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مجلة ذي قار الطبية

ISSN: 19929218
الجامعة: جامعة ذي قار
الكلية: الطب
اللغة: English

This journal is Open Access

حول المجلة

مجلة ذي قار الطبية, تصدر من كلية الطب / جامعة ذي قار. تأسست في سنة 2002, تهتم بالابحاث العلمية والطبية

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معلومات الاتصال

Email: thi_unv_medi@yahoo.com

جدول المحتويات السنة: 2009 المجلد: 3 العدد: 1

Article
CATHETER RADIOFREQUENCY RF-ABLATION OF THE SLOW PATHWAY IN ATRIOVENTRICULAR NODAL REENTRY TACHYCARDIA (AVNRT), FIRST EXPERIENCE IN IRAQ
المحي الراديوي القسطاري للمسرى البطيء في التسارع التداخلي للعقدة الأذينية البطينية ( AVNRT)

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الخلاصة

ABSTRACT Backround AVNRT is the most frequent type of regular paroxysmal Supraventricular Tachycardia (SVT) .Catheter Radiofrequency Ablation (CRFA) has been recommended as first line therapy for curing AVNRT. Objective This prospective study was conducted at AL-Kadhimiya Teaching Hospital from January 2004 to July 2006 to report the 2 years experience of CRFA of the slow pathway in patients with recurrent attacks of AVNRT refractory to medical therapy treated at our Electrophysiology laboratory (EP Lab.) and assessed for success rate and recurrence rate after CRFA. Patients And Methods Fifteen patients selected after diagnosis of typical AVNRT and been considered as refractory to drug therapy when the full single or combined antiarrhythmic therapy gave poor control. AVNRT diagnosed when the superficial ECG and the EP study showed: a, regular narrow complex tachycardia. b, no p wave or short RP long PR .c, VA interval < 55 msc. d, dual AVN conduction and AH interval jump. CRFA done with the use of a standard EPS with three diagnostic catheters and one RF Ablation catheter . AVNRT induced either spontaneously or by programmed atrial stimulation . Ablation done during tachycardia in 11 patients and during sinus rhythm in four . Slow pathway ablation done using a combined electrophysiological and anatomical approach The primary endpoint of CRFA was termination and or non-inducibility of AVNRT. RESULTS: Acute success was achieved in 15 patients (100%) . The total procedure time ranged from 30 minutes to one hour .The average fluoroscopy time was 10.5-+ 4.5 minutes .The patients were followed up for a mean of 15+- 3 months during which there was only one case of recurrence cured by a second CRFA . Complete heart block is the only complication and seen in one patient who needed permanent pacemaker implantation. Conclusion CRFA of the slow pathway is highly effective in the treatment of AVNRT . The technique has high initial success rate and low complication rate. The recurrence rate is low. CRFA should be considered as first line therapy even in drug responsive patients with AVNRT.

الكلمات الدلالية


Article
Dextran Instead of Adrenaline to Prolong The Duration of Action of The Local Anesthetic in High Risk Patients
استخدام الدكستران بديلا عن الأدرينالين لإطالة مفعول المخدر الموضعي في المرضى ذوي الخطر العالي

المؤلفون: Dr.Talib Razaq Museher د. طالب رزاق مسهر
الصفحات: 11-16
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الخلاصة

SUMMARY This study was designed to investigate the efficacy of 40000MW dextran instead of adrenalin in prolongation of the duration of action of local anesthesia in high risk patients. Surgery was performed under local anesthesia ,lignocaine 2%with either dextran 40000 MW or adrenaline ,sciatic nerve and three in one block. The results showed no significant variations between the duration of action when the lignocaine 2% used with dextran or adrenaline. Accordingly, dextran is a good alternative for adrenaline in prolongation of local anesthesia in high risk patients.

الكلمات الدلالية


Article
Selected Measurement Of Population Heath In Al-Nassiriyah City
قياسات مختارة للحالة الصحية في مدينة الناصرية

المؤلفون: dr. Ali Abd Sa'adoon د. علي عبد سعدون
الصفحات: 17-24
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الخلاصة

