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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: 2013 المجلد: 7 العدد: 1

Article
CORONARY ANGIOGRAPHIC FINDINGS IN PATIENTS WITH METABOLIC SYNDROME
بيان مدى انتشار تواجد انسداد شرايين القلب التاجية المثبتة عن طريق قسطرة القلب و الشرايين في مرضى متلازمة الايض

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الخلاصة

ABSTRACT: Background and objectives:metabolic syndrome is a common disorder associated with increased risk of cardiovascular diseases and diabetes , its prevalence in Iraq is not well estimated , many studies relate the relation of this syndrome to coronary artery disease due to the clustering of the cardiovascular risk factors in this syndrome , for this reason we tried in our study to evaluate the relationship between this syndrome and ischemic heart disease documented by coronay angiography , furthermore we planned in our study to classify and determine the severity of different coronary lesion in this syndrome. Patients and methods: in this study we enrolled 146 patients with lschemic heart disease, 76 of them having the criteria of metabolic syndrome and 70 patients with IHD and no metabolic syndrome were taken as controls between February 2010 to February 2011- angiography was done for all the patients, and the different types of coronary lesions and their complexity scores analyzed and reported according to the American heart association criteria and syntax scoring system. Results &Conclusion: The mean syntax score was significantly higher among patients with this syndrome and also, complex coronay lesions in from of, ostial, bifucational and multi vessels disease were significantly higher in this group wether they are diabetics or not in comparison to the control group.

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Article
Study of levels of malondialdehyde (MDA) among pateints with acute myocardial infarction in al-Nassiriah city
دراسة مستويات المالونداي الديهايد عند مرضى احتشاء عضلة القلب الحاد في مدينة الناصرية

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الخلاصة

SUMMARY : Serum malondialdehyde (MDA), as an index of lipid peroxidation, and the serum enzymes creatinin kinase (CK) , lactate dehydrogenase ( LDH ), were evaluated in a group of 32 patients with acute myocardial infarction (AMI) , 12 with angina pectoris (AP), and 88 healthy subjects as a control group . MDA values were within the normal range in those with angina pectoris patients, while in those with acute myocardial infarction patients a significant increase in serum MDA was observed in the days following the acute event, reaching a peak level in 6-8 days later, a significant relation was found between the integrated concentration-time MDA curve and the integrated serum enzymes activity curves reached during the nine days after the acute event. The "in vivo" relevance of the increased serum MDA in the post-infarct period is unknown at the present, but as lipid peroxides are known to harm cellular structures and to inhibit prostacyclin synthesis.

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Article
Native Arteriovenous Fistula Creation in Al – Hussein Teaching Hospital
انشاء الناسور الوريدي الشرياني لمرضى الفشل الكلوي في الناصرية

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الخلاصة

ABSTRACT: Objective : To present the advantages of native arteriovenous fistula creation in comparison with graft AVF creation in patients with chronic renal failure and on regular hemo – dialysis or those with impending end stage renal disease and that searching for a suitable superficial vein for this purpose is mandatory. Patients : This is a prospective study of 50 patients for whom an arteriovenous fistula was created in the upper limb under local anaesthesia over a period of about one year ( from 1st of January 2013 till 1st of December 2013 ). Methods : The case sheets of relevant patients for whom an AVF was created were reviewed to collect information like patient's sex, age, site of AVF, type of anastomosis, etc… Results: AVF creation was offered for different age groups and for both sexes. Side to side anastomosis was carried out for most patients and the preferred site was the cubital fossa between the brachial artery and a nearby superfial vein. The time of first cannulation after AVF creation was variable depending on several factors. Different complications but no mortality had been recorded perioperatively. Conclusions:Native AVF creation is always preferred over graft AVF and every effort was made to search for a suitable superficial vein for the purpose of AVF creation. The elbow region was a suitable option for elderly patients and those with comorbidities despite the fact that the more distal location of AVF is associated with less complications. Side to side anastomosis for AVF creation was the procedure of choice and the non dominant upper limb is prefere if possible.

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Article
Detection of Trichomonas vaginalis among women with abnormal vaginal discharge by PCR technique targeting TVK3 and TVK7 genes in Basrah province
تشخيص الاصابة بطفيلي المشعرة المهبلية بين النساء اللاتي يعانين من الافراز المهبلي غير الطبيعي في محافظة البصرة باستخدام تقنيةPCR

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الخلاصة

ABSTRACT: A total of 552 samples of vaginal discharge were collected from women that visited the Maternity and Pediatrics hospital in Basrah Province .Microscopic examination of vaginal discharge revealed that 4.1 % of these women were infected with Trichomoniasis . In present diagnostic study, two technique were used to diagnosed the same sample for the first time in Iraq , these include microscopic examination ( wet preparation ) and Polymerase chain reaction (PCR) .PCR technique was the highest sensitivity ( 100 % ) which diagnosed three samples were considered negative in the other diagnostic technique and microscopic recorded sensitivity 88.4 % .In the same time diagnosis by vaginal discharge were found to be highly percent ( 100 % ) than the urine (1.9%) .

