Iraq Medical Journal最新文献

{"title":"Factors affecting compliance for iron chelating agents in thalassemic patients in Basrah province, Iraq","authors":"S. Jabur, Hadeel Rashid Abdul Hameed","doi":"10.22317/imj.v5i4.1142","DOIUrl":"https://doi.org/10.22317/imj.v5i4.1142","url":null,"abstract":"the remaining 32% of patients were live in urban areas. In the current study, the number of patients were taking oral chelating therapy (Exjad) was 116 patients (80%), while the number of patients taking injectable chelating therapy (Desferoxamine) was 29 patients (20%), (Figure 2). In the current study, we found that 42 patients (29%) had very accepted to their treatment and they are on regular way of treatment, 34 patients (23.4%) had not accept their treatment and they are on irregular AbstractObjectives: To assess factors that affect patient’s compliance for various type of chelating agents for thalassemic patients using direct questionnaires throughout 5 months period. Methods: A prospective screening study done on patients with diagnosed transfusion-dependent β-thalassemia treated on different types of iron chelating agents. Thalassemia unit in AL-Zahraa teaching hospital. Evaluation of patient’s preferability for chelation therapy, predictive values and reliability. Results: In the current study, we found that 88 patients (60%) had accept the treatment in different degrees while the remaining number of patients (57 patients, 39.3%) had not accept their treatment. Conclusion: In β-thalassemia compliance, monitoring using several methods is crucial as non-compliance is common and is associated with decreased survival. In addition, to have a good ideas about maintaining a reliable time for patient to continue on his chelating therapy.","PeriodicalId":32555,"journal":{"name":"Iraq Medical Journal","volume":"38 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83143631","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 of doctors regarding breaking bad news to patients","authors":"Wafaa Hamad Mohammed Al-Sabaawi, N. M. Ibraheem, Zeena N. Abdulrahman","doi":"10.22317/imj.v5i4.1137","DOIUrl":"https://doi.org/10.22317/imj.v5i4.1137","url":null,"abstract":"Breaking terrible news entails having a difficult talk with a patient in which the doctor must notify him or her that they have a life-threatening, incurable sickness.1 Clearly, this definition is neither exhaustive or even universally applicable, since the impact of the news on the recipient can vary greatly and depend on a variety of circumstances, including the person’s previous experience, life philosophy, spirituality, religious beliefs, age, culture, and education.1 Knowledge is a collection of ideas, knowledge, and “science.” It also refers to one’s ability to imagine and perceive things.2 Knowing that delivering terrible news is one of the occasions in which the doctor’s professionalism, critical experience, and ability to build trust are put to the test.3 A doctor must have not only the necessary experience, but also the necessary knowledge and skills. Proper education and Continuing communication training are critical in developing the ability of doctors to deliver unpleasant news.4 One of the most major reasons physicians have difficulties breaking terrible news to patients is a lack of information about how to properly communicate bad news to patients and the consequences of doing so.5 Some doctors are willing to take on the challenges, while others prefer to avoid them. Most people who avoid difficult situations have good intentions but don’t know how to carry them out. They are concerned that if they say something inappropriate, the patient or family would cry or panic out.6 In truth, the majority of doctors in clinical practice have never been taught how to deliver terrible news and do not do so on a regular basis. As a result, delivering terrible news is a lonely task. All doctors are aware that this is a part of their responsibilities, and it does not appear to belong to any one discipline in particular.7 Delivering bad news is one of the most difficult difficulties that a doctor has in their medical practice,8 and it is a vital skill for all physicians, as well as many specialists, who will need to do it multiple times throughout their careers.9 The rise in chronic diseases and concerns connected to quality of life, it’s more important than ever to understand how bad news affects patients, their families, and clinicians,10 therefore bad news delivery to patients and their families requires extensive training and practice.11 Telling the truth is a difficult endeavor that involves a wide range of communication, comprehension, and empathy abilities. When used in the context of imparting bad news to a patient, it can be distressing and hazardous if done incorrectly,12 and if patients are not properly communicated with, it can have a significant impact on how they perceive their disease, as well