جدول المحتويات

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

Loading...
معلومات الاتصال

Email: thi_unv_medi@yahoo.com

جدول المحتويات السنة: 2017 المجلد: 13 العدد: 1

Article
Management of Chronic Empyema Cavity in Cachectic Patients: Review of 30 cases
علاج تقيح التجويف الجنبي المزمن في المرضى المنهكين جسديا : مراجعة لثلاثين مريض

Loading...
Loading...
الخلاصة

Background: An empyema, or empyema thoracis, is a collection of purulent material in the pleural space. The management and presentation varies considerably by managing physician, geographic location, and economic resources. Objectives: The aim of this study was to re‐emphasize the importance of open drainage in the treatment of advanced thoracic empyema and to assess it's effectiveness in patients who did not respond to more conservative treatment like tube thoracostomy and/ or are not fit for major surgical interventions like thoracotomy. Patients and Methods: The current retrospective study was carried out in the Cadiothoracic and Vascular Unit in Ibn- Al-Nafees Teaching Hospital ( Iraq / Baghdad ) & AL-Hussein Teaching Hospital ( Iraq / Thi-Qar ) from April 2009 to February 2017. The number of patients included in the study was (30) patients. Most of our patients were too cachectic to tolerate thoracotomy for decortication or more aggressive treatment. We treated them by open drainage with rib resection.Thoracoplasty was added to some of them. Results: The highest incidence of chronic non-resolving empyema cavity was among patients between (41-60) years old. The commonest type of surgical procedure applied on patients was Elloeser flap whithout thoracoplasty. Certain Co-morbidities could be recognized in patients with chronic empyema cavity like D.M., Hypertension, Ischemic heart disease & Malignancy. The duration after which the open drainage system closes varies widely between the patients depending on several factors like ( size of chronic empyema cavity, the presence of co-morbidities, adherence to antibiotics, the presence of bronchopleural fistula, etc…). Conclusion: The surgical procedure of Modified Elloeser flap was very effective in treatment of chronic empyema cavity in patients who did not respond to more conservative treatment like tube thoracostomy and/ or are not fit for major surgical interventions like thoracotomy. Open drainage should not be ignored as one of the therapeutic options in treatment of advanced thoracic empyema. It might be the best therapeutic modality in cachectic patients where the facilities for more aggressive treatment are not possible.

الكلمات الدلالية


Article
Prevalence of Depression among Pregnant Women with Hyperemesis Gravidarum inThi-Qar Maternity Hospitals, 2016
نسبة انتشار مرض الكآبة بين النساء الحوامل اللواتي يعانين من التقيؤ الحملي الشديد في مستشفيات ذي قار للامومة,2016

المؤلفون: Manar N. AbdAlaa Hussein Ali Al-Nasir Ahmed H Hussein
الصفحات: 17-27
Loading...
Loading...
الخلاصة

Background: Globally, depression is considered as the first leading cause of disease burden in women at child bearing age (15-44year). Nationally, scarce information was published regarding the prevalence of depression in pregnant women with hyperemesis gravidarum. Objectives: This study was carried out to measure the prevalence of depression among pregnant women with hyperemesis gravidarum in Thi-Qar Maternity hospitals. Materials and methods: A hospital based cross sectional study was carried out in two teaching hospitals in Thi-Qar Maternity hospitals from first of Sep 2015 to 31st of Jul 2016. All pregnant women who were suffering from hyperemesis gravidarum, and attended the obstetric outpatients in these two hospitals were included. Based on assumed prevalence of depression among pregnant women in a previous study in Iraq was (37.2%), so the needed sample size to calculate such prevalence with precision of 5%, confidence level of 95%, and added extra sample of 10%, was almost equal to 322. Women data were collected by using Arabic version of Beck depression inventory-II and specialized questionnaire which was designed for the purpose of the study. Depression considered when patients had Beck depression inventory-II score of > 20. Results: this study showed that prevalence rate of depression among pregnant women with hyperemesis gravidarum was 37.1%. This rate was significantly affected by increased gestational age (P = 0.003), high socioeconomic status (P = 0.009), previous history of hyperemesis (P = 0.03), unwanted pregnancy (P = 0.03), and increased gravidity (P = 0.03). Conclusions: one-third of pregnant women with hyperemesis gravidarum in Thi-Qar Maternity hospitals had depression. It is recommended to reinforce mental health care of pregnant women through the antenatal care services at primary health care level, with strengthening the mental and social rehabilitation method that were used for diagnosed women with depression.

