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Article
Assessment Of The Efficacy Of The Treatment Methods Of Epistaxis And The Level Of The Pain/Discomfort Experienced With Each Method In Adult Patients

Authors: Ammar Hadi Khammas عمار هادي خماس --- Mohammed Radef Dawood محمد رديف داوود --- Abbas Khadhair Hamad عباس خضير حمد
Journal: Mustansiriya Medical Journal مجلة المستنصرية الطبية ISSN: 20701128 22274081 Year: 2017 Volume: 16 Issue: 1 Pages: 23-28
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Objectives: To assess the effectiveness and the level of the patient’s pain/discomfort experienced by different procedures applied for the treatment of the epistaxis in adult patients.Patients and methods: A prospective observational study of 121 adult patients presented with epistaxis, from January 2016 to September 2016, at ENT Department in Al-Yarmouk Teaching Hospital in Baghdad, all the patients had been received an adequate treatment modalities accordance to a standard regimen, and at the end of each procedure, the level of their pain/discomfort experienced was assessed according to Visual Analogue Scale (VAS) questionnaire, and the success rate for each procedure was evaluated. Results: The median VAS score for pain/discomfort in the anterior epsitaxis was in the following order; 1.5, 2.5, and 6, for chemical cauterization, electrical cauterization, and nasal packing, respectively, while for posterior epistaxis was 3, 3.5, 6, and 7.5, for electrical cauterization, endoscopic sphenoplatine artery ligation (ESPAL) surgery, nasal packing, and post nasal Foley's catheterization, respectively. The success rate for the anterior epistaxis treatment modalities was 89.36%, 78.37%, and 75%, for electrical cauterization, chemical cauterization, and nasal packing respectively, while for the posterior epistaxis; was 68.18%, 90%, 75%, and 100%, for nasal packing, electrical cauterization, Foley's post nasal catheterization, and (ESPAL) surgery respectively.Conclusions: In the anterior epistaxis; the pain/discomfort experienced score for both chemical and electrical cauterization was mild, but the success rate was higher with electrical cauterization, while in the posterior epistaxis; both the endoscopic electrical cauterization, and the (ESPAL) surgery were associated with high patient`s tolerability, however the (ESPAL) surgery was found to be a superior method as associated with the highest success rate.


Article
Anatomical Study of the Accessory Genital Glands in Males Sheep (Ovis aris) and Goats (Caprus hircus)
دراسة تشريحية للغدد التناسلية الملحقة في ذكور الاغنام المحلية (Ovis aris) والمعز المحلي) (Caprus hircus

Authors: Shaker M. Merhish شاكر محمود مرهش --- Azhar S. Khalaf ازهار سليم خلف
Journal: The Iraqi Journal of Veterinary Medicine المجلة الطبية البيطرية العراقية ISSN: 16095693 Year: 2010 Volume: 34 Issue: 2 Pages: 1-8
Publisher: Baghdad University جامعة بغداد

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Abstract

The study revealed that the ampullae of ductus deferens(vas deferens), seminal vesicle and bulbourethral glands are paired in number and well developed in ram and buck except the prostate gland have only disseminated part surrounding the pelvic urethra (embedded in pelvic urethral wall) without body of gland. The anatomical parameters of the ampullae in ram are generally with mean length 4.98 ±0.28cm,mean width 0.63 ±0.04cm ,mean weight 2.24 ±0.007gms and mean volume 1.4 ±0.03cm3.The seminal vesicle have mean length 3.68± 0.05cm, mean width 2.50±0.06cm ,mean weight 4.42± 0.15gms , mean volume 3.35±0.05cm3 .The bulbourethral gland have mean length 1.59± 0.36cm ,mean width 1.493±0.02cm ,mean weight 3.46±0.01gms ,mean volume 2.35±0.04cm3. The anatomical parameters of the ampullae in buck have mean length 4.87±0.29cm ,mean width 0.62±0.007cm, mean weight 2.18±0.007gms , mean volume 1.15±0.02cm3. the seminal vesicle gland parameters have mean length 3.61±0.01cm ,mean width 2.44±0.01cm, mean weight 4.18±0.15gms mean volume 3.05±0.04cm3.The bulbourethral gland parameters have mean length 1.58±0.005cm, mean width 1.46±0.006cm , mean weight 3.23±0.11gms and mean volume 2.05±0.03cm3.Generally the study did not observe any anatomical differences between the male accessory genital glands of ram and buck.


