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العنوان
The status of certain circulating chemical protective factors against atherogenesis in predialyzed chronic renal failure /
المؤلف
Farh, Gehan Farouk Abdou.
هيئة الاعداد
باحث / جيهان فاروق عبده فرح
مشرف / محمد حسن القنيشى
مشرف / سيد سالم السيد
مشرف / محمد محمد العرمان
الموضوع
Geriatric nephrology. Chronic renal failure - Treatment - Moral and ethical aspects.
تاريخ النشر
2003.
عدد الصفحات
178 p. :
اللغة
الإنجليزية
الدرجة
ماجستير
التخصص
أمراض الدم
تاريخ الإجازة
01/01/2003
مكان الإجازة
جامعة المنصورة - كلية الطب - Department of clinical pathology
الفهرس
Only 14 pages are availabe for public view

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Abstract

The present study was conducted on: 1­Twenty subjects suffering from chronic renal failure (CRF) due to different intrinsic renal diseases. All of them were not yet receiving any traditional medical therapy nor performing dialysis (newly discovered uremic cases). None of the uremic patients had diabetes mellitus, liver disease or other primary associating diseases that affect directly this research.2­Ten healthy persons selected from blood donors, patients? relatives and hospital workers were studied as a reference (control) group. They were matched in age and body mass index with the uremic patients. Blood samples were collected from every subject (patients and controls) after an overnight fast for measuring blood red cell indices by the use of cell counter, and serum creatinine, albumin, bilirubin, urea and uric acid by colorimetric methods. Also serum lipid profile was estimated by enzymatic methods. Apolipoprotein A1 and apolipoprotein B­100 were assessed by radial immunodiffusion. Also serum tocopherol and plasma ascorbic acid were measured. Statistical analysis of the results was carried out using student?s t­test and Pearson?s correlation coefficient. This study demonstrates the existence of an antioxidant defect in CRF patients. This antioxidant defect is evidenced by presence of significant decrease of serum albumin, HDL­C, Apo­A1 and vit­C levels in uremic patients while no significant difference in serum bilirubin and vit­E were detected. This antioxidant defect in association with the known uremic dyslipidemia may contribute to the accelerated development of atherosclerosis in CRF patients. Extended studies on CRF patients are recommended considering the following.1­Increasing the number of cases. 2­Determining the induced enzymatic antioxidants. 3­Determining intrinsic LDL antioxidants (vit E and B­carotene) as well as intrinsic LDL modifications. 4­follow up studies. 5­ B­carotene assay.