الكلمات الدلالية


Article
Association of GSTM1 , GSTT1 Genes Polymorphisms and Risk of Psoriasis in Thi Qar Province / Iraq
التعدد الشكلي لجينات GSTMI,GSTT1 وخطر الاصابة بمرض الصدفية في محافظة ذي قار

المؤلفون: Ahmed Abdulhussein Kawen Hayder Hussein Jalood
الصفحات: 28-39
Loading...
Loading...
الخلاصة

Psoriasis is a ,chronic inflammatory, and proliferative skin disorder with a not entirely comprehended etiology. The aim of present study was to investigate the clinical features and estimate the association between null of GSTM1, GSTT1 genotypes and the development of psoriasis in Dhi Qar province. This study included 100 psoriasis patients and 100 healthy (mean age 29.08±16.46 and 31.8±11.2 respectively). Early onset was predominant (71%) than the late onset (mean of age onset 24.97±15.6). 51% of patients were males , 49% were females. Among cases 80% were non smoker, 20% were smoker. No significant between patient and control according to place of residence. Psoriasis vulgaris found in 65% of cases. Positive family history appear in 13% of patients. More of patients (56%) were exposure to stress during lifestyle. 5% patients were synchronized viral and bacterial infections. Analysis of GSTM1 , GSTT1 genotype showed no statistically significant with psoriasis susceptibility (OR=0.56; 95%, CI=0.32-0.99) and (OR=0.48; 95%, CI=0.25-0.92). Also the combined effect of GSTM1/GSTT1 null genotypes were found no increased risk of psoriasis (OR=0.55; 95%, CI=0.20-1.51).

الكلمات الدلالية


Article
Time Based Success in Creation of Initiative Arterio-Venous Fistula for Patients with Chronic Renal Failure need Haemodialysis
اهمية عامل الوقت في نجاح عملية صناعة ناسور شرياني وريدي عضدي اولية لمرضى الفشل الكلوي المزمن المحتاجين للديلزة الدموية

المؤلفون: Muayyad M. Al-Mudhafer
الصفحات: 40-50
Loading...
Loading...
الخلاصة

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.

الكلمات الدلالية


Article
Overweight and Obesity among Children under 18 year attended Nutritional Clinic in AL-Diwaniyah Governorate, Iraq, 2016
زيادة الوزن والسمنة بين الاطفال تحت عمر 18 سنة المراجعين لعيادة التغذية في محافظة القادسية , العراق 2016

المؤلفون: Fatima Abd Alkathem Redha Alkhalidi
الصفحات: 51-58
Loading...
Loading...
الخلاصة

Globally, Childhood malnutrition is growing problem and an increasing public health concern in developed and developing countries. significantly the obesity in children are have impact on health physical and psychological aspect. Obesity in adulthood lead to causes chronic diseases like diabetes and cardiovascular diseases at adult age. This study aimed to estimated the overweight and obesity rate among children. A descriptive cross sectional study was conduct in AL-dewania teaching hospital, AL-dewania city, Iraq during 2016. the study sample of under 18 years children was selected randomly from children who attended the nutritional clinic. By using SPSS soft ware(SPSS version 18. 0) analysis of data was carried out, version 20.0(SPSS-20.0). Statistical significance will be considered when the P-value was equal or less than 0.05. A total study sample was 335 children, 97(29%) was male while 238( 71%) was female. mean ± SD of age ,weight , height and BMI was (10.7 ± 4.5), (46.9 ± 29.9), (136.5 ± 24.9) and (22.6 ± 9.2) respectively. overweight and obesity was 41.2% most of them female ( 79%) while underweight was 22.6% , 61.8% was female with statistical significant (P value 0.0001). The age group 5-10 year was represented 37.6% , then age group 11-15year was 32.5% with significant association. we concluded that the overweight and obesity rate was high among children under 18 year, female and age group 11-15 year had have higher rate.

