 , Diabetes Mellitus , Cardiopatias , Hipertensão , Humanos , Idoso , COVID-19/epidemiologia , Inibidores da Enzima Conversora de Angiotensina/uso terapêutico , Antagonistas de Receptores de Angiotensina/uso terapêutico , SARS-CoV-2 , Estudos Transversais , Jordânia/epidemiologia , Hipertensão/epidemiologia , Fatores de Risco , Diabetes Mellitus/epidemiologia , Hospitalização , Angiotensinas
20.
Artigo em Inglês | MEDLINE | ID: mdl-38357613

RESUMO

Background: Dry eye disease (DED) is a multifactorial condition often characterized by a reduction in tear film quantity or quality. This study aimed to determine the frequency of DED and its associated subjective symptoms among students of Mu'tah University. Methods: In this cross-sectional study conducted at Mu'tah University, Mu'tah, Jordan, from January to April 2022, 489 students completed an online patient-reported DED symptom questionnaire and the ocular surface disease index (OSDI) questionnaire. Moreover, 106 participants underwent clinical examinations using the Schirmer test I and fluorescein tear breakup time (TBUT). Results: Approximately 74.6% of the students self-reported experiencing DED symptoms, and 72.6% had an OSDI score > 12, which is considered the threshold for an abnormal ocular surface. Clinical examinations revealed low Schirmer test scores ( < 10 mm) in 26.4% (n = 28) and 25.5% (n = 27) of the right and left eyes, respectively. We observed low TBUT scores ( < 5 s) in 19.8% (n = 21) and 18.9% (n = 20) of the right and left eyes, respectively. We noted significant differences between the self-reported DED symptoms and the Schirmer test scores (P = 0.003 for both right and left eyes), TBUT (P < 0.001 for both right and left eyes), and OSDI score (P < 0.001 for each self-reported DED symptom). We observed a weak significant positive correlation between Schirmer test scores and TBUT in the right (r = + 0.30; P = 0.002) and left (r = + 0.34; P < 0.001) eyes; a negligible significant inverse correlation between OSDI scores and Schirmer test scores in the right (r = - 0.24; P = 0.013) and left (r = - 0.23; P = 0.019) eyes; and a negligible significant inverse correlation between the OSDI score and TBUT of the left eye (r = - 0.25; P = 0.011) but not of the right eye (r = - 0.17; P = 0.077). Conclusions: The frequency of DED symptoms in this study was higher than that previously reported based on foreign statistics. The presence of self-reported DED symptoms was significantly associated with higher OSDI scores. Self-reported DED symptoms were more frequent than the abnormalities detected using objective methods. Therefore, a combination of subjective and objective measures may provide higher diagnostic yield for DED. Further studies are required to confirm this hypothesis.

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