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Coagulability state in histopathologicaly and radiologicaly approved ovarian endomertiosis 组织病理学和放射学证实的卵巢子宫内膜异位症的凝血状态
IF 0.2 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.5455/rmj20221126063638
Zahraa Alzuhairi, T. Fadhel, Intisar Hasan
Objective: To determine the association between endometriosis and clotting abnormalities in relation to histopathological and ultrasound diagnosis. Methodology: This cross-sectional study included 125 females with endometriosis seen at Baqubah teaching hospital from April 2021 and June 2022. The women's ages varied from 21 to 43 years. Seventy-five had ultrasound-detected ovarian cysts, 48 had MRI-confirmed ovarian endometriosis, and 50 normal women served as controls. All women had thrombin time, prothrombin time, activated partial thromboplastin time, D-dimer, plasma fibrinogen, and INR tested. Results: The study had 125 females with mean age of 29±6 years. Histologically, 20.8% had endometrial gland and stroma and 11.2% had endometrial stroma. Endometriosis reduced PT, PTT, TT, and INR, but increased fibrinogen and D. dimer. There was significant association between ultrasound diagnosis and histopathological diagnosis of endometriosis. Conclusion: PT, PTT, INR, Fibrinogen, and D. dimer levels differ between histology and ultrasonography endometriosis diagnoses in women. Endometriosis patients showed greater fibrinogen and D. dimer levels and reduced PT, PTT, TT, and INR (INR).
目的:探讨子宫内膜异位症与凝血异常的关系及组织病理学和超声诊断。方法:本横断面研究纳入了2021年4月至2022年6月在Baqubah教学医院就诊的125名子宫内膜异位症女性。这些女性的年龄从21岁到43岁不等。75名女性患有超声检查出的卵巢囊肿,48名患有核磁共振证实的卵巢子宫内膜异位症,50名正常女性作为对照。所有女性均进行凝血酶时间、凝血酶原时间、活化部分凝血活酶时间、d -二聚体、血浆纤维蛋白原和INR检测。结果:共纳入125例女性,平均年龄29±6岁。组织学上,子宫内膜腺及间质占20.8%,子宫内膜间质占11.2%。子宫内膜异位症降低PT、PTT、TT和INR,但增加纤维蛋白原和d二聚体。超声诊断与子宫内膜异位症的病理诊断有显著相关性。结论:PT、PTT、INR、纤维蛋白原、d二聚体水平在子宫内膜异位症的病理诊断和超声诊断中存在差异。子宫内膜异位症患者纤维蛋白原和d二聚体水平升高,PT、PTT、TT和INR (INR)降低。
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引用次数: 0
A case of unicystic ameloblastoma of maxillary sinus: A rare case report 上颌窦单囊性成釉细胞瘤1例:罕见病例报告
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.5455/rmj.20230525070004
Yong Kim
Ameloblastoma is a slowly growing, locally invasive tumor that primarily originates from enamel tissue and odontogenic epithelium. On the brain magnetic resonance imaging of a 34-year-old female patient, a 3cm-sized cystic mass was gound in the right maxillary sinus. A computed tomography of the paranasal sinuses with contrast enhancement showed irregular internal contrast enhancement occupying the space in the right maxillary sinus. A right endoscopic sinus surgery (ESS) showed a cystic mass and extensive tissue sampling was conducted. Histopathological examination confirmed the diagnosis of ameloblastoma. Concurrent chemoradiotherapy (CCRTx) was administered by oncology and radiation oncology departments. Three years follow up showed no recurrence.
