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Prevalence and risk factors associated with metabolic dysfunctionassociated steatohepatitis in patients with Helicobacter pylori infection: A population-based study

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World Journal of Hepatology 2024年第10期16卷 1169-1176页

作者： Rashid Abdel-Razeq Lynn Bitar Elio R Bitar Chidera Onwuzo mohamad-noor abu-hammour Barish Eren Islam Mohamed Adejoke Johnson Antoine Boustany Somtochukwu Onwuzo Imad Asaad Department of Internal Medicine Cleveland Clinic FoundationClevelandOH 44111United States Faculty of Medicine Saint Joseph University of BeirutBeirut 11042020Lebanon Faculty of Medicine American University of BeirutBeirut 11072020Lebanon Department of Medicine&Surgery General Hospital Lagos IslandLagos Island 101223LagosNigeria Department of Internal Medicine Jacobi Medical Center/North Central Bronx HospitalBronxNY 10461United States Division of Gastroenterology Department of Internal MedicineUniversity of Florida College of MedicineJacksonvilleFL 32209United States Department of Gastroenterology Allegheny General HospitalPittsburghPA 15212United States Department of Gastroenterology Firelands HealthSanduskyOH 44870United States

BACKGROUND Helicobacter pylori(***)is associated with the development of gastrointestinal disorders ranging from gastritis to gastric *** evidence of the association between metabolic dysfunction-associated steatohepatitis(MASH)and *** infection in the literature is ***,we aim to evaluate the risk of developing MASH in patients who have had a diagnosis of *** infection independently of any confounding *** To evaluate the risk of developing MASH in patients who have had a diagnosis of *** *** This study used a validated multicenter research database of over 360 hospitals across 26 healthcare systems across the United States from 1999 to *** regression analysis assessed the risk of developing MASH,adjusting for confounders including *** infection,obesity,type 2 diabetes,hypertension,dyslipidemia,and male gender.A two-sided P value<0.05 was considered as statistically significant,and all statistical analyses were performed using R version 4.0.2(R Foundation for Statistical Computing,Vienna,Austria,2008).RESULTS A total of 79476132 individuals were screened in the database and 69232620 were selected in the final analysis after accounting for inclusion and exclusion ***(14.30%),patients with hyperlipidemia(70.35%),hypertension(73.86%),diabetes mellitus type 2(56.46%),and obese patients(58.15%)were more common in patients with MASH compared to *** a multivariate regression analysis,the risk of MASH was increased in diabetics[odds ratio(OR):3.55;95%CI:3.48-3.62],obese(OR:5.93;95%CI:5.81-6.04),males(OR:1.49;95%CI:1.46-1.52),individuals with hyperlipidemia(OR:2.43;95%CI:2.38-2.49)and *** infection(OR:2.51;95%CI:2.31-2.73).CONCLUSION This is the largest population-based study in the United States illustrating an increased prevalence and odds of developing MASH in patients with *** infection after adjusting for risk factors.

关键词： Metabolic dysfunction-associated steatohepatitis Metabolic dysfunction-associated steatotic liver disease Helicobacter Pylori Cirrhosis Liver

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Management of Malnutrition in Liver Cancer Patients with Chronic Liver Diseases

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Journal of Nutritional Oncology 2016年第1期1卷 21-29页

作者： Asa’d Dajani Laura Kassym Peter Chung Adnan abu hammour Asad Dajani Specialist Center Sharjah United Arab Emirates Semey State University Semey Kazakhstan The Ninth Peoples Hospital Shanghai Jiaotong University Shanghai China abu hammour Medical Center Dubai United Arab Emirates

