{"title":"Knowledge of pregnancy danger signs and associated factors among pregnant women attending antenatal care services In Basra city","authors":"Reem Zahidi, A. Almulla","doi":"10.33762/mjbu.2023.140358.1126","DOIUrl":"https://doi.org/10.33762/mjbu.2023.140358.1126","url":null,"abstract":"Background: Pregnancy is a natural condition that can predispose to several physiological and psychological changes in the anticipated mothers. However normal pregnancy may face the risk of sudden, unexpected complications that may end up in death or harm to the mother or her unborn child. Objectives : To assess the knowledge of pregnancy danger signs among pregnant women attending antenatal care services in Basrah city and factors affecting such knowledge. Method: The present study is a cross-sectional study carried out in four primary health care centres in Basrah city. The study involves 385 pregnant women aged 15 years and older attending the selected primary health care centres during the study period. A special questionnaire form was designed for the purpose of the study. Results : Majority of the women had heard about pregnancy danger signs (53.2%), approximately half of them had obtained this information from a health-care provider with a considerable percentage of women who thought that it is important to know such information (86%). The knowledge level was poor in (45%) of women with a nearly similar percentage (44%) who exhibited good knowledge toward these signs. The most commonly recognized danger sign was vaginal bleeding followed by severe abdominal pain and reduced or absent fetal movement. Severe headache, weakness, swollen hands, face and feet and high-grade fever were mentioned by (32.7%, 31.9%, 17.9% and 7.5%) of women, respectively. Conclusion: knowledge level was poor in (45%) of women. However, a nearly similar percentage (44%) had a good knowledge about these signs. Most commonly recognized danger sign was vaginal bleeding followed by severe abdominal pain and reduced or absent fetal movement.","PeriodicalId":33859,"journal":{"name":"The Medical Journal of Basrah University","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79983951","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":"Accreditation of the Iraqi Medical Colleges: The last warning","authors":"","doi":"10.33762/mjbu.2022.176729","DOIUrl":"https://doi.org/10.33762/mjbu.2022.176729","url":null,"abstract":"","PeriodicalId":33859,"journal":{"name":"The Medical Journal of Basrah University","volume":"27 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81582954","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}
Abdalameer Abd Al Bari, zainab abdulrazaq, Hamid A. Abdulsada
{"title":"Angiographic findings in patients with conduction defect on resting electrocardiography","authors":"Abdalameer Abd Al Bari, zainab abdulrazaq, Hamid A. Abdulsada","doi":"10.33762/mjbu.2023.130428.1076","DOIUrl":"https://doi.org/10.33762/mjbu.2023.130428.1076","url":null,"abstract":"Background: Conduction defect is one of the causes for increase morbidity and mortality among cardiac patients and a predictor of poor prognosis that affect survival and increase mortality rate. Objectives : To study the relationship between angiographic severity and extent of coronary artery in patients with coronary artery disease and conduction defect on resting electrocardiography. Patients and methods : A total of 127 patients participated in this study, (83) males and (44) females of mean age (60.7 ± 10.5 years) presented with chest pain (74%) or shortness of breath (26%) admitted to the coronary care unit at Alsader -teaching hospital and cardiac center at Basrah oil hospital between the period from February 2019-october 2020. Medical history was recorded for comorbidities and cardiovascular risk factors. Electrocardiography was taken for each patient at rest and categorized into LBBB, RBBB, AV Block according to standard ECG criteria. Echocardiography was performed for each patient to assess LV function. All the patients underwent coronary angiography and assessed visually by at least two cardiologists and evaluated using Gensini score calculated for each patient to assess extent and severity of CAD. Results: Patients with conduction defect have a high Gensini score which indicates severe CAD in RBBB more than LBBB patients and significantly higher in three vessels disease, this study showed more extensive CAD and significant correlation among patients with diabetes and hypertension, on other hand; Gensini score was not related to the echocardiographic finding of LV systolic dysfunction. Conclusion: Conduction defect correlates with severe CAD as assessed by coronary angiography especially among hypertensive and diabetic patients.","PeriodicalId":33859,"journal":{"name":"The Medical Journal of Basrah University","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87797018","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":"Association of serum uric acid with markers of inflammations And disease