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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: 2014 المجلد: 8 العدد: 1

Article
Functional Outcome after Surgical Fixation of Metacarpal and Phalangeal Fractures using K Wire
النتائج الوظيفية بعد عمليات تثبيت كسور عظام المشط والسلاميات للكف بأستخدام اسلاك كرشنر

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الخلاصة

ABSTRACT: Background: Metacarpal and phalangeal fractures are commonly encountered fractures, majority of them are stable and can be treated by non-operative means, however, unstable fractures i.e. those with shortening, displacement, angulation, rotational deformity or segmental fractures need surgical intervention. This prospective study was undertaken to evaluate the functional outcome after surgical stabilization of these fractures by K-wire using different techniques. Materials and Methods: A prospective study was conducted between December 2010 and October 2012. Seventeen patients with 21 unstable metacarpal and phalangeal fractures were treated by surgical stabilization using K-wire with different techniques. Fractures of the thumb and distal phalanx were excluded. All the patients were followed up for a minimum of three months. They were assessed radiologically and clinically. The evaluation of the functional outcome was measured according to Belsky's criteria. Results: All fractures achieved union with a mean of 8.5 weeks, no delayed union or nonunion or infection was reported, but stiffness has happened in 4(19%) fractures and mal-union in 2(10%) cases. Overall functional results were excellent to good in 17(81%) of cases and fair to poor in 4(19%) of cases .A better functional outcome was achieved in metacarpal fractures with excellent - good in (85%) as compared with phalangeal fractures with good results in (75%), Closed fractures (93%) excellent - good as compared to compound fractures with (50%) good results.

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Article
Evolving an appointment system in PHC centers in Basrah: Opinion of physicians and patients
انشاء نظام مواعيد في المراكز الصحية الاولية في البصره

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الخلاصة

ABSTRACT: Background: Despite the increasing interest in implementation of appointment system in many countries, patients, and physicians' views about such system is not examined in Basrah. Objectives: To study the views of both patients and physicians about introducing appointment system in primary care centers in Basrah. Methods: Six hundreds and eighty (680) patients and 115 physicians in 20 PHC centers were included in the study. A structured questionnaire was used to collect data. Results: The majority of patients (79.6%) supported the idea of introducing the appointment system. Married women, employed, and highly educated patients and those who lived far from the PHC center were more in favour of introducing the appointment system. Likewise, the majority of physicians (95.7%) were also in favour of introducing the appointment system. The main disadvantages indicated by both patients and physicians was that it was not beneficial for patients with acute cases. Conclusions: Both patients and physicians showed positive attitude toward introducing appointment system in PHC centers in Basrah.

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Article
Evaluation of Cephalopoda extract against some nosocomial bacterial isolates
تقيم خلاصة قدمية الرأس ضد بعض العزولات البكتيرية المسببة لامراض المستشفيات

المؤلفون: Al-Maliky Kh. Haydar د.حيدر خميس المالكي
الصفحات: 25-38
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الخلاصة

ABSTRACT: To evaluate the pathogenicity of Staphylococcus aureus and Escherichia coli in male mice and to compare between antibacterial activity Cefotaxime 250mg and cephalopoda extract (Sepia sp.) and showed the effect on some blood parameters in male mice. The mice were divided into seven groups (six mice for each) ,all treatments were given intraperitoneally to experimental mice. First group (control animals) were injected with 0.9 % normal saline (0.1 ml for each animal), second group were received i.p. single dose of E. coli (0.1× 108 CFU), third group were injected with a single dose of S. aureus (0.1× 108 CFU), fourth group were injected with a single dose of E. coli (0.1× 108 CFU) then treated with (0.1 Cefotaxime 250mg) for 3 days fifth group were injected with a single dose of S. aureus (0.1× 108 CFU) then treated with (0.1 Cefotaxime 250mg) for 3 days, sixth group were injected with a single dose of Escherichia coli (0.1× 108 CFU) then injected with (0.1 of extract,720 µg for each animal ) for 3 days, seventh group were injected i.p. with a single dose of S. aureus (0.1× 108 CFU) then injected with (0.1 of extract, 720 µg for each animal ) for 3 days. The results conducted that all infected mice were suffered from elevated in their body temperatures, while decline in their body weights and subsequently, changes in blood parameters compared with normal value. On the other hand, treated mice with Sepia extract show healthy and maintained their body temperatures and body weights as normal, in addition to blood parameters remained within normal ranges. These above results explained the role of Sepia extract as antimicrobial substance, acting against nosocomial bacterial isolates.

