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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: 2016 المجلد: 12 العدد: 2

Article
Evaluation of Cerebral Vasoreactivity in Type 2 Diabetic Patients by using Transcranial Doppler Ultrasonography (TCD)
تقييم تفاعلية الاوعية الدموية الدماغية لدى مرضى داء السكري من النوع الثاني باستخدام جهاز دوبلر الدماغ

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الخلاصة

Background Type 2 diabetes mellitus (T2DM) is associated with an increased risk of cardiovascular and cerebrovascular diseases with high mortality and disability. Cerebral vasomotor reactivity (VMR), one of the most accurate markers of cerebral hemodynamics, has been shown to be impaired in subjects with carotid artery steno-occlusive disease and associated with an increased risk of ischemic events. Transcranial Doppler ultrasonography )TCD( study have been used to investigate cerebral vasoreactivity to identify patients with increased risk and to better plan the treatment. Objective: The aim of study was to assess cerebral vasoreactivity among type2 diabetes mellitus patients by using transcranial Doppler ultrasonography. Patients and method: sixty five persons (45 type 2 diabetic patients and 20 normal control) (32 male,33 female) with mean age (46.95 ±7.459) enrolled in this study. The study groups are collected randomly from Al Najaf center for Diabetic and endocrine in Al Sader teaching hospital during the time between January 2016 to June 2016. TCD examination was performed in Middle Euphrates Neuroscience Center for all stuied group to assess cerebral vasoreactivity in middle cerebral artery by breath holing test,hyperventilation test (HV), Transient hyperemic test (THRR). (Statistical Package of Social Sciences) SPSS version 23 was used for the statistical analysis. Results : There was highly significant change of breath holding index BHI{ between control group and diabetic group} (p.value<0.05) and significant change of HV between control group and diabetic group . Also statistical significant change in THRR in relation to glycemic control(p.value< 0.05). Conclusion : There was significant changes in TCD indices that assessed cerebral vasoreactivity in breath holding index, ,hyperventilation in type2 diabetic patients compared with control subjects.

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Article
Prevalence of Obesity Among Thi-Qar University Students During The Year ( 2015- 2016 )
درجة شيوع السمنة بين طلبة جامعة ذي قار للعام ( 2015-2016 )

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الخلاصة

Background: The prevalence of overweight and obesity is increasing in both developed and developing countries. Obesity is a major risk factors for many chronic diseases including diabetes, hypertension and ischemic heart disease, so it is considering a major Public health problem. Objectives: to study the prevalence of obesity and it is risk factors among Thi-Qar university students. Subjects and Method: A cross sectional study had been extended from 1st of April 2016 to10th of June 2016, a total of 841 students (358 of male and 456 of female) between 18 years and 36 years of age (mean 21.7 ± 2.3years) were selected randomly from 24 colleges of both Thi-Qar university and Mazzia college. Each participants subjected to a questionnaire that include: personal socio-demography, time of sleep per night, types of activity during leisure times, height, weight and waist circumference were measured and body mass index was calculated and used to asses’ weight status. The data was analyzed by using SPSS. p value less than 0.05 was considered as statistically significant. Result: The mean BMI was 24.17 ± 4.0; more than half (59.2%) of students were of normal weight ( 63.8% of male students and 55.2% of female students ) ; whereas the prevalence of overweight and that of obesity among them was 28.3% and 8.1% respectively. The prevalence of obesity was nearly similar between male and female students, while the prevalence of overweight was more common among females students as compared to males (32% of females vs. 23.1% of males).The prevalence of underweight was more common among male than female students (5.1 % of male vs. 3.7 % of female ) . Depending on their waist circumferences 3% of male and 18 % of female students where at a higher risk of developing abdominal obesity co morbidities. There was significant higher prevalence of obesity and mean waist circumference with in students of more than 26 years old age and of less than 6 household family number (p < .05 for both variables). A relatively high proportion (42.7 % for male and 35.8 % for female) spend more than two hours on screen time daily. Females where significantly (p< .05) much less physically active than male. Conclusion: there was high prevalence of obesity among ThiQar university students and the study supports the multi factorial etiology of obesity; it demonstrated that age, parent’s education and household number are risk factors. The study also shows high prevalence of sedentary behaviors, physical inactivity among Thi-Qar university students. Recommendation: the study results mandate the need for a Public Health strategies to prevent overweight and obesity and adopt a healthy dietary habit and life style.