الكلمات الدلالية


Article
The Prevalence of Asymptomatic Gallstones in Relation to Fasting Gallbladder volume in Type 2 Diabetic Patients
معدل انتشار حصى المرارة عديم الأعراض وعلاقته بالحجم ألصيامي للمرارة لدى مرضى السكري من النوع الثاني

المؤلفون: Imad H. Tahir
الصفحات: 59-74
Loading...
Loading...
الخلاصة

Background: The sustained effect of poor glycemic control in diabetics results in a wide array of end-organ damage as a result of small and large vessels pathology. Mortality and morbidity are related to the progress of this damage but often there are acute metabolic deteriorations “1”. Autonomic neuropathy (sympathetic or parasympathetic) typically accompanies other chronic complications of DM and may play a pathogenic role through disturbed regulation of local blood flow and affecting many systems in the body including the gastrointestinal leading to(hyper-motility or hypo-motility of different organs leading to diarrhea, constipation, gastroparesis and gall bladder hypo-motility). The gallbladder tone is maintained by the vagal activity, but the sympathetic activity has little or no effect on the gallbladder “5”. Due to autonomic neuropathy, the contraction of gallbladder is poor resulting in hypo-motility, impaired gall-bladder emptying and biliary stasis “13,14” resulting in increased gallbladder volume, which predispose to gallstones formation“15”. Aim of study: to evaluate the prevalence of asymptomatic gallstones in relation to of FGBV in type 2 diabetics. Subjects and methods: 47 patient with type 2 DM were included in this study ( 37 patients were women and 10 patients were men). At first, we studied the presence of gallstones and then we divided the subjects into two groups, those who have gallstones and those who haven’t gallstones. Thereafter, we evaluated the fasting gall bladder volume (FGBV) in each group to study the relation between the presence of gallstones and the volume of the gallbladder in the fasting state. other parameters were studied in both groups including ( gender, age, BMI, duration of DM, serum cholesterol and TG, cigarettes smoking, family history of gallstones and HbA1c). Result and discussion: In this study that studied two diabetic groups, one of group with gallstones and the other have no gallstones, we found that in the diabetic group without gallstones,69.7% of the patients were women, while all the diabetics with gallstones (100%) were women with a significant difference (P-value= 0.020). The study also shows that diabetics group with gallstones have higher FGBV levels than diabetics without gallstones as most of the diabetics with gallstones (35.7%) have FGBV in the reference range of( 21 - 30 mL³), 35.7% have FGBV in the reference range of (31 - 40 mL³), while most of the diabetics without gall-stones have FGBV levels less than20 mL³ with significant difference between the two groups (P-value=0.0004). Conclusion: The prevalence of asymptomatic gallstones is higher in diabetic patients with higher levels of FGBV than in diabetics with lower FGBV levels especially in women.

