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جستجوی مقالات مرتبط با کلیدواژه « igg » در نشریات گروه « پزشکی »

  • امیر عباس برادران اصفهانی، امیر حاجی قاسم*، فروزان فتاحی مسرور
    مقدمه و هدف
    با توجه به شیوع بیماری های ویروسی و التهابات سیستم ایمنی در سراسر دنیا، در جهت بهبود و تقویت عملکرد سیستم ایمنی باید سبک زندگی اصلاح گردد. یکی از بهترین روش ها استفاده از مکمل های گیاهی به همراه فعالیت ورزشی می باشد، که در این مطالعه بررسی شده است.
    مواد و روش ها
    برای انجام تحقیق آزمایشی حاضر 25 سر موش صحرایی نژاد ویستار از از مرکز سرم سازی رازی خریداری شده و بطور تصادفی به 5 گروه 5 تایی کنترل- مدل  LPS (lipopolysaccharide)،  تمرین- مدل LPS، مکمل- مدل LPS،  تمرین، مکمل، مدل LPS تقسیم شدند. ایجاد مدل بر روی موش ها به روش تزریق با ماده LPS با دوز 100 میکروگرم بر کیلوگرم به صورت درون صفاقی به گروه های مدل بصورت 2 بار در طی 2 هفته انجام شد همچنین گروه های دیگر به همان میزان دارونما دریافت کردند. سپس گروه های آزمایشی، به مدت 4 هفته و 3 روز در هفته تمرینات (Moderate Intensity Interval Training) MIT را انجام دادند. همچنین 5 روز در هفته مکمل به صورت گاواژ دریافت کردند. نهایتا داده ها با استفاده از آزمون تحلیل واریانس یک طرفه و آزمون تعقیبی توکی تجزیه و تحلیل شدند.
    نتایج
    داده ها نشان داد تمرین MIT به تنهایی و در تعامل با مکمل موجب کاهش سطح سرمی آنتی بادی های IgG و IgM گردیده وتاثیر معنادار دارند (p<0.05).
    نتیجه گیری
    با توجه به نتایج توصیه می شود از تمرینات MIT و مکمل نیگلاپسین (ترکیب سیاهدانه و عسل) جهت تاثیر بر فاکتورهای مهم در سیستم ایمنی استفاده شود.
    کلید واژگان: تمرین هوازی, سیاهدانه, عسل, Igg, Igm}
    Amirabbas Baradaranesfahani, Amir Hajighasem *, Forouzan Fattahi Masrour
    Background and Objective
    Due to the prevalence of viral diseases and inflammations of the immune system all over the world and in order to improve and strengthen the function of the immune system, lifestyle should be modified. One of the best methods is the use of herbal supplements along with sports activities which is investigated in this study.
    Materials and Methods
    To conduct the present experimental research, 25 Wistar male rats were purchased from Razi Serum Center and randomly divided into 5 groups : control- LPS model- exercise, LPS model- supplement, LPS model- exercise, supplement and LPS model. Creating a model on rats was done by injecting LPS at a dose of 100 micrograms/kg intraperitoneally to the model groups received the same amount of placebo. Then the experimental groups performed MIT exercises for 4 weeks and 3 days a week and also received supplements by gavage 5 days a week. Finally, the data were analyzed using one-way analysis of variance and Tukey's post hoc test.
    Results
    The data showed that MIT training alone and in combination with supplements have a significant effect on IgG and IgM antibodies (p<0.05).
    Conclusion
    According to the results, it is recommended to use MIT exercises and niglapsin supplement (combination of black seed and honey) to affect important factors in the immune system.
    Keywords: Aerobic Exercise, Black Seed, Honey, Igg, Igm}
  • مقدمه

    یکی از دلایل مهم سقط مکرر جنین، عوامل ایمنی است. از این رو یافتن روش های مناسب پیشگیری یا درمان موثر، مستلزم شناخت دلایل آن است.

    هدف

    در این مطالعه، تلاش نمودیم تا سطح سرمی برخی فاکتورهای ایمنولوژیک مرتبط با سقط مکرر را ارزیابی نماییم.

    مواد و روش ها

    این مطالعه به صورت مورد شاهدی از مرداد تا دی ماه 1398، بر روی 66 زن 35-18 ساله مراجعه کننده به کلینیک زنان و زایمان بیمارستان علی ابن ابی طالب (ع) زاهدان، انجام گرفت. سطح سرمی اینترلوکین 33 با روش الایزا اندازه گیری شد. سطح ایمنوگلوبولین G، ایمنوگلوبولین A، ایمنوگلوبولین M، پروتئین واکنشی C، با روش های سرولوژی و هماتولوژی اندازه گیری شد.

    نتایج

    میانگین سن تمامی شرکت کنندگان در این مطالعه 80/3 ± 8/30 سال بود. میانگین سرمی اینترلوکین 33 در گروه مورد 1/254 ± 5/318 پیکوگرم بر میلی لیتر و کمتر از این میانگین در گروه شاهد، 9/259 ± 2/354 پیکوگرم بر میلی لیتر بدست آمد. ولی این تفاوت از نظر آماری معنادار نبود (52/0 = p). میانگین سطح سرمی پروتئین واکنشی C، در گروه مورد و شاهد تفاوت معنی داری نداشت (27/0 = p). بعلاوه در سطح ایمنوگلوبولین G، ایمنوگلوبولین A، در گروه مورد و شاهد تفاوت آماری قابل ملاحظه ای دیده نشد (به ترتیب 46/0 = p و 16/0 = p)، اما سطح سرمی IgM بین دو گروه مورد مطالعه اختلاف معنی داری وجود داشت (003/0 = p).

