Table of content

Iraqi Academic Scientific Journal

المجلة العراقية للاختصاصات الطبية

ISSN: 16088360
Publisher: The Iraqi Borad for Medical Specialization
Faculty:
Language: English

This journal is Open Access

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E-mail:IPMJ2000@yahoo.com

Table of content: 2007 volume:6 issue:1

Article
Chest Ct-Scan Findings in Patients with Multiple Pulmonary Metastases

Authors: Nazar Bakir Elhassani
Pages: 1-6
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ABSTRACT: BACKGROUND: Pulmonary metastases are common showing high prevalence in patients with extrathoracic malignancies and a figure of 20-54% is mentioned according to an autopsy study . As many as 90% of patients with lung metastases have a known extrathoracic primary tumor or symptoms of a synchronous primary tumor and chest symptoms are usually absent in patients with multiple metastases (80-95%). AIM OF STUDY: To elucidate the most common findings detected by chest CT in patients with pulmonary metastases, to be familiar with in the management & follow-up of these patients. METHODS: The study was conducted on forty-two patients with definite primary extrathoracic malignancies by chest spiral CT(SOMATOM PLUS 4 by Siemens medical systems), those with multiple pulmonary metastatic nodules were selected. Data were collected regarding CT characteristics of the pulmonary nodules and the extraparenchymal chest lesions involving the pleura, lymph nodes and of chest wall bones. RESULTS: The forty-two patients (twenty-seven females and fifteen males), 81% of them were above forty years. The most common (59.5%) primary tumor was breast carcinoma .All patients had pulmonary nodules enhancing more than 20 Hounsfield units (HU) and (59.5%) of them showed nodule enhancements ranging from 30HU to 50HU.Cavitatng and calcified pulmonary nodules were seen in 9.5% and 2.4% of all patients respectively. Extraparenchymal chest lesions were found collectively in 33.3% of all patients, the most common finding of which were pleural effusion and intrathoracic lymphadenopathy (14.2% and 9.5% respectively), while bone metastases was shown in 7.1% of patients. CONCLUSION: We concluded that the most common findings detected by chest CT in patients with pulmonary metastases are the enhancing nodules with enhancements of more than 20 Hounsfield units & the extra-parenchymal chest lesions, while other findings like cavitation and calcification are unusual and occur with certain primary tumors


Article
The Role of Ultrasound and Magnetic Resonance Imaging in the Diagnosis of Obstructive Jaundice

Authors: Safa Al-Obaidi
Pages: 7-17
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ABSTRACT: BACKGROUND: Evaluation of jaundiced patients should include proper history and examination, laboratory investigation and imaging investigations (non invasive like US, CT and MRI or invasive like ERCP and PTC). AIM OF STUDY: The aim of this prospective study is to evaluate the role of US and MRI-MRCP in patients with obstructive jaundice in clinical practice. METHODS: This is a prospective study performed on 80 patients (42 female and 38 male) with an average age of 53 years presented with obstructive jaundice for whom abdominal ultrasound (US) and magnetic resonance imaging (MRI) and magnetic resonance cholangiopancreatography (MRCP) performed in the departments of radiology in Al-Kadhemiyyah teaching hospital and Specialized surgical hospital and Baghdad teaching hospital from October 2003 to October 2005. The final diagnosis was found by endoscopic retrograde cholangiopancreatography (ERCP) and or surgery and confirmed by histopathology. RESULTS: The most common cause of obstructive jaundice in our study was tumors (41.25%) followed by common bile duct stones (36.25%) then benign strictures (13.75%), hydatid cyst (6.25%) & finally choledochal cyst (2.5%). In this study, MRI-MRCP could differentiate surgical from medical jaundice in all cases, while US could differentiate surgical from medical jaundice in 91.25% of cases. MRI-MRCP correctly defines the level of obstruction in all cases (100%).While US correctly define the level of obstruction in only 86.2 % of the total cases. MRI-MRCP correctly suggests the most possible cause of obstruction in 96.25% of cases. While US correctly suggests the most possible cause in only 36.2 %. CONCLUSION: So that US, as a screening modality is useful to confirm or exclude biliary dilatation & to choose patients for MRCP examination. MRI-MRCP is a useful non-invasive and essential method in the preoperative evaluation of patients with obstructive jaundice. In addition MRI-MRCP was superior to US or ERCP in studying the extent & staging of malignant lesions

Keywords

Ultrasound --- MRI --- MRCP --- Obstructive jaundice.