الكلمات الدلالية


Article
Prevalence Of Mental Disorders Among Offenders Referred For Psychiatric Evaluation
معدل و نطاق الأمراض النفسية بين المتهمين المحالين لأغراض التقييم النفسي

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الخلاصة

ABSTRACT: The aims of the study are to determine the rate and spectrum of mental disorders among offenders referral to psychiatric evaluation and find out the relation between mental disorder and the nature of the offence. This is cross sectional study that enrolled 120 referrals to the Forensic Psychiatric Committee (FPC) in Al-Rashad Mental Hospital during the period from April 2012 – January 2013. The referrals were interviewed according to a semi-structured interview questionnaire (SSIQ) based on DSM-IV-TR and the diagnosis was compared with that given by the FPC and the cases was included in the study when it was agreed by both the SSIQ and the FPC. This study revealed that illiterate and those with low level of education rated the highest 82.5% were mentally ill. Interfamilial violent assaults were the commonest offences among males while murder, sex crimes and wandering were the commonest among females. Schizophrenia was commonest diagnosis among males and schizophrenia, mental retardation among females. Most of referrals had previous history of referral 83% with intrafamilial violence was the commonest offence and schizophrenia was the commonest offence and schizophrenia was the commonest diagnosis.Most of the offenders who were referred for psychiatric evaluation were found to bementally ill and the most frequent mental illness was schizophrenia. Most of referral cases were due to violent assaults committed by male schizophrenic and other psychotic.

الكلمات الدلالية


Article
Rectal Misoprostol versus Oxytocin in The management of the third stage of labor
مقارنة بين علاج الميزو بريستول و الاوكسيتوسين في المرحلة الثالثة من الولادة

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الخلاصة

ABSTRACT: Objective: To compare the effectiveness of rectally used misoprostol in the active management of third stage of labor with intramuscular oxytocin. Methods: A comparative prospective study was performed at 2 hospitals in Basrah, 200 pregnant women in active labor were enrolled. Women were randomized to receive rectal misoprostol 600µg or intramuscular oxytocin 10 IU with delivery of the anterior shoulder. The primary outcome measures were the incidence of postpartum hemorrhage or change in Hb. concentration before delivery and 12hour after delivery. Secondary outcomes included the need for additional uterotonic agents, sever post partum hemorrhage ,blood transfusion , and medication side effects. Results: The percentage of PPH was 5% in the misoprostol group and 6% in oxytocin group (p >0.05). There were no significant difference among the groups in the drop of Hb. conc. (p>0.05). Secondary outcome measures including severe PPH and the duration of the 3rd stage of labor and medication side effects were similar in both groups. Conclusion: Rectal misoprostol 600µg is as effective as 10 IU intramuscular oxytocin in minimizing blood loss in the 3rd stage of labor. This confirms the utility of misoprostol as a safe and effective uterotonic drug for use in some areas where other pharmacologic agent may be less feasible.

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Article
The Incidence (Extent) of Crystalluria, following Co-Trimoxazole or Trimethoprim Administration in Children (4-10) years old age
مدى انتشار البلورات المهجرية (بيلة البلورات) عند المرضى الأطفال الذين يتراوح أعمارهم بين 4-10 سنوات

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الخلاصة

ABSTRACT This present study, reflect the incidence of crystalluria among children (4-10) years old, in which the extent of crystalluria were more in patients who were suffered from G.I.T. infections 65(56.52%), more than those patients who were suffered from R.T.I. and were treated by co-trimoxazole. Also this study showing as, that the patients who were treated by only co-trimoxazole, were highly exposed to crystalluria 88(76.52%), more than those patients who were treated by both co-trimoxazole and I.V. fluid 27(23.43%). Also we found that crystalluria were developed more in female patients 74(64.34%), than male patients 41(35.62%).

الكلمات الدلالية


Article
Clinical and epidemiological assessment of supracondylar humeral fractures in children in Alhusain teaching hospital
الكسر فوق اللقمي لعظم العضد في الاطفال. دراسة لتقييمه من الناحية الوبائية والسريرية في مستشفى الحسين(ع) التعليمي في الناصرية

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الخلاصة

ABSTRACT: Supracondylar humeral fracture represents the commonest pediatric elbow fracture. It mostly occurs below the age of 10 years after simple fall on outstretched hand or on the elbow. The factors that contribute to its high frequency include weakness of the supracondylar area and the relative ligamentous laxity in children as well as the more liability to fall in this age group. It is a source of relatively high morbidity rate. Possible complications include neurovascular injury, compartment syndrome, joint stiffness and deformity. In this study we to assessed multiple epidemiologic factors including the crude number of cases over the period of time of the study, the fracture type according to displacement and rate of each possible complication. We also followed cases prospectively documenting the modality of treatment offered, the healing time, the way of dealing with complications and their prognosis. The output results of the study help in standardizing the orthopaedic handling of this fracture in our locality. This includes the proper assessment of the size of the problem and its complications and the best way of dealing with it.

