Iraq Medical Journal最新文献

{"title":"Prevalence of silent coronary artery disease among patients with type 2 diabetes mellitus in Suleimani, Iraq","authors":"Hawkar Rashid Taha, Omed Hama Karim","doi":"10.22317/imj.v6i2.1174","DOIUrl":"https://doi.org/10.22317/imj.v6i2.1174","url":null,"abstract":"Objective: To study the prevalence of silent coronary artery disease among patients with Type 2 Diabetes Mellitus and associated variables. \u0000Methods: A cross sectional multi-center design study in the Sulaymaniyah city. The data collected from patients admitted to medical wards of Shar teaching Hospital, Shahid Hemn teaching Hospital and Faruq medical city.  It was conducted during the period of 10 months starting from April, 2017 to Jan, 2018. All patients with type 2 Diabetes Mellitus without symptoms of coronary heart disease were included. Symptoms were evaluated by history, physical examination including blood pressure measurement and searching for other risk factors. The patients were investigated for HbA1c, Lipid profile, resting Electrocardiography (ECG), Echocardiography, Exercise Treadmill test, and CT coronary angiography. \u0000Results: A total of 106 patients, 55 male (51.9%) and 51 female (48.1%) were enrolled in this study, the mean age of the patients was (58.50yr ± 10.94), Nine(8.4%) patients had ischemic change by resting ECG, 10 (9.4%) had ischemic change by Echocardiography, Exercise treadmill test (ETT) was done for 20 patients and revealed positivity for ischemia in only 3(15%) patients, CT coronary angiography was done for three patients and were conclusive for CAD. \u0000Conclusion: Silent coronary artery disease is common in patients with type 2 diabetes mellitus, therefore patients with DM should be carefully evaluated to detect early cardiovascular adverse effect to avoid fatal consequences.","PeriodicalId":32555,"journal":{"name":"Iraq Medical Journal","volume":"330 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76369550","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":"Concordance of core needle biopsy and post-operative histo-pathological grading in breast cancer patient","authors":"Harme Jalal Mohammed, Faruk Hassan Faraj","doi":"10.22317/imj.v6i2.1177","DOIUrl":"https://doi.org/10.22317/imj.v6i2.1177","url":null,"abstract":"Objectives: This study aimed to evaluate the concordance of histological types, grade and components of grading, between CNB and open surgical specimens. \u0000Methods: In this study patients with paired CNB and open surgical biopsy diagnosed with invasive breast cancer are involved, from January 2012 to October 2015 were recreated. Revision of (579) patients were done, but only (116) patients were included in our study according to inclusion criteria, in the breast center department of Slemani Teaching Hospital in Slemani Governorate. \u0000Results: There were 116 patients with invasive breast cancer analyzed for concordance rate  between CNB and open surgical specimen for tumor type, grade, tubule formation, nuclear pleomorphism, and mitotic count were 93.1%, 73.3%, 77.6%, 73.3%, 62.9% respectively, mitotic count was under estimated in CNB samples(kappa 0.4  P value 0.001). \u0000Conclusion: These results indicate that pre-operative CNB can reliably provide useful preoperative prognostic and predictive information in breast cancer patients which can play a major role in planning treatment strategies. Core needle biopsy has significant accuracy in determining invasive breast cancer and histological type and grading.","PeriodicalId":32555,"journal":{"name":"Iraq Medical Journal","volume":"100 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76064857","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":"Sonographic assessment of lower uterine segment thickness preoperative vs. intraoperative assessment in women with previous cesarean","authors":"Frmesk Nawzad Hawez, Aryana Khales Jawad, Mahabad Ali Sabir","doi":"10.22317/imj.v6i1.1163","DOIUrl":"https://doi.org/10.22317/imj.v6i1.1163","url":null,"abstract":"Objectives; In this study we compared transabdominal ultrasound to transvaginal ultrasound to determine which one of them is most accurate in measuring the LUS.\u0000Methods; a prospective observational study on 100 pregnant at term women with history of previous one CS visited Maternity Teaching Hospital between period Jan 2020 to Sep 2020.\u0000Results; of total 100 women ( age range 20-42 years), more than half were primiparous and majority were with no history of miscarriage, mean LUS was 4 mm with standard deviation 1.09 in abdominal ultra sound 3.4 with standard deviation 1.14 in transvaginal and 3.45mm with standard deviation 1.2 in intraoperative before delivering head of the baby (p < 0.001).