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A conservative surgical strategy for spontaneous cerebrospinal fluid leakage: a rare case report 自发性脑脊液漏的保守手术策略:罕见病例报告
Rawal Medical Journal Pub Date : 2023-01-01 DOI: 10.5455/rmj.20230517121449
Yong Kim
{"title":"A conservative surgical strategy for spontaneous cerebrospinal fluid leakage: a rare case report","authors":"Yong Kim","doi":"10.5455/rmj.20230517121449","DOIUrl":"https://doi.org/10.5455/rmj.20230517121449","url":null,"abstract":"A 59-year-old male with no history of trauma or surgery presented with clear rhinorrhea occurring when he bent his head forward. A CT scan revealed localized fluid accumulation and a lateral wall defect involving the left sphenoid sinus. Using the transpterygoid approach, we widened the anterior wall of the sphenoid sinus inferolaterally to expose the lesion as much as possible. Reconstruction involved placing an interposition graft between the dura and the bony defect using the underlay technique, followed by free mucosal grafting. Histopathological examination revealed neuroglial cells, confirming the diagnosis of spontaneous cerebrospinal fluid rhinorrhea due to a meningoencephalocele.","PeriodicalId":20844,"journal":{"name":"Rawal Medical Journal","volume":"3 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135709357","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}
引用次数: 0
Mothers’ knowledge regarding National Immunization Program in Al-Diwaniyah City, Iraq 伊拉克Al-Diwaniyah市母亲对国家免疫规划的了解
Rawal Medical Journal Pub Date : 2023-01-01 DOI: 10.5455/rmj.20230722031720
Wael Naieli, Sajida Abdullah
{"title":"Mothers’ knowledge regarding National Immunization Program in Al-Diwaniyah City, Iraq","authors":"Wael Naieli, Sajida Abdullah","doi":"10.5455/rmj.20230722031720","DOIUrl":"https://doi.org/10.5455/rmj.20230722031720","url":null,"abstract":"Objective: To assess the knowledge of mothers in Al-Diwaniyah city about child immunization, and the link between these factors and the demographic characteristics of the mother. Methodology: This study was carried out from January to May 2022 using the G. Power program. It took from 15 to 20 minutes to fill out the questionnaire for mothers at healthcare centers in the Iraqi city of Diwaniyah. The number mothers was 390. Results: The results showed that mothers with higher educational levels had better knowledge, toward vaccination. We found that 58.7% of the mothers had poor knowledge toward vaccination. Conclusion: Mothers who hesitate to go to primary health care centers had poor knowledge. There is need to create an educational program taking into account the educational level of the mothers.","PeriodicalId":20844,"journal":{"name":"Rawal Medical Journal","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135709804","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}
引用次数: 0
Diversity of E. faecalis isolated from different clinical specimens by using RAPD-PCR in Hilla Province, Iraq 利用RAPD-PCR分析伊拉克希拉省不同临床标本中分离的粪肠球菌的多样性
Rawal Medical Journal Pub Date : 2023-01-01 DOI: 10.5455/rmj.20230309083906
Shymaa hussainy, Lamees Lateef
{"title":"Diversity of E. faecalis isolated from different clinical specimens by using RAPD-PCR in Hilla Province, Iraq","authors":"Shymaa hussainy, Lamees Lateef","doi":"10.5455/rmj.20230309083906","DOIUrl":"https://doi.org/10.5455/rmj.20230309083906","url":null,"abstract":"Objectives: To use RAPD analysis to rapidly detects genomic polymorphisms. Methodology: Diagnosis and genotyping of E. faecalis by using specific primer. Results: out of the 105 specimens, 70 (66.6%) had a positive bacterial culture. The remaining 35 (33.3%) showed no growth. Out 70 positive samples, 15 (14.2%) cultured on chromogenic ager medium were found to be E. faecalis. Following the molecular detection method use of a specific primer based on the D-alanine D-alanine ligase gene as a genetic marker for E. faecalis by PCR, the results showed that all isolates were positive for ddlE. RAPD-PCR was used to determine the relationships between 15 E. faecalis isolates. M13 primer shown polymorphism in the isolates tested, yielding 7-14 bands with sizes ranging from 95 to 3000 bp. Two clusters formed the cladogram, which divided the 15 isolates. The first cluster (A) included one isolate, whereas the second cluster (B) contained 14 isolates. Conclusion: The RAPD analysis indicated a clonal dissemination among most of the selected enterococcal isolates, which suggested they belonged to the same isolate","PeriodicalId":20844,"journal":{"name":"Rawal Medical Journal","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135709816","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}