Article
Objective assessment tool of pharmacist skills

Journal: Muthanna Medical Journal مجلة المثنى الطبية ISSN: 2226146x Year: 2015 Volume: 2 Issue: 1 Pages: 39-45
Publisher: Al-Muthanna University جامعة المثنى

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Abstract

The objective of this study is to assess the pharmacist skills and focus on the certain important defects in pharmacist work up and possible causes for these defects and suitable resolution ways. A cross sectional study was involved fourteen pharmacists in two government hospitals in al-Muthana, Iraq. Ten pharmacist in hospital A and Four in hospital B and include collection of data over one week of April 2015. In this study we concentrate on following vital activities (VA.s) with high importance in production of sufficient health services: pharmacist daily tour with the specialist doctors and active participation in patient's management; observation of patient's records including prescribed treatment; with determination of any mistake e.g. (doses, interactions, presence of contraindications or cautions); regulation of drugs administration in proper way; helping of specialist doctors to find suitable substitution for unavailable drug; presentation or attending at the scientific lectures about medical treatments and new sorts of drugs. The assessment of these Vital activities (VAs) is presented as value from hundred percent. Regarding the hospitals A and B the study show poor (< 50 %) average results of the pharmacists five vital activities, that was mentioned in the methods above. There is significant defect in the pharmacist’s performance that is multifactorial in origin and assessment activities should be sequenced throughout effective program to produce most applicable resolutions


Article
Clinical Improvement of osteoarthritic knee pain by adding intra-articular steroid Injection to viscosupplementation

Author: Ahmed Latteef Al-Shamari
Journal: Mustansiriya Medical Journal مجلة المستنصرية الطبية ISSN: 20701128 22274081 Year: 2015 Volume: 14 Issue: 1 Pages: 51-57
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

Background: Intra-articular injections have been used for many years to treat painful joint disorders, especially by means of injecting crystalline suspensions of long-duration corticosteroids. Viscosupplementation, which is a relatively new intervention, consists of injection of exogenous hyaluronic acid into joints in order to treat osteoarthritis of knee joint. Patients and Methods: A prospective cohort study was conducted in a private orthopedic clinic in Baghdad from March 2013 to the end of September 2014, where it enrolled a total of fifty six (56) patients of middle ages, ranging from 39 to 64 years, classified as either grade II or III according to Kellgren and Lawrence radiographic criteria. Intra-articular injection of two drugs (a long acting steroid drug, then hyaluronic acid) were given locally in one or both knee joints with one week apart. To evaluate the effect of therapy, current study group patients were assessed by Visual Analogue Scale (VAS) after 1 week, and after 4-8 weeks from the beginning of the therapeutic trial. Results: more than two-third of cases were women (a ratio of 2.1:1), with age group of 50- 59 years old. No statistical correlation was found between Visual analogue scale (VAS) and radiographic grading (i.e. Kellgren and Lawrence radiographic criteria). Significant statistical difference (P<0.05) was shown in patients receiving intra-articular corticosteroids after week "1" of therapy, and a slightly better effect after adding hyaluronic acid on week "4" regarding the VAS scale of pain for radiographic grade II patients. Radiographic grade III patients showed a significant statistical correlation in VAS after week (4) of therapy for both moderate and severe classes. Conclusion: Intra-articular injections of both corticosteroids and hyaluronic acid with one week apart appear to give clinical improvement better than using Intra-articular injection of hyaluronic acid alone.


Article
Intensive Pulsed Light (IPL), A New Hope For Rosacea Among Iraqi Patients

Author: Hussein Abbas Rehim Alsultany
Journal: Journal of University of Babylon مجلة جامعة بابل ISSN: 19920652 23128135 Year: 2016 Volume: 24 Issue: 5 Pages: 1544-1460
Publisher: Babylon University جامعة بابل

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Abstract

Rosacea is a chronic disease associated with an inflammatory process about which very little information is known. It is often a relapsing disorder, and long-term treatment is generally required. This study is a prospective therapeutic study design.The aim of this study is to evaluate the therapeutic efficacy of Intensive Pulsed Laser (IPL) as a treatment option among rosacea patients. Twenty eight patients (twenty two females and eight males) suffered from mild to severe rosacea presenting to private dermatological specialist clinic and the outpatient clinic of dermatology in Merjan medical teaching hospital, Hilla, Iraq were assessed about the efficacy of using IPL as a treatment option for their rosacea symptoms during a period from April 2013 to February 2014. IPL treatment sessions were performed twice monthly for three consecutive months. Patients were evaluated by digital photography, dermatologist clinical evaluation and clinician and patient assessment through 10 point Visual Analogue Scale (VAS). The clinical evaluation of IPL response following the three months period of the study showed that, nearly most of patients had good to excellent improvement of their rosacea symptoms. It appeared that IPL was an effective treatment option for rosacea representing a new category of therapeutic opportunity for the rosacea patient.

