ISSN: 16831813
Publisher: Tikrit University
Faculty:
Language: Arabic and English
This journal is Open Access
Scientific journal issued by the Faculty of Medicine / University of Tikrit, and all quarterly SSH months and shall be published in Alankelsah
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Web site: http://tikrit-medicine.tripod.com/ id10.html
جامعة تكريت / كلية الطب مجلة تكريت الطبية / ص.ب: (19) E-mail: tmj_tucom@yahoo.com

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Loading...Acute myelogenous leukemia (AML) is a clonal disorder of the bone marrow that is characterized by abnormal proliferation of immature myeloid cells. Patients may have pallor, fatigue, and shortness of breath secondary to anemia; bleeding, bruising, and ecchymosis secondary to thrombocytopenia / coagulation defects; and infections secondary to neutropenia. The treatment of newly diagnosed AML is divided into phases. Induction phase and post-remission chemotherapy. The aim of the study was to determine the clinical and hematological characteristics of patients with de novo AML and to determine the 3 years overall survival. This study was conducted at Baghdad Teaching Hospital/hematology unit from January 2006 till January 2008 inclusive. It included 115 patients with de novo AML. The diagnosis of AML was established in the Teaching Laboratories according to the cytomorphology and criteria of the French-American-British (FAB) classification system. There were 63 males and 52 females with median age of 35 years. Pallor was found in 95 patients (83%), and easy fatigability in 81 patients (70%), while bleeding tendency was present in 84 patients (73%). Splenomegaly was present in 26 patients (23%) and hepatomegaly was found in just 20 patients (17%), while lymphadenopathy at presentation was detected in only 9 patients (8%). The median haemoglobin level, WBC count, platelets and blasts percent were 9 gm/dL, 10 x 109 /L, 75 x 109 /L, and 35% respectively. One hundred eleven patients were given induction chemotherapy, 81 patients (70%) achieved CR, and there was no significant difference between those patients on Midac or 2+5 regimens. The median overall survival was 7 months

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Loading...Iron overload is the main complication of beta-thalassemia. This study was conducted to evaluate iron status in thalassemic patients with clinical signs of iron overload. The study was done in thalassemic centre at Ibn Al-Atheer Pediatric Teaching Hospital in Mosul, Iraq. Two groups of ten thalassemic patients for each group were included in this study. The first group included patients without clinical signs of iron overload their ages ranged between 4-13 years (mean ±SD: 7.3±3.7 years), while the second group included patients with clinical signs of iron overload, their ages ranged between 8-20 years (mean ± SD: 15.3±3.4 years). Serum iron, ferritin and percentage saturation of total iron binding capacity (TIBC) were significantly higher (P<0.001) in the thalassemic patients with clinical signs in comparison with the other group. However, serum transfirrin and TIBC were significantly lower (P<0.05) in the clinical signs patients compared with the other group. All values of serum iron status were within the normal range except the percentage saturation of TIBC in the clinical signs patients. The mean age of the clinical signs patients were significantly higher (P<0.001) than the mean age of the other group. In conclusion patients with thalassemia major in Iraq are poorly managed though iron chelator is used. Percentage saturation of TIBC is recommended to estimate iron overload.

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Loading...Pregnancy induced hypertension (PIH) occurs at about 20 weeks in 6% to 10% of pregnancies. PIH is a form of high blood pressure in pregnancy also called toxemia of pregnancy. It is more common in twin pregnancy or in women who had PIH in a previous pregnancy. The exact cause of PIH is not known. A cross sectional study was done in Tikrit teaching hospital from the beginning of September 2007 to the end of may 2008. 46 primigravida pregnant women were participated in this study (16 normotensive & 30 hypertensive women). Serum sodium, potassium & zinc were measured by a flame photometer. There are no significant differences between hypertensive pregnant women & normotensive pregnant regarding age, body weight, height, & BMI. The mean value of hemoglobin for hypertensive pregnant was 11.6 ± 0.11 gm/dl. While the heamoglobin value for normotensive pregnant women was 10.77 ± 0.49. There is no significant difference between hypertensive pregnant women & normotensive pregnant regarding blood hemoglobin. There is significant difference at p value of less than 0.01 between hypertensive pregnant women & normotensive pregnant regarding serum sodium level, which is higher in hypertensive group. Moreover, there is significant difference at p value of less than 0.05 between hypertensive pregnant women & normotensive pregnant regarding serum potassium level. However, there is no significant difference between hypertensive pregnant women & normotensive pregnant regarding serum zinc level.

