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مجلة ديالى للعلوم الصرفة

ISSN: 83732222
الجامعة: جامعة ديالى
الكلية: العلوم
اللغة: Arabic and English

This journal is Open Access

حول المجلة

مجلة جامعة ديالى للعلوم الصرفة مجلة علمية فصلية تصدر عن كلية العلوم في جامعة ديالى وباللغتين العربية وألأنكليزية وتهدف للمساهمة في تطوير المعرفة وذلك بنشر البحوث الأصيلة والمراجعات في مختلف العلوم الصرفة والتطبيقية، بحيث تكون سجلاّ للدراسات في هذين المجالين.

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معلومات الاتصال

admin@sciencesmag.uodiyala.edu.iq
diyalajps@yahoo.com

جدول المحتويات السنة: 2010 المجلد: 6 العدد: 3

Article
Screening of Post Traumatic Stress Disorders among Preschools Children in Baijee City

المؤلفون: Faiadh H. Faiadh --- Ashoor R. Sarhat
الصفحات: 1-15
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الخلاصة

Background: Post-traumatic stress disorder is the name given to the psychological and physical symptoms that can sometimes follow particular threatening or distressing events. To assess the frequency of Post Traumatic Stress Disorder among preschools children this study was carried out in Baijee Borough. Subjects & Methods: A sample of 105 preschool children aged (1-5) years, (24) of them are females and (81) are males were assessed by using a questionnaire that include a demographic information, family history of exposure to trauma and by using a screening semistructured tool that known as modified Child Behavior Checklist which divided the sample into two groups: first one those with < 9 scores which considered as negative screening test for Post-traumatic stress disorder and the second one those with > 9 scores which considered as positive screening test for Post-traumatic stress disorder. Results: Positive screening test of post-traumatic stress disorder was found in 31 (29.5%) of the sample with male to female ratio (2.1:1). Children from rural areas had positive screening test of post-traumatic stress disorder in (67.7%) of them comparison to 10 (32.3%) of those from urban areas. The commonest involved age group with positive screening test of post-traumatic stress disorder was between 2-3 years (48.4%). Explosion and or airplane voice were the commonest trauma associated with positive screening test of post-traumatic stress disorder in 35% of children exposed to. Conclusions: Post-traumatic stress disorder exists among preschool children exposed to trauma but not recognized. Breast feeding is of protective effect against post-traumatic stress disorder.


Article
The Prevalence of Rotavirus Infection in Baquba- Diyala Province

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الخلاصة

Background: Rotavirus infection is the leading single cause of severe diarrhea among infants and young children. More than 500,000 children under 5 years of age die from rotavirus infection each year, and almost 2 million more become severely ill. Objectives: To determine the prevalence of rotavirus infection among patients with diarrhea in Baquba- Diyala province, and to explore the effect of certain relevant factors. Materials and methods: The present study was extended from 1/July/2007 to 1/September/ 2008 in Baquba city. A total of 300 fecal specimens were collected from patients suffering from acute diarrhea. The patients include 136 (45.3%) females with mean age (7.8 ± 4.7) years, and 164 males with mean age (5.3± 3.4) years. BioRad-Rota kit is a highly sensitive agglutination test was used for detection of rotavirus in fecal specimens. Bacterial co-infections were identified by culturing on differential and selective media, and the final diagnosis followed the standard bacteriological criteria. Parasitic co-infections were detected by general stool examination. All data were statistically analyzed. Results: The results showed that the overall infection rate by rotavirus among patients was 20.3%, and the highest infection rate was among those below 5 years of age. Rotavirus infection among adult patients was also recorded. Females had an insignificantly higher infection rate compared to males (22.1% vs. 18.9%). Patients consuming river's water had significantly higher infection rate compared to those used municipal or tank water (34.5%, 14.1% and 18.5%) respectively. Patients (below 2 years) feed artificially had higher infection rate com College of Vet. Med. Diyala University pared to those on breast or mixed feeding (28.2%, 19.1% and 18.8%) respectively. Although, the rotavirus infections were recorded around the year, the highest infection rate was during spring and winter seasons (22.5% vs 21.4%). It was also found that neither bacterial nor parasitic co-infections were significantly associated with rotavirus infection. Conclusion: Rotavirus infection as a cause of acute diarrhea was common in Diyala province, and particularly affects children below 5 years of age.

الكلمات الدلالية

Rotavirus --- acute diarrhea --- gastroenteritis


Article
Mortality Rate among Low Birth Weight Infants in Al-Battool Teaching Hospital

المؤلفون: Dawood Salman Hameed Alazzawi
الصفحات: 28-35
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الخلاصة

Background: A comparative study about mortality rate among low birth weight infants who delivered in Al-Battool teaching hospital- Diyala governorate and admitted to neonatal nursery throughout the first six months of the year 2003 and 2009 respectively. Patients and methods: This study was done in Al-Battool teaching hospital investigating the records of 366 patients admitted during first six months of 2003 and compared with records of 558 patients admitted during the same period of 2009. Information has been studied extensively for gestational age, birth weight, predisposing factors and mortality. Results: The study reveals 1-Mortality rate increased to 30 % during 2009, while it was 12% during 2003 2-Increase percentage of low birth weight infants (32-36wks) during first 6months 2009 (22.7%) , as compared to first 6months 2003 ( 19.6% ) and (28-32wks) increased to (26.3%) during 2009 as compared to( 25.4%) during 2003 . 3-Increase congenital abnormality (ranging from cleft palate to congenital heart diseases) ( 42%) on 2009 as compared to (29%) on 2003. 4-Increase number of low birth weight infants to total deliveries at hospital (13.1%) during 2009 as compared to (11.7%) during 2003. Conclusions: High mortality rate, increase percentage of low birth weight infants and increase cases of congenital abnormalities during 2009 , need to be studied extensively and thoroughly regarding the environmental causes and health services availability.

الكلمات الدلالية

mortality rate --- low birth weight infant --- congenital abnormality


Article
Efficacy of Using Synchronized Nasal Intermittent Positive Pressure (SNIPPV) Versus Ordinary Continuous Positive Airway Pressure (CPAP) in Sick Neonate

المؤلفون: Kareem A. Obaid
الصفحات: 36-42
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الخلاصة

Background: Nasal continuous positive airway pressure (NCPAP) for respiratory support reduces the need of endotracheal intubation and mechanical ventilation. A new mode with continuous positive pressure including a CPAP with intermittent mechanical rate synchronized with breathing SNIPPV. Objectives: Assessing effectiveness and safety of this mode SNIPPV with the ordinary CPAP. Methods: A prospective study on neonates with apneas and/or respiratory distress or fit for extubation randomized to receive the ordinary CPAP group1or receive the SNIPPVgroup2. Result:18 case in each group, in both males needed more support than females, no death among group 1 while1 case died in the second group, Apgar score mean nearly same for both groups it was 7.2&9.2 at 1&5 minutes group1 compared to 6.9& 8.8 at 1&5minutes group 2,1case in each group got PIE,2 cases in group1 had PDA compared to 3cases in the group 2, no cases of group1cases failed while 4cases in group 2 failed this support(p 0.032), no cases in group one develop CLD compared to two cases group two, no intestinal perforation in both groups. Conclusion: According to the data there was no significant difference in short and long term outcome between the ordinary CPAP and the SNIPPV when they used for sick neonates.


