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: 2009 volume:6 issue:3-4

Article
Patterns of Pancytopenia according to the Cause in Babylon
أنماط نقص خلايا الدم الشامل وحسب مسبباتها في بابل

Loading...
Loading...
Abstract

Objective: The aim of this study is to assess the incidence of variable causes of pancytopenia in Babylon governorate,Iraq and to determine their relation to age, sex, clinical manifestations and disease outcome. Materials and Methods: This is a prospective and descriptive study of 74 patients representing all patients with pancytopenia admitted to or attending Marjan Teaching Hospital, Al-Hilla Teaching Hospital, or Babylon Hospital for Paediatrics in Babylon,Iraq during the period from 1st July 2007 to 31st September 2008. The patients who were on chemotherapy for any reason or had a previous diagnosis for the cause of pancytopenia were excluded. Results: The most common causes of pancytopenia were acute leukaemia and a plastic anaemia constituting more than 56% of patients, followed by kala azar in 10.8% and hypersplenism in 8.1%. Other causes found in this study include lymphoma, multiple myeloma and megaloblastic anaemia in 5.4% of patients for each; hairy cell leukaemia and secondary metastasis to bone marrow in 2.7% for each; myelofibrosis and myelodysplastic syndrome in 1.3% for each. Fatigue and fever were the most common symptoms seen, while pallor and splenomegaly were the most common physical findings. Conclusion: Acute leukaemia was the most common cause of pancytopenia, followed by aplastic anaemia and kala azar. دراسة نسبة حدوث الأسباب المتعددة لنقص خلايا الدم الشامل في بابل وتحديد مدى العلاقة بينها وبين العمر والجنس والأعراض السريرية ونتائج المرض. إن هذه الدراسة هي دراسة وصفية لأربع وسبعون مريضا كانوا قد راجعوا أو رقدوا في مستشفى مرجان التعليمي أو مستشفى الحلة التعليمي أو مستشفى بابل للأطفال في محافظة بابل – العراق للفترة من الأول من تموز 2007 ولغاية الحادي والثلاثين من كانون الأول 2008 وجميعهم كان يعاني من نقص خلايا الدم الشامل. لقد شملت الدراسة المرضى الجدد فقط وإستثنت المرضى الذين لديهم تشخيص سابق لسبب نقص خلايا الدم الشامل وقت مراجعتهم الأولى للمستشفى , كما إستثنت الدراسة المرضى الذين يتعاطون العقارات الكيميائية أو السامة للخلايا لأي سبب آخر. لقد وجدت هذه الدراسة أن أكثر أسباب نقص خلايا الدم الشامل شيوعا˝ هو لوكيميا الدم الحاد وفقر الدم اللاتنسجي حيث شكلا معا نسبة أكثر من 56% من مجموع المرضى الذين شملتهم الدراسة , يليهم مرضى الحمى السوداء بنسبة 10,8% ثم مرضى فرط الطحال بنسبة 8,1%. لقد كان النحول والحمى من أكثر الأعراض شيوعا لدى عينة المرضى هذه , بينما كان الشحوب وتضخم الطحال من أكثر العلامات السريرية شيوعا˝ لديهم. لقد خلصت هذه الدراسة إلى أن لوكيميا الدم الحاد هو أوسع أسباب نقص خلايا الدم الشامل شيوعا˝ في بابل وتليها أمراض فقر الدم اللاتنسجي والحمى السوداء . لذا يجب اعتبار نقص خلايا الدم الشامل من الحالات المهمة التي يجب العناية بها والإسراع بتشخيص أسبابها التي يغلب عليها أمراض مستعصية تهدد حياة المريض.

Keywords


Article
The Role of Repaglinide in the Treatment of Secondary Sulphonylureas Failure
فعالية عقار الريباكلانيد في علاج حالات فشل عقار السلفونيليوريا

Authors: Safaa Ali Khudhair
Pages: 441-445
Loading...
Loading...
Abstract

Background: About [ 20%-25%] of type 2 diabetes patients are unresponsive to sulphonylureas (primary failure) and an additional 5%-10% of patients each year become unresponsive (secondary failure). Objective: Assessment of the efficacy of repaglinide in the treatment of secondary sulphonylurea failure. Patients and Method: 48 patients with type 2 DM who failed to respond to a combination of full dose of glibenclamide and metformin are put on combination of repaglinide (3mg/day) and metformin and blood glucose is monitored for 9-11 weeks. Results: 12 patients [25%] out of 48 patients with secondary sulphonylureas failure obtained good glycemic control with repaglinide. Conclusion: Repaglinide can induce good glycemic control in some patients with secondary sulphonylureas failure. تهدف هذه الدراسة الى قياس فعالية عقار الريباكلانيد في علاج مرضى داء السكري (النوع الثاني) من الذين فشلوا في الاستجابة لعقار السلفونيليوريا. شملت الدراسة على مرضى بداء السكري من النوع الثاني من الذين فشلوا في الاستجابة لعقار السلفونيليوريا و عقار المتفورمين معا . و قد تم اخضاع 48 مريضا لعقار الريباكلانيد بجرعة 3ملغم في اليوم مع عقار المتفورمين في حين اخضع 25 مريضا للعلاج بالانسولين. اظهرت النتائج ان 12 مريضا (25%) استجابوا بشكل جيد لعقار الريباكلانيد في حين استجاب خمسة مرضى (20%) بشكل جيد للعلاج بالانسولين و كان الفارق بين القيمتين ذو دلالة معنوية

Keywords


Article
Functional Disturbances of the General Gastrointestinal Tract in Diabetes Mellitus
الاضطرابات الوظيفية للجهاز الهضمي لدى مرضى داء السكري

Authors: Zehraa Abdulali Al-Mudhafer
Pages: 446-450
Loading...
Loading...
Abstract

Background: Diabetes mellitus is a common metabolic disorder with significant impact on morbidity and mortality. The various diabetic complications including GI dysfunction have been widely studied and documented. Objective: To assess the prevalence of GI symptoms in diabetic patients in Al-Najaf city. Methods: A prospective case controlled questionnaire-based study surveys the prevalence of symptoms of GI dysfunction in 100 diabetic patients and 70 non-diabetic subjects. Results: The prevalence of GI symptoms in the diabetic and control subjects was 40% and 12% respectively. The common symptoms were constipation, belching, epigastric pain and diarrhea. Conclusion: The prevalence of GI symptoms is higher in diabetics than control. Poor control and longer duration of DM are associated with significant increase in the prevalence of GI symptoms in diabetic patients. تهدف هذه الدراسة الى الكشف عن مدى انتشار اعراض الجهاز الهضمي الوظيفية لدى 100 مريض بداء السكري من النوع الاول و الثاني، بالاضافة الى 70 شخصا غير مصاب بالسكري. اظهرت النتائج وجود اعراض الجهاز الهضمي الوظيفية عند 40% من مرضى السكري و 12% من الاشخاص الاصحاء و هو فرق ذو دلالة معنوية.

Keywords


Article
Changes of Some Liver Function Tests with Regular and Irregular Desferroxamine Therapy in β-Thalassemic Patients

Loading...
Loading...
Abstract

Objectives: (a) To determine the effect of regular desferroxamine (DFO) therapy on De-Ritis ratio. (b) To determine the changes in some liver function test parameters between patient on regular DFO and those with irregular DFO therapy.(c)To determine the relation between serum iron and serum ferritin in both groups. (d) To determine the effects of age, sex and body mass index (BMI) on measured parameters in both groups. Subjects and Methods: This study was conducted at Thalassemia Center /Ibn-Al-Atheer Pediatric Hospital in Mosul from October 2007 to April 2008. Forty patients with β- Thalassemia were selected as follow: twenty patients with regular DFO therapy and other twenty with irregular DFO therapy. Results: De-Ritis ratio serum Ferritin, Ferritin: total serum protein ratio and total serum protein show no significant changes between both groups. Serum ALT, AST, ALP activities and serum iron show a significant increase in those with irregular DFO therapy [P < 0.01]. Conclusion: Irregular DFO therapy shows significant effects on serum iron and some other liver function test parameters that indicate chronic hepatocytes damage without changes in De-Ritis ratio which is used as an indicator for acute hepatocytes damage. أهداف الدراسة : بيان تأثير الانتظام في المعالجة بالديسفيروكزامين على قيمة دي- راتز و التغيرات الحاصلة لبعض معايير فحوص الكبد للمرضى المنتظمين على العلاج وأولئك الذين لا ينتظمون باستخدام العلاج وكذلك إيجاد الارتباط بين تركيز الحديد في الدم مع تركيز الفريتين. إضافة إلى ذلك شملت الدراسة توضيح تأثيرات عاملي العمر ومعامل كتلة الجسم على المعايير المقاسة. طرق العمل : أنجزت هذه الدراسة في مركز الثلاسيما /مستشفى ابن الأثير للاطفال في الموصل للفترة من كانون الاول2007 ولغاية تموز 2008.اختير أربعون مريضا مصابا الثلاسيما و توزعو كما يلي عشرون مريضا منتظمون على العلاج بالديسفيروكزامين و عشرون من غير المنتظمين على العلاج.تم تحليل البيانات باستخدام اختبارt- كما قيس تأثير كل من العمر و الجنس ومعامل كتلة الجسم على المعايير المأخوذة بواسطة معامل الارتباط . النتائج:لم تظهر كل من نسبة دي- راتز وتركيز الفريتين نسبة الفريتين الى البروتين الكلي و البروتين الكلي تغيرا ملحوظا بين المجموعتين في حين اظهر تركيز الحديد في الدم وفاعلية كل من الإنزيمات الفوسفات القاعدي وALT وAST زيادة ملحوظة عند غير المنتظمين على العلاج(ب>0.01). الاستنتاج:يوجد تأثيرات ملحوظة لعدم الانتظام بالمعالجة بالديسفيروكزامين على تركيز الحديد و بعض معايير وظائف الكبد و التي تبين الضرر المزمن الحاصل في خلايا الكبد بدون أحداث تغير في نسبة دي- راتز و التي تستخدم كمؤشر للضرر الحاد في خلايا الكبد.

