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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: 2

Article
Colonic cancer: incidence, pattern &role of radical surgery in stage 11AND 111,in al nassiryia
دراسة حول دور الاستئصال الجراحي لسرطان القولون في الناصرية

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الخلاصة

ABSTRACT Background: Invasive colorectal cancer is a preventable disease. Early detection through widely applied screening programs is the most important factor in the recent decline of colorectal cancer in developed countries .Full implementation of the screening guideline scan decrease mortality rate from colorectal cancer in the United States by an estimated additional 50%; even greater reductions are estimated for countries where screening tests may not be widely available at present. New and more comprehensive screening strategies are also needed.[1] Fundamental advances in understanding the biology and genetics of colorectal cancer are taking place. This knowledge is slowly making its way into the clinic and being employed to better stratify individual risks of developing colorectal cancer, discover better screening methodologies, allow for better prognostication, and improve one’s ability to predict benefit from new anticancer therapies.[2] In the past 10 years, an unprecedented advance in systemic therapy for colorectal cancer has dramatically improved outcome for patients with metastatic disease. Until the mid-1990s, the only approved agent for colorectal cancer was 5-fluorouracil. New agents that became available in the past 10 years include cytotoxic agents such as irinotecan and oxaliplatin,oral fluoropyrimidines (capecitabine and tegafur), and biologic agents such as bevacizumab, cetuximab, and panitumumab.Though surgery remains the definitive treatment modality, these new agents will likely translate into improved cure rates for patients with early stage disease (stage II and III) and prolonged survival for those with stage IV disease. Further advances are likely to come from the development of new targeted agents and integration of those agents with other modalities such as surgery, radiation therapy, and liver-directed therapies.[3] this study was done in Al Nassyria in Al Hussein teaching hospital through 2 years from April 2008 to March 2010 with 3 years fallow up on 32 patients complaining from stage 11 and stage 111 colonic cancer, 10 of them they arrived to the hospital as an emergency cases with intestinal obstruction or uncontrolled bleeding per rectum and 22 cases as an elective cases who presented from either sub acute intestinal obstruction, chronic loss of weight, chronic loss of appetite abdominal mass and or intermittent bleeding per rectum , ages of patients range between 30 to 80 years.18 patients males and 14 patients were females. Aim is To make screening for stage 11& 111 colonic cancer admitted to our unit and role of radical surgery in emergency cases comparing with radical surgery in elective surgery . Ca. of rectum was excluded from the study. We get 84%(27 patients) above 50 years, males were more,18 patients, annular type were the commonest type (50%). , about histopathological study 18 patients (56.25%)were moderately differentiation ,9 patients (28.1%)poorly differentiation and 5 patients (15.6%) were well differentiation. There were no significant differences of radical surgery in elective and emergency presented cases in recurrence and post operative complications.

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Article
Contamination and Microbial Biofilm Formation in intensive care unit in Thi-qar province / Iraq
التلوث الميكروبي في وحدة العناية المركزه في ذي قار

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الخلاصة

ABSTRACT: To identify the cause and the source of bacterial infection among patients of intensive care unit and to identify the ability of bacteria to produce biomass this study had been conducted in Al-Imam Al-Hussein hospital in Thi-qar province for the period from 1st September to end of December 2011 .A total of 320 swabs and samples were collected from 17 different sites of Intensive Care Unit environment and inoculated on a normal cultural media ,then incubated at 37°C for 24 hour . The growth revealed different bacterial colonies which had been tested for their morphological and biochemical characteristics. Sixty eight of pure isolates were obtained including 24 (35.29%) Gram positive bacterial isolates, 44(64.71%) of Gram negative bacterial isolates , the highest rates (19.11%) of bacterial contamination had been found on the walls and the floor . Sensitivity tests for all isolates were done using 25 types of commonly used antibiotics in Iraq , the results revealed that the genus Enterobacter spp. had a high resistance as a Gram negative bacteria , and Staphylococcus spp. had a high resistance as a Gram positive bacteria to most of the tested antibiotics, The tendency of some isolates to develop a biomass as biofilm , an important virulence determinant related to infection , was investigated in vitro using microtiter plates . The highest optical density (O.D.= 0.634 n.m.) was recorded by the isolate from pressure material by Pseudomonas aeruginosa and the least O.D. was recorded by medical instruments-use manual isolate (O.D. was 0.106 n.m.) by Pantoea spp .

