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A conservative surgical strategy for spontaneous cerebrospinal fluid leakage: a rare case report 自发性脑脊液漏的保守手术策略:罕见病例报告
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.5455/rmj.20230517121449
Yong Kim
A 59-year-old male with no history of trauma or surgery presented with clear rhinorrhea occurring when he bent his head forward. A CT scan revealed localized fluid accumulation and a lateral wall defect involving the left sphenoid sinus. Using the transpterygoid approach, we widened the anterior wall of the sphenoid sinus inferolaterally to expose the lesion as much as possible. Reconstruction involved placing an interposition graft between the dura and the bony defect using the underlay technique, followed by free mucosal grafting. Histopathological examination revealed neuroglial cells, confirming the diagnosis of spontaneous cerebrospinal fluid rhinorrhea due to a meningoencephalocele.
59岁男性,无外伤或手术史,俯卧时出现明显鼻漏。CT扫描显示局部积液及左侧蝶窦侧壁缺损。我们采用蝶窦入路,向外侧加宽蝶窦前壁,以尽可能暴露病变。重建包括使用衬底技术在硬脑膜和骨缺损之间放置插入移植物,然后进行游离粘膜移植。组织病理学检查显示神经胶质细胞,确认脑膜脑膨出所致自发性脑脊液鼻漏的诊断。
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引用次数: 0
Mothers’ knowledge regarding National Immunization Program in Al-Diwaniyah City, Iraq 伊拉克Al-Diwaniyah市母亲对国家免疫规划的了解
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.5455/rmj.20230722031720
Wael Naieli, Sajida Abdullah
Objective: To assess the knowledge of mothers in Al-Diwaniyah city about child immunization, and the link between these factors and the demographic characteristics of the mother. Methodology: This study was carried out from January to May 2022 using the G. Power program. It took from 15 to 20 minutes to fill out the questionnaire for mothers at healthcare centers in the Iraqi city of Diwaniyah. The number mothers was 390. Results: The results showed that mothers with higher educational levels had better knowledge, toward vaccination. We found that 58.7% of the mothers had poor knowledge toward vaccination. Conclusion: Mothers who hesitate to go to primary health care centers had poor knowledge. There is need to create an educational program taking into account the educational level of the mothers.
目的:了解Al-Diwaniyah市母亲对儿童免疫接种的了解情况,以及这些因素与母亲人口统计学特征之间的关系。方法:本研究于2022年1月至5月使用G. Power程序进行。为伊拉克迪瓦尼耶市医疗中心的母亲们填写问卷需要15到20分钟。母亲的数量是390。结果:受教育程度越高的母亲对疫苗接种的了解程度越高。我们发现58.7%的母亲对疫苗接种知识不了解。结论:犹豫去初级卫生保健中心的母亲知识贫乏。有必要制定一项考虑到母亲教育水平的教育方案。
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引用次数: 0
Diversity of E. faecalis isolated from different clinical specimens by using RAPD-PCR in Hilla Province, Iraq 利用RAPD-PCR分析伊拉克希拉省不同临床标本中分离的粪肠球菌的多样性
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.5455/rmj.20230309083906
Shymaa hussainy, Lamees Lateef
Objectives: To use RAPD analysis to rapidly detects genomic polymorphisms. Methodology: Diagnosis and genotyping of E. faecalis by using specific primer. Results: out of the 105 specimens, 70 (66.6%) had a positive bacterial culture. The remaining 35 (33.3%) showed no growth. Out 70 positive samples, 15 (14.2%) cultured on chromogenic ager medium were found to be E. faecalis. Following the molecular detection method use of a specific primer based on the D-alanine D-alanine ligase gene as a genetic marker for E. faecalis by PCR, the results showed that all isolates were positive for ddlE. RAPD-PCR was used to determine the relationships between 15 E. faecalis isolates. M13 primer shown polymorphism in the isolates tested, yielding 7-14 bands with sizes ranging from 95 to 3000 bp. Two clusters formed the cladogram, which divided the 15 isolates. The first cluster (A) included one isolate, whereas the second cluster (B) contained 14 isolates. Conclusion: The RAPD analysis indicated a clonal dissemination among most of the selected enterococcal isolates, which suggested they belonged to the same isolate
