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040 _aEG-GiCUC
_beng
_cEG-GiCUC
041 0 _aeng
049 _aDeposite
097 _aPh.D
099 _aCai01.11.28.Ph.D.2020.Di.E
100 0 _aDina Mohamed Rashed Abdelhalim
245 1 0 _aEvaluation of serum Tumor Necrosis Factor alpha (TNFÜ) in type 1 diabetic children and adolescents as a predictor of diabetic Nnephropathy /
_cDina Mohamed Rashed Abdelhalim ; Supervised Mona Attia Mahmoud Hana , Sahar Abdelatty Sharaf , Hend Mehawed Abdelatif
246 1 5 _aتقييم معامل نخر الأورام ألفا فى الدم الأطفال والمراهقين المصابين بالسكر من النوع الأول كمؤشر على إعتلال الكلية السكرى
260 _aCairo :
_bDina Mohamed Rashed Abdelhalim ,
_c2020
300 _a118 P . :
_bcharts , facsmilies ;
_c25cm
502 _aThesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Pediatrics
520 _aIntroduction Type one diabetes mellitus (T1DM) incidence and prevalence showed a progressive increase over a period of 18 years among children aged from 0 to 18 years living in the Nile Delta region. Higher T1DM may lead to many complications, either acute or chronic.Chronic complications include nephropathy, retinopathy, neuropathy, stroke and cardiovascular diseases. Using a specific assay for albumin is a more sensitive technique. Recently, attention has been called to atypical presentations of diabetic nephropathy with dissociation of proteinuria from reduced kidney function .As a pleiotropic cytokine, tumor necrosis factor alpha (TNF-Ü ) exerts multiple effects and it can contribute to the development of diabetic nephropathy through several mechanisms, including reduction of the glomerular blood flow and glomerular filtration rate, vasoconstriction induced by increased endothelin-1 production, and disruption of the glomerular filtration barrier which is mediated by the interaction with the intercellular junctions and leads to proteinuria . The aim of our study is to evaluate the serum level of TNF-Ü as an early detector of diabetic nephropathy in children and adolescents with type T1DM
530 _aIssued also as CD
653 4 _aMicroalbuminuria
653 4 _aSerum TNF-Ü
653 4 _aType 1 diabetes mellitus
700 0 _aHend Mehawed Abdelatif ,
_eSupervisor
700 0 _aMona Attia Mahmoud Hana ,
_eSupervisor
700 0 _aSahar Abdelatty Sharaf ,
_eSupervisor
856 _uhttp://172.23.153.220/th.pdf
905 _aAmira
_eCataloger
905 _aNazla
_eRevisor
942 _2ddc
_cTH
999 _c78296
_d78296