severity in ankylosing spondylitis patients","authors":"M. Omran, Faiq Isho","doi":"10.33762/mjbu.2023.140380.1128","DOIUrl":"https://doi.org/10.33762/mjbu.2023.140380.1128","url":null,"abstract":"Objective: To clarify the relationships between Serum uric acid with inflammatory laboratory markers and Ankylosing Spondylitis Disease Activity Score (ASDAS-ESR) in patients with ankylosing spondylitis. Method: A total of 73 ankylosing spondylitis patients with age ≥ 16 years with AS fulfilling ASAS criteria were included in a cross-sectional study. The laboratory measures included values of uric acid, erythrocyte sedimentation rate (ESR), and C-reactive protein (CRP) obtained. Disease activity is calculated by Ankylosing Spondylitis Disease Activity Score (ASDAS-ESR). Demographic and laboratory investigations were recorded. Results: The mean age of the studied sample was 35.04 ± 7.99 years with a range of (17-52 years) & the mean Body Mass Index was 27.91 ± 5.78 with a range (18-46). The majority of them were married (80.8%), working (94.5%), and non-smokers (52.1%) and (94.5%) on biological therapy. Comparing serum uric acid with ESR value revealed no statically significant association (P = 0.47). Again, this is observed when comparing serum uric acid with CRP Value (P = 0.27). Finally, there was no association between Serum uric acid with any level of disease activity measured through ASDAS-ESR score (P = 0.52). Conclusion : The study concludes that there is no association between Serum uric acid and the routine inflammatory markers and Ankylosing Spondylitis disease activity score (ASDAS-ESR).","PeriodicalId":33859,"journal":{"name":"The Medical Journal of Basrah University","volume":"42 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74881913","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 relationship between BCG scar size and socioeconomic status on the severity and mortality of COVID-19 patients, “as indicators of the immunity”","authors":"Jawd Albazoony","doi":"10.33762/mjbu.2023.128935.1050","DOIUrl":"https://doi.org/10.33762/mjbu.2023.128935.1050","url":null,"abstract":"","PeriodicalId":33859,"journal":{"name":"The Medical Journal of Basrah University","volume":"104 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86198329","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":"Challenges facing the introduction of Communication Skills into medical education in Iraq","authors":"sawsan Al-jabri","doi":"10.33762/mjbu.2023.179649","DOIUrl":"https://doi.org/10.33762/mjbu.2023.179649","url":null,"abstract":"","PeriodicalId":33859,"journal":{"name":"The Medical Journal of Basrah University","volume":"34 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82180939","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 5 year retrospective analysis of pharmacovigilance study, completeness and quality of suspected adverse drug reaction forms at adverse drug reaction monitoring center Port Blair.","authors":"P. Hotha, C. Naidu, Nimisha Elezebeth Zachariah","doi":"10.33762/mjbu.2021.130470.1077","DOIUrl":"https://doi.org/10.33762/mjbu.2021.130470.1077","url":null,"abstract":"","PeriodicalId":33859,"journal":{"name":"The Medical Journal of Basrah University","volume":"93 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75650486","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}
Hassan Alkazzaz, Khelowd Salih, R. Farhan, sahar alshatari
{"title":"Antenatal care field survey in the catchment area of Bab Al-Moatham Primary Health Care center, Baghdad","authors":"Hassan Alkazzaz, Khelowd Salih, R. Farhan, sahar alshatari","doi":"10.33762/mjbu.2022.131231.1086","DOIUrl":"https://doi.org/10.33762/mjbu.2022.131231.1086","url":null,"abstract":"ANC is described as care provided to pregnant women and adolescent girls by experienced personnel with substantial healthcare training in order to ensure the greatest possible health circumstances for both the mother and the fetus throughout gestation. The objective of this study is to find the percentage of antenatal care booking, care regularity and antenatal care irregularity. This study is a cross-sectional field survey with an analytic element conducted from 1 January -1 July 2018. We chose 10% of all the catchment area (shown in block numbers) as a two-stage cluster sampling method. Fifteen clusters (one cluster for every 180 families in the block) were chosen, each with 15 households, for a total of 225 households. There were two to three married women of reproductive age (15-49 years old) in some houses, bringing the total female participation to 255.This study was done in Bab Al-Moatham Primary Health care center. it revealed that most houses 195(76.47%) have one adult woman of reproductive age per house, 106(41.6%) of participant's age between 30-39 years, 77(30.2%) married between 20122007, and 87(34.1%) completed primary school. In concern to women reproductive history, the highest percentage have two pregnancies, two babies, without abortion or stillbirth. Out of 255 studied women, During