Advanced medical journal最新文献_第8页

Association of non-Alcoholic Fatty Liver Disease with Urolithiasis detected on non-Contrast Computed Tomography 非酒精性脂肪性肝病与非造影剂计算机断层扫描检测尿石症的关系

Advanced medical journal Pub Date : 2022-12-12 DOI: 10.56056/amj.2022.183

Kamil Abdulmajeed Ahmed, S. N. Younis

{"title":"Association of non-Alcoholic Fatty Liver Disease with Urolithiasis detected on non-Contrast Computed Tomography","authors":"Kamil Abdulmajeed Ahmed, S. N. Younis","doi":"10.56056/amj.2022.183","DOIUrl":"https://doi.org/10.56056/amj.2022.183","url":null,"abstract":"Background & Objectives: We aimed to assess whether there is an association between urolithiasis and non-alcoholic fatty liver disease using non-enhanced computed tomography. Methods :This is a case control study done from October to December 2019, a total of 284 non-contrasts CT scans of reviewed. The subjects were assigned in to cases of non-alcoholic fatty liver group defined with lower average Hounsfield unit of liver than that of spleen and control involved non-fatty liver defined as patients whose Hounsfield of liver parenchyma higher than that of spleen. We determined the percentage of urolithiasis (patients having radiopaque stones in the urinary tract including kidneys, ureters or urinary bladder) in both groups and calculated their significance of relation. Results: The non-alcoholic fatty liver group involved 112 cases of which 67 (59.8%) male, 45 (40.2%) female and control of non-fatty liver group involved 172 cases; of which, 89 (51.8%) male, 83 (48.2%) female. The incidence of stone disease was significantly higher in non-alcoholic fatty liver (36.6%) than control group (12.2%) which statistically significant with increasing detection rate of renal stone (OR: 4.1, 95% CI, 2.28-7.54). The correlation was still significant when evaluated among males and females separately. Though the prevalence of stone among males (25.6%) is higher than females (17.2), yet it was not statistically significant. This is also true among males (41.8% stone) and females (28.9% stone) in case subjects. Conclusion: Non-alcoholic fatty liver has an association with significant increase in prevalence of urolithiasis than those without non-alcoholic fatty liver, that is can be considered an independent risk factor variable for renal stone formation.","PeriodicalId":314832,"journal":{"name":"Advanced medical journal","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122160099","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

Knowledge of Men and Women about infertility Risk Factors 男性和女性对不育危险因素的了解

Advanced medical journal Pub Date : 2022-12-12 DOI: 10.56056/amj.2022.184

B. Ali, Khalid Shamoon Polis

{"title":"Knowledge of Men and Women about infertility Risk Factors","authors":"B. Ali, Khalid Shamoon Polis","doi":"10.56056/amj.2022.184","DOIUrl":"https://doi.org/10.56056/amj.2022.184","url":null,"abstract":"Background and objectives: With the modern lifestyle of men and women and technological developments, many infertility risk factors have increased nowadays. Therefore, it is important to search for, prevent and manage these risk factors. This study aimed to explore the knowledge of men and women patients regarding risk factors of infertility in Duhok city. Methods: This cross-sectional study was conducted on 501 patients who attended one tertiary governmental hospital in vitro fertilization department and three primary health centers in Duhok city from 1st November 2019 to 15th February 2020. The data collection which included the interviewing questionnaire about the knowledge of men and women about infertility risk factors. These data were categorized into two sections. The first section ion about sociodemographic data. The second section is about infertility risk factors. The mean value of the total correct answers of the participants was considered the level of knowledge for male and female participants. Results: The age of the participants ranged between 18-70 years. The participants were males (53.7%) and females (46.3%). The overall knowledge about the risk factors of infertility was 50.51%. The participants reported that stressful life (77.8%), continuous use of anabolic steroids (67.3%), working in petrochemical industries (69.9%), and continuously wearing tight clothes can cause infertility (63.3%), and these results have statistically significant values. While they reported that continuous exposure to high light intensity (29.7%), prolonged standing (33.1%), continuous contact with chlorine in the swimming pool (30.9%), cosmetic products (24.2%), excessive chlorine in drinking water cause infertility (29.7%) and these results have no statistically significant values. Conclusions: This study showed that patients have an an acceptable level of knowledge about infertility risk factors.","PeriodicalId":314832,"journal":{"name":"Advanced medical journal","volume":"298 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"128615259","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

