Duhok Medical Journal最新文献

{"title":"PREDICTIVE VALIDITY OF EUROSCORE RISK SCORING SYSTEM IN PATIENTS UNDERGOING CORONARY ARTERY BYPASS GRAFT SURGERY IN AZADI HEART CENTER -DUHOK, KURDISTAN REGION, IRAQ","authors":"Shams Q. Sahib, Q. Abdullah","doi":"10.31386/dmj.2020.14.1.6","DOIUrl":"https://doi.org/10.31386/dmj.2020.14.1.6","url":null,"abstract":"Background: EuroScore (ES) models have been used over the last twenty years for risk assessment before coronary artery bypass graft surgery (CABG) with variation in their ability to assess the overall complications after surgery, the intensive care unit (ICU) stay and heart performance after revascularization in different areas over the world. Objective: To assess the performance of the EuroSCORE in prediction of post-CABG complications at Azadi Heart Center (AHC). Patients and Methods: This correlation study was conducted at AHC, Duhok, Kurdistan Region (Iraq). The study participants were 50 patients (38 males and 12 females) who underwent CABG surgery; informed consent was obtained from all of them for participation in this study. EuroScore II (ES II) model has been assessed before and after CABG, and its correlations with short-term (up to one month) post-operative outcomes were studied. Results: Patients were grouped into low, moderate and high-risk groups each with frequency of 26, 21 and 3, respectively. There was significant correlation between the pre-operative ES II and the post-operative ejection fraction (EF%) in the high-risk group, while there were non-significant correlations with the short-term overall complications and the ICU stay postoperatively. Conclusions: ES II can be used in AHC to predict post-operative EF%, the higher the ES II, the lower post-operative EF%. However, ES II is not valuable to predict other short-term post-operative complications following CABG surgery. Duhok Med J 2020; 14 (1): 53-62","PeriodicalId":432925,"journal":{"name":"Duhok Medical Journal","volume":"40 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122025894","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":"PREDICTIVE VALIDITY OF EUROSCORE RISK SCORING SYSTEM IN PATIENTS UNDERGOING CORONARY ARTERY BYPASS GRAFT SURGERY IN AZADI HEART CENTER -DUHOK, KURDISTAN REGION, IRAQ","authors":"Shams Q. SAHIB, Qasim H. ABDULLAH","doi":"10.31386/dmj.2020.14.1.66","DOIUrl":"https://doi.org/10.31386/dmj.2020.14.1.66","url":null,"abstract":"","PeriodicalId":432925,"journal":{"name":"Duhok Medical Journal","volume":"61 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"125679457","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":"BACTERIAL ISOLATES AND THEIR ANTIMICROBIAL RESISTANCE PATTERNS IN NEONATAL SEPSIS RECORDED AT HEVI TEACHING HOSPITAL IN DUHOK CITY / KURDISTAN REGION OF IRAQ","authors":"I. Abdulrahman","doi":"10.31386/dmj.2019.12.1.9","DOIUrl":"https://doi.org/10.31386/dmj.2019.12.1.9","url":null,"abstract":"","PeriodicalId":432925,"journal":{"name":"Duhok Medical Journal","volume":"92 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133083524","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":"HEALTH-RELATED QUALITY OF LIFE IN SICKLE CELL DISEASE PATIENTS IN AKRE, IRAQI KURDISTAN","authors":"Dlan Ameer Tahir","doi":"10.31386/dmj.2019.12.1.4","DOIUrl":"https://doi.org/10.31386/dmj.2019.12.1.4","url":null,"abstract":"","PeriodicalId":432925,"journal":{"name":"Duhok Medical Journal","volume":"241 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122467452","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":"PLACENTAS CHANGES IN GESTATIONAL HYPERTENSIVE WOMEN IN DUHOK","authors":"Ghazal Hussein Khaleel, Saadi Saleh Mohammed Barwari","doi":"10.31386/DMJ.2019.13.1.10","DOIUrl":"https://doi.org/10.31386/DMJ.2019.13.1.10","url":null,"abstract":"","PeriodicalId":432925,"journal":{"name":"Duhok Medical Journal","volume":" 30","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"120832140","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":"LIPID PROFILE IN SUBCLINICAL HYPOTHYROIDISM: A TWO CENTERS EXPERIENCE","authors":"Bayar Qasim, A. Mohammed, M. Ahmed","doi":"10.31386/DMJ.2019.13.1.6","DOIUrl":"https://doi.org/10.31386/DMJ.2019.13.1.6","url":null,"abstract":"","PeriodicalId":432925,"journal":{"name":"Duhok Medical Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134470393","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":"NEW TECHNIQUE OF COMBINED SPINAL-EPIDURAL ANESTHESIA IN LOWER LIMB SURGERY","authors":"H. Mohammed, W. Hassan","doi":"10.31386/DMJ.2019.13.1.2","DOIUrl":"https://doi.org/10.31386/DMJ.2019.13.1.2","url":null,"abstract":"Background:There