Table of content

Thi-Qar Medical Journal

مجلة ذي قار الطبية

ISSN: 19929218
Publisher: Thi-Qar University
Faculty: Medicine
Language: English

This journal is Open Access

About

Medical Journal of Dhi Qar, issued from the Faculty of Medicine / University of Dhi Qar. Founded in 2002, concerned with scientific research and medical

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Email: thi_unv_medi@yahoo.com

Table of content: 2012 volume:6 issue:1

Article
SURVIVAL AFTER COAGULOPATHY INDUCED BY (SAID DAKHIL)SNAKE BITE IN THI –QAR(SOUTH OF IRAQ)

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Background and aims :Coagulopathy after snake bite in Thi –Qar is one of the challenge to health services in the last few years .different types of snakes are present ,the most dangerous one is belong to vipradea family is Echis Craniatus stimmler. Patients and method: Retrospective study of patients who admitted to Al -Imam Al-Hussiens teaching hospital January 2002 – October 2011 ,308 , victims , (254 of them experienced bleeding ). Results: Female mostly were bitten in their upper limbs, while lower limbs among male. Death more among female, those who present late . DIC is the unique cause of death. No DIC occur after 7 days of the onset bite. All those who received blood from surviving DIC persons were survived. Use of available polyvalent Antivenom shows decrease mortality rate but not statistically significant. Discussion: Early admission and receive medical care may improve prognosis. Formation of auto antibodies around the end the first week may explain survival and no death after this time ,which also explain the benefit to those who receive their blood .Further studies needed .

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Article
RELATIONSHIP BETWEEN HBA1C AND HYPERLIPIDAEMIA IN PATIENTS WITH DIABETES MELLITUS

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Introduction: HbA1c is well now as predictor for hyperglycaemia due to accumulation of sugar on the Hb. The aim of this study is to now the relationship between HbA1c level and hyperlipidaemia. Patient and methods: this study was done in the diabetic and endocrine centre between 2010-2011 in which 187 patients involved, all of them had DM we send them for B.sugar,HbA1c, lipid profile including s.cholestrol, s.triglyceride, HDL, LDL and VLDL, renal function test. We divide them according to their sex, age, residency, work, family history of DM, past medical history of HT, atherosclerosis, IHD, smoking habit, type of drug used, albuminuria and type of DM. we use the chi square and exact test and SPSS 17 for statistics. Results: 187 patients were involved in this study. 79(42%) were male and 108(58%) were female, there age was 3(1%) were less than 15 years, 74(40%) were in between 15-45 years and 110(59%) were more than 45years, HbA1c was divided into three groups the first one was less than 6 20(11%), 7-8 was 26(14%) and more than 8 was 141(75%). Strong relation ship between level of HbA1c and HDL (p=0.001), VLDL (p=0.027), s.cholestrol (p=0.004), s.triglyceride (p=0.05) and LDL (p=0.029). Conclusion: strong correlation was found between HbA1c and all component of lipid profile in patients with DM, there fore HbA1c is a good predictor for hyperlipidaemia in DM

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Article
ANTITHYROID ANTIBODIES AND INFERTILITY IN WOMEN

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Background: Fecundity followed by pregnancy is the fundamental process to sustain life and require a close interplay between normally functioning and adapting endocrine and immune system (1). Pregnancy represents one of the most significant areas of study for the immunobiologist (2), the reasons for the success of gestation in both normal and abnormal pregnancies remain unclear because of the antigenically dissimilarity between the fetus and the mother (3). Patients and methods: This study included 180 females who were selectively collected and were suffering from infertility and 70 healthy fertile females as control group, that attending Al-Zahraa Teaching Maternity and Pediatrics hospital, and Al-Sader Teaching hospitals in Al-Najaf Al-Ashraf Governorate from November 2007 to June 2008. All the females were in their fertile age. Results: The range of the women's age was between 18 years and 41 years with mean age of 27.1 years. In spite of the only slightly increased incidence of antithyroglobulin antibodies in the group of primary unexplained infertility (12.5%), there is significant raise in secondary unexplained infertile women (26.67%) compared to the fertile group (8.57%) as shown in table 3.16. Our results, however, show a highly significant correlation (P < 0.005) statistically. Conclusions and recommendations: There was a significant correlation between women who are suffering from infertility and the presence of antithyroglobulin antibody in their serum whether they were suffering from thyroid diseases or not. So it is recommended to do an autoantibody survey particularly antithyroid antibody for females who are suffering from infertility specially those of unexplained type or those with failed therapy of unknown cause.

