ISSN: 2413-9122 e-ISSN: 2518-7295 Volume 4 No. 1, October 2020 The Offcal Journal of the Azerbajan Medcal Assocaton AMAJ Azerbaıjan Medıcal Assocıatıon Journal www.amaj.az MD Publshng AMAJ Azerbaıjan Medıcal Assocıatıon Journal Official Journal of the Azerbaijan Medical Association Volume 4 • No. 1 • October 2020 Nephrology Pediatrics Original Article Case Report Intermittent fasting in Ramadan in patients on Hemolytic Uremic Syndrome Still Confuses Minds: A maintenance hemodialysis: Relation to malnutrition, Case With All Three Components of the Triad inflammation, body composition and quality of life Fazil Rajabov · Erkin Rahimov · Zaur Akhmadov - 25 Mohammed Kamal Nassar · Eman Nagy · Ghada El- Kannishy · Nagy Sayed-Ahmed - 1 Periodontology DOI Review For information about DOIs and to resolve them, please visit A Prevailing Approach in Periodontal Plastic www.doi.org Surgery: Tunnel Technique Hikmat Bakhishov - 6 The Cover: Khudafarin bridges Two Khudafarin bridges (Azerbaijani: Xudafərin körpüləri) Psychology and Psychiatry connecting the northern and southern banks of the Aras River are magnificent historical architectural monuments, Original Article which are located on the border of Azerbaijan and Iran. Khudafarin bridges are the most significant examples of Missed opportunities in the assessment and the national architecture of Azerbaijan. The magnificent management of suicidal youth in a developing historical architectural monuments with the 11-arches and country 15-arches were built on natural large boulders and rocks in the Khudaferin canyon at ancient times (7th-13th centuries). Naseema Vawda · Enver Karim - 13 Connecting the northern and southern banks of the Aras River, bridges served as a major junction of the historical Biochemistry Great Silk Road. Located on the border of Azerbaijan (Jabrail Region) and Iran (East Azerbaijan Province), Khudafarin Original Article bridges gained regional and international value. Taking into account the exceptional universal value, high architectural Comparison Between Serum Procalcitonin and engineering solutions Azerbaijan intends to take Measurement Using Rapid Test Fluorescent measures to include the Khudafarin Bridges in the UNESCO Immunoassay (FIA) Method and World Heritage List. Electrochemiluminescence Immunoassay (ECLIA) Method In Sepsis Detection From 1993 to October 2020, Jabrayil I Putu Adi Santosa · Dian Luminto · Anik Widijanti · district was occupied by Armenian Catur Suci Sutrisnani - 18 forces that abandoned these bridges. Since October 18th, the Azerbaijani forces took back control Transplantology of the region and of these historical and symbolic monuments. Review Guidelines for transplant patients during the Photo courtesy: Reza Deghati (@RezaPhotography) COVID-19 pandemic Aydin Tabrizi (@AydinTabrizi) Nuru Bayramov · Elvin Isazade · Ruslan Mammedov · Anar Namazov - 23 www.amaj.az AMAJ Azerbaıjan Medıcal Assocıatıon Journal Official Journal of the Azerbaijan Medical Association Volume 4 • No. 1 • October 2019 Editor in Chief Editorial Board International Advisory Committee Nariman Safarli, MD, MPH Aghakishi Yahyayev, MD, PhD Abass Alavi, MD, PhD, DSc Baku, Azerbaijan Philadelphia, PA, USA Alessandro Giamberti, MD, PhD Associate Editors Ali Quliyev, MD, PhD Milan, Italy Baku, Azerbaijan Jamal Musayev, MD Andrey Kehayov, MD, PhD, DSc Nadir Zeynalov MD, PhD Anar Aliyev, MD, PhD Sofia, Bulgaria Nigar Sadiyeva, MD, PhD Baku, Azerbaijan Ayaz Aghayev, MD, PhD Ilyas Akhund-zada, MD, PhD Elnur Farajov, MD, PhD Cambridge, MA, USA Baku, Azerbaijan Bülent Gürler, MD, PhD Erkin Rahimov, MD, PhD Istanbul, Turkey Assistant Editors Cuneyt Kayaalp, MD, PhD Baku, Azerbaijan Malatya, Turkey Rauf Karimov, MD, PhD Ferid Aliyev, MD, PhD Rashida Abdullayeva, MD, PhD Ercan Kocakoç, MD, PhD Baku, Azerbaijan Istanbul, Turkey Lana Yusufova, MD Ikram Rustamov, MD, PhD Faik Orucoglu, MD, PhD Sunay Mustafayeva, MD Baku, Azerbaijan Istanbul, Turkey Islam Magalov MD, PhD, DSc Fidan Israfilbayli, MD, PhD Birmingham, UK Baku, Azerbaijan Gia Loblanidze, MD, PhD, DSc Kamran Salayev, MD, PhD Tbilisi, Georgia Call for papers Baku, Azerbaijan Hasan Babazada, PhD, DSc Lale Mehdi, MD, PhD Azerbaijan Medical Association invites authors Philadelphia, PA, USA to submit their papers to Azerbaijan Medical Baku, Azerbaijan Kayaalp, MD, PhD Association Journal - AMAJ. 