Article
The Characters of Measles Patients Admitted to Tikrit Teaching Hospital

المؤلفون: Dr.Shan .N. Al .Hurmuzy --- Dr. Yusra .A. Mahmood
الصفحات: 43-59
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الخلاصة

Measles is a highly contagious viral infection and 90% of non immunized persons who come into direct contact with the virus will develop infection. A cross sectional study conducted in Tikrit Teaching Hospital to highlight the Outbreak of measles and its effect on patient’s health during period of 3 months from 1st of January 2008 to the 1st of April 2008. A total of 100 cases included in the study from different age groups and from both genders without any exclusion. The study showed that the most common affected age 54% were between 1-5 year and 4% of cases were below 6 month. Male gender 56% affected more than female gender, 44 % and 91% of cases have history of contact with infected persons . In the present study 17% of cases have history of vaccination with measles , 13% have history of vaccination with Measles, Mumps, Rubella ( MMR) and only 9% have history of vaccination with both. Nutritional assessment done for every cases and it shows that 51% of them have normal nutritional state, 35% have mild malnutrition, 12% have moderate malnutrition, and 2% of cases have severe malnutrition. The relation between nutritional state and development of complications were not significant in this study except that which is related to otitis media (O.M). The study showed that 3% developed central nervous system complications, 30% developed O.M, 48% of cases developed gastrointestinal tract (GIT) complications and that all the cases have respiratory tract complications which was the main cause of admission to the hospital. Hb, PCV, total WBC, WBC differential count and blood film morphology was done for every patient and it showed that 63% of cases have anemia, 20% have normal finding, 22% have only lymphocytosis, 20% have neutrophillia, 7% of cases have hypochromic microcytic picture with neutrophilia, 13% have hypochromic microcytic picture with lymphocytosis, and 18% have only hypochromic microcytic picture. The current study shows that with presence of specific risk factors the development of O.M are more as a complication of measles.


Article
Anti-Leishmania Tropica Activity of Candida Abicans Proteinase

المؤلفون: Dr. Azhar A.F. Al-Attraqhchi --- Dr. Huda Th.Al-Marsome
الصفحات: 60-67
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الخلاصة

Cutaneous leishmaniasis is the most common form of leishmaniasis. It is a skin infection caused by a single-celled parasite that is transmitted by sand fly bites. Although the cutaneous form of the disease is often self-limiting, it does result in significant scarring and can spread to more invasive, mucocutaneous disease. Leishmaniasis is endemic in 88 countries on five continents. The pentavalent antimonials meglumine antimonate (85 mg Sb/mL) for intramuscular administration and sodium stibogluconate (100 mg Sb/mL) for intravenous and intramuscular administration have been used for decades for the treatment of New World cutaneous leishmaniasis, and are the gold standard for other new investigational drugs. Cutaneous leishmaniasis has been treated in patients of all ages with a wide range of physical methods, including cauterization, surgical excision, cryotherapy and the application of local heat. The antibacterial activity of proteinase was determined against different types of bacteria isolated from patients and healthy individuals. The most sensitive bacteria were Lactobacillus spp. While Pseudomonas aeruginosa is the most resistant. Candidal proteinase, also have an anti-leishmania donovani activity ( on the promastigote stage)[15] . Thus this study was conducted to evaluate the effect of proteinase enzyme on promastigote stage of L. tropica, in vitro and the possibility to be used in the future as an anti-leishmanial drug.


Article
Immunohistochemical Study of Retinoblastoma Protein (Prb) Expression in Cervical Carcinomas and Their Premalignant Lesions

المؤلفون: Arwa Mujahid Abdullah Al-Shwaikh --- Dr. Ismail Ibrahim Latif
الصفحات: 68-76
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الخلاصة

The retinoblastoma gene was the first tumor suppressor gene identified that was altered not only in retinoblastomas but has been described in a wide variety of human neoplasms. The retinoblastoma gene encodes a nuclear phosphoprotein that in its hypophosphorylated stat plays an important role in regulation the cell cycle, thus preventing from tumor formation. This study was designed to determine pRB expression in a group of cervical tissues comprised of normal, premalignant and malignant lesions. A total of 60 cervical tissue samples were included in this study. 50 archival tissue biopsy samples comprised a risk group for cervical neoplasia; these were selected from histopathology files of Al-kadhimya teaching hospital, Al-Ulwiya teaching hospital, Al-Yarmouk hospital, Medical City department of teaching laboratories, and from four private laboratories. The remaining 10 normal cervical postmortem tissue biopsies were obtained from the institute of forensic medicine and considered as control group. Immunohistochemistry was done for detection pRb expression. The results of this study found that there were significant differences of pRb expression between CINII/III or ISCC and normal cervical tissue (p<0.01, p<0.05 respectively). There was no significant difference between CIN I and CIN II/III (p>0.05). There were no significant differences between CIN I or CIN II/III and ISCC in relation to pRb expression (p>0.05).This results suggest that Rb protein expression may be important in the pathogenesis of cervical carcinoma.


Article
Toward Iraqi National Medical Licensing Examination

المؤلفون: Ashoor R Sarhat --- Sarab K. Abedalrahman
الصفحات: 77-84
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الخلاصة

Many factors that necessitate the need for a national medical licensing examination in Iraq, and these are the following; the rapid increase in the number of medical schools and their students, the expected influx of Iraqi and foreign medical graduates from foreign countries to work in Iraq especially after 2003. The expected increasing number of students and award of scholarships to increasing numbers of students to study medicine in various countries with the absence of published national guidelines for minimal acceptable competencies of a medical graduate are of driving forces for this examination. This article is to discuss the need for consensus of lists of competencies that a graduating medical student is expected to master in order to practice medicine, and then to design national licensing examinations to address these different competencies.

الكلمات الدلالية

medical licensing examination --- Iraq medical education.


