Iraq Medical Journal最新文献

{"title":"QT interval analysis in individuals with idiopathic mitral valve prolapse","authors":"Riyadh Abdullah Jasim, A. Y. Hassan, Sabah Abed Shadhar","doi":"10.22317/imj.v7i1.1221","DOIUrl":"https://doi.org/10.22317/imj.v7i1.1221","url":null,"abstract":"Objectives: The goals of the study are to determine whether or not there is a correlation between the QT interval and IMVP, to provide an explanation for sudden cardiac death in some cases, and to show how IMVP symptoms are linked to certain arrhythmias. \u0000Methods: QTC intervals were measured in 43 patients with idiopathic mitral valve prolapse (11 men and 32 women with mean age 46±17 years). All patients underwent a clinical and echocardiographic examination, and ECG taking to assess the incidence of long QT in patients with IMVP. \u0000Results: The data show that 36 of the 43 patients with IMVP have a prolonged QT interval, while only 2 of the 38 patients in the control group have. There was also an uptick in arrhythmia cases when the QT interval was prolonged. \u0000Conclusion: Individuals with IMVP have an increased risk of arrhythmias, and this risk is even greater in patients with very long QT, which can cause life-threatening ventricular arrhythmias, as shown by this study.","PeriodicalId":32555,"journal":{"name":"Iraq Medical Journal","volume":"54 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77952241","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":"Assessment of the Antibacterial Activity of Lavender cultivated in Tasmania and identifying its geographical and botanical origins","authors":"Hanaa Abbas Yamani","doi":"10.22317/imj.v7i1.1228","DOIUrl":"https://doi.org/10.22317/imj.v7i1.1228","url":null,"abstract":"Objectives: This study compared the antimicrobial activity of lavender honey manufactured in Tasmania Australia with Manuka honey as a control. \u0000Methods: Lavender essential oil also examined for antimicrobial activity. The volatile compounds were identified to find the bioactive compounds responsible for the antibacterial activity. Next, the volatile data of the Lavender honey and essential oil from Lavandula angustifolia cultivated in Tasmania, were used to indicate the geographical and botanical origins of the using head space solid-phase micro extraction (HS SPME) and Gas Chromatography Mass Spectrometry (GC-MS). \u0000 The antimicrobial activity of Lavender Honey and essential oil from Tasmania were examined using the broth micro-dilution method to determine the minimum inhibitory concentration (MIC) and minimum bactericidal concentration (MBC). Bacteriostatic end points were determined spectrophotometrically, then bactericidal end points were determined by plating. Methicillin-sensitive and methicillin-resistant strains of Staphylococcus aureus, Escherichia coli and Pseudomonas aeruginosa were used in this study. \u0000Results: Lavender honey showed similar, and in some bacterial species, slightly higher activity than Manuka honey. The MICs and MBCs for lavender honey ranged from 6.25% to 25% v/v compared to MICs of Manuka honey which ranged between 12.5% and 25% v/v. The MIC and MBC values of lavender honey and Manuka honey against P. aeruginosa were 12.5% v/v and 25% v/v respectively. The corresponding values for a methicillin-sensitive strain of S. aureus were 6.25% v/v and 12.5% v/v respectively. The MIC and MBC were the same for both honey for E. coli equal to 12.5 % v/v and for MRSA equal to 6.25 % v/v. The growth of S. aureus, including MRSA and E. coli completely inhibited by Lavender E. oil at concentrations of 2.25%. Whereas, the growth of P. aeruginosa partly inhibited by the same concentrations. Use of a spectrophotometer facilitated reading of MIC values. \u0000Conclusion: These results suggest that lavender honey and essential oil could be used as an antimicrobial agent for infections caused by S. aureus including MRSA, E. coli and P. aeruginosa.","PeriodicalId":32555,"journal":{"name":"Iraq Medical Journal","volume":"50 4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90806229","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":"Attitude of doctors regarding Breaking Bad News to patients in Iraq","authors":"Ahmed Juwameer Khairo Al-khashmani, Wafaa Hamad Mohammed Al-Sabaawi, Nisreen Mohammed Ibraheem","doi":"10.22317/imj.v6i4.1214","DOIUrl":"https://doi.org/10.22317/imj.v6i4.1214","url":null,"abstract":"Objectives: To assess the attitude of doctors with regard delivering bad news to patients