are several theories to explain the action of local anesthetic in combined spinal-epidural anesthesia (CSE), this study is to examine a technique of (CSE) that depends on the theory of leakage of epidural drugs to the subarachnoid cerebrospinal fluid (CSF). Patients and Methods:After approval of local medical ethics committee and obtaining informed consent, 60 patients (18-80 years, ASA physical status I to IV) who listed for orthopedic lower limb surgery under CSE were included in this study. The study design was prospective Cross-Section comparative one. It was done in Gulan General Hospital and Gian Private Hospital in Duhok Governorate in Kurdistan Region of Iraq in the period from 01/01/2017 to 28/2/2018. Results:the volume needed to get maximum sensory block (MSB) and the frequency of topup doses are greater in group A than B.The onset time of group A is longer than group B. The mean arterial pressure was much stable in group A with less nausea and vomiting in the same group. Addition, more patients in group A than group B were able to move against gravity. Conclusions:the effect of this technique in combined spinal-epidural anesthesia can be compared to that of separate needle with more stable vital signs and less complications but with more allover doses of local anesthetics. Duhok Med J 2019; 13 (1):9-21.","PeriodicalId":432925,"journal":{"name":"Duhok Medical Journal","volume":"44 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114189943","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 EFFECTIVENESS OF SHORT-TERM INTENSIVE COGNITIVE-BEHAVIORAL THERAPY ON SYMPTOMS SEVERITY OF PATIENTS WITH PANIC DISORDER","authors":"S. Alhakem","doi":"10.31386/DMJ.2019.13.1.5","DOIUrl":"https://doi.org/10.31386/DMJ.2019.13.1.5","url":null,"abstract":"Background: Panic disorder (PD) is defined as a sudden rise in extreme fear or drastic distress appearing at a maximum level within minutes. Cognitive-behavioral therapy (CBT) is the psychological treatment of patients with chronic PD. Despite more effectiveness and preferable cognitive behavior therapy in the treatment of PD in comparison with pharmacotherapy, a considerable percentage of patients do not benefit from it due to too many and long sessions per week. Accordingly, this study aimed to examine the effectiveness of a group short and intensive (4 days) program of CBT on symptom severity in patients with PD with or without agoraphobia. Patients and Methods: In the present clinical trial, the patients attended the author’s private clinic in Duhok city were consecutively screened for eligibility criteria. Of them, 40 patients diagnosed with PD with or without agoraphobia were randomized assigned into experimental (n=20) and control group (n=20) by a random digit number generated by a computer. The patients assigned into the experimental group received one-month intensive CBT; four twohour sessions along with their regular medications; and the patients in the control groups received their regular treatments only. The symptom severity was assessed by the Panic Disorder Severity Scale (PDSS) in both groups following the course completion. Results: The patients in both groups of the study were comparable in age, gender, education, marital status, physical activity, history of child abuse, and occupation before starting and after finishing the course (P>0.05). The study showed that the severity and frequency of panic symptoms were significantly lower in the experimental group compared to the patients in the control group. Conclusions: The study suggests that the short-intensive CBT programs can be effective to reduce the panic symptoms in patients with PD. Duhok Med J 2019; 13 (1):44-55.","PeriodicalId":432925,"journal":{"name":"Duhok Medical Journal","volume":"31 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116124941","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 NEUROMUSCULAR JUNCTION INTEGRITY IN PATIENTS WITH TYPE 2 DIABETES MELLITUS","authors":"Shirwan H. Omer","doi":"10.31386/DMJ.2019.13.1","DOIUrl":"https://doi.org/10.31386/DMJ.2019.13.1","url":null,"abstract":"Background:Diabetes Mellitus produces long-term damage and failure of various tissues, in particular, diabetes-induced neural damage. Changes of neuromuscular transmission would contribute to the progressive weakness in diabetic patients; Electrophysiological studies are of recognized use in the confirmation of alterations of neuromuscular transmission and helping to differentiate them from other conditions. The current study was performed to evaluate the integrity of neuromuscular