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Article
PREVALENCE OF ASYMPTOMATIC BACTERURIA AMONG PREGNANT WOMEN IN BASRAH CITY ESPECIALLY RELATED WITH PERSONAL HYGIENE AND SEXUAL ACTIVITY

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This cross sectional study was carried out to determine asymptomatic urinary tract infection among pregnant women with special emphasis to personal hygiene practice during sexual activity, mid stream specimen from healthy pregnant women was collected and cultured following standard microbiological technique. Colony count yielding bacterial growth 105/mil or more was considered significant. Out of 215 healthy pregnant woman 38 (17.7%) had asymptomatic urinary tract infection, educational level for pregnant women was taken and it was found statistically significant in relation to asymptomatic urinary tract infection. Urinary tract infection increase with increasing gestational age, in second trimester it was found to be (11.6%) while in third trimester (37.7%). Personal hygiene, washing before and after sexual activity, drying after urination, changing under clothing, direction of wash, has no significant relationship to asymptomatic urinary tract infection. Frequency of sexual activity increase prevalence of asymptomatic urinary tract infection. 31.9% of pregnant women who had a history of previous UTI had a positive growth with high significant differences as compared with those who had no history of UTI. Fluid intake decreases prevalence of urinary tract infection among pregnant women (significant relationship). Bacterial pathogens isolated were predominantly E. Coli (36%) and klebsiella pneumonia (15%), while enterococcus, streptococcus and staphylococcus account only for (7.8%) for each. Candida (3.8%) and mixed pathogens (7.8%)

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Article
CT CHARECTERIZATION OF CAVITORY LUNG LESIONS

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Background : A cavity is a gas-containing space surrounded by complete wall which is 3mm or greater in thickness. Fleischner socity defines a cavity as a gas filled space within a zone of pulmonary consolidation , mass or nodule. Cavities are commonly encountered lesions in the lungs on chest radiography and chest computed tomography. The differential diagnosis of such lesions is broad because many different processes of congenital or acquired origin can cause these abnormalities . The aim of this study : To assess the role and value of CT in dignosing the nature and causes of pulmonary cavitary lesions. Patients and methods : Thirty-six patients ((16 (44.5 %) male and 20 (55.5 %) female, range in age from 1 – 80 years with mean age (35.6 % years) )) were enrolled for this prospective cross sectional study. Three sets of CT images were obtained (lung , mediastinal & bone windows ) to all patients. Sixteen patient underwent surgery, the resected specimens were sent for histopathology examination. Bronchoscopy was performed for 27 patient, bronchial wash sent for cytology, AFB, in addition to culture and sensitivity test. Results : Fourteen (39 %) patients with cavitary lung lesions proved to be ruptured H.C., 8 (22 %) cavitary TB ,7 (19.4 %) Bronchogenic carcinoma, 3 (8.4 %) pyogenic abscess, 2 (5.6 %) metastases and 2(5.6 %) were other lesions (sequestration and W.G.). In this study ruptured HC commonly seen in the Rt lower lobe (64%) ,. Air-fluid level is demonstrated in (35.6 %), daughter cyst sign (43 %), empty cavity sign (21.4 %). The cavites commonly solitary (85.7 %). , thin wall (71.4 %) & smooth contour (78.6 %). Most cavitory neoplasm encountered were bronchogenic carcinoma7 ( 85.7 %), most are sequamous type(n=6) , all cases seen with wall nodulation (N=7), most are thick wall (N=5). TB with cavitation that located in RUL (n=5), LLL (n=3). Thin wall cavities (n=6). Thick wall cavities (n=2), single cavity (n=5), multiple cavity (n=3), associated pleural effusion (n=3) and cavity with fluid level (n=2). Three patient present with cavitation due to pyogemic abscess. Right lung location (n=2), left lung (n=1), solitary (n=2), multiple (n=1), thin wall (n=2), thick wall (n=1), irregular wall (n=3), fluid level(s) (n=3) associated consolidation (n=1). Conclusion : Characterization of cavitary lesions by spiral CT of lung can narrow the list of differential diagnosis. CT of the chest is valuable procedure in characterizing cavitary diseases. Morphology, location, distribution and associated radiological finding provide important clues to the nature of the underlining diseases.