    نتیجه گیری

    به طور کلی سطح سرمی اینترلوکین 33، ایمنوگلوبولین G، ایمنوگلوبولین A و پروتئین واکنشی C حداقل 6-4 ماه پس از آخرین سقط (در گروه مورد) و آخرین زایمان زنده (در گروه شاهد) در دو گروه تفاوت معناداری نشان نداد. در مقابل سطح سرمی ایمنوگلوبولین M تفاوت قابل ملاحظه ای داشت، در نهایت با توجه به نتایج متفاوت متون پیشین در این زمینه، نیاز به مطالعات بیشتر احساس می گردد.

    کلید واژگان: اینترلوکین 33, سقط, ایمنوگلوبولین G, ایمنوگلوبولینA, ایمنوگلوبولین M}
    Hossein Ali Khazaei, Farahnaz Farzaneh, Saeedeh Sarhadi*, Javid Dehghan Haghighi, Forough Forghani, Vahid Sheikhi, Bahman Khazaei, Lida Asaollahi
    Background

    One of the critical cases of recurrent pregnancy loss is immunological factors, whereas obtaining effective prevention or treatment is necessary for cognition of reasons.

    Objective

    In this study, we tried to evaluate some immunological factors related to recurrent pregnancy loss.

    Materials and Methods

    This case-control study was conducted on 66 women at the age of 18-35 yr who were referred to the Clinic of Gynecology and Obstetrics, Ali Ibn Abi Taleb hospital, Zahedan, Iran, from August-December 2019. Interleukin 33 (IL-33) serum levels were measured using enzyme-linked immunosorbent assay. Immunoglobulin G, Immunoglobulin A, Immunoglobulin M (IgM), and C-reactive protein levels were measured by serology and hematology methods.

    Results

    The mean age of total participants was 30.8 ± 3.80 yr. The mean serum IL-33 in the case group was 318.5±  254.1 pg/ml and was lower than the control group (354.2±  259.9 pg/ml), which was not statistically significant (p = 0.52). The level of C-reactive protein in the case and control was not significantly different (p = 0.27), and Immunoglobulin A and Immunoglobulin G in the case and control were also not significantly different) p = 0.46, and p = 0.16, respectively), but there were significant differences (p=  0.003) between the level of the IgM in the case and control groups.

    Conclusion

    No statistically significant difference was observed in the IL-33 serum level, for at least 4-6 months after the last abortion in the case group and the final live birth in the control group. In contrast, serum levels of IgM were statistically significant. Finally, the need for more studies is felt according to the different results of the previous studies in this field.

    Keywords: Interleukin-33, Abortion, Igg, Iga, Igm}
  • افشین برازش، زهرا حیدری، الهام رحمانی، ندا شادور، مرادعلی فولادوند*
    زمینه

    توکسوپلاسموز مادرزادی در طول اوایل آبستنی، ممکن است منجر به مرگ جنین و یا ایجاد عوارض جبران ناپذیر در جنین شود. در تحقیق حاضر، شیوع آنتی بادی های IgG و IgM ضد توکسوپلاسما در دو گروه زنان باردار با سابقه سقط جنین و بارداری طبیعی مراجعه کننده به مراکز درمانی بوشهر تعیین و با یکدیگر مقایسه گردید.

    مواد و روش ها

    در این مطالعه توصیفی- مقطعی، تعداد 150 نفر از زنان باردار با سابقه سقط و نیز با روند طبیعی بارداری مراجعه کننده به درمانگاه های زنان و زایمان شهرستان بوشهر در فاصله زمانی 1399 لغایت 1400، از نظر وجود آنتی بادی های IgG و IgM ضدتوکسوپلاسما مورد بررسی قرار گرفتند. نتایج تست ها به همراه اطلاعات پرسشنامه ای با استفاده از نرم افزار آماری SPSS ویرایش 16 و آزمون آماری کای دو مورد تجزیه و تحلیل قرار گرفت.

    یافته ها

    میزان 18/7 درصد دارای تیتر مثبت یکی از آنتی بادی های IgG و IgM و 81/3 درصد فاقد تیتر مثبت در سرم خود بودند. مقایسه نتایج گروه خانم های با سابقه سقط و خانم های بدون سابقه سقط نشان داد که یک ارتباط قوی میان سابقه سقط در افراد بررسی شده با میزان آنتی بادی IgG ضد انگل توکسوپلاسما وجود دارد.

    نتیجه گیری

    فرم مزمن توکسوپلاسموزیس می تواند به عنوان عاملی برای سقط های مکرر در خانم های باردار مورد توجه قرار گیرد. با توجه به تاکید برخی از محققین مبنی بر معنی دار نبودن این ارتباط، این موضوع جای بحث داشته و نیاز به مطالعات تکمیلی در این زمینه دارد.

    کلید واژگان: توکسوپلاسموزیس, سابقه سقط جنین, حاملگی, آنتی بادی IgG و IgM}
    Afshin Barazesh, Zahra Heydari, Elham Rahmani, Neda Shadvar, Morad Ali Fouladvand*
    Background

    Congenital toxoplasmosis during early pregnancy may lead to fetal death or cause irreversible complications in the fetus. In the present research, the prevalence of anti-Toxoplasma IgG and IgM antibodies was determined in pregnant women with a history of spontaneous abortion in comparison with women of normal pregnancy course referring to Bushehr medical centers.

    Materials and Methods

    In this descriptive cross-sectional study, 150 blood samples were collected from pregnant women with a history of spontaneous abortion and normal pregnancy course referred to Bushehr medical centers from May 2020 to May 2021. Sera were tested for anti-Toxoplasma IgG and IgM antibodies using the ELISA method. The test results along with the questionnaire information were analyzed using SPSS-16 software and Chi-square test.