Keywords


Article
Serological Study of Toxocariasis in Children in Mosul Province
دراسة مصلية لداء السهميات فى الاطفال فى محافظة نينوى

Loading...
Loading...
Abstract

This study was done to determine the seroprevalence of Toxocara infection in children by using ELISA test. Blood samples were collected from 120 hospitalized children with age ranging from [1-15] years, and [25] children (apparently healthy) served as controls. Serum samples of 120 children [66 males and 54 females] and 25 healthy controls were examined for anti-Toxocara IgG antibody by a commercial ELISA test. The seropositivity rates were 30.8% and 12% in diseased and healthy children respectively. No statistical differences were observed with regard to age and sex. Diagnosis of sera from children with geophagia in urban and rural areas revealed that 55.2% were seropositive for Toxocara IgG antibody. Haematological parameters in children showed that the highest ESR rate and lowest Hb% was frequent in 1-2 and 3-5 years old respectively. Eosinphilia was statistically frequent in 3-5 year old group. Conclusion Toxocara seroprevalence suggest that toxocariasis is frequent in children in this community. اجريت هذة الدراسة لتحديد انتشار عدوى داء السهميات فى الاطفال بأستخدام فحص الربط الانزيمى الامتصاصى المناعى. تم جمع نماذج الدم من 120 طفل داخل المستشفى يتراوح اعمارهم بين (1-15) سنة, وكذلك من 25 طفل اصحاء على مايبدو كسيطرة . أُخذت نماذج المصول لـ (120) طفل (66 ذكور و 54 إناث) وكذلك من (25) طفل غير مريض ، أُختبر جميعهم لوجود أضداد الديدان السهمية نوع (الأضداد المناعية جي) باستخدام سيت اختبار الربط الأنزيمي الامتصاصي المناعي . إن نسبة الإيجابية المصلية كانت 30.8% و 12% فى ألاطفال المرضى والاصحاء على التوالى. وقد لوحظ عدم وجود فرق معنوي إحصائي بين مختلف الأعمار وكذلك بين كلا الجنسين . إن التشخيص المصلي للأطفال الذين يأكلون التربة في المناطق الحضرية والريفية قد اُعطوا نتيجة مصلية موجبة لوجود الأجسام المناعية من نوع الأضداد جي ضد الديدان السهمية بنسبة 55.2% .وقد أظهرت القراءات الدموية في الأطفال أن أعلى نسبة لفحص ترسيب الدم كان غالباً في الفئة العمرية (1-2) سنة وأقل نسبة للهيموغلوبين لوحظ في الفئة العمـرية (3-5) سنوات. إن ارتفاع نسبة الخلايا الحمضية في الدم غالباً ما كان ضمن الفئة العمرية (3-5) سنوات وهي ذات أهمية معنوية إحصائياً . الاستنتاج الانتشار المصلي السهمي يوحي بأن داء السهميات غالباً ما ينتشر في الأطفال في مجتمعنا .

Keywords


Article
Studing the Relationship between 5'-Nucleotidase Activity and Body Mass Index in Obese Individuals
دراسة العلاقة بين فعالية انزيم 5-نيوكليوتايديز ومعامل كتلة الجسم في الاشخاص البدينين

Authors: Sawsan Hassan Kadim
Pages: 465-468
Loading...
Loading...
Abstract

In this study, 38 lean individuals (normal weight) and 27 obese individuals (over weight) were chosen randomly to show the activity of 5'- nucleotidase in the sera of those individuals. Body mass index (BMI) was estimated to determine the lean and obese individuals. It was seen that the enzyme activity was increased in obese individuals particularly in those whose their BMI was higher than 30 kg/m2. Also , it was found that enzyme activity also increased in the obese individuals whose their age group was above 50 years old. في هذه الدراسة , خضع 38 شخص نحيف(وزن طبيعي) و 27 شخص بدين(وزن زائد) لدراسة مستوى انزيم 5- نيوكليوتايديز في مصولهم . وقد تم تقدير معامل كتلة الجسم في جميع الاشخاص قيد الدراسة . وقد وجد ان هناك علاقة طردية بين معامل كتلة الجسم والزيادة في فعالية الانزيم خصوصا عند الاشخاص الذين لديهم معامل كتلة الجسم اعلى من ٣٠ كغم/م٢ . كما اظهرت النتائج ان فعالية الانزيم تزداد مع تقدم العمر حيث لوحظ زيادة فعالية الانزيم في مصول الاشخاص الذين تجاوزت اعمارهم الخمسين عاما فما فوق .

Keywords


Article
Carcinoma of Larynx A Clinical Study

Authors: Sadiq Musa Ahmed
Pages: 469-476
Loading...
Loading...
Abstract

This thesis is a retrospective study of 270 patients with carcinoma of larynx admitted from January 2, 1991 to May 31, 1995 in E.N.T. - Head and Neck Surgery Center in Medical City in Baghdad. The age ranging between 5th – 8th decades with peak incidence in the 7th decade in males and 6th decade in females. 77.4% were males and 23.4% were females and male: Female ratio was 3.3:1. The majority of the patients presented with hoarseness. Supraglottic carcinoma was the commonest region. The incidence of lymph node metastases was 23.5% and it was highest in transglottic carcinoma followed by supraglottic carcinoma. Stage T1N0M0 was more common than other stages and radiotherapy was the mainstay of treatment of our patients. البحث عبارة عن دراسة استرجاعية لبحث 270 مريض يعانون من سرطان الحنجرة ادخلوا الى شعبة جراحة الانف والاذن والحنجرة في مدينة الطب في بغداد ما بين الفترة من 2 كانون الثاني 1991 الى 31 حزيران 1995. اعمار المرضى تراوح بين العقد الخامس والعقد الثامن ( اعتى نسبة كانت العقد السابع للرجال والسادس للنساء).(77.4%) من الرجال و(23.4) من النساء وكانت نسبة الرجال الى النساء (3.3:1) اغلب المرضى كانت الشكوى لديهم هي بحة الصوت واكثر المناطق في الحنجرة ثاثرا بالمرض هي المنطقة العليا من الحنجرة. وجود غدد لمفاوية متضخمة في الرقبة بسبب انتشار المرض عن طريق اللمف هو (23.5) وهو اكثر لدى المرضى المصابين بالورم الذي يعم كل اجزاء الحنجرة متبوعا باورام اعلى الحنجرة. اغلب المرضى كانوا ضمن التصنيف T1N0M0 وكان العلاج الاشعاعي هوالوسيلة الاساسية في العلاج. ــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــــ

Keywords


Article
Review of Wheezing in Children in Maternity and Children Teaching Hospital in Al- Diwaniyah– Iraq
مراجعه عامه حول ألأزيز عند إلاطفال في مستشفى النسائية و الا طفال التعليمي-الديوانية-العراق

Authors: Naser Al- Obaidi --- Adel J Al –shami Jomah
Pages: 477-483
Loading...
Loading...
Abstract

This is a review including the wheezing diseases in children, who hare attended the Outpatient Department and Emergency Department in the Maternity and Children Teaching hospital in Al-Diwaniyah, from 1/1/2006 to 31/12/2006. Our study shows that the total number of patients. attending the Outpatient Department tare more than the number of patients. in the Emergency Department and this is possibly due to the fact that a large number of them are mild cases and not required admission to the. emergency department Our study shows an increasing percentage of wheezing in children in winter seasons particularly January, February , due to increase incidence of acute respiratory diseases in these months. There are two peaks of number of patients. who are admitted to the Emergency Department for different age groups, first peak on January , and the second peak on October and this is due to increase incidence of acute respiratory disease. هذه مراجعه عامه حول امراض ا لازيز عند الا طفال المراجعين الى العياده الاستشاريه والداخلين الى ردهة الطوارئ في مستشفى النسائيه والا طفال التعليمي في مدينة الديوانيه للفتره من 112006 الى 31122006. ظهر من الدراسه ان العدد الكلي لمراجعي العياده الاستشاريه يفوق بكثير العدد الكلي للداخلين الى ردهة الطوارئ لان الكثير منهم حالتهم بسيطه لاتستوجب الدخول الى الطوارئ. كما ظهرمن الدراسه زيادة نسبة الازيز عند الاطفال في اشهر الشتاء وخاصة كانون الثاني وشباط بشبب زيادة وقوع الاصابه بالامراض التنفسيه الحاده في هذه الاشهر. هناك قمتان لعدد المرضى الداخلين الى ردهة الطوارئ ولمختلف الفئات العمريه , القمه الاولى في شهر كانون الثاني والقمه الثانيه في شهر تشرين الاول بسبب زيادة الاصابه بالامراض التنفسيه الحاده.