الكلمات الدلالية


Article
Reproductive Effects of some trace elements On Male Infertility In Thi-Qar Governorate / Iraq
دراسة التأثيرات الانجابية لبعض العناصر النزرة على العقم عند الرجال في محافظة ذي قار/ العراق

المؤلفون: Malak A. Naeem Sajid H. Guzar Enaas S. Jawad
الصفحات: 75-86
Loading...
Loading...
الخلاصة

The present study was carried out on 50 infertile males whose age range between (19-49) year and 16 male, who were apparently healthy, as a control group whose age range between (18-49) year. The studied males were classified into two groups according to their case health to infertile male and fertile male. The parameters measured were seminal fluid levels lead, cadmium, zinc, copper, chromium, magnesium, iron and cobalt. These parameters were estimated in seminal fluid of patients and control group. The results shown a highly significant different in levels of lead element(7.541a, 0.056b ), cadmium element(0.023a, 0.007b), zinc element(1.275a, 0.054b ), chromium element(0.408a, 0.090b), iron element(2.172a, 0.148b), cobalt element(0.022a, 0.008b), in primary infertile males when compared with in secondary infertile males(a: primary, b:secondry).The results shown a highly significant different in levels of lead element, cadmium element, zinc element, chromium element, iron element, cobalt element, in infertile men when compared with fertile men. The results illustrated highest level of concentrations elements in measurements was lead element levels and cadmium levels in infertile males when compared with control group. As well as lower levels of concentration metals was cobalt element levels in infertile males when compared with control group.

الكلمات الدلالية


Article
Biofilm formation by Methicillin resistant Staphylococcus aureus and its relation to antibiotic resistance in Thi-qar province/Iraq
إنتاج الغشاء الحيوي بواسطة المكورات العنقودية الذهبية المقاومة للمضاد مثسيلين و علاقته بالمقاومة للمضادات الحياتية في محافظة ذي قار/ العراق

المؤلفون: Saad A. Atiyah
الصفحات: 87-95
Loading...
Loading...
الخلاصة

Methicillin resistant Staphylococcus aureus is one of the most dangerous pathogens in the community and the hospital environment for its high resistance to antibiotics and the production of a number of virulence agents such as toxins and biofilm. The study aims to determine the ability of local isolates to produce the biological membrane and its relationship to resistance to antibiotics. A cross sectional study include (37) isolates of methicillin-resistant S. aureus from the burn department at Al-Hussein Teaching Hospital in Thi Qar province/Iraq for the period April-October 2015, The capacity of bacteria to produced biofilm was done by micro plate technique and the antibiotic susceptibility test for vancomycin, amikacin, ciprofloxacin, norfloxacin, cefotaxime and amoxicillin-Claviolinate using the diffusion technique of antibiotic disks. The study showed that 64.9% of the MRSA isolates were able to form biofilm, while the isolates were fully resistant to the used beta-lactam antibiotics. But, the 94.6% of the isolates were sensitive to the vancomycin. There was no significant statistical relationship between the antibiotic resistance and the ability of bacteria to produce the biofilm except for the ciprofloxacin. The study showed that the local MRSA isolates have a high ability to produce the biological membrane and antibiotic resistance with the exception of the vancomycin with a relationship between the resistance to ciprofloxacin and the production of the biological membrane by bacteria. Therefore, the study recommends the use of vancomycin in medical sites to treat the infections caused by MRSA to prevent the spread and development of these resistant strains.

الكلمات الدلالية


Article
Radiographic Parameters in Non-Contrast Computed Tomography Predict the Success of Percutaneous Nephrolithotomy
استخدام عوامل المفراس متعدد الطبقات للتكهن في مدى نجاح عملية سحب حصاة الكليه بالناظور عن طريق الجلد

المؤلفون: Hayder M. Al-Aridy Hayder Q.Al-mosawi Zena Abduljabbar
الصفحات: 96-107
Loading...
Loading...
الخلاصة

Aim: To evaluate whether non-contrast Computed Tomogram (CT) parameters (stone density, localization, size & degree of pelvicalceal system dilatation) predict the outcome of percutaneous Nephrolithotomy (PCNL). Method: This study included 68 patients (43 male & 25 female) with renal calculi scheduled for PCNL. They were examined by non-contrast CT to determine calculus size, calculus density, calculus location & degree of pelvicalceal system dilatation. Ultrasound at scheduled PCNL follow-up one and two months later and undertaken by 2 radiologist at the same unit (HD11XE Philips 2010 unit) checked for residual stones. Stones equal or more than 4 mm in largest diameter was regarded as significant. Result : CT parameters that were associated with more residual stones ( P value <0.001) included density less than 700 HU, upper calyx location, presence of preoperative hydronephrosis and large stone size. Conclusion: pre-operative CT can predict the outcome of PCNL. Stone parameters that predict the oucome of PCNL included stone density, less than 700 HU, upper calyceal stone, large size stone & the presence of pre-operative hydronephrosis.

