University of Thi-Qar Journal of Medicine最新文献

{"title":"MANAGEMENT OF LUNG HYDATID DISEASE: REVIEW OF 100 CASES FROM THI-QAR / IRAQ","authors":"","doi":"10.32792/utq/med/11/1/9","DOIUrl":"https://doi.org/10.32792/utq/med/11/1/9","url":null,"abstract":"","PeriodicalId":152061,"journal":{"name":"University of Thi-Qar Journal of Medicine","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117021720","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":"Factors Associated With Uncontrolled Type 1 Diabetes Mellitus In Children And Adolescents In Thi-Qar 2016-2017","authors":"R. K. Dehiol, G. M. Al-Asadi, Mohammed Abdulghani Challab Alattabi","doi":"10.32792/utq/utjmed/18/2/12","DOIUrl":"https://doi.org/10.32792/utq/utjmed/18/2/12","url":null,"abstract":"Background:- T1DM is the most common endocrine-metabolic disorder of childhood and adolescence, with important consequences for physical and emotional development. Individuals with T1DM confront serious lifestyle alterations that include an absolute daily requirement for exogenous insulin, the need to monitor their own glucose level, and the need to pay attention to dietary intake.Objective:- to assess the main factors and patient characters associated with uncontrolled T1DM that should be aware by Iraqi's Pediatricians.Patient and method:- A cross sectional analytical study had been conducted on children and adolescents with type1 DM visiting the diabetic clinic in Al- Nasiriya Diabetes and endocrine specialized center (south of Iraq), from 1st of June 2016 to the end of May 2017. The patients selected to be as uncontrolled status ( fair and poor control) according to their HbA1C level results. Demographic factors, disease-related characteristics, checking of blood glucose, dietary control, type, dose and regime of insulin injection and other related aspect, and anthropometric measures were included.Result: - Two hundred and one( 201) type 1 diabetic patients selected to be uncontrolled status with mean age of( 9.530 year ±3.2526),with no significant difference in sex. Majority of them were with poor control status (71.1%), and 28.9% were with fair control status. The residence, mother education, dietary control, regular follow up and regular checking of blood glucose level, syringe use, insulin injection technique, lipodystrophy at injection sites, and person who give the insulin were the main independent factors that had a significant statistical association with the control status in this study, while multi-variant analysis revealed that dietary control, person who are responsible for giving insulin and changing site of injection were significantly associated with control status.","PeriodicalId":152061,"journal":{"name":"University of Thi-Qar Journal of Medicine","volume":"11 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124511033","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":"Causes And Management Of Neonatal Jaundice In Almosawi Pediatric Hospital In Nasiryiah City A: Retrospective Study","authors":"M. Jabbar, A. Hatam, H. Hamad","doi":"10.32792/utq/utjmed/18/2/10","DOIUrl":"https://doi.org/10.32792/utq/utjmed/18/2/10","url":null,"abstract":"Background \u0000 \u0000 \u0000Neonatal jaundice is the most common reason for admission in the neonatal period. The yellow coloration of the skin and sclera in newborn with jaundice is the result of accumulation of unconjugated bilirubin. Neonatal physiological jaundice results from simultaneous occurrence of two phenomena, bilirubin production is elevated and hepatic excretory capacity is low (1).The aim of this study is to determine the etiology,severity,risk factors  and management of neonatal jaundice. \u0000 \u0000 \u0000Methods \u0000 \u0000 \u0000 A retrospective study was conducted on 100 case_sheets (random sample) to neonates who had jaundice in Almosawi paediatric hospital in Nasiryiah city.The obtained data were analysed and the results were tabulated. \u0000 \u0000 \u0000Results \u0000 \u0000 \u0000100 case_sheets of neonates who have jaundice were studied.ABO blood group incompatibility were the most common cause of jaundice.Phototherapy is the mainstay of hyperbilirubinemia treatment in neonates.It has resulted in a marked reduction in the need to perform exchange transfusion. \u0000 \u0000 \u0000Conclusion \u0000 \u0000 \u0000 Blood group incompatibility,and unknown causes,are the most common cause of    neonatal jaundice .The less common cause is G6pd deficiency.Most of neonates who have jaundice were breast feeding,lowbirth weight and preterm are risk facters.","PeriodicalId":152061,"journal":{"name":"University of Thi-Qar Journal of Medicine","volume":"14 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130672875","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":"Serological Evaluation Of The Presence Of Anti-Spermatozoa Antibody In Infertile Males In Thi-QarGovernorate","authors":"H. Hasony, A. Ghadhban, Enaas Saleh Al-Kayata","doi":"10.32792/utq/utjmed/18/2/8","DOIUrl":"https://doi.org/10.32792/utq/utjmed/18/2/8","url":null,"abstract":"A case control study was conducted in Thi-Qar governorate, south of Iraq, included a total 154 individuals 104 of theme were infertile patients while the other 50 males were fertile healthy control males, who attended the infertility center in AAl- Hussein Teaching hospital, from 20/10/ 2016 to 16/1/ 2018.  