junction (NMJ) in patients with type 2 diabetes using repetitive nerve stimulation (RNS) technique and assessment of acetylcholine receptors antibodies in the serum. Patients and Methods:This cross-sectional study involved 103 patients with type 2 diabetes mellitus. The entire subjects met certain inclusion and exclusion criteria to exclude other possible contributing factors of neuropathy. All subjects completed a pre-requested questionnaire, then physical and neurological examinations were done, routine nerve conduction study, repetitive nerve stimulation and assessment of acetylcholine receptors antibodies were performed. Results:Among 103 patients with type 2 DM patients 56 of them were diagnosed as peripheral polyneuropathy however, the rest (47) their NCS result were normal, 11 (10.7%) of them showed positive decrement test, All those with positive decrement test they have also peripheral polyneuropathy, serum acetylcholine receptor antibody test was negative in all the participants (those with positive and negative decrement test). Conclusions:This preliminary study implies that type 2 diabetes contributes to the neuromuscular junction dysfunction. Further studies are indicated to explain the pathophysiology and mechanisms responsible for positive decrement test in type 2 diabetic patients. Duhok Med J 2019; 13 (1):1-8.","PeriodicalId":432925,"journal":{"name":"Duhok Medical Journal","volume":"112 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127105559","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":"PITFALLS OF THYROID CYTOLOGY IN DUHOK-IRAQ","authors":"F. K. Sulayvani, Asaad Shareef Omar, Sabah A. Mohammad, Azad M. Baizeed, S. Ahmed, Rose B. Hayder, Mozahim Alkhayat, Shatha D. Ahmed, I. Pity","doi":"10.31386/DMJ.2019.13.1.9","DOIUrl":"https://doi.org/10.31386/DMJ.2019.13.1.9","url":null,"abstract":"Background: The current study was undertaken to determine the validity of thyroid fine needle aspiration cytology (FNAC) in Duhok-Iraq to clarify its traded diagnostic errors locally and broadly. Patients and Methods: All thyroid cytologic and histologic cases referred to Duhok Pathology Centers, between January 2013 and December 2016, were enrolled in this study. Cytologic findings were compared with their corresponding final histologic results. The validity parameters of cytology were assessed and cases showing cytologic and histologic non-conformance were re-evaluated to highlight the dependant cytologic pitfalls used locally and in the literature. Results: Of 553 thyroid biopsies with 81.6% benign and 18.4% malignant, only 125 cases had preoperative diagnostic cytology and subsequent histologic final diagnoses. Of these, apart from 2 unsatisfactory cases, only 6 (4.9%) cytologic reports were proved not to be matched with their corresponding histologic results. The remaining 117 (95.1%) cases showed complete agreement between the two evaluation tests. Malignancy was predicted by cytology in 82.9%with a sensitivity of 94.3% and specificity of 95.5%. All the 6 unmatched cases were aspirated blindly with no image guide, 4 were false positive resulting in 3.2%false positive rate and 89.2% positive predictive value. The remaining unmatched 2 cases were false negative cytologies that gave 1.6% false negative rate and 97.7% negative predictive value. Cytologically, 5 (83.3%) unmatched smears, 4 false positive and 1 false negative, appeared in smears of lymphocyte-rich thyroid lesions, particularly Hashimoto’s. The false positive pitfalls comprised 2 over diagnosis of hypercellular smears showing some features of papillary carcinoma, 1 overestimation of the large cells with nuclear atypia as follicular carcinoma and 1 over diagnosis of lymphoid hyperplasia as lymphoma. On the other hand, low cellular smears with unclear atypical lymphoid cells underdiagnosed low grade MALT lymphoma and unobvious cytologic criteria missed the diagnosis of papillary carcinoma. Conclusions: Lymphocyte-rich thyroid smears should be interpreted by experienced cytopathologists in the context of clinical, radiological and cytologic findings as suchcases may give certain cytomorphologic pitfalls that may decrease the cytologic validity. In suspicious cases, further tests should be justified to overcome the limitations and pitfalls of features when applied alone. Duhok Med J 2019; 13 (1): 83-95.","PeriodicalId":432925,"journal":{"name":"Duhok Medical Journal","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-05-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127927986","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}