引用次数: 0
Burnout among academic clinicians: A sample from medical colleges in Baghdad, Iraq 学术临床医生的职业倦怠:来自伊拉克巴格达医学院的样本
IF 0.2
Rawal Medical Journal Pub Date : 2023-01-01 DOI: 10.5455/rmj.20221224050207
N. Khalil
{"title":"Burnout among academic clinicians: A sample from medical colleges in Baghdad, Iraq","authors":"N. Khalil","doi":"10.5455/rmj.20221224050207","DOIUrl":"https://doi.org/10.5455/rmj.20221224050207","url":null,"abstract":"Objective: To determine academic clinicians' burnout level and the association between their burnout and socio-demographic characteristics. Methodology: This cross-sectional study surveyed 111 academic clinicians from six Medical Colleges in Baghdad City. A questionnaire was used between March and May 2022. The questionnaire consisted of an interface and two sections with a total number of 44 items. Results: Most academic clinicians were found to experience a moderate level of burnout (46.8%), and 39.6% of respondents experienced a high level of burnout, whereas only 13.5% experienced a low level of burnout. The number of monthly day-offs was the only factor significantly affecting the burnout score (p=0.004). Conclusion: Most academic clinicians experienced a moderate level of burnout with a negligible proportion of the high level of burnout.","PeriodicalId":20844,"journal":{"name":"Rawal Medical Journal","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70839821","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}
引用次数: 0
Mother’s knowledge concerning preventive measures for their children during the COVID-19 period 在COVID-19期间，母亲对子女预防措施的了解情况
IF 0.2
Rawal Medical Journal Pub Date : 2023-01-01 DOI: 10.5455/rmj.20230114031923
S. Badr, M. Abed, H. Faris
{"title":"Mother’s knowledge concerning preventive measures for their children during the\u0000 COVID-19 period","authors":"S. Badr, M. Abed, H. Faris","doi":"10.5455/rmj.20230114031923","DOIUrl":"https://doi.org/10.5455/rmj.20230114031923","url":null,"abstract":"Objective: To assess mother’s knowledge concerning preventive measures for their children during the covid-19 period and determine the association between mother’s knowledge concerning preventive measures and sociodemographic characteristics of the sample. Methodology: This descriptive study was carried out at Health Center, Karbala city, Iraq from 15/4/2021 to 15/5/2021. The sample consisted of 103 mothers. The instrument was adopted and finalized following thorough literature research and each participant spent 15-20 minutes with it. Results: The highest percentage of mothers were aged from <=28 years (55.3%). Concerning the environment of mothers, most were living in an urban area (77.7%). Majority of mothers had a poor level of knowledge (88.3%). Conclusion: The majority of participants had inadequate knowledge of covid-19 prevention measures. The income had the effect on mother’s knowledge on preventive measures about covid-19.","PeriodicalId":20844,"journal":{"name":"Rawal Medical Journal","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70839853","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}
引用次数: 0
Mothers' knowledge and attitudes towards breastfeeding in Thi-Qar City, Iraq 伊拉克西卡尔市母亲对母乳喂养的知识和态度
IF 0.2
Rawal Medical Journal Pub Date : 2023-01-01 DOI: 10.5455/rmj.20230130035306
H. Ali, F. Abbas, N. Younis
