bluuebunny/crossref_metadata_2025_split huggingface dataset:
Modification of Combined Vibrated Power Assisted Liposuction with Periareolar Gland Excision in management of Gynecomastia
Authors: Qradaghi Kurdo Akram 
Published: December 2020

Background: The recognized procedures that have been used to treat gynecomastia are said to have relatively a long operative time, less patient satisfaction rate, they are merely used, in mild to moderate gynecomastia, leaves a mild bulging over the nipple areola complex, resulting in aesthetically unsatisfactory results. The more the grade of gynecomastia, the more complicated the used surgical techniques. This study evaluates the success rate of these simplest surgical technique in higher grades of gynecomastia.
Objectives: to present the experiences with use of Modification of Combined Vibrated Power Assisted Liposuction with Periareolar Gland Excision in management of in different type Gynecomastia
Type of the study: This is a retrospective study
Methods: The study includes the use of a modification of combine vibrated power-assisted liposuction with periareolar gland excision applied for managing different types of gynecomastia. In 23 consecutive patients (46 breasts) treated between February of 2011 and March of 2016.
Results: 23 patients (46 breasts) were successfully treated using this technique. Volume aspirated in both breast was 792 ml (range, 450 to 1600 ml). Using the periareolar excision technique, the mean operative time was 55 minutes (range, 45 to 90 minute). Complications were minimal (1.5 % per breasts), and no revisions were required.
Conclusions: The modified Combined vibrated power assisted liposuction and the periareolartechnique have demonstrated to be a less time consuming versatileapproach, for the treatment of gynecomastia and consistently produces a smoothcontoured male breast, it is promising method to achieve good aesthetic results in gynecomastia surgerywhile resulting in an inconspicuous scar.
Life style modification in the management of hypertension in a sample of hypertensive patients attending Primary Health Care centers at Baghdad city
Authors: Thabit Maral F 
Published: December 2020

Background: Modifications of life style are often critically important to adequately control excising hypertension.
Objective: :to determine the source of information regarding hypertension and lifestyle modification practices in the management of hypertension in a sample of Iraqi hypertensive patients.
Type of the study: Across-sectional study.:
Methods: The study was conducted over a period of two months during November and December 2015 at Primary Health Care center of Baghdad Al-GidedaAwaland Bab Al Mudhum primary health care centers. The sample included 219 hypertensive patients (102 females and 117males). They were subjected to a structured questionnaire consist of socio-demographic characteristics, duration of disease and source of information and different questions related to life style modification practices in the management of hypertension, also all participants were subjected to height and weight and blood pressure measurement. Data analysis by using SPSS programme vertion18.Frequeny, percentage for each question responses was calculated andpercent score was measured .
Results:The main source of information regarding lifestyle modifications was the health workers (37.8%). The included patients were in the 5th decade, mean duration of disease was 5.55±5.12year, with mean systolic/diastolic blood pressure 142.6/ 89.3mmHg, obese with mean BMI 32.14±5.19 kg/m2.The dietary and drug intakelifestyle modification practices of patients were with higherpercent score (90% , 88% and 84%) regarding decrease alcohol intake ,intake of healthy oils,stop smoking and intake of fresh fruits and vegetablesrespectively while the lower percent score56% for intake of folic acid .
Conclusions: The lifestyle modification practices regarding body fitness was highest 82% for enough rest while for regular physical exercise was 68%.
Infectious Causes of Diarrhea Among Neutropenic Children
Authors: Khalil Zainab Khalid 
Published: December 2020

