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: 2016 volume:11 issue:1

Article
PREVALENCE OF NON-COMMUNICABLE DISEASES AMONG GERIATRIC POPULATION IN AL- NASIRIYAH CITY 2015
دراسة شيوع الامراض الغير انتقالية بين كبار السن في مدينة الناصرية 2015-2016

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Abstract Objectives: To assess the extent of NCDs among geriatric people in Al- Nasiriyah city together with an assessment of general health status and the health care services provided to this segment of the population. Methodology: Analytical, cross-sectional study in form of household survey had been conducted in Al- Nasiriyah City, from 1 October 2015 to the end of August 2016. A multistage sampling involving 423 individuals aged ≥ 60 years as a representative sample. Results: The overall prevalence of chronic NCDs was 89%. The top five chronic diseases were hypertension (67%), diabetes (31.2%), musculoskeletal diseases (15.4%), heart diseases (11.1%), and cataract (12.8%). Prevalence of mutimorbidity (patient with two or more chronic diseases) was 59%. The main geriatric symptoms were vision problems (77.8%), feeling sad or depressed (36.4%), hearing problems (31.7%), falls (30%), memory problems (22.9%), and urinary symptoms (11.1%). Conclusion: The overall prevalence of chronic NCDs, mutimorbidity and geriatric problems among geriatric people of Al- Nasiriyah city was high, particularly cardiovascular diseases and diabetes alarming the need for actual and focused efforts in the field of prevention and improvement as well as strengthen the health care system particularly geriatric health care to reduce morbidity and to improve the healthy life years for elderly people.

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Article
Predictors of Helicobacter pylori infectivity, Using Stool Antigen Test in Al- Qurna
التنبؤ بعدوى الجرثومة المعدية الحلزونية باستخدام فحص مستضدات البراز في قضاء القرنة

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Aim: To identify predictors of Helicobacter pylori (H pylori) infectivity, Using stool antigen test with its correlations to epigastric abdominal pain and other gastrointestinal symptoms. Patients &methods: Patients from Al Qurna presented to private clinic with epigastric abdominal pain each of them has been screened for H pylori via stool antigen test, after evaluations of other causes of abdominal pain. Data analysis was carried out using SPSS version-15 Results: a total of 254 patients 142 (55.9%) were males and 112 (44.1%) were females were studied. H pylori stool antigen was positive in 69 (27.2 %) and negative in 185 (72.8%) of the studied patients. Gastrointestinal symptoms that were observed included weight loss, loss of appetite (3.6%), heart burn (60.6%), vomiting (28.3%), diarrhea (7.1%), constipation (15.4%) and abdomen distension (24%). In 59.3% of the H. pylori antigen positive cases, the duration of epigastric pain was of >two weeks. Conclusions: logistic regression analysis indicated that epigastric abdominal pain of > two weeks and loss of appetite were two significant predictors of H. Pylori infection.

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Article
SCREANING STUDY FOR THE PREVALENCE OF EMOTIONAL AND BEHAVIORAL PROBLEMS AMONG SCHOOL CHILDREN IN IRAQ
دراسة مسحية لدرجة شيوع المشاكل السلوكية والعاطفية بين طلبة المدارس في العراق

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ABSTRACT BACKGROUND Child& adolescent psychiatric disorders are common and treatable, but oftenly go undetected therefore, remain untreated. Epidemiological information about prevalence of child mental health problems is essential to inform policy and public health practice. There have been few such studies in Arab countries and few in Iraq. PATIENTS &METHODS A sample size of 300 students 150 male & 150 female were chosen randomly at ages between 15-17 years and were asked to complete the strengths & difficulties questionnaire. The parents were asked to complete other version of strength and difficulty questionnaire. The study was carried out in the centre of Baghdad city in AL-Karrada sector in secondary schools. By using the multi informant method for strengths and difficulties questionnaire, Using 2 tools -Strengths & difficulties questionnaire (SDQ) in 2 versions one for students & one for their parents (informant). -Iraq trauma questionnaire presents only for students. RESULTS Total difficulty score in student's report was (16%), while in parent's report was (26.33%). Emotional problems in females were the highest (30.66%), prosocial problems were the lowest (4%). In male, conduct problems were (12%) which is the highest one, while the peer problems were the lowest (3.33%). From all students (63.66%) were exposed to traumatic events. From these, (44%) of them witnessed car explosion, (47.33%) has 1-2 traumatic events in the past 11 years. Hundred percent of female who exposed to 5& more events has emotional & behavioral problems. Hundred percent of male who exposed to 7& more events has emotional & behavioral problems CONCLUSIONS The emotional problems in females and conduct problems in males the highest & needs more attention& management. Increasing number of traumatic events will increase the emotional& behavioral problems in children.

