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Inter Relation of Tuberculosis With Selected Infectious and Metabolic Disorders

Thesis Info

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Author

Javed, Irum

Program

PhD

Institute

University of Agriculture

City

Faisalabad

Province

Punjab

Country

Pakistan

Thesis Completing Year

2016

Thesis Completion Status

Completed

Subject

Chemistry

Language

English

Link

http://prr.hec.gov.pk/jspui/bitstream/123456789/3082/1/Irum_Javid_Biochemistry_UAF_2016.pdf

Added

2021-02-17 19:49:13

Modified

2024-03-24 20:25:49

ARI ID

1676726484897

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The world health organisation (WHO) reported that Pakistan ranks fifth among highest tuberculosis (TB) burden countries. The present study was carried out on 366 cases, including 52% females and 48% males. The results showed that a higher percentage of patients with TB were between 16 to 30 years, having a body weight between 41 to 50 kg, in married, in uneducated people, having a high school education and in house wives. Out of 258 patients, 24% were diabetic, 17.8% were co-morbid with hepatitis C virus (HCV), 4.2% with human immunodeficiency virus (HIV) and 3.4% also had myocardial infarction. The TB patients revealed an increase in white blood cell counts (WBCs), erythrocyte sedimentation rate (ESR), alkaline phosphatase (ALP) and urea, while decrease in packed cell volume (PCV), eosinophils and immunoglobulin-G (IgG). The TB+ diabetes co- morbid group showed increases in WBCs, ESR, globulins, alanine transaminase (ALT), ALP, glucose, IgG and immunoglobulin-M (IgM), while a decrease in PCV, haemoglobin (Hb), eosinophil, albumin and albumin/globulin (A/G) ratio. The TB+ hepatitis co-morbid group showed increases in monocyte, ESR, ALT, ALP and IgG, while a decrease in PCV, Hb and eosinophil. The TB+HIV co-morbid group revealed an increase in ALP, IgG and IgM, while a decrease in monocyte and eosinophil. TB+ myocardial infarcted group showed increase in WBCs, neutrophil, ESR, serum proteins, globulin, ALP, serum cholesterol, high density lipoprotein (HDL), low density lipoproteins (LDL), creatinine kinase-MB (CKMB), creatinine phosphokinase (CPK), lactate dehydrogenase (LDH), creatinine and urea, while decrease in platelets (PLT) and lymphocyte. TB + diabetes + hepatitis C co-morbid cases showed increase in WBCs, ESR, bilirubin, ALT, AST, ALP, glucose, serum creatinine, serum urea, IgG, IgM, potassium and phosphorous, while a decrease in RBCs, PCV, Hb and eosinophil. TB + hepatitis C+AIDS co-morbid group showed increases in lymphocyte, monocyte, eosinophil, ALP, IgG and IgM, while a decrease in PCV, PLT and neutrophil. The prevalence of drug resistance by proportion method was 45.7%. Out of 118 drug resistant isolates, 61.02% were resistant to isoniazid (INH), 59.32% to ethambutol (EMB), 41.53% to streptomycin (SM), 5.08% to ofloxacin (OFX) and 49.15% were MDR detected by proportion method, while 31.36% isolates were resistant to INH, 22.03% to EMB, 17.08% to SM, 2.54% to OFX and 18.64% were MDR by PCR-RFLP. The consensus sequence alignment of three strains of KatG gene showed mutation at codon 282, 286, 279, 309 and 427. The change at codon 279 was observed in all the strains which added restriction site for MspI. The embB 306 showed mutation at codon 299, 300, while embB 497 at codon 70, 71, 76 and 78. The gyrA showed point mutation at codon 70, 71, 76, 78 and 95. It can be concluded from the present study that 24% TB patients were diabetic, 17.8% were co-morbid with hepatitis C, 4.2% with HIV and 3.4% also had myocardial infarction and 45.7% of cases were drug resistant.
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کر کجھ اپنا آپ گمان

کر کجھ اپنا آپ گمان
پہلے اپنی ذات پچھان
توں ایں خالق دا شہکار
تیری سب توں اچی شان
تینوں عشق نے طاقت بخشی
توں بنیا حضرت انسان
تیرے اندر یار دا ڈیرہ
تیرے اندر کل جہان
تیری خاطر خلق اپائی
تیری خاطر جگ جہان
میرے نبیؐؐ دا نوکر بن
رب فرمایا وچ قرآن
تیرا رب شہ رگ توں نیڑے
تینوں دور کیتا شیطان

