Annals of the College of Medicine, Mosul最新文献

{"title":"Knowledge, Attitude and Perception of Married Women Toward Family Planning in Shekhan City","authors":"Jinan Nori Hasan","doi":"10.33899/mmed.2021.131885.1119","DOIUrl":"https://doi.org/10.33899/mmed.2021.131885.1119","url":null,"abstract":"The current study represents a cross sectional study and included 350 married women with ages range between 15 to 45 years from Shekhan city to study their information, attitude and practice concerning contraceptive methods and family planning (FP). The current work revealed presence of high percentage of parity of participant married women (5 and more) which record 107(30.6%), and nearly 63 (18%) of participants were pregnant at study time. Majority of participants think that FP is useful and 162(46.3%) of the enrolled females employed one of FP methods at study time. The most common cause of non-using FP methods is one or both parents want more children. The most common methods used are male condom, IUCDs and contraceptive pills . The level of awareness was not optimal in regards to FP and contraceptive methods. Modified educational and counselling interferences among child bearing age females messages concerning FP were focused on males mainly so more short courses and seminars in various populations are recommended Knowledge, Attitude and Perception ..","PeriodicalId":8334,"journal":{"name":"Annals of the College of Medicine, Mosul","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90912903","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":"Utility of different modalities in treatment of keloid scar","authors":"Hala N. Al Salman","doi":"10.33899/mmed.2022.132869.1134","DOIUrl":"https://doi.org/10.33899/mmed.2022.132869.1134","url":null,"abstract":"","PeriodicalId":8334,"journal":{"name":"Annals of the College of Medicine, Mosul","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90408914","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, Attitude and Practice of Nursing Staff toward Working at Emergency Unit","authors":"R. Al-Rawee, Mohammed Faris Abdulghani, Ashraf Abdul-Rzzaq Mohammed AlSalih, Emad H. Mohammed, B. Tawfeeq","doi":"10.33899/mmed.2021.131807.1118","DOIUrl":"https://doi.org/10.33899/mmed.2021.131807.1118","url":null,"abstract":"Highlights : Emergency department need essentisl careful assessment as it deal with acute, urgent health situations so should have high skilled well trained staff. Aims : Study involves assessing the emergency nurse's knowledge, attitude, and practice regarding the practical obstacles that impede nurses from working in the Emergency Departement and taking necessary measures to resolve them. : The current study was a cross-sectional study conducted upon (400) nurses. Questionnaire form to assess nurses' knowledge, attitude, and practice in Mosul's teaching hospitals / Iraq related to working in the Emergency Departement. The acceptability score was established at 61.2 mark / 85%; less than this limit was considered unsatisfied as degree 85% (61.2 marks) was considered as acceptable. The data were surveyed applying the (SPSS version 25) descriptive and inferential statistics. Result : The study showed that there were statistically significant differences in the level of knowledge. The mean ± S.D of the knowledge was (33.15 ± 11) . The mean of practice was (23±9). The majority of nurses was in the accepted level 196 (49%) and statistically highly significant P-value was 0.01. Attitude answering questions show high agreement on questions (Number of the good training staff is essential in the emergency department? , and Handwashing is necessary before preparation and administration? ) with answers percentage are [ 96.25% and 93.75% respectively]. The difference between nurses was highly significant p-value was 0.001. Conclusion : This study concluded that the awareness or knowledge of nurses is satisfactory with the level of attitude and practice with respect to Emergency Department","PeriodicalId":8334,"journal":{"name":"Annals of the College of Medicine, Mosul","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87116734","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":"Complications after Covid-19 vaccination","authors":"Sameer Ibrahim Hasan, I. Thanoon, Abdul-rahman I. A-J Thanoon, Omar Hasan, Rwqaya S. Dawood","doi":"10.33899/mmed.2022.134076.1151","DOIUrl":"https://doi.org/10.33899/mmed.2022.134076.1151","url":null,"abstract":"Background : Coronavirus disease (COVID-19) is an infectious disease caused by the SARS-CoV-2 virus. Most people who fall sick with COVID-19 will experience mild to moderate symptoms and recover without special treatment. However, some will become seriously ill and require medical attention. Objective : The aims of this study is to explore the different side effects associated