bluuebunny/crossref_metadata_2025 huggingface dataset:
Role Iron in Diabetes mellitus type 2 of the patients in province Diwaniya
Authors: AL-Mohammad Hussein Mahdi kreem
Published: December 2020

Background: Diabetes mellitus is a common health problem of the world. Iron may be a part of the cause of the disease and its Complications

Objectives: This study was designed to determine the relationship between the levels of iron indices  and diabetes mellitus type 2. Type 2

Type of the study: Cross –sectional study.

Methods: diabetes mellitus is clinical condition characterized by hyperglycemia due to the absolute or relative deficiency of insulin. It is also followed by pathological abnormalities like impaired insulin secretion, peripheral insulin resistance, and excessive hepatic glucose production. Although type 2 diabetes mellitus is a multiple etiological disease, emerging scientific evidences show there is somewhat related to the disease with iron metabolism 

Results: The study includes thirteen (15 female and 15 male)  patient  with  Diabetes mellitus and (15 male and 15 female ) as the control. In the present study, significantly increased (p < 0.05)   At ferretin , iron,  transferitin, transferin saturated  and significant decrease (p < 0.05) EIBS, TIBC  .

Conclusions: These results suggest that the role negative of increase iron in development Diabetes mellitus by a number of  mechanisms.  .
Investigate The Different Effect Of Nicotine On H460 And H441 Lung Cells Viability
Authors: Mohammed Bushra Jasim
Published: December 2020

Background: Nicotine is the foremost chemical constituent responsible for addiction in tobacco products, in the non-ionized condition can be easily absorbed via epithelial tissue of the lung, the mouth, the nose  and across the skin

Objective:The study examines the harmful effect of   the nicotine which is an important component of cigarette in vitro.

Type of the study: Cross-sectional study.

Methods: Examines the harmful effect of   the nicotine which is an important component of cigarette in vitro by using two types of lung cancer cell lines (H460 TP53+/+, H441 TP53-/-).

Results: The results showed the total count of H460( TP53+/+) cancer lung cell lines  was (5.2 ×106 cells /ml) , the number  (4.9 ×106 cells /ml)  of them were alive  and (3.6×105 cells /ml) of them  were dead, with percentage  of viability (93.15%), while the total count  of H441( TP53-/-) lung cancer cells was (5.1 ×106 cells /ml), the number (4.1 ×106 cells /ml)  of them were alive, and the number (9.9×105 cells /ml) of them   were dead  with percentage  of viability (80.55%). And it  revealed that the nicotine inhibited viability of H460 lung cancer cell lines in all concentrations (1, 10, 500 and 1000 μ M) and the cells were completely abolished by treatment with (1000 μ M) when the viability reached to minimum percentage (3.43%), while nicotine induced proliferation in H441 lung cancer cell lines even in lowest concentration (1 μ M), whereas the viability reached to maximum percentage (41.04%) at concentration (1000 μ M). Also it noticed that  the treatment with nicotine at concentrations (1,10, 500 and 1000 μ M ) for 24 and 48 hr  induced the apoptosis but not necrosis in H460 lung cancer cell lines, especially at the highest concentrations (1000 μ M) for 48hr when the percentage of apoptosis reached to the maximum value (55.5%), however  it was induced proliferation in H441 lung cancer cell lines with highest proliferation at concentration (1000 μ M), when the percentage apoptosis value reached to the minimum percentage (1.5%) when compared to un treated  cells (control).

Conclusions: the cells lack to TP53(H441 TP53-/-)  will proliferate when exposed to nicotine and some of these cells will suffer from necrosis as a replacement of apoptosis.
Non Motor Symptoms In Patients With parkinson's Disease In Baghdad Hospitals
Authors: Muslim Ahmed Tahseen
Published: December 2020

Background:Parkinson’disease(PD) is a neurodegenerative disorder of the central nervous system characterized by resting tremor, bradykinesia, cogwheel rigidity, and impairment of postural reflexes; the frequency of PD increases with aging.Clinically Parkinson's disease characterized by two groups of symptoms: motor and non-motor symptoms.Non-motor symptoms can be categorized as autonomic, cognitive/psychiatric (may include depression, dementia, anxiety, hallucinations), sensory and rapid eye movements (REM) sleep behavior disorder (RBD).

Objectives:The objectives of this study are to find out the frequency of the non-motor symptoms of idiopathic Parkinson disease in a group of patients in Baghdad hospitals.

Type of the study:A cross sectional study with analytic elements,

Methods: It was conducted in movement disorders clinic in neuroscience hospital, outpatient clinic at Baghdad teaching hospital and AL-Kadhumain teaching hospital during the period between the 1st. of December 2013 through July 2014. One hundred and two patients diagnosed as idiopathic Parkinson disease by a consultant neurologist..

Results:The study found that the mean age of patients with Idiopathic Parkinson disease was 60 years. Among them, two thirds of patients (68/102) were males, and 55 %      (56/102) of patients were in advanced stage of the disease. The study also mentioned the percentage of non-motor symptoms of Idiopathic Parkinson disease and they ranged from the most frequent symptom[constipation(80%)] to the least frequent[bowel incontinence(16%)].Also the study shows the distribution of symptoms according to gender and the study found no significant difference between males and females. The study finds that there is no significant difference in symptoms development along the period of disease progression except for bowel incontinence [30.4 % (14/46) in early disease progression compared to 3.6 %( 2/56) in advanced disease] and sexual interest [34.8 %( 16/46) in early disease progression compared to3.6 (2/56) in advanced disease].