مرض الوردية هو أحد الأمراض المزمنة المرتبطة بحالة التهابية لا يعرف إلا القليل جداً حولها. وغالباً اضطراب انتكاسي، والعلاج الطويل الأمد مطلوب عموما. أن الهدف من هذه الدراسة تقييم الفعالية العلاجية الليزر كثيف الذبذبة(IPL) كخيار علاجي بين مرضى الوردية. التصميم الدراسي هو دراسة علاجية محتملة. يعاني المرضى الثلاثين (اثنان وعشرين إناث والذكور ثمانية) من مرض الوردية المعتدلة إلى الشديدة المراجعين إلى عيادة أخصائي الأمراض الجلدية والعيادة الخارجية للأمراض الجلدية في مستشفى مرجان التعليمي الطبي، الحلة، العراق. قيمت حالتهم حول فعالية استخدام الليزر كثيف الذبذبة(IPL) كخيار علاجي لأعراضهم المصاحبة للوردية خلال الفترة من نيسان/أبريل عام 2013 إلى 2014 شباط/فبراير. دورات العلاج ب (IPL) أجريت مرتين شهريا لمدة ثلاثة أشهر متتالية. وتم تقييم المرضى بالتصوير الرقمي، وتقييم الأمراض الجلدية السريرية والطبية وتقييم المريض من خلال مقياس التماثلية البصرية ذي العشر نقاط (VAS). وأظهر التقييم السريري لاستجابة (IPL) بعد فترة ثلاثة أشهر من الدراسة، أن معظم المرضى تقريبا قد تحولت حالتهم من جيدة إلى ممتازة فيما يخص أعراض الوردية. وبدا أن (IPL) هو خيار علاجي فعال للوردية الذي يمثل فئة جديدة من الفرص العلاجية لمرضى الوردية.


Article
The Effect of Vit D3 (1,25 dihydroxy cholicalciferol) on Serum Level of Human Tumor Necrosis Factor Alpha (TNF α) Following Apicoectomy

Authors: Faris E Mohammad --- Tahani A Alsondook --- Attalla F Rejab
Journal: Al-Rafidain Dental Journal مجلة الرافدين لطب الأسنان ISSN: 18121217 Year: 2013 Volume: 13 Issue: 23 Pages: 530-536
Publisher: Mosul University جامعة الموصل

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Abstract

To evaluate the efficacy of Vit D3 on serum level of human TNF α in patients with chronic periapical lesion that intended to undergo apicoectomy and compare the results with a group of placebo control. Materials and Methods: The investigation was carried out on 50 subjects of different age(1645) and sex(27 male,23 female) complain of chronic periapical lesion were divided into two groups ) study and placebo group). Study group consist of 25 subject received Vit D3 ampoule(300000 IU) orally 24 hrs before apicoectomy procedure and placebo group consist of 25 subject received distal water ampoule orally 24 hrs before apicoectomy procedure. Peripheral venous blood samples were collected preoperatively , 3hrs postoperatively and 24 hrs postoperatively from each subject of both group to evaluate serum TNF α level by Enzyme Linked Immunosorbent Assays (ELISA) device. Patients subjectively assessed the strength the post operative pain by using Visual Analogue Scale (VAS). Data were analyzed using paired t-test and A NOVA test. Results: The results showed that the serum TNF α levels were decreased significantly in the study group after 3hrs of surgical procedure to (22.62 ± 4.58 Pg/ml) following Vit D3 treatment comparing with TNF α level pretreatment (28.33 ± 10.16 Pg/ml) whereas the TNF α level were increased from (33.38 ± 23.92 Pg/ml) preoperative to (51.11 ± 9.05 Pg/ml) 3hrs postoperative in placebo group. Serum TNF α level after 24hrs of surgical procedure in study group decreased significantly to( 28.24± 7.35Pg/ml) pg/ml) comparing with the postoperative 24 hrs TNF α of placebo group (66.15 ± 13.02 pg/ml),this indicated that the level of TNF α were increased in placebo group after 3hrs and 24hrs postoperatively in comparison to the same time of opera tion in study group. The number of analgesic tablet (acetaminophen) significantly decreased in study group to (1.24 ± 1.01 ) comparing with placebo group (2.24 ± 1.23). Duration of analgesia post operatively increase significantly to (308.20± 144.43) min in study group compared with placebo group (228.44 ±123.02) min. The intensity of postoperative pain decrease significantly after 8hrs (VAS1), 12 hrs (VAS2) of surgical operation in study group (1.16 ± 2.27), (0.44 ± 0.96) compared with placebo group (2.92 ± 1.87), ( 1.52 ± 1.78) respectively. Conclusion: data indicated that Vit D3 have anti inflammatory effect that can decrease level of TNF α so reduced pain and inflammation after apicoectomy