Keywords


Article
The Value of Cytobrush Technique in The Diagnosis of Oral Ulcerative Lesion

Loading...
Loading...
Abstract

A total of 49 patients were included in this study, 29 patients with oral benign and malignant lesions, and 20 healthy individuals were included as control. All these cases were examined by using cytobrush technique. The study aimed to evaluate the sensitivity and specificity of cytobrush method in the detection of precancerous and cancerous lesions of oral mucosa. The results of cytobrush method were compared with those of scalpel biopsy of suspicious oral lesions. The brush method has high sensitivity and specificity rate (88% sensitivity, 100% specificity). The cytobrush method was a highly accurate method of detecting oral precancerous andcancerous lesions (93% accuracy rate). Although the histological pattern was the definitive diagnosis in those patients, but when the lesion was doubtful, the cytological examination (cytobrush technique) was not only supportive but also diagnostic. It can aid in confirming the nature of apparently benign oral lesionsand, more significantly, revealing those that are precancerous and cancerous when they are not clinically suspected of being so. All cytobrush positive results should be referred for scalpel biopsy and histology to completely characterize the lesion. شملت هذه الدراسة 49 شخصا، تسعة وعشرون منهم يعانون من تقرحات فموية حميدة أو خبيثة، أما العشرون الآخرون فهم أصحاء وتم اعتبارهم كمجموعة سيطرة. كل هذه الحالات تم فحصها باستعمال طريقة الفرشاة الخلوية. الهدف من الدراسة هو تقييم حساسية وخصوصية طريقة الفرشاة الخلوية في تحديد التقرحات السرطانية وما قبل السرطانية التي تصيب بطانة الفم، ونتائج هذه الطريقة قورنت مع الطريقة المشرطية لأخذ العينة من التقرحات الفموية المتوقعة. طريقة البابانيكولا استعملت لغرض صبغ المسحات التي أخذت بطريقة الفرشاة الخلوية، ويتم معاينتها تحت المجهر الضوئي. أظهرت نتائج البحث أن هناك معدل عالي لحساسية وخصوصية هذه الطريقة ( 88% للحساسية و 100% للخصوصية) ، لذلك فان طريقة الفرشاة الخلوية ذات دقة عالية في تعيين التقرحات الفموية السرطانية وما قبل السرطانية ( 93% معدل الدقة). نستنتج من ذلك انه بالرغم من ان الحالة النسجية تعطي التشخيص النهائي للحالة، إلا أن طريقة الفرشاة الخلوية ليست فقط داعمة للتشخيص بل هي طريقة تشخيصية أيضا.

Keywords


Article
Clinical and Pathological Evaluation of Patients with Nodular Goiter

Loading...
Loading...
Abstract

The aim of this study is clinical and pathological evaluation. of nodular thyroid Goiter Patients. Methods :- The Present prospective study pts of nodule thyroid goiter who were treated surgically was performed over a period from February 2004 – January 2007. clinical symptoms and signs, thyroid function test and Formalin fixed , Paraffin embedded blocks from 127 patients with thyroidctomy were included in this study. Results : - A total of 127 cases were included there is female predominance (77%), (73.1 %) cases were euthyriod, (24.2 %) cases hyperthyriedism and (3.1 %) hypothyriedism. the histopathological results of thyroid Nodules were ( 69.3 %) colloid nodular Goiter, (15.7%) toxic Nodules, 11.8 % thyroid tumors only (3.2 %) was hashiomito's thyrioditis. The Papillary carcinoma is the most common malignant tumor (3 cases) followed by follicular carcinoma (2 cases). Conclusion :- Based upon the findings of this study. It can be concluded that Most of thyroid nodules are benign , Euthyriod and more common in female. Most cases of hypothyroidism associated with hashiomates thyrioditis. Papillary carcinoma is Most common Malignant thyroid Nodule tumor. benign thyroid tumor is more common than Malignant thyroid tumor. Incidental finding of thyroid tumor was in majority of cases of thyroid Nodule while the Minority of cases were clinically suspicious الأهداف : من أجل التقييم السريري والباثولوجي لعقدة الغدة الدرقية حيث عقدة الغدة الدرقية الحميدة تمثل (95%) من الحالات. الطريقة :- تم إعداد هذه الدراسة خلال الفترة من شهر شباط 2004- شهر كانون الثاني 2007 من خلال تجميع 127 حالة درست الإعراض الغدة الدرقية والعلامات السريرية وإجراء فحص هرمونات الغدة الدرقية الثلاثي وإجراء الفحص النسيجي على الغدة الدرقية بعد رفعها ودراسة نتائج الزلاع النسيجي النتائج :- أظهرت النتائج نسبة إصابة الإناث أكثر من نسبة إصابة الذكورة (77%) و(73 %) من الحالات كانت متعادلة الإفراز و(24 %) فقط يعانون من زيادة افراز الغدة الدرقية و(3.1 % ) يعانون من نقص افراز الغدة الدرقية ونتائج الفحص النسيجي كانت (69.3 % ) عقدة هلامية و (15.7 % ) عقدة سامه و (11.8 %) من الحالات كانت ورم الغدة الدرقية السرطاني و (3.2 % ) فقط من الحالات التهاب الغدة الدرقية نوع هشماوتو . الاستنتاج:- اعتمادا على نتائج الدراسة نستنتج بان اغلب عقد الغدة الدرقية هي حميدة و متعادلة الإفراز والنساء أكثر إصابة من الرجال و اغلب حالات نقص الإفراز تكون مصاحبة لمتلازمة هاشمتو وسرطان الغدة الدرقية أكثر من نوع من الأورام ممكن أن يتزامن في نفس الغدة في وقت واحد سرطان الغدة الدرقية ممكن أن يكون في حالات قليلة على شكل غدة سامة أكثر نوع من سرطان الغدة الدرقية شيوعا هو النوع الاصيبعي

Keywords


Article
Bacteriological and Clinical Study of Patients with BenignProstatic Hyperplasia and Urinary Tract Infection

Authors: Emad Hssan --- Mohmma Sbri* --- Ban Hussein
Pages: 501-509
Loading...
Loading...
Abstract

Abstract
The study included (150) patients with benign prostatic hyperplasia and or chronic prostatitis who
referred Al-Hilla Teaching Hospital-Department of Urology, from (October) 2004 to (May) 2005.
. Patients age ranged from (30-99) years with mean age of (63.9) years. It was found that (78%) of them had
benign prostatic hyperplasia 13.3% had chronic prostatitis and 8.7% had benign prostatic hyperplasia and
chronic prostatitis.
The clinical features were frequency (98%), nocturia (90%), urgency (82%), hesitancy (53%), dysuria
(51.3%), poor stream (46.7%), dribbling of urine (22%). Other clinical features were pain (22%) such as
supra pubic pain, lower backache, groin and perineal pain.
About (20.7%) of patients had post voiding residual urine, while (10%) had history of catheterization and
cystoscopy was done to (4%).
Results of general urine examination were pyuria (54%), red blood cells (20.7%), bacteruria (8%) and
(12%) had sterile pyuria with urine culture and sensitivity negative.
Regarding the results of urine cultures in patients with benign prostatic hyperplasia and or chronic
prostatitis, (43.3%) had positive culture for bacteria. E.coli was the most common type of bacterial isolates
(14.7%), Staphylococcus epidermidis (6%), Klebsiella pneumoniae and Staphylococcus aureus ,each of
which represented (4%), Acinetobacter spp. (3.3%), Enterobacter spp. and Pseudomonas aeruginosa
represented (2.7%)for each, Proteus mirabilis (2%).
الخلاصة
شملت هذه الدراسة ( 150 ) مريضاً يعانون من تضخم البروستات الحميد أما أو التهاب الغدة المزمن ممن راجعوا استشارية الجراحة
99 ) سنه من العمر وكان متوسط – البولية في مستشفى الحلة التعليمي وكانت أعمارهم تتراوح بين الثلاثين والتاسعة والتسعين ( 30
أعمارهم ( 63,9 ) . كان ( 78 % ) منهم يعانون من تضخم البروستات الحميد, ( 13.3 % ) يعانون من التهاب البروستات المزمن و (
8.7 % ) كان لديهم التهاب البروستات المزمن والتضخم الحميد .
من الناحية السريرية كانت اهم الاعراض التي عانى منها هؤلاء المرضى هي تكرار التبول ( 98 % ) ، التبول الليلي ( 90 % ) ، الحرج البولي (
82 % ) ، التلكؤ البولي ( 53 % ) ، حرقة البول ( 51.3 % ) ، ضعف المجرى البولي ( 46.7 % ) وتقطير البول ( 22 % ) . أما بقية
. ( % الأعراض فقد تضمنت ألم مثل ألم البطن ، أسفل الظهر ، المنطقة التناسلية والعجانية ( 22
المرضى الذين كان لديهم حجم باق بعد التبول كانت نسبتهم ( 20.7 % ) و ( 10 % ) من المرضى كان لديهم تاريخ وضع أنبوب بزل
الإدرار و ( 4 % ) خضعوا لعملية تنظير المثانة .
وكانت نتائج فحص الإدرار العام هي خلايا قيحية ( 54 % ) وكريات الدم الحمراء ( 20.7 % ) ، أما الخلايا البكتيرية فقد مثلت ( 8
% ) وخلايا قيحية نظيفة ( 12 % ) الناتجة من الزرع السالب .
. ( % أما بالنسبة لنتائج فحص سوائل البروستات المستخلصه بطريقة التدليك هي خلايا قيحية ( 66.6 % ) وكريات الدم الحمراء ( 12.1
فيما يخص نتائج زرع الادرار من المرضى المصابين بتضخم البروستات الحميد أما أو التهاب البروستات المزمن فقد نمت البكتيريا
K. ، ( % 6 ) Staphylococcus epidermidis ، (% حيث مثلت ( 14.7 E. coli بنسبة ( 43.3 % ) معظمها من نوع
3.3 % ) ، بينما أنواع ) Acinetobacter مثلت كل واحده منهما ( 4 % ) ، أنواع Staphylococcus aureus و pneumoniae
( % 2 ) Proteus mirabilis . مثلت كل واحدة منهما ( 2.7 % ) من العزلات Pseudomonas aeruginosa و Enterobacter
Bacteriological and Clinical Study of Patients with Benign
Prostatic Hyperplasia and Urinary Tract Infection
Ban Hussein Mohmma Sbri* Emad Hssan*
College of Dental Medicine, University of Babylon, Hilla, Babylon, Iraq.
*College of Medicine , University of Babylon, Hilla, Babylon, Iraq.
M J B
PDF created with pdfFactory Pro trial version www.pdffactory.com
Medical Journal of Babylon-Vol. 6- No. 3-4 - مجلة بابل الطبية- المجلد السادس- العدد الثالث والرابع - 2009 2009
502
مثلت كل واحدة ( Enterococcus وأنواع Corynebacterium أنواع ،Staphylococcus saprophyticus ، بالإضافة إلى
. (%1.3