ABSTRACT A cross sectional study was carried out in Nassiriyah city, southern Iraq from 1st of February to 20th of May 2007. The main objectives of the study were to describe selected variables related to fertility, morbidity, mortality, socio-demographic characters, utilization of prenatal care and immunization. The study included 264 families (1432) persons. The study was a household survey done in four different areas in Al-Nassiriyah city (Hay Ur, Hay Al-muntazah, Hay Al-Iskan. Hay Sumer). These quarters are located on both sides of Euphrates which traverse the city from north west to south east, and of different socioeconomic and demographic characterstic. Interviews were made to each family about the age, sex, marital status, level of education, no. of families in house, any death or birth in the last year, any current pregnancy with ascertainment of trimester, any acute illness during the 2 weeks prior to the day of interview & the action taken in response to such illness. Chronic conditions were also inquired about & the level of utilization of prenatal care by pregnant women & immunization by children aged under 2 years were explored. In the family(whether acute or chronic) & the action was taken by family. The result showed that the population is highly fertile (crude birth rate = 41.2/1000) but suffer from high mortality ( crude death rate=25.1/1000).Also 17% reported to have acute illneses during a 2 weeks recall period & 8% had chronic diseases. Use of prenatal care was practice by 75% of pregnant women & 41.2% of children aged less than 2 years had complete immunization. Further 45% had partial immunization. Illiteracy is high and only 13%of the population are engaged in governmental jobs.

الكلمات الدلالية

House hold survey --- health status --- population health --- Nassirriayah


Article
Factors Influencing Breast Feeding Patterns In Thi- Qar Governorate
دراسة العوامل المؤثرة على طراز الرضاعة الطبيعية في محافظة ذي قار

المؤلفون: Dr. MOAYYAD NAJI MAJEED د. مؤيد ناجي مجيد
الصفحات: 25-32
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الخلاصة

ABSTRACT Background: Human milk is the ideal and uniquely superior food for infant for first year of life . Some sociodemographic factor correlate most strongly with the prevalence and duration of breast feeding. Objectives: To determine the prevalence of breast feeding and factors influencing the feeding practices in a study population in Thi qar governorate. Design: Cross – sectional study. Methods: in three hospitals in Thi qar governorate , the mother of infants in the primary health care units of these hospitals , had been randomly selected and interviewed with a questionnaire which included information about the age , sex and mode of feeding for the infants , and the sociodemographic status of the mothers. The sociodemographic variables included , urban / rural residence, educational level , occupation or employment , family income , place and type of delivery and contraceptive use . Results: the prevalence of breast feeding was 90% , and bottle feeding prevalence was 10 % the mean time of weaning was 11 months .Factor that were significantly associated with duration of breast feeding were maternal age , level of education , area of residence , occupation , family income , place and type of delivery and contraceptive use . The most common reasons for refusing to breast feed were in adequate secreted and the mother employment outside the home . Conclusions: the prevalence of women nursing breast feeding was higher than the estimated national data the prevalence of the bottle – feeding was higher in women who needed to work out of their homes and in those with higher educational level

الكلمات الدلالية

breast feeding --- Thi Qar governorate


Article
Orthostatic Hypotension Predicts The Early Morbidity And Mortality In Patients With Ischemic Heart Disease In Coronary Care Unit

المؤلفون: dr. Safaa Ali Khudhair د. صفاء علي خضير
الصفحات: 33-39
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الخلاصة

ABSTRACT Background: The mechanism by which the orthostatic hypotension and cardiac autonomic neuropathy increase cardiovascular morbidity and mortality remain to be settled. Some studies found exercise intolerance in patients with cardiac autonomic neuropathy with a reduced response in heart rate and blood pressure and decreased cardiac output during exercise. An association between cardiac autonomic neuropathy and QT prolongation has been shown. Objective: To asses the role of the orthostatic hypotension in the development of the early cardiovascular complications in the patients of the coronary care unit. Patients and method: In this a prospective observational follow up study, (50) patients with ischemic heart diseases were included. Blood pressure was measured with the standard mercury sphygmomanometer, the measurement in supine position was taken after at least 15 minutes of rest and the measurement in standing position was taken at the third minutes of standing, the orthostatic hypotension is said to be present when there was a sustained drop in systolic (≥ 20 mmHg) or diastolic (≥ 10 mmHg) blood pressure at the third minute of standing up. Results: Out of twenty two patients with orthostatic hypotension fifteen patients developed cardiovascular complications and out of twenty eight patients without orthostatic hypotension five patients developed cardiovascular complications, this association is statistically significant Conclusion: Orthostatic hypotension can be used as a prognostic marker for the development of early adverse outcomes in patients with acute coronary syndrome, thus it can be useful tool to screen the high risk patients in the coronary care unit.

الكلمات الدلالية

orthostatic hypotension --- complication of MI --- IHD --- DM.