成釉细胞瘤是一种生长缓慢的局部侵袭性肿瘤,主要起源于牙釉质组织和牙源性上皮。34岁女性患者的脑磁共振成像显示右侧上颌窦有一个3厘米大小的囊性肿块。副鼻窦计算机断层扫描显示不规则的内增强造影剂占据了右侧上颌窦的空间。右内窥镜鼻窦手术(ESS)显示囊性肿块,并进行了广泛的组织取样。组织病理学检查证实为成釉细胞瘤。同步放化疗(CCRTx)由肿瘤科和放射肿瘤科实施。3年随访未见复发。
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引用次数: 0
Efficacy of vaginal misoprostol soaked in acetic acid in the termination of missed miscarriages 醋酸浸泡阴道米索前列醇终止漏产的疗效观察
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.5455/rmj.20230118083738
Sahar Razzaq, Sahar fartosy, Rana Abdulkadeer
Objective: To evaluate whether or not acetic acid-moistened intravaginal misoprostol is more effective than dry intravaginal misoprostol for inducing abortion at fewer than 24 weeks of gestation. Methodology: This cross-sectional study was performed at Department of Obstetrics and Gynecology, Al-Imamein Al-Kadhimain Medical City (IKMC), Baghdad from January to May 2022. Fifty outpatients with fetal death before 24 weeks were hospitalized for termination of pregnancy were included in the study. They were aged 15–42 years and had parity 0-6. The gestational age in weeks ranged from 13 to 24 weeks’ gestation. Participants were divided in 2 groups; first group on misoprostol and acetic acid and second group on misoprostol only. Results: There is significant difference mean of no. of doses and time of abortion between the 2 groups. Females who received misoprostol and acetic acid had less doses and less abortion time than those who received misoprostol only. Conclusion: Females who received misoprostol and acetic acid had less doses and less abortion time than females who received misoprostol only.
目的:评价醋酸湿性阴道内米索前列醇是否比干性阴道内米索前列醇更有效地用于妊娠24周以内的人工流产。方法:这项横断面研究于2022年1月至5月在巴格达Al-Imamein Al-Kadhimain医疗城(IKMC)的妇产科进行。本研究包括50例门诊24周前胎儿死亡住院终止妊娠的患者。他们年龄在15-42岁之间,胎次0-6。胎龄为13 ~ 24周。参与者分为两组;第一组服用米索前列醇和醋酸,第二组只服用米索前列醇。结果:两组间差异有统计学意义。两组流产剂量及流产时间比较。服用米索前列醇和醋酸的女性比只服用米索前列醇的女性流产剂量少,流产时间短。结论:女性服用米索前列醇和醋酸组比单独服用米索前列醇组的剂量少,流产时间短。
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引用次数: 0
Effectiveness of intervention program on nurses’ practices about assessment of neonatal neurological status in neonatal intensive care unit 干预方案对新生儿重症监护病房护士对新生儿神经状态评估实践的影响
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.5455/rmj.20230409074238
Murtadha Hamza, Rabea Ali
Objective: To evaluate nurses' practices regarding assessment of neonatal neurological status after an interventional program. Material: Pre-experimental study design was utilized, with a pre-, post-test 1 and post-test 2 methods. It was carried out from 9th January to 7th September, 2022. An instrument was developed for the purpose of the study. A non-probability, purposive sample of 30 nurses was recruited from nurses working at Neonatal Intensive Care Unit in Karbala Paediatric teaching hospital in the holy of Karbala City. The instrument had 47 items. Results: The overall evaluation of practice among nurses was poor level during the pre-test time (M±SD=8.77±3.29) among 96.7% nurses. The nurses’ practice improved after post-test 1(M±SD=37.43±8.83) among 73.3% of them and post-test 2 (M±SD=35.57±10.54) among 63.3% of them to good level after implementation the interventional program. Conclusion: Most nurses’ practices was poor but they scored at good level after application the interventional program, during the period of post-test 1 and 2.