شخصيت انسانى پر شہادتين كے قرآنى اثرات

Allah Almighty sent mankind in this world for His worship only. This is high right on humans those who keep the faith and belief in the one Supreme God and obey His orders. When they followed satanic powers, they forgot the eternal lesson of Tawheed (Oneness of Allah) and engaged Shirk (polytheism). It is the dogma of Oneness of Allah with which mankind gets tranquility and peacefulness in society and becomesconstructive and valuable for humanity. And when human left his belief on Allah, they germinate their negative role and made the society despicable. In this scenario Allah Almighty sends His prophets to those nations which create mess and fill the society with clutter. At that time prophets play their role as a bounty of Allah on human race. They purify people by their teachings granted by Allah and focus their attention to the eternal massage of God. So Eman (faith) on prophet hood considered as essential as belief on Oneness of Allah. Both these beliefs; Tawheed and Risallah effect human life prominently in such a way that man redevelops his whole personality and becomes a required sound character of Eman. Then worldly contamination cannot harm human being's decency and he becomes a felicitous character of vigorous society.

Pharmacognostic and Pharmacological Evaluation of Monotheca Buxifolia Falc. A. Dc.

This research work includes the exploration of ethnobotanical, pharmacognostic, physicochemical and pharmacological aspects of Monotheca buxifolia (Falc.) A. DC. of the dicotyledonous family, Sapotaceae. It is locally known as ―Gurgura‖ and is used as a source of fuel, fodder, agricultural tools and for Honey bee farming in various areas of Khyber Pakhtunkhwa. Medicinally the fruits are used as a digestive, purgative, laxative, in urinary disorders, diuretic, vermifuge, refrigerant, tonic and in antiseptic pastes. Morphological, anatomical and organoleptic features of different parts of the plant (fruit, seed, leaf, stem bark and root bark) were worked out in detail. M. buxifolia had a palisade ratio of 6.75± 0.5, vein islets number 37.4±2.88 per mm2, vein termination number 35.4±1.8 per mm2, stomatal number of lower epidermis 77.4±3.57 per mm2 and 7.75± 0.97 on upper epidermis while stomatal index of lower epidermis 10.53±0.40 and upper epidermis 5.39±0.33. Stomata on the upper epidermis were of actinocytic type while on the lower epidermis actinostephanocytic type of stomata were present. The powder drug studies of the fruit, seed, leaf, stem bark and root bark showed characteristic fragments. The qualitative preliminary phytochemical screening of different parts of M. buxifolia gave positive indications for presence of aminoacids, proteins, reducing and nonreducing sugars, fixed oils, fats, glycosides, alkaloids, tannins, phenolic compounds, saponins, anthocyanins, Triterpenoids, phytosterols and Flavonoids in both aqueous and methanol extracts. The florescence behaviour, moisture contents and ash values were also worked out. The fruit pulp, seeds and leaves contained 8.33%, 10.62% and 0.56% fixed oil respectively. Linolenic acid, Oleic acid, Palmitic acid, Myristic acid and Stearic acid were the major component fatty acids. Elemental analysis of various parts of M. buxifolia revealed presence of good quantities of Nitrogen, potassium and phosphorus. Trace elements were found to be within the WHO permissible limits except for lead (22.48±0.33) and Cobalt (10.7±0.01), which exceeded the permissible limits in barks of stem and root respectively. The methanol extract of M. buxifolia fruit and leaf were tested at 500, 1000 and 2000 mg/kg body weight doses for any toxicological effects. They were found to be safe at all the tested doses. The methanol extracts of different parts of M. buxifolia were evaluated for their cytotoxic potentials against Artemia salina larvae. The fruit pulp had no visible cytotoxic effects. The seed extract produced most significant cytotoxic effects, giving an LD50 value of 4.668 (µg/ml) followed by root bark (31.265 µg/ml), leaf (97.59 µg/ml) and stem bark (199.65 µg/ml). In the in vitro spasmolytic bioassay the crude methanol extract of M. buxifolia fruit produced a significant inhibition of jejunal contractions through cholinergic pathway and voltage gated calcium channel blockade, similar to verapomil. The 250, 500 and 750 mg/kg doses of M. buxifolia fruit and leaf extracts produced significant antidiarrheal effects against Castor oil induced diarrhea in mice, in a dose dependent manner. The fruit extract caused 38.8%, 61% and 61.2% while the leaf extract caused 67.2%, 74.6% and 91.1% inhibition of faecal droppings, respectively, as compared to negative control. The 250 and 500 mg/kg doses of crude methanol extract of M. buxifolia fruit produced remarkable hepatoprotective activity against paracetamol induced hepatic damage in mice. the post-damage treatment was more effective and comparable to the standard hepatoprotective drug, Silymarin. The extract significantly (P ≤ 0.05) lowered the elevated levels of biochemical markers (Total Bilirubin, Direct Bilirubin, SGPT, alkaline phosphatase and Gamma‐GT) towards normal. Histopathological studies further confirmed hepatoprotective potentials of the plant. This study provides useful pharmacognostic standards for M. buxifolia and elaborates its pharmacological significance.