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Article
Failed Closed Reduction of Fracture Forearm Bones in Children The Outcome of K-Wire Fixation
النتائج العملية لتثبيت الكسور المتباعدة لعظمي الساعد (الكعبرة والزند) في الاطفال باستخدام اسلاك كرشنر (سلك K) بعد فشل التعديل المغلق

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الخلاصة

ABSTRACT: The aim of our study is to know the functional outcome of K.wire fixation for failed closed reduction of displaced forearm bones fracture in children on AL-Hussein teaching hospital of Nassiriyah city between: 1/2/2006 to 30/1/2008. It is a descriptive study for K.wire fixation of unstable fracture of radius& ulna in children less than 16 years old. The compound fractures, single bone, multiple trauma and adult patients all are excluded from this study. A eighty six (86) children were included, a sixty two ( 62 ) male & twenty four (24) female with age ranging from ( 4 to 16 ) years, with average age of( 11.21) years. The average time of radiological union and K. wire removal was 6 weeks follow by complete P.O.P cast for the average of 12 weeks to consolidation, then 3monthly follow up with physiotherapy and functional assessment for regaining of full movement up to 12 month. In the sixth month assessment there were 66(76.7%) Excellent, 14(16, 2%) Good, 6(6.9%) Fair. The final assessment in the 12th month were 86(100%) are Excellent. We conclude that the Kirschner wire intramedullary fixation followed by complete P.O.P cast and physiotherapy is the method of choice for treatment of failed closed reduction of displaced forearm bones fracture in children, in which it is safe, less invasive, less time consuming, effective, and easily performed with excellent outcome.

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Article
Age at menarche and menstrual cycle pattern among school girls in Basrah.
بدء الطمث وسن البلوغ لدى الطالبات في البصرة

المؤلفون: Dr.Amall. Y.Almulla. (PhD) د.آمال ياسين الملا
الصفحات: 42-49
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الخلاصة

ABSTRACT: Background: Menarche is an index of female hormonal, psychological, cognitive changes and physical behavior occurs during puberty, when female become capable to reproduce and it is the first important process of female puberty.Age of menarche has largely decreased in most developed countries in recent decades. Methods: A total of 509 girls were studied by across sectional study which was conducted to investigate age at menarche and menstrual pattern among school girls in Basrah city between Oct. – Dec. 2011.Random selection of school (3 were secondary, 2 were primary schools and only fourth, fifth and sixth class were selected from primary schools), because their age range within age of menarche. Results: Age at menarche was analyzed in 446 schoolgirls taking part in cross-sectional study in Basrah.The analysis yielded mean age of menarche of(11.7+_0.94). About 7.3% of girls experience early menarche below 10 years, 76% of them experience their menarche at 11-12 years of age and 16.7 % were 13years of age and more.Father education level reveal a significant effect on age at menarche, girls whose father had a lower educational level showed a later age at menarche, those who were later born and with big family size had a higher age at menarche and also those with chronic disease. Decrease in age at menarche was found with increase BMI.Variability in menstrual cycle was found with prevalence of irregularity about 72.4% of girls , 54.3% had dysmenorrhea and mean duration of flow was (5.5_+1.6)days.Logistic regression analysis revealed family size and chronic disease were positively associated with age at menarche while present of older girls and family income were negatively associated with age at menarche and other variables had no such association. CONCLUSION: Findings of current study suggest a change in mean age at menarche over the time which is concurrence with world trend.

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Article
Leukocytosis as Prognostic Factor for Severe Multiple Injuries
ارتفاع كريات الدم البيضاء عامل تنبؤي للإصاباتِ المتعدّدةِ الحادّةِ

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الخلاصة

ABSTRACT: Objective: The objective of this study was to determine if the white blood cell (WBC) count can predict severity of injuries and can be considered as a bad prognostic sign in multiple injured patients. Methods: This was a comparative study comparing two groups of multiple injured patients according to the severity of injury, intensive care unit (ICU) admitted group with severe injuries and ward admitted one without significant injuries, and comparing their initial WBC in the first day. Also, the ICU admitted group was divided into two subgroups, survived and died one, comparing the decline in WBC count between them in the first 3 days. Results: There was a difference in mean WBC count between ICU group with severe injuries and ward one without significant injury that was statistically significant (p<0.0001). Also there was a significant resistance of WBCs to decline to normal level in the died ICU subgroup as survived patients in the first three days (p<0.0001, p<0.0001 and p<0.0001 respectively). Conclusion: A significant elevation in WBC count in severe multiple injured patients is found and it can be considered as a bad prognostic sign for those with slow decline to normal level within first three days.

