Advanced medical journal最新文献_第2页

Evaluation of Psychological Disorders in patients with Oral Lichen Planus; a Case Control Study. 口腔扁平苔藓患者心理障碍评估；病例对照研究。

Advanced medical journal Pub Date : 2024-03-10 DOI: 10.56056/amj.2024.243

Alaa Khalid Saeed, Shaheen Ali Ahmad

{"title":"Evaluation of Psychological Disorders in patients with Oral Lichen Planus; a Case Control Study.","authors":"Alaa Khalid Saeed, Shaheen Ali Ahmad","doi":"10.56056/amj.2024.243","DOIUrl":"https://doi.org/10.56056/amj.2024.243","url":null,"abstract":"Background and objective; Interest in the idea that immunological pathways may be involved in the etiology of subset of psychotic disorders has grown over the past few decades. The goal of this study was to investigate the psychiatric issues in individuals with oral lichen planus. Method; This is a case control study which has been done at Oral & Maxillofacial medicine department in Khanzad Teaching Center and Erbil Dermatology Center between January 1st and August 1st, 2022. The Depression Anxiety Stress Scale -21 questionnaires were used to assess the psychological condition of patients with oral lichen planus. The sample consists of 100 participants, 50 of whom have oral lichen planus and 50 of healthy controls. Results: There were considerable differences between the two groups, according to the oral lichen planus the values for stress (50%), anxiety (22%), and depression (34%), whereas the values in the control group were [stress (20%), anxiety (0.0%), and depression (20%)]. Among the cases, (90.0%) had only oral lesions and (76.0%) of which had symptoms. Anxiety, and stress had statistical significance relation (0.002, 0.001) respectively in patients with symptomatic lesions (erosive and atrophic type) that produce pain and discomfort. Conclusion: The autoimmune diseases including the oral lichen planus has correlation with psychological factors, this research has shown the unfavorable impact of these oral lesions on the patient's psyche.","PeriodicalId":486511,"journal":{"name":"Advanced medical journal","volume":"58 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140255627","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

Impact of Coronary Artery Bypass Graft on left Ventricular Systolic Function 冠状动脉旁路移植对左心室收缩功能的影响

Advanced medical journal Pub Date : 2024-03-10 DOI: 10.56056/amj.2024.234

Dilshad Abdulqadir Rasul, M. H. Alwan

引用次数: 0

Effect of Uterine Artery Clamping in Reducing Cesarean Hysterectomy in Pregnancies Complicated by Placenta Accrete Spectrum 钳夹子宫动脉对减少胎盘早剥并发症孕妇剖宫产手术的影响

Advanced medical journal Pub Date : 2024-03-10 DOI: 10.56056/amj.2024.250

Balen Mohammad Jabar

{"title":"Effect of Uterine Artery Clamping in Reducing Cesarean Hysterectomy in Pregnancies Complicated by Placenta Accrete Spectrum","authors":"Balen Mohammad Jabar","doi":"10.56056/amj.2024.250","DOIUrl":"https://doi.org/10.56056/amj.2024.250","url":null,"abstract":"Background and objective: The placenta accreta spectrum is a major public health problem. Many interventional measures are used for controlling hemorrhage and preventing emergency caesarean hysterectomy. The aim of this study was to evaluate the role of uterine artery clamping in reducing maternal morbidity and mortality in pregnancies complicated by placenta accrete spectrum. Methods: This is a retrospective case-control study implemented in the Sulaymaniyah Maternity Teaching Hospital in Sulaymaniyah city, Kurdistan region-Iraq through the period of 2 years from 1st of June 2020, to 31st of May, 2022. A sample of sixty pregnant women with placenta accreta spectrum surgically managed by elective cesarean section and divided into two study groups (32 women underwent elective cesarean section with uterine artery clamping [interventional group] and 28 women underwent elective cesarean section without uterine artery clamping [control group]). Results: The postoperative hemoglobin level was significantly higher in women of the interventional group with a mean of (10.1±0.7 gm/dL) compared to (9.3±1 gm/dL) in women of the control group. The mean of units of blood transfused was significantly lower in women of the interventional group with a mean of (1.3±0.6 units) compared to (3.1±1.4 units) in women of the control group. Also, there was a significant reduction in units of fresh frozen plasma in women of the interventional group with a mean of (0.9±0.6 units) compared to (2.9±1.5 units) in women of the control group. Conclusions: The uterine artery clamping before placental separation is helpful in reducing the rate of maternal morbidity and mortality in pregnancies complicated by placenta accreta spectrum.","PeriodicalId":486511,"journal":{"name":"Advanced medical journal","volume":"37 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140254935","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