目的:评价介入治疗后新生儿神经系统状态的护理实践。材料:采用实验前研究设计,采用前测、后测1、后测2方法。它于2022年1月9日至9月7日进行。为此研究开发了一种仪器。从圣城卡尔巴拉儿科教学医院新生儿重症监护室的护士中招募了30名非概率、有目的的护士样本。该仪器有47个项目。结果:96.7%的护士在测试前对实习的总体评价较差(M±SD=8.77±3.29)。实施干预方案后,73.3%的护理人员在后测1(M±SD=37.43±8.83)和63.3%的护理人员在后测2 (M±SD=35.57±10.54)达到良好水平。结论:实施干预方案后,大部分护士的实践水平较差,但在后测1和后测2阶段均处于良好水平。
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引用次数: 0
Knowledge level about Crimean-Congo hemorrhagic fever among a sample of medical students in Mosul City, Iraq 伊拉克摩苏尔市医科学生对克里米亚-刚果出血热的知识水平调查
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.5455/rmj.20230427113738
Fahad Taqi, Tabarek Noori, Ehab Shaker
Objective: To determine the level of knowledge of medical students regarding Crimean-Congo hemorrhagic fever in Mosul city, Iraq. Materials: This cross-sectional study included 204 medical technical undergraduate students in Al- Mosul 1st & 2nd stage. We used convenient sampling. Google form ws used online and via email. Results: The study had 204 participants with mean age 19±1.09 years; the percentage of male & female and first & second stage were almost the same, 81% of them live in urban area. We found that 72% students had good knowledge about Crimean-Congo hemorrhagic fever. Conclusion: Highest proportion of the study sample had good knowledge regarding Crimea-Congo hemorrhagic fever.
目的:了解伊拉克摩苏尔市医科学生对克里米亚-刚果出血热的知识水平。资料:本横断面研究纳入了Al- Mosul第一医学院204名医学技术本科生;第二阶段。我们采用方便抽样。谷歌表单是在线和通过电子邮件使用的。结果:共纳入204例受试者,平均年龄19±1.09岁;男性的百分比;女一号& &;第二阶段几乎相同,81%的人生活在城市地区。我们发现72%的学生对克里米亚-刚果出血热有很好的了解。结论:研究样本中对克里米亚-刚果出血热有良好认识的比例最高。
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引用次数: 0
Obesity in COVID-19 patients is a complex interaction COVID-19患者的肥胖是一个复杂的相互作用
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.5455/rmj.20230405065210
Batool Mahdi, Wafaa Salih
Objective: To assess role of obesity in Covid-19 patients on antibodies production, diabetes development, and treatment of this disease. Methodology: This observational study included 200 Covid-19 patients in privet centers from January 1, 2021 to January 1, 2022. All patients had fasting blood sugars and anti-Covid-19 antibodies. Anthropometric parameters were measured in all participants. Results: The patients were divided into two groups according to body weight; normal body weight (50) and excess body weight (150). There was a significant difference between them regarding age. Diabetes mellitus developed in 20% of normal weight patients while 80% of excess weight patients had diabetes (p=0.0001). Antibodies production (IgM and IgG) occurred in normal weight patients (90% and 98%, respectively). Only 4% patients with normal weight needed oxygen therapy while 93.33% of obese patients required oxygen therapy. Conclusions: Obesity increased the development of diabetes, decrease antibodies production and increase requirement for oxygen therapy in Covid-19 patients..
目的:评估新冠肺炎患者肥胖对抗体产生、糖尿病发展和该病治疗的作用。方法:本观察性研究纳入了2021年1月1日至2022年1月1日在私立中心的200例Covid-19患者。所有患者均有空腹血糖和抗covid -19抗体。测量所有参与者的人体测量参数。结果:患者按体重分为两组;正常体重(50)和超重体重(150)。他们在年龄上有显著的差异。20%的正常体重患者患有糖尿病,而80%的超重患者患有糖尿病(p=0.0001)。正常体重的患者产生抗体(IgM和IgG)(分别为90%和98%)。正常体重患者需氧量为4%,肥胖患者需氧量为93.33%。结论:肥胖增加了新冠肺炎患者糖尿病的发生,降低了抗体的产生,增加了氧气治疗的需求。
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引用次数: 0
Correlation between health literacy and level of education in hemodialysis patients: A cross-sectional study 血透患者健康素养与教育水平的相关性:一项横断面研究
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.5455/rmj.20230602053431
Zahraa Jassem, Ibrahim Ashour
Objective: To examine the correlation between health literacy and level of education in hemodialysis (HD) patients. Methodology: This descriptive correlation study included 171 middle age patients in al-Najaf al-Ashraf city of patients with end -stage renal disease undergoing hemodialysis. Most patients were diagnosed with ESRD over two years ago. Face to face interview was used. Data were analyzed by using of descriptive analysis and Pearson's correlation coefficient. Results: Hemodialysis patient had inadequate health literacy at mean of score of 20.98. Lowest mean index at health promotion was 18.560 with high percentage in difficulty of responses (66.7%). Out of 171 patients, 104 (60.8%) has inadequate HL. There was a highly significant correlation between health literacy and level of education at (p=0.000). Conclusion: Health literacy was found to be highly significantly correlated with level of education among HD patients. These findings highlight the importance of addressing low health literacy among HD patients, particularly those with lower education levels.
