The Medical Journal of Basrah University最新文献_第4页

The effect of tourniquet on early postoperative quadriceps muscle wasting in ACL arthroscopic surgery 止血带对ACL关节镜手术术后早期股四头肌萎缩的影响

The Medical Journal of Basrah University Pub Date : 2021-12-15 DOI: 10.33762/mjbu.2021.131456.1088

M. Mahdi, Hussein Al Yusir

{"title":"The effect of tourniquet on early postoperative quadriceps muscle wasting in ACL arthroscopic surgery","authors":"M. Mahdi, Hussein Al Yusir","doi":"10.33762/mjbu.2021.131456.1088","DOIUrl":"https://doi.org/10.33762/mjbu.2021.131456.1088","url":null,"abstract":"Background: The main goals of anterior cruciate ligament (ACL) reconstruction and rehabilitation are to reestablish knee function. Quadriceps weakness is one of the most important complications associated with ACL injury and represents a major rehabilitation challenge. This study is designed to test the early effect of tourniquet on muscle wasting and to differentiate weather it is because muscle disuse or injury. Methods: Twenty six male patients who submit to arthroscopic ACL reconstruction were randomly assigned to the use of an inflated (group T, n _ 13) or deflated (group NT, n _ 13) tourniquet. Patients with preoperative quadriceps wasting or abnormal electro conductive studies were excluded. The primary measures were thigh girth preoperatively and after two weeks, serum creatinine phosphokinase (CPK) preoperatively and one day postoperatively and electro conductive studies preoperatively and 1 month postoperatively. Results: Patients' mean age was comparable in both groups. There was a significant difference between T and NT groups in term of thigh girth, CPK and electro conductive studies. Mean thigh girth in T group was 2.6 ± 0.5 while in NT group 1.4 ± 0.5. Mean CPK in T group was 813 ± 149 while in NT group 520 ± 203. Mean femoral latency was 1.85 ± 0.4 in T group and 1 ± 0 in NT group; mean femoral conduction velocity was 1.77 ± 0.4 in T group and 1 ± 0 in NT group; mean muscle denervation was 1.92 ± 0.3 in T group and 1.54 ± 0.5 in NT group; mean motor unit number estimation was 1.9 ± 0.3 in T group and 1.5 ± 0.5 in NT group. Conclusion: This comparative study show that tourniquet play a significant role in direct muscle injury proved by measurement of postoperative CPK and thigh girth in T group comparing it with NT group.","PeriodicalId":33859,"journal":{"name":"The Medical Journal of Basrah University","volume":"54 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90682625","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

The Effect of Fasting and Smoking on the severity and mortality of COVID-19 patients in Basrah, Iraq 禁食和吸烟对伊拉克巴士拉市COVID-19患者严重程度和死亡率的影响

The Medical Journal of Basrah University Pub Date : 2021-12-15 DOI: 10.33762/mjbu.2021.127786.1028

Jawd Albazoony

{"title":"The Effect of Fasting and Smoking on the severity and mortality of COVID-19 patients in Basrah, Iraq","authors":"Jawd Albazoony","doi":"10.33762/mjbu.2021.127786.1028","DOIUrl":"https://doi.org/10.33762/mjbu.2021.127786.1028","url":null,"abstract":"Background:Fasting has been shown to have an impact body systems in different manners. The influence of fasting on immune system regulation remains controversial. Immunomodulatory effect of nicotine was suggested recently. Low prevalence of smoking was observed among patients with COVID-19.Aim: To study fasting as an immune modulator in relation to the severity and mortality of COVID-19 patients, and to determine the effect of smoking on such patients. Methods:This is a comparative study included all PCR-confirmed COVID-19 patients during April, May and June 2020 in Basrah. The severity of and mortality due to COVID-19 infection were studied in fasting patients in Ramadan as compared with the non-fasting months before and one month later. Current smoking in relation to the severity of infection was also studied. Results :Significantly less severe cases and lower mortality were detected in patients with COVID-19 who were fasting as compared with non-fasting patients before and after the fasting month. Current smoking is significantly less frequently detected among severe as compared with mild to moderate cases. Conclusion Fasting could be useful to improve immune response against infection and to reduce severity and mortality in patients with infections. Smoking benefit in preventing and ameliorating of respiratory tract infection needs to be further investigated. .","PeriodicalId":33859,"journal":{"name":"The Medical Journal of Basrah University","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77717159","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

Association between Taq1 rs: 731236 SNP of VDR gene and risk factor among Sudanese patients with breast cancer 苏丹乳腺癌患者VDR基因Taq1 rs: 731236 SNP与危险因素的相关性研究