Article
Minimal Invasive Surgery for Carpal Tunnel Syndrome using 1.5 cm Palmer Skin Incision

Author: Sherwan Hamawandi
Journal: Medical Journal of Babylon مجلة بابل الطبية ISSN: 1812156X 23126760 Year: 2014 Volume: 11 Issue: 3 Pages: 567-573
Publisher: Babylon University جامعة بابل

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Abstract

The carpal tunnel syndrome (CTS) is one of the most common peripheral neuropathies and is caused by the compression of the median nerve at the wrist region. The aim of this study was to analyze the results of patients who were operated by using 1.5 cm palmer skin incision. (228) carpal tunnel release operations were performed on (181) patients. These patients were assessed pre and postoperatively using Visual Analog Scale (VAS) and Visual Analog Patient Satisfaction Scale (VAPSS) [1]. The (1.5) cm palmer skin incision technique for carpal tunnel release is a safe and effective surgical procedure. It can be used in the surgical treatment of CTS to achieve better cosmetic results and to reduce the complications of other standard techniques.

انضغاط العصب الوسطي خلال مروره في النفق الرسغي يعتبر من اكثر المتلازمات العصبية المحيطية شيوعا. تهدف هذه الدراسه الى بيان مدى اهميه طريقة تحرير العصب الوسطي من خلال عملية جراحية بطول واحد ونصف سنتيمتر في كف اليد. تبين بعد تحليل نتائج هذه العملية لمائتي وواحد وثمانون مريض بان هذه الطريقة هي طريقه امينة ولها تتائج مرضيه للمرضى من نواحي الشفاء السريري وجماليه اثر العملية.


Article
Burning Mouth Syndrome in an Iraqi Sample of Patients: a preliminary study of 52 Cases

Author: Dr. Munir Y. AL – Kotany. د.منير كوتاني
Journal: MUSTANSIRIA DENTAL JOURNAL مجلة المستنصرية لطب الاسنان ISSN: 18138500 Year: 2011 Volume: 8 Issue: 3 Pages: 310-321
Publisher: Al-Mustansyriah University الجامعة المستنصرية

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Abstract

AbstractEvaluation of the clinical characteristics of burning mouth syndrome in a sampleof Iraqi patients referred to a large teaching dental clinic in Baghdad.Fifty two patients with burning mouth syndrome were followed up through aprospective study ,investigating the clinical characteristics of using pre- establishedcriteria’s and tests for each feature .Forty four women and 8 men with burning mouth syndrome ranging in age from46 – 72 years. Their cause of attendance was disturbed sleep (46.1%), fear of seriousdisease (44.2%) and anxiety (36.5%). The pain duration since it started ranged from3 – 48 months (Mean 18.17 ± 12.78) months.Twenty six patients (50%) reported precipitating event and 32 (61.9%) reported achange in taste sensation of which (56.25%) had a bitter taste. VAS pain levels were(6.13±0.02 for females and 6± 0.91for males). 25%of the patients had medicalcomorbidities that were under control.The location of pain was mostly on the tongue (76.9%) and mainly on its margins(57.7%) unilaterally. And only 25% of the patients had subjective xerostomia withstimulated parotid salivary flow rate less than 0.5 ml/ min.Estradiol levels among females were (68.18%) below 15 pg/ml and (31.72%)above that in spite of 75% of them were post–menopause. And these patients weresubject to stress ranging from 35-146 (L. c. u's) with a mean of 2.73 ± 1.28 events perpatient and about 7.69% of them had one severe stress accident .The classification of psychiatric comorbidities occurring among the patientssample were (17.3% = free), (40.38% = Depressive neurosis) and (20.08% = Anxietyneurosis) and none of the patients reached the level of psychosis.Burning mouth syndrome is possibly of high prevalence and with high range ofetiologies that should be more investigated including its relation with psychologicalstress and neurosis.

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