Background: A review of many kinds of literature has suggested the theory of infections to are a risk for atherosclerosis of the coronaries, many of medical researchers reported that Helicobacter pylori pathogenesis extends beyond the gastrointestinal system to be a risk factor for inflammatory-induced atherosclerosis including that of the coronary vessels.
Objective: To detect a relationship between the seropositivity of Helicobacter pylori bacteria in the blood with the severity of coronary artery atherosclerosis.
Patients and Methods: A total of 125 patients were taken in this study including both sex male and female with different age groups all of them admitted to cardiac center hospital in Erbil City in Iraq. Patients were suspected to have coronary artery atherosclerosis based on symptoms and primary cardiac diagnostic tools, Angiography was performed to confirm or exclude coronary artery lesions by catheterization in the cath lab of the hospital. Blood samples were taken from patients including the patients’ group and control group and a C-reactive protein (CRP) test with Helicobacter pylori IgG antibody test was done for them by using an Enzyme-linked immunosorbent assay (ELIZA) apparatus. Coronary angiography Confirmed the presence of atherosclerosis and the severity of it according to the number of vessels and the degree of luminal stenosis.
Results: The results show that the most of patients with atherosclerosis (83.5%) a high level of C-reactive protein. Also, a positive significant correlation was detected between the Helicobacter pylori concentration and the number of narrowed vessels based on the results of this study Helicobacter pylori.
Conclusion: According to the results Helicobacter pylori has a significant risk predictor for the severity of coronary atherosclerosis. However, evidence on this fact is not sufficient which further studies are needed.
{"title":"Helicobacter pylori Seropositivity and the Severity of Coronary Artery Atherosclerosis","authors":"Salah Hassan Yousif","doi":"10.26505/djm.v25i1.1018","DOIUrl":"https://doi.org/10.26505/djm.v25i1.1018","url":null,"abstract":"Background: A review of many kinds of literature has suggested the theory of infections to are a risk for atherosclerosis of the coronaries, many of medical researchers reported that Helicobacter pylori pathogenesis extends beyond the gastrointestinal system to be a risk factor for inflammatory-induced atherosclerosis including that of the coronary vessels.
 Objective: To detect a relationship between the seropositivity of Helicobacter pylori bacteria in the blood with the severity of coronary artery atherosclerosis.
 Patients and Methods: A total of 125 patients were taken in this study including both sex male and female with different age groups all of them admitted to cardiac center hospital in Erbil City in Iraq. Patients were suspected to have coronary artery atherosclerosis based on symptoms and primary cardiac diagnostic tools, Angiography was performed to confirm or exclude coronary artery lesions by catheterization in the cath lab of the hospital. Blood samples were taken from patients including the patients’ group and control group and a C-reactive protein (CRP) test with Helicobacter pylori IgG antibody test was done for them by using an Enzyme-linked immunosorbent assay (ELIZA) apparatus. Coronary angiography Confirmed the presence of atherosclerosis and the severity of it according to the number of vessels and the degree of luminal stenosis.
 Results: The results show that the most of patients with atherosclerosis (83.5%) a high level of C-reactive protein. Also, a positive significant correlation was detected between the Helicobacter pylori concentration and the number of narrowed vessels based on the results of this study Helicobacter pylori.
 Conclusion: According to the results Helicobacter pylori has a significant risk predictor for the severity of coronary atherosclerosis. However, evidence on this fact is not sufficient which further studies are needed.","PeriodicalId":11202,"journal":{"name":"Diyala Journal of Medicine","volume":"132 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135870542","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Surgical obesity treatment is difficult for both surgeons and patients. The three main categories of bariatric surgery procedures are malabsorptive, restrictive, or both in combination. Intragastric balloon (IB) is an easily applicable restrictive interventional and nonsurgical strategy for obese patients, and the surgical procedure known as laparoscopic sleeve gastrectomy (LSG) is frequently used to help obese patients decrease weight.
Objective: To assess and compare these two restrictive approaches.
Patients and Methods: A prospective study of 138 LSG patients was conducted, (n=82) and IB (n=56) between 1st January 2016 to 31st December 2021 in private hospitals in Erbil, Iraq. The study retrospectively evaluates patients' demographic information, changes in total body weight (TBW), changes in body mass index (BMI), and percentage of excess weight loss (%EWL), morbidities and change of comorbidities during a year of follow-up, at months 1, 3, 6, and 12 after surgery. Comparative analysis was undertaken for the follow-up results after 6 and 12 months.
