University of Thi-Qar Journal of Medicine最新文献

{"title":"Evaluation of Manual Hb A1C Determination Methods in Diabetic Patients with Sickle Cell Trait","authors":"M. B. C. B. Fibms","doi":"10.32792/utq/utjmed/15/1/8","DOIUrl":"https://doi.org/10.32792/utq/utjmed/15/1/8","url":null,"abstract":"an irreversible non-enzymatic glycation at one or both NH2- terminal valines of the β –chain. Sickle hemoglobin, or HbS, has a valine for glutamic acid substitution at position 6 of the β chain. The prevalence of sickle cell trait reported to be 2.5% in Basrah city. The hemoglobin A1C (A1C) test can lead to false outcomes resulting in over- treatment or under-treatment of diabetes in people with inherited hemoglobin variants. on the evaluation of sickle cell trait effect on HbA1c measurement by the minicolumn ion exchange resin methods and compare them with Biorad Variant (HPLC method).the one of methods certified by national glycohemoglobin standardization Glycohemoglobin Glycohemglobin ) the HPLC) about (1.5, 1.15) . These difference show a significant statistical correlation with hemoglobin S level with r =0.856; p value<0.001. This study demonstrate the significant difference in Glycated hemoglobin measurements between different methods commercially available in local markets which had been shown to give false negative results in sickle trait patients when compared to those methods standardized by NGSP system. And recommend that such methods to be avoided in patient with sickle cell trait.","PeriodicalId":152061,"journal":{"name":"University of Thi-Qar Journal of Medicine","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126451960","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The epidemiology of acute childhood and adolescent poisoning in Thi-Qar governorate (2013-2015).","authors":"Dr-Raid Kareem Dehiol","doi":"10.32792/utq/utjmed/14/2/1","DOIUrl":"https://doi.org/10.32792/utq/utjmed/14/2/1","url":null,"abstract":"Background: acute childhood and adolescent poisoning remain one of the important emergencies causing a significant burden to the populations with important morbidity and mortality rates. Objectives: This study aimed to determine the epidemiological features of poisoning for the patients less than 19 years old in Al-Nasiriyah governorate, and to eliminate the main types, clinical presentations, management, outcome, and seasonal variation of poisoning. Epidemiological studies are so important to determine the extent of the problem, according to which the preventive strategies are related. Methods: A cross sectional retrospective study was conducted to three hundred forty patients recorded in Al-Nasiriyah poison center from (January 2013 to December 2015), data that collected from the case sheets and records of phone calls including the name, sex, address, type of poisoning, route of administration, management and the outcome of the patients (survive or died) are admitted to the SPSS (statistical package for social science) system and the results was obtained. Results: two hundred (58.8%) of the exposed patients was male, toddler age group seen in 45% of cases with predominance of accidental type, while adolescents (>13-18yrs.) are mostly intentional with female preponderance, urban populations are more prone to poisoning 236 cases (69.4%), accidental exposure is the commonest (83.2%) oral route is the commonest (99.4%), (62.9%) of the causative agents are pharmaceutical, and (50.3%) are asymptomatic . most of them treated conservatively (96.5%) with survival rate of (97.9%), higher mortality seen in those presented after the first 24 hrs. of exposure. One third of acute poisoning was occurred in summer season. Easy accessibility to the drugs and toxic substances are the major risk factor. Conclusion: Although poisoning is a preventable illness but, it is still a significant cause of morbidity and mortality especially in developing countries. Acute poison has a significant impact on the health services.","PeriodicalId":152061,"journal":{"name":"University of Thi-Qar Journal of Medicine","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115618889","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Male Epispadias Repair Surgical and Functional Results with Modified Cantwell-Ransley Procedure / Case Series Study","authors":"Dr. Jasim Almayali","doi":"10.32792/utq/utjmed/16/2/14","DOIUrl":"https://doi.org/10.32792/utq/utjmed/16/2/14","url":null,"abstract":"Background: epispadias is an unusual congenital malformation of the penis and is often part of the condition termed epispadias exstrophy complex. There are different surgical techniques for repair of epispadias. Objective: evaluation of our experience in male epispadias repair