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Article
Blood calcium balance and dialysate calcium concentration in heamodialysis patients in Thi- Qar Province, Iraq
توازن كالسيوم الدم وتركيز كالسيوم الديلزه لدى مرضى غسل الكلى الدموي في محافظة ذي قار

المؤلفون: Zainab Ali Kadhem زينب علي كاظم
الصفحات: 39-49
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الخلاصة

ABSTRACT: Objective: This study designed to assess whether dialysate calcium concentration is adequate to maintain blood calcium balance in patients receiving hemodialysis therapy or not adequate. Patients and Methods: We evaluated 170 patients undergoing chronic kidney disease in dialysis unit at AL- Hussein teaching hospital in Thi - Qar province. Results: The 170 patient included 70 (30%) were female and 100 (70 %) were male, aged from 19 to 90 years, the duration of dialysis session 3hour per day, number of dialysis session per week was two time per week for all heamodialysis patients, and dialysate calcium concentration was 1.75 mmol/L. Results show normal calcemia in pre and post dialysis session in 30 patients (17.65%) their serum calcium was within normal range 2.24 - 2.5 mmol/L with no significant change (p > 0.05), and 48 (28.24%) show changes in serum calcium from 1.75 ± 0.11in pre to 2.32 ± 0.24 mmol/L in post HD session with no significant changes (p > 0.05), but 92 ( 54.24%) patients were diagnosed with hypocalcemia in pre 1.48 ± 0.16 and post 1.72 ± 0.20 dialysis session also with no significant change (p > 0.05). Conclusions: the concentration of dialysate calcium 1.75 mmol/l (3.5 mEq/L) was adequate and frequently used with the aim of obtaining positive blood calcium balance especially in patients with normal ( [Ca ] < 2.40 mmol/L) or Pre hypocalcaemia ( [Ca] ≥ 1.75 mmol/L). But in patients with severe degree pre - hypocalcemia ( [Ca ] ≤ 1.48 mmol/l) dialysate Ca concentration (1.75 mmol/L) should be increased by ~ 0.25 mmol/L to maintain comparable balances as possible as or treated with calcium gluconate (10 % w/v) injection ampoule 10 ml (1ml ≈ 0.23 mmol/L) after HD session.

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Article
Study of the Correlation between Brain natriuretic peptide and Each of Malondialdehyde, Ceruloplasmin and Transferrin in patients with Heart failure(HF) in Thi-Qar Governorate
دراسة مستوى حامض الناتوريك Bوجهد الاكسده في مرضى فشل القلب

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الخلاصة

ABSTRACT: Objective: Heart failure is a chronic condition where the heart is unable to provide the different organs with adequate circulation of blood due to abnormality in the heart and changes in the hemodynamic, kidney, nerve and hormone system. The present study is designed to determine the levels of Brain natriuretic peptide (BNP), Malondialdehyde (MDA), Ceruloplasmin (Cp) and transferring (Tf) in patients with systolic Heart failure (HF) with Hypertension and healthy individuals. Subjects: Serum Brain natriuretic peptide, malondialdehyde, ceruloplasmin and transferrin were measured in 68 patients heart failure and 68 supposedhealthy subjects . Results:The levels of serum Brain natriuretic peptide, malondialdehyde and ceruloplasmin were revealed significant increase in patients with heart failure as compared to control group whereas the levels transferrin showed a significant decrease in heart failure patients in comparison to control subjects(P ≤0.05).This study was also revealed the correlation between the concentrations of the measured parameters and BNP. Conclusion:This study revealed significant increase BNP in patients with (HF) and Serum BNP may have a significant diagnostic role in heart failure.Lipid peroxidation and oxidative stress is more prominent in patients with (HF) comparison to healthy individuals , and there is a disorder in antioxidant system in patient with heart failure .according to the levels of ceruloplasmin and transferring