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Article
CRANIAL HYDATID CYST

Authors: Haitham Handhal هيثم حنظل
Pages: 48-52
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HYDATID disease is caused by infestation by larvae of the tapeworm Echinococcus granulosus. The disease is endemic in parts of the world in which sheep are raised. In 2 to 3% of cases CNS involvement occurs. Alveolar echinococcosis is caused by Echinococcus multilocularis. The foxes and dogs are the main host for the adult parasite known as Echinococcus alveolaris. Humans are affected either by direct contact with foxes or dogs or by contamination from plants or water. The liver is the primary organ affected by the disease. The clinical behavior of the disease is aggressive and is regarded as a potential malignancy. Iraq is located in a geographic zone that is endemic for this parasite. Hydatid disease (Echinococcus granulosus) is endemic in the Middle East as well as other parts of the world, including India, Africa, South America, New Zealand, Australia, Turkey and Southern Europe. Infestation by hydatid disease in humans most commonly occurs in the liver (55-70%) followed by the lung (18-35%); the two organs can be affected simultaneously in about 5-13% of cases. Even though hydatid cysts can occur in any organ, it is very rare to see the disease in the regions reported in this paper. Considerable morbidity and even mortality can be caused by this benign disease, as seen in this report and the literature reviewed. The purpose of this paper is to emphasize the fact that this disease should be suspected in cystic lesions affecting any ‘organ in the body, especially in endemic areas of the world.

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Article
PATTERNS OF MORBIDITY IN EMPLOYEES OF SOME OF NASIRIYA MAJOR FACTORIES

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Introduction: It is well known that occupation environment can have a negative impact on health. From academic point of view, it is mandatory to carry out descriptive and analytical scientific research extensively to provide the required knowledge to form efficient database that helps the occupational healthcare service suppliers to conduct the activities of occupational healthcare services aiming at achieving the objectives of occupational health. This is the “Why” of this study. Method: A sample, from the staff/ employees of two major factories in Nasriya City, were interviewed. They answered a questionnaire about their health status. Results: Frequency tables and descriptive statistics were obtained. Prevalence rates were compared according, to the type of work, to each other. Conclusions: some patterns of morbidity were found to be statistically significantly associated with the type of job of the employees/ staff.

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Article
ABDOMINAL CT FINDINGS IN PATIENT WITH ASCITES