Article
Detection of CagA in H. Pylori Gastric Illness Using in Situ Hybridization

المؤلفون: Nidhal A. Mohammed --- Ahmed S. Abood
الصفحات: 85-90
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الخلاصة

Background: H. pylori had been recognized as the causative agent of several gastric diseases and possessed wide variety of virulence factors, one of most important factors is CagA. Objective: This study investigated the expression of CagA cytotoxin on the gastric epithelial cells in patients with Helicobacter pylori gastric illness by using In Situ Hybridization technique. Methods: Paraffin embedded tissue had been made form biopsies taken from 30 patients undergo O.G.D. and selected according to exclusion criteria. In addition 10 apparently healthy volunteers were included as a control group. Results: The CagA cytotoxin was detected in 21(70.0%) patients out of 30 and 9 (30.0%) gave negative results, on other hand control group showed no positive results. Conclusions: The CagA positive H. pylori strains cause the majority of H. pylori related gastric illness.


Article
Serum Anti-Cardiolipin Antibodies among Women with Recurrent Abortions in Diyala Province

المؤلفون: Abdul-Razak shafiq Hasan --- Abbas A. Al-Duliami --- Rafah O. A-Zubiadi
الصفحات: 91-101
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الخلاصة

Background: Anticardiolipin antibodies (ACL) are heterogenous group of autoantibodies directed against negatively charged phospholipid and phospholipid binding proteins. They gained much attention due to their association with pregnancy failure, particularly recurrent fetal loss. Objectives:To investigate the relevance of positive ACL antibodies with recurrent abortion among women in Diyala province and to explore the effect of certain co-factors. Materials and methods:The study groups include, 45 pregnant women with previous history of recurrent abortion (mean age 29.3 ± 6.7) years; 60 pregnant women without previous abortion (mean age 28 ± 6.1) years; 50 non-pregnant women with history of recurrent abortion (mean age 29.7 ± 6) years and 60 non-pregnant women without history of previous abortion (mean age 31.5 ± 7.2) years. Required information were collected by personal interview. Detection of ACL-IgM and ACL-IgG were done using ELISA technique. Results:The results showed that the seropositivity of ACL-IgM among pregnant women with recurrent abortion and without abortion was 30% and 3.3% respectively. While the seropositivity of ACL-IgM among non-pregnant women with previous abortion and those without abortion was 20% and 0% respectively. The ACL-IgG among non-pregnant women without previous abortion and those with previous abortion was 0% and 35% respectively. Conclusion:Anticardiolipin antibodies may play as a cause of recurrent spontaneous abortion among women in Diyala province.

الكلمات الدلالية

anticardiolipin --- Autoantibodies --- spontaneous abortion.


Article
Zoonotic &Nonzoonotic Endoparasites of Rodents from Some Districts in Baghdad

المؤلفون: Raad Hammodi Hasson
الصفحات: 102-112
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الخلاصة

A survey for zoonotic and nonzoonotic endoparasites of rodents carried out at some highly infested districts of Baghdad. A total of 186 rodents of three species was examined , comprising of 89 R. norvegicus , 62 Rattus rattus and 35 Mus musculus . Fourteen species belonging to twelve genera were identified. The most prevalent species of rodents was R. norvegicus in which zoonotic H. diminuta (24%) , H. nana (10.7%) and Cysticercus fasciolaris ( 9%) were the most prevalent species of protozoan and helminth parasites respectively. Zoonotic protozoa T. lewisi and Sarcocystis sp. in R. norvegicus were most prevelnt than B.microti in R.rattus .Nonzoonotic endoparasites Vampirolepis sp. ,M. rodentium, S. obvelata , Trichuris sp. and T. musculi were recorded with wide variation prevalence in the rodents species under study. New records of B. microti , new host for T. lewisi and C. fasciolaris (Strobilocercus) Hydatigena type larval infection of Taenia sp. of rodents species in Baghdad area under study.


Article
Microalbuminuria, Cardiovascular Morbidity, and Mortality in Diabetic and Non–Diabetic Subjects in Kirkuk City

المؤلفون: Aseel Sharaf Abdulla
الصفحات: 113-125
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الخلاصة

Ischemic heart disease (IHD) which, leading cause of death in industrialized nations. Traditional risk factors for (IHD) such as hypertension, smoking, diabetes, and hyperlipidemia may not be able to predict cardiovascular events accurately in male and female. Early detection and prevention of (IHD), especially among the elderly, remains a major public health issue. The aim of this study was estimate the frequency of microalbuminuria in patients with and without diabetes mellitus (DM), answering the question: 'How relevant for general practice are epidemiological findings that microalbuminuria is a significant risk indicator for the development of cardiovascular syndromes?' and analyze prospectively whether the urinary albumin to creatinine (A/C) ratio can indepenendently predicts ischemia heart disease (IHD) in a population suffering from diabetes mellitus (DM) in Kirkuk city. The study group conducted on (120) patients with (IHD) and (DM) their age ranging between (20-79) years and (100) aged matched health control subjects .The males consisted (52.27%) of the total patients, while females (47.73%). They characterized by sex, age, body mass index (BMI), blood pressure (Bp), fasting blood glucose (FBG), serum albumin and creatinine. An interaction between microalbuminuria and IHD with DM was observed, and presence of microalbuminuria more than doubled predictive effect of the conventional atherosclerotic risk factor for development of IHD. Urinary albumin/creatinine ratio is recommended for microalbuminuria assessment, because it reflects urinary albumin excretion. Muscular mass could affect albumin/creatinine ratio, because urinary creatinine reflects muscular mass. Prevalence showed significant higher in the normal male than female individuals and this attributed to the difference in the lean muscle mass between the two sex and more fragrantly in (BMI) of (24-26) Kg/m2 in male groups than females. The relationship of obesity on microalbuminuria and (IHD) was statistically significant the (P) values was found to be (<0.05) in the both sexes. The prevalence of the patient groups suffering from previous signs of ( IHD) with type (I) diabetes mellitus in the nonhigh (uACR) groups were (23.3%), high (uACR) without microalbuminuria groups were (30%) and high (uACR) with microalbuminuria groups were (46.7%) while in the groups with patient suffering from previous signs of ( IHD) with type (II) diabetes mellitus were (20%),(32.2%) and (47.7%) respectively. The excess of the patient groups suffering from previous signs of (IHD) with type (II) diabetes mellitus prevalence in the high (uACR) groups reflected the combination of dissimilar data between the subgroups with and without microalbuminuria .In comparison to the nonhigh (uACR), the patient groups suffering from previous signs of (IHD) with type (II) diabetes mellitus prevalence was significantly increased (P<0.05) in the high (uACR) subgroup with microalbuminuria but not in the high (uACR) subgroup without microalbuminuria


Article
Assessment of the S100 Protein of the Common Peroneal Nerves in Diabetic Patients

المؤلفون: Payman Jamal --- Talib Jawad Kazim --- Hewa Banna
الصفحات: 126-133
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الخلاصة

The present work designed to study the Immunohistochemical changes of the common peroneal nerves of 30 diabetic patients (8 females and 22 males), their age ranging between (55-75) years and identical samples from 30 un diabetic cadavers (4 females and 26 males) newly imported to department of forensic medicine, at age of (25-50) years as control group. The multiple regression analysis showed significant effect, of age, male gender and duration of diabetes on the development of neuropathy. The protein S100 was significantly depleted in common peroneal nerves samples taken from diabetic patients. The male gender, age progression and to a lesser extent the duration of the disease observed to be risk factors aggravating the depletion of the S100 protein. The present study concluded that neurological factors were simultaneously responsible for the pathogenesis of diabetic peripheral neuropathy, and the age, male gender and a lesser extent the diabetic period may act as risk factors.


