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Articles by Firas Sultan Azzeh
Total Records ( 5 ) for Firas Sultan Azzeh
  Firas Sultan Azzeh
  This study was maintained to identify the risk factors associated with delivering Low Birth Weight (LBW) infants among pregnant women in Makkah area. Two groups were recruited in this study; mothers who delivered LBW infants (MLBW) and mothers who delivered normal birth weight infants (MNBW). Participants were chosen from two hospitals in Makkah; Al-Noor Specialty Hospital and Children and Maternity Hospital. Mothers' ages were chosen between 20-40 years old. Data were collected from medical files and structured questionnaire from 183 delivered women (MNBW n = 92, MLBW n = 91). No significant differences were found in mother’s age, weight, height, BMI, family income, mother’s education and occupation between two groups. Also, chronic diseases, placenta problem, previous LBW, previous pregnancies and age at first pregnancy all didn't show any effect on LBW. MLBW showed significantly (p<0.05) lower fruits as well as milk and dairy products intake than MNBW. Also, tea intake of MLBW group was significantly (p<0.05) higher than the other group. The most probable risk factors associated with delivering LBW were related to multiple births as twins (OR = 6.47, (CI: 1.05-39.89), p = 0.044), smoking (OR = 5.73, (CI: 2.23-14.74), p = 0.040) and lower fruits intake than nutritional recommendation (OR = 0.30, (CI: 0.09-1.06), p = 0.042). Odds ration showed no significant results for high tea intake and low milk and dairy products intake. In conclusion, the main risk factors associated with delivering LBW infants in Makkah area were multiple births, smoking and low fruits intake.
  Mohammed Abubaker Basalamah , Mohammad Abd Elmoneim Elmadbouly and Firas Sultan Azzeh
  Objective: The objective of study was to investigate the safety and microbial quality of each stage of the patients' meals production chain to determine the critical control points to reduce, eliminate or prevent the possibility of a food safety hazard in two public hospitals in Mecca. This study also evaluated the Good Manufacturing Practices (GMP) and sanitation procedures in the hospitals. Methodology: A predesigned checklist was used to assess the GMP, sanitation and hygiene practices. Bacteriological examination including estimation of total Aerobic Plate Count (APC), enumeration of mould and yeast count and Staphylococcus aureus (S. aureus), Escherichia coli (E. coli) and Salmonella spp. were done according to the standard methods. Mann-Whitney test for non-parametric data was performed to determine the statistical differences of results between the two hospitals. Results: The GMP and sanitation procedures showed comparable values between both hospitals. No significant differences in the microbiological examinations were observed in the stages of receiving and storage of ingredients, preparation, cooking and collecting foods at the line between the two hospitals. Serving the meals to patients' stage showed significantly (p = 0.036) higher APC value in hospital 1 than hospital 2. Staphylococcus aureus and E. coli bacteria were not detected during the delivery of meals to patients but Salmonella spp. were found at this stage in cold served vegetable salad and coleslaw salad that contained mayonnaise. Conclusion: Hospital food workers should be trained to carefully handle food items that could possibly be contaminated with pathogenic microbes.
  Firas Sultan Azzeh
  This study was maintained to determine the immediate effect of green tea, cinnamon, ginger and combination of them on postprandial glucose levels. The Glycemic Index (GI) for previous treatments was measured as an indicator for postprandial glucose pattern. Twenty-two healthy volunteers from both genders were enrolled in this study. Mean age was 21.3 years and mean BMI was 24.6 kg m-2. For each herb and combination treatment, a concentration of 2.5% aqueous tea extract was prepared. The GI of green tea, cinnamon and ginger were 79, 63 and 72 respectively. Herbs combination exerted GI of 60, which was the lowest. Combination of these herbs showed the best lowering effect on postprandial glucose levels as compared with each herb alone. A potential synergism from the active ingredients of blended herbs was determined.
  Osama Adnan Kensarah and Firas Sultan Azzeh
  This study was conducted to evaluate vitamin D in healthy school children from Makkah area. A total of 148 healthy school children (87 boys and 61 girls) were included in this study. Vitamin D as 25-hydroxyvitamin D [25 (OH)-D] was measured as indication of vitamin D status. Serum 25 (OH)-D less than 20 ng/ml was considered as vitamin D deficient subject. Other biochemical indicators were also measured as calcium, phosphorus, alkaline phosphatase and parathyroid hormone. The mean age of the subjects was 10.1 years. Overall serum vitamin D was 10.5 ng/ml, which was significantly higher in male group than female. About 96.7% and 78.2% of females and males were deficient in vitamin D, respectively. No sufficient vitamin D female subject was recognized. The prevalence of vitamin D deficiency in children school from Makkah was very high and the deficiency was higher in females than males. The main reason for vitamin D deficiency was the restriction to sunlight exposure.
  Firas Sultan Azzeh
  Rheumatoid arthritis is a chronic inflammatory disease in which the synovial membrane of the joint becomes inflamed, resulting in a swelling, stiffness, pain, limited range of motion, joint deformity and disability. Vitamin D is the “sunshine vitamin” which is converted in the body to a hormone 1, 25- dihydroxyvitamin D3 by the photolytic action of ultraviolet light on the skin. Vitamin D plays an important role, along with the essential minerals calcium and phosphorus, in the maintenance of healthy bones and teeth. An inverse association between vitamin D intake and rheumatoid arthritis was found in some prospective studies. Although vitamin D has been implicated in a decreased risk of autoimmune diseases such as type 1 diabetes and multiple sclerosis, its role in decreasing the risk of rheumatoid arthritis remains equivocal. This scientific review is written to illustrate the possible relationships between rheumatoid arthritis and vitamin D.
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