Keywords


Article
Evaluation Traumatic Fracture of Anterior Permanents Teeth within Age 8-11 Years Old in Boys and Girls.

Authors: Ameer H. Alameday
Pages: 510-514
Loading...
Loading...
Abstract

Clinical data of involve 554 healthy children, with traumatized permanent anterior teeth fracture in this children who were treated in to Hilla Specific Dental Clinic during school time, were collected. The type, reason, and mode of the trauma, the number of teeth involved in each person and time elapsed before treatments were analyzed. The results suggested that boys were more susceptible to traumatic injury of anterior teeth, and the highest prevalence of dental trauma was determined in the 8 years age group and higher than boys in the 10 years age girls group type score 3(Coronal enamel and dentine fracture without pulp exposure) and the result show that boys with 8-9 years age were more susceptible to traumatic injury score 4 type (Fracture from Coronal enamel and dentine involve expose pulp area) was the most common type. Most children went to hospital in 2 to 24 hours after injury. Falls was the most common reason.المعلومات العيادية المتضمنة عن خمسمائة واربع وخمسين طفل وطفلة مصابون بتكسر في الاسنان الامامية نتيجة لحادث والتي تم احالتهم وعلاجهم في المركز التخصصي لطب الاسنان في الحلة خلال قترة الفصل الدراسي وتم تسجيل لنوع و سبب وتحليلها قبل اجراء اي علاج وكانت النتائج وجدت ان نسبة العليا لحوادث تكسر الاسنان الامامية تصيب البنات في سن العاشرة من عمرهن وهي اعلى من نسبة الاولاد في سن الثامنة من عمرهم وفئة الكسر هي درجة الثالثة (تكسر تاج السن ويشمل منطقة المينا والعاج السني دون شمول منطقة اللب)وكما وجدت النتائج ان الكسور من درجة الرابعة(تكسر تاج السن ويشمل منطقة المينا والعاج السني مع شمول منطقة للب)يتعرض لها الاولاد في الغالب للفئة العمرية بين سن الثامنة وسن التاسعة من عمرهم وكانت فترة مراجعتهم للمركز واجراء العلاج لهم بعد مررور فترة زمنية من ساعتين الى اربعة وعشرين ساعة بعد الحادث وكان سبب الكسر هي حوادث السقوط للاطفال

Keywords


Article
An Analytic Study of 100 Patients with Laproscopic Cholecystectomy

Authors: Khairallah -M.Al-rubaiee
Pages: 515-520
Loading...
Loading...
Abstract

Abstract
Surgical treatment of gallstone disease has changed dramatically because of the introduction of laparoscopic
cholecystectomy that is why The rapid and widespread adoption of laparoscopic cholecystectomy has
aroused concern about the safety of the new procedure. this analytic study was conducted in Al-karama
general hospital ,kut city,on 100 patients with symtomatic gallstones over 2years. 99% of patients were
Iraqi citizens and only 1% was a palastinian. 75%were from Wasit,22%from Nassirya and 3%from
Baghdad governorates.the vast majority were females(87.4%) ,the mean age was 39.9year with a range
from14-70year .the patients underwent laparoscopic cholecystectomy after complete preoperative
assessment with a success rate of 94% ,while 6%of patient completed by conversion into open laparotomy.
the mean operative time was 36.2 minutes ,ranged from(180-15)min. the mean hospital stay was 1.43 day,
ranged from (1-18)days. there was no major complications and the intraoperative complications were
managed intraoperatively. no death was encountered in this series . the mean time to return to work
was12days.This study showed that laparoscopic cholecystectomy is a safe procedure with short operative
time, less postoperative pain, a short hospital stay, early return to work, and a low morbidity and mortality
rate.
الخلاصة
لقد أحدث استخدام المنظار في عمليات رفع المراره صدى واسعا كما اثار تساؤلات عديدة بين الاوساط المعنية عن مدى أمان أو سلامة
وجدوى هذه الطريقة الجراحية التكنولوجية الحديثة. وهذه دراسة تحليلية أُجريت في محافظة واسط - مستشفى الكرامة العام أبتداء
من السابع من تموز 2007 حيث تم إجراء اول عملية رفع مرارة ناظوريا موثقة في المحافظة على ( 100 ) حالة مرضية
خضعوا لهذه العملية وعلى مدى عامين متتاليين كانوا يعانون من التهاب المرارة الحصوي , 99 % منهم عراقيوا الجنسية ,
%1 فلسطيني , 75 % من سكان محافظة واسط , 22 % ناصرية و 3% من بغداد . شكل الاناث منهم الغالبية العظمى ( 87.4 %) حيث
70 عام ومتوسط عمر 39.9 سنة. اجريت العملية وبنجاح تام في( 94 % ) من هذه السلسلة , - تراوحت اعمار المرضى بين 14
في حين اكملت العملية بطريقة فتح البطن في ( 6% ) من المرضى . كان معدل وقت اجراء العملية 36.2 دقيقة , متراوحا بين
18 يوم . لاتوجد مضاعفات كبرى , كما عولجت المضاعفات الصغرى - 180-15 ) دقيقة . معدل الرقود 1.43 يوم متراوحا بين 1 )
اثناء اجراء العملية الجراحية, لاتوجد وفيات في هذه السلسلة. معدل العودة الى العمل 12 يوم. نستنتج من هذه الدراسة ان عملية
استئصال المرارة ناظوريا هي طريقة امينة, وذات وقت جراحي قصير, اقل الما, واقصر رقودا , واسرع عودة لمزاولة العمل , وذات
مضاعفات ووفيات قليلة .

Keywords


Article
Maternal Serum Tumor Necrosis Factor-alpha in Patients with Missed and Recurrent Miscarriage

Authors: Nadia Mudher Al-Hilli
Pages: 521-526
Loading...
Loading...
Abstract

Background: TNF-α is one of the cytokines produced by the immune system. Many studies have been done to investigate the role of the immune system in first trimester pregnancy loss. Objective: To evaluate the association of TNF-α with recurrent and missed miscarriage. Method: a case-control study involved 35 women, 15 with recurrent miscarriage (at least three consecutive spontaneous abortions) , 10 with missed miscarriage and 10 with normal first trimester pregnancy (control group). The study was conducted from the 1st of January to 30th of June 2008. Blood samples were taken from these women, TNF-α was measured in the sera by an immunoenzymometric assay using Biosource TNF-α EASIA kit (Biosource Europe S.A.). Results: student t-test was applied to analyze the difference in serum TNF-α level between the groups. The level of significance was defined at P value < 0.05. Significantly higher levels of TNF-α was found in women with recurrent miscarriage as compared to control group (68.94 pg/ ml versus 27.40 pg/ml). The difference was also significant when comparing women with missed miscarriage with the control group (54.39 pg/ml versus 27.40 pg/ml). The level of TNF-α was higher in women with recurrent miscarriage compared to women with missed miscarriage, however the difference between them was not statistically significant. Conclusion: TNF-α has a significant association with miscarriage, the level is significantly higher in patients with recurrent and missed miscarriage compared to normal pregnant women; the level is higher in those with recurrent miscarriage when compared to patients with missed miscarriage. اشتملت الدراسة 35 امرأة, 15 امرأة يعانين من اسقاطات متكررة, 10 يعانين من اسقاط منسي و 10كن في الأشهر الثلاثة الاولى من الحمل و يتمتعن بحمل طبيعي. تم سحب عينات الدم من المجموعة تحت الدراسة و قياس مستوى عامل تحلل الورم (Tumour Necrosis Factor TNF- α) أظهرت النتائج ان مستوى عامل تحلل الورم اعلى عند النساء اللائي يعانين من اسقاط متكرر أو اسقاط منسي مقارنة بالحوامل الطبيعيات. كما انه اعلى عند النساء ذوات الاسقاط المتكرر مقارنة بالنساء ذوات الاسقاط المنسي. مما يدل على ان عامل تحلل الورم له علاقة وثيقة بحالات الاسقاط خصوصا المتكرر.

