bluuebunny/crossref_metadata_2025_split huggingface dataset:
Cryotherpy treatment of haemorrhoids
Authors: R.AL-Ammar Nahidh 
Published: January 2024

A prospective study of one hundred and thirty two patient with first. Second and third degree haemorrheids (prolapsed haemorhoid were excluded from the study) were treated by cryotherapy in Al-Dewaniya military hospital. For the period from March1996-through March 2003. Analysis was done for all relevant data such as degree haemorrhiod. Freezing time. Pre and postoperative symptoms and any complications. Good results were obtained in 109 patients out of 132. 6 patients developed anal fissure and treated by anal dilatation. 2 patients developed anal stenos is. Recurrence occurred in 15 patient and treated by formal haemorrhiodectomy. The method has the following advantages: Simple. Easy to perform. Painless. Done at the out patient department and cost effective. To minimize complications such as pain and haemorrhge. The iceball should be limited to the mucosal part of the haemorrhiod. The method will produce good results and low recurrence rate when careful selection of the patients is done. The ideal patient is the one with second and third degree haemrrhiod without any external or skin component.
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Authors: Ø¬Ø¯ÙŠ Ø¹Ø¨Ø¯ Ø§Ù„Ù„Ù‡ Ø±Ø§Ø´Ø¯ 
Published: January 2024

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Assessment of Smart Check Recombinant Test in Diagnosis of Pulmonary Tuberculosis In Al-Najaf Al-Ashraf Governorate
Authors: Yassin Abdullah Abdul Razzak 
Published: January 2024

This cross sectional study was undertaken to evaluate the Smart Check Recombinant TB test which is a rapid membrane based screening test to detect the presence of antibodies to active M. tuberculosis (Serological test, which is used for the first time in Al - Najaf Al-Ashraf governorate) in screening for pulmonary tuberculosis as a rapid diagnostic test of pulmonary tuberculosis, in comparison with sputum smear microscopy depending on the (findings and clinical judgment). Patients involved were those who attend at Respiratory Chest Diseases Center in ALâ€“ Najaf ALAshraf Governorate. Fifty suspected patients, within the age groups 12 - 70 years old who were referred from primary health care centers, hospitals, and private clinics, between1/5/2006to31/6/2006. From 50 cases 7 (14 %) were diagnosed as pulmonary tuberculosis by Smart Check test and 43 (86%) all patients were negative, by direct sputum smear microscopy . Chi-square had been applied to test, the level of significance when alpha < 0.05 and indicated there was high significant association.
Bacteroides spp. isolation from pus or peritoneal fluid in patients with perforated peptic ulcer
Authors: Abd ALwahed Issra 
Published: January 2024

From October 2001 till November 2007,two hundred eighty eight patients with perforated peptic ulcer including duodenal and gastric ulcer attending Baghdad teaching hospital and Al- Diwanyia teaching hospital were subjected for surgery and samples from free peritoneal fluid to obtain specimens for determining the rate of peritoneal colonization by bacteroides spp.and the risk factors which may increase this rate by direct questionnaire to obtain preliminary guides for methods of prophylaxis against subsequent possible wound infection and systemic sepsis .Specimens was obtained using sterile syringe aspirating about 2-5 ml of pus or fluid which is air free Diagnostic confirmatory tests for Bacteroides spp. identification has been made by anaerobic culture utilizing selective complex medium like brain heart agar containing amikacin which inhibit growth of facultative anaerobes. Culture were incubated at 35- 37c in an anaerobic atmosphere containing CO2. Results showed that 48.6% of the studied patients were found to be Bacteroides culture positive . Some risk factors have been evaluated which may or not contribute to increasing the rate of Bacteroides spp. Colonization, among these ,time from onset of perforation till the time of surgery or sampling which was found to be a significant risk factor if the patient underwent surgery after 12hr from onset of perforation 72.5% . Age was individually evaluated , it has appeared that increasing age is a risk factor and become significant after 50 years of age with 83.7% of patients in this age group was colonized with Bacteroides spp. The associated other medical illness , steroids consumption and immune suppression were also evaluated in which only steroids found to be a significant risk factor with a rate approaching 80.4%. Other risk factors which has been evaluated is the preoperative use of H2 blockers or proton pump inhibitors , which found to significantly increase the rate of bacteroides isolation( 80%.).
The Effect of Obesity on Blood Pressure
Authors: H. Ali Al-Naily Farhan 
Published: January 2024