الكلمات الدلالية


Article
Aspirin For Benign Prostatic Hyperplasia: Studying the Effect on Flow-Rate By a Self-Designed Flowmeter
الاسبرين لعلاج تضخم البروستات الحميد: دراسة تاثيره على معدل جريان الادرار باستخدام جهاز مقياس الجريان المصمم ذاتيا

المؤلفون: Mahmood Sh. Abdulkarim
الصفحات: 108-115
Loading...
Loading...
الخلاصة

Objective: The study was conducted to determine the effect of acetylsalicylic acidor commercially called (Aspirin) on the flow rate of patients with benign prostatic hyperplasia by the use of a self-designed flowmeter. Materials and Methods: This was a prospective study between May 2007 and September 2015, evaluating the effect of Aspirin 100 mg in patients with benign prostatic hyperplasia on prostate symptom score and the maximum flow rate, using a flowmeter designed and assembled by the author. The total number of patients completed the study was 1338 patient, they were all assessed and flow rate measured both before given Aspirin and after one-year time. Results: The international prostate symptom score had a reduction in its mean from15.431 ±2.665 SD to14.352±2.455 SD after one year of taking Aspirin, the maximum flow rate was increased from7.66ml/sec ± 1.63 SD to9.26 ml/sec ± 1.96 SD in the same period. Conclusion: Aspirin is effective in reducing the symptom score of patients with benign prostatic hyperplasia and improve the flowrate in such patients, using the economical self-designed and assembled flowmeter.

الكلمات الدلالية


Article
The Immediate Results of Percutaneous Balloon Aortic Valvuloplasty in Patients with Congenital Aortic Valvular Stenosis
النتائج الاولية لتوسيع الصمام الأبهري بالبالون بواسطة القسطرة عن طريق الجلد للمرض المصابين بتضيق الصمام الأبهري الولادي

Loading...
Loading...
الخلاصة

Objective: To assess the immediate-term effectiveness of percutaneous balloon aortic valvuloplasty (PBAV) for congenital aortic stenosis (AS). Design: Early clinical and instrumental evaluation of 34 consecutive PBAV performed from 2001 to 2007. Setting: A tertiary referral center for heart diseases (Ibn Al-Bitar Cardiac Center). Patients: Thirty-four patients with congenital valvular AS, twenty-five males and nine females. Interventions: PBAV using Tayshak balloons of different sizes and lengths. Main outcome measures: Doppler and peak to peak pressure gradient (PG) across the aortic valve (AV) before and after valvuloplasty, the percent of PG reduction post dilatation, left ventricular (LV) systolic and diastolic pressures before and after valvuloplasty, number of the aortic cusps, degree of aortic regurgitation (AR) before and after valvuloplasty, left ventricular systolic function before and after valvuloplasty, associated anomalies, and the need for emergency surgery were the main outcome measures. Results: The peak to peak instantaneous PG across the AV was reduced acutely from 102 ± 42.7 (20 - 200) mm Hg to 40 ± 25.5 (10- 140) mm Hg (p<0.001), left ventricular systolic pressure was reduced from 196 ± 48.57 (70 – 280) mm Hg to 133 ± 35.45 (65 – 240) mm Hg (p<0.001) and both are statistically significant. Three patients had inadequate relief of obstruction but in one of them it was mainly due to subaortic obstruction and two patients had severe AR, one of them with acute pulmonary edema and required surgical AV repair. PBAV produced a gradient reduction ≥ 50% in 29 patients, six patients having a residual peak to peak gradient of >50 mm Hg and in one of whom the remaining PG was 70 mm Hg which was mainly subvalvular (50 mm Hg). Six patients had bicuspid AV while the other patients had tricuspid valve. Six had associated anomalies. There was no mortality during the procedure. Severe AR reported in two patients and moderate AR occurred in five patients. One significant complication (acute pulmonary edema) occurred immediately after the dilatation and surgery was done for that patient after few days. Two serious complications occurred during the procedure which responded to routine resuscitation. There was a residual maximum Doppler gradient of < 30 mm Hg in 12 patients, ≥ 60 mm Hg in four (one of them had mainly subvalvular gradient) and between 30 to 48 mm Hg in the others. Twenty one patients developed new AR (62%), in fourteen of them (41%) it was mild. Conclusions: PBAV is an effective procedure and offers a good palliation for congenital AS.

