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Article
The Role of FNAC in the Diagnosis of Breast Lumps in Karbala…………………………………………….....

Author: Dr. Ali A. Ali
Journal: Karbala Journal of Medicine مجلة كربلاء الطبية ISSN: 19905483 Year: 2009 Volume: 2 no.6, 7 Issue: 4 Pages: 443-446
Publisher: Kerbala University جامعة كربلاء

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Abstract

objectives:The aim of this study is to find out the sensitivity of FNAC in the diagnosis ofbreast lumps in Kar bala.Patients & Methods: This is a clinical study of FNAC of breast lumps done in ALHusseinTeaching Hospital in Karbala, from May 2005-May 2007. FNAC findings werecorrelated with the histopathological findings of the excised lump of the same patient todetermine the sensitivity of FNAC.Results: Eighty five cases were included in the study, one male and eighty four females. The agerange was between 20-70 years. Benign cases composed 52.9% (45 patients) while malignantcases were 47.1% (40 patients) of the total number of patients. Sensitivity was 92%.Conclusion: FNAC of the breast is a simple, , highly sensitive test . It can minimize the need foropen biopsy, and is recommended as a routine test for determining benign or malignant lesions incorrelation with clinical examination and imaging procedures.Key Words: FNAC, breast lumps, breast disease diagnosis, breast lumps in Karbala.


Article
Primary Hydatid Cyst of the Skeletal Muscles: A Rare Presentation of Cystic Echinococcosis

Author: Ali A. Ali.
Journal: Mustansiriya Medical Journal مجلة المستنصرية الطبية ISSN: 20701128 22274081 Year: 2013 Volume: 12 Issue: 2 Pages: 66-70
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Hydatid cysts of the liver and/or lung are commonly seen in surgical practice in endemic areas like Iraq. Primary or secondary skeletal muscle hydatidosis is rarely reported, even in endemic areas. This is a case report of a 51 year-old, otherwise healthy, man with a firm non-fluctuant cystic swelling in the right thigh that was painless and growing slowly over a period of six months. While ultrasound and magnetic resonance imaging suggested a multilocular cystic lesion, other investigations failed to confirm the diagnosis of muscular hydatid cysts, especially in the absence of a primary cyst in the more common organs. The lesion was initially considered a soft tissue tumor but intraoperative exploration revealed a hydatid cyst with daughter cysts, that was excised and the patient was treated with Albendazole for 1 month postoperatively. The patient developed a seroma that disappeared spontaneously. There was no recurrence for up to 4 months of follow-up. This report illustrates that echinococcal disease should be considered in the differential diagnosis of a cystic mass in any anatomic location, especially when it occurs in endemic areas.


Article
Outcome of Transcapitellar K-wire Fixation for Radial Neck Fractures

Author: Ali A. Ali
Journal: Mustansiriya Medical Journal مجلة المستنصرية الطبية ISSN: 20701128 22274081 Year: 2014 Volume: 13 Issue: 1 Pages: 26-32
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Background: Fractures of the radial neck are mainly seen in children and require meticulous management to avoid elbow disabilities. Age, grade of the fracture and association with other elbow injuries affect the surgical approach to be used for treatment. Aim: This study was performed to detect the outcome of using transcapitellar K-wire fixation for treatment of radial neck fractures. Patients & Methods: Twelve patients with displaced (Broberg-Morrey II, III & IV) radial neck fractures were included. Eight patients (Group A) were children below skeletal maturity (10-18 years) and four patients were over 18 years of age (Group B) who achieved full skeletal maturity. Kaplan’s approach for open reduction and internal fixation using K-wires was used, and the patients were followed up for 6 months. Each patient was assessed for outcome according to predefined criteria ranging from excellent to good, fair and poor. Results: In group A, two patients had excellent outcome, one patient had fair outcome and the rest had good outcome. In group B, two patients had good outcome while the other two had fair outcome; however, none of the patients had poor outcome. Valgus deformity of >10oand elbow stiffness of >20o developed in three patients, with stiffness mainly affecting supination & extension. Of the patients with fair outcome, one developed implant failure due to poor compliance, while another patient developed neuropraxia of the posterior interosseous nerve that resolved spontaneously. Conclusion: Several surgical methods have been proposed for treatment of radial neck fractures with variable results and outcomes. While open reduction and K-wire fixation may not be the first line of these methods, it remains a safe method and provides advantages like short operative time, no exposure to image intensifier, less blood loss and less risk of neurovascular injury. However, for optimal results with minimal complications, the procedure requires early intervention, good patient compliance and prolonged follow-up.