    Results

    A total of 18.7% were seropositive and 81.3% were seronegative for anti-Toxoplasma IgG/IgM antibodies. The comparison of the two groups of women showed that there was a significant relationship between the prevalence of anti-Toxoplasma IgG antibody and spontaneous abortion and also education level, place of residence and method of washing vegetables; however, there was no statistically significant relationship between infection and some of the analyzed variables, such as history of contact with cats, number of pregnancies, deliveries and abortions, and some nutritional behaviors.

    Conclusion

    Chronic form of toxoplasmosis can be considered a factor for recurrent miscarriage in pregnant women. Due to the emphasis of some researchers on the non-significance of this relationship, the subject is debatable and needs further studies.

    Keywords: Toxoplasmosis, history of spontaneous abortion, pregnancy, IgG, IgM antibodies}
  • Nazanin Joudaki, _ Samireh Ghafouri, Kowsar Bavarsad, Farbod Farhadi, Marzieh Abbasi Nasab, Sara Afzalzadeh, Hamidreza Moradzadegan, Roya Salehi Kahyesh *
    Background and Objectives

    This study aimed to compare the production of antibodies in three different groups of patients with COVID-19. These groups included patients with pulmonary and cerebral symptoms, as well as those with mild symp- toms.

    Materials and Methods

    Blood samples were collected from 80 patients admitted to COVID-19-specific hospitals. The pa- tients had various forms of SARS-CoV-2 disease, including those with pulmonary symptoms, brain involvement, and those with positive PCR test results but mild symptoms. The enzyme-linked immunosorbent assay (ELISA) technique was used to determine the levels of IgM and IgG antibody titers.

    Results

    The levels of IgM and IgG antibody production differed significantly between groups of patients experiencing pul- monary symptoms and cerebral symptoms, with mild symptom patients also showing differences (P=0.0068), (P=0.0487), (P<0.0001), and (P=0.0120), respectively. Furthermore, there was no significant relationship between IgM antibody secre- tion and age or pulmonary involvement (P=0.1959). However, there was a direct and significant relationship between age and brain involvement (P=0.0317).

    Conclusion

    The findings of this study revealed that the risk of central nervous system involvement increases with age and that older people have lower antibody levels than younger people. Consequently, strengthening the immune systems of peo- ple over the age of 78 during this pandemic through vaccination and nutrition is very effective in reducing mortality in this age group.

    Keywords: Antibodies, COVID-19, SARS-CoV-2, Enzyme-linked immunosorbent assay, IgM, IgG}
  • Arezoo Taravat, Haniyeh Bashi Zadeh Fakhar *, Babak Shaghai, Fatameh Rouhollah
    Background

    Considering the role of Helicobacter pylori in various diseases such as chronic gastritis, gastric ulcer and malignancies, this study was performed to evaluate the level of anti-Helicobacter pylori antibodies in the serum of the population of Chalous and then its relationship with demographic characteristics.

    Methods

    A descriptive study was conducted in the department of Microbiology in a tertiary care teaching hospital during December 2019 to May 2021. All hospitalized patients with diarrhea, who had a history of exposure to antibiotic drugs and all patients with IBD were included in the study. Stool samples were collected from all patients with diarrhea who have been on antibiotic or anticancer drug during last 6weeks or previously diagnosed case. Patient’s demographic features and clinical details were collected from medical records.

    Results

    About 78% of people had IgA positive titer and about 48% had IgG positive titer. Serum IgA level in patients with bloating (P = 0.005) and in patients with nausea (P = 0.016) was statistically significant. Also, in patients studied there was a significant relationship between bloating (p = > 0.001), nausea (0.013) was seen with a serum IgG level .

    Conclusion

    Due to the high percentage of positive titers of anti-Helicobacter pylori antibodies, especially IgA in the sample population, it seems that the follow-up of positive serological titers will help to prevent and control the prevalence of Helicobacter pylori infection.

    Keywords: ELISA, Gastric Ulcer, Helicobacter pylori, IgA, IgG}
  • Sayyed Majid Sadrzadeh, Reza Khoshbakht, Seyed Mohammad Mousavi, Elnaz Vafadar Moradi, Behrang Rezvani Kakhki, Mansoore Sadat Moosavi, Mahdis Ghavidel *
    Introduction
    This study investigated the serum levels of Covid-19 IgM-IgG antibodies in three exposure groups in the Shahid Hasheminejad Hospital in Mashhad, Iran.
    Methods
    Between March 2020 and March 170, 2021 serum samples were taken from hospital personnel. To determine the levels of COVID-19 IgM-IgG antibodies, we used the ELISA method (Pishgaman kit). Results were categorized as negative if they were less than 0.9, borderline if they were between 0.9 and 1.1, and positive if they were greater than 1.1. We used SPSS version 26 to evaluate the data. The exposure groups were separated into low (first group), moderate (second group), and high-risk (third group) levels.
    Results
    53 members of the 170 staff belonged to the first group, 51 to the second, and 66 to the third. There were 135 patients with negative IgG, 13 with IgG in the borderline range, and 22 with positive IgG. Furthermore, 9 individuals exhibited a positive IgM, while one had a borderline range IgM and 160 a negative IgM. In the first group, 56.6% of personnel reported cough, 5.9% of personnel in the second group had fever, and 24.2% of personnel in the third group experienced shortness of breath.
    Conclusion
    The findings from this research indicated that there was no clear association between working in wards with higher risks and increased IgG and IgM levels. However, the results did reveal that being in wards with a high number of COVID-19 patients could result in more fever symptoms.
    Keywords: COVID-19, Healthcare Workers, IgG, IgM, SARS-CoV-2 Antibodies}
  • Navid Omidifar, Kamran Bagheri Lankarani, Mir Behrad Aghazadeh Ghadim, Nika Khoshdel, Hassan Joulaei, Parisa Keshani, Seyyed Amirreza Saghi, _ Yousef Nikmanesh *
    Background

    Hepatitis A virus (HAV) can have severe manifestations in adult patients with other liver diseases, particularly in those infected with human immunodeficiency virus (HIV). This study aimed to measure immunity against HAV in HIV-positive individuals to determine the necessity of vaccination against HAV in this population.

