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040 _aEG-GiCUC
_beng
_cEG-GiCUC
041 0 _aeng
049 _aDeposite
097 _aPh.D
099 _aCai01.11.13.Ph.D.2021.Sa.A
100 0 _aSamar Ramadan Mohamed Abdelghani
245 1 0 _aAssessment of mercury, lead and cadmium as environmental risk factors in a sample of multiple sclerosis patients presented to Kasr Alainy Hospital /
_cSamar Ramadan Mohamed Abdelghani ; Supervised Usama Mohamed Elbarrany , Tarek Mohamed Yehia Omar , Ahmed Abdelmoneam Elshatory
246 1 5 _aتقييم الزئبق والرصاص والكادميوم كعوامل خطر بيئية فى عينة من مرضى التصلب المتعدد المترددين على مستشفى قصر العينى
260 _aCairo :
_bSamar Ramadan Mohamed Abdelghani ,
_c2021
300 _a121 P. :
_bcharts , facsimiles ;
_c25cm
502 _aThesis (Ph.D.) - Cairo University - Faculty of Medicine - Department of Forensic Medicine and Clinical Toxicology
520 _aBackground: multiple sclerosis (ms) is a demyelinating inflammatory disease of the central nervous system (cns) white matter. environmental and genetic factors have been implicated in its pathogenesis. heavy metals generate free radicals causing alteration in genetic material and blood brain barrier (bbb) damage. in addition, intracellular accumulation of certain heavy metals can trigger autoimmune reaction against myelin proteins and nerves cytoskeletal proteins subjects & methods: the present study was carried out in the period between september 2019 and may 2021. 86 ms patients and 86 healthy controls were included. whole blood levels of mercury (hg), cadmium (cd) and lead (pb) in microgram/liter (og/l) in addition to zinc (zn) and copper (cu) in milligram/liter (mg/l) were measured. the current study also discussed heavy metals exposure risks between the two studied groups as well as physiological-toxic metals interactions. results: the current work demonstrated significantly higher levels of pb, cd and hg and significantly lower levels of zn and cu as well as cu/zn in ms patients than controls. heavy metals exposure risks were significantly higher in ms patients than controls regarding frequent use of cosmetics/ sanitary products and tap water consumption in addition to environmental, occupational and medical exposure. lower cu and zn levels were accompanied by higher levels of pb, hg and cd. however, these negative correlations were only significant between cu and both of hg and pb. conclusion: the current work demonstrated significant relation between toxic metals levels and ms. in addition, a complex profile of altered elements rather than a single element imbalance in ms pathogenesis is suggested
530 _aIssued also as CD
653 4 _aCadmium
653 4 _aHeavy metals
653 4 _aLead
700 0 _aAhmed Abdelmoneam Elshatory ,
_eSupervisor
700 0 _aTarek Mohamed Yehia Omar ,
_eSupervisor
700 0 _aUsama Mohamed Elbarrany ,
_eSupervisor
856 _uhttp://172.23.153.220/th.pdf
905 _aNazla
_eRevisor
905 _aShimaa
_eCataloger
942 _2ddc
_cTH
999 _c81823
_d81823