目的:利用RAPD分析快速检测基因组多态性。方法:利用特异引物对粪肠杆菌进行诊断和基因分型。结果:105份标本中细菌培养阳性70份(66.6%)。其余35个(33.3%)没有增长。70份阳性样本中,15份(14.2%)为粪肠球菌。采用基于d -丙氨酸-丙氨酸连接酶基因的特异性引物作为遗传标记,采用PCR方法进行分子检测,结果显示所有分离株均为ddlE阳性。采用RAPD-PCR方法对15株粪肠球菌进行亲缘关系分析。M13引物在分离物中表现出多态性,形成7 ~ 14条长度在95 ~ 3000 bp之间的条带。两个聚类构成了枝状图,将15个分离株划分开来。第一个聚类(A)包含1个分离株,而第二个聚类(B)包含14个分离株。结论:经RAPD分析,所选肠球菌大部分分离株间存在克隆传播,属于同一株分离株
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引用次数: 0
Burnout among academic clinicians: A sample from medical colleges in Baghdad, Iraq 学术临床医生的职业倦怠:来自伊拉克巴格达医学院的样本
IF 0.2 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.5455/rmj.20221224050207
N. Khalil
Objective: To determine academic clinicians' burnout level and the association between their burnout and socio-demographic characteristics. Methodology: This cross-sectional study surveyed 111 academic clinicians from six Medical Colleges in Baghdad City. A questionnaire was used between March and May 2022. The questionnaire consisted of an interface and two sections with a total number of 44 items. Results: Most academic clinicians were found to experience a moderate level of burnout (46.8%), and 39.6% of respondents experienced a high level of burnout, whereas only 13.5% experienced a low level of burnout. The number of monthly day-offs was the only factor significantly affecting the burnout score (p=0.004). Conclusion: Most academic clinicians experienced a moderate level of burnout with a negligible proportion of the high level of burnout.
目的:了解学术临床医生的职业倦怠水平及其与社会人口学特征的关系。方法:这项横断面研究调查了巴格达市六所医学院的111名学术临床医生。在2022年3月至5月期间进行了问卷调查。问卷由一个界面和两个部分组成,共44项。结果:大多数学术临床医生经历中度职业倦怠(46.8%),39.6%的受访者经历高度职业倦怠,只有13.5%的受访者经历低水平职业倦怠。每月休假天数是唯一影响倦怠得分的因素(p=0.004)。结论:大多数学术临床医生经历了中度的职业倦怠,而高度职业倦怠的比例可以忽略不计。
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引用次数: 0
Mother’s knowledge concerning preventive measures for their children during the COVID-19 period 在COVID-19期间,母亲对子女预防措施的了解情况
IF 0.2 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.5455/rmj.20230114031923
S. Badr, M. Abed, H. Faris
Objective: To assess mother’s knowledge concerning preventive measures for their children during the covid-19 period and determine the association between mother’s knowledge concerning preventive measures and sociodemographic characteristics of the sample. Methodology: This descriptive study was carried out at Health Center, Karbala city, Iraq from 15/4/2021 to 15/5/2021. The sample consisted of 103 mothers. The instrument was adopted and finalized following thorough literature research and each participant spent 15-20 minutes with it. Results: The highest percentage of mothers were aged from <=28 years (55.3%). Concerning the environment of mothers, most were living in an urban area (77.7%). Majority of mothers had a poor level of knowledge (88.3%). Conclusion: The majority of participants had inadequate knowledge of covid-19 prevention measures. The income had the effect on mother’s knowledge on preventive measures about covid-19.