Conclusions:Non motor symptoms of Parkinson disease is so frequent and represent a major burden on patients' quality of life and the study recommends a more concentration on them in the future
Administration of I.V. lidocaine before induction of general anesthesia prolong suxamethonium action in caesarian section surgeries. clinical assessment--------
Authors: Khalil Layla
Published: December 2020

Background: Known as suxamethonium or succinylcholine, is a medication used to cause short-term paralysis as part of general anesthesia. The duration of operation is one of the important factors accounting to the success of the operation. Simple safe available drug can change the plan of anesthesia.

Objective:  The purpose of this study was to assess adding Lidocaine three minutes intravenously before induction of general anesthesia on the duration of optimum prolongation the action of  Suxamethonium  . With other group with regular method.

Type of the study: a cross-sectional study 

 Methods: A 100 candidate to compare the effect of Lidocaine for unpremeditated patients ,American society of anesthesia( ASA)  physical status II .patients were scheduled for caesarian section surgery were randomly assigned to two groups: Group I patients received 1.5 mg/kg   Lidocaine 3 minutes before induction of general anesthesia, Group 2 patients received just the anesthetic agents.  For assessment of prolongation of action  the researcher Deepened on the clinical signs of recovery from Suxamethonium which are: spontaneous breathing, ability to swallow when we open the patient's lower jaw ( observing movement of the tongue ).between the two group Both groups received general anesthesia. 

Results:   The  of prolongation of Suxamethonium in elective cases in Group I was a about 7 - 15 minutes, while in Group II the time of Suxamethonium was about 3 - 5 minutes Conclusions :  The study concluded  that there was a significant difference  between the two groups from the side of suxamethonium time in group one( lidocaine group)as there was prolongation of time more than group two .
Knowledge, attitude and practice of Iraqi mothers towards Vitamin D supplementation to their infants in Baghdad Al -Rusafa 2016
Authors: Rasheed Tamara Abdul Wahab
Published: December 2020

Background: Routine supplementation of vitamin D to infants is justifiable since vitamin D deficiency, and its consequences are highly prevalent not only in developing countries but worldwide. Maintaining a normal level of vitamin D is crucial in order to have a normal skeletal, as well as, extra-skeletal health. Knowledge of mothers regarding importance of vitamin D supplementation affect the health of their babies in a positive manner if accompanied by appropriate practice.

Objective: To determine the level of knowledge, attitude and practice of Iraqi mothers of under or equal 12 months old infants in Baghdad, AL-Rusafa, regarding vitamin D supplementation for their infants.

Type of the study: A cross-sectional study.

Methods: A descriptive cross sectional, questionnaire-based study conducted at six primary health care centers in Baghdad AL-Rusafa. 400 mothers of under or equal 12  months old infants attending primary health care centers (PHCC)for routine vaccination and follow up of their infants were included in the study from the 10th of February 2016 till the 10th of June 2016.

Results: A total of 400 mothers enrolled in the study, with a mean age of 27.11years ±6.65572, Only (45%) (n=180) of them had given their infants vitamin D drops, with a mean score of vitamin D supplementation practice of  1.26±1.51265 from 4 which was significantly  correlated with their knowledge score which was 3.6100±2.14987 from 9 and their attitude score which was 3.6275±1.89644 from 6.

Conclusion:  The study revealed poor knowledge, fair attitude and poor practice among mothers regarding vitamin D supple­ment for their infants.
Brain Endoscopy, a big neurosurgical revolution
Authors: Al-Ameri Laith Thamer
Published: December 2020

Endoscopy is a rapidly growing field of Neurosurgery, it is defined as the applying of endoscope to treat different conditions of brain pathology within cerebral ventricular system and beyond it, endoscopic procedures performed by using different equipment and recording system to make a better visualization enhancing the surgeon's view by increasing illumination and magnification to look around corner and to capture image on video or digital format for later studies.
Microfracture Arthroscopy Efficacy In Treatment Of Articular Cartilage Insult Of Knee
Authors: Alshara Mohamed Baqir
Published: December 2020

Background: The treatment of articular cartilage defects is one of the most clinical challeng for orthopedic surgeons. Articular cartilage is a highly organized tissue with complex biomechanical properties and substantial durability. However, it has a poor ability for healing, and damage from trauma or degeneration can result in morbidity and functional impairment. debilitating joint pain, dysfunction, and degenerative arthritis                                                                           Objectives: The purpose of study is to show effectiveness of micro fracture arthroscopy as a method of treatment for such problem .

Type of the study: Cross-sectional study.                     Methods: Arthroscopic surgery was done to 52 patients who complain of knee pain limping and show clinical or radiological evidence of cartilaginous injury and we used arthroscopic micro fracture technique for those patient who have injury of no more than4cm2 then we instruct patient to not put any weight over knee  for 2-3 months and followed clinically according to Lyshlom scor and by MRI and some of them by second look arthroscopy to assess the healing.