Background: Intestinal infections are frequently occur among children with cancer who receive chemotherapy. On the other hand, diarrhea is especially common and severe among cancer patients that develop neutropenia, either due to the disease itself or due to the intensive chemotherapy. There are many causes of diarrhea among those patients, but intestinal infections still an important etiology among them.
Objectives: to study the frequency of diarrhea among neutropenic children, with its infectious etiologies, especially the bacterial, fungal and parasitic causes.
Type of the study:Cross-sectional study.
Methods: the study was done in the Oncology Department of Nanakali Hospital for Haematological diseases and malignanciesin Erbil City, on pediatric age group. One hundred six children with cancer were followed up during the period between January – May 2017, of them only 50 patients who full fill the criteria of being (neutropenic, diarrheic, and age < 14 years), and those were regarded as the study group, compared to 20 patients who had the same criteria (diarrheic, and age < 14 years) but notneutropenic.They were investigated for the infectious causes of diarrhea especially bacterial, parasitic, and fungal agents. Data were analyzed statistically using SPSS program and Correlation test was also used. The results were regarded significant with p < 0.05.
Results: A total of 70 diarrheal episodes in 106 cancer children were detected, 50 of them were neutropenic while 20 were not. Intestinal infections were detected in 62% of the 1st group and in 45% of the 2nd one, while the causes in the remaining cases of diarrhea (38%) cannot be identified. Bacterial pathogens were the main agents that causes diarrhea followed by fungi then parasites with an infectious rates of (28%, 20%, and 14% respectively).
Conclusions: Diarrhea commonly developed among cancer children with neutropenia. Bacteria are the most incriminated pathogens followed by Candida and parasites. This study noticed the presence of other etiologies for diarrhea beside infectious causes that should be considered and investigated in the future researches and during management of diarrhea in those patients.
Peers Pressure And Families Smoking Habit Influence On Smoking Behavior among male Students attending Secondary Schools At second Al- Kurkh education Directorate /Baghdad.
Authors: Humadi Abbas Fadhal 
Published: December 2020

Background: There is a strong desire of adolescent to have a peer group and to be appreciated and also to become a member of this group which can affect one each other. There for; encourage, adapting,and imitating of friends and group consider as the main reasons behind starting of smoking among youngsters. Smoking habits in the family were found tobe acause of smoking pressure among adolescentas peer pressure. Smoking habit may be started before 18 years of age in most adult smokers.
Objectives: To study the effect of peer pressure and family smoking habiton the prevalence of smoking among secondary school students.
Type of the study: A cross sectional study .
Methods: the study done with cluster sampling method; was conducted between 1st of March to 30th of May 2016. By clustering schools and randomly 7 schools were selected;3secondary schools, 3 intermediate schools and 1 professional secondary school these schools were from second Al- Kurkh education directorate /Baghdad.A total of (1993)boy students were included. An anonymous self-completion questionnaire was used..The questionnaire was essure and family smoking habiton the smoking status of students.
Results: The results of the study showed an increasing prevalence of smoking habits among students both forcigarette23.6% -41.4%, and shisha4.1% - 38.8%by increasing the class grade, and also by existing smoking parents(cigarette30.1%,and shisha 32.7%). The prevalence of nonsmoking habit among students decreases by increase smoking family members (63.4% -3.9 %).
Conclusion: The effects of peer pressure and family smoking habit were obvious among students with statistically highly significant association. Education and awareness for anti-tobacco programs should be adopted in the curriculum of all secondary schools.
Keywords: peer pressure, family smoking habit, cigarette, shisha, secondary schools, students.
Evaluation of bactericidal and anti-biofilm activities of silver nanoparticles against multidrug-resistant Gram-negative bacilli isolated from burn wound infections
Authors: Nasser Issam Jumaa 
Published: December 2020

