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Article
Parkinson’s Disease in A Kurdish Population

Author: Omed Ahmed Muhammed* ,Hasan A. Al-Hamadani **
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2018 Volume: 17 Issue: 1 Pages: 36-44
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND :Parkinson’s disease (PD) is a neurodegenerative disorder of the central nervous system characterized by resting tremor, bradykinesia, cogwheel rigidity, and impairment of postural reflexes. It appears that certain environmental factors are involved.OBJECTIVE:The aim of the present work is to study the age, gender, residency, family history of patients with Parkinson’s disease in Kurdish population.PATIENTS AND METHODS:A cross sectional survey study conducted in outpatient clinic at Shar hospital, a teaching hospital in Sulaymania city, during the period between the first of October 2014 and first of February 2015. Thirty five patients diagnosed idiopathic Parkinson’s disease by a neurologist include in this study. Data was collected in outpatient in one hospital Shar teaching hospital in Sulaymania city.RESULT:Mean age of patients of Parkinson’s disease 65 years, disease started in male earlier than female in Kurdish population in Sulaymania. We found that 22 cases (62.9%) of total cases were male and 13 cases (37.1%) of all cases female, male was affected more than female. Male to female ratio was (1.7:1).There was statistically significant difference between cases who were living in urban area and who were living in rural area in regarding age but no significant difference regarding to gender. There is statistically significant difference in family history distribution in different age groups. Patients with family history positive of Parkinson’s disease affected the disease in earlier ages.There was statistically significant difference between age groups for smokingCONCLUSION:Male was more affected Parkinson’s disease than female, male with earlier ages in Kurdish population. Patients living in rural area and patients with positive family history of Parkinson’s disease affected by the disease in earlier ages. .

Keywords

KEY WORDS: parkinson --- kurd


Article
The words of peers in each other between acceptance and response
كلام الأقران في بعضهم بين القبول والرد

Author: Asst.Pro.Dr.Ibrahim Salih Mahmood أ.م.د. إبراهيم صالح محمود السبعاوي
Journal: Collage of Islamic Sciences Magazine مجلة كلية العلوم الاسلامية ISSN: 1812125X Year: 2018 Volume: 9 Issue: (17/1) Pages: 134-154
Publisher: Mosul University جامعة الموصل

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Abstract

The knowledge of the ruling on the narrator requires knowledge of the situation and the extent of the strength of his custody and his safety, and there is no doubt that the best Arif and the world of the affairs of the narrators is of their time and saw them and compare them and their relatives may be aware of something of their situation unless he saw others, so the quote is provided in the Koran, and on the other hand We see that the comparison may be a reason for competition and envy may be among them what requires adultery and rivalry, they are human beings and may have spoken in some cases of anger and for this the transfer of many scientists to respond to the words of peers in some and the lack of credit, because it may be the result of personal enmities And psychological reasons, and what was the right to refuse and not to accept So I choose to search in this topic to a statement in which the words of scientists, began the definition of peers in language and terminology, and then dealt with the opinion of those who say the words of cold peer with each other, indicating the reasons for this response, then.

يعد كلام الأقران في بعضهم البعض من المسائل المهمة التي تطرق اليها علماء الجرح والتعديل ،وتناولوها في مباحثهم ، فإن معرفة الحكم على الراوي يستلزم معرفة بأحواله وبيان مدى قوة حفظه وامانته ،ولا شك أن خير عارف وعالم بأحوال الرواة هو من عاصرهم وشاهدهم وقارنهم وقاربهم فلعله اطلع على شيء من أحوالهم ما لم يطلع عليه غيره ، لذلك يقدم قول القرين في قرينه ، ومن ناحية أخرى نرى أن المقارنة قد تكون سببا للمنافسة والتحاسد فربما يحصل بينهم ما يوجب التغاضب والخصام ،فهم بشر وربما تكلموا في بعض في حالات الغضب ومن أجل ذلك نقل عن كثير من العلماء رد كلام الأقران بعضهم في بعض وعدم الاعتداد به ، لأنه قد يكون ناتجا عن عداوات شخصية ودواعي نفسية ، وما كان كذلك فحقه الرفض وعدم القبول ، لذلك اخترت البحث في هذا الموضوع لبيان أقوال العلماء فيه ، فبدأت بتعريف الأقران في اللغة والاصطلاح ، ثم تناولت رأي القائلين برد أقوال الأقران فيما بينهم ،مع بيان الأسباب الداعية لهذا الرد ، ثم تناولت في المبحث الذي بعده رأي القائلين بقبول كلام الأقران بل ووجوب تقديمه على غيره لما مضى من أسباب ، ثم أنهيت البحث بخاتمة تضمنت أهم النتائج التي توصل اليها البحث.