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Article
Relationship between carotid atheroma thickness and albuminuria in diabetic patients
العلاقة بين تصلب الشرايين السباتي والبول الزلالي عند مرضى داء السكري

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Our aim in this study to assess the efficacy of albuminuria in type 2 diabetes mellitus to be as predictor and independent marker of atherosclerosis by measurement of carotid intimal-medial thickness (CIMT) by high frequency ultrasonography. One hundred twenty participants in this study, 45 as a control healthy person and the others 75 patients with type 2 diabetes mellitus were included in this study. We divided into three groups: group 1 which is the control group, and group 2 those patients who are the diabetic without albuminuria, and group 3 are the diabetic patients with albuminuria. The intimal-medial thickness (IMT) was measured by high frequency ultrasonography. Other laboratory investigations were measured like HbA1c, fasting blood sugar, lipid profile. The intimal-medial thickness (IMT) was found higher in group 3 than group 1 and group 2 (P value < 0.05). In conclusion, there is a significant association between micro- albuminuria and IMT as a marker of atherosclerosis in type 2 diabetes mellitus.

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Article
Pseudoexfoliation syndrome, ocular and systemic associations.
متلازمة التقشر الكاذب ومتعلقاتها العينية والجسمية

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Abstract Background: Pseudoexfoliation syndrome (PXF) is a recognized risk factor for developing cataract, glaucoma and lens dislocation. PXF also associated with increased risk of vascular disorders and hearing loss, this study aims to assess the prevalence of this syndrome among patients (>40years) attend ophthalmology clinic in Diwaniyah teaching hospital with emphasis to both ocular and systemic associations. Methodology: 2680 patients age more than 40 years who attend the ophthalmology clinic in Diwaniyah teaching hospital for the period from July 2013 to January 2015were recruited by the researchers , detailed systemic and ocular history are taken, detailed ophthalmological examination done including visual acuity testing, refraction, slit lamp bimicroscope examination, applanation tonometer and gonioscopy, dilated examinationof the lens using the LOCS II grading system for cataract and fundus with optic nerve examination. All the patients have been sent for the ENT department for hearing examination and assessment, also send for the internal medicine department for detailed cardiovascular examination and risk assessment. Results: Out of 2680 patients who enrolled in this study, 216 had PXF so the percentage of PXF will be 8% in patients above 40, Mean age of the patients is 65.43+13.94 years, range 41 to 93 years, PXF is associated with increased incidence of cataract (50,46%), glaucoma (8,9%), hearing loss (11,57%), Hypertension (36,57%) and DM type II (38,69%). Conclusion: PXF appear to be a common disease in Iraqi population, PXF is significantly associated with increased incidence of cataract,

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Article
Endothelial nitric oxide synthase (eNOS) 4b/a gene polymorphism and the risk of diabetic nephropathy in type 2 diabetes
علاقة اوكسيد النتريك جين (VNTR) مع أخطر اعتلال الكلية السكري عند مرضى السكري نوع 2

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Diabetic Nephropathy (DN) poses a major health problem. There is strong evidence for a potential role of the eNOS gene. The aim of this case control study was to investigate the possible role of genetic variants of the endothelial Nitric Oxide Synthase (eNOS) gene (VNTR) in the pathogenesis of nephropathy in patients with diabetes mellitus. The study included 196 subjects (145 T2DM and 51 normal controls) T2DM were classified into 2 groups: 97 diagnosed with DN, and 48 diabetics without nephropathy and hypertension as +ve control. Randomly selected was conducted to assess the association of SNP eNOS intron 4a/b VNTR polymorphism gene with diabetic nephropathy in Iraqi population. Blood samples from subjects and controls were analyzed to investigate the eNOS genotypes No significant differences were found in the frequency of eNOS genotypes between diabetic patients (either in group 1 or group 2) and controls (p >0.05). Also, no significant differences were found in the frequency of eNOS genotypes between group 1 and group 2 (p >0.05).