Article
Evaluation of the Result of Whole Penile Foreskin Transposition in Hypospadias Repair

Authors: Mahdi H. Abood
Pages: 18-23
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ABSTRACT: BACKGROUND: There are many technique of foreskin transposition, which may be employed in conjunction with any of the technique for reconstruction of neourethra. OBJECTIVE: The aim is to evaluate the result of the whole penile foreskin transfer to resurface the shaft after reconstruction of neourethra by a modified Mustarde technique. METHODS: Sixty hypospadias patients, thirty one with distal penile type and the other twenty-nine were midshaft penile type, treated by Glenn Shepard modification of Mustarde technique to reconstruct neourethra, the whole foreskin transport and wrapped around the shaft. RESULTS: The minimal fallow up was 8 months. The functional and the cosmetic result were satisfactory for most of the patients with three exceptions which represent 5% of the cases who ended in complete failure and other complications were minor. CONCLUSION: The whole foreskin flap wrapped around the shaft to resurface the whole shaft including the neourethra may minimize the risk of fistula formation. Securing the neourethra to the corpora by several interrupted absorbable suture provide adhesion of the tube to bed and may give better chance of healing and prevent twisting of the tube, firm and uniform dressing is essential


Article
Transurethral Microwave Thermotherapy (TUMT) For Benign Prostatic Hyperplasia

Authors: Firas Shakir Attar
Pages: 24-26
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ABSTRACT: BACKGROUND: Benign prostatic hyperplasia (BPH) is one of the most common diseases of the aging male. Minimally invasive therapies for treatment of BPH compete with the gold standard transurethral resection of the prostate (TURP). The aim of this study is to assess the efficacy of transurethral microwave therapy (TUMT) in patients with otherwise poor general health. METHODS: Thirty (30) patients with associated chronic medical diseases and lower urinary tract symptoms due to BPH were subjected for TUMT as an outpatient single session procedure, from June 2001 to August 2005. Follow up was performed 2 weeks, and then one month following treatment clinically and by assessing residual urine volume, maximal flow rate and prostate size. RESULTS: Out of (28) treated patients, (21) were labeled as non – responders as they were unable to pass urine freely 2-weeks after a trial of decatheterisation. In contrast (7) patients passed urine freely after decatheterisation. In the latter group, it was found that there was no statistical significance of the values of maximum flow rate, residual urine volume or prostate size between pre- and one month post TUMT. CONCLUSION: TUMT is a possible option for the treatment of BPH in poor general health patients or those refusing other surgical modalities. However, it did not prove to be effective for those patients with chronic urinary retention and BPH


Article
Correlation of Postoperative Wound Infection with Intraoperative Culture Results and Duration of Operation

Authors: Kussay M. Zwain
Pages: 27-32
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ABSTRACT: OBJECTIVES: To show the correlation of postoperative wound infection with intraoperative culture results and duration of operation. METHODS: Prospective studies of 168 randomized patients in which a wound swab was taken at wound closure and send for culture results, another swab taken if the wound become infected 5-7 days postoperative and send for culture to show the correlation of postoperative wound infection with intraoperative culture results in al-NAJAF teaching hospital from Jan.2003 to Jan.2004. Wounds are classified in to clean, contaminated and dirty surgery. RESULTS: In clean surgery the contamination rate was 7.4% and infection rate was 3.7 %, while in contaminated surgery the contamination rate was 27.7% and infection rate was 11%, while in dirty surgery the contamination rate was 35.9% and the infection rate was 25.6%. The results were compared with other studies of the world. Pseudomonas aeruginosa and S. aureus are the most common microorganisms to produce wound infection which are a serious microbe and are mostly hospital acquired and resistant to most of the commonly available antibiotics. As regards to relation of postoperative wound infection and duration of operation our results shows that long operations has a higher infection rate (more than 1 hour was 65.4% from the total cases) while the infection rate in surgical operations less than 1 hour was 34.6%,so infection rate is doubled by operations lasting more than one hour. CONCLUSION: The study showed a higher infection rate in clean surgery due to weak sterilization and poor preoperative preparation of the patients and the role of postoperative antibiotics in reduction of wound infection by about 38%.