A Clinicopathological Study of B-catenin in Colorectal Adenomas b -连环蛋白在结直肠腺瘤中的临床病理研究

Advanced medical journal Pub Date : 2022-12-12 DOI: 10.56056/amj.2022.187

Zhelya Abdullah Hamad, A. Ismael

{"title":"A Clinicopathological Study of B-catenin in Colorectal Adenomas","authors":"Zhelya Abdullah Hamad, A. Ismael","doi":"10.56056/amj.2022.187","DOIUrl":"https://doi.org/10.56056/amj.2022.187","url":null,"abstract":"Background and objectives: Colorectal adenomas are considered benign tumors, which originate from the mucus-secreting colonic epithelium creating polyps that protrude into the lumen of the intestine. B-catenin is a member of the catenin protein family and it has a dual function that controls the coordination of cell-cell adhesion and gene transcription. The aim of this study was to investigate the immune expression of B - catenin in colorectal adenomas and to describe B-catenin correlation with clinicopathological parameters. Methods: This study was retrospective in nature and performed on 94 formalin-fixed tissue blocks which were obtained from the histopathology department at Rizgary Hospital and some private laboratories in Erbil city during the period from 2014- 2018, The tissue cuts were prepared in 4 um thick and placed on special salinized slides, samples were deparaffinized and put into a buffer solution for 20 min at 95-99°C, cooled in room temperature for 20 min. Results: The expression of B - catenin was seen in 73.4% of the samples, 41.5% of them with grade II while 31.9% exhibited grade III and 26.6% had grade I B -catenin expression. Except for the type of polyp, there was no statistically significant association between B- catenin expression and the clinicopathological. For patients diagnosed with multiple adenomas, the size of the polyp and grade of expression were remarkably different between the various polyps of the same patient. Conclusions: No statistically significant association between B-catenin expression and clinicopathological parameters except for the type of adenoma.","PeriodicalId":314832,"journal":{"name":"Advanced medical journal","volume":"32 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125362808","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

Bowel movement changes after laparoscopic cholecystectomy 腹腔镜胆囊切除术后排便变化

Advanced medical journal Pub Date : 2022-12-12 DOI: 10.56056/amj.2022.177

B. Ali, Muhammed Nzar Khidhir, Sarhang Hussein Muhammed

{"title":"Bowel movement changes after laparoscopic cholecystectomy","authors":"B. Ali, Muhammed Nzar Khidhir, Sarhang Hussein Muhammed","doi":"10.56056/amj.2022.177","DOIUrl":"https://doi.org/10.56056/amj.2022.177","url":null,"abstract":"Background & objectives: Laparoscopic Cholecystectomy is the first choice of therapy in patients with symptomatic gallstone disease. This technique has been dramatically effective in decreasing the need for open cholecystectomy and its complications. However, not all patients are free from complications following cholecystectomy. This study was aimed at evaluating the prevalence of changes in bowel movement in patients undergoing laparoscopic cholecystectomy in a sample population in Erbil city. Methods: In this prospective clinical trial, 221 patients diagnosed with gallstone disease attended Rizgary Teaching hospital. The patients were screened clinically and by investigations for the eligibility criteria between November 1st, 2018, and October 31st, 2019. Out of these; 172 were included underwent laparoscopic cholecystectomy under general anesthesia. The patients were given appointment for follow up postoperatively at two weeks and three months for the bowel movement changes, such as diarrhea, constipation, and other complications. Results: The mean and range of age and body mass index of the patients were 40.77 (15-92 years) and 27.07 (17.92-45.20), respectively. Majority of the patients were females (82.6%), and the remaining were males (17.4%). The study revealed that 93.0% and 93.6% of the patients had no changes in their bowel movement upon follow-up for two weeks and three months postoperatively, respectively. The study found no significant differences in the diarrhea rate in patients with different body mass indices at three weeks and three months. The rate at which diarrhea occurred was significantly higher in younger aged patients at three-month follow-up (32.00 vs. 40.83 years). Conclusions: The current study showed a low rate of bowel movement changes in patients who underwent LC at two weeks and three months postoperatively.","PeriodicalId":314832,"journal":{"name":"Advanced medical journal","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"117093856","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

Doppler Ultrasound Assessment of Portal Venous Flow Changes During Pregnancy 妊娠期门静脉血流变化的多普勒超声评估