Results: Fifty two patients under go micro fracture arthroscopy . Thirty four patients (65.4%) reported good or excellent subjective results  , thirteen patients (25%) had fair knee function, and only five patients  (9.6%) reported poor result

Conclusions: Micro fracture arthroscopy is a   cheap effective method for repairing cartilaginous lesion .
Biochemical Risk Determinants of Osteoporosis in Overweight and Obese Postmenopausal Women with Type 2 Diabetes Mellitus
Authors: . Ibrahem Ikhlass H
Published: December 2020

Background: Several studies suggested that skeletal system is adversely affected by diabetes and is associated with increased risk of osteoporosis and fragility fractures  

Objectives: The study was a case-control study that designed to assess the level of bone turnover markers (BTMs) among patients with type 2 diabetes mellitus (T2DM) and to investigate the effect of body weight and diabetic control on the level of bone turnover

Type of the study: Cross- sectional study.

Methods: The present study included 100 postmenopausal women with type 2 diabetes mellitus. Sixty-six non-diabetic postmenopausal women were enrolled as a control. Fasting blood samples were collected to measure Alkaline phosphatase (ALP),stoeocalcin(OC), fasting blood sugar (FBS)and glycated hemoglobin (HbA1c). Urine samples were collected to measure deoxypyridinolin(DPD). The results were expressed as a ratio to urine creatinine

Results: The mean level of serum osteocalcin was significantly lower in the diabetic group than in the control group,while the level of urinary deoxypyridinolin was significantly higher in the diabetic group than in the control group . There was no significant difference in the level of Alkaline phosphatase between diabetic patients and control. An inverse association was found between osteocalcin with body mass index(BMI), glycated hemoglobin and fasting blood sugar. On the other hand appositive association was found between the level of deoxypyridinolin with body mass index

Conclusions: Altered bone metabolic markers in patients with T2DM with more significant alterations in those who hsd poor glycemic control . Decrease in formation marker osteocalcin and increased resorption markers such as (DPD) has been found.
Evaluation of the clinical examination in thediagnosis of acute medial collateral ligament injury of the knee joint in comparism with examination under general anesthesia
Authors: Sabri Laith Saleem
Published: December 2020

Background: Tear of MCL of the knee is a frequent problem among knee ligaments injuries.Injuries to the MCL are usually caused by contact on the outside of the knee and are accompanied by sharp pain on the inside of the knee. Contrary to most other knee ligaments the medial collateral ligament (MCL) has an excellent ability to heal, being fairly large and well vascularised structure. The vast majority of isolated medial ligament injuries heal without significant long-term problems

Objectives: is to compare between the early clinical examination, and assessment under general anesthesia (GA), and to find out the best methods to assess the MCL tear especially in suspected cases.

Type of the study:Cross- sectional study.

Methods: Fifty patients are collected from casualty & outpatient units from November/2014 to October/2016 with MCL injury  in AL-Kindy teaching hospital.We decided to evaluate them under general anesthesia by valgus stress test at 30 degrees & 0 degrees to estimate the integrity of MCL, in addition to    anterior &posterior Drawer test to evaluate anterior &posterior cruciate ligaments

Results: :  From the 50 patients we select, there were 21 patients seen in the examination to have MCL tear.1 of them were    Grade I ( 4.8% ),14 of them were Grade II (66.7% ),&6 of them were Grade III (28.5%)Associated injuries  with ACL injury  were 5 patients, with  PCL injury    were 1 patient and with medial capsular injury were 2 patients.  Follow up of case range from (2-10) weeks with an average of 6 weeks combined with physiotherapy programs.

Conclusions: Diagnosis of MCL tear by valgus stress test under GA  is the best method for the assessment of MCL tear in suspected cases.
Prevalence and risk factors for hepatitis C virus in Beta thalassemic patients attending blood diseases center in Ibn- AL -Baladi Hospital, Baghdad
Authors: Ali Zena Hussain
Published: December 2020

Background: Thalassemias are a group of heterogeneous genetic disorders, in which the rate of production of hemoglobin is partially or completely suppressed due to reduced rate of synthesis of α or β- chain

Objectives: to estimate the prevalence of Hepatitis C infection among B thalassemia patients attending Ibn-AL-Baladi center of blood diseases in AL-Sader city, in AL-Resafa Quarter of Baghdad and to determine the possible risk factors.

Type of the study: Cross- sectional study.

Methods: A cross sectional study conducted on B Thalassemia patients attending the blood diseases center in Ibn-AL-Baladi hospital during the period from 1st  of July till the 31st  of December 2015.          

Results:   All of 400 eligible patients, who were recruited to be included in this study, were accepted to participate in the study giving an overall response rate 100%. The prevalence rate of Hepatitis C according to anti HCV antibody test among the study group was 26%.

Conclusions: we conclude that about quarter of Iraqi thalassemic patients visiting the thalassemia center in Ibn-AL-Baladi hospital have HCV infection
Metabolic Syndrome; Comparing the Results of Three Definition Criteria in an Iraqi Sample
Authors: Al-Azzawi Omar Farooq
Published: December 2020

Background: Different diagnostic definition and criteria have been recommended by different expert groups for the diagnosis of metabolic syndrome, however, it’s prevalence in the same population could differ depending on the definition used yielding different results. In Iraq, there is a lack of research comparing these different diagnostic definitions.