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Back ground and purposes: Ascites is the collection of free fluid in the peritoneal cavity , normally the peritoneal cavity contain small amount of serous fluid for lubrication (less than 100 ml), free fluid exceeding this amount ,considered ascites .Ascites may result from variety of medical & surgical causes , clinically detectable ascites when its amount exceeding 1500 ml ,and when it is clinically important to confirm the presence of suspected ascites, ultrasonography (US) or computed tomography (CT) of abdomen is advisable , and the different CT signs of ascites depend on the amount and distribution of the ascetic fluid . The Aim: is to study the early and the late signs of ascites on abdominal CT , and to estimate the sensitivity of abdominal CT in diagnosing the cause of ascites Patients and methods: Eighty five patients of mean age 52.2±13.8 years had ascites ,diagnosed either clinically or by US (all of them had an US examination ), been referred for spiral CT-scan of abdomen as a further diagnostic step to confirm &identify the possible underlying cause of ascites (patients with medical causes of ascites “heart failure, renal failure ” had been excluded ), abdominal spiral CT scan has been done using 8mm slice thickness (patient took oral diluted gastrografin 1.5-2hrs prior to the examination ) & two sets of CT examinations had been done ( without I.V & with I.V omnipaque “350mg/ml. Results: This study showed that CT was as sensitive as US in detection of ascites , and the different signs of ascites on CT images depended on the amount of ascetic fluid producing either (early )or( late) signs , the late signs were more frequently seen in this study . This study also showed that CT was more useful in identifying the underlying cause of ascites (especially when related to the peritoneum , momentum or to the bowel ) and the extent of the pathology and its proper staging .The frequency of the underlying causes of ascites were as follows: 62% due to underlying neoplasm ,15.5%due to underlying liver cirrhosis , 8.6% due to underlying inflammatory conditions & 3.4 % were post traumatic , however ,there were 10.3% of cases for which the CT scan didn’t give us an idea about the underlying cause . Conclusion: CT was as sensitive as US in detection of ascites, and more useful in identifying the underlying cause of it , but still about 10% of patients requires further investigative steps .

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Abdomen --- ascites ; CT --- spiral


Article
PREVALENCE OF VIRAL HEPATITIS B AND C AMONG SELECTED GROUP IN THI-QAR

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A seoepidemiological study was carried out in Thi-Qar governorate; Southern Iraq. The aim was to estimate the prevalence of viral hepatitis B, C and HIV among selected group in Thi-Qar Governorate and to identify the risk factors among these infections. The study included 1128 blood donors, 126 cases, 100 healthcare workers and 162 patients with blood disorder group. An Enzyme Linked Immunosorbent Assay {ELIZA} was used to estimate HBs antigen, anti HCV antibody and anti HIV antibody. Prevalence of viral hepatitis B and C collectively were (6.73%, 28%, 3%, and 35.2%) for the four groups respectively. The blood disorder group showed a particularly high prevalence of HCV infection (40%). While the prevalence for HIV was zero among all selected groups. Significant independent association was found between the risk of hepatitis B and C infection and the following risk factors: History of hepatitis infection, duration of infection, history of hospitalization, history of contact with jaundice patient, history of drug addiction and history of complication.

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Article
PREVALENCE OF URINARY TRACT CALCULI AND THE QUALITATIVE ANALYSIS OF THEIR CHEMICAL COMPOSITION OF PATIENTS WITH UROLITHIASIS IN THI - QAR GOVERNORATE / IRAQ