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Article
Contraception and Depression in Baghdad, Iraq: A Preliminary Report
منع الحمل والاكتئاب في بغداد-العراق: تقرير تمهيدي

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الخلاصة

Background: The use of contraceptives was recorded to be high in Iraq, as family planning became important to deal with the highly increasing population. No data is available about the relation between the use of contraceptives and mental health. Aims: to report on depression among Iraqi women using contraceptives Subjects and methods: A total of 139 married women using contraceptives were included in the study for the period 2nd January to 30th November, 2014. The sample was recruited from the gynecology outpatient clinic of Baghdad Teaching Hospital. Socio-demographic and clinical data were obtained and Beck Depression Inventory II was used to rate depression. Results: Sixty three (63.3%) of women have depressive syndrome. There was no significant association between type of contraception and depression Conclusion: Depression is common among women using contraception.

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Article
The Effect Of Insulin Induced Acute Hypoglycemia on Brain Neurotransmitters And Oxidative Stress , Possible Protection By Gabapentin And Olanzapine
تأثير الانخفاض الحاد في سكر الدم المحدث بالانسولين على النواقل العصبية و جهد التأكسد في الدماغ و امكانية استخدام عقاري الكابابنتين او الالانزابين لتقليل ذلك التأثير

المؤلفون: Hadaf A. ALJunaiyeh Nabeel A.J.Ali Alaa Kadhem Alwan
الصفحات: 46-61
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الخلاصة

Background, Diabetes mellitus is one of the most common metabolic diseases in the world and the number of its patients still growing and according to the International Diabetes Federation reach 552 in 2030. Hypoglycemia is dangerous adverse effect of insulin therapy and remains an unsolved problem; During hypoglycemia lack of glucose supply to neurons can lead to confusion, seizures, brain damage which is sometimes irreversible and can even cause death. Aim ,The study designed to test the effect of acute insulin induced hypoglycemia on: 1)the brain oxidative status as measured by Malondialdehyde (MDA). 2)brain neurotransmitters; dopamine, ɣ-Amino butyric acid (GABA)and noradrenaline. And Possible protective effect of gabapentin and olanzapine against hypoglycemia. Method and Materials, 32 male rabbits, randomly divided into four groups, group A (control group) treated with (2.5ml/kg) distilled water orally and (0.1 ml/kg) distilled water subcutaneously. Group B (Hypoglycemic group) treated with (2.5ml/kg) distilled water orally and (1 IU/kg) insulin subcutaneously. Group C (hypoglycemic group + gabapentin) given (25 mg/kg) gabapentin orally and (1 IU/kg) insulin subcutaneously. Group D (hypoglycemic group + olanzapine) treated with(2mg/kg) olanzapine orally and (1 IU /kg) insulin subcutaneously. Blood samples used to determine glucose level and brain tissue used to estimation neurotransmitters. Statistics, Results are presented as the mean ± Sd. Statistical significance was set at P < 0.05 and determined by the (SPSS) version 22. Data were analyzed by one-way ANOVA and unpaired t-test. Results, Insulin treated group show significantly increased of MDA and noradrenaline in comparison to control group. In (insulin + gabapentin) treated group show significant decreased of dopamine and no significant changes of GABA and noradrenaline in comparison to control group. While (insulin + olanzapine) result was significantly increased of MDA and decreased of both dopamine and GABA in comparison to control group. On other side the use of gabapentin with insulin lead significant decreased of MDA and dopamine, significantly decreased of noradrenalin and Significant decreased of glucose levels at day one 10 AM, in comparison to use insulin only. While addition olanzapine to insulin show the following result no significantly increased of MDA, Significant decrease of dopamine and GABA and No significant decreased of noradrenaline in comparison to use insulin only. Conclusion, Insulin hypoglycemia lead to oxidative stress and brain neurotransmitters disturbance which are partly reversed by gabapentin and olanzapine, on the other hand both drugs tend to exacerbate insulin induced hypoglycemia. Caution should be excreted when giving any of the two drugs in such situation.