Evaluation of Serum B12 Levels among Patients with Type 2 Diabetes Mellitus 评估 2 型糖尿病患者的血清 B12 水平

Advanced medical journal Pub Date : 2024-03-10 DOI: 10.56056/amj.2024.232

Nahrain Azarya Adam, D. Sulaiman, S. Salih

{"title":"Evaluation of Serum B12 Levels among Patients with Type 2 Diabetes Mellitus","authors":"Nahrain Azarya Adam, D. Sulaiman, S. Salih","doi":"10.56056/amj.2024.232","DOIUrl":"https://doi.org/10.56056/amj.2024.232","url":null,"abstract":"Background and objectives: Vitamin B12 insufficiency is widespread among type 2 diabetic people. Advanced age of patients, malnutrition, and malabsorption are the causative factors. Vitamin B12 deficiency causes raised levels of homocysteine & estimation of homocysteine will represent the metabolic status of B12. The aim of this study was to assess the incidence of B12 in relation with homocysteine levels and Insulin resistance in patients with type 2 diabetes mellitus regardless type of treatment used in treating diabetes. Materials and methods: This is a cross-sectional study at Dohuk Azadi teaching hospital (biochemistry department)/Dohuk city from (February 2022. - August 2022), offering questionnaire randomly we collected 138 subjects and biochemical tests include (B12 assay, fasting glucose, HbA1c, fasting insulin, homocysteine) with measuring of Body Mass Index. Exclusion criteria: Age < 18 years old, using vitamin B/multi vitamins, using non-steroidal anti-inflammatory drug, debilitating diseases, alcohol intake. Results: the sample (138) was divided into 2 groups: Type 2 Diabetes Miletus (70) patients & apparently healthy subjects (68). The difference was significant in age (51.24±9.27 vs29.57±7.2 years, p<.05), B12 (252.05±83.7vs337.03±121.6 pg/ml, p<.01), Homocysteine (13.493±4.8 vs 10.041±2.2 μmol/L, p<.01), insulin resistance (6.82±2.0 vs 1.47±0.56, p<.001). ), there was a significant negative correlation between serum B12 and age, BMI, insulin resistance and serum homocysteine p value <0.01. Conclusion: Vitamin B12 deficiency is frequent in people with type 2 diabetes mellitus. Yearly screening for vitamin B12 deficit using serum homocysteine and supplement should be adopted among diabetes individuals with risk factors of vitamin B12 insufficiency.","PeriodicalId":486511,"journal":{"name":"Advanced medical journal","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140255175","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

Pap smear in Early Detection of Cervical Precancerous Lesions in Erbil 巴氏涂片在埃尔比勒宫颈癌前病变早期检测中的应用

Advanced medical journal Pub Date : 2024-03-10 DOI: 10.56056/amj.2024.240

Avin Wlya Muhammad

{"title":"Pap smear in Early Detection of Cervical Precancerous Lesions in Erbil","authors":"Avin Wlya Muhammad","doi":"10.56056/amj.2024.240","DOIUrl":"https://doi.org/10.56056/amj.2024.240","url":null,"abstract":"Background and objectives: Cervical cancer remains common. This may be because Iraq has no cervical cancer screening or human papilloma virus vaccination program. The goal of the study is to figure out how well the Pap smear works as a way to find cervical precancerous lesions also identify the prevalence of cervical cancer among women and to identify the potential risk factors for cervical cancer. Methods: A prospective cross-sectional study conducted using closed end questionnaire tool for the purpose of data collection which started from 1st of October 2021 until 1st of September 2022. Convenient type of sampling was used in collecting data which include 470 women attending to cervical screening unit in Maternity Teaching Hospital, Erbil, Kurdistan Region /Iraq. The questionnaire composed of two main parts including the socio-demographic data of the patients such as age, gender, occupation, education level, religion, income status, age at the marriage, duration of marriage…etc. The result of pap smear and cone biopsy performed during colposcopy procedure to match the accuracy of pap smear. Results: The findings revealed that 36% of the women aged between 40-49 years, the majority (80%) of them were married at the age of 15-24 years, 30% of their marriage lasted from 4-14 years, and most (72.6%) of them were housewives. The result of sensitivity, accuracy, positive and negative predicted value was equal to 45.6%, 97.7%, 80%, 89.9% respectively. The kappa test was 0.52 which indicate agreement between screening and gold standard test is a diagnosis of cervical cancer is still colposcopy-guided biopsy, which is then staged on the basis of the clinical examination and the outcome of imaging procedures, most obtained results were statistically significant. Conclusion: Pap smear had a lower sensitivity, but a higher specificity in the current study. The most common complaint of the women was post-coital bleeding. Severe acute cervicitis was the most common finding for the Pap smear.","PeriodicalId":486511,"journal":{"name":"Advanced medical journal","volume":"54 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140254678","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