and breaking bad news protocols. \u0000Methods: This is a cross sectional (descriptive study) done in Iraq from first of November 2020 to end of May 2021 involved 500 doctors ( periodic resident, senior resident, general practitioner and specialist doctors in different specialties ) working in different hospitals, primary health care centers and private clinics in Iraq, they are selected randomly. A self – administered questionnaire design in addition to online data collection, by using modified questionnaire and link sent to different online ways (whats app, viber, facebook, telegram ). \u0000Results: Out of 500 respondents doctors there were 329 (65.8%) females, 171 (34.2%) males. Regarding to attitude of doctors in breaking bad news 268 (53.6%) of doctors were need a structured protocol in breaking bad news and 280 (56%) doctors need training for breaking bad news. The SPIKES protocol is the most preferred protocol by doctors about (75.6%). \u0000Conclusion: High percentage of  participants doctors(63%) did not know any protocol in breaking bad news and about (43%) of them rated themselves had good ability in delivering bad news. The SPIKES protocol is the preferred protocol by doctors.","PeriodicalId":32555,"journal":{"name":"Iraq Medical Journal","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89816956","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":"Assessment of Anthropometric measurements of Upper and Lower Limbs among Female Students of Iranian Population","authors":"T. Rastegar, M. Ebrahimzade, Saba Behzadifard, A. Alikarami, F. Taghizadeh, Mehdi Alidadi, Golaleh Noorzehi","doi":"10.22317/imj.v6i4.1202","DOIUrl":"https://doi.org/10.22317/imj.v6i4.1202","url":null,"abstract":"Objectives: This study aimed to measure upper and lower limb dimensions among female students of Tehran University of Medical Sciences and determine the relationship between brachial and crural indices as anthropometric indices of limbs and Body Mass Index (BMI).\u0000Methods: In this descriptive-cross-sectional study, anthropometric parameters of the upper and lower limbs were evaluated among 200 Iranian female student volunteers aged 18-38 with no physical or developmental deformity.\u0000Results: The collected data were analyzed by GraphPad Prism software. Pearson correlation and simple linear regression tests were used to find the relationship between measured anthropometric indices. Mean± Standard deviation (SD) of age and BMI were 23.65 ± 4.97 and 24.59± 4.14, respectively. The brachial and crural indices were 89.47± 9.352 and 76.37± 5.320, respectively. No statistically significant association was found between brachial and crural indices and BMI. In addition, we found a significant positive correlation between wrist dimensions and BMI. The results of the present article determined the relationship between BMI and anthropometric parameters of the upper and lower limbs.\u0000Conclusions: Our findings supported the close relationship between wrist dimension and BMI.","PeriodicalId":32555,"journal":{"name":"Iraq Medical Journal","volume":"80 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85517360","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":"Frontiers in early detection of hepatocellular carcinoma","authors":"Nabil Mohie Abdel-Hamid, L. Abd Almunim Baker, L. Farhan Bdaiwi","doi":"10.22317/imj.v6i4.1206","DOIUrl":"https://doi.org/10.22317/imj.v6i4.1206","url":null,"abstract":"Description of the article   \u0000The need for more precise serodiagnosis marker for hepatocellular carcinoma (HCC) is always a must for many reasons: \u0000 \u0000Serodiagnosis is generally non-invasive and safe technique to have a human sample. \u0000Different radiological modalities, although its accuracy is progressing, but many times its result is misinterpreted. \u0000The current extensively used seromarker, alpha fetoprotein (AFP), doesn’t exceed 70% for sensitivity and 90% for specificity. \u0000Many of clinicians requesting AFP tests, whether in HCC management or related diseases, as, hepatitis C or B infections don’t know exactly the diagnostic accuracy levels of AFP. \u0000The need for spectrophotometric marker, rather than molecular or radio or Elisa parameter as a cost effective goal. \u0000The earlier the detection of HCC, the longer the patient life. \u0000","PeriodicalId":32555,"journal":{"name":"Iraq Medical Journal","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81973878","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":"Assessment