    Methods

    This cross-sectional study investigated 171 HIV-positive patients aged 18 years or older who were tested for serum IgG anti-viral hepatitis A antibody. The prevalence and its determinants were analyzed based on patient data.

    Results

    The average age of the patients was 44.2 years old. The prevalence of HAV antibody positivity was 97.7%. The prevalence was higher in patients older than 30 years. There was a close association between hepatitis C virus (HCV) infection (P = 0.002). There were no significant correlations between antibody levels and sex, marital status, employment status, education level, economic status, smoking status, drug use status, and physical activity level. The mean and median CD4 + counts in patients with positive (reactive) antibody (Ab) levels were 458 and 404 ± 294, respectively, while the mean and median CD4 + counts in patients with non-reactive antibody levels were 806 and 737 ± 137, respectively, in those who tested negative for anti-HAV Ab (P = 0.05).

    Conclusion

    The prevalence of anti-hepatitis A IgG antibodies in people with HIV was very high in Shiraz. There is an increasing trend in the number of older patients and those with HCV infections. The negative association with CD4 was borderline in this study, which needs to be confirmed in larger groups.

    Keywords: HAV, HIV, Seroprevalence, IgG}
  • Alireza Mohammadzadeh, Mohammad Hassan Minooeianhaghighi, Mohamad Ghorbani, _ Behdad Zibaee, Jafar Hajavi *
    Background

    Helicobacter pylori infection is one of the most common chronic bacterial infections in humans, affecting large populations worldwide.

    Objectives

    The aim of this study was to investigate the relationship between H. pylori infection prevalence with ABO and Rh blood groups.

    Methods

    This descriptive-analytical study was conducted with a case-control design on individuals with anti-H. pylori positive test. Patients with IgG pylori were included in the study based on the inclusion criteria. The individuals were divided into two groups based on antibody titer. The case group included subjects with positive serological results with a titer greater than 12 u/mL IgG, and the control group entailed subjects with negative serological results with a titer less than 8 u/mL IgG. The ABO and Rh blood groups of both groups were examined based on case information. Finally, the data were entered into the SPSS software, and a significance level of 5% was considered for all analyses.

    Results

    According to the results of this study, there was no significant relationship between the blood group and H. pylori infection (P > 0.05). However, the prevalence of blood type A was significantly higher in individuals with positive H. pylori IgG test.

    Conclusions

    The current study suggests no association between ABO and Rh groups, but people with A blood group infected with H. pylori need more attention.

    Keywords: Blood Group ABO, Rh, Helicobacter pylori, IgG}
  • Pegah Hooshangi, Yaser Kazemzadeh *, Hossein Shirvani, Saeid Sedaghati, Keyvan Molanourozi
    Introduction
    Controlling nutrition and exercise can affect the density and metabolism of bone tissue. Therefore, the aim of the present study was to investigate the effect of eight weeks of moderate intensity continuous training (MICT) and high intensity interval training (HIIT) along with Citrus aurantium (CA) on bone metabolic markers of elderly female rats. 
    Methods
    In this experimental study, 64 elderly female rats (14 ± 2 months old and weight of 290 ± 25 grams) were divided into 7 groups including 1) control, 2) MICT, 3) HIIT, 4) MICT+CA, 5) HIIT+CA, 6) CA and 7) sham (normal saline) groups. HIIT with an intensity of 85- 110% VO2max and MICT with an intensity of 65% VO2max were performed and CA was injected at the doses of 300 mg/kg/day intraperitoneally. The variables were measured using the ELISA method with the Pars Azmoun kit. The data of the present research were analyzed using one-way analysis of variance and Tukey post hoc test (P≤0.05). 
    Results
    In MICT group the PTH and Na levels were significantly lower and Ca levels were higher than the C group (P≤0.05). PTH and Na levels in the MICT group were lower than the HIIT group (P≤0.05). Ca levels in the CA group were higher than the C group (P≤0.05). In MICT+CA and HIIT+CA groups, PTH levels were lower and Ca levels were higher than the C group (P≤0.05). Also, PTH and Na levels in HIIT+CA group were lower than the MICT+CA group (P≤0.05). 
    Conclusion
    it seems that MICT has a better effect on bone metabolic markers than HIIT; meanwhile, HIIT with an antioxidant such as CA has more favorable effect on bone metabolic markers.
    Keywords: Nanoselenium, IgA, IgG, Dexamethasone}
  • Ahmad Taherpoor, Arastoo Vojdani, Seyed MohamadAli Hashemi, Arian Amali, MohammadReza Mardani, Majid Ghayour Mobarhan, Habibollah Esmaily, Mohammadtaghi Shakeri, Mansoureh Bakhshi, Mojtaba Meshkat, Amin Hooshyar Chechaklou, Samaneh Abolbashari*, Aida Gholoubi, Zahra Meshkat
    Background

    Considering the high prevalence and clinical importance of herpes simplex virus (HSV) infection worldwide, we aimed to evaluate the seroprevalence of HSV-1 and HSV-2 in a population aged between 15 and 35 years in Mashhad, Iran.

    Methods

    This cross-sectional study was conducted on 916 cases composed of 288 (31.4%) men and 628 (68.6%) women. Using ELISA method, the presence of IgM and IgG antibodies against HSV-1 and HSV-2 was assessed.

    Results

    Among the population studied, 681 (74.3%) cases were positive for anti-HSV antibodies, while 235 (25.7%) cases were negative. Moreover, no IgMs were found and all positive subjects had IgG antibodies. Age (p < 0.001), occupation (p < 0.001), education (p = 0.006), smoking (p = 0.029), and BMI (p = 0.004) demonstrated a significant association with HSV-1 and HSV-2 infection.