Article
Comparison of Plate VS. Nail Fixation for the Treatment of Distal Tibial Shaft Fractures in a Sample of Trauma Patients

Author: Ali A. Ali
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2015 Volume: 14 Issue: 2 Pages: 172-178
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND: Fractures of the distal third of the tibia are the major cause of morbidity in patients with lower extremity injuries. Most fractures are sustained in young adults during high velocity injuries.PATIENTS AND METHODS: Forty patients with closed fractures of distal third of the tibia were treated in Al-Yarmouk Teaching hospital between May 2012 and April 2014. 20 patients had been treated with open reduction and internal fixation by heavy-duty plate and screws and were matched to 20 patients treated with closed reduction and intramedullary nailing fixation, with regard to gender, age, and the AO classification of the fracture.RESULTS: There were no significant differences in regard to: time of surgical procedures, non-union, hardware failure or deep infections between plate fixation and intramedullary nailing. Open reduction and plate fixation was associated with higher risk of: delayed union, osteopenia, ankle joint stiffness and algodystrophy. Closed reduction with intramedullary nailing was associated with higher rates of rotational malalignment and knee joint pain/stiffness. The limb length difference was of no clinical significance in all patients.CONCLUSION: Intramedullary nailing is the preferred method for treating closed distal tibial fractures but open reduction and plate fixation may provide superior results in terms of optimal alignment.


Article
The Effect of Long Term use of Glibenclamide on Serum and Urinary Sodium and Potassium Level in Type 2 DM Patients
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Author: Ali A. Ali علي عزيز علي
Journal: Iraqi Journal of Pharmaceutical Sciences المجلة العراقية للعلوم الصيدلانية ISSN: 16833597 Year: 2010 Volume: 19 Issue: 1 Pages: 58-61
Publisher: Baghdad University جامعة بغداد

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Abstract

Long-term use of sulfonylureas including chlorpropamide, is known to potentiate the antidiuretic action of arginine vasopressin (AVP), predisposing to hyponatremia.The present study was designed to evaluate the effect of long term use of glibenclamide on serum and urinary levels of sodium and potassium in Type 2 DM patients in Iraqi DM centers. Ninety eight patients with Type 2 DM who were maintained on different doses of glibenclamide for at least 1 year, attending the centre for Diabetes and Endocrinology in Al-Rusafa, Baghdad, were enrolled in the study, in addition to 15 normal healthy subjects. Patients were allocated into three groups according to the dose of glibenclamide that they received. Blood and urine samples were obtained for evaluation of sodium and potassium levels in these samples by flamephotometry. The results indicated that glibenclamide use resulted in significant elevation in serum levels of sodium and potassium compared to controls, while urinary excretion of these cations was not significantly changed. Stratification of patients according to the dose of glibenclamide revealed that this effect on sodium and potassium was not dose dependent. In conclusion, long term use of glibenclamide impairs normal values of Sodium and potassium independent of the administered dose.

ان دواء الكلوربروبامايد وهو من مجموعة السلفونيل يوريا يستخدم لعلاج مرضى السكري من النوع الثاني ( غير المعتمد على الانسولين) وهو معروف بتحفيزه لعمل الهرمون المضاد للبول والذي يسبب نقص الصوديوم و يعتقد ان هذا الدواء يعمل مباشرة على مستقبلات هرمون المضاد للبول. في هذا البحث نود دراسة تاثير دواء الكليبينكلامايد وهو من نفس مجموعة الكلوربروبامايد (أي السلفونيل يوريا)على تركيز الصوديوم والبوتاسيوم في الدم (المصل) وكذلك في البول المجموع خلال 24 ساعة في المرضى المصابين بداء السكري النوع الثاني وقد اجريت هذا الدراسة في شهر ايلول2008 ولغاية شهر كانون الثاني من عام2009 وقد شارك في هذه الدراسة 98 مريض خارجي من مركز الغدد الصم والسكري في الرصافة ببغداد بالتعاون مع الطبيب الاستشاري هناك و 15 شخص سليم وقد اخذت عينات من المصل والبول (البول المجموع خلال 24 ساعة في المنزل)وقد تم قياس تركيز الصوديوم والبوتاسيوم بواسطة جهاز قياس الالوان في اللهب واظهرت النتائج ان الكليبينكلامايد يؤثر بشكل ملحوظ على تركيز الصوديوم والبوتاسيوم في مصل الدم مقارنة مع المجموعة القياسية اما تاثيره على تركيز الصوديوم والبوتاسيم في البول المجموع خلال 24 ساعة لم يكن بشكل ملحوظ.