Article
The Effect of Peganum Harmala (Water Extract) on Hydatid Cyst

المؤلفون: Al-Tae, A.A
الصفحات: 134-139
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الخلاصة

Hydatid disease is considered as one of the important zoonotic diseases, due to the complications and the difficulties of the diagnosis and treatment. Although there is significant progress in the treatment of this disease, the difficulties of using drugs due to there toxicity and the side effect of the application are still amatter of discussion. Therefore, lots of the researchers are starting thinking about the alternative procedure of the treatment before going to the surgery. Accordingly, plant extract (Peganum harmala extract) was considered to be one of the alternative procedures , because of their availability and it is usually known plant without side effect and it is poblicaly used for the treatment of different diseases. Therefore it has been decided in this work to apply the seeds extract of this plant in the experimental treaetment of the hydatide disease in vitro and in vivo on experimental animals. The results of this work reveald significant efficacy of these extracts on the activity of protoscolices and also the reduction of numbers of Hydatide cysts in the experimental animals


Article
Does Hepatitis C Virus Infection is a Relevant Factor for Thyroid Dysfunction?

المؤلفون: Saad Muhmood Hussain --- Abdul-Razak Sh. Hasan
الصفحات: 140-145
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الخلاصة

Background: Because hepatitis C virus can replicate in cells other than hepatocytes, more than 5% of infected patients develop during the course of the disease at least one extrahepatic manifestations. Objective: Determination of the seropositivity rate of anti-HCV antibody among patients with thyroid dysfunction in Diyala province. Materials and methods: The present study was conducted from September/2008 to October/2009. 122 patients who presented with abnormal thyroid function tests. 29 (23.3%) of them were males with mean age 35.4 ± 19.0 years and 93 (76.7% ) were females with mean age 37.5±11.5 years. Additionally, 117 normal healthy blood donors were included as control group, the mean age 32.3 ± 8.7 years. Anti-HCV antibody was detected by ELISA technique. Repeatedly positive sera were confirmed by immunoblot assay. Data were statistically analyzed. Results: The preliminary results showed that the anti-HCV seropositivity rate among patients was insignificantly higher than controls (1.6% and 0.8%) respectively. Male and female were equally infected (50%). The age of infected male was 56 years, while the age of infected female was 47 years. Conclusion: Hepatitis C virus infection is not a risk factor for the development of thyroid dysfunction.

الكلمات الدلالية

HCV --- Thyroid dysfunction --- extrahepatic manifestation.


Article
Non Burial of the Appendix Stump During Appendectomy a Safe Procedure

المؤلفون: Bahaa Aldeen A. K. Al.mujamaee
الصفحات: 146-151
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الخلاصة

A prospective study comparing the surgical technique of simple ligation, with ligation and stump burial during a appendectomy for non complicated appendicitis, was done for 160 patients from april 2000 to april 2003 in baquba general hospital . The patients were randomized into tow groups. In group I simple ligation and group II ligation and stump invagination was carried out, the patient was followed up for tow years to check for post operative complication. We found the incidence of wound infection and ileus was higher in group II , which take me conclusion that simple liigation of the appendex stump is safe better during appendectomy .

الكلمات الدلالية

Appendicitis --- appendix --- stump --- invagination --- complications .


Article
Antibiotic Prescription Style in Surgery Department in Baquba Teaching Hospital

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الخلاصة

Background: Antibiotics are one of the most common drugs prescribed in the hospitals. The present survey was performed to study the style of prescription of different types of antibiotic regimens in different surgeries in Baquba Teaching Hospital and assess the appropriateness of antibiotic therapy through a comparison with the standard guidelines for antibiotic prescription. Methodology: A retrospective survey were used to evaluate the patients undergone surgery through one month duration beginning from the 1st of April 2009 to the 1st of May 2009. 303 patients were enrolled in our survey and questionnaires concerning demographic data, type of surgery, and parameters of antibiotic therapy ( selection of antibiotic, dose, route and duration of therapy) were completed. Results: From 303 patients, 179 patients receiving one antibiotic and the other 124 patients receiving 2 or more antibiotics (antibiotic combination). Claforan was the common antibiotic prescribed where it was written for 169 patients as a single agent or in combination with other antibiotics. Claforan with Flagyl was the common antibiotic combination, prescribed for 63 patients. Concerning duration of therapy, 159 patients continue on antibiotic therapy for 2-3 days while 71 patients continue for one day. Conclusion: The antibiotic selection in this hospital is optional and not according to any guidelines or recommendations. The utilization of culture and sensitivity studies is absent and antibiotic prescription is almost totally empirical. Therefore, antibiotic prescription is inappropriate and didn’t follow the standard guidelines for antibiotic prescription.

الكلمات الدلالية

antibiotic --- standard guidelines --- claforan


Article
Facial Pain and Intranasal Contact Pressure Zones

المؤلفون: Nada Kalil Yaseen
الصفحات: 167-177
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الخلاصة

Background: Patients with facial pain are commonly diagnosed as suffering from sinusitis and many of these patients do not have sinus disease and the pain can be attributed to other causes. Aim: To provide evidence by therapeutic trial whether mucosal contact pressure zones do cause facial pain and headache, Patients and methods: Clinical trial of Twenty four patients were complaining of facial pain or headache of at least moderate severity mucosal contact pressure zone(s) between middle or inferior turbinate and nasal septum and no evidence of sinus infection were included in this study which was carried out at Tikrit teaching hospital and private hospital by senior auther, during two years period from December.2007_december 2009 were visible endoscopically, and no evidence of sinus infection. All patients underwent initial treatment with topical nasal steroids for at least 6 weeks. Patients who failed to respond, or who only had partial response to topical nasal steroids, were offered surgery designed to eliminate the mucosal contact pressure zone. Surgery consisted of either septoplasty, subtotal resection of the turbinate, or both septoplasty and turbinate reduction. Patients followed up for between 6 months to one year Results: Facial pain and headache were successfully relieved in 20/24 (83%) cases. Of the four failures, one had undiagnosed sphenoidal sinus infection which became apparent during follow-up nasendoscopy.Two patients were depressed. One patient persisted with pain and headache for unknown reasons. Conclusions: The technical success rate of treatment of headache and facial pain in eliminating mucosal contact pressure zones was 100%, but this does not automatically translate into a 100% success rate in relieving symptoms.