as whether they discontinue or continue medical therapy.13 Rasmus and Kozlowska conducted a study in Poland (2017) to investigate knowledge of breaking bad news among medical personnel in emergency medical services. The study found that only ","PeriodicalId":32555,"journal":{"name":"Iraq Medical Journal","volume":"17 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85999018","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":"Distribution of asymptomatic bacteriuria among women use Intrauterine Devices (IUDs) according sociodemographic characteristics factores in Takrit, Iraq","authors":"","doi":"10.22317/imj.v5i4.1139","DOIUrl":"https://doi.org/10.22317/imj.v5i4.1139","url":null,"abstract":"","PeriodicalId":32555,"journal":{"name":"Iraq Medical Journal","volume":"161 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85974581","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":"Comparison of Some Indicators in Serum and Saliva on Periodontitis","authors":"A. Yousif, P. Ismail, N. A. Ismail, Namam A Ismail","doi":"10.22317/imj.v5i4.1140","DOIUrl":"https://doi.org/10.22317/imj.v5i4.1140","url":null,"abstract":"ml of the blood in a test tube without anticoagulant, and plasma was prepared by adding 2 ml of the blood in a test tube contain anticoagulant (EDTA) both samples were separated by cen-trifugation. Unstimulated saliva was collected from the same AbstractObjectives: To assess the serum indicators level in healthy and periodontitis subjects and correlate the levels in the terms of changes of serum and salivary parameters in periodontal disease. Methods: The assay comprised 85 subjects, enrolled of both genders in the age range of 33–56 years old. Volunteers were categorized into two groups: 40 healthy individual, other groups (periodontal disease) embraced 45 patients. The salivary and blood samples were collected and sent for biochemical analysis to measure the nitric oxide (NO), superoxide dismutase (SOD), glutathione, catalase, Interleukin 6 (IL-6), Interleukin 4 (IL-4), and interferon-γ (IFN-γ) levels in periodontitis patients. Results: Based on the statistical evaluation of bio-indicator parameters, the following conclusion can be shown from this revision: Serum and saliva SOD ( P < 0.001), glutathione ( P < 0.001), and catalase ( P < 0.001) activates were significantly reduced in periodontitis as compared with control groups, the remaining biochemical assessed in periodontitis patients [NO ( P < 0.001), IL-4 ( P < 0.0001), IL-6 ( P < 0.0001), and IFN-γ ( P < 0.0001)] indicated significantly high levels in both serum and saliva samples. Conclusions: The NO, SOD, catalase, glutathione and cytokines may be used as bio-indicator for periodontitis exposure, medical conduct and severity. This recognition offers early diagnosis of disease and progression. Also there was a direct positive correlation between the salivary and the serum bio-markers levels, which it was proved that the salivary non-invasive examination had a significant association with the serum investigation.","PeriodicalId":32555,"journal":{"name":"Iraq Medical Journal","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83143409","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":"Heterologous COVID-19 Vaccination; Sinopharm and Pfizer-BioNTech","authors":"","doi":"10.22317/imj.v5i4.1146","DOIUrl":"https://doi.org/10.22317/imj.v5i4.1146","url":null,"abstract":"","PeriodicalId":32555,"journal":{"name":"Iraq Medical Journal","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81393009","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":"Serum Level of Vitamin K as Predicts Mortality in Iraqi COVID-19 Patients","authors":"","doi":"10.22317/imj.v5i4.1143","DOIUrl":"https://doi.org/10.22317/imj.v5i4.1143","url":null,"abstract":"","PeriodicalId":32555,"journal":{"name":"Iraq Medical Journal","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86758833","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":"A Prospective study for effect of wound or scar tissue massage after thyroidectomy on neck discomfort and voice change","authors":"Hemin Qabel Hasan, A. Dabbagh","doi":"10.22317/imj.v5i4.1138","DOIUrl":"https://doi.org/10.22317/imj.v5i4.1138","url":null,"abstract":"Objectives: This study aimed to found and selecting the causes behind neck discomfort and change in the voice following thyroidectomy and to determine the efficacy of wound massaging technique on decreasing and relief such symptoms. Methods: Totally 55 patients all females who underwent thyroidectomy were included in our study, the patients were divided in to two groups (26 in the experimental group and 29 in the control group). The massaging technique was instructed to all patients in the experimental group 1 week postoperatively and the feedback were received from patients after 2 weeks and 4 weeks from instruction time. The analysis was achieved for both groups of patients. and significantly