the previous three years, 236 women were pregnant, 191(80.93%) of them had ANC booking, 148(58.1%) have regular ANC visit, while 43(16.9%) have irregular ANC visiting, and 188(98.43%) of them had ANC card. Abortion represents a major problem for irregularity in consuming ANC services. Improving health services and health promotion are essential steps in reducing abortion which might lead to increase ANC booking.","PeriodicalId":33859,"journal":{"name":"The Medical Journal of Basrah University","volume":"102 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91223450","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":"Clinical presentation and electrocardiographic features of Brugada syndrome in Iraq","authors":"A. AL-Hamdi","doi":"10.33762/mjbu.2021.130674.1080","DOIUrl":"https://doi.org/10.33762/mjbu.2021.130674.1080","url":null,"abstract":"Background: Brugada syndrome is a clinical entity composed of twelve leads electrocardiographic changes of coved or saddle shaped STsegment elevation in V1 and V2 with serious ventricular arrhythmias which may cause sudden cardiac death. Objectives: The objectives of this study is to highlight the clinical presentation and the types of ECG changes of Brugada syndrome cases seen in Iraq and to orient physicians about this fatal condition. Patients and Methods: Patients presented with symptoms of palpitation, dizzy attacks or syncope and diagnosed as Brugada syndrome were included in this case series study. The diagnosis of Brugada syndrome based mainly on the typical coved or saddle shaped or variant STSegment elevation in electrocardiographic leads V1, V2. Results: Eighteen patients were included in this case series study. All are males. Age ranged from 15-45 Y. The presenting symptoms were palpitation in 12 patients, syncope in 8, dizzy spells and pre syncope in 14 and chest pain seen in 2. The arrhythmic events were clinically documented in 10. Monomorphic VT seen in 4, VF in 2, atrial fibrillation in 2 and atrial flutter in 2. Induced VF by EP study seen in 2. Type I Brugada ECG pattern was seen in 6 patients, type II in 4 and three of type III. Five showed a variant type of the syndrome. Family history of sudden cardiac death was seen in 8 patients while in 10 it was negative. ICD was implanted in 6 patients. In 12 patients (67%) the diagnosis of Brugada syndrome was missed during the provisional medical contacts. Conclusion: Brugada syndrome is not uncommon in Iraq but needs a high diagnostic suspicion through appreciating the symptomologies and electrocardiographic features of this fatal syndrome to plan management to prevent sudden cardiac death.","PeriodicalId":33859,"journal":{"name":"The Medical Journal of Basrah University","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"75616529","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":"Ready to-Use Supplementary Food in the Outpatient Management of Children with Acute Malnutrition in Basrah","authors":"Nedhal Kudhayer, S. Habib","doi":"10.33762/mjbu.2021.130966.1085","DOIUrl":"https://doi.org/10.33762/mjbu.2021.130966.1085","url":null,"abstract":"Background Ready-to-use supplementary foods are high-energy, lipid-based provide energy, protein, fat, vitamins and minerals to treat acute malnutrition in children aged 6 -59 months. Aim To evaluate the effect of ready-to-use supplement foods on the outpatient management of children with acute malnutrition. Methods A prospective appropriate study was carried out on children with acute malnutrition who were referred to the nutritional rehabilitation center at Basra Teaching Hospital; were received ready-touse supplementary foods at a quantity sufficient to meet their nutrient requirements for full catchup growth and followed at two subsequent visits Results Moderate wasting and underweight recorded in (66.7 %) and severe wasting in (33.33%) of the patients. Mean weight gain at the first and second follow-up visit was (5.78 ±2.43) and (6.52 ±2.75) g/kg/day respectively. There was a significant improvement in the weight for height Z score at the first and second follow-up visits after the administration of ready-to-use supplementary foods (P value < 0.05). Approximately 32% of the children aged 12-18-month experienced moderate weight gain. Bottle feeding with complementary feeding was reported in 24.19% of the children with moderate weight gain, and 9.52% and 34.68% of the children of illiterate parents and unemployed fathers respectively, showed moderate weight gain. Children belong to families with low income group accounted for 37.09% of those with moderate weight gain. Family income was the only variable that depend on the weight gain results (P value < 0.05). Conclusion: Readyto-use supplementary food is significantly effective for outpatient management of acute malnutrition.","PeriodicalId":33859,"journal":{"name":"The Medical Journal of Basrah University","volume":"159 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72435165","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}