Keywords

Glibenclamide --- sodium --- potassium


Article
On the Wiener Polynomials of Some Trees

Authors: Ahmed M. Ali --- Ali A. Ali
Journal: AL-Rafidain Journal of Computer Sciences and Mathematics مجلة الرافدين لعلوم الحاسوب والرياضيات ISSN: 18154816 Year: 2007 Volume: 4 Issue: 1 Pages: 69-83
Publisher: Mosul University جامعة الموصل

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Abstract

الملخص
إنَّ دليل وينر هو لا متغير بياني أصبحت له تطبيقات عديدة في الكيمياء. ومتعددة حدود وينر لبيان متصل G هي الدالة المولدة للمتتابعة (C(G,k)) والتي قيمة مشتقتها عند x=1 تساوي دليل وينرW(G) للبيان G ، إذ أن C(G,k) هو عدد أزواج الرؤوس التي لكل منها المسافة بين رأسي الزوج تساوي k. في هذا البحث أوجدنا متعددات حدود وينر لأشجار شبيهة- نجمة ولأشجار خاصة أخرى، ومن ثم حصلنا على صيغة لدليل وينر لكل من هذه الأشجار.

ABSTRACT
The Wiener index is a graphical invariant which has found many applications in chemistry. The Wiener Polynomial of a connected graph G is the generating function of the sequence (C(G,k)) whose derivative at x=1 is the Wiener index W(G) of G, in which C(G,k) is the number of pairs of vertices distance k apart. The Wiener Polynomials of star-like trees and other special trees are found in this paper; and hence a formula of the Wiener index for each such trees is obtained .

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Article
The n-Wiener Polynomials of the Cartesian Product of a Complete Graph with some Special Graphs

Authors: Haveen G. Ahmed --- Ali A. Ali
Journal: AL-Rafidain Journal of Computer Sciences and Mathematics مجلة الرافدين لعلوم الحاسوب والرياضيات ISSN: 18154816 Year: 2009 Volume: 6 Issue: 2 Pages: 117-128
Publisher: Mosul University جامعة الموصل

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Abstract

الملخص
تضمن هذا البحث إيجاد متعددات وينرn- لجداءات بيان تام Kt مع بيانات خاصة مثل البيان التام Kr , نجمة Sr , وبيان ثنائي التجزئة تام Ks,r , وعجلة Wr ودرب Pr . كما تضمن إيجاد قطرn- ودليل وينرn- لكل من الجداءات Kt×Pr ,Kt×Wr ,Kt×Ks,r ,Kt×Sr ,Kt×Kr.
ABSTRACT
The n-Wiener polynomials of the Cartesian products of a complete graph Kt with another complete graph Kr, a star graph Sr, a complete bipartite graph Kr,s, a wheel Wr, and a path graph Pr are obtained in this paper. The n-diameters and the n-Wiener indices of Kt×Kr, Kt×Sr, Kt×Kr,s, Kt×Wr and Kt×Pr are also obtained.

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Article
The n-Hosoya Polynomials of Some Classes of Thorn Graphs

Authors: Ahmed M. Ali --- Ali A. Ali
Journal: AL-Rafidain Journal of Computer Sciences and Mathematics مجلة الرافدين لعلوم الحاسوب والرياضيات ISSN: 18154816 Year: 2010 Volume: 7 Issue: 1 Pages: 81-97
Publisher: Mosul University جامعة الموصل

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Abstract

الملخص
تضمن البحث إيجاد متعددات حدود هوسويا-n للبيانات المسننة التامة ، المسننة الشوكية التامة ، النجمات المسننة ، النجمات المسننة الشوكية ، العجلات المسننة ، العجلات المسننة الشوكية . كما حصلنا على أدلة وينر-n لهذه البيانات.
ABSTRACT
The n-Hosoya Polynomials of cog-complete graphs , thorn cog-complete graphs , cog-stars , thorn cog-stars , cog-wheels , and thorn cog-wheels are obtained . The n-Wiener indices of these graphs are also determined .

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Article
The n-Wiener Polynomials of Straight Hexagonal Chains and Kt×Cr

Authors: Haveen G. Ahmed --- Ali A. Ali
Journal: AL-Rafidain Journal of Computer Sciences and Mathematics مجلة الرافدين لعلوم الحاسوب والرياضيات ISSN: 18154816 Year: 2009 Volume: 6 Issue: 3 Pages: 129-139
Publisher: Mosul University جامعة الموصل

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Abstract

الملخص
تضمن هذا البحث ايجاد متعددة حدود وينرn- لبيانات بشكل سلسلة سداسية مستقيمة وكذلك للبيان الناتج من الجداء الديكارتي لبيان تام Kt مع بيان دارة Cr. كما تضمن البحث ايجاد القطرn- ودليل وينرn- لكل من هذه الانواع من البيانات.
ABSTRACT
The n-Wiener polynomials of straight hexagonal chains and the Cartesian product of a complete graph Kr and a cycle Cr are obtained in this paper. The n-diameter and the n-Wiener index of each such graphs are also determined.