Keywords


Article
Knowledge, Attitude and Beliefs of College Students in Baghdad and Mousel / Iraq about AIDS
معرفة ومعتقدات طلاب الجامعة عن مرض متلازمة العوز المناعي

Authors: Sulaf A. Hussain
Pages: 527-532
Loading...
Loading...
Abstract

The problem of AIDS is being increasingly recognized in the Middle East, and as the disease is fatal and incurable it is important to spread health education messages about prevention and control of the disease which depends mainly on knowledge of mode of transmission of the infectious agent and how to prevent it. Aim: This study aims to identify the level of college students' knowledge and attitudes about the disease and to find out some of their beliefs about it. Methods: this is a cross sectional survey conducted in Baghdad and Mousel among College students as a representative of the educated young adult, males and females. The study sample included 594 students from the 2nd, third and 4th year. Questions included knowledge about transmission of the disease, and the way to prevent its occurrence, and their beliefs about the most risky group to be infected with that disease and what is their attitude towards infected people. Results: rate for correct response on 70% of questions about knowledge of mode of transmission of the disease was 42.4%. Knowledge of transmission by shared drug injection was 83.3%, by blood 94.4% and by sex 97.3%. As for prevention, 48.5% answered correctly for more than 75% of questions. 97.6% knew that it is prevented by avoiding illegitimate sex, 97.1% said by examination of donated blood and 92.4% said by using disposable syringes. The students believed that the risky group to be infected is women of infected person (82.8%), men who have illegitimate sex (94.9%) and medical and health personnel (62.9%). As for the attitude towards infected people 71.5% of respondents accepted within the community without being isolated in especial places. The source of the students' knowledge was from TV and private readings. إن مرض متلازمة العوز المناعي بازدياد في دول الشرق الأوسط, و هو غير قابل للشفاء ولكن من الممكن منع حدوثه وعليه يجب توعية الناس و خصوصا الشباب حول هذا المرض من حيث طريقة العدوى وكيفية الوقاية منه ولغرض التوصل إلى ذلك يجب معرفة أولا معلومات الناس عن المرض هدف الدراسة: اختبار معرفة طلاب الجامعة عن مرض متلازمة العوز المناعي و التعرف على بعض معتقداتهم حول المرض. طريقة الدراسة: دراسة مقطعية اجريت في مدينة بغداد والموصل وتضمنت طلبة الكليات ليمثلوا شريحة مثقفة من المجتمع من كلا الجنسين, كان حجم العينة 594 طالب وطالبة من المراحل الدراسية الثانية والثالثة والرابعة. شمل الاستبيان أسئلة حول معرفة الطالب عن طريقة انتقال المرض وطرق الوقاية منه وكذلك أسئلة حول معتقداتهم عن الفئة المعرضة لخطورة الإصابة بالمرض وميولهم تجاه المرضى المصابين بالمرض. النتائج: بلغت نسبة الطلبة الذين اجابوا بصورة صحيحة على 70% من الأسئلة الخاصة بطرق انتقال المرض (42.4%)، وكانت نسبة الطلبة الذين تعرفوا على انتقال المرض بواسطة الحقن المستخدمة عدة مرات 83.3%، و ممارسة الجنس 97.3% و بواسطة الدم 94.4%. بالنسبة للوقاية من المرض فقد قال 97.6% من الطلاب بواسطة الاقتصار على العلاقات الجنسية الشرعية و97.1% تعرفوا على فحص الدم المعطى للمريض كطريقة مهمة للوقاية و92.4% قالوا بوجوب استخدام الحقن النبيذة. اعتقد الطلاب ان الرجال الذين لديهم ممارسات غير شرعية بالجنس هم الأكثر عرضة للخطورة 94.9% وزوجات الشخص المصاب بالمرض (82.8%) والعاملين في مجال الطب والصحة (26.9%). كان مصدر معلومات الطلاب هو التلفاز يليه بالأهمية المطالعات الخاصة.

Keywords

Knowledge --- students --- college


Article
AIDS in Iraq Epidemiology and Transmission before and after 2003

Loading...
Loading...
Abstract

Aim: to determine epidemiological characteristic of all cases of AIDS that were still alive up to the 31 st of Dec. 2002 and compare them with the newly diagnosed cases during the year 2004. Patients and methods: the study was carried out in health centers that perform HIV test, and the communicable disease control center in Baghdad. The study was conducted during the year 2005 and a cross-sectional design was adopted. Demographic characteristic of patients were documented as well as the source of their infection. Results showed that 77% of newly diagnosed cases during the year 2004-2005 were of age group 20-39 years and males constituted 84.6% of cases, and they had acquired the disease from abroad or by blood transfusion. The highest rate of cases that were still alive up to the 31st of Dec. 2003 was in age group 20-39 also, the rate of males was 68%, and 58.3% of them had acquired the disease by blood transfusion. Conclusion: AIDS is highest among young adult males, and the disease is acquired by blood transfusion or imported from abroad. The difference between the newly diagnosed cases of 2004-2005 and those pooled up until the 31 of Dec. 2002 was that there were cases of younger age group and the disease was acquired by parenteral route mainly.

Keywords


Article
Treatment of Ocular Manifistations of Behcet’s Disease with Interferon 2

Authors: Ali Al-Kazzaz --- Qasim K. Farhood
Pages: 538-544
Loading...
Loading...
Abstract

Behcet’s disease is a vasculitis of unknown etiology, it is most prevalent in Mediterranean area, the most serious problem is ocular involvement, and with the use of the immunosuppressive agents, ocular prognosis had significantly improved. The interferon 2 is a biological agent used for the treatment of viral hepatitis and renal cell carcinoma. It is used now for the treatment of Behcet’s disease, the mode of action of INF in Behcet’s disease is still unknown, it has many immuno -modulatory effects, such as enhancement of HLA class (I) antigen expression on the lymphoid cells, T and NK cell cyto-toxicity, and it diverts the T cell response. Forty patients had been studied through (2006 - 2008) in Merjan Teaching Hospital to compare the use of interferon 2 versus other immunosuppressive agents to show the difference especially in refractory eye problems and vascular involvement. Six to nine million units of interferon per week were given subcutaneously to (20) patients whom either newly diagnosed or already had Behcet’s disease and did not respond to other immunosuppressive agents , those patients are compared with other (20) patients whom already treated by other drugs like cyclosporine, azothioprine and other immunosuppressive agents . The duration of the treatment with interferon was (3-6) months and ophthalmologist and rheumatologist did follow up for one year. The mean age of the patients was (14-55) year, the group one included (14) males and (6) females while group two included (13) males and (7) females. The group one showed dramatic response to interferon, especially among the newly diagnosed patients while those patients treated with other drugs got better response with the use of interferon alone. Only three patients not responded to interferon, one was newly diagnosed and the other two were already diagnosed. Thirteen patients showed complete remission or became stable during follow up period. While in group two, (8) patients showed relapse after stopping therapy, (2) patients showed deterioration of the visual acuity and eye problems even with therapy and (10) patients showed complete remission in the follow up period From this study, we found that interferon 2 is the newly emerged therapy of Behcet’s disease and its complications that are not responding to ordinary therapy. Interferon2 is useful in the treatment of Behcet’s disease in Iraq and should be used to prevent serious problems of the disease like blindness and vascular obstruction.