Objective: To find out the most suitable metabolic syndrome definition to be used for Iraqi people.

 Methods: 320 participants were recruited for this study, 53.4% men and 46.6% women, aged between 25-85 years, visiting Baghdad Teaching Hospital, the prevalence of metabolic syndrome according to different definitions were compared and the agreement was assessed by the Kappa statistic.

Results: Metabolic syndrome was diagnosed in 37.8%, 40.6% and 46.9% participants respectively for the National Cholesterol Education Programme Adult Treatment Panel III 2005, International Diabetes Federation 2005 and the recently (2009) revised International Diabetes Federation definition. The prevalence was higher in women than in men, independent of the criteria used. The Kappa statistics suggested that the agreement between the three definitions ranged from good-to-very good,

Conclusion: Metabolic syndrome was high in this Iraqi cohort regardless of the definition used. The recently (2009) revised International Diabetes Federation definition may be more suitable in diagnosis of metabolic syndrome in Iraq.
The Prevalence of Acetabular Retroversion among Adult Patients Presenting with Hip Pain in Orthopedic Clinic of Al-Kindy Teaching Hospital
Authors: Shafeeq Ali E. , Sabri Laith S. , Umran Haider Umran
Published: December 2020

Background: Acetabular retroversion has been proposed to contribute to the development of pain and osteoarthritis of the hip. Conventional anteroposterir (AP) pelvic radiographs may represent a reliable, easily available diagnostic modality.

Objective: To obtained a reproducible technique allowing the anterior and posterior acetabular rims to be visible for assessment

Method: This is a cross-sectional study conducted from December 2015 to March 2017 targeting patients with hip pain in orthopedic clinic of Al-Kindy teaching hospital. The study sample consisted of 100 patients with hip pain who were investigated with Antroposterior pelvic plain x-ray, which was done for all patients, looking for cross-over sign, the patients with positive cross-over sign radiographs were sent for CT scan  to ensure retroversion of acetabulum.

Results: Presence of a cross over sign was documented in 9 patients (9%). From these 9 patient only 8 were proved by CT scan to have retroverted acetabulum. Then the prevalence was 8%.

Conclusion: The cross-over sign is a reliable indicator for diagnosis of acetabular retroversion and the presence of a cross-over sign in a plain film should heighten awareness of the advisability of proceeding to full   assessment .
Application of Surgical Safety Checklist in Operating Theatre at Al-Kindy Teaching Hospital
Authors: Hindosh Laith N.
Published: December 2020

Background: A core set of checks have been incorporated into World Health Organization (WHO) WHO surgical safety checklist.  Lack of access to basic surgical care remains a major concern in low-income settings.

Objective: We use a WHO surgical safety checklist items to improve team communication and cooperation to help in reduction of morbidity and mortality of surgical procedures.

Methods: This is a prospective study involving 300 patients after applying the 19 items of the surgical safety checklist with different types of operations had been operated in the surgical theater at Al-Kindy Teaching Hospital during the period 1st of September 2016 until 1st of March 2017. We follow up the patients until 30 days after surgical intervention.

Results: After applying  the 19 items of surgical  safety checklist, the risk of the  surgical site infection, respiratory complications, retained gauze and risk of  blood loss [14% , 4.6% , 1.3% , and 2%  respectively] was comparable to  the results of the World  Health Organization.  Using the pulse oximetry in 94 % and site marked in 65.3%.  In 64.6% of patients received antibiotic prophylaxis in which just 4 % developed surgical site infection [SSI], while in extended regime 36.67% there is 10% developed SSI. No mortality reported during collection of the data.

 Conclusions: The surgical safety checklist is a simple method, and there is evidence for its effectiveness in reducing complications in clinical use. WHO recommends use of the checklist in all surgical operations and encourages clinicians to modify the list for different specialties and hospitals.
Effect of HLA-B27 on Development of Psoriatic Arthropathy
Authors: Abdullah Galawisah A. , Zalzala Haider H.
Published: December 2020

Background: Psoriatic arthritis is a type of arthritis that can often affect some patients who suffer from psoriasis. Approximately 40-50% of individuals with psoriatic arthritis have the HLA-B27 genotype

Objective: To investigate whether we could confirm the role of HLA-B27 alleles and psoriatic arthritis in Iraqi Arab Muslims patients.

Method: A cross sectional case control comparative study included thirty Iraqi Arab Muslims who had psoriatic arthritis that consulted the Dermatological and Rheumatological Department in AL-Kindy Teaching Hospital from November 2014 to June 2015. HLA-genotyping for HLA-B27 were assessed. A control group consisted of fifty-one healthy volunteers among the staff of Al-Kindy College of Medicine that did not have psoriatic arthritis or family history of psoriasis. HLA-B*27allele was done by using an Exicycler TM 96 Real-time Quantitative Thermal Block (Bioneer, Daejeon, Korea) and Accupower, HLA-B27 real-time PCR kit (Bioneer, Daejeon , Korea)

Results: Plaque type psoriasis is more common than other types of psoriasis (66% versus 34%). There is no association between psoriatic arthritis and HLA-B27 with p-value of 0.1197 and Odds ratio (confidence interval) of 2.9375 (0.755-11.415).