much more better recovery from subjective voice impairment score (SVIS) and neck discomfort score (NDS) which was represented by swallowing impairment score (SIS). (all P < .01) in compare with the patients in control group. Those results indicates that localized adhesions following total thyroidectomy operation could be included in affection of general movement as well as vertical movements of the larynx and the wound massaging technique might help patients recovering the normal general movement of the larynx postoperatively. Conclusion: Discomfort of the neck, pulling neck sensation, and voice or phonation changes after total thyroidectomy surgery might due to local surgical adhesions of the wound which possibly accompanied with impairment of vertical movement of larynx. so, releasing of such adhesions could help the patients to recover much more quickly from mentioned undesirable symptoms postoperatively and start their normal daily activities.","PeriodicalId":32555,"journal":{"name":"Iraq Medical Journal","volume":"238 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72515381","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 correlation between Vitamin D and Colorectal Cancer in admitted patients in Oncology teaching hospital","authors":"","doi":"10.22317/imj.v5i4.1136","DOIUrl":"https://doi.org/10.22317/imj.v5i4.1136","url":null,"abstract":"","PeriodicalId":32555,"journal":{"name":"Iraq Medical Journal","volume":"72 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81734884","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 Correlation of age and gender with prevalence of histopathological patterns of thyroid diseases among Iraqi patients","authors":"Sala Jafar Nadhum Hamandi, A. R. Alsaadawi","doi":"10.22317/imj.v5i3.1031","DOIUrl":"https://doi.org/10.22317/imj.v5i3.1031","url":null,"abstract":"Objectives: The aim of this study was to investigate the prevalence of histopathological patterns of thyroid lesions and their relation to age and gender in patients underwent total or near total and partial thyroidectomy. Methods: 430 biopsy blocks examined for patients who had undergone total or near total and partial thyroidectomy for both non-neoplastic and neoplastic thyroid lesions, between January 2018 to December 2020 at Surgical Department, Medical city, Baghdad, Iraq. Results: Out of 430 thyroidectomy specimens, 275 (64%) cases of non-neoplastic lesions, and 155 (36%) cases of neoplastic lesions were present. There were 63 males and 367 females with a male to female ratio of 1:5.6. The age ranged in males from 12 to 83 years with a mean age of 47.5 years and the age ranged in females from 10-68 years with a mean age of 39 years. In non-neoplastic lesions, the predominant lesion was the nodular hyperplasia with 233 (84.7%) cases followed by Hashimoto thyroiditis with 24 (8.7%) . In neoplastic lesions, papillary carcinoma was the commonest lesion with 98 (63.2%) cases followed by follicular carcinoma with 11 (7%) cases. Conclusion : Nodular colloid goiter was the most common non –neoplastic lesion with female predominance . Papillary carcinoma was the most frequent thyroid cancer accounting for 84.4% of thyroid cancers. with micropapillary variant making 44.89 % with most cases occurring in the third and forth decade.There appears to be a slightly increased trend of papillary carcinoma diagnosis. The present study highlights the necessity for time to time assessment of neoplastic lesions in young and middle-aged female for initial detection.","PeriodicalId":32555,"journal":{"name":"Iraq Medical Journal","volume":"132 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"73764169","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":"Serum Total and Free Prostate Specific Antigen Levels as Novel Biomarker in Patients with COVID-19","authors":"","doi":"10.22317/imj.v5i3.1034","DOIUrl":"https://doi.org/10.22317/imj.v5i3.1034","url":null,"abstract":"Objectives: This study aimed to evaluate the diagnostic value of TPSA and FPSA for early detection of COVID-19 and compare it with a control group. Methods: This is a retrospective study of 146 patients from the Respiratory Clinic in Sebha city, 73 of whom have COVID-19 PCR-confirmed and 73 who do not have COVID-19 (group control). Results: The mean and standard division age in the PCR-confirmed COVID-19 group was 61.51±16.40. In the PCR-confirmed COVID-19 group, the mean and standard division serum biomarker level for TPSA was 0.51±.26 ng/ml, and 0.57± 0.32 for FPSA. Conclusion: For the biomarkers TPSA and FPSA, there were no significant differences between the control and PCR-confirmed COVID-19 groups. These findings suggest that the tumor biomarker may be ineffective in detecting COVID-19.","PeriodicalId":32555,"journal":{"name":"Iraq Medical Journal","volume":"43 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76880537","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}