Liver cancer is the fifth most common cancer and the third leading cause of cancer death globally. Malnutrition is found in 65-90% of patients with liver cancer and often enhances cancer occurrence and complications, deteriorates liver functions, and promotes early development of refractory ascites and hepatic encephalopathy (HE), increasing both morbidity and mortality. Malnutrition may develop as a result of poor dietary intake, anorexia, medications, side effects to chemotherapy, encephalopathy, as well as socioeconomic limitations. A dedicated clinical team should provide proper assessment of patient’s nutritional status and nutrition supplemental plan to restore liver health and prevent or treat malnutrition. Nutrition assessment is based on medical, nutritional, and medication histories, physical examination for body composition and signs of malnutrition, anthropometric measurements, radio-imaging, laboratory tests, and flow charts or algorithms on patient’s dietary intake and changes in bodyweight. Clinical management depends on patient’s disease and nutritional status. Patients with minor liver affection or compensated liver cirrhosis may have normal diet without any restrictions in carbohydrates, proteins, and fat, but preferably take other supplements supporting the liver. Patients with decompensated liver should consume 25-40 kcal/kg/day and 1.0-1.5 g protein/kg/day. For patients with acute episodes of HE, a temporary protein restriction of 0.6-0.8 g/kg/day should be implemented until HE is eliminated. Patients should consume small, frequent meals throughout the day and add a carbohydrate- and protein-rich evening snack. Other approaches to supporting optimal digestion and nutrition and managing side effects of cancer therapies may be added as well.

关键词： Liver cancer Malnutrition Liver cirrhosis Hepatic encephalopathy Nutrition assessment Nutrition intervention Cancer therapy

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Distribution and variability of deformed wing virus of honeybees （Apis mellifera） in the Middle East and North Africa

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Insect Science 2017年第1期24卷 103-113页

作者： Nizar Jamal Haddad Adjlane Noureddine Banan Al-Shagour Wahida Loucif-Ayad Mogbel A. A. El-Niweiri Eman Anaswah Wafaa abu hammour Dany El-Obeid Albaba Imad Mohamed A. Shebl Abdulhusien Sehen Almaleky Abdullah Nasher Nagara Walid Mohamed Fouad Bergigui Orlando Yanez Joachim R. de Miranda Bee Research Department National Center for Agriculture Research and Extension Baq'a Jordan Department of Biology M'hamed Bougare University of Boumerdes ENS Kouba Algeries Laboratory of Applied Animal Biology University Badji-Mokhtar Annaba Algeria Department of Bee Research Environment Natural Resources and Desertification Research Institute National Centre for Research Khartoum Sudan Faculty of Agriculture and Veterinary Sciences Lebanese University Beirut Lebanon West Bank State of Palestine HalhuI-Hebron District Palestine Department of Plant Protection Suez Canal University Ismailia Egypt Extension Department Qadysia Govemate Agricultural Directorate Iraq Department of Plant Protection Sana'a University Sane'a Yemen National Federation of Tunisian beekeepers Tunis Tunisia Ruchers El Bakri Hay Assalam-Sidi Slimane Rabat Morocco Institute of Bee Health Vetsuisse Faculty University of Bern Bern Switzerland Department of Ecology Swedish University of Agricultural Sciences Uppsala Sweden

Three hundred and eleven honeybee samples from 12 countries in the Middle East and North Africa （MENA）（Jordan, Lebanon, Syria, Iraq, Egypt, Libya, Tunisia, Algeria, Morocco, Yemen, Palestine, and Sudan） were analyzed for the presence of deformed wing virus （DWV）. The prevalence of DWV throughout the MENA region was pervasive, but variable. The highest prevalence was found in Lebanon and Syria, with prevalence dropping in Palestine, Jordan, and Egypt before increasing slightly moving westwards to Algeria and Morocco Phylogenetic analysis of a 194 nucleotide section of the DWV Lp gene did not identify any significant phylogenetic resolution among the samples, although the sequences did show consistent regional clustering, including an interesting geographic gradient from Morocco through North Africa to Jordan and Syria. The sequences revealed several clear variability hotspots in the deduced amino acid sequence, which furthermore showed some patterns of regional identity. Furthermore, the sequence variants from the Middle East and North Africa appear more numerous and diverse than those from Europe.

关键词： Apis mellifera deformed wing virus Middle East North Africa prevalence variability

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