Conclusions: HLA B*27 is not associated with psoriatic arthritis in Iraqi Arab Muslims patients.
Evaluation of Application of Nutritional Status Assessment for Children Under 5 years by Using IMCI Program in a Sample of Primary Health Care Centers in Baghdad City
Authors: Raoof Samir M. , Raoof Rana D. , Ibraheem Mohammed A.
Published: December 2020

Background: World Health Organization (WHO) and United Nation International Children Fund (UNICEF) developed a strategy known as Integrated Management of Childhood Illness (IMCI); which aims to reduce less than five years children morbidity and mortality in developing countries.

Objective: To assess the completion of the IMCI format status in primary health care centers, Baghdad.

Methods:  A cross sectional study with analytic element was conducted during the period from 15th  of January till 15th  May 2016 in selected Primary health centers in Baghdad, Iraq. The sample consists of form of child files less than 2 months and form from 2 month up to 5 years children. Classified correctively, determined follow up visits, Comparison classified of nutritional status assessment between health center and IMCI guideline.

Result: 1400 child files were collected, 1295 from child files (2months-5year), and 105 forms from child less than 2 month. In form less than 2 months (correct classified 54.29%, incorrect 45.71%), (Determined date of follow up 13.33%, not determined 86.67%).Form from (2month-5years) (57.07% correct classified, 43.93% incorrect classified), (Determined date Follow up visit 38.38%, Not determined visit 61.62%).

Conclusion: Impaired classification of nutritional status assessment
Epidemiological Study of Hand, Foot and Mouth Disease in Al-Kindy Teaching Hospital/ Baghdad
Authors: Al-Wakeel Suha N. , Al Rubiae Khansa A. , Al-Wakeel Suha N. , Hanoudi Basil M.
Published: December 2020

Background: Hand, foot, and mouth disease is viral disease caused commonly by coxsackie virus A16 virus. It is a mild disease and children usually recover with no specific treatment within 7 to 10 days. Rarely, this illness may be associated with aseptic meningitis were patient may need hospitalization.

Objective: To determine significance of clinical features of hand, foot and mouth disease.

Methods: A cross sectional study of cases with clinical features of hand, foot and mouth disease visiting the dermatological consultation unit of Al Kindy teaching hospital. Sampling was for Zyona and Edressi Quarter patients over the period of 1st December 2017 to 30th of November 2017.

Aim: To determine significance of clinical features of hand, foot and mouth disease

Results: The mean age of patients (100 patients) was 29.99 months. Males were 65 (65%) and females were 35 (35%), (P 0.23). Tenderness of skin lesions, Malaise and decreased Appetite were the most frequent symptoms. Winter months illness was common .Cases were diagnosed two days before seeking medical help, while home contact of patients was most common place for infection transmission .Involvement of palms and soles was universal and indifferent (100%). Groin was more commonly affected (67%), (P 0.015). Fever was present in 81%.
The Role of Breast Sonography and Ductography in the Evaluation of Different Causes of the Nipple Discharge
Authors: Al-Ani Ahlam J Kalaf
Published: December 2020

ABSTRACT

 

Background : The aim of this work is to assess the role of breast sonography  and ductography in the evaluation of different causes of nipple discharge.

Methods :  The study will be carried out on twenty-five female patients referred to the Radiodiagnosis department at Alexandria Main University Hospital presenting with nipple discharge.

They were divided into two groups:

Group I include 10 patients (40%) with surgically significant nipple discharge who were the patients with unilateral, uniorificial surgically significant colour type nipple discharge .They were investigated by mammography, sonography, and ductography.

Group II include 15 patients (60%) with surgically insignificant nipple discharge. They were further subdivided into 9 patients (36%) with unilateral multiorificial and 6 patients (24%) with bilateral nipple discharge. They were subjected to mammography ,sonography without ductography.

Results Nipple discharge is the release of fluid from the nipple. It is the third most common breast complaint for women seek medical attention, after lumps and breast pain. It is a symptomatic problem that causes many women both discomfort and anxiety.  

Conclusion : The current study showed certain diagnostic sonographic features for patients of multiple papillomatosis was agreed with studies carried out

Key words : Breast, Ductography, Nipple

 

Corresponding address to :

Dr. Ahlam Jamil  Al-Ani m.b.b.ch.

Al- Faloja Hospital
Electrocautery versus cold steel tonsillectomy comparison study
Authors: Abdul Aema Firas Baheej
Published: December 2020

Objective: the objective of this study was to compare the intraoperative blood loss, intraoperative time, postoperative pain and secondary hemorrhage between electrodissection and cold steel dissection tonsillectomy.

Methods: One hundred and six patients were enrolled in this study, the patients were randomly allocated into electrodissection group A (n=51) and cold steel dissection tonsillectomy group B (n=53). All patients are above 7 years and had history of recurrent tonsillitis and/or tonsillar hypertrophy with obstructive symptoms. Intraoperative parameters and postoperative outcome were assessed.

Results: In group A patients had statically significant less operative time and blood loss than group B early postoperative pain was not differ significantly between the two groups, however late onset pain (pain on the 7th day) was significantly higher in group A. There was no significant difference between the groups regarding secondary hemorrhage.