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Article
The Effect of Weekend on Mortality Rate in Kut City
تاثير عطلة نهاية الاسبوع على معدل الوفيات في مستشفيات الكوت

المؤلفون: Saad Abid Farhan Al-Badri
الصفحات: 62-70
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الخلاصة

Background: Several authors suggested that weekend mortality rate is higher than that of other days of the week; on the contrary many authors refuse this suggestion and stated that there is no significant impact of the weekend on mortality rate. Objective: To study the impact of weekend on mortality rate. Patients, Materials and Methods: The present study was carried out in Al-Karama and AL-Zahraa hospitals in Kut city by reviewing records regarding mortality throughout the period extending from January 2015 through December 2015. Data were classified into the following categories: number of patients admitted on weekend and died in the hospital at any day versus the number of patients admitted on weekdays and died at any day ; number patients died in the hospital at weekend versus number of patients died at weekdays. Results: Significant difference in percentage of death was found on week end in comparison to weekdays (P=0.007), whereas there was no significant association between admission on weekend and percentage of death (P=0.111). Conclusion: Weekend witnessed significantly higher percentage of death in comparison to weekdays which is probably due to less staffing and equipment during weekends.

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Article
Exploring the Adherence to Life Style Modifications Among Hypertensive Patients of Al-Hussain Teaching Hospital during 2016
تفحص في مدى مطاوعة مرضى افراط ضغط الدم لنمط الحياة التكيفي في مستشفى الحسين التعليمي

المؤلفون: Nawras Abdullah Khudaeer Muslim Nahi Saeed
الصفحات: 71-82
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الخلاصة

Background: Hypertension is the prominent cause of early death in the world and the number of population with hypertension is developing. It is a preventable risk factor for stroke, myocardial infarction, heart failure, peripheral vascular disease, aortic dissection, atrial fibrillation, and end-stage kidney disease. Aim of Study: General Objective: To assess the extent of life style modifications among hypertensive patients. Specific Objectives: 1. To measure the awareness of hypertensive patients about life style modifications. 2. To investigate the status of adherence to life style modifications among hypertensive patients. Methodology: The study was an analytical cross sectional study for 576 hypertensive patients who had intended Al-Hussain teaching hospital in Nasiriya city during the period from the first of January 2016 to the end of September 2016. The study population included all patients aged 25 years and above of both sexes with previous diagnosis of hypertension made by medical staff. While the exclusion criteria included those who were not aware that they have hypertension, all pregnant women with gestational hypertension were also excluded. Conclusion: This study reveals that there is a poor level of awareness of lifestyle modification which is needed in the management of hypertension among a representative sample of adult hypertensive patients how attended Al-Hussain teaching hospital.

الكلمات الدلالية


Article
Bacterial Isolates and their Antibiotic Susceptibility in Bile of Patients with Gallstone in Al-Hussein Teaching Hospital
تردد العزلات الجرثومية في الصفراء من المرضى الذين يعانون من حصوات المرارة وحساسيتها للمضادات الحيوية في مستشفى الحسين التعليمي