الكلمات الدلالية


Article
Medical Versus Surgical Treatment of Incomplete First Trimestric Abortion
مقارنة العلاج الدوائي مقابل العلاج الجراحي لعدم اكتمال الإجهاض في الفصل الأول

المؤلفون: Aseel Mosa Jabber
الصفحات: 125-134
Loading...
Loading...
الخلاصة

Objective: to assess efficacy and risks of medical treatment of incomplete abortion using misoprostol versus surgical procedures. Methods: A prospective comparative study included 208 women with incomplete abortion with gestational age between 5th and 12th week randomized equally to two groups Group I received 600 micro gram misoprostol as single oral dose and Group II underwent surgical dilatation and evacuation. Primary outcome was successful treatment all women give a written acceptance of being involved in the trial. Results: There was no statistically significant difference between Misoprostol and surgical groups regarding endometrial thickness evaluated after treatment (10.5±2.65 versus. 9.3±1.97 respectively, where P value 0.251Non significant , treatment failure (11 versus. 6 respectively, where P value 0.071 Non significant), those with blood loss more than 500 cc ( 1 versus. 3 respectively, where P value 0.482 Non significant ) and those who needed recurrettage ((11 versus. 6 respectively, where value 0.064 Non significant). Side effects of treatment showed no statistically significant difference between the studied women (fever occurred in 3 versus. 1, IUS in 0 versus. 1 and vomiting occurred in 1 versus. 3 in medical versus. surgical women respectively ,where P value > 0.05) except diarrhea which was much more common in women under Misoprostol treatment (28 versus. 0 respectively, where value < 0.001). Conclusion: Medical treatment is effective and acceptable and less costly than surgical treatment in women with incomplete abortion.

الكلمات الدلالية


Article
Accuracy of Fine Needle Aspiration Cytology in Comparison with Histopathology in the Diagnosis of Breast Lesion 2016-2017
دقة عينة سحب الخلايا بالابرة الدقيقة بالمقارنة مع الفحص النسيجي في تشخيص اصابات الثدي

المؤلفون: Talib M. Al-Mayahee Mustafa H. Al-Rikabi
الصفحات: 135-146
Loading...
Loading...
الخلاصة