aged between (l8-5l) years with mean of age was (29.95±0.68) and (50) healthy controls males aged between (23-37) years with mean age was (27.58±0.51). All patient submitted full reports about their medical status history, in addition to their infertility type (primary or secondary). Seminal fluid samples were collected by masturbation after three days of sexual avoidance. All patients and healthy control males were tested for presence of anti-spermatozoa antibodies in their seminal fluid. seminal fluid analysis in this study showed there were significant differences (p < 0.05) between fertile control group and infertile males (patients) in (The seminal fluid viscosity, Liquefaction time, Semen volume, Sperm motility and total sperm account  while the results revealed there were no significant differences in the seminal fluid parameters between infertile patients and fertile control group in semen color, pH and sperm morphology. The overall prevalence of ASA in seminal plasma among studied papulation was 16.23% (25/l54). Among healthy control group anti-sperm antibody in seminal plasma were positive in 6% (3 /50) and negative in 94% (47/50) with mean concentration of anti-sperm antibody was 24.97±3.7 U/ml (normal range 0 – 60 U/ml). Among infertile patients anti-sperm antibody was positive in 21.15% (22/104) whereas negative in 78.84 % (82/104). The mean concentration of anti-sperm antibody was 40.71±2.32 U/ml. The statistical analysis revealed highly significant differences (P <0.05) in presence of ASA in seminal plasma of infertile patients compered to normal fertile males, also concentrations of ASA in seminal plasma was significantly higher in patients compered to healthy control males. In conclusion ASA  was proportionally high among patient with infertility  compered to healthy fertile control group.","PeriodicalId":152061,"journal":{"name":"University of Thi-Qar Journal of Medicine","volume":"190 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134303473","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":"Extent Of Depression Among Patients With Gastrointestinal TractSymptoms In Outpatient Clinic Of Al-Hussein Teaching Hospital In Al-NasiriyahAt 2018","authors":"A. Hussein, M. N. Saeed, A. A. Hassan","doi":"10.32792/utq/utjmed/18/2/7","DOIUrl":"https://doi.org/10.32792/utq/utjmed/18/2/7","url":null,"abstract":"Background:Depression is one of the most common mental health conditions inthe general population as well as in clinical practice. In clinical studies, there is astrong relationship between gastrointestinal symptoms and depression and thegastrointestinal symptoms remain for longer time and are more serious than inpatients without depression.Objective:To estimate extent of depression in gastrointestinal tract symptoms inmedical outpatient clinic attendees.Methods:The study was a cross-sectional analytical study for 154 adult populationin the Al-Hussein teaching hospital in Nasiriyah city,conducted at first March 2018and completed at end of September 2018. Tools of method was questioner and fordiagnosis of depression was used Diagnostic and Statistical Manual of Mental Disorders,fourth edition (DSM- IV) criteria. refusal rate was zero and for statisticanalysis was used SPSS version 22.Result:The study showed that 43.5 % of subjects with gastrointestinal symptomssuffer from depression. depression found in 40.7% of females and 47.1% of males. 50.0% of depressed patients were in two age groups of 20 -44 years and ≥ 65 years.Most of depressed patients were suffering constipation (51.3%), change in appetite (51.3%) and change in weight(50.7%), where only change in appetite hadsignificant association with depression, were p-value=0.001. More of depressedsubjects had GI symptoms with one month duration and ≥7 numbers of GIT symptoms.Recommendation:Raising awareness of general population about the depressionand relation of that with GIT symptoms.","PeriodicalId":152061,"journal":{"name":"University of Thi-Qar Journal of Medicine","volume":"25 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114234119","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":"Management Of Lower Limb Vascular Injuries in Ghazi Al Hariri Teaching Hospital/Baghdad 2015","authors":"Jalal Jaafar Abdulhussein, Ibrahim Adnan, H. Hamad","doi":"10.32792/utq/utjmed/18/2/11","DOIUrl":"https://doi.org/10.32792/utq/utjmed/18/2/11","url":null,"abstract":"Background:lower limb vascular injuries are encountered in a vast number of settings, ranging from blast, bullet , stab wounds injuries, to causes as small as blood sampling procedures. Surgery for vascular repair is sometimes indicated without angiography. Broadly speaking, options for repair after assessment of vasculature include simple vessel wall repair, venous patching, resection with end-to-end anastomosis or with inter-positioning graft, bypass graft, ligation or amputation. \u0000Aim: The general objective