Table of content

Medical Journal of Babylon

مجلة بابل الطبية

ISSN: 1812156X 23126760
Publisher: Babylon University
Faculty: Medicine
Language: English

This journal is Open Access

About

Medical Journal of Babylon (MJB) is a quarterly medical journal concerned with clinical and basic medical researches. MJB follows the Publication Ethics Statements suggested by Committee on Publication Ethics (COPE) and International Committee of Medical Journal Editors (ICMJE).

Loading...
Contact info

العنوان البريدي: العراق-محافظة بابل- الحلة –ص ب 473 جامعة بابل –كلية الطب – مجلة بابل الطبية
عنوان البريد الالكتروني medjbabylon2004@gmail.com

Table of content: 2017 volume:14 issue:2

Article
Molecular Detection of Chlamydia Trachomatis In Women with Bad Obstetric History

Loading...
Loading...
Abstract

Bad obstetric history is multifactorial common female genital disorders. A significant percentage of cases are attributed to infectious agents, of which Chlamydia trachomatis attracted less attention. This study aimed to assess the role of Chlamydia trachomatis in a sample of Iraqi women with bad obstetric history using molecular methods. This case-control study recruited 100 women with bad obstetric history (referred as cases onward) and 40 age-matched apparently healthy women as controls. Bacterial DNA was isolated from homogenized placental tissues obtained from each participant post-delivery. The 16S ribosomal gene of the Chlamydia trachomatis was amplified with specific set of primers using conventional PCR. Twenty-Three placental samples (23%) gave positive results for gene amplification from cases, while none of women in control groups gave such a result. The infection rates were significantly higher in 31-39 age group, aborted women in the first trimester and in women with more than 4 pregnancies compared to other age groups, women aborted in the trimester, and women with 4 or less pregnancies respectively. These data highly suggested the association of C. trachomatis with bad obstetric history. Screening program for detection of these bacteria in pregnant women should be considered.


Article
Cytotoxic T-Lymphocyte Associated Antigen-4 (+49A/G) Gene Polymorphism as a Protective Factor against Toxoplasmosis

Authors: Risala Hussain Allami
Pages: 240 -246
Loading...
Loading...
Abstract

Cytotoxic T-Lymphocyte Associated Antigen-4 (CTLA-4) is a key factor in immune regulation. Polymorphisms in CTLA-4 gene may influence the status of this factor and eventually the immune response of host against the infectious agents. This response becomes of particular importance in cases when the pathogen is an opportunistic such as Toxoplasma gondii. This study aimed to explore the effect of CTLA-4+49A/G single nucleotide polymorphism (SNP) on the susceptibility to toxoplasmosis in women. Genomic DNA was isolated from 59 women with toxoplasmosis and aged matched 60 Toxoplasma-free women as controls. Tetra-Primer Amplification Refractory System-Polymerase Chain Reaction (ARMS-PCR) was used for amplification and genotyping of CTLA-4 gene using specific primers. The heterozygous genotype (AG) and G allele of the polymorphism CTLA-4+49A/G were less frequent among cases (17.12% and 16.95% respectively) than controls (40% and 35% respectively) with significant differences (OR=0.379, 95%CI=0.206-0.697, P=0.002). These data strongly suggested the protective role of CTLA-4+49G against toxoplasmosis among Iraqi women.


Article
The Outcome of Lumber Discectomy: A Comparative Study of Fenestration Discectomy Versus Hemilaminectomy and Discectomy

Authors: Ali Abd-Alnibi Alwan Al-Tamimi
Pages: 247 -259
Loading...
Loading...
Abstract