目的:评估2019冠状病毒病期间母亲对子女预防措施知识的了解情况,并确定母亲预防措施知识与样本社会人口学特征之间的关系。方法:本描述性研究于2021年4月15日至2021年5月15日在伊拉克卡尔巴拉市卫生中心进行。样本包括103位母亲。经过深入的文献研究,该仪器被采用并定稿,每位参与者使用该仪器15-20分钟。结果:28岁以下产妇占比最高(55.3%)。关于母亲的生活环境,大多数生活在城市地区(77.7%)。大多数母亲的知识水平较差(88.3%)。结论:大多数参与者对covid-19预防措施的了解不足。收入对母亲对covid-19预防措施的了解程度有影响。
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引用次数: 0
Mothers' knowledge and attitudes towards breastfeeding in Thi-Qar City, Iraq 伊拉克西卡尔市母亲对母乳喂养的知识和态度
IF 0.2 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.5455/rmj.20230130035306
H. Ali, F. Abbas, N. Younis
Objective: To assess mothers' attitudes and knowledge about breast feeding in Thi-Qar City, Iraq. Methodology: This cross-sectional study was conducted at Hospital in Nasiriyah from January to February 2023 and included 192 mothers. United Nations' Food and Agriculture Organization (FAO)-adapted questionnaire was used. Socio-demographic information was recorded. The mother's viewpoint and intellectual capacity regarding breast feeding were assessed and their general opinions toward breast feeding were evaluated. Results: Out of 192 mothers, 103 (53.6%) were between the ages of 18 and 20. Most 87 (45.31) had completed elementary school and had a higher education; 79.17 percent of the sample lived in an urban area; and around half of the mothers were unemployed. The mothers had good knowledge of breast feeding and their attitude towards breast feeding was good. Conclusion: This study concluded that early mothers' knowledge of and attitudes toward Breast feeding were generally excellent at AL Hussein Teaching Hospital in Nasiriya city, and that these factors were crucial in determining the health of the children.
目的:了解伊拉克Thi-Qar市母亲对母乳喂养的态度和知识。方法:本横断面研究于2023年1月至2月在纳西里耶医院进行,包括192名母亲。采用了联合国粮食及农业组织(粮农组织)的调查问卷。记录了社会人口统计信息。评估母亲对母乳喂养的看法和智力水平,评价母亲对母乳喂养的总体看法。结果:192例产妇中,年龄在18 ~ 20岁的产妇103例,占53.6%。大多数87人(45.31人)完成了小学教育并接受过高等教育;79.17%的样本居住在城市地区;大约一半的母亲没有工作。母亲对母乳喂养的认识较好,对母乳喂养的态度较好。结论:本研究得出结论,纳西里耶市AL Hussein教学医院的早期母亲对母乳喂养的知识和态度总体上是优秀的,这些因素是决定儿童健康的关键因素。
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引用次数: 5
Effect of an education program on high school male students' knowledge about substance use 一项教育计划对高中男生物质使用知识的影响
IF 0.2 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.5455/rmj.20230308024220
Hashim Shabeeb, Qahtan Muhammad
Objective: To determine the effectiveness of the education program on high school mal students' knowledge about substance use. Methodology: A quasi-experimental design was carried out at Al-Kut city, Iraq from 20 September to 24 November 2022. The study included 60 Al Kut Education Directorate students using non-probability (purposive) sampling. Direct interview utilizing a specialized questionnaire with two parts (59) items was used. Part 1 had 8 socio-demographic items and Part 2 had 51 items on substance use knowledge. SPSS was used to examine data. Inferential statistical data analysis, T-test and ANOVA were used to analyze socio-demographic factors and student knowledge. Results: There was a highly significant difference through periods (Pre-test, Post-test I and Post-test II) for the study group regarding students’ knowledge about substance use that indicate the effectiveness of educational program (p≤0.05). Conclusion: The program was effective in improving high-school students’ knowledge about substance use and there was a significant difference in knowledge between students who attended the program sessions (study group) comparing to those who not attended program sessions (control group).