Conclusion: Electrodissection tonsillectomy is rapid, safe and effective method of tonsillectomy with obvious advantage of minimum perioperative blood loss, lower operative time and without early post-operative pain difference when compared to cold steel dissection tonsillectomy. Although it has some disadvantage of late postoperative pain.
K. wire fixation versus conservative treatment of closed displaced intra-articular calcaneal fractures
Authors: Al-Edanni Mohammed Sh.
Published: December 2020

Background: Calcaneus is a spongy cancellous bone with rich blood supply , its fracture heals more rapidly providing no occurrence of infection and soft tissue injury around ,no gross malposition of fragments. The associated pain leads to a major impairment in life quality. The aim of treatment for calcaneal fractures is the decrease of pain and rebuilding of walking ability for patients with normal foot shape and the ability to wear normal foot wear. To reduce complications, a minimally invasive technique for the treatment of displaced intra-articular fractures of the calcaneus was preferred to use.

The purpose of this study was to determine whether the closed reduction and percutaneous K. wire fixation of displaced intra-articular calcaneal fractures results in better functional outcome at a minimum one year follow up after the injury compared with those after non-operative management.

Methods: One hundred and eleven displaced closed intra-articular calcaneal fracture in 105 patients (six were bilateral) were seen at the orthopedic department of Al-Kindy teaching hospital and Shaih Zaid hospital , only 45 cases included in this study and prospectively evaluated with an average follow-up time of minimum  of one year (1–3years follow-up). For radiographic evaluation, plain radiographs and CT scans were obtained. The Maryland Foot Score was used for clinical estimate. Sanders type II, III and IV fractures were diagnosed.

Results: The incidence of subtalar arthritis was correlated with the severity of fracture. Böhler’s angle was restored in 70.1% (47 of 67) of the cases. The majority (77.7%) of patients were content with their treatment result. The rate of significant complications was 6.5%.

Discussion: Percutaneous K. wire fixation of displaced intra-articular calcaneal fractures presented minimally invasive technique which showed comparable results with a low rate of serious complications and is a viable alternative for the treatment of intra-articular, dislocated calcaneal fractures.

Conclusions: the functional results after K. wires fixation of displaced intra-articular calcaneal fractures were better than those after non-operative care.
Comparison between the Patterns of Common Breast Diseases Presenting as Breast Lumps in Pregnant and Non-Pregnant Married Women
Authors: Mohamed Zena kassim
Published: December 2020

Background: Breast lump is one of the most common prevalent complaint of patients attending breast clinics.

Objective: To determine if there is any change in the pattern of common breast, diseases presenting as breast lumps between pregnant and non-pregnant women among patients attending Al-Elwiya Breast Clinic.

Methods: This is a cross – sectional study, with convent's patient sampling setting in AL-Elwiya Breast Cancer Early Detection Clinic from 1st Feb. to 1st May 2018, we collected data from patients with breast lumps including the age groups, pregnancy status, parity status, previous breast diseases, hormonal drugs, menstrual cycle, breast feeding. Breast lump was examined, sonography and needle biopsy, and histopathology.

Results:  This study involves 306 married patients, fibro adenoma was the commonest pathology in the age group 20-29 year-old (29.9%) followed by Aberration of Normal Development and Involution which was found mainly in 30-39-year-old age group (36.1%). Carcinoma found mainly in the >40-year-old age group (10.3%).

Aberration of Normal Development and Involution was the main pathology in non-pregnant patients (36.1%), in pregnant patients fibro adenoma is the commonest (35.7%).

Conclusion: The majority of breast lumps are benign. In pregnant women, fibro adenoma is the commonest, while in non-pregnant women, Aberration of Normal Development and Involution is the main cause of breast lumps
A Comparison between High Ablative Versus Usual Dosages of Iodine-131 in Inducing Hypothyroidism After One Year of Therapy in Hyperthyroid Patients
Authors: Flayyeh Thamer S
Published: December 2020

Background: Radioactive iodine-131 therapy is highly effective in treating patients with hyperthyroidism. An ablative dose is preferred by a number of endocrinologists, and, a fixed dose protocol seems to be better than a calculated dose in real practice.

Objective: To check for hypothyroidism in hyperthyroid patients one year after RAI therapy, comparing between the results of high ablative versus usual dosages of RAI-131.

 Methods:  This study included 174 hyperthyroid patients, 101 males and 73 females, divided into 2 groups, the first consisted of 162 patients given a usual fixed dose of RAI while the second consisted of 12 patients given a high fixed ablative dose of RAI. The study lasted about 2 years from August 2000 till July 2002 in the Specialized Centre for Endocrinology & Diabetes, Baghdad.

Results: Out of 162 patients in the first group, 11 patients (6.8%), developed hypothyroidism compared to 4 patients out of 12 (33.3% )  in the second group ( p < 0.05).

 Conclusion: A high ablative dose RAI has a better outcome regarding hypothyroidism than a usual dose, although, endocrinologists have different opinions regarding this issue.
Satisfaction of Patients with Type II Diabetes on Health Service in Specialized Center for Endocrinology and Diabetes /Baghdad 2019
Authors: Kadium Nazik L
Published: December 2020

Background: Patient satisfaction is of increasing importance and widely recognized as an important indicator of quality of the medical care. There was no homogeneous definition of patient satisfaction, since satisfaction concerns different aspects of care or settings, as well as care given by various professions.