of this study is to identify the etiology, presentations, management and outcome of lower limb vascular injuries in Ghazi Al Hariri hospital, Baghdad, Iraq, from 1st  January 2015 to 31st December 2015. \u0000Patients and Methods: The study design was retrospective hospital based study and the study population included all patients who referred to the vascular surgery consultation clinic in Ghazi Al Hariri Hospital and to emergency department. Ninety patients had lower limb vascular injuries. Data collected using structured checklist and analyzed. \u0000Results:Eighty-five (94.5%) were males and five (5.5%) were females. The most common age at presentation was 21–30 years (50%), followed by 31–40 (24.4%). Blast penetrating shell injuries were the highest cause for lower limb vascular injury with incidence rate of 50%, while second cause is bullet penetrating injuries presented at 40%. Most common artery injured was the popliteal artery (40 patients; 44.4%) followed by the femoral artery (29 patients; 32.3%). Limb salvage rate was 85% and mortality rate was 7.8%. \u0000Conclusions: Our results revealed that blast injuries are the most frequent cause of lower extremity vascular injuries in Ghazi Al Hariri hospital at the period of our study. Appropriate intervention and rapid restoration of blood flow is crucial to have a good outcome and is the key to successfully salvage the injured limb. Amputation rate was the highest in patients with popliteal artery injuries.","PeriodicalId":152061,"journal":{"name":"University of Thi-Qar Journal of Medicine","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116975538","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":"Hemoglobinopathies According To Blood Groups In Thi-Qar Governorate","authors":"Qassim Jawell Odah, Rawaa Kamel Abd, Sameeha Naser Abd","doi":"10.32792/utq/utjmed/18/2/6","DOIUrl":"https://doi.org/10.32792/utq/utjmed/18/2/6","url":null,"abstract":"The hemoglobinopathies are a group of disorders that acquired through families in which there is abnormal creation or structure of the hemoglobin molecule, which cause a considerable public health problem. The carriers of Hb diseases worldwide are estimated to be 269 million with about 400,000 births a year.  The birth of effected child, consequently, places extensive physical, physiological and fiscal burden, not only on the affected child and its family, but also on the society and the nation at large. \u0000Methodology: In this cross- sectional study 601 patients with hemoglobinopathies  (317 males and 284 females), Whose  age ranged from months to ≥40 years. They were attending genetic blood disease center at Al- Habobi hospital in Thi-Qar governorate during the data collection period (1st March to 31 May 2016). \u0000Results: \u0000Thalassemia has high prevalence than other hemoblobinopathies (76.53) and majority of cases was blood group O. The highly percentage of cases was at age ≤ 10 years (54.08) followed by 21-30 years was (34.44), highly percentage of cases was in urban (60.90). \u0000Recommendations: Adequate and suitable therapeutic and preventive measures should be taken to diminish birth of effected children such as health education of individuals about importance of premarital screening program for all couple to identify gen carrier individual of hemoglobinopathies.","PeriodicalId":152061,"journal":{"name":"University of Thi-Qar Journal of Medicine","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122480007","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":"Epidemiology Of Ophthalmological Disease In Outpatient Clinic In AL-Nasiriya During 2018","authors":"H. Hussein, Wajida Saad Bunian, A. A. Saadoon","doi":"10.32792/utq/utjmed/18/2/5","DOIUrl":"https://doi.org/10.32792/utq/utjmed/18/2/5","url":null,"abstract":"Background: \u0000Ophthalmological disease especially (ocular allergy) represents one of the most common conditions encountered by  ophthalmologists. Some of them are often underdiagnosed and consequently undertreated. Basic and clinical research has provided a better understanding of the cells, mediators, and immunologic events. \u0000Aim: To study the epidemiology profile of ophthalmological disease in Al-Nasiriya at 2018. \u0000Materials and methods: Cross-sectional analytical study involved 1000 patients, attending  Al-Habboby Teaching hospital _Ophthalmology out patient in Al Nasiriya , the study extended from February  to September 2018. Sociodemographic factor ,current history  of ophthalmology disease and some determinants, specific investigation had implemented from each patient to assess the frequency ,determinants ,distributions of the commonest ophthalmological disease, (SPSS) version 23 had been in used to analysis data when be p-value <0.05 considered as significant statistically. \u0000Results: Female to male ratio was (1.277) Commonest affecting age (35-+2.0) , the highest Prevalence ophthalmological disease according prevalence rank as fallow (allergy, viral conjunctivitis , cataract ,bacterial conjunctivitis and foreign body) the result was (32.1%,14.5%,9.5%,4.6% , 4.1%) respectively. While lowest prevalence