الكلمات الدلالية

Facial Pain and Intranasal Contact Pressure Zones


Article
The Isolation of Proteus Species from Patients with Otitis Media in Baquba City

المؤلفون: Abass A. Al-Duliami --- Abdul-Razak SH. Hasan --- Kariem S. Al-Ajeeli --- Afak Rashid
الصفحات: 178-186
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الخلاصة

Background: Otitis media is an infection of the middle ear, usually associated with upper respiratory tract infection. Although, it can occur at any age, but 60-80% of children had recurrent otitis media. Early diagnosis and management may avoid serious complications like, brain abscess, meningitis, lateral sinus thrombosis and subdural abscess. Objectives: To determine the isolation rate of proteus species from patients with otitis media in Baquba city, and to explore the effects of certain relevant factors. Materials and methods: Ear swabs were collected from 270 patients with acute or chronic otitis media attending the out-patient clinic of Baquba General Hospital. Information regarding age, sex, residence, and smoking were collected by special form pre-constructed for this purpose. Isolation and identification of Proteus species based on standard bacteriological criteria. All data were statistically analyzed. Results: Proteus species were isolated from 35(12.9%). The P.mirabilis constitute 28 and P.vulgaris 7. Bacterial growth other than proteus constitute 75.9%, while swabs with no bacterial growth was 11.1%. The mean age of patients was 25.9±16.8. The isolation rate from males (17.8%) was higher than that of females (8.5%). The highest isolation rate (18.4%) was found in 10-19 years age group, while the lowest isolation rate (6.6%) was recorded in those <5 years old. Residents of rural areas recorded highest number of Proteus species isolates when compared to those of urban areas (13.3% vs 11.9%). Chronic OM cases showed higher isolation rate (18.6%) of Proteus spp than that of acute cases (6.9%). Additionally, the isolation rate (21.1%) of Proteus spp. from smokers with OM was higher than that of negatively smokers (14.6%) and non- smokers (9.9%). Conclusion: Higher isolation rate of Proteus species were recovered from patients with chronic

الكلمات الدلالية

Otitis media --- Proteus --- Upper respiratory tract nfection


Article
Molecular and Immunopathological Role of Nuclear Factor K B Detected By Insitu Hybridization in Pathogenesis of Chronic Atrophic Gastritis in Iraqi Patients

المؤلفون: Ali Ibrahim Ali
الصفحات: 187-214
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الخلاصة

Chronic Atrophic gastritis (CAG) is a histopathological entity characterized by chronic inflammation of the gastric mucosa with loss of gastric glandular cells and replacement by intestinal-type epithelium and fibrous tissue. Atrophy of the gastric mucosa is the endpoint of chronic processes, such as chronic gastritis associated with Helicobacter pylori infection. This study designed to determine the molecular role of NFkB signaling on Fas receptor mediated apoptosis in H.pylori associated CAG cases. Forty five patients suffering from CAG that proved via endoscopical and histopathological examination were eligible for this study. Males represent (73.33%) and the rest (26.67%) were females with a mean age of 39.26 years .twenty apparently healthy volunteers (10 male and 10 female) with the mean age 38 years and age range (23-58) years were enrolled as control group. Multiple mucosal biopsy specimens were taken from the inflamed area of gastric mucosa for rapid urease test other biopsy specimens were fixed with 10% buffered formalin for preparation of paraffin embedded tissue blocks to prepare slides for histological examination using haematoxylin-eosin stain to evaluate the grades of Polymorphonuclear leukocytes(PMNs) and lymphocytes infiltration . Insitu hybridization technique (ISH) using biotinylated long DNA probe for human NF-KB Gene and for human FAS gene as well as H.pylori Cag A gene were used for detection of NF-KB and Fas mRNA and Cag A mRNA expression in tissue infiltrated lymphocytes and neutrophils as well as gastric epithelial cells and for detection of H.pylori Cag A. This study explained that there was a statistical significant positive linear relationship between lymphocytes grade and Fas mRNA expression in PMNs and gastric epithelial cells. PMN grade has significant positive linear relationship with each of the following markers: Tissue Fas mRNA expression. Tissue NFkB mRNA expression, lymphocytes NFkB mRNA expression, PMN NFkB mRNA expression, Cag A mRNA expression. Lymphocytes Fas mRNA expression has significant positive linear relationship with PMN Fas mRNA expression and Cag A mRNA expression .PMN Fas mRNA expression has significant positive linear relationship with Cag A mRNA expression and negative linear relationship with tissue NFkB mRNA expression . Tissue Fas mRNA expression has significant positive linear relationship with tissue NFkB mRNA expression ; lymphocytes NFkB mRNA expression ; PMN NFkB mRNA expression ;Cag A mRNA expression . Tissue NFKB mRNA expression has significant positive linear relationship with lymphocytes NFkB mRNA expression; PMN NFkB mRNA expression. Lymphocytes NFkB mRNA expression has significant positive linear relationship with PMN NFkB mRNA expression. This study conclude that NFkB play a vital role in determination of immunopathological and inflammatory events of gastritis that leads finally to development of atrophic changes

الكلمات الدلالية

atrophic gastritis --- NFkB --- Fas --- H.pylori cagA+/urease+ --- ISH


Article
Determination of GLUT3 and GLUT8 Protein in the Testis of Diabetic Rats Treated with Aqueous Eextract of Cymbopogon* Citrates

المؤلفون: Hewa Banna --- Talib Jawad Kazim --- Hero Khalid Mustafa
الصفحات: 215-226
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الخلاصة

The present study was designed to obtain the localization of (glucose transporter 3) GLUT3 and GLUT8 protein in the testis of diabetic rats which were treated by aqueous extract of Cymbopogon citratus (100 mg/kg) once daily. Diabetes induced to the labratory animals (Sprague dawly rats) by alloxan injection (90 mg / kg .bw. by a single intraperitonial injection). The experiment lasted for five months during which the animals were divided into diabetic and non-diabetic normal groups. Significant increase was obtained in the localization of (glucose transporter 3) GLUT3 protein in diabetic testis in all age groups, with significant decrease in both (glucose transporter 8) GLUT8 protein localization in testes in all age groups in comparisons with normal groups. In brief the herb used in this study resulted in the increase in GLUT8 protein ( glucose transporter 8) with decrease in GLUT3 protein ( glucose transporter 3), therefore one can conclude that the herb might be used for the minimized the disorder of male reproductive during diabetes.