Lumber disc prolapse accounts for only 5% of all low back pain problems but is the most common cause of radiating nerve root pain which called sciatica. In the 20th century, techniques were developed to remove the herniated disc with minimal invasiveness, with these minimally invasive techniques; authors demonstrated decreased soft tissue manipulation, operative time, blood loss, and hospital stay, allowing early recovery. This is a prospective study carried in Sulaimaniyah Teaching hospital for 111 patients (72 male and 39 female) complained from lumber disc prolapse from May 2010 till May 2015. Two different surgical discectomy procedures were done to these patients as follows: 1-Fenestration discectomy was performed to 53 patients through 2-5 cm skin incision. 2-Hemilaminectomy and discectomy had done to 58 patients through skin incision 4-7 cm. The patients were evaluated preoperatively and 6 months postoperatively by PROLO score. 111 patients (72 male and 39 female with ratio 1.8:1) underwent surgical discectomy. The mean age of the patient was 36.2 + 6.2 years. 53 patients (47.7%) underwent fenestration discectomy. The operation time was ranging from 48 – 92 minutes with mean operative duration 69.13 ± 8.96 minutes. The mean hospital stay was 1.31 ± 0.73 days ranging from 16 hours to 3days. According to PROLO score, fair results were reported in four (7%) patients while good result obtained in 12 patients (23%) and 37 patients (70%) showed excellent result. No patient expressed poor result. 58 patients (52.3%) underwent hemilaminectomy and discectomy. The operation time was ranging from 56 – 103 minutes with mean operative time 78.66 ±10.31 minutes. The mean hospital stay was 2.46 ± 1.42 days ranging from 1 day to 10 days. According to PROLO score, 9 patients (16%) obtained fair results while good results obtained in 15 patients (26%) and excellent results founded in 34 patients (58%). No patient showed poor results. Duration of the operation and hospital stay were significantly shorter in fenestration discectomy group than hemilaminectomy and discectomy one (P value less than 0.001). Through PROLO score both procedures showed significant improvement postoperatively in both economic and functional assessments. Most of our patients gain excellent results according to PROLO score in both surgical procedures.In this series 92% of patients treated with fenestration discectomy improved postoperatively with good or excellent score, while 85% of the patients treated with hemilaminectomy have that improvement. Both fenestration discectomy and hemilaminectomy with discectomy showed the same final postoperative outcome but the fenestration discectomy is superior since the operation duration, hospital stay are less and overall improvement is relatively better.


Article
Prevalence Some Pathogenic Bacteria Causing UTI in Diabetic Patients In / Specialized Center For Endocrinology and Diabetes of Baghdad City–Iraq

Loading...
Loading...
Abstract

Urinary tract infections (UTIs) are caused by microorganisms but Bacteria are the most common cause when they overcome the natural defenses and causing infection, especially in patients with diabetes mellitus and its may present as asymptomatic bacteriuria, leading more serious infections. The aim of this study was to assess the prevalence of bacteria causing UTIs among diabetic patients. Collected one hundred and seventy five samples of sera and urine form diabetic patients with & without UTIs were studied from the specialized center for Endocrinology and diabetes All urine samples were tested by General urine examination (G.U.E) in addition to urine culture. On MacConkey and blood agar then identify the presence of the bacteria. Urinary tract infection increased with aging and increase percentage of UTI among individuals above 40 years so, high incidence of UTI among diabetic females (75%) rather that in diabetic males (25%). prominent UTI among females (68.8%) rather than males (31.1%) either diabetic or non-diabetic patients, as well as prevalence of smoking among males (74 %) than females (26%), So, Escherichia coli (15 isolates) most of them (13 isolates) in the urine sample of type II D.M particulary, the elderly ≥40 years females (11 isolates), and conclude from this study the duration of diabetes can affect the development of complication especially UTI complications, where their prevalence increases with longer duration of disease,Women with diabetes have more frequent and more sever UTI, and Escherichia.coli was the most common pathogen isolated in both groups.