The aim of this study to quantify the effect of obesity on blood pressure. We study 80 persons (clinically normal), divided in two groups according to the age, the first group under 40 years which is subdivided into two groups, group A 20 persons with normal weight and group C also 20 persons with over weight and the second group, above 40 years also subdivided into two groups, group B 20 persons with a normal weight and group D 20 persons, with over weight and we have found the effect of obesity on, systolic, diastolic, and mean blood pressure on the first group and on the second group.And the results indicate that the effect of obesity on the age group over 40 years more than the effect of obesity on the age group, below the 40 years. So the effect of obesity on SBP, DBP and MBP is increase with the increasing of the age.
Misoprostol for termination of first trimester missed abortion.
Authors: Assim AL- Azzawy Maha 
Published: January 2024

Background: misoprostol is prostaglandin E1 analogue that can be given by oral, sublingual, vaginal or rectal route. It is cheap and can be stored at room temperature and because of its utero-tonic action, it become an important drug in obstetric and gynecological practice.Objectives: to evaluate the effectiveness of intravaginal followed by oral misoprostol tablets for medical termination of missed abortionbetween 8 â€“ 13 weeks.
Methods : a prospective study of (60) women with diagnosed missed abortion admitted to AL- Zahraa General hospital â€“ Wassit Governorate Iraq from July 2006 through July 2007 . 800 micrograms (4 tablets) of misoprostol inserted in the posterior fornix of the vagina after moisture with normal saline followed by oral 400 micrograms (2 tablets) 6 hours later. Another 400 micrograms were given orally 6 hours from the last dose for those patients whodid not respond to theprevious two doses.Results: (48) patients (80%) had complete expulsion . (21) Patients (35%) after the vaginal dose. (15) Patients (25%) respond after the first oral dose and (12) patients (20%) after the second oral dose. (6) Patients (10%) had incomplete abortion; the remainder (6) patients (10%) failed to respond within 24 hours of starting treatment and require surgical evacuation. The mean time for expulsion was 10 hours.Conclusion: first trimester missed abortion medical termination by misoprostol is effective, save and a practical Methods .
TAUS versus TVUS in detection early pregnancy complication
Authors: Majeed Hameed Amjaad 
Published: January 2024

Background:Using TVUS(transvaginal ultrasound ) visualization of pelvic organ is limited due to attenuation of ultrasound beam byintervening anterior abdominal wall and pelvic fat while TVUS (high frequency transducers 5-7MHz) now day regard important revolution in diagnosis of early pregnancy and their complications ,because it facilitate high resolution image of target organ uterus , adenaxa and cul de sac.Aim of study:To evaluate TVUS in detection of early pregnancy complication and compare transvaginal approach with TAUS . Patient and Methods :Sixty four patients were included in this study all of them have positive pregnancy test with signs and symptoms of early pregnancy complication .All of those patient examine by TAUS than by TVUS .with good explanation of the procedure to the patients .Results:From sixty four patients a twenty five patients has normal intrauterine pregnancy all of them are diagnosed by TVUS while only 12 diagnosed by TAUS.Five patients have blighted ova all of them are diagnosed by TVUS and only 2 diagnosed by TAUS. All of 6 patient with subchronic hematoma are diagnosed by TVUS only 4 diagnosed by TAUS . Three cases were diagnosed as ectopic pregnancy and all of them are diagnosed by TVUS only 1 diagnosed by TAUS . Two patient that diagnosed only by TVUS had intact gestational sac in the adenaxa with positive heart pulsation in fetal pole.Incomplete abortion diagnosed in 8 patient all of them diagnosed by TVUS , only 3 diagnosed by TAUS Fourteen patients has missed abortion only 8 of them are diagnosed by TAUS .Conclusion and Recommendation:TVUS is more sensitive and more accurate in diagnoses of normal early pregnancy and in detection of early pregnancy complication.Many patient refused TVUS. So good explanation of the procedure to the patient is important.
Dose the shape of epiglottis have a role in the globus pharynges?
Authors: Majeed Hameed Husam 
Published: January 2024