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Article
The variation between Angiotensin-Converting Enzyme Inhibitors (A.C.E. Inhibitors) and Angiotensin II Receptors Antagonists (A.II R.A.), in C.O.P.Ds. and Hypertensive patients
مقارنة بين مجموعة مثبطات انزيم الانجيوتينسين ومثبطات مستقبلات انزيم الانجيوتينسين عند مرضى تضيق القصبات الهوائية المزمن وارتفاع الضغط الدموي

المؤلفون: Jawad F. H. Al-Musawi د.جواد الموسوي
الصفحات: 63-71
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الخلاصة

ABSTRACT This study reflects that both A.C.E. inhibitors and A.IIR.A. had been reduced the hypertension in a total 281 patients, that A.C.E. inhibitors had significant results 175(62.27%), more than A.IIR.A. 106(27.72%) in treatment of hypertension in those C.O.P.D. patients with ages ranged between (40-70) years old. Also, we found that there was some degree of serum lipids reduction in those patients which were treated by either A.C.E. inhibitors 22(8.185%), or by A.IIR.A.24(8.540%), with no significant different results in this reduction of serum lipids in both A.C.E. inhibitors and A.IIR.A..

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Article
Time based success in creation of initiative arterio-venous fistula for patients with chronic renal failure need haemodialysis
نجاح انشاء الناسور الوريدي الشرياني لمرضى الفشل الكلوي المحتاجين لغسل الدم

المؤلفون: Muayyad M. Almudhafer (F.I.B.M.S.) مؤيد المظفر
الصفحات: 72-82
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الخلاصة

ABSTRACT: Background : Patients with chronic kidney disease need permanent vascular access for hemodialysis and the best choice is by surgically created arterio-venous fistula. Artificial AVF is a challenging surgery because it carries a high failure rate with increasing morbidity and mortality. Objectives : to highlight the importance of time factor (the time interval between the establishment of CKD to the time of creation of AVF) as a predictor factor affecting the outcome of surgery. Methodology : a retrospective descriptive analytic study of 216 patients ( 124 male and 92 female) all with chronic kidney disease underwent surgical creation of AVF for hemodialysis in the vascular unit at Sader teaching hospital/Basra, south of Iraq from 1st of January 2010 to 30th of June 2012. Results : the overall success rate was 55.55% and the failure rate was 44.45%, the causes of failure in sequence were inadequate vein (51%), technical difficulties (16.6%), fistula thrombosis (11.6%), bleeding (9.4%), false aneurysm (7.3%) and distal ischemia (4.1%), the patients followed up after 24 hours, 1 week, 1 month and 6 months. Conclusion : the outcome of the surgery is affected by the time interval between the establishment of diagnosis of CKD and the time of surgical creation of AVF, the success rate is decreased with increasing time interval and become abrupt after 6 months, while the failure rate is increasing smoothly with increasing time interval with peak increase being after 6 months.

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Article
evalence of respiratory failure in medical intensive care unit in Slemani teaching hospital
نسبة وقوع عجز الجهاز التنفسي في وحدة الانعاش الطبي في مستشفى السليمانية التعليمي

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الخلاصة

ABSTRACT: Aim of study: to determine the prevalence and types of respiratory failure RF in patients admitted to Medical Intensive Care Unit (ICU) in Slemani Teaching Hospital. Patients and method: A descriptive study of (75) patients admitted to the Medical Intensive Care Unit (ICU) in Slemani teaching hospital between (the first of July 2012 and twenty eighth of February 2013), all patients had verbal consent taken and special questionnaire filled for each patient. Results: 75 patients with female predominate (female to male ratio 1.3:1) participated in this study, majority of them were in their seventh decade, more than half (52%) of the cases were obese (BMI >30). RF found in (81.3%) of the patients and (31) patients were type I respiratory failure. Conclusions: Most causes of admission to medical ICU were due to respiratory problems, respiratory failure found in more than (80%) of the cases. Obesity was found in more than (50%). Type I respiratory failure is commoner than type II.