Article
Association of Adiponectin , Oxidative Stress, and Obesity in Asthmatics children

Loading...
Loading...
Abstract

There is an increasing evidence of a positive correlation between asthma and obesity in children and adults. Adipokines regulate several metabolic and inflammatory functions. Several studies have shown that reactive oxygen species (ROS) play a key role in initiation as well as amplification of inflammation in asthmatic airways. This study is to highlight the oxidant-antioxidant imbalance in relation to adiponectin level in asthmatic children in Hilla province of Babylon. Adiponectin , glutathione , total antioxidant and malondialdehyde were measured in 100 children; 60 newly diagnosed with asthma and 40 non asthmatic children with the comparable age and sex were enrolled in this study. Asthmatic children subdivided in two groups 30 patients in each group( obese and non-obese). Ages of patients and control ranged between (2years -12 years). The study was carried out in Babylon Teaching Hospital for Gynecology & Pediatrics in Babylon Province. Adiponectin and total antioxidant were estimated by ELISA technique, glutathione by HPLC and malondialdeheyde by spectrophotometer. There was a negative significant correlation between adiponectin with glutathione and positive significant correlation between total antioxidant and malondialdehyde. The results revealed the existence of an oxidant-antioxidant imbalance among obese asthmatic children, in parallel to changes in adepokines level.


Article
Determination of Immune Markers in Renal Disorders Throughout Biological Therapy of Rheumatoid Arthritis

Loading...
Loading...
Abstract

This study was conducted to investigate the serum level of C-reactive protein, erythrocyte sedimentation rate, creatinine, glomular filtration rate, tumor necrosis factor-α (TNF-α) and interlukin-6 (IL6) in rheumatoid arthritis patients associated with renal impairment treated with antiTNF-α. This study included "two groups; 54 patients with rheumatoid arthritis treated with Etanercept (Enbrel) 50mg and 58 patients with rheumatoid arthritis on treatment other than Anti TNF-α as a comparative"group. The results showed that renal function tests of rheumatoid arthritis patients who received Anti TNF-α were different, before and"after treatment. A "significant decrease in the value of creatinine and in the level of GFR after 6 months of treatment was observed"(P≤ 0.0001). The erythrocyte sedimentation rate, C-reactive protein, interlukin-6 and TNF-α increased in rheumatoid arthritis patients with renal disorders before biologic therapy compared with the comparison group who were on treatment other than Anti TNF-α. Following the administration of Anti TNF-α"therapy. These inflammatory parameters were significantly diminished in the rheumatoid arthritis patients after the therapy. The treatment with Anti TNF-α seems to be a factor in restoring the levels of the inflammatory immune markers.


Article
Evaluation of Eating Disorders In Elderly With Metabolic Syndrome

Authors: Hadeel Fadhil Farhood
Pages: 290 -299
Loading...
Loading...
Abstract

Eating disorders are a heterogeneous group of complicated psychological disorders that manifested by abnormal ingestion behaviors like bulimia nervosa and bing eating disorder which result in increased risk of morbidity, or maybe mortality. Metabolic syndrome frequently increase with age, creating its diagnosis is necessary due to increased risk of many diseases. Certain eating behaviors were related to metabolic syndrome. To determine the prevalence of metabolic syndrome in elderly and to explore eating disorders in elderly persons with metabolic syndrome. Crosssectional study including (175) patients over 60 years old in Babylon province , Iraq , from August 2016 to February 2017.Data collection tools included: Structured questionnaires, anthropometric measurement and Biochemical investigations. From a total sample (175), 81(46%)of the elderly has been diagnosed as metabolic syndrome, 28 out of 81(35%) of them had eating disorders ,11 (39%) met criteria of bulimia nervosa and 17(61%) reported Bing eating. There was significant association between two groups "with and without eating disorders " regarding age ,gender , marital state and educational level Prevalence of Eating Disorders in elderly with metabolic syndrome is high . binge eating is more common than bulimia nervosa.