by modified Cantwell - Ransley technique. Patients and Methods: Twenty-four male patients with epispadias (eighteen cases with isolated epispadias and six cases associated with bladder Exstrophy) had undergone repair by modified Cantwell-Ransley technique in Al-Sader Medical City, Najaf. The patients age range from 1 year to 26 years with mean age 8.6 years. Primary repair was achieved in 20 patients and secondary repair was accomplished after prior unsuccessful closure in four patients. Results: The patients were followed up at 3, 6 and 12 months postoperatively. No patient develops major complication like urethrocutaneous fistula or urethral stricture. One patient develops minor skin dehiscence. Conclusion: Epispadias repair by modified Cantwell-Ransley technique have excellent functional and cosmetic result.","PeriodicalId":152061,"journal":{"name":"University of Thi-Qar Journal of Medicine","volume":"4 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130887773","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of Antipsoriatic Activity of Topical Curcumin by using Mouse Tail Model","authors":"A. Aljunaeh, B. Hassan","doi":"10.32792/utq/utjmed/16/2/15","DOIUrl":"https://doi.org/10.32792/utq/utjmed/16/2/15","url":null,"abstract":"Assistant Prof. hadaf A. Aljunaeh. F.I.B.M.S dermatology*( hadaf.a@utq.edu.iq) Dr.hameed N. Mousa F.I.B.M.S pathology*(hamed@utq.edu.iq) Bassam A. Hassan, pharmacist MSc pharmacology** Abstract Background; Psoriasis is a one of the common dermatological diseases with no curative topical or systemic treatment, Curcumin is a naturally occurring phytochemical present in turmeric; it was traditionally used for the treatment of many skin diseases. This study was designed to evaluate the anti-psoriatic effect of curcumin preparations. Objectives; this study aimed to examine the probability of anti-psoriatic activity of topical curcumin by using mouse tail model. Methods; The extracted curcumin was assessed for antipsoriatic activity using a mouse tail model of psoriasis. 18 animals were divided into three groups (6 animals each). Group A: control group (cream base treated group) Group B: (treated with curcumin cream 1%) Group C: (treated with curcumin cream 2 %) Granular layer formation, epidermal thickness and drug activity were taken as an evaluating parameter to detect the efficacy of the new preparation. Results; The local application of curcumin 1%, 2% on the mouse tail skin produced a significant differentiation in the epidermis, as seen from its degree of orthokeratosis ( 43.4± 0.75) and ( 44.4 ±0.98 ) respectively when compared with the negative control (17.06±2.5 ). Conclusion;","PeriodicalId":152061,"journal":{"name":"University of Thi-Qar Journal of Medicine","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124222579","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Clinical Study For Serum Lipid Profile And Lipid Peroxidation In Patients With Gallstones In Thi-Qar Governorate - Iraq","authors":"H. Faraj","doi":"10.32792/utq/utjmed/16/2/17","DOIUrl":"https://doi.org/10.32792/utq/utjmed/16/2/17","url":null,"abstract":"Objective: A gallstone (also called cholelithiasis ) is a crystalline concretion formed within the gallbladder by accretion of bile components. These calculi are formed in the gallbladder but may distally pass into other parts of the biliary tract such as the cystic duct, common bile duct, pancreatic duct or the ampulla of Vater. Rarely, in cases of severe inflammation, gallstones may erode through the gallbladder into adherent bowel potentially causing an obstruction termed gallstone ileus. . The study was designed to determine and compare the levels of lipid profile, and MDA in gallstones diseases and healthy individuals. Material and Methods: Blood lipid profile and malondialdehyde levels were determined in 50 gallstones Disease and 40 healthy subjects . Results: The levels of serum malondialdehyde and biochemical markers of body lipid profile (serum TCH,TG,LDL,VLDL) were showing significant increase in gallstones disease patients as compared to control group whereas the levels of HDL showed a significant decrease in gallstones disease patients in comparison to control subjects( P ≤ 0.01 ).. However we compared all measurement parameters for all groups according to type of disease. Conclusion: In gallstones Disease, we finding a significant elevation in the levels of cholesterol and triglyceride during gallstones disease. and high VLDL. The increase in lipid peroxidation in gallstones disease, the increase in cholesterol, TG, LDL,VLDL . In gallstones disease lipid peroxidation can clearly occur.","PeriodicalId":152061,"journal":{"name":"University of Thi-Qar Journal of