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Objectives: The present study was conducted to evaluate the prevalence of urolithiasis in relation to patients six, age, and anatomical distribution of stones and to assess the chemical composition of urinary stones qualitatively to identify common type of urinary stone which prevalence in Nasiriyah city and how can provide the recurrence of stone formation if possible. Methods: Forty-four calculi obtained from 29 males and 15 females afflicted with Urolithiasis and admitted at Al Hussein Teaching Hospital, Thi-Qar governorate, Nasiriyah city, Iraq, from July 2010 to September 2011. Their ages ranged from 30 to 60 year. All samples analyzed qualitatively for ammonia, magnesium, phosphate, magnesium ammonium phosphate, carbonate, calcium salts (oxalate and non-oxalate), uric acid, xanthine, and cystine by adopting standard methods. Results: The study results showed that, the prevalence of stones was more in males (65.91%) than females (34.09%) with male to female ratio of 1.93:1 and the high occurrence in patients aged from 30 to 50 years. The anatomical distribution of urinary stones showed high percent in kidneys 52.27 % (23 patients) and bladder 47.73 % (21 patients), but it is absent in ureters and urethral (0.00 % ). All the stones were of mixed type, of these stones contained 42 (95.46 %) calcium salts (oxalate and non oxalate), uric acid, and ammonium ion, 41(93.18 %) phosphate, 33 (75.00%) magnesium and magnesium ammonium phosphate (MAP), 29 (65.91%) carbonate, 26 (50.00) xanthine, and 7 (15.91 % ) cystine. In addition, there are no differences in the chemical combustion between kidneys and bladder stones. Conclusion: Urolithiasis in Nasiriyah is a problem with high frequency in men than women and usually described as more frequent in age ranged 30 to 50 year and in kidneys and bladder than ureters and urethral. The majority of urinary stones types had a mixed type in which calcium salts (oxalate and non-oxalate), uric acid, ammonia phosphate and struvite were the predominant constituents related that both the metabolic disturbances and bacterial infection causes, which have the same majority and effect in the stone formation.


Article
THE SAFETY OF I.V. IODINATED LOW OSMOLAR CONTRAST MEDIUM IN PATIENTS WITH PENICILLIN ALLERGY IN CT SCAN EXAMINATIONS

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Background: Intravenous (I.V.) low osmolar contrast media (LOCM) is commonly used during computerized tomography CT scan examinations, especially in diagnosis and staging of tumours, trauma and abdominal examinations. Many radiologists are relactant to do enhanced examination if patients had history of penicillin allergy. This study aims to evaluate the incidence of LOCM-related side-effects in patients with penicillin allergy compared to patients without penicillin allergy. Methods and patients: Prospective study of 357 patients examined in CT scan unit in Al-Yarmouk teaching hospital, 44 of them had history of penicillin allergy, all given i.v. contrast medium (LOCM), and the prevalence of LOCM related side effects calculated for both groups. Results: The prevalence of contrast medium related side effect was 0.64% in patients without history of penicillin allergy, while of the 44 patients with penicillin allergy, no side effects has been encountered. Conclusion: No significant increase in LOCM related side effect was seen in patients with penicillin allergy.


Article
UTRASONOGRAPHIC EVALUATION OF GALLBLADDER DISEASES IN PATIENTS WITH DIABETES MELLITUS TYPE TWO ATTENDING AL-NASRIA DIABETIC CENTER

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Background little is known about the association of gallbladder disease and diabetes in Iraq. the aims of this study are study the prevalence of GBD in patients with type two diabetes mellitus attending Al-nasria diabetic center. Patients and methods Two hundred patients with type two diabetes mellitus were the test group consist of 116 female and 84 male with 57±22 years old in average and two hundred non-diabetic persons as a control group consist of 120 female and 80 male with 52±32 years old in average. Both case and control were examined by ultrasonograghic study to find the GBD. Results The frequency of GBD was 35% in patients with type two DM and 15% in non- diabetic subjects. The frequency of GBD in diabetic patients whose BMI was more than 25 kg/m2 was significant increased. There is a significant increase in GBD with increase of duration of diabetes and increased level of Hb A1c. There was no significant difference in effect of age , parity , family history of GBD between diabetes and non-diabetic subjects. Conclusion The prevalence of GBD increase with type two diabetes by two fold in comparison to that of non-diabetic subjects. The risk of GBD increase with increased duration of diabetes mellitus and HbA 1c level.

