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Oral Tumors; Clinicopathological Study amongPatients Attending ENT Clinic in Baghdad

Authors: Yousif A . AL-Raheem يوسف عبد الرحيم --- Hussein J. Muhsen حسين محسن
Journal: Al-Kindy College Medical Journal مجلة كلية الطب الكندي ISSN: 18109543 Year: 2009 Volume: 5 Issue: 1 Pages: 11-18
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Oral tumors are one of the most challenging tumors regarding their good prognosis in early diagnosis and very difficult control in advancing stages.Objectives: To study the prevalence, types and clinical presentation of oral tumors in comparison to other oral lesions among patients attending ENT clinic.Al-Kindy Col Med J 2008 Vol.5(1) 1 1 Original ArticleMethods: This study included 534 patients with differentoral complains attending ENT clinics in AI-YarmoukTeaching Hospital, and AI-Kindy Teaching Hospital -Baghdad, in the period from 1st jan1999 till 31th des 2006 (8years interval).Results: The results of this study showed that the prevalence of malignant lesions was 13.5% (72 out of 534); the males constitute 59.7 % of them. Premalignant lesions constitute only 3.9% (21 out of 534) of patients; the males constitute 66.7 % of them. Benign lesions in 8.6% (46 out of 534); the males constitute 69.6 % of them. Other lesions constitute 74% (395 out of 534); the males constitute 65.8 % of them. Squamous cell carcinoma is the most common malignant tumor (found in 71% of malignant lesions).Conclusions: Most patients are males and the most common manifestation is sore throat. The most common sign of presentation is swelling and the most common histological type of malignant tumors is squamous cell carcinoma (71%). These patients usually attend ENT clinic seeking for simple therapy, we see that it’s the job of the otolaryngologist to diagnose those patients early which has a major influence on prognosis.Key words:

Keywords

Oral --- tumors --- ENT clinic.


Article
MATERNAL AND FETAL OUTCOMES IN EMERGENCY VERSUS ELECTIVE TWO OR MORE PREVIOUS CAESAREAN DELIVERIES

Authors: Yousif A AL-Raheem يوسف عبد الرحيم --- Thikra Najim ذكرى نجم --- Faris A Rasheed فارس رشيد
Journal: Al-Kindy College Medical Journal مجلة كلية الطب الكندي ISSN: 18109543 Year: 2010 Volume: 6 Issue: 1 Pages: 108-117
Publisher: Baghdad University جامعة بغداد

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Abstract

Background: Women with previous two or more caesarean deliveries are usually managed by elective cesarean section to avoid the possible risks of labor. Objective: To compare the relative risks of maternal and fetal outcomes in emergency versus elective previous two or more caesarean deliveriesDesign: Randomized prospective clinical studySetting: Al-Elweya Maternity Teaching Hospital, from 1st of March to 31st of September 2008.Methods: The study groups, those who had previous two or more caesarean deliveries, were included from the hospital admissions. The 1st group (102 women) presented in labor and was managed by caesarean delivery as soon as it was possible. The second group (78 women) was admitted for elective cesarean delivery.The main maternal outcomes were intra operative complications, including hysterectomy, scar dehiscence, bladder injuries, uterine and internal iliac arteries ligation, and blood transfusion. Postoperative maternal outcomes were severe morbidity including bleeding, fever, urinary tract infection, blood transfusion, the need to Intensive Care Unit admission and readmission. The fetal outcomes measures were Apgar score at one and five minutes, respiratory distress syndrome (RDS), admission to the neonatal intensive care unit and fetal loss up to hospital discharge.Results: Both groups were comparable in demographic, social and past obstetric history characteristics. Intra operative complications showed significant difference in bowel adhesions (RR 0.35, 95% CI 0.14- 0.88), and blood transfusion (RR 0.51, 95% CI 0.28-0.94). There was statistical significant difference in the mobilization time 7.2 hours and 9.3 hours in emergency and elective groups respectively (p= 0.0009), also in feeding time, it was shorter after emergency caesarean section (P=0.0224), and in the hospital stay 24.6 and 32.6 hours respectively (p=0.0001). There was no statistical difference in post operative complications. Fetal outcomes showed no statistical significant difference in fetal loss, respiratory distress and readmission.Conclusion: Women with previous two or more caesarean deliveries can wait until starting labor for doing cesarean delivery without increasing risks to the mother and fetus.

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