of serum uric acid level in patients with systemic arterial hypertension","authors":"Mohammed Abdul-Wahhab Abdul-Razzaq, Mohammed Abed Abu Saiba, Najah R Hadi","doi":"10.22317/imj.v6i4.1212","DOIUrl":"https://doi.org/10.22317/imj.v6i4.1212","url":null,"abstract":"Objectives: To study the association between elevated serum uric acid and systemic arterial hypertension. \u0000Methods: This study is a case-control study conducted in Al-Sadr Teaching City / Al-Najaf city from December 2019 till the end of February 2020, and included (69) cases diagnosed with systemic arterial hypertension and (71) non- hypertensive. All participants underwent anthropometric measurements and laboratory investigations for serum uric acid level, total cholesterol, high-density lipoprotein level, triglyceride level, serum blood urea and serum creatinine. \u0000Results: The study enrolled a total of (140) participants whose mean age was (47.21 ± 12.53) years. Males comprised (57.14%) of total study sample. Serum uric acid level was found to be significantly higher among hypertensive compared to non-hypertensive, P-value = 0.003. Hyperuricemia was found to be significantly correlated with hypertension, with P-value of 0.017, Odds ratio = 9.18 (95% C.I.: 1.12 – 75.50). \u0000Conclusions: Serum uric acid level is significantly higher in hypertensive group compared to non-hypertensive group, with the presence of significant numbers with hyperuricemia among hypertensive patients. \u0000 ","PeriodicalId":32555,"journal":{"name":"Iraq Medical Journal","volume":"81 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89644746","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":"Knowledge, Attitude and Practice toward COVID‐19 among Iraqi Adults in Karbala","authors":"S. I. Al-Ghabban","doi":"10.22317/imj.v6i4.1208","DOIUrl":"https://doi.org/10.22317/imj.v6i4.1208","url":null,"abstract":"Objectives: to assess the knowledge, attitude and practice scores regarding COVID-19 in relation to sociodemographic states among the Iraqi adults in Karbala, \u0000Methods: This cross-sectional population based interview survey involved 425 Iraqi adult population in Karbala, Iraq between December 2021 and February 2022 using a cluster sampling technique. Closed-ended questionnaire regarding the sociodemographic variables and questions about the knowledge, attitude and practice towards COVD-19. The data were analysed using SPSS software (version 25). The mean scores were calculated, and Independent-samples t test, one-way analysis of variance (ANOVA), or Chi-square test (X2) were used to test for differences. \u0000Results: The mean knowledge, attitude, and practice scores were 80.67%, 54.35%, and 50.83% % of total achievable scores respectively. Females showed significantly higher knowledge attitude, and practice mean scores than males. Higher mean score of attitude was found among 18-25 years of age among those with bachelor’s degree. The unmarried showed higher scores of attitude, and practice than married. Students showed higher attitude score than other occupational groups. \u0000Conclusion: Karbala adult population have high knowledge, negative attitude and weak practice in the precautionary measures about COVID-19, with an uneven distribution of behavioral patterns among socio-demographic subgroups. Further research targeting the vulnerable people is recommended so that the health education and communication interventions be ensured according to their needs.","PeriodicalId":32555,"journal":{"name":"Iraq Medical Journal","volume":"10 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87618015","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":"Septoplasty with Nasal Packing or Transseptal Suturing: comparative study","authors":"Usama Zidan Khalaf, Raad Darweesh Fadhil Ghadeer, Mohammed Abdulwahab Bahjat","doi":"10.22317/imj.v6i4.1207","DOIUrl":"https://doi.org/10.22317/imj.v6i4.1207","url":null,"abstract":"Objective: The aim of study is to find out the better option to manage post-operative septal hematoma between the nasal packing or quilting sutures. \u0000Methods: cross sectional comparative study of 2 groups patients, group [A]; 39 patients have septoplasty with no nasal Packing and suturing, while group [B]; 40 patients have septoplasty with nasal packing. The study has been carried out from July 2021 until February 2022 in Kirkuk General Hospital. From all patients take age, gender, pain, and bleeding occurrence after few moments after