Article
Effect of Monomer Inhalation on The Lung Function Volume of Dentistry Female Students By Using The Spirometer

Loading...
Loading...
Abstract

The aim of this study was focused on the adverse effects of the poly methyl methacrylate monomers on the physiological lung functions. The total number of female students were 42 with range of age from 20-22 years. The lung function was measured by using a standard protocol and spirometry to measure (FVC), (FVC1), (FVC1/FVC), AND (PEF). The participants was exposed to monomer in prosthetic laboratory and immediately the test was repeated after exposure to the monomer, then the lung function test was repeated to measure the delayed post-work effect of monomer. The largest differences in the mean and standard deviation of the FVC and PEF between the pre-work and the measurement after the inhalation of the monomer immediately. FVC was significantly lower (p <0.05) in student after work with mean (2.3891±0.60623) than pre-work mean (5.7577±1.88277) .FEV1 show significant decrease (P<0.05) in student after work with mean (2.4782± 0.70515) than pre-work mean (4.5291± 1.39558) .Ratio of FEV1/FVC was significantly lower (P<0.05) in student after work with mean (65.7818±8.26448) than pre-work mean (87.6864±6.92760),but it will return after 4 days with mean (84.3759±9.85705) and the result was non-significant between pre- work and after 4 days . The effect of monomer in airway passage for the subject which exposed for one time causes obstruction and restriction but temporary effect and started to decrease or loss after 4days but if continuous exposure to monomer that given obstruction or restriction to airway passage and may lead to any respiratory problem.

Keywords

Monomer --- inhalation --- lung --- function --- volume --- dentistry --- students --- spirometer.


Article
Reporting Fine Needle Aspiration Cytopathology (FNAC) of Thyroid Lesion Per Guidelines of Recent Bethesda System For Reporting Thyroid Cytopathology Markedly Reduces Number of Un Necessary Thyroidectomies

Loading...
Loading...
Abstract

Estimation of accuracy of fine needle aspiration cytopathology (FNAC) of thyroid in diagnosis of different thyroid lesions, and evaluation of the value of reporting FNAC per guidelines of Bethesda system in reducing the number of un necessary thyroidectomies. This is a case control prospective study conducted on 221 patients with thyroid nodule[s]. Patient were recruited to Cytopathology Department, Al-Yarmouk Teaching Hospital in the period from January 2014 to March 2017. Results of FNAC were reported per recent Bethesda System for Reporting of Thyroid Cytopathology (TBSRTC). Final diagnoses were determined by histopathology of surgically removed thyroid tissues. Females were more than males with a ratio of 5.31/1, median age was 45.67±3.1 years. Twelve of cases (5.43%) categorized as nondiagnostic/ unsatisfactory samples, 128 (57.92%) as benign, and 29 (13.13%) as atypia of undetermined significance/atypical follicular lesion of undetermined significance (AUS/AFLUS), 34 (15.38%) as follicular neoplasm/suspected follicular neoplasm (FN/SFN), 5 (2.26%) as suspicious for malignancy, and 13 cases (5.88%) as malignant. Histopathology found 2 cases from cytopathological benign category, 7 from AUS/AFLUS, 11 from FN/SFN, 3 from SFM, and twelve from malignantcategory to be malignant. FNAC achieved a sensitivity of 85.71%, specificity of 99.21%, positive predictive value of 92.31%, negative predictive value of 98.44%, and total accuracy of 97.87%. Reporting thyroid cytopathology per Bethesda system increases sensitivity, specificity, accuracy of thyroid cytopathology, increases understanding of reporting system by clinician, improves management plans, and reducing number of un necessary thyroidectomies.


Article
Effect of Nd: YAG Laser Irradiation on The Non-Enzymatic Anti-Oxidative Marker (Uric Acid) in Patients with Diabetes Mellitus (DM)

Authors: Zina Tariq Ali
Pages: 317 -321
Loading...
Loading...
Abstract

Either scattered or absorbed, the laser light when entered a biological tissue based on how the photon is distributed in the target tissue, and the effect of radiation is determined by absorption. Antioxidants can protect against damage induced by radiation. Uric acid has an excellent antioxidant capacity in prevention and reduced severity of diabetic complications. This study aims to conduct an assessment over the effect of Nd: YAG laser irradiation on the level of scavenging system marker (uric acid)) in blood samples taken from diabetic patients and apparently healthy control individuals. Serum uric acid was assessed by enzymatic colorimetric test before and after irradiation by pulsed Nd: YAG laser in diabetic patients (n=102)) as compared with control (n=97)) at wave length (1064 nm)) 25 pulse with energy (700mJ)) in diabetic patients and healthy control with age range 20-70 for both groups. Serum uric acid level after Nd: YAG laser irradiation was significantly higher than those without irradiation for control group (P< 0.001)) and its level after irradiation was significantly lower than those without irradiation for diabetic patients (P< 0.01)). Before laser irradiation, a significant difference occurred between both samples: (Patients and control (P< 0.05))), but the results showed highly significant differences in uric acid level after irradiation based on Nd: YAG laser for control and diabetic samples (P< 0.001)). An effect of Nd: YAG laser irradiation on uric acid concentration values as a scavenger parameter in control which is highly significant altered after irradiation, meanwhile, a significant decline occurred in its level among diabetic patients after irradiation.