    Conclusion

    Our study indicates a high seroprevalence of HSV infection; however, there was no cases positive for IgM antibodies, suggesting the high prevalence of latent infection.

    Keywords: HSV, IgG, IgM, Seroepidemiology}
  • علی فتاحی بافقی، گیلدا اسلامی، الهام رضایی، کاظم برزگر، محمود وکیلی، مریم دهقانی اشکزاری*
    زمینه و اهداف

      توکسوپلاسموز یک عفونت انگلی شایع است که می تواند سلامت مادر و نوزاد را در دوران بارداری به خطر بیندازد. این بیماری در ایران نیز شایع است. این مطالعه با هدف بررسی سرواپیدمیولوژی توکسوپلاسموز در نوزادان و مادران پس از زایمان مراجعه کننده به مراکز بهداشتی درمانی شهر یزد در سال 1399 انجام شد.

    مواد و روش کار

      در مجموع 184 مادر پس از زایمان و 184 بند ناف نوزاد در مراکز بهداشتی درمانی شهر یزد از نظر عفونت توکسوپلاسما از طریق کیت آنتی بادی اختصاصی IgM و IgG مورد بررسی قرار گرفتند. داده های به دست آمده با استفاده از نرم افزار SPSS18 مورد تجزیه و تحلیل قرار گرفت.

    نتایج و نتیجه گیری: 

     از 184 نمونه مادر پس از زایمان، 8 مورد (4/35%) مثبت و 176 مورد (95/65%) از نظر آنتی بادی IgG منفی بودند و 7 مورد (3/80%) از نظر آنتی بادی IgM مثبت و 177 مورد (96/20%) منفی بودند. همچنین 184 بند ناف نوزاد، IgM منفی بودند و عفونت توکسوپلاسموز گزارش نشد. بین شیوع عفونت توکسوپلاسموز و نگهداری از حیوانات خانگی، مصرف گوشت خام، سطح تحصیلات، گروه خونی، شغل، محل زندگی و نوع زایمان ارتباط معنی داری مشاهده نشد (P>0/05). اما بین تعداد زایمان و شیوع توکسوپلاسموز ارتباط معنی داری مشاهده شد (P=0/014). این مطالعه همچنین نشان دهنده شیوع کم عفونت توکسوپلاسموز در مادران پس از زایمان و عدم انتقال مادرزادی این بیماری در مراکز بهداشتی درمانی مختلف استان بود. اما بین عوامل خطر و شیوع توکسوپلاسموز رابطه آماری معنی داری وجود نداشت.

    کلید واژگان: IgG, IgM, مادران پس از زایمان, سرواپیدمیولوژی, توکسوپلاسموز}
    Ali Fattahi Bafghi, Gilda Eslami, Elham Rezaee, Kazem Barzegar, Mahmoud Vakili, Maryam Dehghani Ashkezari*
    Background and Aim

     Toxoplasmosis is a common parasitic infection that can endanger mother's and neonates' health during pregnancy. The disease is also prevalent in Iran. This study intended to evaluate the seroepidemiology of toxoplasmosis in neonates and postpartum mothers referred to health centers of Yazd in Iran in 2020.

    Materials and Methods

     Totally, 184 postpartum mothers and 184 neonatal umbilical cords in health centers of Yazd were evaluated for Toxoplasma infection through a specific IgM and IgG antibodies kit. The obtained data were analyzed by SPSS18.

    Results & Conclusion

    Out of 184 samples of postpartum mothers, 8 cases (4.35%) were seropositive, and 176 (95.65%) were seronegative for IgG antibody; moreover, 7 cases (3.80%) were seropositive, and 177 (96.20%) seronegative for IgM antibody. Also, 184 neonatal umbilical cords were IgM negative, and no toxoplasmosis infection was reported. No significant correlation was found between seroprevalence of Toxoplasma infection and caring for pets, consumption of raw meat, level of education, blood type, job, living area and type of delivery (P>0.05). However, a significant correlation was identified between the number of deliveries and the prevalence of toxoplasmosis (P=0.014). This study also illustrated a low prevalence of Toxoplasma infection in postpartum mothers and no congenital transmission of the disease in diverse health centers of the province. However, there was no statistically significant relationship between risk factors and the prevalence of Toxoplasma.

    Keywords: IgG, IgM, postpartum mothers, seroepidemiology, toxoplasmosis}
  • شهرزاد سلطانی، هادی مقدم، فاطمه مقصودی، ساناز توکلی*

    مقدمه:

     توکسوپلاسما گوندی انگل داخل سلولی اجباری است و گفته شده که یک سوم جمعیت دنیا از نظر داشتن آنتی بادی بر ضد این انگل، مثبت هستند. هدف این مطالعه، تعیین میزان شیوع سرمی آنتی بادی های IgG و IgM ضد توکسوپلاسما گوندی در افراد مراجعه کننده به بیمارستان های آموزشی آبادان در جنوب غربی ایران می باشد.

    روش ها

    در این مطالعه ی مقطعی، 252 نمونه سرمی از افراد مراجعه کننده به بیمارستان های طالقانی و بهشتی شهرستان آبادان در سال 1401 مورد بررسی قرار گرفتند. سرم این افراد از نظر وجود آنتی بادی های  IgGو IgM ضد توکسوپلاسما گوندی با استفاده از روش الایزا ارزیابی شد. یک پرسش نامه حاوی اطلاعات جمعیت شناختی و عوامل خطر مربوط به توکسوپلاسما توسط هر فرد تکمیل گردید. مقدار 0/05 > P از لحاظ آماری معنی دار در نظر گرفته شد.