Article
Jacquet’s Erosive Napkin Dermatitis Clinical and Therapeutic Study with Its Prevalence in Iraqi Infants

المؤلفون: Khudair K. Al-Kayalli
الصفحات: 227-235
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الخلاصة

Objectives : Primary irritant contact napkin dermatitis is an inflammatory skin eruption of the napkin area , most commonly seen in the infants between 7th and 12th month of age , and is relatively a common skin disease all over the world , and many aetiological factors are implicated , the Jacquet’s erosive napkin dermatitis is a rare variant form of this disease , which is an erosive form affecting the napkin area . This study was done to describe the clinical features , possible aetiological factors , treatment and the prevalence of the jacquet’s erosive napkin dermatitis in Iraqi infants . Methods : A total number of 18034 patients with different skin diseases was seen in a private and outpatient clinic of Baquba Teaching Hospital for the period Jan. 2004 to Nov. 2006 . 127 infants out of this total number had primary irritant contact napkin dermatitis , and 29 infants out of this number had erosive type , they were 15 males and 14 females , their ages ranged from 4 months to 18 month . They were complained of a rash on the napkin area , which was diagnosed clinically as Jacquet’s erosive napkin dermatitis , and they were treated by topical clotrimazol cream three times daily for 2-3 weeks with discontinuation of wearing diapers and using of topical corticosteroids , and followed up for 3 weeks . Results : The study showed that both the primary irritant contact napkin dermatitis and the Jacquet’s erosive type were a relatively rare among Iraqi patients with a different skin diseases ( 0.7% and 0.16% respectively ) , and in those with different types of eczema and dermatitis ( 3.5% and 0.7% respectively ) , but the Jacquet’s erosive type was a relatively common among Iraqi infants with primary irritant contacts napkin dermatitis ( 22.8 ) , and both sex were equally affected by both types . We thought that Jacquet’s erosive napkin dermatitis was developed as one of the complications of rather than as a variant form of primary irritant napkin dermatitis, as a results of using topical corticosteroids and secondary infections. The clinical features were characteristic of that of Jacquet’s erosive napkin dermatitis with presence of friable crust. The disease was cured with in 2-3 weeks of treatment by topical clotrimazol and discontinuation of wearing of diapers and using of topical corticosteroids. Conclusion: It was concluded that Jacquet’s erosive napkin dermatitis was a relatively common among Iraqi infants with primary irritant contact napkin dermatitis and it was a complication, rather than a variant form of this disease , and could be arise as a result of using topical corticosteroids and secondary infections i.e. there was a close relation to the infantile gluteal granuloma .


Article
Sero-Epidemiological Study of Outbreak of Measles among Children in Diyala – 2009

المؤلفون: Ismail I. Latif --- Mehdi SH. Al-Zuheiry --- Nadhim GH. Noaman
الصفحات: 236-246
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الخلاصة

Background: Measles is a serious infectious disease in children. Despite reaching global measles vaccination coverage of 80% of individuals, measles virus (MV) remains the fifth leading cause of death and the most common cause of vaccine-preventable death in children under 5 years of age. Objectives: to determine the sero-epidemiological characters of the outbreak of measles among children in Diyala province in 2009. Subjects and methods: This study was done during the outbreak of measles in Diyala provinc ( spring and summer of 2009) in Al-Batool hospital of Pediatrics and Gynecology at Baquba city during a 2-month period from 1 April 2009 to 1 June 2009. A sample of 103 child patients presented with clinically suspected measles was studied by thorough history and physical examination with a determination of immunoglobulin M (IgM) antibodies in serum by enzyme- linked immunosorbent assay ( ELISA) testing for measles for each patient. Results: There was 58.3% (66 out of 103) positive blood samples for IgM of measles in children with clinically evident measles. The study showed that there was no significant difference in the distribution of children with measles positive by IgM according to their age and sex, according to residency, according to mothers′ previous vaccination status or previous infection with measles. On the other hand, the study revealed that the distribution of IgM positive measles was significantly more (p<0.05) in children who did not receive previous measles vaccine than those who received vaccination, and in children with low & medium economic status families than those with good status, respectively. Conclusion: It was concluded that the single serum assay of IgM antibodies by ELISA testing has medium sensitivity in the diagnosis of measles in children, there is an increasing susceptibility of infection with measles for infant less than one year of age and for children with poor family economic status.

الكلمات الدلالية

Measles --- IgM --- serology --- Children --- Diyala


Article
Pattern of Ischemic Heart Disease Cases Admitted to Coronary Care Unit in Baquba Teaching Hospital

المؤلفون: Abdul Salam Harfash --- Ali M. jaafar Al-Tamimee --- Raid A. Al-dulaimy
الصفحات: 247-259
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الخلاصة

Objectives :The aim of this study is to show the pattern of ischemic heart disease (IHD) cases admitted to CCU in Baquba teaching hospital and to study IHD cases in relation to certain variables (risk factors) which include age , sex , residency , occupation , physical activity , smoking , diabetes mellitus (DM) , hypertension and obesity. Methods :The study included 200 patients with IHD who were admitted to CCU in Baquba teaching hospital in a period of 3 months from 1st. February to 30th. April 2008 . We registered the risk factors of IHD as age , sex , DM , hypertension , smoking , obesity , physical inactivity and residency . Results :This study showed that most of IHD cases were diagnosed as unstable angina (52%) followed by myocardial infarction (MI) (37%) and the remaining cases were angina pectoris (11%) . IHD was more in males (56%) .Most cases were between (46-65) years old (57.5%) . IHD was more in urban (70.5%) . Smokers were (31.5%) , diabetics (25%) , hypertensive (54%) , Obesity (41%) , physical inactivity (59.5%) Conclusion :This study showed the pattern of IHD cases admitted to CCU in Baquba teaching hospital and the relation of risk factors and there percentage to IHD. So prevention, modification and improvement of risk factors can decrease numbers and severity of IHD in society .


Article
The Prevalence of Needle Stick Injuries among Health Care Workers in Baquba Teaching Hospital

المؤلفون: Shahab A. Alazawy
الصفحات: 260-271
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الخلاصة

Needle stick injuries (NSIs), also referred to as sharps injuries, percutaneous injuries and sharps exposures, represent accidental breaks in the skin with needles, scalpels or other sharp objects that have been in contact with a source patient's blood or body fluids[1]. Blood borne infections have been recognized as an occupational hazard for nearly 50 years [2]. However, it is only in the last 20 years that there has been a widespread recognition of the specific risk posed to health care workers ( HCWs ) by blood borne viruses such as hepatitis B, C and human immunodeficiency virus ( HIV ). While as many as twenty blood borne pathogens can be transmitted through accidental needle sticks, [3] the potentially life threatening are (HIV), hepatitis B virus (HBV) and hepatitis C virus (HCV). A health care worker's chance of contracting HIV after an HIV-infected accidental needle sticks is one in 250, while the chance of contracting HBV after an accidental needle sticks is one in 20. The chances of contracting HCV after an HCV-contaminated accidental needle sticks average 3.5 in 100 [4].