Objective: The objective of this study is to assess the patients’ level of satisfaction with diabetes care and to identify the underlying factors influencing it.

Methods: This cross-sectional study had been conducted in the Specialized Center for Diabetes and Endocrinology in Baghdad Al- Rusafa 2018. Where150 type two diabetic patients attending their follow-up were requested to fill the questionnaire. The questionnaire identified patients, doctors, and practice related factors. For statistical analysis of the data, SPSS Version 24 was used, and the Chi-square statistical test was applied, A p-value less than 0.05 was considered statistically significant.

Results: The study showed that the overall level of satisfaction was 79.3%. There was a statistically significant association between age group, gender, profession, educational level and marital status where P value 0.001 for all variables.

Conclusion: It was concluded from the study that patients’ satisfaction was high. Majority of the diabetic patients were satisfied with health services, the level of satisfaction increases with age, female gender, and married patients, but it decreases with a high level of education and profession. High level of dissatisfaction seen on treatment services
Unusual Location of Giant Cell Tumor of the Tendon Sheath .. A Case Report
Authors: Al-Edanni Mohammed Sh.
Published: December 2020

Locking of the knee is a one of the commonest orthopedic outpatient presentation. This patient usually need magnetic resonance imaging (MRI) when there is suspected lesion in the soft tissue clinically. Meniscal tears is the first differential diagnosis when accompany with painful knee. (1, 2)Giant cell tumor (GCT) is benign a localized nodular tenosynovitis often occur in the tendon sheath , Mostly involve the hand tendons in middle age group between 30 and 50 years old , female affect more than male.(3,4) The WHO defines two well-known kinds of giant cell tumor: (1) pigmented villonodular synovitis ( generalized type), which mainly involve the joints of the lower limb and (2) giant cell tumor of the tendon sheath ( localized type) , which usually involve the figures and small joints rarely the large one. (5, 6)This case presented as unusual appearance of GCT arising from the suprapatellar synovial pouch.Informed consent obtains from the patient.
Evaluation Aseptic Loosening of Primary Hip Arthroplasty
Authors: Al-Abboodi Hasan H
Published: December 2020

Background : The number of primary hip arthroplasty is growing with every passing year. At present this surgical operation has no equal in the rate of yielding good results. Despite the fact that in many cases in the long term after surgery radiolucent lines around the cup are observed, the clinical outcomes remain satisfactory.Aim of the study :To study the clinical and radiological manifestations of the aseptic loosening of the endoprosthesisMethods: This is a prospective study based on an analysis of diagnostic findings of 51 patients with aseptic loosening of hip joint components, aged 30 to 84 years. We depend for diagnosis of a septic losing by both clinical evaluation and X-ray assessment Results:The majority of clinical and radiological evidence of aseptic loosening appear after three years (47%).All our patients had a pain syndrome of varying intensity, with (43.2%) used a walking-stick. Shortening limb from 1 to 7 cm was found in 43 patients 85.2%.The aseptic losing are common in cementless hip prosthesis especially in femoral stem part of prosthesus 53.9% versus 25.6% in cemented type,Revision surgery for primary hip prosthesis occur mainly for femoral stem involve 49% while other 25.5% involve both acetabular cup and femoral stem, while the rest of patient(25.5%) involve revision of acetabular cup only. Discussion :At present this surgical operation has no equal in the rate of yielding good results. The lifetime of the majority of artificial joints does not exceed 15 years mainly due to aseptic loosening of one or both endoprosthetic components There are many causes of aseptic instability: substandard surgical technique, unwarranted extension of the indications for arthroplasty, inappropriate choice of the prosthesis dimension type, incorrect installation of components, reaction to the massive foreign body and the development of synovial-like membrane on the metal-bone interface .As a rule, early instability within 1 year was associated with defects in the operative techniques, from 1 to 3 years mostly due to the wrong selection of the type of primary endoprosthesis while more than 3 years period, the instability was caused by two reasons: excessive load on the operated extremity or traumas and the rapid wear of plastic with large areas of osteolysis due to the high loads or inaccurate positioning of the prosthetic cup.Conclusions: X-ray examination is the fundamental for diagnosing of aseptic loosening of hip endoprosthesis , and improved surgical techniques, the proper selection of the type of prosthesis are the keys for reduction of risk of aseptic loosening
Prevalence of Oral Manifestations of Inflammatory Bowel Disease in Patients Admitted to Sulaymaniyah teaching hospital – Iraq
Authors: Hamasur Kashan S
Published: December 2020

The aim of this study is to evaluate the association between IBD and oral symptom and mucosal lesions in patients with Crohn’s disease and ulcerative colitis

Methods: This is a cross-sectional study that has been done in (Kurdistan center for Gastroenterology and hepatology) of Teaching Hospital in Sulaymaniyah-Iraq, which included 101 patients previously diagnosed with Inflammatory Bowel Disease who were interviewed regarding manifestations of inflammatory bowel disease especially oral manifestations. Required data were collected through a specially designed questionnaire,

Results: The patients’ mean age was 45.74±12.58 years. Patients with ulcerative colitis and Crohn’s disease were not significantly different in terms of age, sex, smoking, and drinking alcohol (p>0.05), and it was seen that age groups 41-50 and 51-60, males, smokers, and drinkers were more affected by these two diseases. They were not significantly different in terms of chief complaint, drug history, oral hygiene, and disease duration (p>0.05). Most of the patients (78 out of 101) had fair or poor oral hygiene. The two groups of the patients were not significantly different in terms of oral manifestations and symptoms (p>0.05). The most common oral manifestations were found to be respectively angular cheilitis, aphthous ulcer, and diffuse lip swelling in both diseases. The most common symptoms were respectively dry mouth and halitosis.