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الخلاصة

The bacterial colonization in gallbladder represent important factor in initiation of gallstone and chronic cholecystitis. The aim of the study was to detect the facultative anaerobic bacterial isolates and determination of the most efficient antibiotics in treatment of gallbladder infections. Bile specimens were collected from 62 patients who have suffered from gallstone cultivated on bacteriological media, the diagnosis of isolates and antibiotic susceptibility test for the following antibiotics (CIP,NOR,AK,CN,CTX,CRO,CL,AMC,SXT,AZM and TET) was done by using standard bacteriological techniques. According to results (14.51%) of the examined bile specimens were positive cultures with predominance of E. coli which represent (54.55%) of isolates followed by Enterobacter spp. (18.18%) with high significant differences (P< 0.001), The flouroquinolones (CIP & NOR) were most effective antibiotics followed by aminoglycosides (AK,CN) and CTX under (P< 0.05). Furthermore, the isolates showed high and complete resistance to other antibiotics. In brief, colonization of bacteria may associated with the formation of gallstone where the E. coli is the most frequent bacterial isolates and the flouroquinolones (CIP & NOR) appear to be highly effective against isolated bacteria and may play a role in treatment of infections.

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Article
Adult Congenital Heart Diseases: Clinical Pattern, Management and Immediate Outcome in Ibn-Al-Bitar Center for Cardiac Surgery, Baghdad 2013
تشوهات القلب الولادية عند البالغين,النمط السريري,طرق المعالجة والنتائج الاولية في مركز ابن البيطار لجراحة القلب في بغداد لسنة 2013

المؤلفون: Dr. Jasim Nasir Alkhalidi Dr. Hassan Al-Farhan
الصفحات: 91-104
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الخلاصة

Introduction: Adult with congenital heart diseases (ACHD) are an important emerging group. The diagnosis and successful management of congenital heart disease represents one of the greatest triumphs of cardiovascular medicine and surgery in the 20th century. As a consequence, the number of adults with congenital heart disease both with repaired and unrepaired lesions has grown rapidly. Patients and Methods: This is a descriptive cross sectional study that conducted in Ibn Al-Bitar Center for Cardiac Surgery during the period from January 2011to December 2012 Baghdad- Iraq. In this study all adults’ patients with CHD referred to Ibn Al-Bitar Center for Cardiac Surgery were recorded and evaluated to verify the pattern of ACHD in our center. Results: A total of 789 patients, female to male ratio was 1.7:1, Acyanotic CHD constitute 92.9%, and whereas the cyanotic lesions form only 7.1% .The mean age of patients was 29±7.300 SD years. The most common defect was ASD followed in order of frequency by VSD, PS, TOF, PDA, AS and COA. Trans catheter intervention was the treatments of choice for many types of ACHD, but still surgery play an important role in managements of other defects. Conclusions: Acyanotic ACHD are more common than the cyanotic one, more female predominance, Percutaneous intervention was became widely used as the first line of management of majority of ACHD with high successful rates, while surgical correction still the treatment of choice for certain types of ACHD .

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Article
Effect of Nosocomial Burn Bacteria in Experimental Burn Model
دراسة تاثيرالبكتريا الملوثة للحروق في نموذج الحرق التجريبي

المؤلفون: Haydar Kh. Al-Maliky Rahman Laibi Chelab
الصفحات: 105-111
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الخلاصة

In present study, mice burn model were used to study the complications of bacterial infected burn cases. Eighteen male albino mice were used as a burn model which divided into two mice groups burned by boiled water (scald method), then injected by physiological normal saline (negative control), two mice were infected by Pseudomonas aeruginosa 0.2 x 108 Colony Form Unit (CFU) without burn, on other hand two mice were infected by Staphylococcus aureus (0.2 x 108 CFU) without burn, these two groups considered as a positive control. Other mice divided into two groups, each one contains six mice burned and infected by nosocomial bacterial burn isolates (0.2 x 108 CFU), all groups were followed up for 7 days then killed and histopathological changes of some internal organs were examined, livers and lungs of examined samples showed significant pathological changes in coparision to the negative control, suggesting that these samples suffered from variety degree of hepatitis and pneumonia. These results were due to the complications of bacteremia and septicemia of burned model.