目的:确定高中男生物质使用知识教育方案的有效性。方法:于2022年9月20日至11月24日在伊拉克Al-Kut市进行了准实验设计。本研究包括60名Al Kut教育理事会学生,采用非概率(目的)抽样。直接访谈采用专门的问卷调查两部分(59)项。第1部分有8个社会人口学项目,第2部分有51个关于物质使用知识的项目。采用SPSS软件对数据进行检验。采用推理统计数据分析、t检验和方差分析分析社会人口学因素与学生知识的关系。结果:实验组学生的物质使用知识在测试前、测试后、测试后三个阶段的差异均极显著,说明教育计划的有效性(p≤0.05)。结论:该项目对提高高中生的物质使用知识有显著效果,参加项目的学生(研究组)与未参加项目的学生(对照组)在物质使用知识方面存在显著差异。
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引用次数: 0
Maternal and hematological changes associated with delayed cord clamping during the third stage of labor 产妇和血液学的变化与延迟脐带夹在分娩第三阶段
IF 0.2 Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.5455/rmj20221210075703
Sahar Alfartosy, Sahar Razzaq, Hala Moayad
Objective: The aim of study is to evaluate the effects of postpartum cord clamping on the female’s health and what happens to blood cells count throughout the third stage of labor. Methodology: In this retrospective study, we investigated 220 live, term, spontaneous vertex births. They were divided in two groups; Group1, 110 cases with cord clamping delayed and Group 2, 110 with early cord clamped. Age, BMI, gravida, para, and abortion were all recorded. Both groups took PCV individually before and after labor. Results: In delay group, 77.3% were above 30 years age. In the study, 13.6% were overweight and 18.2% obese. 72.7% had 1-3 pregnancies, 81.8% had no abortions. PCV after birth, separated time, and expulsion time vary by group. Females with early cord clamped had lower PCV after birth. While separated and expulsion times was higher with early cord clamp. Conclusion: Postponing cord clamping during the third stage of labor increases PCV levels while lowering separation and expulsion times. Obesity increases separation and expulsion times. Over 30 years old increases separation and expulsion time.
目的:探讨产后脐带夹紧对产妇健康的影响及分娩第三期血细胞计数的变化。方法:在这项回顾性研究中,我们调查了220例活产、足月、自然顶点分娩。他们被分成两组;1、延迟夹紧脐带110例,2、早期夹紧脐带110例。年龄、BMI、妊娠、分娩、流产均有记录。两组在分娩前后分别服用PCV。结果:迟发组30岁以上患者占77.3%。在这项研究中,13.6%的人超重,18.2%的人肥胖。72.7%有1-3次妊娠,81.8%没有流产。PCV出生后、分离时间、排出时间因组而异。早期脐带夹住的女性出生后PCV较低。早期脐带夹紧时分离和排出次数较高。结论:第三产程延迟脐带夹紧可提高PCV水平,减少分离和排出次数。肥胖会增加分离和驱逐时间。超过30岁会增加分离和驱逐的时间。
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引用次数: 0
Risk factors among patients with cerebrovascular accidents at Kirkuk City Hospitals, Iraq 伊拉克基尔库克市医院脑血管事故患者的危险因素
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.5455/rmj.20230509073705
Rebaz Ali, Younus Baeez, Darya Mustafs
Objective: To assess the main modifiable and non-modifiable risk factors of cerebrovascular accidents in Kirkuk Province Hospital, North Iraq. Methodology: The sample was taken from Azadi Teaching Hospital in Kirkuk City from June 15, 2022, and February 5, 2023. The study included 120 patients with cerebrovascular accidents (men & women). For the purpose of the study, a questionnaire was created with two sections: demographic information and CVA risk factors. Results: The sample's age range was 60 to 69 years and was made up 54.2% men. Regular exercise was not done by 97.5% eating habits of majority (58.3%) was mixed diet. Most patients had heart disease, hypertension and diabetes. Conclusion: Heart disease (coronary disease, hypertension) was the more frequent risk factor for cerebrovascular accident, follow by physical inactivity and an unhealthy diet with greater diabetes mellitus due to poor living conditions.
