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Article
Exfoliative Cytological Changes in Peritoneal Fluid fromPatients on Peritoneal Dialysis

Authors: Liqaa R.Mousa --- Mutaz A.Al-Qazzaz --- Yarub I.Kattab
Journal: Al-Kindy College Medical Journal مجلة كلية الطب الكندي ISSN: 18109543 Year: 2008 Volume: 4 Issue: 2 Pages: 1-4
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Ambulatory peritoneal dialysis introduced by Popvich et al (13) in 1978 , consists of a four to five hours lavage of peritoneal cavity with 2000 ml of glucose solution .It remains a useful method for treating patients with end stage renal failure till renal transplantation becomes possible.Objectives: The aim of the study is to evaluate the value of cytological changes of mesothelial cells in dialysate patients.Methods: Within one year period, 32 cytological peritoneal fluid samples were collected from patients with end stage renal failure regardless of the underlying causes, admitted to the dialyzing unit in Kadimya Teaching Hospital. Smears were prepared and fixed in 95 % ethyl alcohol and then stained with H & E stain to be interpreted by the same pathologist.Results: Thirty two samples of peritoneal fluid were obtained from patients in peritoneal dialysis with a mean age of 54.8 years and male to female ratio of about 1.9: 1.Twenty two had short term dialysis were compared with 10 patients with long term dialysis. Gross examination of the samples revealed clear yellow fluid. Macroscopical examination showed no evidence of inflammatory cells with increased exfoliation, cellularity and three dimensional mesothelial cellular clustering pattern with increased nuclear size. No statistical significances were found in the changes seen in cytological smears between both groups but remarkable nuclear changes were shown in both of them. Conclusion: This study demonstrated that peritoneal dialysis of any duration can induce significant atypical changes in mesothelial cells. The pathologist needs to be aware of these changes and to include peritoneal dialysis in the list of other benign conditions that cause reactive mesothelial atypia.


Article
Urine Cytology in Patients withLong Standing Dialysis

Authors: Liqaa R Mousa --- Mutaz A.Al-Qazzaz --- Yarub I Kattab
Journal: Al-Kindy College Medical Journal مجلة كلية الطب الكندي ISSN: 18109543 Year: 2007 Volume: 4 Issue: 1 Pages: 1-4
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Dialysis is in common use to treat patients with end stage renal failure .However longstanding dialysis harboring some cellular changes in various body fluids. This study was conducted in order to detect these changes in urine.
Objective: The study was conducted to detect cellular changes in urine of patients with longstanding dialysis.
Method: Fifty-three urine samples were examined cytologically obtained from patients with longstanding dialysis during 6 months period. Freshly voided midstream urine samples were taken . Samples were centrifuged and 2 to 3 drops of sediments were smeared on 2 glass slides and fixed in 95% ethyl alcohol then stained with Hand E stain to be evaluated.
Results: Gross physical examination of all urine samples were neither purulent nor hemorrhagic .Microscopically there was increased exfoliation of urothelial cells except in 9 cases. No significant cytological atypia were seen in all urine samples. Excessive exfoliation in the absence of significant inflammation, hemorrhage and cytological atypia compared with control group.
Conclusion: The study revealed that some cytological changes do occur in the urothelial cells of patients with longstanding dialysis. These changes need further attention and study to disclose their causes.
Key words: Urine cytology, dialysis.

Keywords

Urine cytology --- dialysis


Article
SUDDEN DEATH DUE TO INTRACRANIAL COLLOID CYST "A CASE REPORT"

Authors: Muhammad A. Jabor محمد عبد المحسن جبر --- Mutaz A. Al-Qazzaz معتز عبد المجيد القزاز
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2013 Volume: 11 Issue: 4 Pages: 399-402
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

Intracranial colloid cysts are non-neoplastic epithelium-lined cysts of the central nervous system that almost always arise from the anterior third ventricle roof (immediately posterior to the foramen of Monro). These epithelium-lined, mucin-containg cysts can be found in asymptomatic patients; however, depending on their location, size, and degree of cerebrospinal fluid obstruction, patients may present with a variety of neurological symptoms. These symptoms can range from headaches to sudden death on rare occasions when there is acute hydrocephalus. This study describes a colloid cyst located between the two lateral ventricles at the level of foramen of Monro obstructing the cerebrospinal fluid (CSF) flow leading subsequently to sudden death and discovered incidentally during autopsy. The study was done in the Medico-legal institute in Baghdad from 1st of November 2012 to 1st of May 2013.Key words:Sudden Death, Colloid Cyst, Autopsy, Intracranium.


Article
MEDICOLEGAL POSTMORTEM STUDY OF SOME ANATOMICAL VARIATIONS IN THE THYRIOD GLAND AMONG BAGHDADIANS
دراسة طبية عدلية بعد موتية لبعض الفوارق التشريحية في الغدة الدرقية عند البغداديين

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Abstract

Background: Up till now no postmortem study was done in our country about the anatomical variations in the thyroid gland and their prevalence.Objectives: To determine the presence of certain chosen anatomical variations in the thyroid gland among Baghdadians and to clarify the importance of forensic pathology in different medical studies.Method: A prospective study was done in the medicolegal institute of Baghdad for 6 months duration. The thyroid gland was studied grossly in 122 randomly chosen cadavers to reach the above mentioned objectives.Results: The presence of pyramidal lobe was the most prevalent anatomical variation (5,7%) while the absence of the isthmus was found in 4.9% of cases and the presence of the thyroid ima artery was seen in 4.9% of cases. There were no significant statistical differences between male and female. Conclusion: The presence of pyramidal lobe was the most prevalent anatomical variation followed by the absence of the isthmus and the presence of the thyroid ima artery.Key words: Postmortem, thyroid gland, anatomy, variation.

خلفية الدراسة: لم تجر في القطر لحد الآن دراسة بعد موتيه عن الغدة الدرقية لتحديد الفوارق التشريحية فيها و نسب تواجدها.هدف البحث : دراسة بعض الفوارق التشريحية في الغدة الدرقية عند البغداديين و تأكيد أهمية الطب العدلي في القيام بمختلف الدراسات الطبية.طريقة العمل: أجريت دراسة ميدانية في معهد الطب العدلي ببغداد لمدة 6 أشهر درست خلالها فوارق تشريحية مختارة من الغدة الدرقية في عينة عشوائية مكونة من 122 جثة لأجل الوصول إلى الأهداف المنشودة.النتائج: ظهر إن وجود الفص الهرمي كان الفارق التشريحي الأكثر تواجدا في الغدة الدرقية عند البغداديين مقارنة مع الفوارق الأخرى حيث احتل 5.7% من مجموع الحالات بينما غاب البرزخ في 4.9% من الحالات و وجد الشريان الدرقي المفرد في 4.9% من الحالات و لم يكن هنالك فارق مهم إحصائي بين الذكور و الإناث.الاستنتاج: احتل وجود الفص الهرمي اكثر الفوارق التشريحية وجودا تلاه غياب البرزخ و وجود الشريان الدرقي المفرد و بنسبتين متساويتين و لم يكن هنالك فارق مهم إحصائي بين الذكور و الإناث.مفتاح الكلمات: بعد الموت، الغدة الدرقية، تشريح الجثة، الفوارق.

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