目的:探讨血液透析(HD)患者健康素养与文化程度的相关性。方法:本描述性相关性研究纳入了al-Najaf al-Ashraf市171例终末期肾病接受血液透析的中年患者。大多数患者在两年前被诊断为终末期肾病。采用面对面访谈。采用描述性分析和Pearson相关系数对资料进行分析。结果:血透患者健康素养水平不高,平均得分为20.98分。健康促进平均指数最低为18.560,回答困难的比例较高(66.7%)。在171例患者中,104例(60.8%)的HL不足。健康素养与教育水平之间存在高度显著的相关性(p=0.000)。结论:HD患者健康素养与受教育程度高度相关。这些发现强调了解决HD患者健康素养低下问题的重要性,特别是那些受教育程度较低的患者。
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引用次数: 0
Effectiveness of self-care intervention in hypertension patients: A systematic review 高血压患者自我护理干预的有效性:一项系统综述
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.5455/rmj.20230801092826
Martiningsih Martiningsih, Enie Novieastari, Dewi Gayatri, Astuti Nursasi
Objective: To analyze the effectiveness and characteristics of self-care interventions affect blood pressure control in hypertensive patients. Methodology: This systematic review was done through Scopus, EBSCOhost, Embase, ScienceDirect, PubMed, and Sage in March 2023. The eligibility criteria for study selection were true experimental research with a randomized controlled trial (RCT) design and self-care or self-management interventions in patients with hypertension. Inclusion criteria were self-care or self-management intervention, blood pressure control outcomes, English articles, all open access journals, free articles, and original research. We excluded pregnant and terminal hypertensive patients. The process and selection of articles used the Prisma flow chart. The review method used Cochrane 2.0 risk of bias (ROB 2.0) for RCTs followed by using Robvis application. Results: Self-care interventions were significant for blood pressure control in hypertensive patients in two studies. All studies showed that self-care interventions were effective in reducing mean systolic and diastolic blood pressure. Conclusion: Educational and counseling materials to improve decision-making skills, individual reflection, and hypertension case management with face-to-face methods followed by telephone or home visits are characteristics of effective self-care interventions.
目的:分析自我保健干预对高血压患者血压控制的效果及特点。方法:本系统综述于2023年3月通过Scopus、EBSCOhost、Embase、ScienceDirect、PubMed和Sage完成。研究选择的资格标准是真正的实验研究,随机对照试验(RCT)设计和高血压患者的自我保健或自我管理干预。纳入标准为自我护理或自我管理干预、血压控制结果、英文文章、所有开放获取期刊、免费文章和原创研究。我们排除了孕妇和晚期高血压患者。产品的加工和选择采用Prisma流程图。随机对照试验采用Cochrane 2.0偏倚风险评估(ROB 2.0),随后采用Robvis应用。结果:在两项研究中,自我护理干预对高血压患者的血压控制有显著意义。所有的研究都表明,自我护理干预在降低平均收缩压和舒张压方面是有效的。结论:以教育和辅导材料提高决策能力、个体反思、面对面方式进行高血压病例管理、电话或家访是有效的自我保健干预措施的特点。
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引用次数: 0
Efficacy of lumbar interlaminar epidural steroid injections for lumbar spinal stenosis: A prospective study 腰椎椎板间硬膜外类固醇注射治疗腰椎管狭窄的疗效:一项前瞻性研究
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.5455/rmj.20230414025137
Mohammed sharaa, Mohammed Aledanni
Objective: To study the effect of epidural spinal injection over one year in case of spinal stenosis. Methodology: This prospective study included 566 patients with spinal stenosis seen at Al-Kindy Teaching and Al-Sader, Hospitals who were treated by local epidural steroid injection. They were followed up for at least five subsequent visits after seven days, one month, three months, six months, and one year to assess efficacy. Result: Mean age of patients was 49.5 years, with a predominance of females (65%). L4/L5 was the most involved level in the spinal stenosis (70%). Grade II stenosis accounted for (45.4%) of cases. The pairwise comparison revealed that there was significant decrease in proportions of patients with pain in day 3 compared to two weeks (p<0.001). After one year, there was significant increase in patient’s number in comparison to day 3 (p<0.0001). There was a relationship between time and steroid injection that was statistically significant (p<0.05). Conclusion: The patients of spinal stenosis get benefit from epidural steroids injections in early follow-up but the effect decreases over the year.