Background : Breast lump is a common presentation in the surgical outpatient department with increasing awareness of both patient and clinician . The diagnosis of nature of a breast lump was based on the triple assessment protocol which includes clinical examination , radiological imaging and histopathologic examination . Despite that the histopathological diagnosis is a gold standard method for nature of breast lump diagnosis , fine needle aspiration cytology is easy , rapid , reliable and less expensive method with high sensitivity , specificity and accuracy rate . Objective :To assess the diagnostic accuracy of fine needle aspiration cytology in palpable breast mass. Methods : A total of 73 female patients with palpable breast mass were included in this prospective cross sectional study which was performed in Al-Zahraa Teaching Hospital , College Of Medicine , University Of Wassit from September 2016 to February 2017 .All female patients were selected randomly irrespective of their age , marital status , occupation and social status .All female patients underwent fine needle aspiration cytology in the department of pathology by expert pathologists, then every patient underwent a definitive surgical procedure (excisional biopsy )and sent for histopathology .The results of fine needle aspiration cytology were interpreted as unsatisfactory , benign ,suspicion of malignancy, and malignant lesion .Then fine needle aspiration cytology results were correlated with those of histopathology to give an assessment of diagnostic accuracy of fine needle aspiration cytology . Results : A total of 73 female patients with palpable breast mass were included in this study . In 41 patients ,the breast lumps were malignant while in 32 patients the breast lumps were diagnosed as benign .No patient had false positive results but,4 patients had false negative results . The sensitivity and specificity of fine needle aspiration cytology for detecting malignancy were 90.24 % and 100 % respectively. The positive predictive value (PPV ) and negative predictive value (NPV) of fine needle aspiration cytology for malignancy were 100 % and 88.88 % respectively .The accuracy of fine needle aspiration cytology was 94.52 % . Conclusion : FNAC has high accuracy for the diagnosis of the pathologic nature of breast lump . Thus , we conclude that FNAC is an ideal method of investigation of palpable breast lump if being performed by expert hands and the results show high degree of correlation with the histopathologic results.

الكلمات الدلالية


Article
Evaluation the Efficacy of Aspirin and Low Molecular Weight Heparin in Patients with Unexplained Intrauterine Growth Restriction accompanied by Early Onset Oligohydramnios
تقييم فعالية الاسبرين والهيبارين منخفضة الوزن الجزيئي في المرضى الذين يعانون من تقييد النمو داخل الرحم غير المبررة يرافقه قلة السائل السلوي بداية مبكرة

المؤلفون: Nadia Saddam AL - Assady
الصفحات: 147-156
Loading...
Loading...
الخلاصة

The roles of inflammatory cytokines and local placental thrombosis in patient with unexplained intrauterine growth restriction ( IUGR ) accompanied by early onset oligohydramnios have been shown. Since low molecular weight heparin ( LMWH ) and aspirin have both anti-inflammatory and anti-coagulant effect, we evaluated their efficacy in patient with unexplained IUGR accompanied by early onset oligohydramnios. Methods: A prospective comparative study that conduct at the department of obstetrics and gynecology at bint AL huda teaching hospital in Thiqar city between the 1st of march 2012 to the 1st of march 2013 in which ( 80 ) patients aged between ( 20 – 37 ) years old with unexplained IUGR and oligohydramnios referring to participated in our study, patients were divided into two groups, the thromboprophylaxis group ( n=40 ) who received aspirin ( 80 mg PO daily ) and LMWH enoxaparin ( 40 mg SQ once daily ), the other group ( n=40 ) was the control group who received no treatment apart from the usual protocol that are used for management of IUGR and oligohydramnios which involve frequent follow up. Live birth rate, obstetrical complications, prenatal complications and hemorrhagic side effect were recorded. Result: There was no significance difference regarding the age, parity, BMI, gestational age at time of involvement in both groups. The rate of successful pregnancy was ( 75% ) and ( 37.5% ) in the treatment and control group respectively. So the thromboprophylaxis group had a higher rate of live birth than control group ( P < 0.05 ). In thromboprophylaxis group ( 12.5% ) patients and in the control group ( 37.5% ) patients had intrauterine fetal death during the period of follow up. There were no significant difference in the number of preterm deliveries between the two groups, no maternal or fetal side effect was seen. Conclusion: Aspirin and LMWH are successful in treatment of IUGR accompanied by early onset oligohydramnios by increasing the rate of live birth with few side effects for both the mother and fetus.

الكلمات الدلالية

جدول المحتويات السنة: 2017 المجلد: 13 العدد: 1