with the three most common vaccines against Covid-19 in Nineveh, Iraq. Such study will aid healthcare workers and policy makers in the betterment of medical care for concerned patients, therefore, improving their quality of life. Patients and methods: The study is a prospective case series study, included 498 participants, 48.1% of them were between the ages 18 to 30 years, 54.0% are married, Only these two characteristics were significantly different among vaccine users (p-value = .041 and .001, respectively). Results: Frequency of Adverse Reactions Based on the Vaccine For the body/joint pain, headache, fatigue and fever. The frequency of these symptoms in addition to respiratory symptoms were significantly more frequent within the AstraZeneca vaccine (all p <.001). and fever were significantly more pronounced in the Pfizer-BioNTech vaccine (all p <.001). Conclusions and recommendations: In conclusion, we noticed that post vaccine side effects are common with all vaccines but are more pronounced in new technology vaccines. The application of a governmental surveillance system adverse effect severity is highly recommended.","PeriodicalId":8334,"journal":{"name":"Annals of the College of Medicine, Mosul","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83272722","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":"Outcome of treatment among chronic lymphocytic leukemia and its correlation to Rai staging system in Kurdistan region of Iraq","authors":"Z. Ahmad, Kawa M. Hasan, H. Al-Rawi, Ahmed K. Yassin, BryarSabah Rashid, Tavan I. Mahmood, Z. Mohamed, N. Mohammed, S. Jalal, Basil K. Abdulla, D. Abdullah, S. Mustafa, Mrawa Karam, L. Abdulrahman, Shlan Mohammed, Ghanem Obaid, Rozhat Yousif, R. Polus, Rawand P. Shamoon","doi":"10.33899/mmed.2021.130017.1090","DOIUrl":"https://doi.org/10.33899/mmed.2021.130017.1090","url":null,"abstract":"Background: Chronic lymphocytic leukemia is common adulthood leukemia with low incidence in Kurdistan region of Iraq. Staging of chronic lymphocytic leukemia is essential in treatment planning and the pattern of response is variable. Aim of study: To evaluate the Rai staging distribution of patients with chronic lymphocytic leukemia in Kurdistan region/Iraq and its correlation with the treatment outcome. Patients & Methods: A retrospective cross sectional review study conducted in three Hemato/oncology centers in Kurdistan for duration of eleven years through the period from 1 st of January, 2010 to 31 st of December, 2020 on convenient sample of 170chronic lymphocytic leukemia patients. Diagnosis of chronic lymphocytic leukemia was done according to the International Workshop on Chronic Lymphocytic Leukemia. The Rai staging was done by the clinical hematologist in Hemato/oncology center according to clinical evaluation and laboratory investigations. The pattern of the treatment response was determined according to the International Workshop on Chronic Lymphocytic Leukemia (iwCLL) Results: The Rai staging of our patients was 0 in 15.3% of them, stage I in 12.4%, stage II 30%, stage III 13.5% and stage IV 28.8%. The treatment response of studied sample was complete response (43.5%), partial response (17.6%), stable (14.1%), no response (21.8%) and progressive (2.9%).A highly significant association was observed between no response to treatment and advanced Rai staging and also a highly significant association was observed between death outcome of patients and advanced Rai staging. Conclusions: The treatment response of patients with chronic lymphocytic leukemia is directly related to Rai staging as patients with advanced Rai staging had lower treatment response rate.","PeriodicalId":8334,"journal":{"name":"Annals of the College of Medicine, Mosul","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81193589","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 Biochemical Changes in Bone Profile during Pregnancy","authors":"Awatif S. Hamdoon, E. Aldabbagh, Akram Ahmad","doi":"10.33899/mmed.2021.130053.1091","DOIUrl":"https://doi.org/10.33899/mmed.2021.130053.1091","url":null,"abstract":"Background: Metabolic processes directly affect the bone skeleton in the human body; especially during pregnancy in females. A bone profile obtained from a blood test can reveal the changes on it. Objectives: The present study aims to estimate the changes that occur in some bone components during pregnancy and whether these changes are physiological or pathological. Patients and methods: Blood samples were collected from 126 females who attend to Al-Hadbaa primary health care center and Al-Khansaa Hospital in Mosul city during the period from January to April 2008. These females classified into two main groups; Group-1 consists of 87 normal pregnant females which are subdivided to 3 subgroups according to their gestational