The Medical Journal of Basrah University Pub Date : 2021-12-15 DOI: 10.33762/mjbu.2021.130830.1082

Amira S. Khalafalla, Abuagla M. Dafalla, Y. Mohammed, A. Abakar, M. Adil, G. Modawe

{"title":"Association between Taq1 rs: 731236 SNP of VDR gene and risk factor among Sudanese patients with breast cancer","authors":"Amira S. Khalafalla, Abuagla M. Dafalla, Y. Mohammed, A. Abakar, M. Adil, G. Modawe","doi":"10.33762/mjbu.2021.130830.1082","DOIUrl":"https://doi.org/10.33762/mjbu.2021.130830.1082","url":null,"abstract":"Introduction: Breast cancer is the most frequent cancer in women globally as well asSudan, it has risen to become the second commonest cause of death in women.Vitamin D receptor (VDR) is a ligand-dependent transcription factor. Vitamin D-ligandedVDR, has antiproliferative properties in a variety of tumor types by inducing cell cycle arrest, senescence, differentiation, and death. The role of VDR TaqI polymorphism is currently unknown. However, studies suggest that these polymorphisms may affect messenger RNA (mRNA) stability. Methods:This case control 198 participants, (97) breast cancer patients and another 101control group.Data wascollectedby a questionnaire. 2 ml of venous blood was collected and stored at -20 till DNA extraction. Phenol chloroform method was used for DNA extraction. VDR TaqI was examined and genotyped using CTPP-PCR after designing of suitable primers and PCR condition. Then data was analyzed statistically using the SPSS program (version 21) and the SNPStats online tool. Results:the three genotypes reported in this study for TaqI SNP (CC, TC, and TT) were evenly distributed throughout cases and controls, so according to this findings there is no statistically significant association of this SNP with breast cancer risk (p. value 0.650) (OR(95%CI) 1.39 (0.64-3.00), 1.00 (0.54-1.87), 1.00). Conclusions:This study found no association of TaqI polymorphism and breast cancer riskfactors","PeriodicalId":33859,"journal":{"name":"The Medical Journal of Basrah University","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85228871","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

Practical approach to train and assess professional behaviour of medical students 培养和评估医学生专业行为的实用方法

The Medical Journal of Basrah University Pub Date : 2021-12-15 DOI: 10.33762/mjbu.2021.169992

G. Alsheikh

{"title":"Practical approach to train and assess professional behaviour of medical students","authors":"G. Alsheikh","doi":"10.33762/mjbu.2021.169992","DOIUrl":"https://doi.org/10.33762/mjbu.2021.169992","url":null,"abstract":"The gradual decline of doctor-patient communication skills and professional attitudes and behaviour have steadily been observed in all countries across the globe. This deterioration has resulted in repeated and renewed demands to make medical schools more aligned to the necessity to train professional behaviours in undergraduate medical study. Medical educators have been criticised for not effectively training and rigorously assessing these skills. Training of behaviour has been abstracted in teaching of ethics and communication skills which in most of the cases is based on theoretical “preaching” lectures and use of book/guide and in some cases, training using supervised role-playing sessions at the best of options. Although good communication skills are essential for an optimal doctor-patient relationship and certainly contribute to improved health outcomes, still other aspects of behaviour are not covered. Furthermore, while the need for training on professional behaviour is specified as a requirement in the adopted graduate outcomes, formal training in these skills has been fragmentary and not clearly addressed in curriculum documents of the medical colleges in Iraq. A practical approach is here proposed to support medical colleges to bridge this gap. The methods of design, construction and use of standardised checklists for training medical students and assessing their acquisition of behavioural (affective) skills is described","PeriodicalId":33859,"journal":{"name":"The Medical Journal of Basrah University","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83186240","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

low birth weight risk factors in Basra city 低出生体重的风险因素

The Medical Journal of Basrah University Pub Date : 2021-12-15 DOI: 10.33762/mjbu.2021.129962.1070

Zainab Almussa

引用次数: 0

Serum potassium and calcium level in patients with post-myocardial infarction ventricular fibrillation 心肌梗死后心室颤动患者血清钾、钙水平的变化

The Medical Journal of Basrah University Pub Date : 2021-06-15 DOI: 10.33762/mjbu.2021.129372.1063