Keywords

words --- peers --- كلام --- الأقران


Article

Journal: journal of Human Sciences مجلة العلوم الانسانية ISSN: 19922876/25239899 Year: 2018 Issue: 25 Pages: 1122-1135
Publisher: Babylon University جامعة بابل

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Abstract

It is known that the approach of Nhaj Al-Balagah contains the chosen words of Imam Ali (peace be upon him) of sermons, letters, preaching and ruling, and it contains the clearest speech and the highest and the left. And the status of the approach of the of Nahag Al-Balagah, scholars, writers and scholars to explain and interpret and study is the great source to answer the various questions and queries us contain the knowledge of God and Islamic provisions that work to save humanity from the lost and win the Darren. The reader of Nhaj Al-Balagah finds a great interest in the various sciences, knowledge, arts and literature, and from these literatures, the etiquette of war and its teachings. Many of his sermons were painted in the form of war due to the difficult and turbulent conditions that prevailed during his succession. It is noted that there are many words of the function of victory, I wanted to address these words after the study of the enumeration, and the nature of those words to be under the general title collected (Alnaz victory Nhaj Balagha - a study of a towards) (certificate - nail - prevail - victory) And then quote them in the Holy Quran or Hadith, then study them in the words of Imam (peace be upon him) and the circumstances surrounding them, and then quote the words of the Arabs, and after the completion of the research resulted in the accuracy of the choice of Imam (peace be upon him) Commensurate with the situation and circumstances And the meaning of the word of Tawheed, and that the Imam, peace be upon him, if he directs his speech and his intentions to the properties, but he directs To the commoners. The conclusion is then provided by the list of sources and a summary of English

الحمدلله ربّ العالمين والصلاة والسلام على خاتم الأنبياء والمرسلين محمد وعلى آله الطيبين الطاهرين، وبعد: يعد نهج البلاغة من امّات كتب حضارتنا الإسلامية فهو منهلًا لكلّ ضمآن فكان ومازال محط أنظار العلماء والباحثين والدارسين لما يحويه من مختلف العلوم والآداب، ومن تلك الآداب آداب الحرب، فكان لي الشرف أن أنهل من دلك الينبوع الدي لاينضب ، فكان بحثًا في دلالة ألفاظ النصر، الدي حوى على مجموعة من تلك الألفاظ نظرًا للسمة التي إتسمت بها خطب الإمام (عليه السلام) ورسائله، دلك لما إتسم به عهده من حروب للدفاع عن الوجود الإسلامي من أعداء الإسلام والحفاظ على مبادئه السامية، فكان أسلوبه (عليه السلام) في خطبه ورسائله الترغيب والترهيب، وكان (عليه السلام) كثيرًا مايوحي في كلامه إلى دلالة أعمق مما يتبادر إلى الدهن فيدعو إلى التأمل والتفكر، وهي من سمات بلاغته وفصاحته(عليه السلام).


Article
The Role of Gabapentin in Prevention of Remifentanil-Induced Hyperalgesia

Author: Iyad Abbas Salman*, Bashar Zuhair Talib**
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2018 Volume: 17 Issue: 1 Pages: 1-5
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND: Remifentanil is widely used as intraoperative analgesic. Post infusion hyperalgesia has been documented experimentally in both animal and human volunteers. Gabapentin has anti-hyperalgesic effect.OBJECTIVE: To evaluate the effect of single preoperative oral dose of 300 mg gabapentin in attenuation of postoperative hyperalgesia induced by remifentanil and the decrease in post-operative analgesic requirement.PATIENT AND METHOD: A prospective randomized clinical trial conducted in Tikrit teaching hospital/ Iraq, at 2013. It involves 60 patients who underwent appendectomy. All patients were randomly allocated into two equql groups (each of 30 patients): First controlled group (CG) didn’t pre-medicated with gabapentine and 2nd gabapentine group (GG) pre-medicated with gabapentin. Intraoperative infusion of remifentanil was used & postoperative pain was assessed in all cases. RESULTS: The numerical analog scale NAS score and analgesia requirement post operatively was significantly higher in most times in the (CG) as compared with those of the (GG).CONCLUSION: Premedication with 300mg gabapentin orally decreased hyperalgesic effect induced by remifentanil and so decreased the pain score and the analgesic requirement postoperatively.