{"title":"Mothers' knowledge and attitudes towards breastfeeding in Thi-Qar City, Iraq","authors":"H. Ali, F. Abbas, N. Younis","doi":"10.5455/rmj.20230130035306","DOIUrl":"https://doi.org/10.5455/rmj.20230130035306","url":null,"abstract":"Objective: To assess mothers' attitudes and knowledge about breast feeding in Thi-Qar City, Iraq. Methodology: This cross-sectional study was conducted at Hospital in Nasiriyah from January to February 2023 and included 192 mothers. United Nations' Food and Agriculture Organization (FAO)-adapted questionnaire was used. Socio-demographic information was recorded. The mother's viewpoint and intellectual capacity regarding breast feeding were assessed and their general opinions toward breast feeding were evaluated. Results: Out of 192 mothers, 103 (53.6%) were between the ages of 18 and 20. Most 87 (45.31) had completed elementary school and had a higher education; 79.17 percent of the sample lived in an urban area; and around half of the mothers were unemployed. The mothers had good knowledge of breast feeding and their attitude towards breast feeding was good. Conclusion: This study concluded that early mothers' knowledge of and attitudes toward Breast feeding were generally excellent at AL Hussein Teaching Hospital in Nasiriya city, and that these factors were crucial in determining the health of the children.","PeriodicalId":20844,"journal":{"name":"Rawal Medical Journal","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70840179","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}
引用次数: 5
Effect of an education program on high school male students' knowledge about substance use 一项教育计划对高中男生物质使用知识的影响
IF 0.2
Rawal Medical Journal Pub Date : 2023-01-01 DOI: 10.5455/rmj.20230308024220
Hashim Shabeeb, Qahtan Muhammad
{"title":"Effect of an education program on high school male students' knowledge about substance use","authors":"Hashim Shabeeb, Qahtan Muhammad","doi":"10.5455/rmj.20230308024220","DOIUrl":"https://doi.org/10.5455/rmj.20230308024220","url":null,"abstract":"Objective: To determine the effectiveness of the education program on high school mal students' knowledge about substance use. Methodology: A quasi-experimental design was carried out at Al-Kut city, Iraq from 20 September to 24 November 2022. The study included 60 Al Kut Education Directorate students using non-probability (purposive) sampling. Direct interview utilizing a specialized questionnaire with two parts (59) items was used. Part 1 had 8 socio-demographic items and Part 2 had 51 items on substance use knowledge. SPSS was used to examine data. Inferential statistical data analysis, T-test and ANOVA were used to analyze socio-demographic factors and student knowledge. Results: There was a highly significant difference through periods (Pre-test, Post-test I and Post-test II) for the study group regarding students’ knowledge about substance use that indicate the effectiveness of educational program (p≤0.05). Conclusion: The program was effective in improving high-school students’ knowledge about substance use and there was a significant difference in knowledge between students who attended the program sessions (study group) comparing to those who not attended program sessions (control group).","PeriodicalId":20844,"journal":{"name":"Rawal Medical Journal","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70840337","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}
引用次数: 0
Maternal and hematological changes associated with delayed cord clamping during the third stage of labor 产妇和血液学的变化与延迟脐带夹在分娩第三阶段
IF 0.2
Rawal Medical Journal Pub Date : 2023-01-01 DOI: 10.5455/rmj20221210075703
Sahar Alfartosy, Sahar Razzaq, Hala Moayad
{"title":"Maternal and hematological changes associated with delayed cord clamping during the third stage of labor","authors":"Sahar Alfartosy, Sahar Razzaq, Hala Moayad","doi":"10.5455/rmj20221210075703","DOIUrl":"https://doi.org/10.5455/rmj20221210075703","url":null,"abstract":"Objective: The aim of study is to evaluate the effects of postpartum cord clamping on the female’s health and what happens to blood cells count throughout the third stage of labor. Methodology: In this retrospective study, we investigated 220 live, term, spontaneous vertex births. They were divided in two groups; Group1, 110 cases with cord clamping delayed and Group 2, 110 with early cord clamped. Age, BMI, gravida, para, and abortion were all recorded. Both groups took PCV individually before and after labor. Results: In delay group, 77.3% were above 30 years age. In the study, 13.6% were overweight and 18.2% obese. 