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Loading...Infant feeding is very important for growth & development. Spite the only natural way of feeding infant is the breast feeding so the diseases that is common in this period is due to error in the patterns of feeding. This cross sectional descriptive observational study was carried out in outpatient clinic Maternity and Child Hospital (MCH) in Mukalla city. One Hundred eighty mothers were interviewed for the patterns of infant feeding and its relation with common disease in infants less than two years I age. The most common type of infant feeding is mixed feeding (87.22), while e pure breast feeding constitutes (8.33%) & artificial feeding (4.45%). The majority of mothers start breast feeding at the 1St day after birth (76.16%) & others in the 2n day (12.21%) & in 3rdd day (11.053%). All mothers start artificial feeding before 2ndmonths of life. (60%) of breast fed infants are vaccinated, while (7 %) vaccinated in artificial. Breast feeding is common in rural areas (80%), while artificial feeding is common in urban (100%). Infection was found in all patterns of infant feeding, especially gastroenteritis & bronchial pneumonia. As a conclusion; the patterns of feeding especially breast feeding needs re-evaluation, efficiency & explanation of it is importance to mothers and their babies.

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Loading...Malaria remains one of the most serious public health problems in many parts of the world,it is the major public health problem in Yemen. A cross-sectional study. The study was conducted in AI_Mukilla child and Maternity Health hospital, all children presented from Wadi Hajer, Hadhramout Yemen since January 2005 to June 2006 were included in the study, after filling the examination Questioner including Temperature and spleen check up, Thick and thin blood film were done to check for malaria and Hb was estimated. Results: During the study period 163 children were malaria positive for Plasmodium falciparum. More than 40% of investigated children had Slide positive rate (SPR),SPR is differed significantly by age group and was highest (67.5%) in less than 5 year-olds and 10% of them was aged below one month of age, and their mothers had malaria. However, there was no significant difference in SPR between males and females. This is the first epidemiological study done in this endemic area of malria; we found that it is endemic by Plasmodium falciparum species. The presenting manifestations include male predominance mostly below 5 years of age. With fever, anaemia and hepatosplenomegaly.

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Loading...The aims of this study were to determine the prevalence of anxiety disorders among children 7-12 years old by purposive sampling of all lecturers (mothers and fathers) who had this group of child’s age at second part of Mosul University from November 2006 - February 2007. The study enrolled that out of 149 children are assessed, 49 had anxiety disorders making a point prevalence of (32.9%) with a female to male ratio of (1.2:1). In age group 7-8 years the highest prevalent disorders are separation anxiety disorders and specific phobia. While at the age group 9- 10 years PTSD shows a highest fraction. At the age group 11-12 years the most common disorders is generalized anxiety disorder. The present study revealed that anxiety disorders are significantly influenced by multiple factors from those were; age of the child; parents who had any psychological and organic diseases; stressful life events; negative temperament; any disease in a child himherself; education of a father and family history of psychiatric illnesses. Whereas education of mother, family types, socioeconomic status, crowding index, unemployed fathers, and working mothers played no significant role in modifying the occurrence of anxiety disorders

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Loading...Epistaxis has been referred to as the albatross of otolaryngology. It is considered a significant and common problem. The aim of this study is to describe the demographic characteristics of epistaxis in Tikrit city. A prospective study was conducted in otolaryngological department during 12 months period from September 2007 to September 2008. Age, sex, cause of bleeding, treatment and result were noted. During the study period 85 patients were managed in otolaryngological department. Out of 85 patients, 44 male (51.7%) and 41 female (48.2%). The most common cause of epistaxis was idiopathic (44.7%) followed by trauma (31.7%). Hypertension was found as the first systemic cause followed by hematological disorder. Seventy patients (82.3%) had anterior bleeding and three patients (3.5%) had posterior bleeding. Chemical cautary is the most common type of treatment followed by medical treatment. Epistaxis is commonest ear nose throat emergency; affect all ages groups and both sexes. The most common cause is idiopathic followed by trauma. Anterior bleeding is more common than posterior bleeding. All cases responded to conservative measures