age. Group-2 consists of 39 non-pregnant healthy females (control group). The biochemical parameters measured were: serum calcium, serum albumin, serum inorganic phosphorus (iP), serum alkaline phosphatase (ALP), and corrected serum calcium, and the measured data for these parameters were analyzed using different statistical methods. Results: The total serum calcium, inorganic phosphorus and serum albumin decreased in pregnant female compared to the control group, while alkaline phosphatase activity was elevated in pregnant females compared to the non-pregnant females. Conclusion: The increasing in ALP during pregnancy is accompanied by decreasing serum calcium in the 2 nd trimester and decreasing in iP in the 3 rd trimester that could be a pathological changes related to the bone.","PeriodicalId":8334,"journal":{"name":"Annals of the College of Medicine, Mosul","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78608857","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":"Frequency of Haemoglobinopathies in Premarital Screening in Nineveh Province","authors":"bassma adnan, Muna A. Kashmoola, Zainab Alhatem","doi":"10.33899/mmed.2021.130788.1101","DOIUrl":"https://doi.org/10.33899/mmed.2021.130788.1101","url":null,"abstract":"Background: Haemoglobinopathy is a large heterogeneous group of genetic abnormalities of haemoglobin. It is one of the most common inherited diseases worldwide. Aim of this study: This study aimed to find the frequency of different types of Haemoglobinopathies in premarital couples in Nineveh province. Subjects and Methods: In this cross-sectional study, the subjects were couples who go to the primary health care centers in Nineveh governorate for routine premarital investigations and the data were collected from the main premarital screening centers in Nineveh governorate. Results: In this study, 1127 cases were included. 613 (54.4 %) were male, their ages range between (13-80 years), and 514 (45.6 %) were female, their ages range between (10-52 years). 47 cases were diagnosed as βeta-thalassaemia carriers with an overall frequency of 4.2 %. Ten cases had haemoglobin S (HbS) by the High Performance Liquid Chromatography (HPLC) (sickle cell trait in 9 cases and sickle β-thalassaemia in only one case); the overall frequency of sickle cell carrier state is 0.89 %. Eight cases with an overall frequency of 0.71 % were diagnosed as having other types of Haemoglobinopathies (haemoglobin D, haemoglobin E, haemoglobin H). Eighty one cases were diagnosed as having iron deficiency with an overall frequency of 7.2 %. By using the Hardy –Weinberg equation; we found the expected number of children born with homozygous βeta-thalassaemia would be (0.3/1000 from those born) and homozygous sickle cell disease would be (0.01/1000 from those born). Conclusions: β-thalassaemia trait represented the most frequent Haemoglobinopathy in the region, Iron deficiency was significantly higher in females than in males, HPLC is a good technique for routine use and the expected number of children born with homozygous β-thalassaemia, sickle cell and others (HbD, HbE, HbH) were (0.3/1000, 0.01/1000 and 0.0085/1000 from those born) respectively.","PeriodicalId":8334,"journal":{"name":"Annals of the College of Medicine, Mosul","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79236706","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":"Hydatid Cyst Among Patients Attending Al-Jamhoory Teaching Hospital in Mosul, Epidemiology and Clinical Profile","authors":"D. Omar, Z. Yassen","doi":"10.33899/mmed.2021.130927.1104","DOIUrl":"https://doi.org/10.33899/mmed.2021.130927.1104","url":null,"abstract":"Background: Hydatid disease is a zoonosis induced by Echinococcus tapeworms. Humans are infected by ingestion of Echinococcus eggs by eating contaminated food. Objective: To Investigate the epidemiology of hydatid cyst first and final diagnosis in patients find out its clinical profile. Method: The current study is a Case-series retrospective study for the patients attending Al-jamhoory Teaching Hospital between January 1, 2019, and July 1, 2021. The information was gathered from medical records. The data were analyzed using the frequency index, relative frequency and SPSS (Statistical Package for the Social Sciences). Results: One-hundred eleven patients underwent during the study period. Sixty-three percent of them were males. unemployment state was 81.98%. The commonest ages of infection were 41-50 years as constitute 38.73%. About Fifty-nine percent of the patients were affected in the liver and about four percent of the patients were injured in the lungs. Villagers made up 57.65% of the patients. We found a total of (65.76%) patients had cats or dogs at home. The diagnosis of hydatid infection by Ultrasound of abdomen, Chest Xray, and CT of the chest were (47.74%), (42.34%) and (9.9%) respectively. About Ninety percent of patients eat at restaurants on a regular basis. About Twenty-eight percent of patients have a hydatid cyst in their family. Conclusion: The study indicate that diagnostic instruments are fundamental in diagnosis of hydatid as its diagnosis through clinical or preclinical are uncertain. Further education program is recommended to decrease its occurrence in Mosul city.","PeriodicalId":8334,"journal":{"name":"Annals of the College of Medicine, Mosul","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76591984","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":"Surgical Training of Undergraduate Students at Mosul College of Medicine: A Preliminary Evaluation","authors":"M. Sulaiman, Khalaf Alluaizy, Waleed Ahmad, Abdulsalam Almasry","doi":"10.33899/mmed.2021.130408.1095","DOIUrl":"https://doi.org/10.33899/mmed.2021.130408.1095","url":null,"abstract":"Background: There is an idea that the level of medical college graduates is less than the expected. The improvement of medical training level for the undergraduates in medical schools need a re-evaluation and improvement for creation of new training programs including a better surgical training. Objective: Is to evaluate the clinical surgical training of undergraduates at College of Medicine , University of Mosul . Participants and methods: The study carried out at College of Medicine , University of Mosul during the year 2019. The study depends on questionnaire directed to 46 final year students who recently finished their clinical surgical training, 53 resident doctors graduated from the same college working among surgical wards, and 50 surgical department teachers and expert surgeons interested in medical education. The questionnaire asked about : does the student gain sufficient knowledge and clinical surgical skills during training, does the training provide safe doctor in work, does the training provide proper communication skills and ability to work properly in teams, and does the graduate able to gain the confidence of patients and other health workers. The participants score freely their answer in grade extend from 1-10, and asked to add any other notes up on surgical training of students including deleting or adding or any other suggestion. Results: Knowledge gaining mean score by medical students, resident doctors, and expert surgeons was 6.9 ±1.45 , 6.68 ± 1.82 & 6.68 ± 1.95 respectively, while mean score for providing safe doctor to community was 6.04 ± 1.39 , 6.52 ± 1.40 & 6.17 ± 1.17 respectively. On the other hand the mean score gaining regarding communication skills and ability to work in teams was 6.30 ± 1.44 , 6.37 ± 1.41 & 6.59 ± 1.13 respectively, while gaining the confidence of patients and other health workers mean score was 6.47 ± 1.18 , 6.74± 1.45 and 6.66 ± 0.99 respectively. In all , there was no significant differences. The clinical surgical skills gaining mean score by medical students , resident doctors and expert surgeons was 6.26± 1.61 , 4.92 ± 1.70 , and 5.8 ± 1.84 respectively. Which reflect the presence of a significant differences between resident doctors in comparison to students and expert surgeons. Conclusion: There is lower mean score in gaining clinical surgical skills of graduates and there is a need for more clinical training, improvement, development of clinical training, and a re-evaluation of clinical training to improve the quality of medical teaching to get competent graduates.","PeriodicalId":8334,"journal":{"name":"Annals of the College of Medicine, Mosul","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85438991","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":"Propolis: biochemical and clinical evaluation","authors":"M. Abduljalal, Omar Yaya, M. Ibrahim, I. Thanoon","doi":"10.33899/mmed.2021.132433.1126","DOIUrl":"https://doi.org/10.33899/mmed.2021.132433.1126","url":null,"abstract":"Propolis is a glue-like substance which produced by honey bees, it is related to honey. It is also called bee glue as they use it to reconstruct their hives and for the hives maintenance. They make propolis by mixing many substances like bee wax, saliva, exudate collected from trees, sap flows and other sources. Many studies have made concerning importance of propolis and it is wide medical benefits as it is role in improving immunity, reducing elevated blood pressure, curing many allergic conditions and dermatological diseases. The aim of this review is to enumerate some of its chemical constitutions and it is role in treating some medical conditions.","PeriodicalId":8334,"journal":{"name":"Annals of the College of Medicine, Mosul","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2021-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91344398","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}