Results: In the IB group, 12 patients did not tolerate insertion, leaving 56; in the LSG group, 82 patients completed treatment. In terms of age (p=0.121), gender (p=0.242), and BMI (p=0.078), there were no statistical differences between the IB and LSG groups. The LSG group achieved statistically significant superior treatment outcomes in terms of changes in TBW, BMI, and %EWL.
Conclusion: Both LSG and IB are beneficial in the short term for helping obese patients lose weight. IB has the benefit of being performed as an outpatient procedure with less complications, but it is less successful in helping people lose weight than LSG. The best options for various patient groups in terms of clinical outcomes and health system effectiveness must be determined through prospective, randomized control studies.
{"title":"Sleeve gastrectomy versus endoscopic intragastric balloon in decreasing weight and associated comorbidities in Erbil city: A comparative study","authors":"Baderkhan Saeed Ahmed","doi":"10.26505/djm.v25i1.1015","DOIUrl":"https://doi.org/10.26505/djm.v25i1.1015","url":null,"abstract":"Background: Surgical obesity treatment is difficult for both surgeons and patients. The three main categories of bariatric surgery procedures are malabsorptive, restrictive, or both in combination. Intragastric balloon (IB) is an easily applicable restrictive interventional and nonsurgical strategy for obese patients, and the surgical procedure known as laparoscopic sleeve gastrectomy (LSG) is frequently used to help obese patients decrease weight.
 Objective: To assess and compare these two restrictive approaches.
 Patients and Methods: A prospective study of 138 LSG patients was conducted, (n=82) and IB (n=56) between 1st January 2016 to 31st December 2021 in private hospitals in Erbil, Iraq. The study retrospectively evaluates patients' demographic information, changes in total body weight (TBW), changes in body mass index (BMI), and percentage of excess weight loss (%EWL), morbidities and change of comorbidities during a year of follow-up, at months 1, 3, 6, and 12 after surgery. Comparative analysis was undertaken for the follow-up results after 6 and 12 months.
 Results: In the IB group, 12 patients did not tolerate insertion, leaving 56; in the LSG group, 82 patients completed treatment. In terms of age (p=0.121), gender (p=0.242), and BMI (p=0.078), there were no statistical differences between the IB and LSG groups. The LSG group achieved statistically significant superior treatment outcomes in terms of changes in TBW, BMI, and %EWL.
 Conclusion: Both LSG and IB are beneficial in the short term for helping obese patients lose weight. IB has the benefit of being performed as an outpatient procedure with less complications, but it is less successful in helping people lose weight than LSG. The best options for various patient groups in terms of clinical outcomes and health system effectiveness must be determined through prospective, randomized control studies.
","PeriodicalId":11202,"journal":{"name":"Diyala Journal of Medicine","volume":"7 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135871817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Teratomas are composed of multiple tissues foreign to the organ or site from which they arise. Although teratomas are sometimes defined as having three embryonic layers (endoderm, mesoderm, and ectoderm), and are generally divided into gonadal and extragonadal types. The most common extragonadal type being sacrococcygeal teratomas which constitute the most prevalent childhood germ-cell cancers.
Objective: To assess postoperative bowel and urinary dysfunction in babies with sacrococcygeal teratomas
Patients and Methods: 23 patients having sacrococcygeal teratomas were received at the time between May 2014 to September 2022 at the department of pediatric surgery in Raparen Teaching Hospital in Erbil city.All recorded data from case note, operation notes together with demographic data and operative details obtained and recorded . The follow-up time span was between three months to seven years.
Results: The age range was from 1 day to 4year, (median 3 days) , Presenting features include posterior sacral mass in 17 cases (73.9%), pelviabdominal mass in 5 cases (21.7%), urinary retention in 4 cases (17.4%), palpable rectal mass in 2 cases 98.7%), intestinal obstruction in 1 case (4.3%), and constipation in 4 cases (17.4%). Eight cases (34.8%) were type I, 6 cases (26.1%) type II and III, and 3 cases (13%) were type IV. postoperative complications were wound infection in 4 patients (17.4%), constipation in 5 cases (21.7%), 1 (4.3%) ugly scar arranged for aesthetic operation, fistula 1(4.3%) case, recurrence in 1(4.3%).