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Article
BACTERIAL BURN INFECTIONS IN BABYLON PROVINCE

Authors: Thewaini, A.N.Q --- Al-Maliky, S.K.H
Pages: 122-131
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Bacterial agents associated with burn were determined in 50 burned patients were submitted to Al- Hilla education hospital in Babylon province. 50 burned swabs were collected during the period from October 2009 – March 2010. These burn swabs revealed 60 bacterial isolates, from which 43(71.66%) were gram – negative bacteria, distributed of 18(30%) P. aeruginosa, 12(20%) E.coli, 8(13.3%) Proteus mirabilis and 5(8.3%) K.oxytoca. On the other hand, 17(28.33%) gram – positive bacteria. Out of 50 burned swabs, 40(80%) revealed a single pathogens and 10(20%) showed a mixed pathogens. Antimicrobial susceptibility of bacterial burn isolates revealed that, P.aeruginosa were resistant to routine tested antibiotics, like Ampicillin, Chloromphicol and Streptomycin in (88.8%), (72.2%) and (44.4%) respectively. While most P.aeruginosa were sensitive to Meropenem, Imipenem, Oflaxacin and Azithromycin as (100%), (100%), (60%) and (60%) respectively. On the other hand, another gram – negative associated burn isolates were K.oxytoca, results of antimicrobial susceptibility revealed that, isolates were resistance to Ampicillin, Streptomycin, and Chloromphicol in (100%). While they were sensitive to Meropenem, Imipenem, Oflaxacin and Azithromycin as (100%), (100%), (60%) and (60%) respectively.

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Article
CANCER IN MAYSAN COMPARED TO CANCER IN 3 OTHER PROVINCES

Authors: Ahmed A. Mousa احمد أ. موسى
Pages: 132-142
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Cancer is a worldwide and national public health problem; the incidence of cancer is increasing rapidly. In 2002 there were 11 million new cancer cases and nearly 7 million cancer deaths worldwide, by 2020, more than 16 million new cancer cases and 10 million deaths are expected and about 60% of all these new cases 70% of these deaths will likely occur in developing country. This study investigates trends of cancer in Maysan Province and compares it to randomly selected provinces, finding are also compared with nearby countries. Methods: A descriptive study based on Data that found in Iraqi cancer registry 2000 – 2006, comparison had been held between Maysan and 3 Iraqi Provinces selected randomly after classification of Iraq in to 3 regions. Results: The total No. of cancer cases registered in Iraq during these 6 years was 79145, there is an increase in overall cancer trend in Iraq over the last 15 years and especially during 2000 – 2006, Maysan shows relatively similar trends during 6 years while others shows slight elevation in the disease trends, Maysan shows the lowest No of cases registered during 6 years (1251) while Kirkuk shows the highest (3018), Breast cancer was the top cancer registered in Maysan, Kirkuk and Kerballa during all the six years, while in Thi Qar, cancer of the urinary bladder was the top, The total No. of Breast Ca cases registered in Kirkuk since 2000 was about triple what registered in Maysan while what registered in ThiQar was double, The total No. of leukemia registered in Maysan was the lowest (81) while ThiQar was the highest (225). Conclusion: There is an increase of cancer trend in Iraq (in general) and Maysan shows the lowest trend and cancer registration during the 6 years in comparison to the 3 selected provinces.

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Article
THALLIUM POISONING :CLINICAL OBSERVATIONS THROUGH TWO OUTBREAKS IN BASRAH