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Article
Telogen Effluvium: Potential Causes in Iraq
تساقط الشعر : الاسباب المحتملة في العراق

المؤلفون: Alaa Abdulhassan Naif
الصفحات: 112-120
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الخلاصة

Background: Telogen Effluvium (TE) among women is a challenging common problem for Dermatologists and data on its prevalence among Iraqi women is limited hair loss is a distressing problem for women because femininity and attractiveness is linked to women's hair. Aim of study: To find out the main risk factors of Telogen Effluvium among women in Thi-Qar Province ( Iraq ). Some of these risk factors are investigated before in Iraq but not in Thi-Qar province such as TSH while others such as Vitamin D are barely investigated in Iraq. Patients and methods: A descriptive cross sectional study carried out in Dermatology Outpatient Clinic of Al-Hussein Teaching Hospital, Nassiriah City ( Thi-Qar Province Center), Iraq through the period from 1st of March, 2014 to the end of June, 2015 on random sample of 100 women with Telogen Effluvium and convenient sample of 100 healthy controls. Thyroid stimulating hormone, serum Ferritin and Vitamin D3 levels of both groups were measured. Results: There was a significant association between positive family history of hair loss and women with Telogen Effluvium (p<0.001). No significant difference in thyroid stimulating hormone level was observed between cases and controls (p=0.6). There was a significantly lower serum Ferritin and Vitamin D3 levels among women with Telogen Effluvium (p<0.05). Conclusion: Low serum Ferritin and Vitamin D3 levels among women might play a major role in etiology of Telogen Effluvium. Keywords: Hair loss, Telogen Effluvium, Thyroid Stimulating Hormone, Serum Ferritin, Vitamin D3.

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Article
The Effect of He-Ne laser Radiation and Temperature of Blood in Vitro On The Erythrocytes Sedimentation Rate Values in Healthy People
تاثير اشعة ليزر الهيليوم – نيون ودرجة الحرارة على معدل ترسيب كريات الدم الحمراء

المؤلفون: Ferial. Y. Nazal
الصفحات: 121-130
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الخلاصة

Background : The aim of this study is to research the in vitro effect of the He-Ne laser radiation and study the effect of environmental temperature on Erythrocyte Sedimentation Rate (ESR) in blood samples from healthy . Objective : To show the effect of He-Ne laser and effect of environmental temperature on Erythrocyte Sedimentation Rate (ESR) Subject & Methods : He-Ne laser wave length of 632.8ηm was used for irradiation with 0.5mm diameter beam spot on blood samples, with power density 1mw/cm2 , The irradiation times were (1hr ) , The samples of blood were obtained 30 contributors and each sample was separated into three samples for irradiation and control . Results : The results showed that there were significant differences in the values of sedimentation rates for both class (25 -45 ) 0c degree heat compared with the values of sedimentation 25 0c degree heat temperature for irradiation and control . It shows the effect of temperature factor on the red blood cells sedimentation rate in blood samples from healthy people and see the effect of the degree of laboratory heat due to lack of efficient heating and cooling devices in the summer and winter on the sedimentation rates of values to be taken into consideration with the results . Conclusion :The change of temperature (high and low) has a great effect on the deposition and precipitation of red blood cells in health people and thus must be taken into consideration and this effect is also observed with the use of He - Ne laser at a temperature of 25 ° C.

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Article
Levels of Trace Elements in Hydatid Cyst Fluid : Analytical Study
مستويات العناصر النزرة في سائل الكيس العدري : دراسة تحليلية

المؤلفون: Amal KH. Khalaf Muslim K. Kadeem
الصفحات: 131-136
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الخلاصة

The aim of the following study was to estimate the levels of trace elements in hydatid cyst fluid and evaluation the role of this elements on parasite life . trace elements in the fluid of hydatid cyst were detected by atomic absorption spectroscopy which found high ratio of Ca, K, Fe, Mg, Mn, Na, Cu, and Zn while P, Cr, Co, Cd, Pb, and Ni were low and include ( 8.71, 9.55 , 15.36, 5.91, 9.2 , and 11.3 µg ) respectively .

الكلمات الدلالية

جدول المحتويات السنة: 2016 المجلد: 12 العدد: 2