Conclusion: Patients with sacrococcygeal teratoma were more likely to experience uncontrolled urination, difficulties emptying the bladder, pyelonephritis, and constipation than healthy children. Children with big and immature teratomas had a higher prevalence of dysfunctional outcomes.
{"title":"Postoperative Bowel and Urinary Dysfunction of Sacrococcygeal Teratoma","authors":"Salar Sabah Perdawd","doi":"10.26505/djm.v25i1.1024","DOIUrl":"https://doi.org/10.26505/djm.v25i1.1024","url":null,"abstract":"Background: Teratomas are composed of multiple tissues foreign to the organ or site from which they arise. Although teratomas are sometimes defined as having three embryonic layers (endoderm, mesoderm, and ectoderm), and are generally divided into gonadal and extragonadal types. The most common extragonadal type being sacrococcygeal teratomas which constitute the most prevalent childhood germ-cell cancers.
 Objective: To assess postoperative bowel and urinary dysfunction in babies with sacrococcygeal teratomas
 Patients and Methods: 23 patients having sacrococcygeal teratomas were received at the time between May 2014 to September 2022 at the department of pediatric surgery in Raparen Teaching Hospital in Erbil city.All recorded data from case note, operation notes together with demographic data and operative details obtained and recorded . The follow-up time span was between three months to seven years.
 Results: The age range was from 1 day to 4year, (median 3 days) , Presenting features include posterior sacral mass in 17 cases (73.9%), pelviabdominal mass in 5 cases (21.7%), urinary retention in 4 cases (17.4%), palpable rectal mass in 2 cases 98.7%), intestinal obstruction in 1 case (4.3%), and constipation in 4 cases (17.4%). Eight cases (34.8%) were type I, 6 cases (26.1%) type II and III, and 3 cases (13%) were type IV. postoperative complications were wound infection in 4 patients (17.4%), constipation in 5 cases (21.7%), 1 (4.3%) ugly scar arranged for aesthetic operation, fistula 1(4.3%) case, recurrence in 1(4.3%).
 Conclusion: Patients with sacrococcygeal teratoma were more likely to experience uncontrolled urination, difficulties emptying the bladder, pyelonephritis, and constipation than healthy children. Children with big and immature teratomas had a higher prevalence of dysfunctional outcomes.","PeriodicalId":11202,"journal":{"name":"Diyala Journal of Medicine","volume":"174 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135871958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Although hematospermia is not common but considered an alarming symptom for patient and doctor. The cause of this worry is that it has been described as a dangerous symptom of prostate cancer by the patients and the health workers.
Objective: To classify the causes and outcome of hematospermia.
Patients and Methods: : This is a prospective study of patients newly diagnosed with hematospermia-diagnosed and treated in private clinic and hospital over a period of 4 years (2018-2022). Data collection and recording done related to demographic, symptomatology, clinical finding, investigations, treatment given and the outcome during 6 months of follow up.
Results: One hundred and six patients with hematospermia were seen in the private clinic and hospital. The mean age was 40 years (25-70). Thirty-six (33.9%) patients were diagnosed as prostatitis clinically or by positive seminal fluid culture. Only (4) patients had prostate carcinoma with only one new case and the other three were known cases of prostate cancer already on treatment. With (4) cases had thrombocytopenia and (2) cases with sickle cell anemia and (1) case each prostate cyst and severe hypertension and vesical stone. (2) cases on anticoagulant therapy. And another (2) cases with history of epididymal surgery. There was no identifiable cause in the remaining 53 patients (50%).
Conclusion: the majority of patients presented with hematospermia were below 50 years and have benign etiology and most of them were self-limited and less than 1% of cases revealed new prostate cancer. So, we can confidently reassure a patient presented with hematospermia due to benign nature of the disease in the majority of patients, especially in young patients.
{"title":"Etiology and outcome of hematospermia :A prospective study","authors":"Measar Karim Hadaia","doi":"10.26505/djm.v25i1.1019","DOIUrl":"https://doi.org/10.26505/djm.v25i1.1019","url":null,"abstract":"Background: Although hematospermia is not common but considered an alarming symptom for patient and doctor. The cause of this worry is that it has been described as a dangerous symptom of prostate cancer by the patients and the health workers.
 Objective: To classify the causes and outcome of hematospermia.