Article
Propranolol Alone For Preoperative Preparation of Thyrotoxic Patients

Authors: Talib A.Majid
Pages: 33-36
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ABSTRACT: BACKGROUND: Thyrotoxicosis is a common disease which might require surgery. Thyroidectomy without preoperative preparation exposes the patient to the fatal risk of thyrotoxic crisis. Neomercazole is the standard preoperative regimen. Propranolol might be an ideal alternative. OBJECTIVE: This study aims to demonstrate the safety and the convenience of the Beta-blocker propranolol in the preoperative preparation of the thyrotoxic patients. METHODS: Over a period from. 1998 to 2006 fifty patients undergoing thyroidectomy for thyrotoxicosis in private and governmental hospitals were preoperatively prepared using propranolol alone. RESULT: Propranolol was very rapid in controlling thyrotoxicosis in a dose of 160-480 mg/day. The operative and postoperative periods went on smoothly without any complications. CONCLUSION: Propranolol is a cheap, safe and effective in the preoperative preparation of the thyrotoxic patients and might be used as a routine.


Article
H. Pylori Infection Among Adults Undergoing Gastrointestinal Endoscopy

Authors: Leen K.Mustafa Kamil
Pages: 37-40
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ABSTRACT: BACK GROUND: INTRODUCTION: Helicobacter Pylori was brought to the worlds attention 1983by Warren and Morshall, it is now acknowledged that H.Pylori gastritis is the one of the most common human bacterial infectious disease and is causally linked with gastritis , peptic ulcer disease, gastric adeno- carcinoma ,and gastric B.cell lymphoma.(1) H.Pylori is a slow growing , microaerophilic, highly motile, Gram negative spiral organism whose most striking biochemical characteristic is the abundant production of urease enzyme which is an important indirect marker of the organisms presence because it is the bases of biopsy rapid unease test, the urea broth test and as an antigen for serologic detection . The prevalence of H.Pylori among healthy individuals varies depending on age , socioeconomic class, country of origin. In developing countries children are typically infected by age 10 years, whereas in developed countries there is an age related increase in prevalence (1,2 ).The major risk factor for infection is the socioeconomic status of the family during childhood as reflected by number of persons in a house hold, sharing a bed ,and absence of a fixed hot water supply all of which probably are markers for the level of sanitation and house hold hygiene(3,4,5 ). * Immunology Unit, Teaching Laboratories- Medical City It is not known how often an acute infection with H.Pylori sponteneously clears , studies in children suggest that sponteneous loss of infection may be common (6 ).Infection in adults appears to be typically long lived and is probably life long.(7 ) . Most infected individuals have chronic active, non atrophic superficial gastritis .This histological form is usually asymptomatic but may be associated with duodenal ulcer; chronic atrophic gastritis , gastric adeno carcinoma or gastric lymphoma. (6,7 ) Diagnostic tests for H.Pylori can be divided into those that do and do not require samples of gastric mucosa, mucosal biopsy of histological examination of the specimen for the presence of H.Pylori and or gastritis has been the diagnostic method of choice until recently :to increase diagnostic yield ,use of large cup biopsy and 3 samples biopsy (lesser curve Angularis ,greater curve pre pyloric and greater curve body ) examined by both Giemsa stain as a standard stain and hematoxylin & eosin stain which is excellent to determine histologic chronic or chronic active gastritis and demonstrates H.Pylori if large number of organisms are present ( 1,6) . Biopsies may also be tested for the presence of unrease enzyme production by agar gel slide test such as rapid urease test which is excellent for screening for the presence of H.Pylori in patients with peptic ulcer. Tests that do not require a mucosal biopsy include serologic tests as urea broth test, detection of infection in adults To determine the prevalence of H.Pylori undergoing oesphagogastrodudenoscopy by two methods serology (ELISA technique) comparing it with histopathology. METHODS: Forty patients referred to the GIT clinic of AL-Yarmok teaching hospital for GI endoscopy were involved in this study; their biopsies and sera send to histopathology and immunology department respectively for detection of H.Pylori. RESULTS: H.Pylori Abs(IgG) were detected in the sera of 25(63%) patients by ELISA,15 (37.50%) of them H.Pylori was also seen in their biopsies by Giemsa s stain. Most patients with detectable antibodies are those with chronic gastritis ;however patients complaining from reflux oesophagitis showed a significant absentees of these Abs. CONCLUSION: Most patients with gastritis had detectable H,Pylori Abs in their sera; However the study reveled a significant decrease in H.Pylori Ab detection in patients sera with reflex esophagitis (R.O).