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Article
EARLY COMPLICATIONS FOLLOWOING LAPAROSCOPIC CHOLECYSTECTOMY IN BASRAH GENERAL HOSPITAL
المضاعفات المبكرة ما بعد عملية استئصال المرارة بالناظور في مستشفى البصرة العام

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الخلاصة

ABSTRACT: Background: Gall stone disease is one of the commonly encountered diseases among the general population. Laparoscopic cholecystectomy has been replaced open surgery and it is now considered the "golden standard". Numerous complications might be encountered. Objectives: To assess and evaluate the specific early postoperative complications and its management and to assess the factors that might influence the development of such complication. Patients and methods: A prospective consecutive observational study was conducted in Basrah General Teaching Hospital from January 2011 to December 2011. All adult patients with symptomatic gall stone were included in this study. The entire demographic, preoperative, operative and postoperative patient's data were collected and evaluated. Results: A 546 patients were underwent laparoscopic cholecystectomy during the study period, 454(83.2%) were female and 92(16.8%) were males. The mean age were 40 years+/- 13.7. Gall bladder perforation with bile leak(with or without gall stone spillage) was the commonest intraoperative complication that occurred in 49(8.97%) patients. Intraoperative bleeding reported in 26(4.76%) patients. Intraoperative bile leak reported in 2(0.36%) patients. The conversion rate was 4.76% (26 patients).The commonest postoperative complication was wound related complication, which was reported in 13 (2.38%) patients. Using logistic regression analysis, we found that the age < 60years, male sex , acute gall bladder status, operation time < 60 min and usage of drain were influenced the development of intraoperative complication on the other hand all the factors failed to affect the development of postoperative complication.

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Article
The Relationship between Lumbar disc Prolapse and Flat Foot
العلاقة بين الانزلاق الغضروفي القطني وتسطح القدمين

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الخلاصة

ABSTRACT: Background: Lumbar dick prolapse (herniation) represents one of the most common problems that a neurosurgeon will be called upon to evaluate. It was estimated that 50% of working adult will experience back pain in any given year. Aim: 1. To alert the clinician of the relation between LDP and flat foot patient. 2. To encourage future studies on this subject to improve types of physiotherapy to treat those patients with flat foot. Materials and Methods: A retrospective study on 25 cases of flat foot patients who were scheduled for lumbar laminectomy were eligible for this study which was carried at the neurosurgical department of Al kadhimiya teaching hospital. Al mousawi private hospital and Al saadi private hospital during 5 yrs period between 2003 – 2008. Results: Age incidence had shown that in 60% of the cases the age was below 25 yrs. And 10 cases were above 25 yrs old in percentage of 40%.The most common sex incidence of lumbar disc prolapse on the flat foot patient was in the male more than female patient.The commonest level of the lumbar disc prolapse in the flat foot patients was L3/L4 60% of the cases, which were diagnosed by the MRI of the lumbar spines.

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Article
Comparative study in Bacteriological findings between the surface and the core of chronic infected Tonsils
دراسة مقارنة لتواجد الميكروبات في سطح ولب اللوزتين

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الخلاصة

ABSTRACT: Background: This study was conducted to elucidate the tonsil surface swabs versus core swabs bacterial cultures in relation to some selected variables in patients group with recurrent chronic tonsillitis of different age and sex groups in Basrah General Hospital. Aims of the study: The study was designed to determine if the surface swab is of benefit in prediction of the core bacteria in chronically infected tonsillitis, to identify the commonest causative organisms in the studied patients, to determine the prevalent bacterial etiology of chronic tonsillitis among both children and adults. Patients and Methods : A prospective study was carried out during the period from March 2012 till April 2013 at Basrah General Hospital ,Iraq. The total numbers of tonsillectomies specimen were 100 tonsils. Surface swabs and core swabs were sent for microbiological study and culture. Results: The overall proportion of surface swabs revealed pathogenic organisms was 40% of studied cases while core swabs detected pathogenic organisms was 58% of cases. Staphylococcus aureus was the commonest pathogen isolated from both surface and core of tonsils. Group A β hemolytic streptococcus was more common in children than in adults.

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جدول المحتويات السنة: 2014 المجلد: 8 العدد: 1