 Patients and Methods: : This is a prospective study of patients newly diagnosed with hematospermia-diagnosed and treated in private clinic and hospital over a period of 4 years (2018-2022). Data collection and recording done related to demographic, symptomatology, clinical finding, investigations, treatment given and the outcome during 6 months of follow up.
 Results: One hundred and six patients with hematospermia were seen in the private clinic and hospital. The mean age was 40 years (25-70). Thirty-six (33.9%) patients were diagnosed as prostatitis clinically or by positive seminal fluid culture. Only (4) patients had prostate carcinoma with only one new case and the other three were known cases of prostate cancer already on treatment. With (4) cases had thrombocytopenia and (2) cases with sickle cell anemia and (1) case each prostate cyst and severe hypertension and vesical stone. (2) cases on anticoagulant therapy. And another (2) cases with history of epididymal surgery. There was no identifiable cause in the remaining 53 patients (50%).
 Conclusion: the majority of patients presented with hematospermia were below 50 years and have benign etiology and most of them were self-limited and less than 1% of cases revealed new prostate cancer. So, we can confidently reassure a patient presented with hematospermia due to benign nature of the disease in the majority of patients, especially in young patients.","PeriodicalId":11202,"journal":{"name":"Diyala Journal of Medicine","volume":"57 10 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135872503","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Ectoparasites are predominant parasitic infections among children. Head lice (Pediculus humanus capitis) are transmitted parasites, mainly among school-aged children. Although, head lice are not a chief health hazardor or a vector for disease, they are a public social problem. The transmitted infections by a parasitic bite, may reach the blood which causes health problems for children and affects their health.
Objective: To investigate the effects of infection with head lice on Immunoglobulin E (IgE), vitamin D3, Zinc, and blood parameters.
Patients and Methods: Samples including skin swapping and blood samples were collected from 300 children who were examined at AL-Batool Maternity Teaching Hospital (AL-BMTH) and some medical centers. Skin scraping and swapping were examined microscopically for detection of the parasite. Blood samples were analyzed for immunological and blood parameter estimation, during the period from 1st October 2021 to the end of May 2022. Samples were sent to the parasitology and hematology laboratories in AL-BMTH to identify the parasitic infections and their effects.
Results: The samples include 180 females and 120 males, 90 samples of the 300 were epidemic with lice infection, 48.9% of them were at age 1-5 years, 35.6% were at age 6-10 and 15.6 % were at age 11-15, 91% of the infected children were females, while only 9 % of the infected children were males. The blood analysis indicated that the levels of vitamin D and the mineral Zinc, were lower in children infected with head lice compared to the control, while IgE was higher. RBC and Hb showed a lower level in infected children than in control, whereas WBC was at a high ratio in most patients.
Conclusion: Parasites cause many diseases in children in particular. They spread in rural and crowded places and affect the activity and vitality of children.
{"title":"The effect of the ectoparasite (Pediculus humanus capitis) on immunological and blood parameters in children of different ages in Baquba city","authors":"Hasnaa Khalid Awaad ,, Sanaa Nagem Abed Alhadidi,, Talib Jawad Kadhim","doi":"10.26505/djm.v25i1.1017","DOIUrl":"https://doi.org/10.26505/djm.v25i1.1017","url":null,"abstract":"Background: Ectoparasites are predominant parasitic infections among children. Head lice (Pediculus humanus capitis) are transmitted parasites, mainly among school-aged children. Although, head lice are not a chief health hazardor or a vector for disease, they are a public social problem. The transmitted infections by a parasitic bite, may reach the blood which causes health problems for children and affects their health.
 Objective: To investigate the effects of infection with head lice on Immunoglobulin E (IgE), vitamin D3, Zinc, and blood parameters.
 Patients and Methods: Samples including skin swapping and blood samples were collected from 300 children who were examined at AL-Batool Maternity Teaching Hospital (AL-BMTH) and some medical centers. Skin scraping and swapping were examined microscopically for detection of the parasite. Blood samples were analyzed for immunological and blood parameter estimation, during the period from 1st October 2021 to the end of May 2022. Samples were sent to the parasitology and hematology laboratories in AL-BMTH to identify the parasitic infections and their effects.