Back ground: globus pharyngeus is a sensation of a lump or tightness in the throat, it accounts for about 4% of otolaryngological referrals. A wide variety of explanations have been done; gastroesophageal reflux or esophageal dysmotility are the most popular organic explanations.Objective: To evaluate the incidence and the role of the curled epiglottic tip touching and indenting the tongue base in patients with globus pharyngeus.Patients and method:Two group were selected; group A (40 patients) selected according to selection criteria from a number of patients diagnosed as globus pharyngeus patients , a flexible nasopharyngoscopy was done searching for the incidence of an epiglottic tip touching and indenting the base of the tongue, for instillation of a few drops10% xylocain done and the disappearance of the globus sensation was reevaluated again. Group B (40 patients) selected randomly from patients examined for non-globus complaint, and again searching for the incidence of an epiglottic tip touching and indenting the base of the tongue where studied.
Results and Discussion: Group A:In 65% (26 patients), the epiglottis touching and indenting the tongue base, 88.5 % (23 patients) out of these 26 patients showed positive response to local anesthesia; so globus sensation temporarily disappeared. (P value < 0.01) was highly significant, and this might mean: pressure effect of curled epiglottic tipwhich had been temporarily eliminated. Group B: only 7.5% (3 patients) had an epiglottic tip touching and indenting the tongue base, while 37 patients had the epiglottis not touching the tongue base in both resting and the protrusion position . ( p- value >o.1 ) was not significant ; so this might mean that the curled epiglottic tip touching the tongue base is not a common finding in people or patients other than patients with globus pharyngeus .Conclusion: A curled epiglottic tip indenting the tongue base may be a cause of the globus sensation when there is no other pathology found.
Clomiphene citrate in the management of oligoasthenospermia
Authors: Kadhum Daher Ameer 
Published: January 2024

Background: Although clomiphene citrate (clomid) is, anti-estrogen, typically used for women with fertility problems, there have been a variety studies as to the use of clomiphene citrate in treating male subfertility.Objective: To evaluate the role of clomid in treating male with oligoasthenospermia.Methods: A prospective clinical study of 40 men with preliminary diagnosis of oligoasthenospermia according to WHO protocols in Wassit Government Iraq from July 2007 through July 2008.Clomid 50 mg oral daily dose was given for 4 months. The changes in sperm counts, the percentage of active sperms, pregnancy rate and side effects were recorded and analyzed.Results: The mean sperm count before treatment was 11millions per ml, while the mean percentages of sperm motility were 15%. After treatment the mean sperm count increased to 35 millions per ml (3 times) and the mean percentage of motile sperm to 30 % (2 times).8 patients (20%) reported their wives became pregnant.4 patients (10%) failed to respond.
Conclusions and recommendations: In patients with normogonadotrophic oligoasthenospermia, clomiphene citrate improves sperm counts and motility and probably increase pregnancy rate.This can possibly convert the choice of treatment from IVF/ICSI to less costly IUI.Also it may save some women from being treated for a problem of male infertility.However, controlled trails with larger number of patients are needed to confirm the findings of this study.
Orthostatic hypotension and dizziness among insulin dependent diabetic patients
Authors: Jabbar Dibby Hudda 
Published: January 2024

