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Article
Urinary stone distribution in Samawah: current status and variation with age and sex a cohort study

Author: Saad Hallawee
Journal: Muthanna Medical Journal مجلة المثنى الطبية ISSN: 2226146x Year: 2015 Volume: 2 Issue: 2 Pages: 93-98
Publisher: Al-Muthanna University جامعة المثنى

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Abstract

The aim of the study was to describe the distribution of urinary stone. Age, sex, anatomical site and geographical correlations data were investigated. Cross-sectional and prospective data was made of three hundred and one (301) patients with stone were recorded in the consultation unit of Al-Hussien teaching hospital, Samawah city. The cohort study included 224 men (74%) and 77 women (26%) with a male to female ratio of 2.9:1 and a median age of 48 years (range 41-60 years). 181(60) patients have a single urinary stone and 120(40%) patients have multiple stone, 70(58%) live in rural area. The size of the stone was variable and large stone more than 1cm seen in 132 patients (43%). Left kidney was the first anatomical site in 92 patients (30 %) and 81 patients (26%) have right kidney stone. Our data concluded that urinary stones disease is a common problem in Samawah city with more predilection to affect male than female and more frequent in age ≤ 40 years, with tendency to involve left kidney. Rural area showed increased prevalence of urinary stone with tendency of multiple stone.


Article
ECG abnormalities in first visit of diabetic patients in Al Sammawah Diabetic center: cohort study

Author: Saad Hallawee
Journal: Muthanna Medical Journal مجلة المثنى الطبية ISSN: 2226146x Year: 2017 Volume: 4 Issue: 1 Pages: 23-34
Publisher: Al-Muthanna University جامعة المثنى

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Abstract

Diabetes Mellitus is a very common progressive endocrine disease in Iraq (and our society) as part of whole world, and diabetic patients are more likely to have cardiovascular diseases than patients without diabetes. ECG is the most widely used simple noninvasive test for evaluation of cardiovascular risk, so our study was focused to assess the relation between the frequency of ECG changes with the patients glycemic control and their age group. A 600 patients with newly diagnosed diabetes Mellitus were identified from diabetic center in Al Sammawah teaching hospital. All are evaluated for variables; age, gender, glycemic control (HbA1c level) and ECG abnormalities. Then they are divided in two groups those with and others without ECG changes during evaluation of their above variables. The selected patients are 294 female and 309 male with most age distribution affected are 50-59 years 189(32%) followed by 40- 49 years,130(22%)then 60-69 age group119 (20%), 30-39 years 68(11%), >70 years 52 (9%) and <30 years about 37(6%). 327 patients with normal ECG and 273 patients with abnormal ECG, female was predominant by 55%, and ECG abnormality was distributed among low voltage in 110 patients (18 %), bradycardia in 54 patients (9%), with variable percent for the other ECG abnormalities. Diabetic control for most of the patients was poor according to HbA1c level which measured in the first visit and 77% of patients with HbA1c above 8. In conclusion; the age group distribution in Samawah city is comparable to the other population, but with very bad diabetic control which require more effective educational and advance therapeutic approaches to control this propagating challenge. ECG changes seen were predominantly low voltage, then bradycardia which may reflect other association which require more future research.

Keywords

Diabetes Mellitus --- ECG --- HbA1c

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