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Article
Human parvovirus B19 IgM antibodies among blood donor in Basra
مستضد فايروس البارفو البشري بين متبرعين الدم في البصرة

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One of the main methods for B 19 Parvovirus transmission is by blood and its products. Screening test for this virus is not yet applicable; in spite of its association with some sever complication. So that the aim of this study was to estimate the level of HPVB19 IgM antibodies among blood donor in centre of Basra. A total of 189 blood samples were drawn from healthy blood donor attending the blood bank in Basrah governorate from the period of January –May 2016. Detection of parvovirus B19 IgM antibodies was done using a solid phase enzyme-linked immunosorbent assay. In this study the researcher found that highest seropositivity were found among age group 30-39 years (62.6%) and the lowest level among those above 40 years (0%), with overall prevalence of IgM 51.1% this high percentage may related to the time of sampling which coincide with the maximum period of infectivity which was more common in late winter, spring, and early summer. Regarding the association between ABO blood groups and susceptibility to infection: the rate of infection more among those with blood group O+ and B+ (54.9%) and (27.5%) respectively this is depend on the availability of blood antigen P which act as receptors for this virus, and highest level of HPV IgM was found among the taxi drivers so in conclusion: Screening for B19 virus antibodies is recommended together with other viruses which transmitted by blood transfusion to avoid transmission of this important virus to vulnerable risky group.

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Article
Value of d-dimer test in diabetic patients as predictive disease.
قيمة فحص D-Dimer بين مرضى السكري كعامل تنبؤ لأمراض الشرايين التاجية

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Article
MANAGEMENT OF LUNG HYDATID DISEASE: REVIEW OF 100 CASES FROM THI-QAR / IRAQ
علاج الاكياس المائية في الرئة استعراض 100 حالة من محافظة ذي قار

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Abstract Objective: To present the advantages of elimination of the residual cavity after lung hydatid cyst removal by capitonnage associated with closure of the bronchial openings and partial pericystectomy via thoracotomy and to compare our study made at Al – Hussein Teaching Hospital in Thi-Qar governorate with those done in other centers and hospitals in Iraq and outside our country. Patients: This is a retrospective study of 100 patients for whom thoracotomy for lung hydatid cyst(s) was carried out over a period of about three years (from 1st of January 2013 till 1st of February 2016). Methods: The case sheets of relevant patients for whom thoracotomy for lung hydatid cyst(s) were carried out were reviewed to collect information like patient's sex, age, nature of surgery, method of obliteration of residual cavity after removal of hydatid cyst(s), etc… Results: All patients were admitted into Al-Hussein teaching hospital and thoracotomy was done for all of them regardless the age. Most of our patients suffered only from lung hydatid cyst(s) and several patients had also concomitant liver hydatid cyst(s) for which phrenotomy was carried out at the same session of thoracotomy to deal with the liver hydatid cyst(s). This concomitant phrenotomy to deal with the liver hydatid cyst(s) made the patient in no need for another surgery (laparotomy) in the future and the number of incisions and operations. A large number of our patients had no or mild symptoms at time of examination. Higher number of patients had cough and several patients complained from hemoptysis. All patients were exposed to chest X-ray, chest CT – scan and abdominal U/S before surgery. During the operation, the hydatid cyst(s) was/were removed and the evacuation technique was most commonly applied and lobectomy was very rarely carried out. After removal of hydatid cyst(s), the residual cavity was mostly obliterated (capitonnage) to prevent collection of blood, exudate and possibly pus inside residual cavity and to seal the bronchial fistulae completely and ensure rapid expansion of lung.

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Article
Evaluation of the effect of some antibiotics on amoxicillin resistant bacteria isolated from middle ear infection: A comparative study
تقييم تأثير بعض المضادات الحيوية على البكتريا المقاومة للاموكسيسيلين والمعزولة عن عدوى الاذن الوسطى