This study was carried out on 90 patient with insulin dependent for at least 10 year those attending the diabetic clinic and internal medicine consultation unit in Al-Diwamiya Teaching hospital and some popular clinic in Al-Diwaniya city and a 120 age and sex match control subject from patients relatives and medical staff. The blood pressure was measured in supine and standing position for each subject, orthostatic hypotension was defined as a decline in systolic blood pressure of 20mmHg or more one minute after standing, postural dizziness was any feeling of dizziness, light headedness, or faintness that occurred while standing. The prevalence of orthostatic hypotension and postural dizziness was higher in patient with diabetes than in control subject from the 90 diabetic patient a 27 develop orthostatic hypotension while only 16 subject develop orthostatic hypotension from the 120 non diabetic control subjects. Those patients with diabetes and had orthostatic hypotension were older and with high fasting glucose level and higher supine systolic blood pressure and lower standing systolic blood pressure than those without orthostatic hypotension. Postural dizziness among the diabetics patient were higher than its prevalence among non diabetic subject, and there was no significant difference between those who had orthostatic with postural dizziness and postural dizziness without orthostatic hypotension in both diabetic and non diabetic control subject.
The relationship between acute myocardial infarction and mood disorders
Authors: Z Alshibani Mazin , N. Hussain Karem 
Published: January 2024

Acute myocardial infarction (AMI) acts as an important risk factor for occurrence of depression, which affectS long term morbidity and mortality considering baseline health state in patients with AMI.To estimate frequency of depression among patients within first 3 weeks after occurrence of AMI and to evaluate the effect of different demographic factors, biochemical changes, type and site of M.I on its frequency. This is a cross sectional study that enrolled 116 patients with AMI who had been admitted to coronary care unite (CCU) at Al-Diwaniya Teaching Hospital during the period between 1st of July 2007-31st of October 2008. Only 80 patients were followed up the Diagnosis of depression was done according to criteria of structural clinical interview for diagnostic and statistical manual of mental disorder-4- revision (SCID-DSM-4-R).This study revealed that 22.5% of patients had post-AMI depression. The females constitute 88.89% of depressed group, â‰¥ 65year old age were 44.44%, patients with hypertension and hyperlipidemia were 66.67%, diabetic patients were 27.78% and patients had positive history of MI were 33.33%. Patients with ejection fraction (E.F) < 35%, renal failure or insufficiency, chronic obstructive pulmonary disease (COPD) and anterior MI were 22.22%. Patients with non ST elevation myocardial infarction (NSTEMI), peak creatine phosphokinase (CPK) â‰¥500 u/l and current smoker constitute 66.67%, 55.56% and 16.67% respectively. This study proves that depression after AMI was more common in females and less common in diabetic patients, current smokers and patients with COPD.
The Effects Of Metformin And Pioglitazone Versus Their Low Dose Combination On Progression Of Atherosclerosis.
Authors: I. Mohammad Bassim , M. Jawad Haidar 
Published: January 2024

Background: Atherosclerotic diseases remain the leading cause of death in men and women world wide. In addition to lipid lowering, reduction of atherosclerotic disease will require further pharmacological approaches capable of modifying the disease. Materials and methods: 35 rabbits were used in this study. Atherosclerosis was carried out by feeding the rabbits an atherogenic diet (AD). The rabbits were randomly assigned into five groups, 7 rabbits each. Group 1 (normal control) received standard chow diet. In addition to AD, the rabbits in group 2 (atherogenic control), group 3 (Met), group 4 (Pio) and group 5 (Met+Pio) received no treatment, metformin, pioglitazone and combination of low doses of metformin and pioglitazone respectively for 10 weeks. At the end of 10th week, all rabbits were sacrificed; serum lipids, MDA, GSH, hsCRP, plasma fibrinogen and aortic histological examination were determined. Results: Metformin and pioglitazone resulted in significant decrease (p<0.01) in AI. Further they caused significant (p<0.01) reduction in serum MDA, hsCRP and plasma fibrinogen. Serum GSH level was significantly (p<0.05) elevated by metformin. Combination treatment decreased AI, serum MDA, plasma fibrinogen and hsCRP, increased GSH and possessed more favorable histological findings better than either drug alone.Conclusion: low doses combination of Met+Pio has more favorable atheroprotective effect than either drug alone possibly due to the combined anti-inflammatory and antioxidant effects.
Determination The Levels Of C-Reactive Protein In Rheumatoid Arthritis Patients In Babylon Province/Iraq.
Authors: A.Ekheiwsh Al-khafaji Zaitoon 
Published: January 2024

