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IRAQI JOURNAL OF MEDICAL SCIENCES

المجلة العراقية للعلوم الطبية

ISSN: 16816579
Publisher: Al-Nahrain University
Faculty: Medicine
Language: English

This journal is Open Access

About

Iraqi Journal of Medical Sciences
Aims and Scope
Iraqi Journal of Medical Sciences is published by College of Medicine, Al-Nahrain University. It is a quarterly multidisciplinary medical journal since 2000 . High quality papers written in English, dealing with aspects of clinical, academic or investigative medicine or research will be welcomed. Emphasis is placed on matters relating to medicine in Iraq in particular and the Middle East in general, though articles are welcomed from anywhere in the world.
Iraqi Journal of Medical Sciences publishes original articles, case reports, and letters to the editor, editorials, investigative medicine, and review articles. They include forensic medicine, history of medicine, medical ethics, and religious aspects of medicine, and other selected topics.
عنوان المجلة :
College of Medicine
Baghdad, Iraq
Tel and Fax: + 964-1-5224368
P. O. Box 14222, Baghdad, Iraq.
E-mail: iraqijms@colmed-alnahrain.edu.iq

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Contact info

iraqi_jms_alnahrain@yahoo.com

iraqijms@colmed-alnahrain.edu.iq

http://www.colmed-alnahrain.edu.iq

Table of content: 2016 volume:14 issue:3

Article
Editorial :NEW HUMAN BODY PARTS DISCOVERED

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Abstract

Reports about new discoveries in human anatomy could help in the progress of medical care in term of diagnosis and management. Among the many of these was the hidden system of vessels discovered in the human brain in 2015, the anterolateral ligament of the knee joint describe in 2013, Dua's layer discovered in the human cornea in 2013, and the description of the anatomic structure of the G-spot done in 2012. These new part of the human body may be more properly considered as newly discovered variations in the human body. Keywords: Anatomy, human discoveries, brain lymphatics, knee joint, Dua's layer, G-spot.


Article
PRETERM BIRTHS AMONG WOMEN WITH SHORT BIRTH INTERVAL IN TWO HOSPITALS IN BAGHDAD /AL-KARKH

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Background:The World Health Organization had recommended that individuals and couples should wait for at least (2-3) years between births in order to reduce the risk of adverse maternal and child health outcomes. Objective:The current study was an attempt to measure the rate of preterm births among women with interbirth intervals of less than three years. It also attempted to describe some socio-demographic characteristics of these women with short intervals. Methods:A cross-sectional study was conducted in two hospitals at Baghdad / Al-Karkh district with a total 360 women were interviewed at the delivery room using a questionnaire specially prepared for this purpose during the period from the 1st of April to the 31st of May 2009. Results:The mean interbirth interval for the sample was 20.4±6.43 months gave a rate of preterm births of 17.8% with a significant association between short intervals and high occurrence of preterm births. It was found that women with short interbirth intervals were mostly of younger age, housewives, low educated, not using contraceptives, had a female baby in the last delivery before the current one and their monthly income was 500000 Iraqi dinars or less ( about 385 USD). Conclusions:The rate of preterm births in women with short birth intervals less than three years was relatively high and significantly associated with short birth intervals. Key words:Preterm births, Short birth interval, Socio-demographic characteristics


Article
RATES OF CESAREAN SECTION IN AL-IMAMEIN AL-KADHIMEIN MEDICAL CITY

Authors: Qabas K. Mahdi قبس خزعل مهدي
Pages: 206-214
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Abstract