Early complications of elastic stable intramedullary nails in the treatment of pediatric diaphyseal fractures of long bones: an experience in Duhok center of Orthopedic Surgery 弹性稳定髓内钉治疗小儿长骨骺端骨折的早期并发症：杜霍克矫形外科中心的经验

Advanced medical journal Pub Date : 2024-03-10 DOI: 10.56056/amj.2024.237

Ageed Ameer Abduljabar, Las J. Hwaizi, Laween Omar Musa

{"title":"Early complications of elastic stable intramedullary nails in the treatment of pediatric diaphyseal fractures of long bones: an experience in Duhok center of Orthopedic Surgery","authors":"Ageed Ameer Abduljabar, Las J. Hwaizi, Laween Omar Musa","doi":"10.56056/amj.2024.237","DOIUrl":"https://doi.org/10.56056/amj.2024.237","url":null,"abstract":"Background and objectives: diaphyseal fractures in the pediatric age group should be perfectly treated. Treatment options are too many with long lists of pros and cons. This study aims to determine complications of elastic stable intramedullary as an evolving method in the era of operative treatment. Methods: This is a prospective case series study, conducted at Duhok Emergency Teaching Hospital between march/2021 and April/2022. The sample size was 100 children (mean age was 6.53 years). Inclusion criteria were: diaphyseal fractures (open and closed) in children 3-12 years. Exclusion criteria were: humeral fractures, fractures of the radial neck, pathological fractures, and obese patients (>40kgs). All of them were operated on under general anesthesia and their fractures were fixed with elastic stable intramedullary nails under C-arm, follow up period was 6-9 months both clinically and radiologically. Results: complications were found in the following order of frequency: 39.02% insertion site irritation, 14.02 joint swelling, 9.76% superficial infection, 7.93% loss of reduction, 7.32% stiffness, 3,66% delayed union, 3.05% limb length discrepancy and 0.61% deep infection. While the frequency of complications was significantly related to the type of fracture as (p-value: 0.031) and transverse fractures were seen to be associated with the highest complication rate, no significant relation was found between the frequency of complication with either age groups or gender as the (p-value: 0.447) for frequency of complications among both age groups and (0.711) between the two genders. Conclusion: fixation with elastic stable intramedullary nails is a good choice of treatment for diaphyseal fractures in the pediatric age group however it is not free of complications.","PeriodicalId":486511,"journal":{"name":"Advanced medical journal","volume":"21 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140255045","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

Factors predicted metabolic syndrome among health care workers exposed to coronavirus disease 2022 in Erbil, Iraq 伊拉克埃尔比勒 2022 年冠状病毒病医护人员代谢综合征的预测因素

Advanced medical journal Pub Date : 2024-03-10 DOI: 10.56056/amj.2024.242

Halgurd Fathulla Ahmed, Hemn Khalid Sabir, Maroof Tahsin Hassan

{"title":"Factors predicted metabolic syndrome among health care workers exposed to coronavirus disease 2022 in Erbil, Iraq","authors":"Halgurd Fathulla Ahmed, Hemn Khalid Sabir, Maroof Tahsin Hassan","doi":"10.56056/amj.2024.242","DOIUrl":"https://doi.org/10.56056/amj.2024.242","url":null,"abstract":"Background and objective: There have been a recent concern about life style and stress exposure among health care workers during corona virus infection pandemic. This study aimed to investigate the lifestyle of the staff working in public hospitals in Erbil city during the years of 2021-2022. Methods: This is a survey involving data of the available hospital staff from 1st of January 2021 to 1st of April 2022. The hospital staff were including the reception staff, logistic staff, doctors and medical assistances working at the hospitals during the COVID-19 pandemic. In this study, 313 hospital staff are taken conveniently from the working hospitals. Demographic data and laboratory investigations were taken from all the participants. Results: During COVID19 metabolic syndrome was high among staffs. Females shown to have higher prevalence of metabolic syndrome (28.9%) than males (12%). Have a car (19.9%), living in rural area (21.7%) primary education (33.3%) have highest prevalence of metabolic syndrome. Furthermore, regarding the occupation of staffs, operation assistants have highest prevalence of metabolic syndrome (37.2%) followed by reception staff (28.6%) and pharmacists (25%). Association with male sex (p value<0.001), marriage (p value=0.01) with metabolic syndrome was statistically significant. Conclusions: During COVID19 pandemic metabolic syndrome was common among staffs. Aging, sex, education, occupation, smoking, fatty diet, marriage, family history of diabetes and cardiac disease are the main risk factors for metabolic syndrome. People with these risk factors should be assessed for metabolic syndrome and educated about the risks and possible consequences in the future.","PeriodicalId":486511,"journal":{"name":"Advanced medical journal","volume":"5 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140255206","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