Keywords


Article
Dose-Rsponse Relationship for the Anti-inflammatory Activity of Doxycycline in Experimental Models of Chronic Inflammation

Loading...
Loading...
Abstract

Recently, progress has been made to utilize the matrix metalloproteinase inhibitory properties of some drugs for developing anti-inflammatory drugs that are efficacious and relatively free of side effects, and can be used effectively for a long time. The present study was designed to evaluate the dose-response relationship of the anti-inflammatory activity of doxycycline in experimental animal models of chronic inflammation and compared to that produced by the standard drugs dexamethazone and methotrexate. Seventy two rats were allocated into nine groups, each containing 8 rats, for the study of the anti-inflammatory activity of doxycycline in experimental animal model of formaldehyde-induced chronic inflammation; another 16 rats were used, and allocated into two groups, each containing 8 rats, for the study of the anti-inflammatory activity of (doxycycline 2.5 mg/kg) when used in combination with dexamethasone or methotrexate. The result of the present study reported that doxycycline in the dose range of (0.1, 0.2. 0.4, 0.6, 1.2, 2.5 mg/kg) significantly suppress inflammation in experimental animal model of formaldehyde induced chronic inflammation. Combination of doxycycline with dexamethasone (1 mg/kg body weight) significantly suppresses inflammation which was higher than all of the effects produced by other approaches of treatment. In conclusion, doxycycline, in a dose dependent pattern, was effective in attenuating formaldehyde-induced chronic inflammation in rats and has the ability to potentiate the anti-inflammatory activity of dexamethasone and methotrexate

Keywords


Article
Metformin : The Treatment of Choise in Polycystic Ovary Disease

Authors: Melal Mohammed Abd. Al - Rudha
Pages: 551-558
Loading...
Loading...
Abstract

Aim of study:Was to determine wheather metformin , which reduces hyperinsulinemia , would reverse the endocrinopathy of PCOS, allowing resumption of regular , normal menses. Subjects and Methods:A study included 29 patients with PCOS were treated with metformin for 3-6 months and effects on regulation of menstrual cycles, weight reduction, improvement in endocrinopathy was assessed after treatment. Results: Of 29 patients with PCOS,with menstual irregulation, the analysis showed that 20 patients resume normal menses after metformin therapy, 14 patients loss weight , and there was reduction in level of blood insulin and testosterone after treatment . Conclusion: Safe and effective therapy with metformin in PCOS reverses endocrinopathy , restores normal menstrual cycles , and restores fertility, allowing pregnancy.

Keywords


Article
Patellofemoral Joint and Contact Characteristic

Authors: Mohammed Ubaid Hamza
Pages: 559-564
Loading...
Loading...
Abstract

The patella form patellofemoral joint . this joint is a complex articulations with high functional and biomechanical requirements. Multiple clinical problems of the knee joint may caused by anatomical and physiological abnormalities of this joint. So exact knowledge about the anatomy , the biomechanical and function of patellofemoral joint is there fore required to understand its wide rang of pathology. so 10 patella of adult human where measured the surface area of medial and lateral articular surfaces. The result indicated that lateral articular surface area of patella is larger than medial one. This lead to conclusion that there is increase pathological regions on the lateral side of the knee joint, beside increasing contact area in human weight bearing and cause pain on the lateral side with increasing contact area during flexion exercise of the knee joint.

Keywords


Article
Prophylactic Administration of Vaginal Progesterone Reduces the Risk of Preterm Birth

Authors: Huda Mahmood Altemimmi
Pages: 560-658
Loading...
Loading...
Abstract

Objective :To evaluate the effects of vaginal progesterone in reducing the risk of preterm delivery in women with short cervix. Setting :Dept. of Obstet. and Gyncol.,Babylon Maternity Hospital , Ultrasound unit, 2008-2009 Materials and methods: Prospective Follow up study carried for 2 years, cervical length was measured by vaginal ultrasound in 313 women with history of preterm delivery( one or subsequent type),46 women with cervical length of < 28mm was evaluated further and divided in 2 group, study group which include19 pregnant women received 200Mg micronized vaginal progesterone, , daily which is identical to progesterone of ovarian origin. Other control group of 27 pregnant women received no treatment, outcome regarding preterm labor before 32weeks was evaluated, together with neonatal outcome . Results: the study shows, 1-the incidence of preterm labor was low in progesterone group when compared with the other group. 2- admission to baby care unit was lower in 1st group, with shorter stay. Conclusion : vaginal progesterone may reduce the risk of preterm labor in women with short cervix.

Keywords


Article
Astudy of 68 Cases of Infantile Hypertrophic Pyloric Stenosis

Authors: Amier A. Ejrish
Pages: 565-571
Loading...
Loading...
Abstract

Background: First description of IHPS by Fabicious Hildnris in 1640. Harold Hirshsprung described 2 cases in 1888 at that time the treatment was medical by gastric lavage and antispasmodic [1]. Ramistedtʼs (1911) later simplified the Fredetʼs (pyloromyotomy).[2] Aim of study :To study the clinical presentation ,diagnosis ,management and complication of infants with IHPS in Children Welfare teaching hospital. Patients and Methods: Prospective study of 68 cases of IHPS treated and followed up in children welfare teaching hospital between March 2006 to March 2008 Results:Male to female ratio was 5.8-1.first baby in the family more frequently affected by the disease(70.6%).All patient when full term andthere was no family history of the disease in our study.The peak incidence for time of presentation between 3-6weeks.97% of the cases presented with projectile non bilestianed vomiting.the diagnosis based on history and clinical examination in 76.5% of the caseswhile ultrasound examination was true positive in 100% of cases.The classical ramistedtʼs pyloromyotomy was done for all our patientS .Post operative persistent vomitingevedent in 26.5%ofcases and it self limiting.No death occured. Conclusion: Early diagnosis,proper resuscitation and close follow up for apatient presented with IHPS will decrease the incidence of complications.the clinical diagnosis obviates the need for further diagnostic tools.Ramistedtsʼ-Fredetʼs pyloromytomy remains the procedure of choice in treating IHPS.

Keywords


Article
Aortic Regurgitation in Iraqi Hypertensive Patients Frequency and Risk Factors

Authors: Ali S. Baay
Pages: 572-578
Loading...
Loading...
Abstract

Aortic regurgitation is back flow of the blood from the aorta to the left ventricle, many causes of this relatively common valvular lesion but one of the most important is hypertension a so common medical problem. Aim of the study: to assess the frequency of, severity and risk factors of aortic regurgitation in hypertensive patients The results and discussion: show significant No. of hypertensive patients have aortic regurgitation most of them have non significant lesion with the dilatation of aortic root and increasing age are significant risk factors ,this finding consistent with most of the studies Recommendations: it is wise to assess all hypertensive patients with noninvasive simple test, echocardiography, for evidence of aortic regurgitation.

Keywords


Article
A Study of 40 Cases of Omphalocele

Authors: Amier A. Ejrish
Pages: 579-585
Loading...
Loading...
Abstract

Background:Congenital abdominal wall defects(probably omphalocele) were described as early as the first century. Successful repair of omphalocele was first reported in 1803.[1] Excising sac and covering the viscera with skin flaps was described in 1948[2]. In 1967, the staged repair of omphalocele with artificial material sewn to the facial edges was introduced [3]. Objectives: To evaluate the prenatal diagnosis, post delivery management including surgical correction and prognosis, in Iraq. Setting: All of our patients were managed in pediatric surgery center at children welfare teaching hospital in Baghdad between may 2004 to may 2007. Patients and methods :The medical records of our patients were recorded for prenatal diagnosis, birth order, sex, weight, type of delivery, maternal age, gestational age, size of the defect, associated anomalies, treatment and out come. All patients had been examined to exclude associated congenital anomalies. All patients investigated for blood group, blood glucose and urea, echo-cardiography and ultra sound of abdomen done for them. Vitamin K were given to all patients as 1mg/kg in single dose. Results: forty full term patients, twenty male and twenty female. Diagnosis of all of patients were done clinically by inspection, while ten of the patients were diagnosed prenataly by ultrasound examination(25%). six of our patients(15%) had CS delivery while the rest were product of normal vaginal delivery. Only two patients(5%) had rupture of the sac at presentation. thirty patients(83.4%) treated successfully by primary closure, six patients (16.6%)treated by staged closure. four patients(10%)died preoperativelysecondary to sepsis because of low birth weight and associated anomalies, two patients(5%) died postoperativelyfor the same reasons. Conclusion: All our patients were full term infants. No difference in male to female ratio. Omphalocele minor not interfere with birth weight. CS have no additional benefit over normal vaginal delivery. Mortality is high in patients have major associated anomalies or big defect. The treatment is surgical include removal of the sac and primary closure or staged closure. The post operative period was smooth for 90% of the patients.