Article
Redo Posterior Urethroplasty :Local Experience

المؤلفون: Dr. Safaa.A.Mohssin
الصفحات: 40-48
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الخلاصة

Purposes: to assess the different factors responsible for failure of posterior urethroplasty in recurrent stricture methods :- from "February 2000-december 2007" 17 patients (6-60 years)with failed urethroplasties under went redo urethroplasty for post traumatic posterior urethral distraction..Bulbo prostatic anastomosis was done through perincum in "15"patients and by perineo- abdominal transpubic in "2"patients.The operative records of all patients was registered and followed for (6 month-2years). Results: There was failure in "2"cases (8%) ,satisfactory in 6 patients (30%) and successful in 9 patients (62%). Discussion: The causes of failure and satisfactory results was in complete excision of the scared prestatic apex in ability to achieve tension-free- bulbo prostatic anastomosis and inpropper lateral fixation of prostatic mucosa on sides. Conclusions: Redo urethroplasty considered one of obstacls in urology ,that should be done by effecient,experts hands (urologist),that stick to the rules of surgical procedure (complete excision of fibrous tissue,lateral fixation of the prostatic mucosa and tension free-bulbo-prostatic anastomosis).

الكلمات الدلالية


Article
Detection Of Rubella Virus Infection In Aborative Pregnant Women In Al-Najaf Governorate

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الخلاصة

ABSTRACT The present study aimed to determine the immune states against rubella in women underwent abortion by detecting the levels of IgM and IgG immunoglobulins in their sera. The study included a collection of venous blood samples from three hundred women underwent abortion whose ages ranged from (15-35) years were Al-Najaf governorate.Enzyme- linked immunosorbant assay (ELISA were used to determine the immunological response against rubella virus in our samples. ELISA test reflected a new infections which was (4.6 %) positive results. Anti-rubella IgG antibodies ELISA test revealed (77%) positive result .

الكلمات الدلالية


Article
Antibodies Against Erythrocytes Enhance Invasion Of Mouse Reticulocytes
تأثير الاجسام المضادة على كريات الدم الحمراء المهاجمة بواسطة الملاريا P . berghei

المؤلفون: dr. Khalid Majeed Dakhel د. خالد مجيد داخل
الصفحات: 57-66
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الخلاصة

SUMMARY Twenty mice were injected i.p. with 1x105 P. berghei infected red cells . Blood smears of these mice were prepared daily till the mice were died . Mice were categorized in three groups depending on similar type of course of parasitaemia after inoculation . Seven mice of Group A (A1 – A7) showed similar type of behavior and died due to low parasite infection . Another group of seven mice (B1 to B7) showed a gradual increase in parasitaemia till mice died due to high infection . Group C (C1 to C6) smears showed a vary rise and fall in infection and all the mice were cleared of parasite infection . The antibody titre as detected by IFA , observed in these groups was 1 : 2048 , 1 : 1024 and 1 : 4096 in groups A , B and C respectively . The group C which showed protective immunity against P . berghei infection depicted strong fluorescence against normal erythrocyte membrane too . The fluorescence against normal RBCS membrane was observed very weak in group A , whereas it was negligible in group B .

الكلمات الدلالية


Article
Prevalence Of Diabetic Complications In Relation To The Duration And Control Of Diabetes Mellitus

المؤلفون: dr. Safaa Ali Khudhair د. صفاء علي خضير
الصفحات: 67-70
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الخلاصة

ABSTRACT Background: long term complications of DM including atherosclerosis, neuropathy, nephropathy and diabetic foot are the major causes of morbidity and mortality in diabetic patients. Objective: To study the effects of the control and duration of diabetes on the development of long term complications in diabetic patients. Method: The long term diabetic complications (neuropathy, IHD, CVA, PVD and diabetic foot) were assessed in 80 diabetic patients of type 1 and type 2 who attended the diabetic clinic in AL-Sader teaching hospital over 10 months period. Results: There was significant relationship between the prevalence of long term complications and degree of diabetic control and duration of diabetes mellitus Conclusion: The control and duration of diabetes mellitus are the major predictors of long term diabetic complications.

الكلمات الدلالية

diabetes mellitus --- long term complications --- control of diabetes.


Article
Isolation And Identification Of Antibiotics Produced By Penicillium Brasilianum Batista Isolated From Salahaddin Province Soils

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الخلاصة

ABSTRACT This paper focused on the isolation of different genera of fungi from 80 soils samples in 9 stations in Salahaddin Province, north of Baghdad ,IRAQ. According to different environmental factors , these genera include Aspergillus ,Penicillium, Rhizopus, Mucor, Botrytis, and Epicoccum. They were isolated by dilution plate method and soil washing technique using the culture media viz. P.D.A., SAB. and MEA. The most widespread genera were Aspergillus and Penicillium followed by Rhizopus , Mucor , Botrytis, and Epicoccum respectively. P. brasilianum Batista. was identified and used for antibacterial production. Other results in this paper were included.