 Results: The samples include 180 females and 120 males, 90 samples of the 300 were epidemic with lice infection, 48.9% of them were at age 1-5 years, 35.6% were at age 6-10 and 15.6 % were at age 11-15, 91% of the infected children were females, while only 9 % of the infected children were males. The blood analysis indicated that the levels of vitamin D and the mineral Zinc, were lower in children infected with head lice compared to the control, while IgE was higher. RBC and Hb showed a lower level in infected children than in control, whereas WBC was at a high ratio in most patients.
 Conclusion: Parasites cause many diseases in children in particular. They spread in rural and crowded places and affect the activity and vitality of children.","PeriodicalId":11202,"journal":{"name":"Diyala Journal of Medicine","volume":"3 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135872523","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Aziz Salih Abdul-Zahra,, Sajid Hameed Abd Al-Helfy ,, Bashar Abass Abdulhassan
Background: Thyroidectomy is a common procedure performed by the general surgeons. Stridor is an airway sign caused by a variety of post-thyroidectomy complications.
Objective: To determine the incidence of post-thyroidectomy stridor and the risk factors associated with its occurrence.
Patients and Methods: The study included 280 adult patients who had total or partial thyroidectomy performed by various surgeons. Patients were followed up for 6 months after they were discharged from the hospital. Data collected included demographic information, type of thyroid disease, duration of illness before surgery, type of surgery, number of intubation attempts, and the presence of hoarseness and hematoma post-operatively.
Results: Only eighteen patients (6.43%) who underwent thyroidectomy developed stridor during the follow-up period. They were compared to 25 other patients who were chosen from the original sample based regular visit of patients during the follow up. Higher body mass index (BMI), bilateral thyroidectomy, presence of concomitant hoarseness and hematoma, and more than one attempt at intubation were all associated with an increased risk of post-thyroidectomy stridor.
Conclusion: Stridor affects only a small percentage of patients undergoing thyroidectomy. Increased BMI, bilateral thyroidectomy, presence of concomitant hoarseness and hematoma, and frequent tracheal intubation are the most common risk factors for post-thyroidectomy stridor.
{"title":"Incidence and Risk Factors of Post-Thyroidectomy Stridor","authors":"Aziz Salih Abdul-Zahra,, Sajid Hameed Abd Al-Helfy ,, Bashar Abass Abdulhassan","doi":"10.26505/djm.v25i1.1023","DOIUrl":"https://doi.org/10.26505/djm.v25i1.1023","url":null,"abstract":"Background: Thyroidectomy is a common procedure performed by the general surgeons. Stridor is an airway sign caused by a variety of post-thyroidectomy complications.
 Objective: To determine the incidence of post-thyroidectomy stridor and the risk factors associated with its occurrence.
 Patients and Methods: The study included 280 adult patients who had total or partial thyroidectomy performed by various surgeons. Patients were followed up for 6 months after they were discharged from the hospital. Data collected included demographic information, type of thyroid disease, duration of illness before surgery, type of surgery, number of intubation attempts, and the presence of hoarseness and hematoma post-operatively.
 Results: Only eighteen patients (6.43%) who underwent thyroidectomy developed stridor during the follow-up period. They were compared to 25 other patients who were chosen from the original sample based regular visit of patients during the follow up. Higher body mass index (BMI), bilateral thyroidectomy, presence of concomitant hoarseness and hematoma, and more than one attempt at intubation were all associated with an increased risk of post-thyroidectomy stridor.
 Conclusion: Stridor affects only a small percentage of patients undergoing thyroidectomy. Increased BMI, bilateral thyroidectomy, presence of concomitant hoarseness and hematoma, and frequent tracheal intubation are the most common risk factors for post-thyroidectomy stridor.","PeriodicalId":11202,"journal":{"name":"Diyala Journal of Medicine","volume":"28 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135871849","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Hyperthyroidism is a medical condition in which excessive synthesis and secretion of thyroid hormones into the blood. According to multiple research, hyperthyroidism is linked to weight loss and increased metabolism.
Objective: To assess how hyperthyroidism affects oral health in relation to body mass index.
Patients and Methods: The sample was composed of 90 female patients aged 25-45 years include hyperthyroid group and healthy group, the hyperthyroid patients were diagnosed by specialist and under treatment with carbimazole.Clinical evaluation of caries was done according to World Health Organization(2013). The body mass index was measured from the patient’s weight and height, according to the formula World Health Organization(2000). Plaque Index of Silness and Löe was used to evaluate dental plaque (1964),Using the gingival index of Loe and Silness the gingival inflammation was evaluated (1963).