Background: Caesarean section rates have been increasing dramatically in the past years in Al-Imamein Al-Kadhimein Medical City. Objective:To determine the rate of caesarean section and to analyze the indications, so as to introduce measures to control the caesarean section rate. Methods:This retrospective study was conducted in Obstetrics and Gynecology Department at Al-Imamein Al-Kadhimein Medical City from 1st Jan 2012 to 30th Apr 2013. In this study, clinical records of all the patients who underwent caesarean section were analyzed. AII cases who were underwent caesarean section whatever indication and regardless the type of caesarean section (elective, urgent, scheduled, emergent) were included in this study. Clinically diagnosed cases of ruptured uterus proved on laparotomy were excluded. Data was analyzed on SPSS version 17, Microsoft excels 2010 and frequency as well as percentages were calculated. Results:There were 10,354 deliveries during the study period (16 months) and 5897 of these were caesarean section. The rate of caesarean section was 56.95%. Scheduled caesarean section was 49.31%, elective caesarean section 43.89%, urgent caesarean section 4.32% and emergency caesarean section 2.48%. Conclusions:Caesarean section rate was high (56.95%) in Al-Imamain AlKadhimein Medical City, the majority of patients who underwent caesarean section were scheduled and elective caesarean section. The commonest indication was repeat caesarean section. Key words:Cesarean section, Indications, Frequency


Article
ANGIOGRAPHIC ASSESSMENT OF EXERCISE TREADMILL TEST-DETECTED OCCULT CORONARY ARTERY DISEASE IN TYPE 2 DIABETICS

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Background: Myocardial ischemia in type 2 diabetes mellitus may be painless keeping the coronary artery disease occult. Exercise Treadmill Test was one of the modes that have been tried to uncover occult coronary artery disease, yet its results were not assessed. Objective: To show the rate of occult coronary artery disease in asymptomatic type 2 diabetes mellitus subjects using exercise treadmill test, and to assess the exercise treadmill test-detected occult coronary artery disease by conventional coronary angiography , and to inspect the risk factors. Methods: A cross sectional study of 120 randomly enrolled asymptomatic type 2 diabetic subjects who were not labeled to have ischemic heart disease prior to the study. The body mass index, blood pressure, serum total cholesterol, serum triglycerides and glycated hemoglobin A1c were all measured in addition to rating of smoking trend. Exercise treadmill test was, then, conducted to all of the enrolled subjects followed by conventional coronary angiography to subjects whose exercise treadmill test was positive. Results: A proportion of 20.8% of asymptomatic type 2 diabetic subjects showed positive exercise treadmill test results (p<0.05). On assessing the exercise treadmill test positive subjects by conventional coronary angiography, 68.4% proved to have true coronary artery stenosis; 69% of them were significant stenosis affecting 1-3 coronary vessels. Smoking trend was the most significant risk factor in type 2 diabetics who proved to have positive exercise treadmill test results, particularly among the males. Conclusions: One fifth of asymptomatic type 2 diabetic subjects have occult coronary artery disease when screened by exercise treadmill test. Two thirds of the exercise treadmill test-diagnosed occult coronary artery disease subjects have significant coronary stenosis when assessed by conventional coronary angiography. Smoker type 2 diabetic subjects, in particular males, are at risk and should be keenly screened for occult coronary artery disease. Key words:Type 2 diabetes, Ischemic, Silent, Occult, Coronary angiography, Exercise treadmill, Smoking.


Article
EFFECT OF NIMODIPINE (0.5%) EYE DROPS AGAINST SELENTIE-INDUCED CATARACT IN RABBITS

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Background:Increase Ca2+‏ level in human lenses found to play a main role in the opacification development. Objective:To investigate the protective effects of nimodipine (0.5%) eye drops against selenite-induced cataract in rabbits. Methods:Twenty-four adult rabbits with body weight in a range of (1.5-2 kg) with no signs of ocular inflammation were divided into three groups (apparently normal group, cataract group, nimodipine (0.5%) eye drops group). Cataract induction was done by a single intravitreal injection of sodium selenite solution in right eye. Lens opacity, pupil diameter, intraocular pressure, pupillary response to light, corneal sensation, conjunctival redness, malondialdehyde (MDA) and reduced glutathione (GSH) levels in aqueous humor and histopathological study of lens were evaluated. Apparently, normal group received distilled water. Results: Nimodipine (0.5%) eye drops resulted in prevention of cataract development, there was no change in pupil diameter, positive pupillary response to light, positive corneal sensation, no conjunctival redness, decreased MDA and increased of GSH levels. Longitudinal lens section showed homogenous appearance and it looked like normal in its feature. Conclusions: Nimodipine (0.5%) eye drops had prophylactic effect against selenite-induced cataract in rabbits. Key words:Cataract, nimodipine, selenite.