الكلمات الدلالية


Article
Prevalence Of Rota Virus Infection Among Children With Acute Gastroenteritis In Thi-Qar Governorate
دراسة مستوى انتشار الفايروس الدوار المسبب لالتهاب الامعاء الحاد لدى الاطفال في محافظة ذي قار

المؤلفون: Dr. Ali Jerin Hasson د. علي جرن حسون
الصفحات: 88-100
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الخلاصة

SUMMARY 1- From 1st of march 2005 to 29th of February 2006. 1000 children under 5 years age with acute gastroenteritis seen in outpatient and inpatient departments of child and maternity teaching hospital in the city of Nassiryia were studied . 2- One Hunderd children under 5 years of age admitted to the hospital for reasons other than vomiting and diarrhea, were randomly selected and regarded as control. 3- Stool specimens of both study and control patients were examined for the presence of Hunman Rota Virus antigen by latex agglutination test(LA) . 4- Human Rota Virus antigen was detected in stool samples of 39% of the study cases and 2% of the control group. 5- The antigen was detected more in specimens of infants particularly those between 6-18 months of age. 6- The incidence of infection was lowest among exclusive breast –fed infants. 7- Males were more commonly affected than females , but no difference was seen among different socio-economic classes. 8- Human Rota Virus antigen was detected throughout the period of the study with significant increase during winter months. 9- Children with acute Rota Virus gastroenteritis have certain clinical features and laboratory result, these features and results collectively can be of help in presumption of a clinical diagnosis for the condition .

الكلمات الدلالية


Article
Specificity And Sensitivity Of Signs And Symptoms In Bacterial Meningitis
دراسة حساسية وخصوصية العلامات المرضية و الأعراض السريرية في مرض داء السحايا البكتيري

المؤلفون: Dr . Razzaq Jameel Ihthyia د. رزاق جميل الربيعي
الصفحات: 101-110
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الخلاصة

ABSTRACT In a prospective study extended along an 8 months period from July 2006-Feb .2007 , 116 patients were collected , from the admission to the department of pediatrics , Maternity and children hospital in Nassiryia city (MCH), with suspicion of meningitis .they were clinically evaluated for the signs and symptoms of meningitis , and the CSF analysis was the final diagnostic tool for meningitis .the patients were divided into 6 age groups ,and the sensitivity , specificity ,positive predictive value and the accuracy for the symptoms and signs of meningitis were calculated for each age group . In the age group <1 month of age :convulsion was the most sensitive symptom, while lethargy was the most sensitive sign . In age group 1-6 months : fever and convulsion were the most sensitive symptoms , while bulging fontanel , lethargy and irritability were the most sensitive signs . In the age group 7-12 months : vomiting ,fever and convulsion were the most sensitive symptoms , while bulging fontanel, lethargy and neck rigidity were the most sensitive signs . In the age group 1-5 years : vomiting headache ,fever and anorexia were the most sensitive symptoms , while lethargy and neck rigidity were the most sensitive signs . In the age group 6-10 years : vomiting ,headache and fever were the most sensitive symptoms , while neck rigidity was the most sensitive sign .Irritability ,Kernig sign and back pain were less sensitive signs . In the age group 6-15 : vomiting ,headache and fever were the only sensitive symptoms while lethargy, Kering sign and neck rigidity were the only sensitive signs From this study we can conclude that for each age group there are some signs and symptoms sensitive for the diagnosis of meningitis different from the other age groups ..Performing lumber puncture in doubtful cases of meningitis is better than missing a case of meningitis with it is sequelae.

الكلمات الدلالية


Article
Follow Up The Control Diabetes Mellitus Cases By Hba1c Method Among Patients Attending Al-Nassiryah Diabetic Center
متابعة مرضى السيطرة على مرض داء السكري بواسطة HbA1C للمرضى في مركز داء السكري في الناصرية

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الخلاصة

ABSTRACT This paper reports the results of study carried out in Al – Nassiriya city in the center of diabetic and endocrine glands from the period of 1.7.2008 -30.8.2008. It aims at quantifying HbA1c ratio in diabetic patient from type 1 and type 2 to show the well or poorly control diabetes mellitus.in this study has been collected 50 patient randomlly (male 21 and 29 female), in different age from 7-65 years old. Result :The percent of patients with Glibenglamide drug was 24% same percent with repaglinide ,but the repaglinide improve glyceamic control without causing weight gain or sever hypoglycemia and provides complete control by effectively reducing fasting blood glucose and HbA1c compared to glibenglamide ,metformin and insuline.The percent with Glibenglamide drug taken with metformin it was 27%,the same percent in patient with insuline drug. Conclusion :controlled diabetes ,not much glycosylated hemoglobin represented in a vocational diploma or college degree constituted of cases ,while uncontrolled diabetes ,much more glycosylated hemoglobin represented in illiterate case.

الكلمات الدلالية

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