Incidence of hypoglycemia among patients with type 2 diabetes who fasted during Ramadan 斋月期间禁食的 2 型糖尿病患者低血糖发生率

Advanced medical journal Pub Date : 2024-03-10 DOI: 10.56056/amj.2024.248

Bayar Qasim, M. Ahmed, Ayad Ahmad Mohammed

{"title":"Incidence of hypoglycemia among patients with type 2 diabetes who fasted during Ramadan","authors":"Bayar Qasim, M. Ahmed, Ayad Ahmad Mohammed","doi":"10.56056/amj.2024.248","DOIUrl":"https://doi.org/10.56056/amj.2024.248","url":null,"abstract":"Background and Objectives: Fasting causes a major change in the dietary habits including the frequency, the timing, and the patterns which will result in a major change in the metabolic response of the body. Physicians should advise the patients about the complications of diabetes mellitus during fasting especially hypoglycemia, the aim of this study is to determine the relation between fasting Ramadan in type 2 diabetes and hypoglycemia risk. Methods: This is a cross-sectional prospective study, which included 304 Muslim patients with type 2 diabetes mellitus who are receiving oral hypoglycemic agents as management were included in this study, while those on insulin were excluded. These patients had decided to fast Ramadan during 2019 in two cities, 122 patients were from Duhok city and 183 patients from Erbil city, Kurdistan region of Iraq. All patients’ body mass index recorded and a blood sample was taken to measure HbA1c and lipid profile. Results: Most patients had no attacks of hypoglycemia (86.20%), while 13.80% had one or more hypoglycemic attacks. The attacks of hypoglycemia confirmed clinically and biochemically that is by checking random blood sugar. There was no significant correlation between the hypoglycemic attacks and the variables studied in this article, such as the duration of diabetes, oral hypoglycemic agents, however, there was significant relation between hypoglycemic attacks and days of fasting in Ramadan and ready to break fasting (P value of 0.026 and 0.008 respectively). Conclusion: There was no association between fasting Ramadan and development of hypoglycemic attacks, however physicians must warn patients about the possible risk of hypoglycemia during fasting and it’s the patient’s own decision to continue fasting or not.","PeriodicalId":486511,"journal":{"name":"Advanced medical journal","volume":"43 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140254707","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

Analysis of the Relationship of Serum Ferritin, Urate, and Some Hematological Parameters with Disease Activity in Gout Patients 痛风患者血清铁蛋白、尿酸盐和一些血液学参数与疾病活动性的关系分析

Advanced medical journal Pub Date : 2024-03-10 DOI: 10.56056/amj.2024.231

Rana Shamoon Elia, Rawand P. Shamoon, R. Polus

{"title":"Analysis of the Relationship of Serum Ferritin, Urate, and Some Hematological Parameters with Disease Activity in Gout Patients","authors":"Rana Shamoon Elia, Rawand P. Shamoon, R. Polus","doi":"10.56056/amj.2024.231","DOIUrl":"https://doi.org/10.56056/amj.2024.231","url":null,"abstract":"Background and objectives: Gout is a type of arthritis. Acute gout is a common rheumatological disease that mostly affects first metatarsopharyngeal joint. Chronic gout is the condition that characterized by repeated episodes of acute gout. The objective of this study was to further explore the relationship between iron, ferritin, and other hematological markers with serum urate and gout. Methods: This cross sectional study was conducted in the Department of Rheumatology of Rizgary Teaching Hospital, Erbil, and Northern Iraqi Kurdistan. A total of 85 cases were enrolled in this study, 76 males and 9 females. There mean age (SD) was 46.6 (±11.2) years. All participants were known to have gout and fulfilled the criteria for diagnosis of gout. Serum ferritin, C-reactive protein, Serum iron, total iron binding capacity, and serum urate level were measured in addition to renal function tests and liver function tests were measured. Results: The mean (SD) for urate was 9.04 (±1.16) mg/dL, 76 (89.4%) patients with high serum uric acid had high level of ferritin in the blood meanwhile; 9 patients have normal ferritin level. There was a significant positive correlation (76 out of 85 patients) between serum ferritin level and serum urate (p<0.005 and rho=0.237). A positive correlation was found between C reactive protein and urate level, in contrast there was no correlation of iron level and urate level. Conclusion: The ferritin and C reactive protein levels were significantly high among gouty patients.","PeriodicalId":486511,"journal":{"name":"Advanced medical journal","volume":"52 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140254816","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