72.7% had 1-3 pregnancies, 81.8% had no abortions. PCV after birth, separated time, and expulsion time vary by group. Females with early cord clamped had lower PCV after birth. While separated and expulsion times was higher with early cord clamp. Conclusion: Postponing cord clamping during the third stage of labor increases PCV levels while lowering separation and expulsion times. Obesity increases separation and expulsion times. Over 30 years old increases separation and expulsion time.","PeriodicalId":20844,"journal":{"name":"Rawal Medical Journal","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70840502","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}
引用次数: 0
Risk factors among patients with cerebrovascular accidents at Kirkuk City Hospitals, Iraq 伊拉克基尔库克市医院脑血管事故患者的危险因素
Rawal Medical Journal Pub Date : 2023-01-01 DOI: 10.5455/rmj.20230509073705
Rebaz Ali, Younus Baeez, Darya Mustafs
{"title":"Risk factors among patients with cerebrovascular accidents at Kirkuk City Hospitals, Iraq","authors":"Rebaz Ali, Younus Baeez, Darya Mustafs","doi":"10.5455/rmj.20230509073705","DOIUrl":"https://doi.org/10.5455/rmj.20230509073705","url":null,"abstract":"Objective: To assess the main modifiable and non-modifiable risk factors of cerebrovascular accidents in Kirkuk Province Hospital, North Iraq. Methodology: The sample was taken from Azadi Teaching Hospital in Kirkuk City from June 15, 2022, and February 5, 2023. The study included 120 patients with cerebrovascular accidents (men &amp; women). For the purpose of the study, a questionnaire was created with two sections: demographic information and CVA risk factors. Results: The sample's age range was 60 to 69 years and was made up 54.2% men. Regular exercise was not done by 97.5% eating habits of majority (58.3%) was mixed diet. Most patients had heart disease, hypertension and diabetes. Conclusion: Heart disease (coronary disease, hypertension) was the more frequent risk factor for cerebrovascular accident, follow by physical inactivity and an unhealthy diet with greater diabetes mellitus due to poor living conditions.","PeriodicalId":20844,"journal":{"name":"Rawal Medical Journal","volume":"113 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135357393","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}
引用次数: 0
Hospital microbiome: unspoken role in healthcare-associated infections 医院微生物组:在医疗保健相关感染中不言而喻的作用
Rawal Medical Journal Pub Date : 2023-01-01 DOI: 10.5455/rmj.20230206022226
Rawan Alwethainani, Siti Zakariah, Azmiza Jasn, Rosni Ibrahim, Tengku Jamaluddin
{"title":"Hospital microbiome: unspoken role in healthcare-associated infections","authors":"Rawan Alwethainani, Siti Zakariah, Azmiza Jasn, Rosni Ibrahim, Tengku Jamaluddin","doi":"10.5455/rmj.20230206022226","DOIUrl":"https://doi.org/10.5455/rmj.20230206022226","url":null,"abstract":"Infections obtained in a healthcare or hospital setting are known as nosocomial illnesses or hospital-acquired infections (HAIs). Despite their role as healing environments, hospitals are home to a diverse range of bacteria, and it is widely assumed that the hospital microbiome changes as the facilities are used. The increased use of broad-spectrum antibiotics to treat bacterial infections has resulted in the increasing incidence of nosocomial infections. HAI is caused mostly by bacteria such as Acinetobacter baumannii, Klebsiella pneumoniae, Escherichia coli, Enterococci spp., Methicillin-resistant Staphylococcus aureus (MRSA), and others. Understanding the nature of bacterial communities in hospital environments is essential for tracking the transmission of antibiotic resistance genes. The efforts of medical organizations and hospitals are significant in promoting awareness and providing training. The results of bacterial diversity studies related to patients, staff, and surfaces of the newly established centers are reviewed and presented in this study.","PeriodicalId":20844,"journal":{"name":"Rawal Medical Journal","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135358943","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}
引用次数: 0
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