    یافته ها

    از بین 252 نمونه سرم افراد بررسی شده، 100 نمونه (39/7 درصد) و 7 نمونه (2/8 درصد) به ترتیب دارای آنتی بادی IgG و IgM ضد توکسوپلاسما گوندی بودند. شیوع سرمی آنتی بادی های IgG و  IgM به طور معنی داری در سرم افرادی که با گربه و سگ تماس داشتند و گوشت خام یا نپخته مصرف می کردند بالاتر بود.

    نتیجه گیری

    با توجه به میزان شیوع نسبتا بالای ایمیونوگلوبولین ضد توکسوپلاسما گوندی در سرم بیماران مراجعه کننده به بیمارستان های آبادان، توصیه می گردد توجه بیشتری به پیشگیری، تشخیص و درمان این افراد شود.

    کلید واژگان: توکسوپلاسما, مطالعات اپیدمیولوژیک سرمی, سنجش جذب ایمنی وابسته به آنزیم, IgG, IgM}
    Shahrzad Soltani, Hadi Moghaddam, Maghsoudi Fatemeh, Sanaz Tavakoli *
    Background

    Toxoplasma gondii is an obligate apicomplexan parasite and it is stated that one-third of the world population are seropositive for the antibodies against the parasite. The purpose of this study is to determine the sero-prevalence of anti-toxoplasma gondii IgG and IgM antibodies in serums of patients referred to educational hospitals of Abadan, southwest Iran.

    Methods

    In this cross sectional study, 252 serum samples referred to Taleghani and Beheshti hospitals were investigated in 2022. The serum of patients were evaluated for anti-toxoplasma gondii IgG and IgM antibodies using ELISA. A questionnaire containing demographic information and risk factors related to Toxoplasma gondii infection was completed by each patient. P value under 0.05 was considered as statistically significant.

    Findings

    Among 252 evaluated serums, 100 cases (39.7%) and 7 cases (2.8%) had IgG and IgM antibodies against Toxoplasma gondii, the difference was statistically significant. The sero-prevalence of anti-toxoplasma gondii IgG and IgM antibodies were significantly higher in patients’ serums who had contact with cats and dogs and who consumed under cooked meat.

    Conclusion

    Considering the relatively high prevalence of anti-toxoplasma gondii immunoglobulin in the serum of patients referred to Abadan hospitals, more attention should be paid for the prevention, diagnosis and treatment of this high-risk group.

    Keywords: Enzyme-linked immunosorbent assay, IgM, IgG, Sero-epidemiologic studies, Toxoplasma}
  • Mehdi Maghbooli *, Amin Mirzaei, Zahra Jourahmad, Hesam Mirshahabi, Nazanin Azizi
    Background

    Herpes simplex virus (HSV) is a neurotropic DNA virus with a high prevalence. Following primary infection, HSV remains dormant in the neural ganglia. Secondary infection can emerge after the reactivation of latent infection, presenting as neurological manifestations. Previous studies have demonstrated the relationship between HSV reactivation and selective involvement of cranial nerves. Depending on the affected nerve, cranial mononeuropathies can present with symptoms, including diplopia, blurred vision, vertigo, unilateral facial palsy, speech impairment, swallowing difficulties, and hoarseness.

    Objectives

    This study used a serological assay to compare HSV reactivation frequency between patients with recent idiopathic cranial mononeuropathies and normal individuals.

    Methods

    Plasma samples from 35 idiopathic cranial mononeuropathy cases (57.2% women, mean age 58.37 years) and 35 age and sex-matched healthy controls were analyzed for anti-HSV immunoglobulin G (IgG) and immunoglobulin M (IgM) antibodies by enzyme-linked immunosorbent assay (ELISA).

    Results

    Anti-HSV IgG antibody was positive in 91.4% of patients and 88.6% of controls. The mean serum anti-HSV IgG antibody level was significantly higher in patients (146.78 ± 60 RU/mL) than in the controls (130.61 ± 52.99 RU/mL) (P-value = 0.037). Anti-HSV IgM antibody was positive in 37.1% of patients and 14.3% of controls (P = 0.042).

    Conclusions

    The frequency of HSV reactivation was significantly higher in patients with acute idiopathic cranial mononeuropathy than in the healthy controls, indicating the possible role of HSV as an etiology of cranial mononeuropathy.

    Keywords: Herpes Simplex Virus, Cranial Mononeuropathy, HSV, IgG, IgM}
  • Maryam Hosseinpour Sarmadi, Ali Taghavi Zonouz*, Aila Bahramian, Amir Ghorbanihaghjo, Farshad Javadzadeh
    Background

     Lichen planus is considered a potentially malignant condition with an unknown etiology. This study aimed to determine the carcinoembryonic antigen (CEA) and IgG serum levels in different oral lichenoid lesions before and after treatment with local corticosteroids.

    Methods

     Two groups of 23 individuals, including oral ulcerative lichenoid lesions patients and healthy ones, were evaluated. Toluidine blue staining and biopsy examinations were carried out while visual analog scale (VAS) was used to evaluate symptoms. By applying corticosteroids, CEA and IgG serum levels were determined before and three weeks after intervention and at the end of the study (9 weeks) with ELISA and turbidimetry methods, respectively.

    Results

    Before the intervention, there was no significant difference in CEA serum levels between the control and case groups (P=0.19). Moreover, the CEA serum levels indicated no significant difference before and after treatment in the case group (P=0.30). While IgG serum level was significantly higher before the intervention (P=0.01), it decreased significantly in the case group after treatment (P=0.02). In addition, pain intensity reduced significantly in the case group (P=0.05). According to statistics, 8.2% out of 21.7% of patients with positive staining results exhibited dysplasia signs.

    Conclusion

     However, neither CEA nor IgG serum levels were different in patients diagnosed with or without dysplasia and positive or negative staining results (P>0.05). IgG serum levels and pain severity effectively decreased in the oral ulcerative lichenoid lesions patients treated with local corticosteroids. Therefore, this treatment can be considered an effective and low-complication treatment modality for lichenoid lesions.