Results: Found the Body mass index in the hyperthyroid group was higher than the healthy group with significant difference. The most correlations between caries and body mass index in the hyperthyroid group were weak negative not significant while in the healthy group most correlations were weak positive not significant, the correlations of Gingival index and body mass index were weak positive not significant in both groups.The plaque index had weak negative in hyperthyroid while in control positive correlation and all correlation were not significant.
Conclusion: In the present study,the Body mass index higher among women with hyperthyroidism under treatment with carbimazole and the correlation between caries experience and body mass index was negative and not significant.
{"title":"The relation between oral health and body mass index among women with hyperthyroidism","authors":"Eman Habib kadhom ,, Nada Jafer MH. Radhi","doi":"10.26505/djm.v25i1.1022","DOIUrl":"https://doi.org/10.26505/djm.v25i1.1022","url":null,"abstract":"Background: Hyperthyroidism is a medical condition in which excessive synthesis and secretion of thyroid hormones into the blood. According to multiple research, hyperthyroidism is linked to weight loss and increased metabolism.
 Objective: To assess how hyperthyroidism affects oral health in relation to body mass index.
 Patients and Methods: The sample was composed of 90 female patients aged 25-45 years include hyperthyroid group and healthy group, the hyperthyroid patients were diagnosed by specialist and under treatment with carbimazole.Clinical evaluation of caries was done according to World Health Organization(2013). The body mass index was measured from the patient’s weight and height, according to the formula World Health Organization(2000). Plaque Index of Silness and Löe was used to evaluate dental plaque (1964),Using the gingival index of Loe and Silness the gingival inflammation was evaluated (1963).
 Results: Found the Body mass index in the hyperthyroid group was higher than the healthy group with significant difference. The most correlations between caries and body mass index in the hyperthyroid group were weak negative not significant while in the healthy group most correlations were weak positive not significant, the correlations of Gingival index and body mass index were weak positive not significant in both groups.The plaque index had weak negative in hyperthyroid while in control positive correlation and all correlation were not significant.
 Conclusion: In the present study,the Body mass index higher among women with hyperthyroidism under treatment with carbimazole and the correlation between caries experience and body mass index was negative and not significant.","PeriodicalId":11202,"journal":{"name":"Diyala Journal of Medicine","volume":"45 ","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135871928","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Background: Urinary tract infections (UTIs) are the most popular type of diagnosed bacterial illness, and the most frequent cause of bacteria responsible for UTIs is Escherichia coli (E. coli). β-lactamases are the most frequent resistance for gram-negative bacteria to beta-lactam antibiotics, especially in E. coli. The number of patients infected by extended-spectrum β-lactamases (ESBLs) producing E. coli was rising and regarded as a significant global health problem.
Objective: evaluate how frequently blaTEM, blaSHV, and blaCTX-M genes were detected in E. coli isolated from UTIs.
Patients and Methods: We collected 54 midstream urine samples from patients with symptomatic UTIs, in all age groups, from the outpatient department in Erbil hospitals from October 1, 2021 to April 1, 2022 for the isolation of E. coli. All samples were analyzed for the detection of blaTEM, blaSHV, and blaCTX genes using the polymerase chain reaction (PCR) method.
Results: Most of the samples were taken from females (61.11%); according to their ages, they were divided into two groups, and most of the samples (74.07%) were taken from patients below 40 years old. PCR testing for all ESBL-producing E. coli isolate samples revealed that 16S rRNA 797 was the most frequently detected gene in all analyzed samples (100%), while it was less frequently detected in blaCTX 585 (48.15%).
Conclusion: Colonization with S. aureus and MRSA inversely correlated with younger This found that elevated ESBL genes in E. coli isolated from symptomatic UTIs in our community increase the risk of possible resistance.
{"title":"Molecular detection of blaTEM, blaSHV,and blaCTX-M genes among Uropathogenic Escherichia coli isolated from cases with urinary tract infection in Erbil city-Iraq","authors":"Kharman K Ahmed ,, Aumed A Hawezy","doi":"10.26505/djm.v25i1.1021","DOIUrl":"https://doi.org/10.26505/djm.v25i1.1021","url":null,"abstract":"Background: Urinary tract infections (UTIs) are the most popular type of diagnosed bacterial illness, and the most frequent cause of bacteria responsible for UTIs is Escherichia coli (E. coli). β-lactamases are the most frequent resistance for gram-negative bacteria to beta-lactam antibiotics, especially in E. coli. The number of patients infected by extended-spectrum β-lactamases (ESBLs) producing E. coli was rising and regarded as a significant global health problem.