Keywords

Cataract --- nimodipine --- selenite


Article
ASSOCIATION OF PORPHYROMONUS GINGIVALIS WITH RHEUMATOID ARTHRITIS

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Background:Rheumatoid arthritis (RA) is chronic systemic inflammatory disease. Porphyromonus gingivalis (P. gingivalis) produce peptidyle arginine enzymes, which lead to citrullination of human protein then lead to formation anticitrullinated peptide antibody (ACPA). Objective:To investigate the role of P. gingivalis as environmental factor for RA and association of P. gingivalis with development of ACPA. Methods:This study included 31 newly diagnosed RA patients with periodontitis, which included 22 females and 9 men in addition to 30 individual as healthy controls, which included 20 females and 10 men. The exclusion criteria included autoimmune disease (systemic lupus erythematosus, Bachet disease, ankylosing spondylitis, multiple sclerosis), attending Department of Rheumatology in Baghdad Teaching Hospital during period from May 2014 to January 2015. The age range was 20 to 68 years. Disease activity score 28 (DAS28) was calculated for each patient. Five ml of blood sample was taken for detection of ACPA antibody while gingival cervicular fluid was taken by paper point for detection of P. gingivalis by polymerase chain reaction (PCR) with specific primer for fimbrial antigen (fimA). Results:The frequency of positive cases with P. gingivalis were 13/31(41.90%) while in healthy controls was zero with significant P value (<0.001). The association between anti cyclic citrullinated peptide (ACCP) antibody and frequency of positive cases for P. gingivalis was significant (P<0.041). The association of P. gingivalis positivity and DAS28 was non-significant (P= 0.003). Conclusions:P. gingivalis showed positive association with RA in newly diagnosed patients. The frequency of positive cases for P. gingivalis revealed association with positivity of anti-CCP. Key words:RA, ACCP, P. gingivalis

Keywords

RA --- ACCP --- P. gingivalis


Article
CAUSAL BELIEFS OF SCHIZOPHRENIA AMONG SAMPLE OF IRAQI SCHIZOPHRENIC INPATIENTS’ FAMILIES IN IRAQ

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Background:Schizophrenia is a debilitating mental illness that affects 1% of the population in all cultures. Objective:To investigate causal beliefs regarding schizophrenia among families of Iraqi schizophrenic inpatients, and discuss the differences and similarities across cultures. Methods:Two hundred Iraqi schizophrenic inpatients fulfilling DSM-IV criteria of schizophrenia were included. Causal beliefs of their key relatives were examined. Information list including open question of the causal beliefs of schizophrenia and sociodemographic data was used. The statistical significance of the findings was tested. Results:Key relatives attributed natural causes to schizophrenia more often than supernatural causes. Stress was 44%. Stresses were related to life events, trauma, social problems, war, prison and poverty. Other causes were: 27% organic and 15% personality attributions. Supernatural causal beliefs were only 29%, including witchcraft, envy, possession, devil, karama and wish or punishment of God. Conclusions:The major causal beliefs of schizophrenia amongst Iraqi relatives of the studied sample were stresses. Families' attribution of supernatural causes was similar across cultures. Organicity was more in the European studies. Key Words:Schizophrenia, causes, beliefs, families, Iraq.

Keywords

Schizophrenia --- causes --- beliefs --- families --- Iraq


Article

Article
ANALYSIS OF SINGLE NUCLEOTIDE POLYMORPHISM RS9939609 IN FTO GENE OF OBESE MALES IN IRAQI POPULATION

Pages: 252-258
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Article
GENETIC POLYMORPHISM OF THE GLUTATHIONE S-TRANSFERASE M1 AND T1 GENES IN BAGHDAD POPULATION

Pages: 259-265
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Article
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