    Keywords: Carcinoembryonic antigen, IgG, Local steroids, Oral lichenoid lesions, Visual analog scale}
  • Mahnaz Tashakori, Ahmad Jamalizadeh, Mohsen Nejad-Ghaderi, Maryam Hadavi, Aliakbar Yousefi-Ahmadipour, Fatemeh Mohseni Moghadam, Athareh Soresrafil, Kazem Mashayekhi*
    Background

    Healthcare workers (HCWs) have a high risk of catching SARS-CoV-2 infection. Seroprevalence studies can provide related data on HCWs with a history of infections. Despite numerous seroepidemiological reports of COVID-19 in different groups, there are no such reports for HCWs working in Rafsanjan City, Iran. This study aimed to determine the SARS-CoV-2 seroprevalence among HCWs.

    Methods

    Blood samples were obtained from 295 participants, including healthcare personnel and administrative staff. The SARS-CoV-2 IgG antibody was measured by the ELISA method, and the obtained data were analyzed with the Chi-square test and logistic regression. A P<0.05 was considered statistically significant.

    Results

    The previous exposure to COVID-19 was higher in HCWs than in administrative department staff. Fifteen out of 130 (11.5%) participants had experienced SARS-CoV-2 infection without any symptoms. The results of logistic regression indicated that traveling (OR: 018, 95% CI: 0.08–0.74, P=0.001), occupation (OR: 0.2, 95% CI: 0.01–0.94, P<0.05), history of respiratory problems (OR: 0.15, 95% CI: 0.01–1.94, P<0.05), and major clinical signs (OR: 8.09, 95% CI: 3.7-17.66, P<0.001) are important factors which affect SARS-CoV-2 IgG antibodies. 

    Conclusion

    Our results indicated an occupational risk for SARS-CoV-2 infection among HCWs. Because some HCWs are asymptomatic, their communication, such as traveling, must be controlled, and it is necessary to ensure the safety of HCWs and reduce their transfer to the community and patients.

    Keywords: COVID-19, SARS-CoV-2, IgG, Seroprevalence, Healthcare worker}
  • Parisa Sadat Madani*, Monirsadat Mirzadeh, Saba Rostamian
    Background

    Coronavirus disease 2019 (COVID-19) has rapidly become a pandemic since it was first reported in late December 2019. Serological reports are of great value to medical specialists in developing health policies. The detection of Immunoglobulin G (IgG) level in COVID-19 patients can specify a preclinical infection or previous exposure to the virus.

    Objective

    This study aims to assess the IgG rate in patients with COVID-19.

    Methods

    This is a cross-sectional study on 172 patients with confirmed COVID-19 (having positive PCR test) in Qazvin, Iran in 2020, including 86 inpatients and 86 outpatients. In order to measure the IgG levels, the serum samples were collected 3-5 weeks after onset of their clinical symptoms. Data were statistically analyzed in SPSS software v. 20, considering the significance level of P<0.05.

    Results

    Of 172 patients, 81(94.2%) inpatients and 74(86%) outpatients tested positive for IgG, while 5(5.8%) inpatients and 10(11.6%) outpatients tested negative for IgG. The mean IgG level in inpatients was significantly higher than in outpatients (P<0.001) 3-5 weeks after a positive PCR test.

    Conclusion

    The amounts of IgG in the sera of COVID-19 patients 3-5 weeks after the onset of symptoms can help health care authorities develop policies and control strategies by determining the burden of disease, monitoring the spread of disease, and estimating the epidemiological factors.

    Keywords: COVID-19, IgG, Outpatients, Inpatients}
  • Ebrahim Jalili ORCID, Saeid Bashirian, Mohammad Reza Faryabi, Mina Noroozbeygi, Ebrahim Daneshyar, Samereh Ghelichkhani, Salman Khazaei, Ghasem Solgi*
    Aim

    Seroprevalence among health care workers (HCWs) has been estimated in different studies in various regions and countries. This study aimed to screen the immunoglobulin M (IgM) and IgG seroprevalences and to assess the durability of IgG seropositivity, as well as the incidence of subsequent severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection in a group of Iranian HCWs.

    Methods

    This voluntary serological screening was prospectively performed on 800 HCWs (492 females and 308 males) in Hamadan between November 2020 and February 2021. Anti-SARS-CoV-2 IgG and IgM antibodies were assessed by the enzyme-linked immunosorbent assay method at two-time intervals.

    Results

    Overall, 243 out of 800 (30.38%) and 66 (8.25%) cases were IgG and IgM seropositive at their first antibody assessment, respectively. The male staff had a higher seroprevalence than females (31.49% vs. 29.67% for IgG, P=0.59 and 10.39% vs. 6.91% for IgM, P=0.08). Higher prevalences for both antibodies were found in the age group of 30-39.9 years (P=0.12 and P=0.05, respectively). In the second antibody screening, 81 (56.6%) cases were IgG seropositive. The mean titer of the first IgG antibody assessment in seropositive cases was lower than that of the second titer (2.95±2.07 vs. 5.08±4.01 cut-off index (COI) , P=1.4×10-5 ). Moreover, the comparison of the first and second IgG titers among 81 seropositive cases demonstrated a significantly increased level of anti-SARS-CoV-2 antibody (5.08±4.01 vs. 3.49±2.41 COI, P=0.002).

    Conclusions

    Our findings revealed that the mean level of the anti-SARS-CoV-2 IgG antibody was significantly increased in the seropositive individuals after 2 months of follow-up.