Article
Emotional Response and Beliefs of a Sample of Women Attending Baghdad Teaching Hospital Regarding Miscarriage

Author: Farah A. Abdulrahman*, Ban A. Al Hashimi **, Ahlam A. Tahir***
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2018 Volume: 17 Issue: 3 Pages: 232-238
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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ABSTRACT:BACKGROUND: Although the cause of recurrent pregnancy loss is unknown in the majority of cases; advanced maternal age, chromosomal abnormalities, uterine abnormalities and infections could all be potential causes of miscarriage. Miscarriage is a common problem and could affect the women’s psychological wellbeing in the short term and possibly in the long term. OBJECTIVE: To describe the awareness of women age (15-45) years old regarding beliefs and emotional impact of miscarriage.SUBJECTS AND METHOD: A descriptive cross-sectional study was carried out on the total of 393 women with age from 15-45 years old attending gynecology, obstetrics and family planning departments in Baghdad Teaching Hospital in Baghdad/Iraq during the period from 14th of January 2016 to 15th of April 2016.RESULTS: 393 women have been or still pregnant, 171 of those 393 women had a history of miscarriage; giving the prevalence of (43.5%) for women reporting a history of miscarriage. The prevalence of miscarriage in women age 40-45 years old was (38.0%). In this study (63.7%) of women satisfied about the medical care they received after abortion. The beliefs of the respondent about the causes of miscarriage showed that a large number agreed that sexual intercourse during pregnancy (36.4%) and past use of oral contraception (33%) may all be causes for miscarriage, (81%) believed that stressful event was a cause of miscarriage, (58%) knew that pregnancy loss was the result of genetic abnormalities, (46.4%) believed that having had a sexually transmitted disease in the past was the cause of miscarriage, and (68.4%) of women who had experienced a miscarriage reported that they would find a miscarriage to be extremely upsetting, equivalent to the loss of a child.CONCLUSION: There are some misperceptions about the factors associated with miscarriage. Many women had emotional distress after miscarriage which was perceived as a loss of a child.


Article
Spectrum of Congenital Anomalies of the Kidney and Urinary Tract in Children

Author: Shatha Hussain Ali*, Ahmed Zuhair Jaffar**, Ali Sadi Salih***, Qahtan Mohammed Ali****
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2018 Volume: 17 Issue: 3 Pages: 291-296
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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ABSTRACT:BACKGROUND: Congenital anomalies of the kidney and urinary tract comprise a wide range of structural malformations that result from defects in the morphogenesis of the kidney and/or urinary tract OBJECTIVE :Study the types of renal anomalies. Study their clinical presentations, age of presentation, way of diagnosis, and complications.PATIENTS AND METHODS: A descriptive study was conducted from 1st January 2015 till 1st January 2016. Patients were collected from 4 pediatric nephrology centers. Data included: age of diagnosis, type of renal anomaly, radiological methods of diagnosis, clinical presentation and associated complications, family history of congenital anomalies and consanguinity.Thorough physical examination was done to all children. Investigations send were Blood urea, Serum creatinine , urinalysis, urine culture, imaging study were documented.RESULTS:In this study 160 patients were included. Males were more affected than females 1.54:1. Most of the patients diagnosed at >1- ≤ 5 age group, 78 patients (48.8%). Most of the patients had negative family history, 124 (77.5%), and most of their parents were not consanguine (58.1%). Vesicoureteral reflux (VUR) was the commonest anomaly detected in 67 patients (41.9%), followed by Renal agenesis in 24 patients (15.0%). Abdominal Ultrasound was the commonest radiological method used for diagnosis in 152patients (95.0%), followed by voiding cystourethrogram (VCUG) in 80 patients (50.0%). Urinary symptoms were most common presentation in 93patients (58.1%). A higher complication was UTI (62.5%).CONCLUSION: The commonest renal anomaly was VUR, followed by Renal agenesis, then PUJ, These renal anomalies were mostly diagnosed at >1-≤ 5 age group. Males exceeded the number of females, and the majority of patients were diagnosed initially by ultrasoundMost common presentation was urinary symptoms. The most prominent complication was UTI.