Keywords

Endoscopy --- H.Pylori --- ELISA


Article
Thyroid Hormones and Cardiac Dilatation and Dysfunction In Iraqi Patients with Idiopathic Dilated Cardiomyopathy Biochemical and Echocardiographic Study

Authors: Basil O.M. Saleh
Pages: 41-44
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ABSTRACT: BACKGROUND: Serum thyroid hormone level can provide a quantitative index for evaluating the severity of chronic heart failure. OBJECTIVES: To assess the contributions of thyroid hormones [tri-iodothyronine] (T3) and thyroxine (T4)] to the left ventricular (LV) dilatation and myocardial dysfunction in patients with idiopathic dilated cardiomyopathy (IDC). METHODS: Forty patients with idiopathic dilated cardiomyopathy (IDC) aged 46.20 + 1.90 years, as (mean ± SEM) (11 females and 29 males) were studied. Serum total T3, total T4 and thyroid-stimulating hormone (TSH) were measured in these patients. Echocardiographic parameters including LV systolic diameter, septal thickness systolic diameter, LV diastolic diameter, septal thickness diastolic diameter and LV ejection fraction (LVEF) were also be assessed in all patients. RESULTS: This study showed that the serum T4 values were significantly directly correlated with the values of EF % (r = 0.34; p < 0.035) along with significant inverse relationship between serum levels of T3 and the diameter of LV systole (r = - 0.34; p< 0.032). CONCLUSION: This study revealed an important significant correlation between serum thyroid hormones levels and echocardiographic parameter values that may point to the role of these biochemical factors in the contribution to the LV dilatation and cardiac dysfunction (heart failure) .


Article
Selenium Status and Echocardiographic Parameters in Iraqi Patients with Idiopathic Dilated Cardiomyopathy

Authors: Basil O.M. Saleh
Pages: 45-48
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ABSTRACT: BACKGROUND: It has been speculated that trace elements may play a role in the pathogenesis of dilated cardiomyopathy (DCM) .In the present study, we aimed to assess serum concentrations of selenium (Se) in Iraqi patients with idiopathic dilated cardiomyopathy (IDC) and to evaluate the correlation between serum Se concentrations and echocardiographic parameters. METHODS: This study included 28 patients with IDC and 22 healthy controls .Serum level of selenium was measured by atomic absorption spectrophotometry method .Echocardiographic parameters including left ventricular end diastolic diameter (LVEDD), LV end- systolic diameter (LVESD) ,and LV ejection fraction (LVEF) were measured in all patients with IDC in order to evaluate its correlation with serum Se concentrations. RESULTS: Serum concentration of Se in IDC patients was significantly lower than in healthy controls (p<0.001).Relationships of the serum Se levels with echocardiographic and clinical parameters were not statistically significant. CONCLUSION: The present study confirmed that IDC is associated with decreased serum Se concentrations. This change in Se may play an important role in the pathogenesis of myocardial damage in IDC