目的:探讨硬膜外脊髓注射治疗椎管狭窄症一年以上的疗效。方法:这项前瞻性研究纳入了在Al-Kindy教学医院和Al-Sader医院接受局部硬膜外类固醇注射治疗的566例椎管狭窄患者。他们在7天、1个月、3个月、6个月和1年后至少随访了5次,以评估疗效。结果:患者平均年龄49.5岁,以女性居多(65%)。L4/L5是椎管狭窄最受累的节段(70%)。II级狭窄占45.4%。两两比较显示,与两周相比,第3天疼痛的患者比例显著降低(p<0.001)。一年后,与第3天相比,患者人数显著增加(p<0.0001)。时间与类固醇注射有统计学意义(p < 0.05)。结论:硬膜外类固醇注射对椎管狭窄患者在早期随访中获益,但随着时间的推移效果逐渐下降。
{"title":"Efficacy of lumbar interlaminar epidural steroid injections for lumbar spinal stenosis: A prospective study","authors":"Mohammed sharaa, Mohammed Aledanni","doi":"10.5455/rmj.20230414025137","DOIUrl":"https://doi.org/10.5455/rmj.20230414025137","url":null,"abstract":"Objective: To study the effect of epidural spinal injection over one year in case of spinal stenosis. Methodology: This prospective study included 566 patients with spinal stenosis seen at Al-Kindy Teaching and Al-Sader, Hospitals who were treated by local epidural steroid injection. They were followed up for at least five subsequent visits after seven days, one month, three months, six months, and one year to assess efficacy. Result: Mean age of patients was 49.5 years, with a predominance of females (65%). L4/L5 was the most involved level in the spinal stenosis (70%). Grade II stenosis accounted for (45.4%) of cases. The pairwise comparison revealed that there was significant decrease in proportions of patients with pain in day 3 compared to two weeks (p<0.001). After one year, there was significant increase in patient’s number in comparison to day 3 (p<0.0001). There was a relationship between time and steroid injection that was statistically significant (p<0.05). Conclusion: The patients of spinal stenosis get benefit from epidural steroids injections in early follow-up but the effect decreases over the year.","PeriodicalId":20844,"journal":{"name":"Rawal Medical Journal","volume":"34 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135709815","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}
引用次数: 0
Prevalence of refractive errors among primary school students in Mosul City, Iraq 伊拉克摩苏尔市小学生屈光不正患病率
IF 0.2 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.5455/rmj.20230305073651
Laith Falah Mohammed Hassan, Humam Ibrahim
{"title":"Prevalence of refractive errors among primary school students in Mosul City, Iraq","authors":"Laith Falah Mohammed Hassan, Humam Ibrahim","doi":"10.5455/rmj.20230305073651","DOIUrl":"https://doi.org/10.5455/rmj.20230305073651","url":null,"abstract":"<jats:p />","PeriodicalId":20844,"journal":{"name":"Rawal Medical Journal","volume":"1 1","pages":""},"PeriodicalIF":0.2,"publicationDate":"2023-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"70840320","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}
引用次数: 0
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Rawal Medical Journal
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