\u0000Conclusion; Trans vaginal ultrasound is more accurate than transabdominal ultrasound in measuring lower uterine segment.","PeriodicalId":32555,"journal":{"name":"Iraq Medical Journal","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81157322","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":"Skull fractures among head injured patients attending accident and emergency Hospital (Teaching) in Duhok City, Iraq","authors":"Reber Saeed Yousif, Walid W. H. Al-Rawi, Karam Fawaz Aldarzi","doi":"10.22317/imj.v6i1.1166","DOIUrl":"https://doi.org/10.22317/imj.v6i1.1166","url":null,"abstract":"Objectives: To study the frequency of pattern, types and anatomical location of SF, in relation to the mechanism of injury, occupation and other important social and demographic variables. Also, to assess the outcome of SF within one year. \u0000Methods: A prospective, cross-sectional study on cases having SF attending Accident and Emergency Hospital (Teaching) (AEH) in Duhok City. This study has involved patients having a fresh SF; they were clinically evaluated, stabilized and thereafter subjected to plain skull X-ray (PSXR) and spiral computed tomography (CT) scan examination; no contrast was given; only few of them had magnetic resonance imaging (MRI) study. \u0000Results: There were 88 (62.7 %) males and 52 (37.3 %) females. Age ranged from 4 months 70 years, mean 10 years ± 13.5 standard deviation. Patients coming from urban regions formed 85 (60.7%), those from rural areas constituted 55 (39.3%).The most common causes were fall from height (FFH) 98 (70%), followed by road traffic accidents (RTA) 25 (17.9%), assault 4 (2.86%), ceiling fan injury 4 (2.86%), fall of heavy object on the head 3 (2.14%), penetrating injuries by missiles 4 (2.86%) and 2 (1.43 %) injured by unusual material (trauma by a thrown rock 1), and by sharp rotating machine –Kosara. The Glasgow Coma Scale (GCS) score was as follow: 13-15 in 110 (78.6 %), 9-12 in 19 (13.6%) and 3-8 in 11(7.9%) patients. \u0000Conclusions: Patients sustaining HI are mainly young age groups; males are more involved than females. The main causes were FFH, RTA, and assault. The majority of SFs are single, simple, and linear in their patterns.","PeriodicalId":32555,"journal":{"name":"Iraq Medical Journal","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84017480","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":"Percutaneous versus open release of trigger digit","authors":"Ahmed Abdullah Basheer, Laween Mosa, Abdulkadir Mohammed Sulaiman","doi":"10.22317/imj.v6i1.1167","DOIUrl":"https://doi.org/10.22317/imj.v6i1.1167","url":null,"abstract":"Objectives: This study aimed to evaluate the safety and effectiveness of percutaneous release of trigger digit and compare the results with that of open surgery . \u0000Methods: Those patients have been submitted according to Green grading severity (grade II & III), then divided into 2 groups randomly each with 26 patients. The 1st group has been treated with open release and the 2nd group has been treated with percutaneous release. Patients of both procedures have been followed up for 8 days and 28 days, to record and estimate pain of postoperative, infection, injury to nerve digits, repetition or continuation of triggering and movement of fingers. \u0000Results: There was no differencies in the statistical analysis of both groups, although there was a tendency to earlier return Of daily living hand activities with full range of motion in the percutaneous group and also the complication rates where also low , the difference was insignificantly compared to the open group. \u0000Conclusion: According to the study, both percutaneous and open techniques weren't significant statistically differences for postoperative pain, recovery of motor function, and patient satisfaction, but our study shows that percutaneous techniques are safer and more effective compared to open techniques.","PeriodicalId":32555,"journal":{"name":"Iraq Medical Journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79998255","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":"Appraisals of Sero-detection of Treponema pallidum Antibodies IgG and IgM and CBC parameters among Spontaneous Recurrent Miscarriage in Women- Case-Control Study in Gezira State 2018","authors":"Alaa Abdelgadir Mohamed El-Hag, N. Abuzeid","doi":"10.22317/imj.v6i1.1085","DOIUrl":"https://doi.org/10.22317/imj.v6i1.1085","url":null,"abstract":"Objectives: We determined Sero-detection of Treponema pallidum (IgG and IgM antibodies) using ELIZA techniques women with recurrent Miscarriage in Gezira state and appraisal of other risk factors. \u0000Methods: in this case-control, a hospital-based study conducted at Wad Madani teaching hospital Department of Obstetrics gynecological, Gezira State, Sudan. Ninety subjects were involved, 45 were women with recurrent Miscarriage, and controls were healthy pregnant women (no miscarriage). Serum Treponema pallidum antibodies were estimated by the ELIZA method. \u0000Results: Sero-detection of IgG and IgM antibodies by using ELIZA techniques, a total of 45 miscarriage women (cases) for IgM 6 (13.3%) were positive, and 39 (48.8%) were negative for Treponema pallidum by using ELISA techniques. A total of 45 non-miscarriage women (control) for IgM 4 (8.9%) were positive, and 41(91.1%) were negative For Treponema pallidum by using ELISA techniques. A total of 45 miscarriage women (cases) for IgG 13(28.9%) were positive, 32(71.1%) were negative. Furthermore, IgG for non-miscarriage, like IgM 4(8.9%), was positive, and 41(91.1%) were negative. \u0000Conclusion: Higher prevalence of Treponema pallidum IgG seropositivity among pregnant women who reported miscarriages compared to those who did not report miscarriages (p < 0.001) while no association between IgM seropositivity and pregnant women who reported miscarriages.","PeriodicalId":32555,"journal":{"name":"Iraq Medical Journal","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81018246","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":"Prevalence of Amoebiasis and Estimation of Certain Cytokines (IL-17, IFN- γ and TNF- α) in Children with Amoebic Infection in Sulaimani Province / Iraq","authors":"Hardi Sidiq Mohammed, S. Ali, L. Mohammed, Maryam Salih Mohammed","doi":"10.22317/imj.v6i1.1148","DOIUrl":"https://doi.org/10.22317/imj.v6i1.1148","url":null,"abstract":"Objectives: We aimed to determine the prevalence of amoebic infection in Sulaymaniyah province and measuring of some immunological parameters among amoebic infected children.\u0000Methods: The current study was carried out in the pediatric teaching hospital in Sulaymaniyah governorate from September to December 2021. A total of 560 stool samples were collected from diarrheal children for direct microscopical examination. Also, in a case-control study serum was taken from 80 infected children and 80 parasite-free children for estimation of IL-17, IFN- γ and TNF-α levels using the ELISA technique. Statistical analysis was performed by using the SPSS program, using Chi-square and ANOVA test. P ≤ 0.05 consider a significant difference.\u0000Results: The total prevalence of amoebic infection was (16.1%), males recorded a higher infection rate was (17.7%), while the female was (14.3%), (p >0.05). The age group between (1-6) years had a significantly higher prevalence (21.5%), while those under than (1 year) old was recorded the lowest lower infection rate (7.54%), (p < 0.05). Prevalenc in rural (20.3%), in urban (13.8%), (p < 0.05). The patients who used general tap water for drinking recorded the highest rate of infection (19%).The highest prevalence documented in September (19.5%,) followed by October (16 %), then November (11.2%), without significant difference, (p > 0.05). The highest amoebic infection rate was recorded in those children whose mother was illiterate (19.8%). Serum levels of IL-17 were not significantly different between infected children and control groups, (P >0.05);however, IFN γ level was reported to be significantly different (P <0.05) While, TNF-α serum level recorded a highly significant difference, (P<0.001).\u0000Conclusion: We concluded that the prevalence of amoebic infection was (16.1%) in Sulaymaniyah province among symptomatic children based on the microscopic diagnosis. The immunological assessment of IL-17 showed that there was no significant difference between infected and control individuals, while the rest of IFN- γ and TNF-α documented significant and highly significant differences respectively.","PeriodicalId":32555,"journal":{"name":"Iraq Medical Journal","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89976496","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":"Acute bloody diarrhea in children below five years of age in Babylon Province, Iraq","authors":"Basheer Hussien Mugheer Al Mamory, Asaad Fakhri Hasan Al Obeidi, Ahmed Kamel Tooman Al Kenani","doi":"10.22317/imj.v6i1.1164","DOIUrl":"https://doi.org/10.22317/imj.v6i1.1164","url":null,"abstract":"Objectives: The aim of study is to find the causes, how optimal diagnosis and what is the most causative agents of bloody diarrhea in infants and children. \u0000Methods: One hundred children with bloody diarrhea (three or more loose bowel motion / day with visible blood in stool) from total 1660 of gastroenteritis where studied in Babylon hospital for maternity and children in Hilla from (1st of March to 31 August 2012), all of them were less than five years of age. Those with surgical condition excluded from the study. \u0000Results: Higher percentage with E. histolytica 50 (50%).Their stool culture was showed growth of normal flora. Second microorganism was E. Coli 20 (20%), Third microorganism was Shigella 7 (7%). There is no relationship between types of microorganisms in bloody diarrhea and different age group. More than 50% of the patients with bloody diarrhea