Keywords: n-distance, n-diameter, n-Wiener index, n-Wiener Polynomials, hexagonal chains.

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Article
Women Breast Diseases in Karbala Epidemiology and Workup

Authors: Ali A. Ali --- Adnan A. Al Helli
Journal: Karbala Journal of Medicine مجلة كربلاء الطبية ISSN: 19905483 Year: 2007 Volume: 1 no.2 Issue: 1 Pages: 116-123
Publisher: Kerbala University جامعة كربلاء

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Abstract

AbstractBackground; Sixteen percent of women who are 40-70 years old consult the primary health clinics for breast symptoms, 4% of them are expected to have breast cancer. The cure rate is over 95% when the early breast cancers are properly treated at time.Objectives; The epidemiology of women Breast diseases and the clinical workup to detect early breast cancer in Karbala.Method; Retrospective analysis of the workup carried out for the surgical breast cases attending the surgical units and the EBCD center of Karbala health services, from10th October 2001-10th October 2005.Results; Total case number was 3634. Sixty percent had inconclusive criteria The complaints were; breast pain in 67%, Mass in 57%, Nipple Discharge 10.7% and Breast Ulcer in 1.8% of the cases. The registered breast cancer cases were 46, they were advanced.US examinations were 2017; 48.5% had Breast Masses (75%solid&25% cystic), the negative tests; 49.5% and 2% were equivocal. Mammography exams; 157. FNA Cytology exams were 190; conclusive in 61% and positive suspected cancer cells in 9.5%. There were 110 ND Cytology exams," none was positive".Conclusion; the routine work of EBCD needs revision and activation of its objective. The diagnosed cases of breast carcinoma were late. Nipple Discharge Cytology is of no use in screening and diagnosing breast cancer, FNAC is independable in designing breast cancer treatment. There is a need to popularize the interventional radiological investigations and the Breast cancer Screening program.Keywords: Karbala, Early Breast Cancer Detection, Breast Carcinoma, Nipple Discharge Cytology.

الخلاصة تمهيد :ستة عشر بالمائة من النساء في سن 40 -70 سنه يراجعن مراكز الصحة لأعراض في الثدي .4% من هذه الشريحة يحتمل إصابتهن بأورام الثدي الخبيثة. نسبه الشفاء من هذا المرض أعلى من 95% إذا اكتشف المرض وعولج في مراحله الأولى. الأهداف : وبائية أمراض الثدي وتقييم الطرق السريرية للكشف المبكر عن سرطان الثدي في كربلاء.الطرق : تحليل الجهود المبذولة للنسوة المراجعات للمركزالمتخصص في الكشف البكر عن سرطان الثدي وأمراض الثدي الأخرى المعالجة في الردهات الجراحية للفترة من 10-10-2001لغاية10 -10-2005 . النتائج : عدد المراجعات الكلي 3634: 60% منهن حالات ذات معلومات موثقه. كانت الأعراض كالآتي: الام67%, عقدة الثدي 57%, إفرازات الحلمة 10.7% و قرحه2017 الثدي 1.8% . عدد حالات سرطان الثدي 46 حاله, مع49.5 % معظمها حالات متأخرة. فحص للثدي بالأمواج الفوق صوتية2017:منها 48.5% عقدة, (75% صلدة و25%كيسية).النتائج السالبة49.5%. الفحوص الخلو,ية الوخزية190. 61% منها ذات دلالة و 9.5%ذات مؤشر سرطاني. تم اجراء 110 فحص لإفرازات ألحلمه الخلوي جميعها كانت سالبة أو غير دالة.الاستنتاج :طريقة عمل مركز الكشف المبكر عن سرطان الثدي بحاجة للتفعيل..إصابات سرطان الثدي المكتشفة متقدمة. لا جدوى من الفحص الخلوي لإفرازات الحلمة, لا يعتمد الفحص الخلوي الوخزي لعقده الثدي في تعيين مستوى الانتشار و نوع العلاج لسرطان الثدي. يجب إدخال الفحوصات ألتداخليه وتفعيل برامج الفحوصات المسحية الدورية للإناث المحتمل إصابتهن بهذا المرض. الكلمات المفتاحية: كربلاء,الكشف المبكر عن سرطان الثدي,سرطان الثدي,الفحص الخلوي لإفرازات الحلمة.

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