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Taylan Kav, MD, PhD For futher information please contact: Ankara, Turkey MD Publishing House, Istiqlaliyyet 37/2, Yusif Haciyev, MD, PhD AZ1000, Baku, Azerbaijan Houston, TX, USA Tel: (+99455) 328 1888, email: [email protected] www.amaj.az Original Article DOI: 10.5455/amaj.2020.01.001 Intermittent fasting in Ramadan in patients on maintenance hemodialysis: Relation to malnutrition, inflammation, body composition and quality of life Mohammed Kamal Nassar, MD1 Eman Nagy, MD1 Objective: Many previous studies suggest that intermittent fasting has beneficial Ghada El-Kannishy, MD1 effects on health. Fasting during the month of Ramadan can be considered as a model Nagy Sayed-Ahmed, MD1 of intermittent fasting among Muslims. The present study aimed to assess the effect of Ramadan fasting on quality of life (QOL) and body composition in hemodialysis (HD) patients. 1 Mansoura Nephrology and Dialysis Unit MNDU, Mansoura University, Man- Material & methods: Sixty-eight patients on maintenance HD for more than six soura, Egypt. months in Mansoura Nephrology and Dialysis Unit (MNDU) were included in this pro- spective observational study. Patients’ nutritional status was assessed by malnutrition Correspondence: inflammation score (MIS). Anthropometric measurements including body weight, Eman Nagy, MD height, mid arm circumference (MAC), and triceps skin fold thickness (TSF) were mea- Mansoura Nephrology and Dialysis unit, sured. Body composition was assessed by bioelectrical impedance. Quality of life was Mansoura University, El Gomhouria St, assessed by using the Kidney Disease Quality of Life-36 (KDQOL-36™). Assessment of Mit Khamis WA Kafr Al Mougi, Mansou- all patients was carried out before the start of Ramadan and repeated 3 weeks after ra, Dakahlia Governorate, Egypt. Ramadan in patients who fasted more than 14 days. Postal code: 35516, Results: Forty–five patients (66%) fasted more than 14 days during the month of Phone: +20 100095869 Ramadan. Insignificant weight gain was observed in patients who fasted after Rama- Fax: +20 573600244 dan. Interestingly, visceral fat was significantly reduced after Ramadan (p<0.0001). MIS score improved with lower score estimated after Ramadan; however, the differ- Email: [email protected] ence was insignificant (p=0.059). Also, mental health component of QOL improved after Ramadan. Conclusion: Fasting in Ramadan in HD patients was associated improvement of the metabolic profile evident by decrease in visceral fat. Ramadan fasting had a pos- itive effect on mental wellbeing. The effect of intermittent fasting on inflammation and nutritional parameters in patients on maintenance hemodialysis needs further investigations. Keywords: Ramadan fasting, nutrition, inflammation, quality of life, hemodialysis, chronic kidney disease. Introduction ple, menstruating females, pre-pubertal ntermittent fasting can be considered children, and travelers. The fasting hours Ias an alternative to daily caloric restric- can vary from 12 to17 hours, relying on the tion for individuals who are interested in seasonal and regional features. [2] Fasting improving body composition and overall during the month of Ramadan can be con- health in addition to reduce body weight sidered as a model of intermittent fasting and body fat. [1] among Muslims.