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Background: otitis media is one of the leading causes to loss of hears if left untreated. Its fundamental antibiotic is amoxicillin that is widely exposed to bacterial resistance. Alternatives such as cephalosporins have been become mandatory. Objects: firstly is to define the predominant bacteria that isolated from ear discharges. Secondly and most importantly is to evaluate susceptibility of bacterial isolates to each of amoxicillin, cefotaxime, ceftriaxone, and cefixime. Thirdly is to compare bacterial response to above antibiotics among each other. Methods: this study carried out on fifty nine infected patients with otitis media who consulted physicians at ENT department in Al-Habboubi General Hospital in Nasiriyah city from March 2014 to June 2014. Under aseptic conditions, all bacterial culturing and susceptibility tests were done. Collected data were entered into SPSS 19 and translated as o table and figures. Results: a total of 59 patients with a mean age of 25.53 ± 16.195 years were included in this study. It showed that Pseudomonas aeruginosa was a predominant (42.4%) followed by Staphylococcus aureus (37.3%). The susceptibility of Pseudomonas aeruginosa was the highest (40%) to amoxicillin and cefixime among whole used antibiotics. Staphylococcus aureus was highly sensitive to cefixime by 90.9% but amoxicillin revealed a lowest sensitivity (13.6%). Half of E. coli isolates witnessed sensitivity by both of cefotaxime sodium and cefixime. Enterobacter spp. isolates were completely sensitive (100%) to cefotaxime sodium and ceftriaxone. Lastly Proteus spp. was susceptible by all studied antibiotics. Cefixime was the most effective antimicrobial agent with susceptibility of 61% while amoxicillin had the lowest effectiveness (24%). Conclusion: The need to search new antibiotic became urgent due to prevalence of amoxicillin resistant bacteria.

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Article
Retrospective study of ocular trauma in Thi-Qar city
دراسة استرجاعية لحالات اصابات العين في مستشفى الحبوبي التعليمي في ذي قار

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Purpose: To review the epidemiology of serious ocular trauma presenting to Habobi teaching Hospital in Thi-Qar city. Methods: This is a retrospective epidemiological study of ocular trauma patients admitted to Habobi teaching hospital during a three-year period (January2013-January2016). Cases were analyzed with respect to: (1) demographics, (2) time, place, activity during trauma and cause of trauma, (3) examination finding. Results: five hundred and ten patients (five bilateral injuries) sustaining serious ocular injury requiring hospitalization were included during the study period. 65.5% of ocular trauma occurred in men (P < 0.001 chi-square test) with an average age of 23 years (ranging from 2 months to 65 years). There were 415 (81.3%) open globe injuries and 95 (18.7%) closed globe injuries. In open globe injuries, it is shown that 40% had corneal wound, 6.6% had limbal wound, 24% had scleral wound, 27.8% had corneoscleral wound, 37% had iris prolapse, 20.5% had traumatic hyphema, 29.4% had traumatic cataract, 9.8% had IOFB, and 1% had perforating injuries. Of the closed globe injuries, 6.6% of patients had traumatic hyphema, 4% had traumatic cataract, 2.7% had subconjunctival hemorrhage and conjunctival tear, 1.9% had sublaxated lens, and 1.5% had corneal intrastromal

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Article
Hospital Treated Head injury in Basrah: clinical and epidemiological aspects
اصابات الرأس المعالجة داخل المستشفى في البصرة/دراسة سريرية وبائية

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Background: Head injury still one of the major causes of morbidity and mortality worldwide. From this point every city should have its own study and evaluation for this problem. Objectives: To study the clinical and epidemiological aspects among a sample of head injury patients admitted to Alsadr teaching hospital in Basrah. Subjects and methods: All head injury patients were hospitalized in Al-Sadr teaching Hospital between February 2014 and February 2015 under the supervision of the author were enrolled in this study. Demographic, etiologic, injury and it is outcome data were collected. A descriptive analysis was performed. Results: The study included 133 patients. Males comprised 77% of all patients with head injury. Most of them were with private job. Most of the patients were children (40.6 %). Road traffic accident was the most common cause for head injury (62.4%). An increased trend of injury was noticed during winter. Clinically, mild head injury patients with Glasgow coma scale 14-15 was the biggest group (41.3%). Brain CT was positive in 42% of patients only with a brain contusion as a commonest finding, facial nerve was the commonest cranial nerve affected, (9%) ends with surgery, intensive care unit admission was (34%), In- hospital mortality was (7.5%). Conclusions: Males and those in their reproductive age (16-45 years) were mostly affected by head injuries. Road traffic accidents were the most common cause of head injuries in Basrah. Thus legislation for the implementation of protective laws and programs is urgently needed.