surgery, then after 1st day and then after seventh day after operation. Also, if patients have synechiae or not. \u0000Results: there is significant difference between group A and group B in bleeding at time of operation, group A patient more bleeding. There is significant difference between group A and group B in bleeding at 1st day after operation, group A patient less bleeding. There is significant difference between group A and group B in pain at 1st day after operation, group A patient less bleeding. There is significant difference between group A and group B in pain at 7th day after operation, group A patient less bleeding. \u0000Conclusion:  Nasal pain, headache, were reduced in the trans – septal suturing group as compared to packing. However, nasal bleeding was present in both the groups. It also proves to be a cost-effective modality and gives a better post-operative quality of life to patients. Hence, we recommend trans-septal suturing as the preferred method over anterior nasal packing in patients after septoplasty.","PeriodicalId":32555,"journal":{"name":"Iraq Medical Journal","volume":"59 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89124826","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":"Investigation the role of some biochemical variables in liver Cirrhosis","authors":"Hemn Jameel Majeed, P. Ismail, Lutfia Muhammad Hassan","doi":"10.22317/imj.v6i4.1187","DOIUrl":"https://doi.org/10.22317/imj.v6i4.1187","url":null,"abstract":"Objectives: The current study is to assess nitric oxide levels as well as a few other biochemical parameters in individuals with hepatic Cirrhosis disease.\u0000Methods: The study included 55 age-matched controls and 57 individuals with cirrhosis disease that were both clinically and biochemically identified. Adenosine deaminase (ADA), albumin, aspartate tansaminase (AST), alanine transaminase (ALT), -glutamyl transpeptidase (GGT), and alkaline phosphatase were measured as part of the biochemical analyses (ALP).\u0000Results: The study group's serum nitric oxide (NO) levels were substantially (p 0.001) greater than those of the control group's. Additionally, the results showed that the activities of the enzymes ADA, GGT, ALP, AST, and ALT were significantly higher in liver cirrhotic patients than in the control group.\u0000Conclusions: Nitric oxide concentration elevation may serve as a potential diagnostic indicator for liver cirrhosis.","PeriodicalId":32555,"journal":{"name":"Iraq Medical Journal","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87550846","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":"Platelet rich plasma and exercise for pain relief in end stage knee osteoarthritis","authors":"Abdullah Ahmed Mohammad, Hayder Ghali Wadi Algawwam, Huda Ihsan KhairuAllah, Nuha Abdulwahab Muhammed Ali, Safwat Abbas Ali","doi":"10.22317/imj.v6i4.1211","DOIUrl":"https://doi.org/10.22317/imj.v6i4.1211","url":null,"abstract":"Objective: To evaluate the efficacy of exercise and intra-articular ozonized platelet rich plasma (IA-OPRP) injections as management for sever grad IV knee osteoarthritis (KOA). \u0000Methods: Over 18-month period (January 1, 2018– July 31, 2019), 33 patients (21 females and 12 males) with 58 grade IV osteoarthritic knees were retrospectively studied. Severity of KOA was assessed according to the clinical features and Kellgren &Lawrencegrading scale. All patients underwent 8-weeks simple exercises followed by 4 sessions of IA-OPRP.OPRP was prepared by centrifuging patients’ own blood and activated by passing 1 ml of ozone for each 1 ml of platelet rich plasma. A questionnaire was used to categorize the pain severity into mild, moderate, and severe and the response to therapy was graded as excellent, good, fair, and poor. \u0000Results: The mean age was 63.7 years. The top co-morbid condition were overweight and obesity (n=28, 84.8%) whereas diabetes and hypertension ranked second (n=15 each, 45.4%). All patients had severe pain of grad IV knee OA. Overall, exercise and four IA-OPRP injections yielded good-excellent results in (72.4%) of the treated joints (p˂0.01) with no significant sex-related difference in pain response (p>0.01). \u0000Conclusion: Exercise and IA-OPRP seems to be a safe, effective and cheap method for relieving the chronic pain of severeknee OA.","PeriodicalId":32555,"journal":{"name":"Iraq Medical Journal","volume":"30 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80362074","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}