Background: The emergence and spread of multidrug-resistant Gram-negative bacilliin burn wound infections related to biofilm formation, which lend to challenge in treatment with conventional antibiotics andprompting to search for novel antimicrobial agents to control the infections.Silver nanoparticles (AgNPs) have wide spectrum biological properties with different mechanisms of action and less toxicity towards human cells.
Objective:The goal of this study was to evaluated the anti-bacterial and anti-biofilm activities of AgNPs alone and in combination with aminoglycoside (Amikacin) and β-lactam (Ampicillin) antibiotics against multidrug resistant Gram-negative bacilli (Pseudomonas aeruginosa, Escherichia coli, klebsiellapneumoniae) isolated from burn wound infections. Type of the study: Cross –sectional study.
Methods: 70 clinical isolates of GNBtested for susceptibility tests by disk diffusion method against 10 antibiotics. The minimum inhibitory concentrations (MICs) of AgNPs and antibiotics were carried out according to the standard broth microdilution method, while synergistic interactions were evaluated by time kill-kinetic assays. Calgary method was applied for anti-biofilm activity.
Results:Pseudomonas aeruginosa represented the majority of GNBisolated from burn wound infections 34 (48.5 %)followed by Klebsiella pneumonia 21 (30 %) and Escherichia coli 15 (21.5 %). Silver nanoparticles showed remarkable antibacterial activity against GNB that isolated from burn wound infections with the MICs between 25- 75 µg/ml. Aztreonam, amikacin and cefepime were the most effective antimicrobial drugagainst GNB isolates.Synergistic bactericidal effects were observed in two-drug combinations of AgNPswith broad-spectrum aminoglycoside (Amikacin) and β-lactam (Ampicillin) antibiotics against multidrug resistant GNB. In addition,AgNPsalone or in combination with ampicillin inhibited biofilm activity about 60 % – 75 % ofGNB,while combination of AgNPs withamikacin exhibited a powerful anti-biofilm activity and inhibition biofilm formation by 75% to 80%.
Conclusion: The results confirmed a synergistic bactericidal effects and significant enhancing of anti-biofilm activity of AgNPs in combination with antibiotics (amikacin and ampicillin) against multidrug resistant GNB isolated from burn wound infections. These data suggest that AgNPs could beapplied as nanodrug for treatment of burn wound infections
The Effectiveness of Calcaneal Drilling for Treatment of Resistance Cases of Plantar Heel Pain
Authors: Al-Edanni Mohammed SH. 
Published: December 2020

Background: Plantar heel pain is a clinical syndrome characterized by pain and tenderness beneath the heel which is typically worse in the morning and improves after the first few steps in the day. It is a common and frequently disabling clinical complaint that may be caused by a broad spectrum of osseous or soft tissue disorders.
Objective: To evaluate the effectiveness of an operation of multiple drilling of calcaneum for resistant plantar heel pain syndrome.
Methods: During the period from November 2012 to August 2016, 17 patients (17heels) were enrolled in a cohort clinical study at the orthopedic unit in AL-Sheikh Zayed and Al-Wassity Hospitals.
Result: Drilling of the calcaneum is a simple procedure achieving 70.6% cure in resistant ases with few complications provided good patient selection was done.
Conclusion: Abnormalities in the intraosseous pressure within the calcaneum are a possible cause of plantar heel pain in some patients who failed to respond to conservative treatment
Knowledge and Attitudes Regarding Health Education among Sample of Iraqi Patients Attending Primary Health Care Centers
Authors: Alkhazrajy Lujain A. 
Published: December 2020

Background: Health education was put as one of the components of primary health care elements and was recognized as a fundamental tool to the attainment of health for all
Objective: To evaluate the Knowledge, attitude regarding health education & to find out if there is any association between the gathered data and certain variables (age, gender, educational level, occupation). Methods: A Cross-sectional study done at Al Mustansyryia Primary Health Care Center from the 1st of January to 1st of May 2016. All patients attending the Primary Health Care Centers who were above 18 years of age and willing to participate in the research (303) were included in the sample, data was collected by structured questionnaire, & then introduced into Statistical Package for the Social Sciences,V.17 for statistical analysis. Chi-square test was computed for significance of difference, and P < 0.05 was considered significant
Results: The highest group of age was (18-30) years old, (51.5%) were male, (35.3%) of participants are of high school education. The participants had good knowledge about health education. There was a significant association regarding knowledge, with ages and educational levels of participants, with no association regarding the gender and occupation. There was no association regarding attitude with these variables. Most of the of participants showed positive attitudes about health education as a practice
Conclusion: The participants had good knowledge about health education, and positive attitude.
Indications of Intravitreal Injection of Bevacizumab in a sample of Iraqi patients
Authors: Hussein Zaid R. 
Published: December 2020

