research centers


Search results: Found 2

Listing 1 - 2 of 2
Sort by

Article
Randomized Comparative Study of Four Lines of Treatment of Sacroccocygeal Pilonidal Sinus

Author: Mohend Abbas Noori Al-Shalah
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2016 Volume: 13 Issue: 1 Pages: 196 -205
Publisher: Babylon University جامعة بابل

Loading...
Loading...
Abstract

The aim of this study was to investigate the relationship between serum ghrelin concentration with markers of insulin resistance and obesity in type 2 diabetes, Evaluation of the possible association of the obesity in type 2 diabetes and gene polymorphism. The results show that the Levels of ghrelin (mean ± S.E) ghrelin was significantly lower in obese type 2 diabetes compared to control group (p< 0.0001) and Levels of ghrelin did not differ between the 49men and the 59 women. smoking history was significantly. ghrelin showed significant negative correlation with BMI (r= -0.62), Waist/Hip ratio(r = -0.68), SBP (r= -0.53) and DBP(r= -0.43).A significant negative correlation between Ghrelin level and FBG (r= -0.55), HbA1c (r= -0.60), Insulin (r= -0.44) andinsulin resistance index (HOMAIR HOMA-IR(r= -0.46). There was an inverse correlation between Ghrelin level and cholesterol(r= -0.15), triglycerides(r=-0.38) and VLDL(r= -0.38) respectively, while there is no significant correlation with LDL. As well as there weresignificant positive correlation between Ghrelin level and HDL. A significant negative correlation between Ghrelin level and Syctolic bloodpressure and diastolic blood pressure (r= -0.53 andr=-0.43) was observed in the obese type 2 diabetes groups.


Article
Causes and Prevention of Missing a Diagnosis and Late Management of Acute Appendicitis

Authors: Ali Abdulhaleem Kadhim --- Mohend Abbas Noori Al-Shalah --- Adnan Mohammad Kamil
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2016 Volume: 13 Issue: 2 Pages: 370 -377
Publisher: Babylon University جامعة بابل

Loading...
Loading...
Abstract

A delay in diagnosis and late management of appendicitis with appendectomy is still high with subsequent some serious sequelae. This study is to identify and prevent a causes of delay in diagnosis of appendicitis. Aprospective cross section study includes 308 appendectomies performed in a Hilla teaching hospital from January 2013 to July 2015 by same surgical team; 143 (46%) male and 165 (54%) female. Delayed diagnoses was considered when the duration of pain was more than 48 hours, or operative finding show obvious features of delay, like perforation, gangrenous appendix, abscess collection or mass formation. Average duration of symptoms for delayed patients was 96 hours and for early diagnosed was 29 hours, Reasons fordelay were sought and divided into two groups; the first is patient behavioral reason, and the second is medical assessment reason. Twenty one percent of appendectomised patients show delayed management despite more than 48 hours abdominal pain (3-10 days, average 4 days), 69%of them was male, and, 31% female. Average duration of hospitalization in a delayed cases was 3.5 days, while average duration of admission for early treated cases was 1.3 day. Mortality rate was zero. As a reason for delay in diagnosis; patient assessment was the main reason for delay diagnosis (44 patients, 68%); while patient behavior cause was 32% (21 patients). The patient assessment is the main cause of delay in diagnosis and should be improved by examining patients with abdominal pain by expert surgical team considering atypical presentation with proper follow up and investigations.Quality improving program is advised to reduce missed diagnosis of appendicitis.

Listing 1 - 2 of 2
Sort by
Narrow your search

Resource type

article (2)


Language

English (2)


Year
From To Submit

2016 (2)