Article
High Density Lipoprotein Cholesterol: A New Protective Function of Cardiac Structure and Function of Idiopathic Dilated Cardiomyopathy

Authors: Basil O.M. Saleh
Pages: 49-53
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ABSTRACT: BACKGROUND: There is a suggestion that abnormal coronary physiology may be exist early in the course of idiopathic dilated cardiomyopathy (IDC), and is likely to play an important role in the pathogenesis and progression of the myopathic state in such patients. With regard to lipid profile, high-density lipoprotein cholesterol (HDL-C) particle enhances NO production and improves endothelium relaxation. METHODS: This study included 50 patients aged 19-72 years (13 females and 37 males) with IDC and 23 healthy controls aged 29 to 60 years (9 females and 14 males). Lipid profile, should be at least 12 hours fasting, including serum total cholesterol, high-density lipoprotein cholesterol (HDL-C), low-density lipoprotein cholesterol (LDL-C) and triglyceride (TG) were evaluated in these two groups. Measurements of some of echocardiographic parameters including left ventricular (LV) systolic and diastolic diameters, and LV ejection fraction (LVEF) in IDC patients, and correlate its values with each one of the above lipid parameters in order to define the more predictor lipid parameter in evaluating the structure and function of the heart. RESULTS: The mean values of serum total cholesterol and LDL-C were insignificantly higher in patients with IDC patients than in controls. The mean of serum HDL-C was significantly low in IDC group against controls (P< 0.001). The mean (± SEM) serum triglyceride TG levels in patients with IDC was significantly increased when they were compared to that of normal controls (P< 0.05). An important inverse relation was observed between serum levels of HDL-cholesterol and LV diastolic diameter values (r= - 0.29, P< 0.039) as well as between HDL-cholesterol levels and LV systolic diameter values (r= - 0.33, P< 0.02). A borderline significant positive correlation between serum concentrations of HDL-cholesterol and the values of EF % was also shown in the IDC patients (r= 0.28, P< 0.05). CONCLUSION: The result of this study may point to the role of HDL-C in contribution to the LVdilatation and myocardial dysfunction (heart failure) in IDC.


Article
Evidence of Correlation between Some Auto Antibodies with Complement Component in Lupus Nephritis

Authors: Nawar Abass Abud Noor
Pages: 54-57
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ABSTRACT: BACKGROUND: lupus nephritis is a fatal complication of systemic lupus erythematosus (SLE), the serological hallmark of SLE is the presence of circulating autoantibodies directed against a wide variety of nuclear, cytoplasmic and plasma membrane antigens among which are anticardiolipin (ACL),anti-B2glycoprotein and anti-C1q antibodies, together with the consumption of complement component (C3 &C4) by immune complex mediated reaction. AIM OF STUDY: To shed light on the relations among these autoantibodies and with complement component in lupus nephritis patients. METHODS: Tthe study was conducted on 25 patients with lupus nephritis, attended the renal clinic in specialized surgical hospital/ medical city /Baghdad, 25 lupus patients without nephritia and 25 healthy controls. Enzyme linked immunsorbant assay was used for detection for ACL, anti-B2GP, anti-C1q, while single radial immundiffusion plates used for the estimation of C3& C4. RESULTS AND CONCLUSION: Anticardiolipin antibodies correlated significantly with anti-B2GP IgG & IgM (P<0.05), anti-C1q antibodies (P


Article
Protein –Calorie Malnutrition in Children with Vitamin D Deficiency Rickets

Authors: Kholod Daher Habib Al-Shemari
Pages: 58-62
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ABSTRACT: BACKGROUND: Vitamin D Deficiency rickets(VDDR) had been noticed in children with protein –calorie malnutrition (PCM) in many parts of the world , so we undertook this study to verify the association between the VDDR and PCM in outpatient clinic of a hospital in Baghdad METHODS: We assessed120 children with rickets in the outpatient clinic at Fatema AL-Zahra Teaching Hospital nutritionally, clinically, and (&) anthropometrically, and they were compared with 120 nonracktic children as a control. RESULTS: We had proved that 46(38.3%) children of the racktic group were malnourished compared to 59(49.16%) malnourished children of the nonracktic group. So we found that the PCM in rachitic children was not significantly different from the PCM in the control group children (p value >0.05). CONCLUSION: Vitamin D deficiency rickets occurred as isolated entity related to environmental deprivation of sunlight among children with no supplementary vitamin D, especially the breast fed children whose mothers had Vitamin D deficiency also.