Z. Mahmood

{"title":"Serum potassium and calcium level in patients with post-myocardial infarction ventricular fibrillation","authors":"Z. Mahmood","doi":"10.33762/mjbu.2021.129372.1063","DOIUrl":"https://doi.org/10.33762/mjbu.2021.129372.1063","url":null,"abstract":"Background: Arrhythmias are common in the first hours after myocardial infarction. Electrolytes imbalance often contribute to the development of cardiac arrhythmias. Aims of the study to show the correlation between serum potassium and calcium and development of post myocardial infarction ventricular fibrillation and to assess the effect of different age groups and gender in the development of this arrhythmia. Methods: Ninety-three patients, 66(70.96%) males and 27 (29%) females were studied. The mean age was 57.13±11.86 years. Patients included were those who were admitted to the cardiac care units with acute myocardial infarction in 4 hospitals in Basra (southern of Iraq), blood samples for Potassium and Calcium were taken upon admission. Results: Forty (43%) patients had developed primary ventricular fibrillation. The incidence of primary ventricular fibrillation was greater among patients with serum Potassium ≤3.5mmol/L and >4.5mmol/L (p value=0.002). Age was not associated with increased frequency of primary ventricular fibrillation in patients with abnormal serum Potassium, but the incidence of primary ventricular fibrillation as caused by abnormal serum Potassium level was higher among females. No increase in primary ventricular fibrillation was found in patients with abnormal serum Calcium. Conclusion: The incidence of post myocardial ischemic primary ventricular fibrillation was very common in patients with serum Potassium ≤3.5mmo/L and >4.5mmol/L.","PeriodicalId":33859,"journal":{"name":"The Medical Journal of Basrah University","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89495986","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

Acute Coronary Syndrome Below 50 Yrs. 50岁以下急性冠脉综合征。

The Medical Journal of Basrah University Pub Date : 2021-06-15 DOI: 10.33762/mjbu.2021.129500.1066

Hamid A. Abdulsada, Saad Hamady

引用次数: 0

Effect of Reformation of the Anterior Chamber by Air or by Ringer’s lactate solution on Corneal Endothelial count and morphology after Phacoemulsification 前房空气和乳酸林格氏液对超声乳化术后角膜内皮细胞计数和形态学的影响

The Medical Journal of Basrah University Pub Date : 2021-06-15 DOI: 10.33762/mjbu.2021.129641.1067

Zaid Zaki, N. Mohammad

引用次数: 0

TINNITUS AND VERTIGO IN PATIENTS WITH CHRONIC KIDNEY DISEASE ON HEMODIALYSIS IN BASRA HEMODIALYSIS CENTER 巴士拉血液透析中心慢性肾病血液透析患者的耳鸣和眩晕

The Medical Journal of Basrah University Pub Date : 2021-06-15 DOI: 10.33762/mjbu.2021.128922.1049

A. Abbasi, Haider Saeed

引用次数: 0

Nutritional Status of Children and Adolescents with Type1 Diabetes Mellitus in Basra 巴士拉1型糖尿病儿童和青少年的营养状况

The Medical Journal of Basrah University Pub Date : 2021-06-15 DOI: 10.33762/mjbu.2021.127780.1027

Ban Dohan, S. Habib, Abbas Abd Khazal

{"title":"Nutritional Status of Children and Adolescents with Type1 Diabetes Mellitus in Basra","authors":"Ban Dohan, S. Habib, Abbas Abd Khazal","doi":"10.33762/mjbu.2021.127780.1027","DOIUrl":"https://doi.org/10.33762/mjbu.2021.127780.1027","url":null,"abstract":"Growth problems represent an important complication in children and adolescent with Type1 diabetes mellitus and poor metabolic control seems to impact their growth velocity. Aim: to assess the nutritional status in children with type 1 diabetes mellitus, in relation to selected patients variables. Methods: a case-control study has been carried out to assess the nutritional status of sixty-one patients with type 1 diabetes mellitus; and eighty-two age and sex matched healthy children as control group; their ages ranged from 3-14 year, from the 1 of October 2016 till 15th of March 2017. Results: The mean age of diabetic patients was (10.3±3.02) years; (60.66%) belong to large family size with low education. Diabetic patients significantly belong to families with poor financial support and income in (45.9%) compared to the control group (26.8%) (p value 0.02), as well as those undernourished diabetic children significantly belongs to families with poor income than those with normal nutritional status (75%, 38%) respectively. Body mass index was significantly below 5 percentile in diabetic patients than the controls (19.68 %, 2.4 %) respectively; P value 0.001. History of inadequate dietary intake was recorded in 66.67% of patients; significantly related to undernutrition in diabetics patients than controls (P value 0.002). Undernutrition in diabetic children significantly associated with poor glycemic control with significantly high level of HbA1c (13.9±9.57) than those without undernutrition (10.6±5.28) respectively. Conclusion: Frequent evaluation of diabetic children is required to overcome the problem of undernutrition in patients with type 1 diabetes mellitus.","PeriodicalId":33859,"journal":{"name":"The Medical Journal of Basrah University","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88580550","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: 3