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Background: Thallium is the most suitable agent for criminal poisoning of human being as it is tasteless and odorless. It usually associated with typical clinical features mainly dermatological and neurological manifestations. Objective:To report an two outbreaks of thallium poisoning in Basrah. Patients and Methods:This case descriptive study that was conducted in the Department of Dermatology -Basrah Teaching Hospital from January 2009 to February 2010 ,where a total of thirty two patients with thallium poisoning were enrolled in this study. At the first outbreak, 17 patients were seen at January 2009 due to ingestion of cake while 15 patientswere seen at the second outbreak at February 2010 who were accidental ingestion of rat poisons. A detailed history was taken from all patients regarding all demographics points related to this poisoning. Full clinical examination was performed looking for skin manifestationsin addition to other systemic involvement. Thallium in urine has been measured using the colorimetric method and was positive in all of them. Results: Thirty two patients with thallium poisoning were evaluated. The first outbreak including 17 patients ,with 13 males and 4 females, their ages ranged from 11-33 years with a mean of 24 years , all those patients gave history of eating cakes laced with thallium. Whereas the second outbreak that including 15 patients , 8 males and 7 females, their ages ranged from 5-30 years with a mean 15 years ,all those patients gave history of accidental ingestion of rat poisons . Among both out breaks the dermatological findings were mainly anagen hair loss in diffuse and patchy patternaffected the scalp and limbs. Also dusky ecchymotic red dermatitis like rash was observed on the face especially perioral region and dorsum of hands and legs.Neurologic manifestations, mainly of peripheral neuropathy, reported in 50% patients of the second group while no one of the first group showed any of these finding. Conclusion: Outbreak of thallium poisoning is now occurring in recurrent rate which may be lethal to human being as a result of accidental ingestion or for criminal purposes. It gives characteristic cutaneous, neurological and psychological features that can lead to the right diagnosis.


Article
EVALUATION OF SEMINAL FLUID PARAMETERS AFTER IN VITRO SPERM PREPARATION TECHNIQUE IN NON VARICOCELIC AND VARICOCELIC INFERTILE MEN UNDERGOING VARICOCELECTOMY

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This study was designed to evaluate and compare the results of semen parameters, sperm membrane potential integrity and viability for non varicocelic and varicocelic infertile men after varicocelectomy. Thirty semen samples (varicocelic) and twenty normozoospermic men (non varicocelic) as a control group were collected by masturbation in the special semen room collection and prepared by simple layering technique. The semen samples were analyzed and prepared by standard semen parameters. Furthermore, sperm concentration, sperm motility, progressive sperm motility, sperm agglutination, normal sperm morphology, sperm HOST, and sperm Eosin stain were evaluated according to standard WHO criteria (1999). However, direct immunobead assay was used to determine the presence of AS-AB bound on sperm surface. For preparation technique, sperm prepared and incubated for 30 minute in 5% CO2 at 37ºC after in vitro sperm processing. The results of the present study indicate a highly significant (P<0.001) differences in all sperm functions parameters of varicocelic infertile men in AS-ABs positive (HOST and Eosin stain; negative) as compare with that noticed in normozoospermic men in AS-AB negative (HOST and Eosin stain; positive). It was concluded that there are a strong positive correlation between varicocele and antisperm antibodies generation and between antisperm antibodies and semen characteristics and HOST-Vitality test. Further studies are recommended to assess the detrimental effect of AS-ABs on DNA damage and embryo quality after in vitro fertilization and embryo transfer in assisted reproductive technologies (IVF-ET-ART).


Article
SENSORINEURAL HEARING LOSS IN CHRONIC SUPPURATIVE OTITIS MEDIA

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Objectives : A prospective study conducted in Basra General Hospital from April 2008 to March 2009 to find the cause - effect relationship between chronic suppurative otitis media and sensorineural hearing loss . Method : Hearing thresholds of hundred patients with chronic suppurative otitis media were determined using Pure Tone Audiometry. All subjects were less than 40 years old (to exclude Age related hearing loss) , unilateral cases selected (so as the contralateral healthy ear served as a control) . All of them presented criteria of evaluation which exclude the other possible causes of sensorineural hearing loss like : chronic medical illnesses , otological surgeries , hereditary causes , exposure to noise and exposure to systemic ototoxic drugs . Results : The average loss in bone conduction threshold was determined between the affected and healthy ear in relation to the disease duration and in relation to the extent of the pathology . Conclusion : We found that the longer the duration of the disease and the more complicated the pathology, the more the loss in bone conduction . This loss is mostly at the higher frequencies .