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Article
Diagnostic Efficacy of Transvaginal Colour Doppler Sonography in Ectopic Pregnancy

Authors: Lilyan W. Sersam
Pages: 63-70
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ABSTRACT: BACKGROUND: Ectopic pregnancy continues to be a major cause of maternal morbidity and mortality . A dramatic increase in incidence over time has been reported in several countries. The advent and wide application of ultrasound has greately improved the possibility of non- surgical diagnosis of ectopic pregnancy . Images obtained by the higher frequency and better resolution transvaginal ultrasound scan (TVS) probes facilitates the earlier diagnosis of ectopic pregnancy. The addition of Doppler ultrasound have revolutionised the non-invasive diagnosis of ectopic pregnancy. METHODS: Patients presenting to Al-Yarmouk Teaching Hospital with clinical suspicion of ectopic pregnancy were evaluated using TVUS. Colour flow imaging was performed and resistance indices (RIs) of the artery blood flow were calculated . The pulsatility indices (PIs) of both uterine arteries were also measured and serum β-hCG was quantitated . The Doppler flow results were correlated with surgical findings at laparoscopy or explorative laparotomy . RESULTS: Forty-seven women were enrolled .Six patients with intrauterine gestation were excluded . Tubal pregnancy was diagnosed by TVUS in 28 of 32 patients with ectopic pregnancy, while 30 of 32 patients were diagnosed by colour Doppler sonography. Colour flow in the trophoblastic tissue was detected in 59.3% of the tubal pregnancies, and the mean (±SD) RI of the trophoblastic flow was (0.49 ±0.1) . The RIs tended to decrease at higher β- hCG levels. The average PI of the uterine arteries was (2.29 ± 0.3) . The PIs of the ipsilateral uterine arteries were significantly lower than the contralateral ones. The sensitivity of colour Doppler in the diagnosis of ectopic pregnancy was (93.8%) with accuracy of (85.4%) CONCLUSION: Colour imaging is a good supplementary diagnostic tool in modern management of ectopic pregnancy . The addition of colour Doppler flow imaging to transvaginal sonography allows increased sensitivity in the detection of ectopic pregnancy.


Article
Cyclophosphamide and Doxorubicin but Not Methotrexate Responsible For Rapid Development of the Resistance to Ciprofloxacin in Uropathogenic Escherichia Coli in Vitro

Authors: Ibtesam Ghadhban Auda
Pages: 71-75
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ABSTRACT: BACKGROUND: The effect of anticancer chemotherapies on mammalian cells had been studied previously but few studies are performed to study the reaction of the bacterial cell toward mutagenic chemotherapies. We sought to study the effect of some anticancer chemotherapies on the rapid development of resistance to ciprofloxacin in ciprofloxacin susceptible uropathogenic E.coli (UPEC) in vitro. METHODS: Two methods of mutation induction are performed, modified Ames test and modified tube method. Cyclophosphamide, doxorubicin and methotrexate (MTX) at plasma concentration tested as mutagenic drugs towards ciprofloxacin resistance in UPEC. Disc diffusion test for antibiotic susceptablity is also used. Chi-square test test and pooled t test are used for statistical analysis. RESULTS: - Antibiotic susceptibility test; Multidrug resistance (70%) was found in the UPEC isolates and is often associated with the isolates of leukemic patients (P<0.05). About 90% of these isolates showed resistance to antibiotics which had been received previously by the leukemic patients during the administration of anticancer chemotherapies (P<0.01). - Mutation induction: In modified Ames test, a growth zone of 25mm and 24mm around the cyclophosphamide and doxorubicin containing discs respectively are developed. But no bacterial growth is noticed around both MTX and control discs. In modified tube method, ciprofloxacin susceptible UPEC developed resistance to it gradually during 72 hours. UPEC in doxorubicin, MTX containing broth and control broth still susceptible. CONCLUSION: We conclude that the mutagenic effect of cyclophosphamide and doxorubicin may be responsible for the relapsing during antibiotic treatment of urinary tract infections in patients treated with these drugs and perhaps other mutagenic anticancer chemotherapies