    Keywords: Seroprevalence, Antibody, IgG, SARS-CoV-2}
  • Mohammad Javad Gharavi ORCID, Javad Zarei, Parisa Roshani Asl, Zahra Yazdanyar, Masoud Sharif, Niloufar Rashidi*
    Background

    Helicobacter pylori (H. pylori) is identified as the most frequent agent of bacterial infections in humans which can cause various gastrointestinal diseases. This pathogen has infected approximately half of the world’s population, and its outbreak has varied across different regions. The purpose of this study was to estimate the H. pylori infection prevalence amongst patients in Fardis county, Alborz province, Iran, using noninvasive methods.

    Methods

    A total of 5677 patients were analyzed from September 2020 to October 2021 to detect H. pylori by the use of enzyme-linked immunosorbent assay (ELISA) IgG, IgA, and IgM tests, stool antigen test (SAT), and urea breath test (UBT).

    Results

    Of 5677 patients, 3486 (61.4%) were female and 2191 (38.6%) were male with the mean age of 38.82 ± 18.289 years old. The overall rate of H. pylori infection positive was 31.46%, and the serological tests were the most prescribed types of tests. The IgG test and then SAT detected the most positive cases. Further, the infection rate was significantly associated with age. Except for the case of IgM, which was higher in females compared to males, no significant difference was found between gender and bacteria outbreak.

    Conclusions

    This study indicated a decline in H. pylori infection prevalence compared with the prior survey conducted at this center. However, its rate amongst the patients referring to Fardis laboratory is still high.

    Keywords: Helicobacter pylori, Enzyme-linked immunosorbent assay, IgA, IgM, IgG, Stool antigen test, Urea breath test}
  • Aida Amanat, Kamran Bagheri Lankarani, Behnam Honarvar, Naeimehossadat Asmarian, Mansoureh Shokripour, Fatemeh Rafiee, Mir Behrad Aghazadeh, Farahnaz Izadi, Navid Omidifar *, Seyed Abolfazl Dorraninejad
    Background

    SARS-CoV-2 is a novel virus that caused the recent global pandemic. Health care workers (HCWs), especially hospital staff, are at a higher risk of infection by this virus than the general population. In this study, anti-SARS-CoV-2 IgG antibodies were assessed in hospital workers.

    Methods

    This prospective seroconversion-based cohort study assessed chronic immunity against covid-19 in the staff of two hospitals, the main referral hospital and a general hospital in Shiraz, south of Iran. A valid and reliable checklist was filled out for each available staff member willing to participate in this study through a face-to-face interview. Furthermore, the titer of anti-covid-19 IgG was measured by ELISA twice; in July 2020 after the second wave of COVID-19 and in February 2021 after the third wave in IRAN.

    Results

    One hundred forty (65%) of the 214 members who participated in both stages of this consideration were from the COVID-19 referral healing center, and 74 (35%) were from the common clinic. Twelve (5.6%) of staff members had anti-SARS-CoV-2 IgG antibodies, including 10 (7.1%) from the referral healing center and 2 (2.7%) from the common healing center (P = 0.23). In the second measurement (second overview), 79 (36.9%) of members had IgG antibodies; 58 (41.4%) from the primary hospital and 21 (28.3%) from the second healing center (P = 0.039). Cruel of the IgG titer within the first study and the referral clinic was 0.8 ± 0.3 compared to 0.15 ± 0.42 within the common clinic (P = 0.001). These figures were 3.05 ± 4.58 and 1.74 ± 3.53 in both clinics and within the second overview separately (P = 0.003). IgG levels were significantly higher in the second overview compared to the first (P < 0.0001).

    Conclusions

    During the third wave of COVID-19, a significant proportion of hospital staff developed COVID-19 IgG, especially in the referral hospitals for COVID-19. As a result of their higher and chronic exposure to COVID-19 patients than the general hospital staff, the titer of IgG in the referral hospital staff was also higher. However, the seroconversion rate between the two waves was 1.8 times in the general hospital staff compared to the referral hospital, possibly due to less conservative precautions against covid-19 among them. Even after receiving the anti-covid-19 vaccination, it is important to monitor the immunity of hospital staff to covid-19 and to adhere strictly to standard precautions.

    Keywords: IgG, Chronic Immunity, SARS-CoV-2, COVID-19, Health Care Worker, Staff, Hospital}
  • Beheshte Kanani, Mohammad Hasan Namaei, Amir Tavakoli Kareshk *, Rahmat Solgi
    Background

    Toxoplasma gondii is a protozoan of the Apicomplexa phylum with widespread distribution in animals and humans. Toxoplasma gondii is also an important cause of infectious diseases in women of reproductive age.

    Objectives

    This cross-sectional study aimed to determine the prevalence of anti-T. gondiiIgG antibody and its associated risk factors among women of reproductive age referring to Birjand Comprehensive Health Center, East of Iran.

    Methods

    A total of 300 serum samples were collected from women who were referred to Birjand Comprehensive Health Center to be screened for anti-T. gondii IgG antibodies by enzyme-linked immunosorbent assay (ELISA). Analytical and descriptive statistics were carried out using SPSS software version 20. Descriptive statistics were reported as a percentage and mean (SD). The Chi-squared test was applied to assess the univariate association between independent variables and outcome. The significance level in the test was considered P < 0.05.

    Results

    The results showed that 8.3% of the subjects with an average age of 27 years were IgG-positive. Contact with cats had a significant effect on positivity for IgG and disease frequency (P < 0.05). On the other hand, age and the place of residence (urban or rural) had no significant effect on disease frequency (P > 0.05). Urban or rural location in all age ranges had no significant effect on IgG positivity (P > 0.05).

    Conclusions

    Considering the high percentage of T. gondii among negative people in the target population, it is necessary to inform women of the reproductive age about the importance of testing and health issues related to T. gondii.

    Keywords: Seroprevalence, Toxoplasma gondii, IgG, Women of Reproductive Age, Birjand}
نکته
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