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Assessment of the validity of Pap smear cytology in the diagnosis of cervical intraepithelial neoplasia in Erbil city
تقييم صحة خلايا تشريح عنق الرحم في تشخيص الأورام داخل عنق الرحم في مدينة أربيل

Author: Baran Kamal Barzanji
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2011 Volume: 15 Issue: 3 Pages: 64-69
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Background and objectives: Cervical smears can reduce both incidence and mortality rates from invasive cervical cancer. Despite its success, cervical cytology has important limitations. The aim of this study is to assess the validity of conventional Pap smear in diagnosis of cervical intraepithelial neoplasia in Erbil through comparison with colposcopy with or without cervical biopsy.Methods: A hospital-based study was carried out in Erbil Maternity Hospital from the 1st May to 31st December 2008. The study sample included 336 women attending the breast disease center for routine breast examination. Cervical Pap smear followed by colposcopic examination was done for each woman on the same day. Cervical punch biopsy was taken for those with abnormal colposcopic findings. Colposcopy with or without biopsy was considered as a gold standard diagnosis of cervical intraepithelial neoplasia (CIN).Results: Out of 336 women, 48 (14.3%) had abnormal cervical smear results, of which 43 (12.8%) of the total had low-grade cervical lesions and 5 (1.5%) of the total had high-grade cervical lesions. Colposcopy-directed biopsy revealed that 69 (20.5%) had abnormal findings of which 65 (19.3%) women had CIN I and 4 (1.2%) of the total had CIN II and III. The sensitivity and specificity of the cervical smear were 62.3% and 98.1%, respectively. The positive predictive value was 89.6% while the negative predictive value was 91%. The false negative percentage was 37.7%. The accuracy of the test was 90.8% and the degree of agreement between Pap smear and colposcopy with biopsy results was 90.2%.Conclusion: The high accuracy of cervical smear in this study and high agreement rate between cervical cytology and colposcopy indicates that conventional Pap smear is an important dependable screening test in spite of its low validity in terms of its sensitivity.


Article
Association of certain sociodemographic and clinical characteristics of diabetic patients with quality of life
علاقة بعض الخصائص الاجتماعية والديموغرافية والسريرية لمرضى السكري مع نوعية الحياة

Authors: Tariq S. Al- Hadithi --- Saadia A. Khther --- Ronak N. Hussein
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2011 Volume: 15 Issue: 1 Pages: 35-42
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Background and objectives: Diabetes mellitus is a common and demanding health problem that has a great effect on everyday life of patients. This study was done to determine sociodemographic and clinical characteristics that affect the quality of life (QOL) of diabetic patients.Methods: A total of 300 patients with diabetes mellitus in Erbil city were included in this study. The World Health Organization Quality of Life (WHOQOL-100) questionnaire was applied for assessment of 6 domains of QOL using multiple regression analysis.Results: Type of work and body weight were the most significant factors shown to affect diabetic patients QOL domains. Type of work was significantly affecting physical (P=0.006), psychological (0.004), level of independence (P<0.001) environmental (P=0.007) and spiritual (P=0.009) QOL domains. Duration of diabetes was significantly affecting physical (P=0.002), psychological (P=0.037) and level of independence (P<0.001) domains. Body weight was significantly affecting physical (P=0.039), psychological (P=0.012), level of independence (P=0.036), social relationships (P=0.022) and spiritual (P=0.030) QOL domains.Conclusion: QOL had a variable significant association with certain socio-demographic and clinical characteristics of diabetics. There should be an emphasis on improving QOL of diabetics and consequently achieving better metabolic control.


Article
Infestation rate with polyplax spinulosa (burmeister, 1839) among certain laboratory albino rats (rattus norvegicus) in relation to different washing agents in two Erbil city universities
معدل الإصابة بفيروس بوليبلاكس سبينولوزا (burmeister ، 1839) في بعض الفئران البيضاء المختبرية (rattus norvegicus) فيما يتعلق بعوامل غسل مختلفة في جامعتين في مدينة أربيل

Authors: Aryan H. Abdula --- Hardi Sh. Ahmed --- Kawa K. Aziz --- Rezan K. Ahmed --- et al.
Journal: Zanco Journal of Medical Sciences مجلة زانكو للعلوم الطبية ISSN: 19955588/19955596 Year: 2011 Volume: 15 Issue: 1 Pages: 47-52
Publisher: Hawler Medical Univeristy جامعة هولير الطبية

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Abstract

Backgrounds and objectives: The ectoparasite Polyplax spinulosa (Class: Isecta; Sub-Order: Anoplura; Familiy: Polyplacidae) was found to act as a biological vector of some pathogenic virus, bacteria and protozoa. The main objective of the present study was to identify the P. spinulosa parasitizing laboratory rats in two different animal houses (Science College-Salahaddin University and Medicine College-Hawler Medical University) and the effect of washing with different detergent agents on the mean intensity and numbers of the Polyplax spinulosa.Methods: In a study from the beginning of February to July 2010, thirty (30) adult Albino rats (15 rats from each Science and Medicine Colleges) randomly were collected from two selected animal houses of two universities in Erbil City. The fur was gently examined and scraped off using a fine brush; hair particles and ectoparasites that dropped off were transferred to a petridish, and examined using magnifying lenses and dissecting microscope before and after washing with two different agents. The ectoparasites collected in small vials were fixed in 70% ethanol.Results: The overall prevalence with the P. spinulosa was 80%, the higher rate of infestation (100%) and mean intensity (13.33) was among rats of Science College, while the lower rate (60%) and mean intensity (4) was among rats of Medicine College. The present study showed that Cis-Cypermethrin has greater role than Cyprimidine in declining the rate of infestation with this ectoparasite.Conclusion: The overall prevalence with the P. Spinulosa was 80%, The higher rate of infestation was among rats of Science College. Cis-Cypermethrin has a role in declining the rate of infestation with this ectoparasite.

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