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Editorial: MEDICAL ETHICS IN THE GLORIOUS QUR'AN AND HOLY SHARI`AH

Author: Waseem F. Al Tameemi وسيم فاضل محمد التميمي
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2016 Volume: 14 Issue: 2 Pages: 96-99
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

It is believed that good ethical values flow out from one source, and follow a clear path that extends to every part of the world. These values honor the dignity of man as a human being honored by God almighty, and maintain man’s essential rights, including life, freedom, preservation of property, health and sufficiency, throughout man’s life.The Glorious Qura'n and Holy Shari`ah had contribute actively in regulation these ethical aspects in medicine. Although, these principles have been adopted in practice since the early days of Islamic culture and cited by many Muslims scientists. Nowadays, physicians are under prepared to deal with the new progress in medical technology like organ transplants, genetic engineering, and respirators that keep a person alive, only as a vegetable, for several years.Keywords: Ethics, Medical Ethics, Relgion, Islam, The Glorious Qura'n, Holy Shari`ah


Article
SIGNIFICANCE OF PLATELET INDICES IN PATIENTS WITH ACUTE ISCHEMIC STROKE

Authors: Waseem F Al-Tameemi وسيم فاضل محمد التميمي --- Ameer MM Ameen امير محمد امين
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2012 Volume: 10 Issue: 4 Pages: 383-389
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

Background :Platelets play an important role in the development of intravascular thrombosis. Platelet size has been considered to reflect platelet activity. Platelet indices had been studied as an independent predictor of acute ischemic stroke (IS).Objectives:Assessing the relation of acute IS with different platelet indices.Methods:Fifty patients were enrolled: 25 of them had first acute IS (mean age 64 years, 12 (48%) were males) [group 1], while the rest 25 patients were those with more than one IS (mean age 68 years, 16 (64%) were males) [group 2] in comparison with the control group (20) subjects (mean age 57 years, 10 (50%) males). Work up included history and clinical examination in addition to brain CT scan and platelet indices which are: mean platelet count (MPC), mean platelet volume (MPV), platelet large cell ratio (P-LCR), and platelet distribution width (PDW) within first 24 hours of patient presentation.Results:The mean platelet count (MPC) was found to show significant difference between group 2 versus group 1 and control (P=0.012, P=0.023 respectively), while no statistically significant differences were reported with the other indices (MPV, PDW or P-LCR). Linear negative correlation was demonstrated between MPC and MPV, PDW and P-LCR in group 1, such correlation wasn't found in group 2.Conclusion:Mean platelet count (MPC) differs significantly in cases of multiple stokes in comparison with those having first stroke or the control group; therefore, the significance of this finding needs further studies.Keywords:Platelet indices, platelet count, mean platelet volume, platelet distribution width, platelet-large cell ratio, ischemic stroke.


Article
ASSESSMENT OF RISK FACTORS FOR POSTSPLENECTOMY PULMONARY HYPERTENSION

Authors: Waseem F. Al Tameemi وسيم فاضل محمد التميمي --- Maan M.A. Hamid معن حميد --- Haider N. Dawood حيدر نوري داود
Journal: IRAQI JOURNAL OF MEDICAL SCIENCES المجلة العراقية للعلوم الطبية ISSN: P16816579,E22244719 Year: 2014 Volume: 12 Issue: 1 Pages: 66-71
Publisher: Al-Nahrain University جامعة النهرين

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Abstract

Background:Splenectomy has been associated with several long-term complications; pulmonary arterial hypertension has gained special attention. It seems that the absence of a spleen, rather than underlying condition for which the splenectomy was performed, is the primary cause of this condition.Objectives:Assessing the risk factors for development of pulmonary hypertension in different indications of splenectomyMethod:Fifty postsplenectomy patients were included and transthoracic echocardiographic study looking for right ventricle size; ejection fraction and pulmonary artery pressure were performed for each patient in addition to complete blood count.Results:The patients' mean age was 32.5±1.8 years. The mean duration after splenectomy was 5.2±0.34 years with a range of 1-10 years. Hemoglobinopathies in different types formed 54% (27/50) of these indications, while non hematological indications were reported in 7 cases (14%). Pulmonary arterial hypertension was reported in 22% of patients with mean pressure 30.10±1.18 mmHg. It is positively correlated with right ventricular size. The highest risk of pulmonary arterial hypertension was reported with splenectomy due to hemolytic diseases in comparison with other indication despite persistence of similar risk in non hemolytic indication but of no statistical significance. The more severe degree of anemia has negative correlation with pulmonary arterial hypertension as well as high WBC count unlike thrombocytosis.Conclusion:Whatever the underlying indications of splenectomy, the risk of pulmonary hypertension exists, which may not related only to thrombocytosis but also for anemia and leucocytosis and it needs long duration follow up to be diagnosed.Key words:Splenectomy, pulmonary hypertension.

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