Article
INFERIOR APROACH IN THYROID SURGERY ASTUDY AT AL- HUSSAIN GENERAL AND AMEL PRIVATE HOSPITAL IN NASSYRIA

Authors: SAADI .K.ALMAJED سعدي الماجد
Pages: 169-170
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( 192 ) patients with clinical thyroid enlaregment were studied over a period of 2 years (sep 2008/Sep 2010) in AL-HUSSAIN GENERALand AMAL PRIVATE hospitals in NASSYRIA to evaluate the inferior approach as the best technique to achieve near total or total thyroidectomy. patients was selected for surgery according to the classical indications.the mean age was( 36 year) .female/male ratio was( 15/1). initial steps of thyroidectomy was the standerd……..strap muscle division not routine,gland mobilization started from the lower pole rather than the classical middle thyroid vein then upper and lower pole division . complications was less than the classical percent :postoperative haemorrhage(0.52 percent). respiratory obstruction(0.52 percnt), reccurent larengeal nerve paralysis(1.04 percent)and parathyroid insufficiency)1.04 percent(. conclucion......inferior approach of thyroidectomy was reliable ,rapid,and easy technique to achieve near total or total thyroidectomy with less postoperative complications than the standard technique.

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Article
VEDIO-ASSISTED THORACOSCOPIC REMOVAL OF PULMONARY HYDATID CYST INITIAL EXPERIENCE IN NASSYRIAHAN

Authors: Saadi Almajed سعدي الماجد
Pages: 171-172
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Pulmonary hydatid disease is prevalent in many parts of the world including Iraq . In our small series of 6 patients[from sept.2010 to sept.2011]. all patients were diagnose with clinical and of the patients was 29 year[range..18-43].all of them received 0ral albendazole 10 mg/kg/day after diagnosis.by applaying the principles of conventional surgery all patients underwent video assisted thoracoscopy as a minimally invasive technique.double lumen endotracheal intubation was utilized in all cases along with CO2 insuflation.complete thoracoscopic removal was successful in all cases with no conversion to open thoracotomy. all of them showed rapid recovery except in one patient in whom prolonged intercostal drainage was present for 3 weeks.the average of the procedure was 90 min and the average length of hospital stay was 8 days except case one which was discarged on day 21 due to prolonge air leak.follow up of 2-13 months.all patients are asyptomatic and doing well.

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Article
ROTAVIRAL AND PROTOZOAL INFECTIONS AMONG MALIGNANT CHILDREN IN BASRAH

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Over five months period , the incidence of rotaviral and protozoal infections in patients receiving treatment for malignancy was investigated in the present study. A total of 58 patients [38 males and 20 females] were involved in this study. Formalin – ether concentration method And direct smear method were used for diagnosis of stool samples. Higher rates of infection were Found among those<2 years old ,and also among males than Females . In this study higher rate of infection in rural than in urban area was found and majority of them with mixed parasitic infections . All them with symptomatic and most patient which positive for Rotavirus with chronic diarrhea (66.7 % ) higher than discontinuous diarrhea (33.3 % ).

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Article
OUR LIVING REALIST& ASPIRATION REVIEW ON CARDIAC SURGERY PRACTICE OF ALNASSIRRIAH HEART CENTER

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Cardiac surgery in our country is a major challenge through maintaining high quality of surgical needs of a very long wait list of the patients while dealing with hindrance budgetary constraints. It has been estimated that approximately 20000 patients ( adult & pediatric) per year need operations all over Iraq . Around 1000 patients registrant in NHC however these figure are unaudited statistically the problem could be large magnitude . 30 months of our cardiac surgery department & 200 surgeries done till end of Oct 2011 more than half in participate with foreigners teams. Although the surgical skills have become evolve the basic problem in chiefly results matching those achieved in developed countries centers around finding the fund to run the building programs & retaining trained staff to achieve excellency . We can afford cardiac surgery as its known to developed world when we find the real support for sustenance

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Table of content: volume:6 issue:1