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Article
Frequency of early postoperative complications of breast cancer following modified radical mastectomy
المضاعفات المبكرة بعد استئصال الثدي والابط لمعالجة سرطان الثدي

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Background: Breast cancer is a common cancer in female and many surgical options are undergone for its treatment. Modified radical mastectomy with axillary clearance is one of the common options with certain early and late postoperative complications. We conducted a retrospective study to evaluate the pattern of early postoperative complications of established breast cancer women. Patients and methods: A total of one hundred and fifty patients were seen in AL-Fayhaa General Hospital between the period of November 2008 and June 2014, entered the study and those were analyzed in terms of general patient data in respect to age as well as analysis of early postoperative complications regarding seroma, lymphedema, wound infection, parasthesia, hematoma, hemorrhage, flap necrosis and muscle paralysis. Results: Age factor was analyzed in a study cases which showed a highest case frequency in the age group of 36 -40 years old as compared to a lowest figure in the group of less than 25 years old. Early postoperative complications were seroma, lymphedema, wound infection, parasthesia, hematoma, hemorrhage, flap necrosis and muscle paralysis with their frequencies of 56, 37, 17, 18, 2, 0 , 8, 3 and 3 of total number respectively. Conclusion: Early postoperative detection of breast cancer related surgical complications is essential through appropriate postoperative care.


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Assessment of Heavy Metals (Cd, Fe, Cu and Zn) levels in Oreochromis aureus and Cyprins Carpio fish species collected from Shat El-Arab River, Basra-Iraq, as possible indicator of heavy metals toxicity
قيم مستويات المعادن الثقيلة(الكادميوم،الحديد،النحاس والزنك) في اسماط البلطي واسماك الكارب التي تم جمعها من نهر شط العرب في البصرة/العراق،كمؤشر لدرجة سمية العناصر الثقيلة

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Abstract Introduction: Environmental pollution caused by heavy metals has aroused widespread concern around the world. Fishes consider a connecting link for the transfer of toxic metals in human beings. Shatt AlArab is polluted by some different sources of pollutants including power stations, paper industry, oil refineries, and chemical fertilizer companies and overfishing. Accordingly the study was designed to measure Zn, Cu, Fe and Cd concentrations in the scale, bone, and muscle tissues of Bolti (Oreochromis aureus) and common carp( Cyprins Carpio) fish species in Basra, Iraq. Fishes were collected with the help of local fisherman; ten individuals of each species were stored in ice and transported to the laboratory immediately for heavy metals analysis. Results: Zn concentration significantly high in Bolti compared to carpio, Cu level in bones and scales are significantly high in common carpio while muscles show an opposite result. Iron levels are comparable in in both fish species while Cd shows the highest concentration in bone of carpio species. Conclusion: there were variation in heavy metals distribution in tested organs in both fish species, fortunately Zn, Cu, Cd and Fe concentrations in the edible part of the two fish species were below the limits proposed by various international standards and guidelines with significant increase in Cd concentration in fish’s bones.


Article
Use PCR technique to detect the infection with Trichomonas vaginalis among women with preterm labor
استخدام تقنية تفاعل البلمرة التسلسلي في الكشف عن طفيلي المشهرة المهبلية (Trichomonas vaginalis) بين النساء ذوات الولادة المبكرة

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The aim of the following study was to explain the association between the infection with Trichomonas vaginalis and preterm labor between women with preterm labor in Nassiriyah city south of Iraq by PCR technique. The results revealed that T. vaginalis has a role or co – factor in causing of this action among pregnant women through the reporting about 4.8% of infection with T. vaginalis among this female.

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Stopping power and straggling of H (proton) and He (helium) in solid targets (Au, AL, K, Cs)
الايقاف والتطوح للبروتون والهليوم في المواد الصلبة

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Abstract: Stopping power and straggling have been calculated by using Random Phase Approximation (RPA) at low velocity at the first and second approximation order, where the influence of damping has been ignored. At high velocities of a projectile, Plasmon Pole Approximation (PPA) has been used to calculate them without damping. In this research, we discuses interaction of protons H and helium He with solid matter Au (rs=1.49 a.u.), AL (rs=2.12 a.u.), K (rs=4.86 a.u.) and Cs (rs=5.88 a.u.) in different adverbs. The results were obtained in all areas of the present work showed a good agreement with the previous works for stopping power and variance in energy loss (straggling). The results also showed detailed behavior of (H and He) of its interactions with four electron gas targets medium. The results have been achieved by using programs of matlab language, which performed for the numerical calculation. Introduction A heavy ion passing through a target of convinced thickness will suffer a number of collisions with the atoms and electrons of the target. There is amount of energy will be transferred to the target atom and electron in each collision. Because the collisions are random and discrete, statistical fluctuation is expected in the number of collisions. [1, 2] variance of stopping power will be studied because of the statistical nature for the stopping power quality. The threshold effect describes the energy loss and straggling in a single crystal in channeling they found a mass effect between channeled protons and neutrons in the relative straggling values. [3, 4].

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Table of content: volume:11 issue:1