目的:评价伊拉克北部基尔库克省医院发生脑血管意外的主要可改变和不可改变的危险因素。方法:样本于2022年6月15日和2023年2月5日在基尔库克市阿扎迪教学医院采集。该研究纳入了120例脑血管意外患者(男性;女性)。为了研究的目的,我们制作了一份调查问卷,分为两部分:人口统计信息和心血管疾病风险因素。结果:样本的年龄范围为60 - 69岁,男性占54.2%。97.5%的人不经常运动,饮食习惯多数(58.3%)为混合饮食。大多数患者患有心脏病、高血压和糖尿病。结论:心血管疾病(冠心病、高血压)是脑血管意外最常见的危险因素,其次是缺乏运动和饮食不健康,生活条件差导致糖尿病发生率较高。
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引用次数: 0
Hospital microbiome: unspoken role in healthcare-associated infections 医院微生物组:在医疗保健相关感染中不言而喻的作用
Q3 MEDICINE, GENERAL & INTERNAL Pub Date : 2023-01-01 DOI: 10.5455/rmj.20230206022226
Rawan Alwethainani, Siti Zakariah, Azmiza Jasn, Rosni Ibrahim, Tengku Jamaluddin
Infections obtained in a healthcare or hospital setting are known as nosocomial illnesses or hospital-acquired infections (HAIs). Despite their role as healing environments, hospitals are home to a diverse range of bacteria, and it is widely assumed that the hospital microbiome changes as the facilities are used. The increased use of broad-spectrum antibiotics to treat bacterial infections has resulted in the increasing incidence of nosocomial infections. HAI is caused mostly by bacteria such as Acinetobacter baumannii, Klebsiella pneumoniae, Escherichia coli, Enterococci spp., Methicillin-resistant Staphylococcus aureus (MRSA), and others. Understanding the nature of bacterial communities in hospital environments is essential for tracking the transmission of antibiotic resistance genes. The efforts of medical organizations and hospitals are significant in promoting awareness and providing training. The results of bacterial diversity studies related to patients, staff, and surfaces of the newly established centers are reviewed and presented in this study.
在医疗保健或医院环境中获得的感染称为医院性疾病或医院获得性感染(HAIs)。尽管医院扮演着治疗环境的角色,但医院是各种细菌的家园,人们普遍认为,随着设施的使用,医院的微生物群也会发生变化。广谱抗生素用于治疗细菌感染的增加导致医院感染的发生率增加。HAI主要由细菌引起,如鲍曼不动杆菌、肺炎克雷伯菌、大肠杆菌、肠球菌、耐甲氧西林金黄色葡萄球菌(MRSA)等。了解医院环境中细菌群落的性质对于追踪抗生素耐药基因的传播至关重要。医疗组织和医院在提高认识和提供培训方面作出了重大努力。本研究回顾并介绍了与新建立的中心的患者、工作人员和表面有关的细菌多样性研究结果。
{"title":"Hospital microbiome: unspoken role in healthcare-associated infections","authors":"Rawan Alwethainani, Siti Zakariah, Azmiza Jasn, Rosni Ibrahim, Tengku Jamaluddin","doi":"10.5455/rmj.20230206022226","DOIUrl":"https://doi.org/10.5455/rmj.20230206022226","url":null,"abstract":"Infections obtained in a healthcare or hospital setting are known as nosocomial illnesses or hospital-acquired infections (HAIs). Despite their role as healing environments, hospitals are home to a diverse range of bacteria, and it is widely assumed that the hospital microbiome changes as the facilities are used. The increased use of broad-spectrum antibiotics to treat bacterial infections has resulted in the increasing incidence of nosocomial infections. HAI is caused mostly by bacteria such as Acinetobacter baumannii, Klebsiella pneumoniae, Escherichia coli, Enterococci spp., Methicillin-resistant Staphylococcus aureus (MRSA), and others. Understanding the nature of bacterial communities in hospital environments is essential for tracking the transmission of antibiotic resistance genes. The efforts of medical organizations and hospitals are significant in promoting awareness and providing training. The results of bacterial diversity studies related to patients, staff, and surfaces of the newly established centers are reviewed and presented in this study.","PeriodicalId":20844,"journal":{"name":"Rawal Medical Journal","volume":"6 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":"135358943","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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