Article
Salivary Gland Lesions In Erbil: A Clinicopathological Study With Particular Reference To Gender, Age of Patients, and Site

Authors: Layla Muhammad --- Saman Salah Al-Deen Abdulla
Pages: 322 -329
Loading...
Loading...
Abstract

This is a retrospective study; 204 cases of salivary glands were collected from the archives of the histopathology departments of Rizgary Teaching Hospital and private laboratories in Erbil, Kurdistan region of Iraq in the period between 2010 and 2015. Data to be analyzed included sex, age of the patients, exact histological diagnosis and anatomical location as documented in the histopathology report. The pathologies were classified into inflammatory, benign and malignant neoplasms. 116 of 204 cases (56.86%) were males and 88 (43.14%) were females with (M: F ratio 1.32:1). The age range was 9-75 years; the mean age was 38.03 years. Peak incidence for neoplastic lesions was within the age group (21-30) years for both sexes, while for inflammatory lesion the mean age was under 20. Inflammatory lesions represented 19.60% of cases and the rest (80.39%) were neoplastic, of which 69.60% were benign and 10.78% were malignant. The commonest benign neoplasm was pleomorphic adenoma and Adenoid cystic carcinoma was the commonest malignant tumor, the most common site was the parotid gland (75% of malignant cases).


Article
Outcome of Hydroxyapatite Crystals as Bone graft Subistitute in Benign Lytic Lesions of Bone

Loading...
Loading...
Abstract

Benign lytic lesions of bone are commonly treated by curettage and the resulting cavity filled by autogenous bone graft, the donor site morbidity is high in this method. In this study the resulting cavity had been filled by synthetic hydroxyapatite crystals which are used to overcome donor site morbidity of autogenous bone graft. To assess the safety and efficiency of the hydroxyapatite crystals as an alternative for autogenous bone graft in the treatment of benign bone tumors and tumor-like lesions. This is a prospective study included 30 patients (14 males and 16 females) with benign bone tumor who treated by intralesional curettage and the resulting cavity filled by hydroxyapatite crystals. The patient's ages ranged from 4.5 year to 39 year, patients selection according to the inclusion and exclusion criteria. The commonest diagnosis was aneurysmal bone cyst ( 10 ) followed by simple bone cyst (6), giant cell tumor (4), fibrous dysplasia (3), enchondroma (2), chondroablastoma(2), nonossifying fibroma (2), and chondromyxoid fibroma(1). Follow up period range from 12 to 24 months both clinically and radiologically according to Irwin's grading system. Most of the study group had well postoperative recovery. The mean follow up period was 17 months (range 12 -24 months). In most patients operative wound healing proceeded well. For patients with lower limb pathology, the mean time of full weight bearing was 18 weeks (range 12 -22 weeks). Range of movements in near by joints was gradually increased and improved in patients were tumor approximated the joint. According to Irwin's classification, except 3 cases develop complication, all cases were Irwin's stage I incorporation at 6 months follow up. At 12 months follow up 1 case remain Irwin stage I, 14 cases were Irwin stage II and 12 cases were Irwin's stage III plus 3 cases develop complication. There was no rejection of implanted hydroxyapatite crystals and no abnormal hematological or biochemical findings in subsequent follow up. Hydroxyapatite crystals are slowly absorbed by body. Bone ingrowth and bone formation around the hydroxyapatite crystals were well. Hydroxyapatite crystals have great biological safety, good biocompatibility and good bone conduction.


