Qazvin University of Medical Sciences

Qazvin University of Medical Sciences Repository
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    Polysomnography findings of patients with overlap syndrome according to severity of lower airway obstruction

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    Background: The concurrence of chronic obstructive pulmonary disease (COPD) and obstructive sleep apnea (OSA) is known as overlap syndrome (OS). The obstruction of the upper airway leads to OSA and the obstruction of the lower airway leads to COPD. The aim of this study was to compare polysomnographic findings of patients with OS according to severity of lower airway obstruction. Materials and Methods: Seventy‑two patients were included in this cross‑sectional study. Patients with COPD referred to a sleep clinic with suspicion of OSA were evaluated by polysomnography (PSG). PSG findings were interpreted based on the American Academy of Sleep Association criteria (2012). COPD severity was categorized into four groups based on GOLD criteria using forced expiratory volume in the first second (FEV1). PSG findings also were compared between patients regarding severity of lower airway obstruction (FEV1 ≥50% and FEV1 <50%). Results: Sixty‑eight of the patients had OS. Twenty‑nine (42.6%) were male. The mean age was 62.3 پ} 6.88 years. Thirty‑two (54.4%) of the patients were in GOLD 2. The mean apnea/hypopnea index was 57.41 پ} 36.16. Seventy‑two percent of patients had severe OSA. Severe OSA was more prevalent in patients of GOLD 2 and 3 groups compared to the other groups. Among PSG findings, only N2 sleep stage was significantly longer in patients with FEV1 < 50% than in patients with FEV1 ≥50% (61.5 پ} 11.2, 55.3 13.4, P = 0.039). Conclusion: Polysomnographic findings (except N2 stage) are not different in patients with OS with respect to severity of lower airway obstruction. Key words: Chronic obstructive pulmonary disease, overlap syndrome, polysomnography, sleep apne

    Evaluation of Tetracycline Antibiotic Residue in Honey Samples Using ELISA and HPLC

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    ABSTRACT: Honey is used worldwide due to its medicinal and nutritional properties. Antibiotics are used to treat diseases such as American foulbrood and European foulbrood or as a drug for preventing disease in the beehives. Antibiotic residues should be carefully monitored because they can have adverse effects on the general health of human. In this study, the amount of tetracycline residue was measured in honey samples. A total of 80 honey samples were collected from different regions of Qazvin province, Iran. The methods used included enzyme-linked immunosorbent (ELISA) assay and high-performance liquid chromatography (HPLC). ELISA method showed that the maximum and minimum levels of tetracycline residue were 40 ppb and 1.26 ppb, respectively. The areas with values above the kit’s LOD include Takestan (14.28%), Abeyek (4.76%), and Alamot-e-gharbi (4.54%), respectively. In the Alamot-e-sharghi samples, the antibiotic values above the kit’s LOD were not found. Samples with values above the kit’s LOD in ELISA method were measured using HPLC method. According to ELISA results, of the 80 honey samples, 4 samples (5%) had antibiotic more than the highest LOD of the kit. These 4 samples were tested using HPLC method. The results of HPLC showed that out of 4 honey samples, one sample was more than 40 ppb, but 3 samples were less than 40 ppb. There is a significant difference between ELISA and HPLC (p < 0.05). If the antibiotic residue levels of tetracycline are too high in food, it can cause serious harm to the health of consumers, therefore, monitoring of antibiotics residue in food is very necessary

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