Article
UV Spectrophotometric Method for the Analysis of Tinidazole after Exposure to Superficial X-Rays

المؤلفون: Suad MusIih Al-Deen
الصفحات: 272-276
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الخلاصة

The aim of the present work is to assess UV-spectrophotometric method for the effect of superficial X-rays on the tinidazole compound in two forms, solid and aqueous solution . Both acceleration potentials of 120 kVp and 160 kVp exert a pronounced effect on aqueous solution of tinidazole at different concentrations represented by changes in optic density of tinidazole . The effect of superficial X-rays on the solid form of tinidazole is less than that observed with the aqueous preparation . It concluded from these that tinidazole is radiosensitive compound and several protection measurements should be used to prevent its hydrolysis .

الكلمات الدلالية

Tinidazole --- superficial X-rays --- acceleration potential --- optic density.


Article
New Methods for Establishment of Lymphoblastoid Cell Lines

المؤلفون: Ismail Ibrahim Latif
الصفحات: 277-287
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الخلاصة

Background: Human lymphocytes can be isolated from whole blood by centrifugation using a commercially available high-density medium. This allows a single step gradient separation of blood, which yields the mononuclear cell ,the lymphocyte can be cultured specifically and will outgrow the others, eventually resulting in highly enriched population. Objective: this series of experiments were done as a trial to establish a new method for preparation of lymphocytes cell line. Methods: the same protocols were applied to all individuals, they were separated in to two groups:- Group 1:- one ml of heparinized blood were cultured in tissue culture flask containing 9 ml of stimulation medium and incubated in tissue culture flasks at 37ºC (4) . The flasks were subcultured at 37 OC in CO2 incubator every 3 days. Group 2:- Mononuclear cells were separated from whole blood, washed, counted, assessed for viability, then 1 ml of 2x106 cells were cultured in tissue culture flask containing stimulation medium and. The flask was incubated at 37 OC in CO2 incubator for 3 days. Another 1ml of mononuclear cells was cultured in tissue culture flask containing 1ml of growth medium, the flasks were incubated at 37 OC in CO2 incubator for 3 days.For both groups the cell cultures were propagated and maintained. Results: After initiation of cell culture for both groups, the mononuclear cell cultures were maintained up for 3 weeks, pure rich mononuclear cells were obtained and seen under inverted microscope. Conclusion: a new method for establishment of lymphoblast cell line were developed by cultivation of lymphocyte from whole blood . pure rich lymphocytes culture were obtained and maintained

الكلمات الدلالية

whole blood lymphocyte culture --- cell culture --- phytohemagglutinin.


Article
Acetyl Salicylic Acid Improved the Regeneration of the Injured Sciatic Nerve in an Experimental Study

المؤلفون: Ibraheem, A.H --- TtalibJawad Kazim --- Mustaf Al-shikh,Y.G
الصفحات: 288-295
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الخلاصة

A total of thirty-two adult rat (Sprague Dawely) of both sexes weighing 250-350 g were used in this study. These were classified equally and randomly into two groups; Group (A) and group (B). All the animals were exposed to induction of left sciatic nerve crush injury by using fine forceps after application of surgical procedures. Rats in Group (A) were left to be survive for 15 , 30 , 90 , and 180 days post crush ,p.c (four animals per each period) and considered as control animal. Group (B)were injected by Acetyl Salicylic acid (ASA) 25 mgkg as anti-inflammatory drug for successive 14 days p.c and left to be survive for 15 , 30 , 90 , and 180 day p.c (four animals per each period) Histological examining and statistical analysis of the nerve specimens for all Survival periods of both groups indicated that application of ASA in case of group (B)gave longer internodes and diameter of the regenerated nerve fibers after 180 day p.c when compared with that of control group at the same period, the mean inter nodal length of the nerve fibers of group (B) after 180 day was 396 µm , and its mean diameter was 8.4 µm while the mean inter nodal length of the nerve fibers of group (A) after 180 day was 277 µm and its mean diameter was 7.2 µm. The result of the present study demonstrated that application of ASA for 14 day intramuscularly and continuously in group (B) improved the regeneration of the injured nerve fibers better than the untreated group (A) and this may reflect the role of ASA to suppress the signs and complication of inflammatory process at the site of sciatic nerve injury , so enhance the re grow of new nerve fibers faster and better than the control group (A).


Article
Acute Multifocal Symmetrical Osteomyelitis

المؤلفون: Younis A. Rasheed Al Radwany --- Ahmad Saeed Tawfeeq
الصفحات: 296-301
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الخلاصة

Background: Acute osteomyelitis is almost invariably a disease of children [1]. The causal organism is usually staphylococcus aureus [3]. The primary site of infection is the metaphysis, where the blood flow becomes sluggish in the capillary loops [2]. The acute, focal bone pain is often, but not always, accompanied by systemic findings of fever or malaise.[4] WBC with differential, sed rate, C reactive protein, and plain radiographs are initially obtained, and technetium imaging is helpful if there is doubt about the diagnosis. The non-invasive nature of ultrasound and the lack of a need for sedation make the diagnostic imaging a less traumatic experience for the child [7] Case presentation:3 years old child admitted to the pediatric unit , he treated there as a case of gastroenteritis and chest infection. The child referred to the orthopedic outpatient unit, US examination of the lower limbs revealed fluid collection around the lower ends of both femora.drainage of huge amount of pus from both femora revealed heavy growth of staph aureus bacteria. Conclusion and recommendation:High index of suspicion of osteomyelitis is a must and bilateral symmetrical presentation should be expected and treated accordingly.

الكلمات الدلالية

Acute Multifocal --- Symmetrical --- Osteomyelitis


Article
New Epidemic of Cutaneous Leishmainasis in Children in 2005 in Tikrit City

المؤلفون: Ashoor R. Sarhat --- Wisam S. Najem --- Sarab K. Abed alrahman --- Rafal K. Farhan
الصفحات: 302-308
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الخلاصة

This study is carried out to determine the epidemiology of cutaneous leishmaniasis in Iraqi children below sixteen years old in Tikrit during December-2005. From 489 patients attended Tikrit teaching hospital, 83 (17%) of them were having cutaneous leishmainasis. Fifty one of them were males (61.4%), and thirty two (38.6%) were females. Total number of lesions were 114, and the dry lesions constitute 78 (68.4 %) of them while, 36 (31.6%) of them were wet. 52.6% of the lesions were in the face, 26.4% of the lesions were in the lower limb, 2.6% of the lesions were in the abdomen, chest, and upper arm, and only 0.8% were in the scalp. Three cases had combined visceral and cutaneous leishmaniasis. A new epidemic of cutaneous leishmainasis had occurred in Iraq at end of 2005 and affects almost all ages and preferentially children and adolescents. Dry lesions were more common than wet lesions.


Article
Sero-Conversion to Measles Igg-Antibodies after Measles Vaccination among Infants, Iraq/Baquba.