Article
A Compare Study Effects of Ginkgo biloba Extract and Corticosteroid in Induce Allergic Asthma in Rabbits in Regards to Physiological and Immunological Parameters

Authors: Ali Alwisawi --- Naseer Almukhtar --- Abbas Fadhel Hassoon
Pages: 341 -352
Loading...
Loading...
Abstract

Thirty adult male of New Zealand Albino white rabbits were used in this article and these rabbits are haphazardly divided into five different experimental groups. Ovalbumin was used in a dose (0.1 mg /kg) to induce allergy and sensitization challenge was confirmed by the presence of the clinical symptoms of wheezing, sneezing, chest tightness, shortness of breath, changes in the level of total white blood cell, neutrophils, eosinophils, Immunoglobulin E and Interleukin-4. Eight days after allergy induction, Ginkgo biloba giving in the dose (25 mg/kg) and in a combination with prednisolone in the half of recommended dose (12.5 + 0.5) mg/kg (Ginkgo biloba + prednisolone) was giving orally for 8 days. The results showed that ovalbumin could induce sensitivity and significantly increased the level of total white blood cell, neutrophils, eosinophils, Immunoglobulin E and Interleukin-4. Oral treatment with Ginkgo biloba in the dose (25 mg/kg) and in a combination with prednisolone as the half of recommended dose (12.5 + 0.5) mg /kg of Ginkgo biloba + prednisolone showed high significant decrease (p≤ 0.01) in the number of total white blood cell, neutrophils and eosinophils and serum levels of Immunoglobulin E and Interleukin-4levels. The effects of this plant extract were comparable with the observed effect of prednisolone-treated group to be present with high efficacy of herbal medical therapy than that of prednisolone treatment a combined with adverse effects when use alone.


Article
Impact of Age, Procedural Duration and Impaction Type on Pain and Trismus After Surgery of Mandibular Wisdom Tooth

Authors: Ahmed Salah Hameed Al-Noaman
Pages: 353 -360
Loading...
Loading...
Abstract

This study assessed the impact of patient's age, duration of surgical procedure and type of impaction on pain and trismus after surgery of impacted mandibular wisdom tooth. Successive patients with impacted mandibular wisdom tooth were recruited. Winter's classification was used to classify impacted teeth. Surgical removal of impacted teeth was done using local anesthesia. The effect of age, duration of surgical operation and pattern of impaction on post-operative pain and trismus was studied after 3 and 7 days. Visual analogue score (VAS) was used to assess pain, trismus was measured as the inter-incisal distance using manual caliper and duration of surgical procedure was defined as the period between incision and finishing of suturing. Seventy nine patients with age ranged 15 to 41 years were recruited. The highest percentage were male gender (57%). The highest pain VAS score was recorded in the age group (30-41) after 3 days and the lowest mouth opening was seen in the same population after 3 and 7 days. The mean of operation time was 38.5 and its effect after < 20 minutes recorded the least pain score and trismus after 3 and 7 days. Highest pain score and more trismus were related to horizontal impaction on day 3 (p=0.04, p=0.000); whereas lowest pain value and better mouth opening were related to vertical impaction. Postoperative pain and trismus increased with advancing age, operation time and horizontally impacted tooth and trismus did not resolve within short time and may last for more than 10 days..


Article
Efficacy and Safety of Ultrasound Guided Extracorporeal Shock Wave Lithotripsy (SONO ESWL) In Patients with Radiopaque Renal Stone

Authors: Wadhah Abbas Al-Marzooq
Pages: 361 -367
Loading...
Loading...
Abstract

To assess the advantages and disadvantages of using ultrasound to guide ESWL in patients with radiopaque renal stone. This study included 80 patients with radiopaque renal stone who visited the ESWL unit in urology department at Hillah teaching hospital. Thirty-eight of those patients underwent US guided ESWL while in the other 42 patients the procedure done under fluoroscopy control. The results, complications and operative time were compared between both groups. Both groups were comparable regarding stone size, site and body mass index. Operative time was significantly longer in group 2, there was no significant difference regarding passage of gravels, stone free rate, postoperative hematuria and loin pain between both groups. Therefore, we conclude that even in patients with radiopaque stones, ultrasound can be used to guide ESWL as effectively as fluoroscopy, without any risk of radiation.