Article
Enoxaparin versus Unfractionated Heparin in Elective Percutaneous Coronary Intervention; Efficacy and Safety Study

Author: Haedar Nazar Kadim*, Hassan Farhan** , Looiy Muhammad Alhallaq
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2018 Volume: 17 Issue: 4 Pages: 340-347
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Since long time, unfractionated heparin has been used as standard anticoagulantfor percutaneous coronary intervention(PCI).however, recently several studies showed that intravenousenoxaparin safety and effectiveness is similar to that of unfractionated heparin.OBJECTIVE :To assess the safety and practicity of enoxaparin compared with un fractionated heparin in elective PCIusing drug eluting stents (DES).METHODS:In this prospective, randomized trial, at the cardiac unit of Ashty hospital in Erbil city, from July 2014to February 2016, we included 300 patients undergoing elective PCI. 150 patient received enoxaparin0.6 mg per kilogram of body weight, the other 150 patient received unfractionated heparin 100 u perkilogram of body weight adjusted for activated clotting time.The primary end point is the incidence of bleeding (minor or major). While the mortality and theincidence of acute coronary events within 24 hours after PCI was the secondary end point.RESULTS:There was reduction, however statistically insignificant (p value>0.05) in the rate of major and minorbleeding in Enoxaparin group in the first 24 hours as compared with unfractionated heparin (4 % vs.5.25%; absolute difference –1.25).The acute coronary events and death rate was similar.CONCLUSION:In elective PCI using DES, a single intravenous bolus of Enoxaparin at a dose of 0.6 mg per kilogramwas at least as safe as effective as unfractionated heparin with simpler use and faster indwelling sheathremoval..

Keywords

KEY WORDS: heparin --- enoxaparin --- pic


Article
Antibacterial activity of NBF jel against Streptococcus mutans isolated from orthodontic patients

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Abstract

Background: Streptococcus mutans is capable of demineralizing enamel byproducing an acidic environment. Therefore, control of the bacterial biofilm onteeth is essential for the maintenance of oral health. The NBF jel with propolisingredient that manufactured by nano-biofusion technology which has anantimicrobial activity as it is confirmed by many previous studies expected toinduce more antimicrobial effect than traditional product and lastly overcome thebacterial biofilm and prevent the carries and others oral medical problems.Aim of study : To evaluate the antibacterial action of NBF jel on Strep. mutansisolated from orthodontic appliance.Material and method: Saliva samples were collected from 36 patients wearingappliance for different duration. Strep. mutans was isolated ,purified and diagnosis, then prepared two extracts from NBF jel (aqouse and alcoholic) in differentconcentration , chlorhexidine 2%(control) were added to isolated bacteria. Afterincubation for 48 hours; the inhibition zone of antibacterial activity of NBF wasmeasured and colony count of bacteria was counted.Results: The two types of extracts have had antimicrobial activity but the alcoholicextract was induced more action than aqouse one as well as their effect was lessthan the chlorhexidine 2%(control). The inhibition zone was increased withincreasing the concentration of both extracts but the responsiveness was reducedwith increased the period of using the appliance. The reduction in colony countsof strep.Conclusion: NBF jel had antimicrobial activity against Strep. mutans isolated fromappliance and this activity indirectly correlated with duration of wearing.