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Loading...Heparin induced thrombocytopenia (HIT) is a drug induced immune-mediated syndrome characterized by thrombocytopenia and thrombotic events that may be life-or limb threatening. HIT occurs in up to 5% of patients receiving unfractionated heparin (UFH), and less than 1% of patients receiving LMWH. The Aims of the study is to determine the Incidence of heparin induced thrombocytopenia in hospitalized Patients treated with unfractionated heparin in the Azady general hospital. This study was carried out on 40 patients treated with UFH addimited to the Azady general hospital. Each patient underwent a full clinical evaluation including; disease history, and a physical exam. Blood samples were taken for laboratory tests at base line and every day up to patients discharge, including:- EDTA blood for platelet count and blood film, and Serum was obtained from clotted samples for renal and liver function tests. There was mild reduction in platelet count (<30% of base line value) in 27.5% of the patients included in this study. A small proportion 7.5% of the patients showed significant reduction in platelet count (³30% of base line value) and only one of them (2.5%) progressed to more severe reduction in platelet count (³50% of base line value) at the 6th day which was labeled as HIT. Stoppage of heparin use in those with significant reduction in platelet count lead to elevation in platelet count within hours up to three days after stopping heparin. All the patients who showed significant reduction in platelet count including the patient with HIT were on IV heparin infusion and none of them were on subcutaneous injection, which is statistically not significant. The cumulative incidence of HIT over all samples was 7% in the first 6 days and even whole follow up period

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Loading...Physical activity of women through various domestic, occupational works transportation, or leisure-time activities differs according to their age, education, pregnancy status, and general health status. Life style pattern plays an important role in women's health such as smoking, dietary habit and physical activity. Physical activity may help to reduce the risk of chronic diseases of adulthood. The aim of this study to determine the levels of the physical activities of women and prevalence of the diseases and disorders among married women during childbearing age in Mosul. The present research used cross sectional study design and was conducted on randomly selected primary health care centers in Mosul. These centers were Al-Sukar center, Al-Sharqi center, AHadbaa center, and Al-Mansoor center, which included 1200 married women who were in the childbearing age (15-49) years for six month duration. The collected data focused on four main aspects. These are demographic aspect, levels of physical activity, main complaints among women, types of diseases and disorders among women. The study revealed that 55.0% of women are having moderate physical activity and 14.0% had heavy activities. Sedentary work women found to form 18.0% of study sample. Generalized tiredness was a common among women, and 44.0% of the women in general were having at least one type of disease at the time of this study. Although the study revealed that married women in the childbearing age in Mosul city were having acceptable levels of physical activity, but musculoskeletal disease was more prevalent among women with heavy activity. Gastrointestinal diseases were detected in women with moderate and mild activities, while psychiatric disorders were frequently present among sedentary women. Special attention will be required to improve general health of women in the childbearing age in Mosul

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Loading...Inadequate undergraduate education about tobacco treatment has been reported. To assess student nurses’ knowledge, attitudes of the impact of smoking on health, and their attitudes towards smokers and smoking, a cross-sectional survey of the total population of baccalaureate nursing students in College of Nursing- University of Mosul was applied in present study. A questionnaire was developed by the researcher based on the previous studies. It contains 114 closed and open items in four sections: sociodemographic (4 items), attitudes to smoking (40 items), knowledge of smoking (38items) and practice (32 items). Attitudinal questions use a fivepoint Likert scale with ‘strongly agree' scored as 1 through to ‘strongly disagree’ scored as 5. The study finding shows respondents’ knowledge of the health effects of smoking. The mean score for general knowledge was 7.7 (out of eight) and for specialized knowledge 17.9 (out of 29), with an overall mean knowledge score of 27.1 (out of 37). Respondents who had ceased smoking had a significantly higher mean specialized knowledge score than those who still smoked and those who had never smoked (P > 0.042), but the differences in mean general and overall knowledge scores were not significant. As a conclusion; respondents generally had favorable attitudes towards these factors. Factor 2, which focused on the rights of non-smokers and smokers, could be interpreted as a personal values perspective about smoking. In this instance, respondents had mixed opinions about these rights

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Loading...Idiopathic clubfoot is the most common congenital deformity of the foot. Various nonoperative treatment regimens have been proposed. Ponseti method is the most recent nonoperative technique in club foot but the results of this method is widely variable in different studies. The aim of our study is to find out the success of Ponseti method in correction of club foot. Between February 2006 to July 2008. 42 patients with club foot were selected, with their age ranging from 1 week to 6 months, but eventually only 35 were included in the study because of poor patients or parents compliance of 7 cases. The study showed that Ponseti method was successful in 85.7% of the cases. The results were better if treatment started earlier. The experience factor plays a role in the success of treatment. The study recommends the use of Ponseti method in the treatment of club foot.