Article
Effects of Exposure Duration to Liquefied Propane on Lipid Peroxidation and Antioxidant Enzymes in Gas Workers

Authors: Nada Khadum Al- Tae'e
Pages: 76-79
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ABSTRACT: BACKGROUND: Toxic environmental agents include a host of chemicals and pollutants that may available in tobacco smoke and tar, the atmosphere, drugs, the work place, the food and water supply and from radiation and infectious organisms. These agents may exert multiple types of harmful effects on human body, including lipid peroxidation. OBJECTIVES: To assess the effects of duration of exposure on lipid peroxidation and antioxidant enzymes in liquefied propane gas workers. METHODS: Fifty five adult male gas workers (age mean 36. 6 ± 3.8 years) in liquefied propane gas stations in the District of Baghdad were enrolled in the present study. They were allocated into 3 groups according to the duration of exposure to LPG (1-9, 10-20 and more than 20 years). Twenty five healthy subjects, not exposed to LPG, with age mean comparable to that of workers (37.2 ± 4.0 years) were utilized as controls. RESULTS: The results showed significant differences in the levels of MetHb, lipid peroxidation parameters and antioxidant enzymes activities in LPG workers compared to controls. Meanwhile, workers with different duration of exposure to LPG demonstrated significant differences only in MetHb, MDA and catalase activity. CONCLUSION: Workers with different duration of exposure to LPG demonstrated significant differences only in MetHb, MDA and catalase activity. In conclusion, the changes in lipid peroxidation and antioxidant enzymes may be useful as indicator for the impact of duration of exposure in LPG workers


Article
Intestinal Parasitosis in Samarra’a City

Authors: Aroub Abdul Rahman Al-Kaisi
Pages: 80-83
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ABSTRACT: BACKGROUND: Intestinal parasitic infections represent a relevant clinical problem especially in the developing countries, where they are responsible for morbidity and mortality in adults and children. Many epidemiological data are available for this type of infection in Iraq and other developing countries, but still we need to investigate more localities in order to know the difference in it’s frequency among different areas and to evaluate factors that affect such difference. AIM OF THE STUDY: This study was subjected to emphasize the problem of intestinal parasitosis among people in Samarra’a City and to visualize its distribution according to age and sex. METHODS: A total of 1050 patients (580 males and 470 females) , referred to the laboratory in a health center in Samarra’a City for the suspect of intestinal parasitosis, were subjected to stool examination by direct method during the period from January to May 2002. RESULTS: Among the 1050 stool samples examined, intestinal parasites were reported in 254 (24.19%), both sexes were nearly equally affected (24.46% in females & 23.96% in males). Interestingly infection with protozoa was predominating, the most common protozoa was Entamoeba histolytica /E.dispar (13.33%), the next common pathogenic protozoan found was Giardia lamblia (9.04%). Non pathogenic protozoan Entamoeba coli was seen in 17 individuals (1.62%). Only two cases of helminthes infections were reported in this study (0.2%), both were infected with Hymenolepis nana which is a tapeworm. Double infection was detected in two cases , one was infected with both Entamoeba histolytica /E.dispar and Giardia lamblia and the other one was infected with Giardia lamblia and Hymenolepis nana at the same time. No triple infection was reported during this study. CONCLUSION: Intestinal parasitosis represent a remarkable cause of gastrointestinal diseases, this study demonstrates that these infections are common in the area under study

Table of content: volume:6 issue:1