Advanced medical journal Pub Date : 2022-12-12 DOI: 10.56056/amj.2022.181

Sarbast Abdulla Mahmuud, S. Rashid

{"title":"Doppler Ultrasound Assessment of Portal Venous Flow Changes During Pregnancy","authors":"Sarbast Abdulla Mahmuud, S. Rashid","doi":"10.56056/amj.2022.181","DOIUrl":"https://doi.org/10.56056/amj.2022.181","url":null,"abstract":"Background & Objectives: We aimed to evaluate portal venous flow changes during pregnancy by evaluating flow velocities and patterns in relation to gestational age. Methods: A total of 130 pregnant comprised (age, 18–45 years [mean, 29.3± 5.31 years]) were recruited. The subjects were divided into: Group 1: thirty four subjects in the 1sttrimester; Group 2: fifty five subjects in the 2nd trimester; and Group 3: forty one subjects in the 3rd trimesters. Portal vein diameter and maximum and minimum velocities were measured from the main portal vein. Spectral analysis was performed by calculating the portal vein pulsatility: minimum portal vein velocity divided by its maximum velocity. Results: The (mean±SD) maximum flow velocities (cm/sec) were higher in group 2 (31.58± 10.33) than those in groups 1 (29.44± 8.97) and 3: (26.8± 6.78), with a significant difference between groups 2 and 3. The mean minimum flow velocities were again higher in group 2: (20.89 ± 5.99) than those in groups 1 (17.71± 5.67) and 3 (18.2± 4.9) with a significant difference between groups 1 and 2. There were no statistically significant differences in mean portal vein diameter among the groups. The portal vein pulsatility value progressively increased with increasing gestational age from 0.60 in the first trimester to 0.68 in the third trimester, with statistical significant differences between groups 1 and 2 and groups 1 and 3. Conclusion: There is a significant increase in maximum portal vein flow velocity during the second trimester, with decreased waveform pulsatility with advancing gestational age.","PeriodicalId":314832,"journal":{"name":"Advanced medical journal","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131751419","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

Labour outcome in teenage in a sample of Kurdish pregnant women in maternity teaching hospital in Erbil city 埃尔比勒市妇产教学医院库德族孕妇样本中青少年分娩结局

Advanced medical journal Pub Date : 2022-12-12 DOI: 10.56056/amj.2022.172

A. Jawad, Rana Salih Waheeb

{"title":"Labour outcome in teenage in a sample of Kurdish pregnant women in maternity teaching hospital in Erbil city","authors":"A. Jawad, Rana Salih Waheeb","doi":"10.56056/amj.2022.172","DOIUrl":"https://doi.org/10.56056/amj.2022.172","url":null,"abstract":"Background and objectives : Teenage pregnancy is coming up as one of the most important public health problems all over the world and it is associated with significant pregnancy complications. Our objective was to determine the risks of adolescent pregnancy, and compare maternal and perinatal outcome among adolescent in comparison to older control. Methods : This a randomized prospective clinical study conducted in labour room in Maternity Teaching Hospital in Erbil city-Kurdistan region –Iraq from January 2016 to December 2017 a five hundred seventy-two primigravid women were recruited and divided in to two groups; group one (286) women aged between (15-19) years and group two (286) women aged between 20-34 year Results: The study shows significant differences regarding educational level most of the teenage groups were illiterates (60,7) % versus (51%) for control groups. Anemia was the only significant medical problem in teenage (33,3), low Apgar score and admission to neonatal care unit was significantly higher in teenage groups with (P value of 0,001). Conclusion: Young maternal age is associated with an increased risk of adverse maternal neonatal outcomes.","PeriodicalId":314832,"journal":{"name":"Advanced medical journal","volume":"102 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123144003","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