was found in those who were below 2 years. There is no significant difference between type of microorganisms and gender of the patient’s. There is significant difference between total number of cases and gender of the patient’s. Male more affected 56 (56%) than female 44 (44%). There is a significant difference between total number of patients and residence of patients. Patient come from rural area were more 60 (60%) than those from urban area 40 (40%). \u0000Conclusion: Entamoeba Histolytica one of the most frequent offending pathogen in-patient with bloody diarrhea in our society. Children below 2 years are the main affected group and male sex affected more than female.","PeriodicalId":32555,"journal":{"name":"Iraq Medical Journal","volume":"4 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87562385","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 Vitamin D and trace element level in sera of patients with Rheumatoid arthritis","authors":"N. A. Ismail, Akam Jasim Mustafa, Dlzhin Bahram Waissi, Yusra Sirwan Kareem","doi":"10.22317/imj.v6i1.1114","DOIUrl":"https://doi.org/10.22317/imj.v6i1.1114","url":null,"abstract":"Objective: The purpose of this research was to assess the serum concentration of (1,25-(OH)2D3) and trace elements in patients with rheumatoid arthritis as compared to healthy individuals. \u0000Methods: This research was performed on 72participants, 37 cases of RA and 35 healthy individuals, with age range 39-67 years. Serum (1,25-(OH)2D3) levels was determined and compared in cases and healthy controls.\u0000Results: The serum (1,25-(OH)2D3) levels were significantly lower in the RA patients (13.24 ± 1.06 ng/ml), when compared to the healthy individuals (26.9 ± 1.7 ng/ml). The examination of data revealed that the levels of (Magnesium, Manganese, Nickel and Rubidium) were remarkably elevated in RA patients when compared to healthy control , serum levels of (Chromium, Cobalt and Germanium) were remarkably decreased in RA patients  when compared to healthy control.\u0000Conclusions: (1,25-(OH)2D3) insufficiency is more widespread among patients with RA and may be one of the reasons leading to evolution of rheumatoid arthritis. Supplementation with (1,25-(OH)2D3) may be required both for the avoidance of bone loss besides for painkilling in patients suffering from rheumatoid arthritis. Current results propose that alterations in the serum concentration of trace elements may yield  good indication  to their role in the pathogenesis of  rheumatoid arthritis.","PeriodicalId":32555,"journal":{"name":"Iraq Medical Journal","volume":"103 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74879201","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 pleural fluid lactate dehydrogenase /adenosine deaminase and pleural fluid adenosine deaminase /serum C-Reactive Protein ratios for differentiating between Tuberculosis and other causes in a sample of Iraqi patients","authors":"Mukhles T. Abdul Kadhim, Hashim Mahdi Hashim","doi":"10.22317/imj.v5i4.1141","DOIUrl":"https://doi.org/10.22317/imj.v5i4.1141","url":null,"abstract":"isoenzymes. 8 The aim of study is evaluate the importance of pleural fluid LDH/ADA ratio and pleural fluid ADA/serum CRP ratio in differentiating tuberculous pleural effusion from other causes in a sample of Iraqi patients. AbstractObjectives: This study aim is to evaluate the importance of pleural fluid LDH/ADA ratio and pleural fluid ADA/serum CRP ratio in differentiating tuberculous pleural effusion from other causes in a sample of Iraqi patients. Methods: A prospective study of 100 patients with pleural effusion whom age ranges from 18–70 years where admitted at medical department at Al-Imamein Kadhimein medical city in Bagdad and in Marjan and Al-Sadik hospitals at Babylon province. Out of 61 (61%) are males and 39 (39%) are females. The study period was 9 months started from 1st of February to End of October 2019. Results: In this study the result of comparison of mean level of pleural fluid LDH/ADA ratio and pleural fluid ADA/Serum CRP ratio between tuberculous and para pneumonic pleural effusions were significant = 0.025 and 0.002 respectively. Also the comparison of pleural fluid LDH/ ADA ratio and pleural fluid ADA/Serum CRP ratio between tuberculous and malignant pleural effusions were significant = 0.005 in both. Conclusion: Pleural fluid LDH/ADA ratio is of great value in differentiation tuberculous pleural effusion from malignant pleural effusion with predominant lymphocytes, pleural fluid ADA/serum CRP ratio is of great value in differentiation tuberculous pleural effusion from para pneumonic pleural effusion with elevated pleural fluid ADA and elevated serum CRP.","PeriodicalId":32555,"journal":{"name":"Iraq Medical Journal","volume":"101 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77411591","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}