Medicine","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134059249","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictability of consecutive measurements of serum Anti-Mullerian Hormone (AMH) during In Vitro Fertilization (IVF)","authors":"S. H. Noori","doi":"10.32792/utq/utjmed/15/1/7","DOIUrl":"https://doi.org/10.32792/utq/utjmed/15/1/7","url":null,"abstract":"Background : In recent years, many studies had been carried out on the basal AMH level and its association with controlled ovarian hyperstimulation (COH) outcome. Only a few studies have been conducted on the correlation between COH outcomes and AMH levels measured on different stimulation days and these studies did not show a comparison between different measurement timings over the entire period of the COH cycle. Objectives: the current study aim is to assess the predictive values of basal and consecutive serum AMH levels during COH cycle. Methods and Results: One hundred women were involved in this study, scheduled for IVF program in Dwarozh Fertility Center in Sulaimanyiah , between December 2015 until January 2017, blood samples were collected for measurement of AMH, Estradiol, and FSH on day 2 of menstrual cycle, and the subsequent samples on day 4,6,8 and 10 were taking after the stimulation of ovaries with gonadotrophin. All hormones being analyzed by using electrochemiluminescence methods (Cobas 411 by Roche) as a single batch, each patient was given a unique numerical identifier, which issued in data analysis. P values <0.05 were considered significant. Results: the patients' characteristics , basal serum estradiol (E2), FSH and AMH levels at day 2 of cycle and subsequent days after stimulation . As expected significant differences were observed for total dosage of FSH, peak E2 levels and duration of stimulation between short and long GnRH agonist groups. The ROC curve was used to assess the AMH values in different days (day 2, 4, 6, 8, and 10) for prediction of IVF outcomes (implantation, abortion, preganancy and live birth). All the days showed significant area under the curve (AUC) (p<0.05). However, when all the ROC curve were comapred to each others there were no significance differences bwteeen them (p>0.05) Conclusions: The present study concluded that measurement of serum AMH at any time after stimulation still predictive of the IVF outcomes which will reinforce the already known value of AMH in clinical practice. Thi-Qar Medical Journal (TQMJ): Vol.(15), No.(1), 2018 Web Site: https://jmed.utq.edu.iq Email:utjmed@utq.edu.iq","PeriodicalId":152061,"journal":{"name":"University of Thi-Qar Journal of Medicine","volume":"51 12","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120930536","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Detection of intracellular adhesion (ica) B gene in Staphylococcus aureus isolated from wound infections","authors":"M. Shallal","doi":"10.32792/utq/utjmed/16/2/16","DOIUrl":"https://doi.org/10.32792/utq/utjmed/16/2/16","url":null,"abstract":"Background:Staphylococcus aureus is an imperative cause of community acquired infections and nosocomial infections,The formation of biofilm on host surfaces and adherence is painstaking to be significant virulence factor in S. aureus.","PeriodicalId":152061,"journal":{"name":"University of Thi-Qar Journal of Medicine","volume":"37 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"113999678","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Comparative Study of High Level laser and Low Level laser and Temperature on the Erythrocytes Sedimentation Rate Values in Healthy People : In Vitro Study","authors":"","doi":"10.32792/utq/utjmed/14/2/4","DOIUrl":"https://doi.org/10.32792/utq/utjmed/14/2/4","url":null,"abstract":"Background : The effects of laser irradiation with 632.8 and 2100 nm on Erythrocyte Sedimentation Rate (ESR) in blood samples from healthy peopleblood were comparatively studied in vitro and study the effect of environmental temperature. Objective : This study was designed to show the effect of He-Ne laser , HO-YAG laser and effect of environmental temperature on Erythrocyte Sedimentation Rate (ESR) . Subject & Methods : The study of case – control cross sectional design included 40healthy persons (male and female) with age group (20-45 year) , Workplace in the laboratory of physiology and medical physicsthe time between April 2016 to July 2016. He-Ne laser (LJL 40-HA, Shanghai Research Institute of Laser Technology) wave length of 632.8ηm was used for irradiation with 5mm diameter beam spot on blood samples, with power density 30mw/cm 2 and HO-YAG laser irradiation wave length 2100nm ( Karl Storz – Endoskope , Germany ),output power is ( 0.5J) .The irradiation times were (5min ) , The samples of blood were obtained from 40 contributors and each sample was separated into three samples for irradiation and control .All statistical analysis was performed withstatistical package graph Pad software For those with significant difference. Results : The results showed that there were significant differences in the values of sedimentation rates for both class (15 -45 ) 0 c degree heat compared with the values of sedimentation 15 0 c degree heat temperature for irradiation and control It shows the effect of temperature factor on the red blood cells sedimentation rate in blood samples from healthy people and see the effect of the degree of laboratory heat due to lack of efficient heating and cooling devices in the summer and winter on the sedimentation rates of values to be taken into consideration with the results .We observe irradiation 632.8 nm laser decreases ESR while irradiation at 2100 nm increases ESR with p < 0.01. Conclusion: The change of temperature (high and low) has a great effect on precipitation of red blood cells in health people and thus must be taken into consideration and this effect also observed with the use of632.8 and 2100 nm on Erythrocyte Sedimentation Rate (ESR) in blood samples from healthy individuate blood were comparatively studied in vitro at a temperature of 15 °C.We observe irradiation 632.8 nm laser decreases ESR while increasing irradiation at 2100 nm with p < 0.01.","PeriodicalId":152061,"journal":{"name":"University of Thi-Qar Journal of Medicine","volume":"21 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128599001","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Glimpse on the Colonic Polyps' Problem in Thi-Qar","authors":"Lamia Jarallah Yaseen","doi":"10.32792/utq/utjmed/16/2/13","DOIUrl":"https://doi.org/10.32792/utq/utjmed/16/2/13","url":null,"abstract":"A descriptive study was performed on 82 patients diagnosed as colonic polyps out of 1538 colonoscopy done at AL-Hussain Teaching Hospital between 2007-201. The incidence of colonic polyps is (5.3%). Among 82 studied patients ( 67 % ) were males and (33 %) were females. Average age was 42.5 years (range 4-81 years). Nonneoplatic polyps were more prevalent under age of 20 years while above 20 years most polyps were neoplastic. Bleeding per rectum (50 %) was the most frequent symptom followed by abdominal pain (25.6 %).Neoplastic polyps were (80.5 % ) out of the total while the non-neoplatic represent only (19.5 %.). Most non-neoplatic polyps had been encountered in the rectum while polyps in the sigmoid were mostly neoplastic. Among adenomatous polyps, tubular adenoma (71.2 %) were the most frequent type, villous adenoma (27.3%) while serrated adenoma is the least common type (1.5%). Low grade dysplasia was found in (68.2% ) of adenomatous polyps while (28.8 %) and (3%) were of moderate and high grade dysplasia respectively. Conclusion 1. The incidence of polyps is lower in our locality compare to other neighboring countries (Saudia Arabia and Turkiy) and others like USA 2. Most neoplastic polyps in our locality were low risk polyps (tubular with low grade dysplasia) 3. Our study is in consist with study of colorectal carcinoma in our province being the 6 th one (not common).","PeriodicalId":152061,"journal":{"name":"University of Thi-Qar Journal of Medicine","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131292685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevelance of hepatitis C Viral Infections among Thalassaemic Patients in Thi -Qar Governorate","authors":"Ali Jerin","doi":"10.32792/utq/utjmed/15/1/10","DOIUrl":"https://doi.org/10.32792/utq/utjmed/15/1/10","url":null,"abstract":"A prospective study was conducted on 305 patients with Thalassemia who were attending to the center of inherited blood diseases in Nassiryia city from the penod of 1 / 7 / 1997 to 30/9/2009 . Elisa test was used to study the prove lance of hepatitis among Thalassaemic children . Anti-HCV antibodies were detected in 72 ( 23.6 % ) patients , 47(65%)males and 25(35%)females. The frequency of cases was correlated with increasing age. There was a positive correlation between frequency of blood Transfusion / year and the increased incidence of infection with HCV . Splenectomy was done in 80 ( 26.2 % ) patients 28 ( 3S % ) of them had positive anti-HCV antibodies in their sera . We concluded that our Thalassemic patients are exposed to HCV infection .Careful, regular screening of blood unit for HCV should be established .","PeriodicalId":152061,"journal":{"name":"University of Thi-Qar Journal of Medicine","volume":"428 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126078905","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}