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Article
Antifungal Activities of Alcoholic and Aqeuous Extracts of punica granatum against Some Non-Dermatophytic Fungi
الفاعلية المضادة للفطريات للمستخلص الكحولي والمائي لقشور نبات الرمان ضد بعض مسببات الاصابات الفطرية الغير جلدية

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الخلاصة

ABSTRACT: A clinical and mycological study of superficial mycosis was conducted on 23 cases (7 males and 16 females) , and collected from patients (5-50) years old. Direct microscopy by KOH (potassium hydroxide) mount and culture was undertaken to isolate the fungal pathogen in each case. Non-dermatophyte molds were isolated from 18 cases (78.26%) and 21 isolates were identified from these cases ; 10 isolates Candida albicans (47.61%), 5 isolates Rhizopus stolonifer (23.8%), 2 isolates Penicillium sp. and 2 isolates Aspergillus nidulans (9.5%) respectively, 1 isolate Alternaria alternata and1 isolate Fusarium sp. (4.7%) respectively . Alcoholic & aqueous extracts of the punica granatum (Pomegranate) peels were prepared. The anti-fungal activity of the extracts was evaluated on isolated fungi by means of the agar-well diffusion assay. The Minimum inhibitory concentrations were 10-300 mg/ml against isolated fungi. Their was little difference between the activities of alcoholic extract & aqueous extract. These results suggest the Pomegranate Peels extract which contains active constituents as a promising anti-fungal agent.

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Article
Identification of Malassezia species isolated from seborrheic dermatitis patients
تشخيص أنواع المالاسيزيا المعزولة من مرضى الأكزيما الدهنية

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الخلاصة

ABSTRACT Background: Yeasts of the genus Malassezia are known to be members of the skin micro flora of human and other warm-blooded vertebrates. Seborrheic dermatitis is a common inflammatory dermatoses that may affect infants, adolescents, and adults of all ethnicities and races, Malassezia spp. have been found in both healthy skin and at sites affected with seborrheic dermatitis. Aims: To identify of Malassezia spp. are suspected to be involved in the development of seborrheic dermatitis and normal subject. Materials and Methods: Thirty one patients with seborrheic dermatitis were included in this study, who attended Al-Kadhumyia teaching hospital / Dermatology department, from the 30th of October 2010 to the 1st of April 2011. Twenty five (25) were males and six (6) were females, with the mean age of 36.29 ± 4.65 years (ranging between 3 months to 70 years old). The diagnosis was established by clinical examination done by consultant Dermatologist. Control included 48 apparently healthy individuals were randomly selected from entities, primary and secondary schools in Al-Mashtale city (25 males and 23 females) with a mean age of 15.68±15.68 years (ranging between 1-70 years old). Both groups were investigated for Malassezia spp., cultivation and identification of Malassezia spp. included Sabouraudَs dextrose agar with and without olive oil. Results: Malassezia obtusa and M. pachydermatis had a high percentage overall Malassezia spp. with seborrheic dermatitis patients (12.90%). According to gender, males had higher infection rate than females. Seborrheic dermatitis patients with age group of (31-40) years had a high percentage among others (25.80%). Oily skinned patients revealed seborrheic dermatitis. Conclusions: from these findings, it was suggested that M. obtusa and M. pachydermatis reported a high percentage overall Malassezia spp. with seborrheic dermatitis patients.

الكلمات الدلالية


Article
Comparison of the effects of formaldehyde used in plastinated and embalmed cadavers on medical student in anatomy laboratory in Basrah medical college .
مقارنة تأثيرالفورمالين المستعمل في الجثث المحنطة والمجبسة على الطلاب في مختبر التشريح في كلية طب البصرة

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الخلاصة

ABSTRACT: A total of 224 medical students were rolled in a prospective study to compare the effect of formaldehyde in embalmed and plastinated cadavers on medical students. The study was conducted in Basrah medical college at 2009-2010 . Questionaire were used to study the effect of exposure of medical students to formaldehyde at department of anatomy. The results indicate the effect of formaldehyde used in embalmed cadavers is more than in plastinated cadavers. 66.38% of the students used embalmed cadavers and 8.99% of the students used plastinated cadavers developed eye symptoms like ( itching ,burning ,lacrimation ) , 14.69% of the students used embalmed cadavers and 12.77 % of the students use plastinated cadavers developed nose symptoms like (irritation ,running nose ,sneezing ) 31.14% % of the students used embalmed cadavers and 7.36% the students use plastinated cadavers develop respiratory tract symptoms (sore throat ,cough ) ,15% of the students used embalmed cadavers and 5.72% of the

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