Keywords


Article
A Study on the Hypoglycemic Effect of Ficus carica L. Leaves Aqueous Extract against Alloxan-Induced Diabetes in Rabbits

Loading...
Loading...
Abstract

The hypoglycemic effect of orally administered aqueous extract of Ficus carica (F.C.) leaves against alloxan-induced diabetes in rabbits was studied. Animals were treated daily with 0.3 gm/kg F.C. aqueous leaves extract alone, or 10 IU/Kg body weight (B.wt) insulin alone, or a combination of 0.3 gm/kg B.wt F.C aqueous leaves extract and 10 IU/Kg B.wt insulin, each started one week after alloxan injection and continued for 6 weeks period for reversing the change in glucose level in diabetic rabbits. In addition, diabetic rabbits were randomly selected and received a combination of different doses of insulin with Ficus carica leaves aqueous extract to evaluate the extent of Ficus carica leaves aqueous extract in reducing insulin dose compared with diabetic rabbit treated with insulin alone (10 I.U. /Kg). Blood samples were collected weekly from the caudal ear vein of rabbits for the assessment of blood glucose level. Analysis of data obtained from the first experiment showed that, 0.3 gm/kg B.wt. of aqueous extract of F.C. leaves given alone or in combination with insulin caused an improvement of blood glucose level in diabetic rabbits compared to diabetic non-treated group. The results from the second experiment showed that, there were no significant differences between 8 U/kg insulin and 0.3gm/kg Ficus carica leaves aqueous extract group compared to 10 U/kg insulin, thus there were a reduction in insulin dose to almost 20% produced by Ficus carica leaves aqueous extract. In conclusion, Ficus carica leaves aqueous extract has the ability for decreasing glucose level and may have additional effect to insulin, and could be used as a supplement with insulin in order to improve its effect and/or reduced its doses and hence reduces its suspected side effects

Keywords


Article
Risk Factors which Contribute to Malnutrition in Children in Babylon Hospital for Maternity and Children

Loading...
Loading...
Abstract

The aim: To find out the main problems affecting the nutrition of children. Methods: An observational study was done on 134 children 6 months -2 years of age who admitted to nutrition rehabilitation center of Babylon teaching hospital for maternity and children from 162007-162008. The growth of these children is -2SD and below. Results: We found there is no significant differences between the number of children who where on breast feeding 63 (47%) and the number of children who where on bottle feeding 71 (53%). We also found the largest group of malnourished children are those who are started complementary food too later (from 10 months-1 year of age) 90 (67.3%) , followed by 30 (22.3%), 12 (9%) and 2 (1.4%) for those who started complementary food at age > 12 m, 7m-9m and 4m-6m respectively. About maternal education we found the largest group of malnourished children is those who's their mothers finished primary school (56%). We found the number of malnourished children below 1 year of age 84 (62.75%) is more than those above 1 year of age 50 (37.3%). The number of malnourished children from crowded family (with 4-6 sibling) are 69 (51.5%) more than less crowded families. There are no significant differences between number of malnourished children from urban 69 (51.5%) and those from rural area 65 (48.5%). We found those children on breast feeding (65%) responding to treatment with F 100 milk significantly more than those on artificial feeding (35%). Conclusions: These findings revealed that the important risk factor for developing malnutrition is delayed complementary feeding with the superiority of breast feeding on artificial feeding in decreasing the risk for malnutrition and in the acceptance of complementary food beyond 6 months of age.

Keywords


Article
Risk Factors for Development of Dehydration in Children Below Five Years with Acute Diarrhea

Authors: Jasim M. Al-Marzok --- Bashar S. Khalaf
Pages: 602-607
Loading...
Loading...
Abstract

Background: Dehydration is the leading cause of death in diarrheal diseases. Poverty, lack of safe water and sanitation, early motherhood, inadequate health care, and lack of breast feeding have been associated with a poor prognosis for diarrhea among young children. Aim: To identify risk factors for development of dehydration in children below five year old with acute diarrhea. Patients and method: A case- control study was conducted to determine the risk factors for development of moderate to severe dehydration. A total of 200 children comprising 100 cases (moderate or severe dehydration) and 100 controls (non or mild dehydration) up to 5 years of age suffering from acute diarrhea were studied. Fourteen variables were investigated as risk factors. Results: By univariate analysis, Infancy, malnutrition, cessation of breast feeding, cessation or reduction of fluid and ORS during diarrheal episode, and no washing of mothers hand before preparation of food, after defecation and after disposal of feces, were identified as significant risk factors for development of moderate to sever dehydration in acute diarrhea. Conclusion: These findings may be useful for formulating intervention strategies for preventing death due to diarrheal dehydration.

Keywords


Article
Shall we Keep Non-Steroidal Anti-Inflammatory Drugs behind the Counter?

Authors: Sabah J. Al-Rubiae
Pages: 608-619
Loading...
Loading...
Abstract

A five hundred and thirty one (531) on the counter (OTC) non-steroidal anti-inflammatory drugs (NSAIDs) users, were directly interviewed by pre-structured questionares. The study was conducted at Rheumatology and rehabilitation unit of Merjan teaching hospital in period from March 2008 to August 2008. The items of pre-structured questionare, measures the knowledge and the attitude of patients toward the use of these medications. The results showed that most of studied users were not using these agents correctly and frequently ignore the potential adverse effects. Lack of knowledge of most of users, and lack of direct or labeled instructions were considered the corner stone for abusing these hazardous agents.

Keywords


Article
Assessment of Thyroid Hormones Profile among Medically Referred Individuals in Sulaimani

Authors: Abdul Hussein Alwan Farage
Pages: 620-630
Loading...
Loading...
Abstract

Background: Thyroid disorders are common problems with significant public health implications. Early detection and treatment of these disorders can prevent serious morbidity. The frequency of abnormal thyroid hormones profile and its relationship to traditional thyroidal symptoms particularly in individuals with subclinical thyroid dysfunction remain unclear. Objective: To determine the abnormal thyroid hormone profile in a large number of individuals referred to a consultant laboratory in Sulaimania. Material and methods: A total of 9795 individuals referred to Alshahid – Hadi Consultant Hormonal Laboratory in Sulaimania were invited to participate in the study with a questionnaire and blood samples. Results: Patients with previously diagnosed hypo- and hyperthyroidism were 11.2% and 4.9% in females and 8.4% and 4.0% in males respectively. In females, the percentage of both hypo- and hyperthyroidism increased with age while in males, the percentage of thyroid dysfunction increased with age reaching the peaks at 6th decade for hypothyroidism and 5th decade for hyperthyroidism after which they tend to decline. Abnormalities of thyroid hormones profile among the previously diagnosed patients treated by thyroidectomy, carbimazole and thyroxine were 20.9%, 8.9% and 19.3% respectively. Thyroid hormones profile confirmed the initial clinical diagnosis of hypo-and hyperthyroidism in 16.3% and 14.5% respectively. The frequency of both elevated and suppressed TSH levels in individuals without former or present thyroid disorders were higher in females (6.5% and 1.0%) than males (3.8% and 0.68%) respectively and were higher at an older age group (> 45 years). Conclusions: The present study showed that abnormal thyroid hormones profile occurs frequently in patients at older age groups. Clinical and laboratory follow up may be essential to prevent disease progression in those who have abnormal TSH level alone without obvious cause. Abnormal thyroid hormones profiles were recorded in a large number of patients taking thyroid medications or have had thyroidectomy.

Keywords


Article
Study on Cysteine Proteinase Produced by Entamoeba Histolytica

Loading...
Loading...
Abstract

In this work , cysteine proteinase produced by Entamoeba histolytica trophozoite had been detected. The isolated enzyme had been immobilized by using calcium alginate, and compaired between free enzyme (mobile) and immobilized enzyme through differente range of pH and tempreture. We found that immobilized enzyme remains with its enzymatic activity through changing in pH level and temprature in compairion with free enzyme.

Keywords


Article
Magnetic Resonance Imaging in the Diagnosis of Vertebral Hemangiomas in Babylon

Authors: Huda Ali Rasool
Pages: 637-642
Loading...
Loading...
Abstract

Background: The vertebral hemangiomas are the most common benign spinal neoplasms has been differently reported from 10 to 27% based on autopsy series, plain X-rays and MRI reviews. Patients and method: In this study, we reviewed consecutive 700 standard spinal MRI with axial and sagital T 1 weighted and T2 weighted images looking for hemangiomas. Results: In this study, the incidence of hemangioma was 26%, more common in females (31%) than males (18.5%), in older age group and in lumbar spine. Most hemangiomas (65%) were less than 10 mm in diameter. Multiple hemangiomas were seen in 33% of cases. Discussion: The results of this study are similar to another Mediterranean study reported based on MRI findings, but differ from other reports using X-ray or autopsy as diagnostic tool, suggesting the influence of either the race or the sensitivity of the diagnostic tool on the incidence of vertebral hemangioma.

Keywords


Article
Orthodontic Mechano Treatment of Ectopic Eruption of the Permanent Mandibular Incisors of Iraqi Children (Early Mixed Dentition) A Longitudinal Clinical Study

Authors: Wisam Wahab Sahib Al-hamadi
Pages: 643-649
Loading...
Loading...
Abstract

Fixed orthodontic appliances used to treat cases of bilateral distal ectopic eruption of the permanent mandibular central incisors. A total of 27 Iraqi children at average age of 7.5-years old selected for the study. 15 patients (9 females and 6 males) treated by extraction of the retained primary teeth and placement of fixed appliances for alignment and repositioning of the mandibular permanent incisors. while 7 patients (3 females and 4 males) treated by extraction of the corresponding retained primary tooth and later alignment of the mandibular incisors, and 5 patients (2 females and 3 males) treated by extraction of the relevant permanent lateral incisors and the corresponding retained primary teeth. The result of present study showed significant difference between the first method of early mechanical orthodontic and another two methods of later mechanical orthodontic treatment regarding time consuming, esthetic and complexity factors. No significant differences clinically between gender groups and sides in the jaw. clinically the first method was easier and faster if compared with other methods of later orthodontic mechanical which may need a serial extraction, expansion or other orthodontic intervention that increase the complexity of cases treatment.