of ophthalmological disease was (astigmatism ,hyphema ,lazy eye, hordeolum, sebaceous cyst) the result was (0.1%.0.1%,0.1%,0.1%,0.1%)respectively. Where residence and education had significant statistical association. \u0000Conclusion: Allergy are the more commonest ophthalmological diseases in Al-Nasiriya ; Increasing levels of allergy carry significant clinical and economic implications, with more people at risk of the sight-threatening complications associated with high allergy.","PeriodicalId":152061,"journal":{"name":"University of Thi-Qar Journal of Medicine","volume":"50 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121604739","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":"UrokinaseType Plasminogen Activator Receptor Expression In Colorectal Neoplasms","authors":"Rasha Qusai AL-Jawher","doi":"10.32792/utq/utjmed/18/2/3","DOIUrl":"https://doi.org/10.32792/utq/utjmed/18/2/3","url":null,"abstract":"Background—The urokinase type plasminogen activator receptor (uPAR) may play a critical role in cancer invasion and metastasis. \u0000Aims—To study the involvement of uPAR in colorectal carcinogenesis. \u0000Methods—fourty four cases of colorectal adenocarcinoma were obtained and diagnosed as colonic carcinoma with it's grade received as formalin fixed, paraffin embedded tissue in AL-nassiriyah teaching hospital with cases of carcinoma also 6 cases of normal endoscopic biopsies used as control –ve and 10 cases of adenoma with dysplastic changes all these cases stain by immunohistochemical methods for expression and localisation of uPAR. \u0000Results_all the cases of endoscopic biopsies were –ve for this receptors so used as –ve control, while cases of adenoma 3 out of 10 cases showing focal positivity in areas of dysplasia, while the cases of invasive carcinoma showing diffused positivity and the case percent of positivity depend on grade so high grade tumor showing high percentage of positivity. \u0000Conclusions—Colorectal adenoma uPAR, expressed essentially in dysplastic epithelial cells, was upregulated with increasing severity of atypia, and increased notably during the critical transition from severe dysplasic adenoma to invasive carcinoma. These findings implicate uPAR expression in the invasive and metastatic processes of colorectal cancer.","PeriodicalId":152061,"journal":{"name":"University of Thi-Qar Journal of Medicine","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122107953","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":"Erythropoietin Attenuation Of Early Upregulation Of Kidney Injury Parameters Levels In Cisplatin-Treated Rats..","authors":"A. A. Hussein","doi":"10.32792/thi/md/vol12/is1/ar1","DOIUrl":"https://doi.org/10.32792/thi/md/vol12/is1/ar1","url":null,"abstract":"Background: cisplatin chemotherapy can cause acute kidney injury (AKI) in about 30% of patients that act as a major dose-limiting problem complicating chemotherapy by cisplatin that still commonly indicated as first line treatment of cancer management without relatively less toxic and equally effective substitutes. Cisplatin induced-DNA damage and oxidative- inflammatory hyper-reactivity with apoptosis are the bases for cisplatin-induced AKI. Erythropoietin has approved antioxidant, anti-inflammatory and to some extent antiapoptotic effects that may have ameliorative effect on early cisplatin-induced AKI. Kidney injury molecules-1 (KIM-1) and interleukin-18 (IL-18) were assumed to be more sensitive for detecting AKI than the traditional kidney function tests (serum creatinine and urea). \u0000Objective: assess the effect of erythropoietin on early upregulation of kidney injury parameters after cisplatin treatment. \u0000Methods: 27 adult male rats were randomized into three groups containing nine rats for each as follow: Sham group: rats received daily intraperitoneal injection of placebo for 4 days. Cisplatin group: rats received single intraperitoneal injection of 6 mg kg cisplatin. Cisplatin+Erythropoietin group: rats received single intraperitoneal injection of 6 mg kg cisplatin and daily intraperitoneal injection of 100 IU kg erythropoietin for 4 days. After scarification, blood samples are collected for serum creatinine measurement, kidneys are processed for measurement of renal MDA, KIM-1 and IL-18 and histopathlogical evaluation. \u0000Results: cisplatin produced significant (P<0.05) change in serum creatinine level, kidney MDA, KIM-1, IL-18 and score of histopathological damage severity when compared to that of other groups. In Cisplatin + Erythropoietin group, Serum creatinine, and kidney MDA, KIM-1, IL-18 and total severity score were significantly (P<0.05) less than that in cisplatin group. \u0000Conclusion: erythropoietin ameliorated early cisplatin–induced AKI evidenced by improving early injury parameters that give rise for early involvement of erythropoietin as early preventive measure for protection from nephrotoxicity.","PeriodicalId":152061,"journal":{"name":"University of Thi-Qar Journal of Medicine","volume":"37 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123852180","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}