Perinatal Outcome among Women with Gestational Diabetes Mellitus 妊娠期糖尿病妇女的围产儿结局

Advanced medical journal Pub Date : 2022-12-12 DOI: 10.56056/amj.2022.179

J. M. S. Zangana, Nawshad Nawzad Ramadhan

{"title":"Perinatal Outcome among Women with Gestational Diabetes Mellitus","authors":"J. M. S. Zangana, Nawshad Nawzad Ramadhan","doi":"10.56056/amj.2022.179","DOIUrl":"https://doi.org/10.56056/amj.2022.179","url":null,"abstract":"Background & Objectives: Diabetes in pregnancy is associated with an increased risk of complications in both the mother and the fetus. Early diagnosis by the screening of pregnant women between 24 to 28 weeks of gestation with proper control of diabetes is important to reduce the adverse effects in perinatal outcomes. This study aims to know the perinatal outcome among neonates of diabetic mothers in comparison with those of non-diabetic mothers. Methods: A case control study was carried out at Maternity Teaching Hospital in Erbil City, Kurdistan Region, Iraq over 6 months’ period, from 1st April 2019 to 1st 0f January 2020. A convenient sample size of 100 participants of diabetic mothers compared with 100 non-diabetic mothers with ? 34 weeks of gestation till one week post-delivery, perinatal outcome including gestational age, mode of delivery, admission to neonatal care unit, birth weight, gender, early neonatal death, intrauterine death, the intrauterine fetal restriction was measured in both groups. Results: Among majority of gestational diabetic mothers regarding to maternal age 33.5% were aged between 18-35 years, 16.5% were older than 35, the most common complications in gestational diabetes group which were statistically significant were hypoglycemia, polycythemia and respiratory distress( 17.5%, 13% and 20% respectively) , neonatal macrosomia were revealed in 22.5% of gestational diabetes mellitus neonates and only 10% in non- gestational diabetes mellitus revealed, Conclusion: Morbidities like hypoglycemia, macrosomia, polycythemia, and respiratory distress syndrome are more common among babies of diabetic mothers when compared to those of non-diabetic mothers, and they are the most common complications that were observed.","PeriodicalId":314832,"journal":{"name":"Advanced medical journal","volume":"46 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"132711048","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: 1

Patterns and determinants of birth intervals in a sample of women in Erbil city, Iraq 伊拉克埃尔比勒市妇女生育间隔的模式和决定因素

Advanced medical journal Pub Date : 2022-12-12 DOI: 10.56056/amj.2022.189

Jumana Faris Mohammed, J. M. S. Zangana

{"title":"Patterns and determinants of birth intervals in a sample of women in Erbil city, Iraq","authors":"Jumana Faris Mohammed, J. M. S. Zangana","doi":"10.56056/amj.2022.189","DOIUrl":"https://doi.org/10.56056/amj.2022.189","url":null,"abstract":"Background and objectives: Birth spacing has been recognized as an indispensable life-saving measure for both mothers and newborns. The present study has been conducted in the northern part of Iraq (Erbil city) to assess birth spacing among a group of women and find its association with different variables. Methods: A cross-sectional study was applied among women attendees to the Maternity Teaching Hospital and two primary health care centers in Erbil city over a one-year period from 1st of October 2019 to 30th of October 2020. A convenient sample size of 500 married women who have at least previous two consecutive births. Direct interview with women was used to collect data on demographic, social, and obstetric characteristics. Results: The prevalence rate of short birth spacing for the whole study population was 63.4%. A significant relationship was detected among those with an educational level of intermediate & secondary school and below, housewives and those with low to medium Socioeconomic status as the rate of short birth spacing was highest in the reproductive age group of women (from age 35 to age 44), those with educational level of intermediate & secondary school and below, those who were housewife, and those with low to medium socio economic status (p<0.001, p<0.001, p<0.001, p<0.008) respectively. Also, the rate of socioeconomic status among those with history of abortion (69%) was significantly higher than the rate (58.6%) among those with no such history with (p<0.016). Conclusions: it confirmed that the distribution of short birth spacing of women in Kurdistan region is significantly influenced by many determinant factors including maternal age, education, occupation, parity, socio-economic status and non-contraception use.","PeriodicalId":314832,"journal":{"name":"Advanced medical journal","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2022-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122801184","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

Coronary artery anomalies and variants among adult patients undergoing coronary angiography in Azadi heart center, Duhok/Iraq 伊拉克杜霍克阿扎迪心脏中心接受冠状动脉造影的成年患者的冠状动脉异常和变异

Advanced medical journal Pub Date : 2022-12-12 DOI: 10.56056/amj.2022.186

Ameel Toma Yaqo, H. A. Sharaf, M. Ahmed

引用次数: 0

Platelet Rich Fibrin Injection with Arthrocentesis for treatment Tempromandibular Joint Internal Derangement of 富血小板纤维蛋白注射液联合关节穿刺治疗颞下颌关节内紊乱

Advanced medical journal Pub Date : 2022-07-27 DOI: 10.56056/amj.2022.154

Twana Hoshyar Saleem, R. K. Al-Kamali

引用次数: 0