Article
Prevalence of Human Papilloma Virus in Oral lichen planus

Authors: Sami Khalaf Jabar
Pages: 368 -373
Loading...
Loading...
Abstract

Oral lichen planus (OLP) is a common chronic inflammatory and immune mediated disease. The diagnosis require clinical and histopathological examination to rule out other possible diseases. Viral infection has been hypothesized as a predisposing factor in the development of this disease. It is possible that oral mucosal viral infections including HPV infection may enroll as a causative agent in OLP pathogenesis. The study aimed to investigate the prevalence of human papilloma virus in oral lichen planus. The samples were obtained from the archives of the department of Oral & Maxillofacial Pathology/ College of Dentistry/University of Baghdad during the period 1990-2015. The study was composed of (30) paraffinized samples of previously diagnosed oral lichen planus and (30) paraffinized samples of nonpathogenic mucosa were studied. In situ hybridization was used for detection of DNA HPV. The data were analyzed with SPSS software and chi square test was used to find the possible relation between HPV infection and oral lichen planus. Four out of 30 (13.3%) lichen planus samples and three out of 30 (10%) controls were HPV positive. No significant correlation (P>0.05) was observed between HPV infection and oral lichen planus. The study revealed that might be not relationship between human papillomavirus and incidence of oral lichen planus.


Article
Measurement Height of Mandible Body in Male and Female of Iraqi Sample Using Panoramic Radiograph

Loading...
Loading...
Abstract

The maxillary and mandibular bones can reflect the status of all of the skeletal bones , any bone lose in the mandible is not due to local factors only such as previous extraction of teeth can be considered as the first sign of osteoporosis in the other skeletal bones and future bone fracture. To obtain statistical data on the alveolar bone height at different regions of the body of the mandible by panoramic radiograph in different age groups of Iraqi males and females. The study include the diagnostic panoramic radiograph of 40 images of randomly selected patients from males and females without sign and symptoms for any systemic diseases affecting the bone. There was a significant high difference between males and females in midline and mental foramen areas. Dentist should pay greater attention to older females patients because they are prone to rapid alveolar bone resorption.


Article
Dual and Multiple AV Nodal Pathways, What is The Deference in Typical Atrioventricular Nodal Reentrant Tachycardia?

Authors: Ameen Abdul Hassan Al-Alwany
Pages: 382 -388
Loading...
Loading...
Abstract

in adult typical atrioventricular nodal reentrant tachycardia (AVNRT) consider most common paroxysmal supraventricular tachycardia. Dual pathway idea still accepted and used widely and commonly. According to the guide line, ablations of slow pathway still the first treatment with good success rate. Identify the electrophysiological difference of atrioventricular nodal pathways pre and post ablation. Electrophysiological study was done to 54 patients with only typical type AVNRTs; they were 40 (74%) females and 14 (26%) males. Divided into two groups G1 with 38 patients (70.4%) having one pathway and G2 with 16 patients (29.6%) with multiple pathway. After induction we study the clinical and electrophysiological feature of tachycardia and showed faster tachycardia in G1 than G2 (330 ±56 versus 430 ±67). And the time per minute to achieve ablation or end point more in G2 than G1 (82±12.4 G2 versus 71±11.6 G1) with more energy applied in G2 versus G1 (12.4± 4.8 versus 6.3± 3.2). Complete ablation of the slow pathway was achieve in 37(69%) of total patients and only modulation occur in 17 (31%) with variation between two groups. And block not recorded in this study. In patient with typical AVNRTs there is percentage of multiple AV pathways 29.6%, and during EP procedure those need good interpretation, analysis of tachycardia after induction, pre and post ablation, and also they need more time and energy for elimination of slow pathway as well as the used of mapping system to localized the His area before ablation is of value to prevent AV nodal injury.