Conclusion: This study revealed that dentists and oral and maxillofacial Medicine could involve in a diagnosis of IBD, by at least in the referral process, because patients in clinical setting may give a history of orofacial complaints giving a hint on possible systemic background of IBD
Outcome of En Bloc Resection of Osteoidosteoma
Authors: Al-Shahwani Zaid W.
Published: December 2020

Background: Osteoid osteomaa benign tumor is unusual before the age of 5 or after age 30 and is more prevalent in men. The main symptom is pain, which is typically severe and responsible for nocturnal awakenings. The conditons usually diagnosed through radiological imagine and confirmed by Histopathology.Objectives: To assess the effectiveness and the complications that had been risen during the surgical procedure of osteoid osteoma using en bloc resection.Methods: (10) Patients diagnosed with osteoid osteomawere treated with enbloc surgical reseaction were included in this study.the study took place at Al Yarmouk teaching hospital.the from April 2017-october 2018 and included 10 patients..(7) male, (3) females.The mean age of the sample was 18±4 years. descriptive and inferential statistical sanalysis was fulfill the study objectives..Results: There was significant decrease in their median pain scores after 8 weeks of treatment (t test , P <0 .05).Total pain resolution and cessation of analgesics were achieved in 9 of 10 patients after 8 weeks post-operatively. P value was set at 0.05 or less.SPSS software version 20 was used for data entry and statistical calculationsConclusions: En bloc resection of osteoidosteoma is very safe and effective procedure with a very low complications rates.
Spectrum of central nervous system infections in neurosciences hospital in two years : a retrospective study
Authors: Jawad Aiyar Shakir
Published: December 2020

Background :Infectious disorders in general have high morbidity and mortality.. CNS infections include many disorders like bacterial meningitis, tuberculous and other subacute and chronic meningitis, viral meningitis, cerebral abscess, spinal cord infections, and others.Objective: To assess our locality about prevalence of CNS infections , to have more awareness regarding CNS infections, and to try to find the proper way to reduce their prevalence and to treat them in appropriate way.Method :We revised the records of all the cases of CNS infections excluding cases of spinal cord infections who were admitted in the wards of neuroscience hospital over the previous two years ( from July/2010 to June 2012 ),those were 132 cases.Seasonal incidenceand other clinical aspects and other parameters like age , sex, , fever are extracted and recordedResults: The most common CNS infections in sequence from the most to the least were bacterial meningitis, viral encephalitis, tuberculous meningitis, viral meningitis, and cerebral abscess.The most common age group which is affected by CNS infections was below 10 years.Males are affected more than females taking in consideration all types of infection.P values were statistically significant for age, fever, signs of meningeal irritation, focal neurological deficit, and seizures.Conclusion : The total rate of admission of CNS infections in our series was lower than other study.The most frequent type of CNS infections was bacterial meningitis which is the same as most of the studies.Males are affected more than females in our study in all types of CNS infections, this was approximate to other studies except for tuberculous meningitis.Bacterial meningitis and viral encephalitis were more common in preschool children in our study.Fever rate in bacterial and tuberculous meningitis was different from other studies.Seizure rate in bacterial meningitis and viral encephalitis was approximate to other results.Rate of focal deficit in viral encephalitis and tuberculous meningitis was different from other studies.Rate of CSF protein elevation in all CNS infections was approximate to other studies.Rate of hypoglycorrhachia was different from other studies only in tuberculous meningitis.CSF pleocytosis was approximate to other studies in all types of CNS infections.The two most common types of CNS infections , bacterial meningitis and viral encephalitis, are more common in preschool age groups.
STUDY OF TINEA PEDIS IN DIABETIC VERSUS NON-DIABETIC PATIENTS
Authors: Al-Ani Yasir Mansour Mohamed
Published: December 2020

Background : The aim of this work is to study the clinical features and causative fungi of tinea pedis in diabetic and non-diabetic patients. Result : Tinea pedis was estimated to be the second most common skin disease in the United States, after acne. Up to 15% of the U.S., population may have tinea pedis. Across Europe and East Asia, prevalence rates reach 20 %. Methods: The Complete history taking regarding: age, sex, occupation, residency, history of diabetes and diabetic profile (fasting blood sugar and post prandial).and Clinical examination of the feet Aim of the study : The aim of this work was to study the clinical features and causative fungi of tinea pedis in diabetic and non-diabetic patients Conclusion : Tinea pedis is more frequent in tropical climates and may be associated with use of occlusive footwear. Males are more often affected than females. It is mostly affecting the web space between the fourth and fifth toes. Children do not often develop tinea pedis. Patients with atopic dermatitis or immuno suppressive disorders may be predisposed to developing tinea pedis