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Insulin-Like Growth Factor-1 (IGF-1) Predicte the Diagnosis of Growth Hormone Deficincy in Short Prepubertal Children

Authors: Abdul Kareem Y. Al-Samarraie --- Ali A. Ali --- Maan A. J. Bahrani
Journal: Iraqi Journal of Pharmaceutical Sciences المجلة العراقية للعلوم الصيدلانية ISSN: 16833597 Year: 2011 Volume: 20 Issue: 2 Pages: 54-58
Publisher: Baghdad University جامعة بغداد

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Abstract

To study the serum IGF-1 level for prediction of growth hormone deficiency and its role in the diagnosis of short stature in children and adolescents. A study was conducted on forty four (44) short children with growth hormone deficiency. Children were classified into Group I thirty five (35) prepubertal children and Group II (9) patients who entered puberty. In addition to forty (40) apparently healthy children as control group, also were divided into group I control(29) prepubertal &group II (11) pubertal . IGF-1,GH ,Thyroid function ,serology for celiac disease , Hb level ,bone age were done for all patients. IGF-1 and basal GH level (without provocative test) were done for control . There was a significant low difference between the serum IGF-1 level in the patients of group I in comparison to their serum level in control group I {(90.98±23.69) (121.83±23.69) (p<0.05)} . While there was no such difference between the serum IGF-1 level in the patients of group II in comparison to their serum level in control group II {(184.59±196.52) (285.91±68.89) (p<0.05)}. This study shows that IGF-1 level is low compared to control in short GH deficient children who did not enter puberty, while it is less significant in children and adolescents who entered puberty. So IGF-1 is a suitable parameter to predict GH deficiency in short prepubertal children in whom GH deficiency was found by GH provocative testing. But this test is less reliable in children who entered puberty.

ھو دراسة مستوى ھرمون في المصل في تشخیص قصر IGF-1 للتحقق من نقص ھرمون النمو وبیان دور ھرمون 1 IGF- في تشخيص قصرالقامة عند الأطفال والمراھقین . تم إجراء الدراسة على 44 طفلا قصیر القامة والذین لدیھم نقص في ھرمون النمو.حیث تم تصنیفھاإلى مجموعتین الأولى وتضم 35 طفلا في مرحلة ما قبل البلوغ والمجموعة الثانیة و تضم 9 أطفال دخلو مرحلة البلوغ بالإضافة إلىIGF- 40 من الأطفال الأصحاء قسموا إلى مجموعة أولى لم یبلغوا ( 29 ) ومجموعة ثانیة دخلوا البلوغ( 11 ). وتم قیاس ھرمون 1IGF- ,ھرمون النمو, ھرمونات الغدة الدرقیة, اختبار حساسیة الحنطة , مستوى الھیموغلوبین وعمر العظم لجمیع المرضى.وقیاس 1في مصل مرضى المجموعة الأولى ھو IGF - وھرمون النمو یدون فحص تحفیزي للأطفال الأصحاء. معدل مستوى ھرمون 1(121,83± في مصل المجموعة القیاسیة الأولى ھو ( 23,69 IGF- 90.98±23.96 ) نانوغرام/ ملیلیتر بینما معدل ھرمون 1 )في IGF- في حین ان معدل مستوى ھرمون 1 ( p< نانوغرام /ملیلیتر والتي تظھر أن ھناك فرقا ملحوظا بین المجموعتین ( 0.05في مصل المجموعة القیاسیة IGF- 184,59 ) نانوغرام /ملیلیتر بینما معدل ھرمون 1 ± مصل مرضى المجموعة الثانیة ھو( 196,52من خلال ھذه .( p> 285,91 ) نانوغرام /ملیلیتر والتي تظھر أن ھناك فرق غیر ملحوظ بین المجموعتین( 0.05 ± الثانیة ھو ( 68,89في مصل الأطفال قصار القامة الغیر بالغین منخفض بشكل ملحوظ مقارنة مع المجموعة IGF- الدراسة تبین أن نسبة ھرمون 1القیاسیة الأولى بینما لا یوجد فرق في نسبة الھرمون في مصل الأطفال والمراھقین مقارنة مع المجموعة القیاسیة الثانیة.لذلك فان نسبةھو مقیاس مناسب للتنبؤ بنقص ھرمون النمو في الأطفال قصیري القامة الذین لم یصلوا البلوغ والذین تم الكشف عن IGF- ھرمون 1 IGF- نقص ھرمون النمو لدیھم بالفحص التحفیزي لھرمون النمو. ولكن ھرمون1 یعتبر اقل اعتمادا للأطفال الذین وصلوا البلوغ.


Article
OPEN VERSUS CLOSED METHODS IN TREATMENT OF PILONIDAL SINUS DISEASE

Authors: Ali A Ali علي عزيز علي --- Basher A Abdul-Hassan بشار عباس عبد الحسن --- Anees K. Nile انيس خليل نايل
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2011 Volume: 9 Issue: 2 Pages: 114-119
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

Background: Pilonidal sinus disease can be managed surgically either by excision & primary closure, or by excision and leaving the wound to heal by secondary intention. This study is designed to show the difference between these two methods.Objective: To assess the difference between excision and primary closure versus excision and healing by secondary intention in treatment of pilonidal sinus disease.Methods: Between January 2005 and January 2009, 60 median aged patients with Pilonidal sinus disease were studied in Al-Kadhimiya Teaching Hospital, Baghdad, Iraq; 30 cases were operated by excision and primary closure (group І); the remaining 30 cases were operated by excision and healing by secondary intention, without closure (group II). The principle outcome measures recorded were duration of hospital stay, operative time, duration of complete healing, wound infection and recurrence rate. Satisfaction and comfort of patient was monitored by using visual analogue scale during first five days post-operatively. Data were statistically analyzed by using SPSS & Chi square.Results: A total of 60 patients were divided into 2 groups, 30 patients operated by using primary closure (group I), and 30 patients operated without closure (group II). Age range of patients was from (16 - 37 yrs). Duration of hospital stay and duration of complete healing was longer in patients of group II than those of group I (p ≤ 0.001). Operative time in group I is more than that in group II (p ≤ 0.001). Pain scores were lower in group I than group II (p = 0.004). The frequency of wound infection and recurrence rate after one year follow up were more in group I than group II, this was statistically of little significance.Conclusions: Excision and primary closure is recommended as a preferred procedure in the management of chronic sacral PNS disease. It has the advantages of short hospital stay, early wound healing, rapid return to work.Key words:pilonidal sinus, primary closure, secondary intention

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