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Article
The use of Mirena in the treatment of menorrhagia in Basra
تقييم كفاءة اللولب العلاجي لحالات النزف الرحمي الشديد في البصرة

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الخلاصة

ABSTRACT Objective : To evaluate the efficacy and safety of mirena in the long term treatment of heavy menstrual blood loss in women with benign causes in Basra. Maternal and Methods : A prospective observational study, non comparative study, conducted at Basra maternity and child hospital over a period of four years from 1st of Jan.2009 to the first of Jan. 2013. It consist of 112 women. All have heavy menstrual bleeding for benign causes having no contraindication for the device all women were followed up at 3 months, 6 months and 12 months. Result : Majority of women had menstrual spotting after 3-6 months, followed by infrequent menstruation, scanty period or Amenorrhaea, (71.4%) continued to use mirena beyond 1 years. while the discontinuation rate was (29.6%). Haemoglobin and serum ferritin and PCV level increased over 12 months of use, It was found that the most common side effect were bleeding disturbance (16%) no pregnancies occur during the study period , so mirena is a safe and effective option for women with menorrhagia in perimenopasual period.

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Article
Zinc toxicity associated with hydatid cyst infection among patients in Nasseriyah city Thiqar province , south Iraq
التأثير السمي لعنصر الزنك لدى المرضى المصابين بداء الاكياس العدرية في مدينة الناصرية ذي قار , جنوب العراق

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الخلاصة

ABSTRACT: Hydatidosis is endemic disaese in south of Iraq , zinc level are detected in sera of patient and hydatid cyst fluid by atomic absorption technique in colleges of Basrah university , the present study found that the zinc levels were increase in sera of patient when compare with control whom are not infected with disaese . so the levels of zinc are also increase or high in hydatid cyst fluid .

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Article
Antibiotic resistance of urinary tract pathogens and evaluation of empirical treatment in children with urinary tract infections in Thi-Qar Governorate
التهاب المسالك البولية ومقاومته للمضادات الحيوية في اطفال الناصرية

المؤلفون: Dr. Khlebus Kh. Raddam د. خليبص خلوفي ردام
الصفحات: 73-84
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الخلاصة

ABSTRACT: Background : There is global emergence of resistance against commonly prescribed antimicrobials . Empirical antibiotics Prescription should be directed by local antimicrobial susceptibility patterns . Objective : To assess the resistance patterns of urinary isolates to commonly used antimicrobials and to evaluate the options for empirical treatment of UTI . Methods : A prospective study was conducted in Bint Al-Huda teaching hospital for children ; Thi-Qar – Iraq ; From January 2011 to December 2012 . Urine specimens were obtained from patients younger than 15 years and cultured on appropriate bacteriological medias . Bacterial isolates were Identified by standard tests ; and antibiotic susceptibility was determined by disc diffusion method . Results :From 1000 urine specimens ( 18 % ) had positive results for bacterial cultures . Females out numbered males in all age groups with a ratio of 2.6 : 1 except in the first year of life . E-coli was the most common etiological agent of UTI ( 68.8 % ) followed by proteus spp ( 12.7 % ) ; Klebsiella ( 9.4 % ) ; Enterobacter spp (6.6 %) , citrobacter spp (2.2 %) . High degree of resistance among pathogens to ampicillin (92.2 %); Amoxycillin (81.6 %) ; SXT (81.6 %) ; cephalothin (76.1%) ; 3rd generation cephaloporines (42.2 – 60.5%) . The lowest resistance was to imipenem ( 1.6 % ) ; Amikacin ( 6.1% ) ; nitrofurantoin ( 12.7% ) ; ciprofloxacin ( 15 % ) .

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