Background: Anti-vascular endothelial growth factors commonly used intravitreally for treatment of variable retinal disease worldwide, which help to regulate the upregulation of vascular endothelial growth factors due to ischemia or/and other retinal insult.
Objective: To review all cases of intravitreal bevacizumab given in the retinal unit of the Eye Specialty Private Hospital in Iraq from December 2015 to June 2016, pointing out the common indications.
Methods: A retrospective study including all cases of intravitreal injections of bevacizumab recorded at the Eye Specialty Private Hospital from December 2015 to June 2016 were retrieved. Age, sex, laterality, diagnosis and the indication for injection were recorded in the data sheet prepared for the study.. The indications for intravitreal injection of bevacizumab are classified into four groups: Group 1: Intravitreal injection for diabetic complications. Group 2: Intravitreal injection for retinal vein occlusion. Group 3: Intravitreal injection for choroidal neovascul-arization Group 4: Intravitreal injection for other retinal disease.
Results: A total of 306 patients underwent intravitreal injection of bevacizumab were enrolled in the study period. The most common indication was group 1 (intravitreal injection for diabetic complications [213 patients (69.6%)] followed by group 3 (choroidal neovascularization) [45 patients (14.7%)] and then group 2 (intravitreal injection for retinal vein occlusion) [42 patients (13.7%)] and lastly group 4 (intravitreal injection for other retinal disease) represent [6 patients (1.96%)].
Conclusion The most common indication for intravitreal bevacizumab was diabetic retino-pathy that need more care for early diagnosis and treatment of diabetic retinopathy and good screening programs to avoid complications.
Assessment of stromal eosinophilia in cutaneous squamous cell carcinoma
Authors: Abu deka Farah Falah Hassan 
Published: December 2020

Background: Tumor associated tissue eosinophilia (TATE) has been described in a variety of neoplasms. In regard to squamous cell carcinoma, some studies worldwide done to assess stromal eosinophilia in oral and cervical squamous cell carcinoma. The objectives of this study is to evaluate the association of stromal eosinophilic infiltration of cutaneous squamous cell carcinoma and to detect the significance of this association.
Aim of the study
The aim of our study is to establish the relationship between the degree of stromal eosinophilia and the level of invasion and the histological grade in cutaneous squamous cell carcinoma.
Methods: In this retrospective study done at the histopathology department of al Wasity teaching hospital for orthopedic and plastic surgery in Baghdad, all paraffin embedded blocks for excisional biopsies diagnosed as primary cutaneous squamous cell carcinoma from December 2015 to January 2017 were retrieved. Incisional biopsies and those with margin positive tumor cells were excluded. After a careful evaluation for histological grading and assessment of level of invasion according to an established histological criteria , the assessment of tissue eosinophils was done by three pathologist through counting eosinophils in tumor stroma in 10 high power field using a light microscope and categorized as none (0,),low (1-4),medium (5-19)and high (more than 20).
Results : of 56 cases of primary cutaneous squamous cell carcinoma 48(85.7%) cases were conventional .The mean age was 43.14 ± 1.76 .Regarding conventional squamous cell carcinoma ,of 48 cases 30(62.5) were well differentiated,16(33.3%) had clarck level III,18(37.5%) had clarck level IV and 14(29.1%) had Clark level V .There is a significant statistical relationship between histological grading of tissue eosinophilia and level of invasion with p value 0.044 and a non-significant relationship with degree of differentiation.
Conclusion :The majority of cutaneous squamous cell carcinomas were conventional well differentiated with a mean age in the fifth decade of life ,a male predominance and often had a degree of stromal eosinophilia that is strongly associated with the level of invasion .Thus more Intense tissue eosinophilia is correlated with a higher level of stromal invasion. The significance of such an association should be regarded as either a potential predictive tool for stromal invasion in small incisional biopsy or as a prognostic indicator that could be included in the pathology report for conventional squamous cell carcinoma
Effect of laparoscopic sleeve gastrectomy on blood sugar and blood pressure
Authors: Al-Basri Rida J. 
Published: December 2020

Background: Surgery is one and may be the most effective method to treat obesity. In the last decade, Laparoscopic Sleeve Gastrectomy is perceived to be less invasive, technically simple, less morbid and more popular form of bariatric surgery.
Objectives: This study aims to assess the effect of Laparoscopic Sleeve Gastrectomy on Fasting Blood Glucose Levels and Blood Pressure.
Methods: A prospective controlled study in which 50 obese patients were involved, 36 of patients have hypertension and type 2 diabetes mellitus , 7 patients have type 2 diabetes mellitus only, and 7 patients don’t have hypertension or type 2 diabetes. All patients were submitted to Laparoscopic Sleeve Gastrectomy at Al-Kindy Teaching Hospital between October 2014 and October 2016.
Results: Forty five of patients were females, while five were males . Mean age was 34 years, mean height 159 cm mean pre Laparoscopic Sleeve Gastrectomy weight was 121kg. Mean post- Laparoscopic Sleeve Gastrectomy weight was 82kg. Mean weight loss outcome at 1 year follow-up is 32.23% of total body weight. . Preoperative initial mean value of fasting blood glucose was 157.4 mg/dL and the declining occurred at 12 months after Laparoscopic Sleeve Gastrectomy was 97 mg/dL . The hypertension remission rates 1 year after Laparoscopic Sleeve Gastrectomy ranges up to 54% of total number of patients and 75% of those with Hypertension.
Conclusions: Laparoscopic Sleeve Gastrectomy has an effect in improving Fasting Blood Glucose Levels and Blood Pressure.
Diabetic Patients Knowledge and Practice Regarding Annual Visual Checking
Authors: Mukhaiseer Maha Hussein 
Published: December 2020