 Objective: evaluate how frequently blaTEM, blaSHV, and blaCTX-M genes were detected in E. coli isolated from UTIs.
 Patients and Methods: We collected 54 midstream urine samples from patients with symptomatic UTIs, in all age groups, from the outpatient department in Erbil hospitals from October 1, 2021 to April 1, 2022 for the isolation of E. coli. All samples were analyzed for the detection of blaTEM, blaSHV, and blaCTX genes using the polymerase chain reaction (PCR) method.
 Results: Most of the samples were taken from females (61.11%); according to their ages, they were divided into two groups, and most of the samples (74.07%) were taken from patients below 40 years old. PCR testing for all ESBL-producing E. coli isolate samples revealed that 16S rRNA 797 was the most frequently detected gene in all analyzed samples (100%), while it was less frequently detected in blaCTX 585 (48.15%).
 Conclusion: Colonization with S. aureus and MRSA inversely correlated with younger This found that elevated ESBL genes in E. coli isolated from symptomatic UTIs in our community increase the risk of possible resistance.","PeriodicalId":11202,"journal":{"name":"Diyala Journal of Medicine","volume":"13 87","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135870230","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-30DOI: 10.26505/djm.25016500403
Baderkhan Saeed Ahmed
Background: Surgical obesity treatment is difficult for both surgeons and patients. The three main categories of bariatric surgery procedures are malabsorptive, restrictive, or both in combination. Intragastric balloon (IB) is an easily applicable restrictive interventional and nonsurgical strategy for obese patients, and the surgical procedure known as laparoscopic sleeve gastrectomy (LSG) is frequently used to help obese patients decrease weight. Objective: To assess and compare these two restrictive approaches. Patients and Methods: A prospective study of 138 LSG patients was conducted, (n=82) and IB (n=56) between 1st January 2016 to 31st December 2021 in private hospitals in Erbil, Iraq. The study retrospectively evaluates patients' demographic information, changes in total body weight (TBW), changes in body mass index (BMI), and percentage of excess weight loss (%EWL), morbidities and change of comorbidities during a year of follow-up, at months 1, 3, 6, and 12 after surgery. Comparative analysis was undertaken for the follow-up results after 6 and 12 months. Results: In the IB group, 12 patients did not tolerate insertion, leaving 56; in the LSG group, 82 patients completed treatment. In terms of age (p=0.121), gender (p=0.242), and BMI (p=0.078), there were no statistical differences between the IB and LSG groups. The LSG group achieved statistically significant superior treatment outcomes in terms of changes in TBW, BMI, and %EWL. Conclusion: Both LSG and IB are beneficial in the short term for helping obese patients lose weight. IB has the benefit of being performed as an outpatient procedure with less complications, but it is less successful in helping people lose weight than LSG. The best options for various patient groups in terms of clinical outcomes and health system effectiveness must be determined through prospective, randomized control studies.