Immunological and Inflammatory reaction play a pivotal role in the initiation and perpetuation of rheumatoid arthritis .The present study is an attempt to measures the level of the rheumatoid factor antibody and to estimate the level of c-reactive protein in blood as a marker for inflammation in patients with rheumatoid arthritis in Babylon government . A total of (89) cases presenting rheumatoid arthritis with age range (9-68)years old of both sex and (25)person healthy controls were included in this study . Serum RF was detected using(Humatex RF kit) and c - reactive protein was detectedusing(Humatex CRP kit) which is a rapid agglutination test .CRP test was found to be positive in 84/89 cases of RA .
Psychoneurotic Profiles Of Thalassemia.
Authors: Al-Hamzawi Ali , Kh. Suhaim Sami 
Published: January 2024

Background:Thalassemia is chronic disabling disease which have both physical and psychological consequences. Thalassemic patients are receiving medical care that is the focus of major attention with lesser focus on the psychiatric aspect of the illness. Early diagnosis and appropriate management of psychiatric disorders among thalassemic patients may improve the outcome , prognosis and overall quality of patients life.Objectives :To determine psychoneurotic profiles in thalassemic patients and to find out rates of anxiety, phobia, obsession, somatization, depression &hysteria. Method:The sample of the study was consisted of case group and control group. Each of the two groups include 80 thalassemic patients and 80 normal people respectively. The self-rating inventory Crown Crisp Experiential Index( CCEI) has been used to study their psychoneurotic profiles.Results :The study revealed that the frequency of psychiatric morbidity was significantly high among thalassemic patients.The rate of psychiatric symptoms was 87.5% vs.21.25% among thalassemic free people.The rate of somatization(92.5%), phobia(88.8%), anxiety(85%), obsession(83.8), hysteria(81.3%) and depression(76.3).The most common psychiatric symptom was dizziness and shortness of breath and the least common one was feeling loss of sympathy with others.Conclusions :The psychiatric morbidity of thalassemic patients is remarkable and suggest that all patients with thalassemia should undergo psychiatric assessment and Psychosocial aspects need to be addressed in the overall treatment of children with thalassemia.
Detection Of Secondary Infection In Cutaneous Leishmaniasis.
Authors: AL-Hucheimi Sundus , Ch.Abass Ebtihal , M. Abdul-sada Karrar 
Published: January 2024

In order to study the prevalence of secondary infection in cutaneous Leishmaniasis and its relationship to the healing process , 76 Leishmaniotic patients were evaluated by three methods . The percentage of positive cases by injection with normal saline, part of skin biopsy and blood drops from lesion was 39 (68.4 %), 48 (84.2%) and 37 (65%) respectively while the percentage of nagative cases was 18 (31.6%), 9 (15.8%) and 20 (36%) respectevely . Secondary infection only were present in 57 (75%) patients, secondary bacterial infection were found in 52/ 57 (91%) patients , Secondary Fungal infection was found in 5/57 (9%) patients , gram positive bacteria only were present in 48/52 (92%) , gram negetive bacteria were present in 4 /52 (8%) patients. The secondary infection gram positive bacteria which appear Staphylococcus aureus 45/48 (93.7%) ,Streptococcus pyogenes 2/48 (4.2%) ,Staphylococcus epidermidis 1/48 (2.1%) , While gram negative bacteria appear Escherichia coli 2/4 (50%) ,Pseudomonas aeruginosa 1/4 (25%), klebsiella spp. 1/4 (25%) .