Keywords


Article
A New Keynote of Hemorrhoids Patients as Oxidative Stress Indicators

Loading...
Loading...
Abstract

This study evaluated the effect of hemorrhoids on the levels of antioxidants such as vitamin E and C, as well as the malondialdehyde(MDA) levels as the end product of lipid peroxidation and peroxynitrite (ONOO -) levels as a parameter of peroxidative stress for 35 patients(20 males,15 females) affected by hemorrhoids, before and after rubber band ligation by using baron band ligation device compared with healthy control groups of 35(20 males, 15 females) . It has been found that the levels of vit. E and C are significantly decreased, where as the MDA and peroxynitrite levels are increased among patients (males and females) before the treatment compared with controls, while the vitamins values are significantly increased when the MDA and peroxynitrite(ONOO -) levels are non significantly decreased after 7 days of treatment which is safe and easy procedure. The results suggest that the measurement of lipid peroxidation and peroxidative product matched with evaluation of antioxidants, may be a best indictors for that hemorrhoids induce oxidative stress compared with healthy controls and the treatment, due to decrease of oxidative stress and tissue damage.

Keywords


Article
Bupivacaine for Postoperative Wound Pain via Intermittent Wound Perfusion

Authors: Abdul Razzaq Al-Salman --- Rafid Shamkhi
Pages: 667-671
Loading...
Loading...
Abstract

Sixty male patients were studied with age 18-72 years (mean age 42 years), there weight 55-80 kg (mean 72 kg) in Basrah military hospital(2001--2002) The patients were allocated to receive either 0.5% bupivacaine or none. • Group A(20 patients) underwent either the renal or bladder surgery with no bupivacaine receive. While the other 40 patients selected and enrolled in 2 groups(B and C) according to the site of the wound as following: • Group B(20 patients) with renal surgery . • Group C ( 20 patients) either bladder surgery or transvesical prstatectomy. Both B and C are allocated to receive bupivacaine. The results revealed there is a significant difference of the pain score between group A(7.65+/- 1.56) (not receive) and those received bupivacaine groups BandC,which are 1.25+/-0.2 in group B, and 0.6+/-0.13 in group C of pain score of 10 cm.Thus, wound instillation with bupivacaine should be regarded for routine usage.

Keywords


Article
Prevalence of Diabetes and Hypocalcemia among Thalassemic Patients in Thalassemia Center in Babylon Governorate

Loading...
Loading...
Abstract

A prospective study was conducted on 129 patients with thalassemia, classified as 67 patients with β- thalassemia major, 52 patients β-thalassemia intermedia and 10 patients with sickle cell thalassemia, who were attending the thalassemia center at Babylon Maternity and Children teaching Hospital, from period of July 2008 to April 2009, their age ranged from 6 months – 26 years with mean age of 10.9 years. They were studied for diabetes and hypocalcemia. Four patients (3.1%) have diabetes and 28 patients (21.7%) have hypocalcemia with a mean level of serum calcium 1.61 ± 0.23 mmol/L in comparison to control group where they have 0 % diabetes and 10 patients (10%) hypocalcemia with mean level of serum calcium 1.9 ± 0.16 mmol/L. Risk factors for diabetes are age older than 15 years, frequent blood transfusion of more than 200 units and S. ferritin of more than 2000 µg/L. While, in hypocalcemia, the risk factors are age older than 5 years, blood transfusion of more than 50 unit and S. ferritin of more than 1000 µg/L. Also the study showed that diabetic patients associated with 100% short statures, 75% (hepatitis, heart failure, and delay sexual development) and 25% hypothyroidism. While in hypocalcemic patients associated with 75% short stature , 50% delay sexual development, 32.2% heart failure, 21.4%hepatitis, and 17.8% hypothyroidism .

Keywords


Article
The Impact of Calculi Weight and Frequency of Calculi Formation on their Compositions

Authors: Majid K. Hussain --- Muhammad R. Jude --- Rasha S. Nima
Pages: 680-688
Loading...
Loading...
Abstract

The present investigation was conducted to evaluate the effect of calculi weight and the frequency of calculi formation in their compositions. The present investigation was conducted to evaluate the urinary calculi compositions quantitatively. Fifty-two calculi were obtained from 38 males and 14 females afflicted with urolithaisis, The calculi were subjected to qualitative analysis, and sought for calcium, uric acid, phosphorus, oxalate, magnesium and ammonium ion contents. Small calculi were demonstrated to be rich in calcium oxalate, while large calculi were rich in calcium phosphate. The frequency of calculi formation was demonstrated to influence the calculi compositions. Thus, calculi of non-stone formers were exhibited to be rich in calcium oxalate, while those of stone formers were rich in uric acid.

Keywords


Article
Oligohydromnios, Sonographic Evaluation and its Clinical

Authors: Huda Mahmood Altemimmi
Pages: 689-696
Loading...
Loading...
Abstract

Introduction :Amniotic fluid volume is an important parameter in the assessment of fetal-wellbeing. Oligohydromnios occurs in many high risk conditions and is associated with poor perinatal outcome. Many caregivers practice planned delivery by induction of labor or caesarean section after diagnosis of decreased amniotic fluid at term by an ultrsound.Decreased amniotic fluid volume is correlated with increased peripartum morbidity and mortality. Many ultrasonic methods are used to evaluate the amniotic fluid adequacy but which of these are the best, the current study will evaluate the different methods available and are commonly used in clinical practice. Objective:1.To compare the use of the amniotic fluid index with the single deepest vertical pocket measurement as a screening tool for decreased amniotic fluid volume . 2.Show the relation of that screening tool for evaluating oligohydromnios to common obstetric intervention used to terminate the pregnancy. 3.Study the effects of that method of assessing oligohydromnios , obstetric intervention on the neonatal outcome. Materials and methods:300 pregnant women attending Babylon maternity teaching hospital ( both out-patient and in- patient )from 2002 -2006, they were visiting the ultrasound department of that hospital after 34 weeks of their pregnancy for antepartum assessment of fetal well-being, a diagnosis of oligohydromnios was made by the ultrasonographer using 2 methods for evaluation, the deep amniotic fluid pocket <2cm x 1cm or amniotic fluid index=or< 5cm,then following the patients till labor was induced, or the women had cesarean section for fetal distress, neonatal outcome was followed also. Results: 1.When the amniotic fluid index was used ,significantly more cases of oligohydromnios were diagnosed and more women had induction of labor ,60 % versus 15% in those with the diagnosis of oligohydromnios made by deep amniotic fluid pocket,P- value was 0.001. 2.Women with oligohydromnios diagnosed withAFI <5cm were more likely to undergo cesarean section delivery for fetal intolerance of labour(25% versus 10,% in those with deep pocket ),p-value was 0.014. 3.There was no difference between the 2 groups for neonatal outcome, including : admission to a neonatal intensive care unit, birth weight, the prescence of meconium, an Apgar score of less than 7 at five minutes. Conclusion: The present study shows that single deepest vertical measurement in the assessment of amniotic fluid volume during fetal surveillance seems abetter choice since the use of the amniotic fluid index increases the rate of diagnosis of oligohydromnios without improvement in peripartum outcome.

Keywords


Article
Physiological Changes in Patients with Hyperthyroidism

Loading...
Loading...
Abstract

The present study was designed to investigate changes occurring in hematological, and biochemical changes in patients suffering from hyperthyroidism. A total number used was 170, patients and healthy subjects of both sexes, males and females. The total number of patients was 130; 100 females and 30 males, while the number of control subjects was 40. The ages of all subjects ranged between 20 years to 55 years. It was also found that percentage of affected females (76.93%) more than that of affected males (23.07%). Concerning haematological changes, studying red blood corpuscles count (RBCs), hemoglobin concentration (Hb) ,and packed cell volume (PCV) showed a significant increase (P<0.01) when compared with healthy subjects. In addition, values of hemoglobin electrophoresis which included adult hemoglobin (HbA), adult hemoglobin2 (HbA2),and fetal hemoglobin (HbF) showed non significant difference when compared with control subjects. Results of erythrocyte sedimentation rate (ESR) and white blood cells count (WBCs) were also recorded non significant difference in a comparison with those healthy subjects. Biochemical changes in serum, total serum protein (TSP)and serum albumin levels pointed out significant decrease (P<0.01) in hyperthyroid subjects, while serum globulin values showed non significant decrease when compared with those control subjects. More over, the present study was also involved determination of sodium (Na + ) and potassium (K + ) levels in both serum and urine samples of hyperthyroid patients. Sodium values showed significant increase (P<0.01) in both serum and urine samples. While , results of potassium showed non significant decrease in both serum and urine samples of hyperthyroid subjects when compared with control subjects. Total serum cholesterol levels showed significant decrease (P<0.01) in comparison with control subjects. In addition, results of serum triglycerides showed significant decrease (P<0.01) when compared with those healthy subjects . In view of the changes summarized, the increase or decrease in some hematological and biochemical parameters may be attributed to hyper metabolic state which arise due to higher production of thyroid hormones which, in turn, affect most of body tissues.

Keywords

Table of content: volume:6 issue:3-4