Article
Evaluation of Interleukin 8, Interleukin 2 Receptor and Serum Ferritin in 60 Patients with BetaThalassemia Major: Relationship to Splenectomy

Author: Basma Dawood Hanoon*, Subuh Salim AL-Mudalal **
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2018 Volume: 17 Issue: 1 Pages: 6-11
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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ABSTRACT: BACKGROUND: β-Thalassemia is an inhereted hemoglobin disorder characterized by the absence or reduced synthesis of the β-globin chain. Several immunological defects can be found in patients with β-thalassaemia. Increased IL-8 level was documented in patients with β-thalassaemia and it is probably due to overstimulation of macrophages.OBJECTIVE: Evaluation of serum levels of IL-8, soluble IL-2 Receptor, and serum ferritin in the splenectomized and the non-splenectomized β-thalassemia major patients.METHODS: A cross sectional study was conducted on 60 patients with homozygous β-thalassemia major who were attending Al Karama Teaching hospital from May 2011 to Auguest 2011. Place of work was Al-Kadhmia and Al Karama teaching hospital. Patients were divided into two groups; thirty splenectomized, thirty non-splenectomized, and thirty healthy age and sex matched as control group. RESULT:The mean level of IL-8 was increased in both groups of thalassaemia with significantly higher in the splenectomized 333.06±255.50 pg/ml compare to the non-splenectomized 118.61±46.59 pg/ml and the control 38.39±9.52 pg/ml , P-value<0.05. The mean level of sIL-2R was not increased above the reference range in the control subjects, the non-splenectomized and the splenectomized, which was 732.96+28.96 pg/ml, 723.42±74.15pg/ml and 777.38±86.93pg/ml respectively .The mean serum ferritin level in the splenectomized was 2050.1 ng/ml which was significantly higher compared to the non- splenectomized 1212.2 ng/ml, P-value<0.05. There was significant correlation between IL-8 and serum ferritin, P-value<0.05 while there was no significant correlation between s IL-2R and serum ferritin, in both groups of Thalassaemia P value> 0.05. CONCLUSION: - β-thalassemia major patients had increased level of IL- 8 which was more prominent in splenectomized patients, while no increase in IL-2R levels in both groups of Thalassemia.-IL-8 levels correlated with ferritin levels, while no significant correlation between IL-2R levels and ferritin levels in both groups of Thalassaemia.- Splenectomized thalassaemic patients display higher ferritin levels compared to the non-splenectomized. .


Article
Treatment of Vitiligo Patients with Narrow Band Ultraviolet Light -B and Associated Predictive Factors (A Prospective Interventional Therapeutic Study)

Author: Hayder R. Al-Hamamy* , Sabeeh A. Al-Mashhadani **, Manar G. Aziz
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2018 Volume: 17 Issue: 1 Pages: 13-21
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND: Vitiligo is a common dermatological disease with a great psychological impact on the life of individual. Narrow band ultraviolet B phototherapy has been used successfully for the treatment of vitiligo with variable results.OBJECTIVE: To assess the response to NB UVB and to identify factors that could predict the response to therapy.Patients and methods: This study is an interventional prospective therapeutic study, had been conducted in the Department of Dermatology and Venereology - Baghdad Teaching Hospital extending from October 2013 to October 2014. Thirty two patients with vitiligo were included in the study , the ages ranged from 8- 35 (18.84±7.86) years, 22 (68.8%) females and 10 (31.2%) males, the body surface area of vitiligo ranged from 2- 60%( 23.8 ± 16.66 ), full history and physical examination , assessment of skin phenotype , daily life quality index before and after completing the 48 sessions. Narrow band phototherapy was given twice weekly, recording of the body surface area of vitiligo was done before the treatment and every 16 sessions till the end of 48 sessions. Documentation of the first response session for every patient, calculation of the total percent of reduction , the main predictive factors and the development of any side effect had been recorded.RESULTS: First response session ranged from 3- 20 (10th ± 4.37) ,the response of patients according to the degree of regimentation was as the following: 3 (9.37%) patients had excellent response, 6 (18.75%) patients had good response , 14 (43.75%) patients had moderate response and 9 (28.12%) patients had poor response. The age of patients and negative hair involvement had a statistically significant correlation to the total percent of reduction. The face was the area of maximum response , The side effects were tolerable and no patient discontinued the treatment due to the side effects. Daily life quality index showed a statistically significant reduction at the end of treatment.CONCLUSION: Narrow band is an effective treatment for vitiligo with few side effects. Age of the patients and absence of hair involvement are favorable predictive features. The face was the area of maximum response.

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