المؤلفون: Salwa Sh. Abdul- Wahid
الصفحات: 309-319
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الخلاصة

Objectives : This study was conducted for estimation of association between Parent's , infant's characteristics & mother's characteristics , with serocoversion rate after measles live virus vaccination among infants aged 9-12 months . Subjects and Methods: A cross –sectional study, was conducted in a selected primary health care centers in Diyala Governorate. The study sample included 117 infants (56 males & 61 females), aged 9-12 months, selected at a random during their routine vaccination, for the period extending from the 1st of February/2007 to the 31st January/2008. Anti measles IgG antibodies (Abs), were detected in the serum by Enzyme Linked Immuno-Sorbent Assay, using "Dade Behring" standard test kit. Results: The results revealed that the mean & geometric mean measles IgG Abs titers, before measles vaccination were negative (cut off= <330 mIU/ml). After measles vaccination, the mean changed to a positive value (cut off= >330mIU/ml- <1909mIU/ml), but geometric mean titer remained in a negative level. Significant association was limited to few paternal, maternal and child's characteristics with measles seroconversion. Conclusion & recommendations: The study concluded that the main effect for seroconversion, was vaccination with measles vaccine rather than parental & infant characteristics, and recommended empowerment of strategy for health education for measles vaccination.


Article
Impetigo a Bacterioldgecal Study in Baquba City Diyala Province - Iraq

المؤلفون: Burooj M. Razooqi
الصفحات: 320-326
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الخلاصة

Impetigo is a contagious superficial pyogenic infection of the skin it is of two types non-bullous and bullous , caused by Staphylococcus aureus and or Streptococcus pyogens predominantly seen in preschool and school children of both sex . The aim of the present study is to evaluate the types of bacteria that cause impetigo . 46 children were seen and examined in Baquba teaching hospital for the period 30 of April to the 31 of Jullay 2010 , they were 28 mails and 18 females , their ages ranged from 2-6 years with a mean age of 3.56 years . they complained of skin rash , which was diagnosed clinically as impetigo , and sterile cotton swabs were taken from the lesions under full aseptic condition , and cultured on a Blood agar and MacConkey agar for bacteriological studies . The study shows ( diagram ) that the Staphylococcus aureus was the most common bacteria that cause impetigo ( 34.8 % ) than the streptococcus pyogens ( 17.4 % ) . Proteus mirabilis and Staphylococcus epidermidis were a new report as a causative bacteria of impetigo . Like other studies we concluded that the Staph aureus was the most common bacteria that cause impetigo , and Proteus mirabilis may be a causative bacteria.

الكلمات الدلالية

Impetigo --- Staphylococcus --- Streptococcus --- Proteus


Article
Selective versus Routine use of Nasogastric Tube Following Abdominal Surgery

المؤلفون: Muqdad F. Abdul-Kareem Ph.D
الصفحات: 327-341
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الخلاصة

Background: Routine use of nasogastric tubes, after abdominal operations, is intended to hasten the return of bowel function, prevent pulmonary complications, diminish the risk of anastomotic leakage, increase patient comfort and shorten hospital stay. Objectives: To investigate the efficacy of routine nasogastric decompression after abdominal surgery, in achieving each of the above goals. Patients and methods: Two hundred and twelve patients having abdominal operations of any type, emergency and elective have been reviewed prospectively over a period of three years (December 2004_December 2007) in Baghdad teaching hospital, they were randomized to receive a nasogastric tube and keep it in place until intestinal function have been returned, and those receiving no tube or immediately removed following operation. Excluded from the study, were laparoscopic surgeries , gastric and duodenal surgeries. Results: 1- Earlier return of bowel function and shorter hospital stay in the non tube group. 2-No significant statistical differences concerning the occurrence of postoperative vomiting, pulmonary complications, and anastamotic leakage. 3-There was significant discomfort in the tube group. Conclusions:Routine nasogastric decompression does not accomplish any of its intended goals and so should be abandoned in favor of selective use of nasogastric tube

الكلمات الدلالية

Nasogastric tube --- Nasogastric decompression


Article
Myths in the Management of Hypertension in Iraq Diyala Society

المؤلفون: Sameer Abdul- Kadir
الصفحات: 342-347
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الخلاصة

Hypertension (HT) is a common medical disorder. About 20 – 30% of adults in the more developed countries have HT. Blood pressure tends to increase with age in most societies and HT is slightly more common in men than in women [1] Definite HT has been taken to be a blood pressure, on two or more clinic reading on two or more occasions of ≥ 140 ∕ 90 mm Hg. [2 ] . Most guidelines for the treatment of HT, Confirm that appropriate, monitored long term treatment of HT lowers the incidence of hypertensive complications whether chronic end organ damage or acute hypertensive emergencies [ 3 , 4 ].


Article
Detection of Escherichia coli O157:H7 in the locally produced cheese in Baghdad & its Effect in Public Health
التحري عن جرثومة الأيشريكيا القولونية نمط O157:H7في منتجات الجبن الطري المحلي في مدينة بغداد وتأثيرها في الصحة العامة

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الخلاصة

The study conducted to indicate the compartive measurements of microbial load of Faecal Coli form Bacteria & Escherichia coli & E.coli O157:H7 . of 60 sampl of locally produced soft cheese collected randomly from five different local areas in Baghdad (30 sample to each summer & winter season) to investigate their microbial load . All summer & winter samples were in high significan (p<0.01) microbial count of Coli form Bacteria & Escherichia coli & E.coli O157:H7 . the Bacteriostatic & Bacteriocidal effect of Emulsifying salts on microbial activity wase confirmed when The TBC were high significa (p<0.01) reduce in cooked cheese with 2.5% Emulsifying salts added . Were no growth of Escherichia coli & E.coli O157:H7 in nutrient broth with 2% Emulsifying salts added . Data revealed that the best mix of Emulsifing salts was that wich composed of :- 90% Sodium tripolyphosphate + 10% Trisodium citrate .


Article
Bone marrow injection in patients with delayed union and non-union of long bone fractures

المؤلفون: Firas T. Ismaeel
الصفحات: 360-366
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الخلاصة

Background: In the process of bone formation and healing of fractures, the bone marrow as a source of osteoprogenitor cellswhich are the most important factor in this process . The aim of this study is to show the effect of bone marrow injection in management of delayed union and non-union. Patients and methods: Twenty one patients with delayed union and non union were treated by bone marrow injection. Most of cases have compound fractures of the long bones. The bone marrow were aspirated from the anterior or posterior iliac crests and then injected percutaneously into the fracture site. Results: Full union was achieved in 15 cases, while failed in the others. The mean time for union was 20 weeks; no major complications were seen during or after the procedure. Conclusion: The usage of bone marrow injection in the treatment of delayed union and non-union is a safe, easy and a minimally invasive procedure, compared to usual open bone graft especially for cases with high risk of anesthesia or risk of infection.

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