{"title":"Sleeve gastrectomy versus endoscopic intragastric balloon in decreasing weight and associated comorbidities in Erbil city: A comparative study","authors":"Baderkhan Saeed Ahmed","doi":"10.26505/djm.25016500403","DOIUrl":"https://doi.org/10.26505/djm.25016500403","url":null,"abstract":"Background: Surgical obesity treatment is difficult for both surgeons and patients. The three main categories of bariatric surgery procedures are malabsorptive, restrictive, or both in combination. Intragastric balloon (IB) is an easily applicable restrictive interventional and nonsurgical strategy for obese patients, and the surgical procedure known as laparoscopic sleeve gastrectomy (LSG) is frequently used to help obese patients decrease weight. Objective: To assess and compare these two restrictive approaches. Patients and Methods: A prospective study of 138 LSG patients was conducted, (n=82) and IB (n=56) between 1st January 2016 to 31st December 2021 in private hospitals in Erbil, Iraq. The study retrospectively evaluates patients' demographic information, changes in total body weight (TBW), changes in body mass index (BMI), and percentage of excess weight loss (%EWL), morbidities and change of comorbidities during a year of follow-up, at months 1, 3, 6, and 12 after surgery. Comparative analysis was undertaken for the follow-up results after 6 and 12 months. Results: In the IB group, 12 patients did not tolerate insertion, leaving 56; in the LSG group, 82 patients completed treatment. In terms of age (p=0.121), gender (p=0.242), and BMI (p=0.078), there were no statistical differences between the IB and LSG groups. The LSG group achieved statistically significant superior treatment outcomes in terms of changes in TBW, BMI, and %EWL. Conclusion: Both LSG and IB are beneficial in the short term for helping obese patients lose weight. IB has the benefit of being performed as an outpatient procedure with less complications, but it is less successful in helping people lose weight than LSG. The best options for various patient groups in terms of clinical outcomes and health system effectiveness must be determined through prospective, randomized control studies.","PeriodicalId":11202,"journal":{"name":"Diyala Journal of Medicine","volume":"24 6","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136132862","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-10-30DOI: 10.26505/djm.25017101129
Salah Hassan Yousif
Background: A review of many kinds of literature has suggested the theory of infections to are a risk for atherosclerosis of the coronaries, many of medical researchers reported that Helicobacter pylori pathogenesis extends beyond the gastrointestinal system to be a risk factor for inflammatory-induced atherosclerosis including that of the coronary vessels. Objective: To detect a relationship between the seropositivity of Helicobacter pylori bacteria in the blood with the severity of coronary artery atherosclerosis. Patients and Methods: A total of 125 patients were taken in this study including both sex male and female with different age groups all of them admitted to cardiac center hospital in Erbil City in Iraq. Patients were suspected to have coronary artery atherosclerosis based on symptoms and primary cardiac diagnostic tools, Angiography was performed to confirm or exclude coronary artery lesions by catheterization in the cath lab of the hospital. Blood samples were taken from patients including the patients’ group and control group and a C-reactive protein (CRP) test with Helicobacter pylori IgG antibody test was done for them by using an Enzyme-linked immunosorbent assay (ELIZA) apparatus. Coronary angiography Confirmed the presence of atherosclerosis and the severity of it according to the number of vessels and the degree of luminal stenosis. Results: The results show that the most of patients with atherosclerosis (83.5%) a high level of C-reactive protein. Also, a positive significant correlation was detected between the Helicobacter pylori concentration and the number of narrowed vessels based on the results of this study Helicobacter pylori. Conclusion: According to the results Helicobacter pylori has a significant risk predictor for the severity of coronary atherosclerosis. However, evidence on this fact is not sufficient which further studies are needed.
{"title":"Helicobacter pylori Seropositivity and the Severity of Coronary Artery Atherosclerosis","authors":"Salah Hassan Yousif","doi":"10.26505/djm.25017101129","DOIUrl":"https://doi.org/10.26505/djm.25017101129","url":null,"abstract":"Background: A review of many kinds of literature has suggested the theory of infections to are a risk for atherosclerosis of the coronaries, many of medical researchers reported that Helicobacter pylori pathogenesis extends beyond the gastrointestinal system to be a risk factor for inflammatory-induced atherosclerosis including that of the coronary vessels. Objective: To detect a relationship between the seropositivity of Helicobacter pylori bacteria in the blood with the severity of coronary artery atherosclerosis. Patients and Methods: A total of 125 patients were taken in this study including both sex male and female with different age groups all of them admitted to cardiac center hospital in Erbil City in Iraq. Patients were suspected to have coronary artery atherosclerosis based on symptoms and primary cardiac diagnostic tools, Angiography was performed to confirm or exclude coronary artery lesions by catheterization in the cath lab of the hospital. Blood samples were taken from patients including the patients’ group and control group and a C-reactive protein (CRP) test with Helicobacter pylori IgG antibody test was done for them by using an Enzyme-linked immunosorbent assay (ELIZA) apparatus. Coronary angiography Confirmed the presence of atherosclerosis and the severity of it according to the number of vessels and the degree of luminal stenosis. Results: The results show that the most of patients with atherosclerosis (83.5%) a high level of C-reactive protein. Also, a positive significant correlation was detected between the Helicobacter pylori concentration and the number of narrowed vessels based on the results of this study Helicobacter pylori. Conclusion: According to the results Helicobacter pylori has a significant risk predictor for the severity of coronary atherosclerosis. However, evidence on this fact is not sufficient which further studies are needed.","PeriodicalId":11202,"journal":{"name":"Diyala Journal of Medicine","volume":"39 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136132860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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