Article
Clinical and Cytogenetic Profile in Patients with Down Syndrome in Duhok Province, Iraq

Loading...
Loading...
Abstract

Down syndrome is the most common Aneuploidy in humans which is associated with developmental delay, mental retardation and several characteristic physical features. This study is aimed to determine the proportion and types of chromosomal abnormalities in patients with Down syndrome in Duhok province, Iraq, and to study the clinical profile of these patients. A retrospective analysis was performed on the case records of 86 patients confirmed clinically as Down syndrome from October 2014 to April 2015, for all enrolled cases cytogenetic analysis had done at Research Centre at College of Medicine University of Duhok. Among the 86 cases of Down syndrome presented over a period of 6 months, non-disjunction was present in 79 (91.9%) cases, translocation in 5 (5.8%) cases and Mosaicism in 2 (2.3%) cases. The age of the enrolled patients were ranged from 1 day to 35 years, from these patients, 37 (43%) were males and 49 (57%) were females with male to female ratio of 1:1.3. The maternal ages at the time of delivery of index babies were ranged from 21 years to 47 years. The most prominent characteristic features noted were epicanthic folds (80.2%), upslanting palpebral fissures (70.9%), protruding tongue (67.4%), sandal gap (64%), depressed nasal bridge (62.8%), and flat facial features (58.1%). Congenital heart disease seen in (26.7%) and hypothyroidism seen in (10.5%) Down syndrome mostly result from non-disjunction and efforts to establish early diagnosis and a proper screening for high association with systemic anomalies should be undertaken among the Down syndrome patients in our population.


Article
Hypoglycaemic Activity of Ceratonia siliqua Leaves Extracts in Alloxan-Induced Diabetic Rats

Loading...
Loading...
Abstract

Assessment of the proposed antidiabetic properties of either of cold and hot hydrous extracts of Ceratonia siliqua plant, on fasting serum glucose levels and serum lipids profile levels in alloxan-induced diabetic rats were studied. Both, hot hydrous and cold aqueous extract of the herb leaves of Ceratonia siliqua elicited a significant anti diabetic activity with a dose of 250 mg/kg p.o. The corresponding histological pictures of the pancreases of rats that were formerly degenerated by "alloxan" revealed their restoration after treatment with hot and cold aqueous extracts.


Article
Splint Versus Quilting Sutures In Treating Pinna Haematoma

Authors: Rahi kalef Mahdi
Pages: 409 -412
Loading...
Loading...
Abstract

This study was done on outpatient clinic E.N.T department in Al-Diwanyah teaching hospital and private clinic. Total number of patients 30 divided into two groups group A 15 patient treated with incision, drainage and silicon splint while group B treated with incision, drainage and through and through quilting absorbable sutures, patients included in study suffering from haematomaauris from different etiology (trauma or spontaneous). Local anesthesia with lidocaine 1% infiltrated directly into the area to be incised, under aseptic technique incision and haematoma evacuated and silicon splint with trough and trough suture in group A and multiple quilting absorbable sutures (4-5) where applied to group B fellow after one week for removal of splint in group A and for fellow up for both groups, factors included in fellow up recurrence (reaccumulation), infection and cosmetic appearance. A total of 30 patients (27 male & 3 female) with ratio 9:1. Out of 15 patients in group A, one patient developed recurrence of hematoma, one developed soft tissue infection, one developed perichondritis (both respond to antibiotics) and no one developed cosmetic deformity. Out of 15 patients in group B one developed recurrence, and no other complications where observed in those patients. Conclusions: For the treatment of hematoma auris, most of techniques are associated with pitfalls like reaccumulation, perichondrial inflammation and formation of an abscess, thickening of pinna and cosmetic deformity. Our study showed minimal recurrence which is equal to splint method, no cosmetic deformity and no perichondrial inflammation and thickening making it one of the effective techniques for treating haenatomaauris.

Keywords

hematoma auris --- splint --- drainage

Table of content: volume:14 issue:2