Background: Diabetes mellitus (DM) is a significant cause of visual impairment; many diabetics do not have regular eye examinations, although it is known that early diagnosis and reduces the risk of blindness. There were many barriers that prevent diabetics from attending eye clinics.
Objectives: To assess knowledge, and practice about ocular complications among diabetic patients and to determine barriers preventing the diabetic patients annual visual checking
Methods: A cross-sectional study involving the interview was conducted among 300 diabetic patients attending out patient in Ibn Al Haitham Teaching Ophthalmology Hospital between November 2017 and June 2018.
Results: The vast majority of patients (95%) believe that; diabetes could affect their eyes. 67% have their eyes checked up after being diagnosed with diabetes, of which only 33% they examined their eyes if vision got poor. Majority of patients believe that; controlling their blood sugar levels can help preserve their vision (84%). 72% of the total has good knowledge of DM effect on the eye. 55% of patients obtained their knowledge from the doctor and only 2% having obtained this knowledge from Television. Unfortunately only 3% of them check their vision annually 37 % they don’t know treatments available for diabetic retinopathy.
Conclusion: Diabetic patients’ knowledge of ocular manifestations and the practice of diabetic patients towards eye examination were low, thus required to improve practice towards eye care to prevent visual impairment.
Demonstration of the value of diffusion weighted MR imaging for differentiation of benign from malignant breast lesions
Authors: Al-Ani Ahlam J Kalaf 
Published: December 2020

Background: Radiologic evaluation of breast lesions is being achieved through several imaging modalities. Mammography has an established role in breast cancer screening and diagnosis. Still however, it shows some limitations particulary in dense breast.
Methods : Magnetic resonance imaging is an attractive tool for the diagnosis of breast tumors1 and the use of magnetic resonance imaging of the breast is rapidly increasing as this technique becomes more widely available.1 As an adjunct to mammography and ultrasound, MRI can be a valuable addition to the work-up of a breast abnormality. MRI has the advantages of providing a three-dimensional view of the breast, performing with high sensitivity in dense breast tissue and using non-ionizing radiation.2
Results : Recent advances in MRI have shown the potential in bridging the gap between sensitivity and specificity. Methods based on differences in physiological, cellular and biochemical characteristics of malignant, benign and normal tissues were developed to monitor changes in diffusion. Among these techniques is diffusion- weighted MRI (DWI).3
Diffusion-weighted magnetic resonance imaging detects Brownian motion of water protons, thus reflecting the biologic character of tissue. The apparent diffusion coefficient (ADC) is used to quantify the Brownian motion4-5
Conclusion :The use of DWI for breast tumors has recently been considered in clinical application, and many studies have shown lower ADC values for breast cancer compared to normal breast tissue or benign tumors 3.
Normalidade, projeção e alteridade em O filho eterno, de Cristovão Tezza e Nascer duas vezes, de Giuseppe Pontiggia
Authors: Damasceno Carolina Duarte 
Published: December 2020

Este artigo se deterá sobre o diálogo entre O filho eterno, de Cristovão Tezza, e Nascer duas vezes, de Giuseppe Pontiggia, que se aproximam por discutir os impactos da ideia de norma, de desvio de padrão e também por mapear projeções presentes nas relações. Ao longo da análise, será mostrado como os dois romances desencadeiam, a partir da representação de um relacionamento com um portador de deficiência, uma reflexão sobre os limites e alcances da alteridade.