J. Hadi, Shanya B. Shawkat, Hwda Gh. Rauf, Soma A. Hama Karim, Ayman M. Mustafa, Soz N. Muhammad, Mhamad S. Abdullah
Objectives: The current study aims to examines the effect of smoking on serum ferritin levels of adult populations in Sulaymaniyah. Methods: The study was conducted on 80 smokers and 20 non-smokers, totally 100 persons. Their ages ranged from 18 to 65 years. Results: This study showed that the majority of smokers had elevated ferritin levels. A p-value of less than 0.05 indicated a significant difference in ferritin levels between smokers and non-smokers groups. The average ferritin level among smoker group was 227.40 mg/L, while the average ferritin level among non-smokers group was 118.3 mg/L. Regarding the associated between age groups and average ferritin levels, the average ferritin level is highest in the age groups between 51-61 years old. In addition, obesity may play a role in raising ferritin levels, people with obese conditions (BMI > 30) have the highest average ferritin levels than others. Conclusion: This study provides evidence that smoking negatively affect serum ferritin levels, since increases in mean ferritin levels are very striking in smoking and obese group.
{"title":"Effects of Smoking on Serum Ferritin levels in adult population living in Sulaymaniyah, Iraq: A Retrospective Cross-sectional Study","authors":"J. Hadi, Shanya B. Shawkat, Hwda Gh. Rauf, Soma A. Hama Karim, Ayman M. Mustafa, Soz N. Muhammad, Mhamad S. Abdullah","doi":"10.22317/imj.v7i2.1238","DOIUrl":"https://doi.org/10.22317/imj.v7i2.1238","url":null,"abstract":"Objectives: The current study aims to examines the effect of smoking on serum ferritin levels of adult populations in Sulaymaniyah. \u0000Methods: The study was conducted on 80 smokers and 20 non-smokers, totally 100 persons. Their ages ranged from 18 to 65 years. \u0000Results: This study showed that the majority of smokers had elevated ferritin levels. A p-value of less than 0.05 indicated a significant difference in ferritin levels between smokers and non-smokers groups. The average ferritin level among smoker group was 227.40 mg/L, while the average ferritin level among non-smokers group was 118.3 mg/L. Regarding the associated between age groups and average ferritin levels, the average ferritin level is highest in the age groups between 51-61 years old. In addition, obesity may play a role in raising ferritin levels, people with obese conditions (BMI > 30) have the highest average ferritin levels than others. \u0000Conclusion: This study provides evidence that smoking negatively affect serum ferritin levels, since increases in mean ferritin levels are very striking in smoking and obese group.","PeriodicalId":32555,"journal":{"name":"Iraq Medical Journal","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79650595","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}
Objectives: This study aimed to assess the quantitative real-time RT-PCR (QRT-PCR) technique as a diagnostic tool for molecular surveillance of the BCR-ABL duplicate in Chronic Myelogenous Leukemia (CML) using both peripheral blood (PB) and bone marrow (BM) samples. Methods: Prospective analysis has been conducted a by quantitative real-time RT-PCR (QRT-PCR) for both PB and BM specimens, from 25 patients with untreated CML. QRT-PCR investigation was carried out previous and during treatment with Imatinib for untreated CML. Statistical examinations showed useful agreement of PB and BM pre- treatment specimens. Nevertheless, using the SPSS statistical method that estimates the agreement between PB and BM data, Results: This study showed low correspond of BCR-ABL measurements in PB and BM for specimens acquired through treatment. PB values tended to be lower than the conformable BM values [average difference = -0.37 (p<0.001) in 36 coupled samples] and the 95% limits of agreement ranged from -1.23 to 0.48. Nevertheless, the present study showed that BM and PB QRT-PCR values followed a similar direction during treatment (Spearman correlation coefficient, 0.83; 95% CI, 0.70, 0.96). Conclusion: Our findings imply that PB and BM measures of BCR-ABL are frequently quantitatively different. The most accurate way to determine whether there is minimal residual disease is through BM sampling because BM results tend to be greater than PB values (MRD). Based on these findings, we advise avoiding switching BM and PB sampling for MRD monitoring during CML treatment because doing so could result in incorrect interpretation of treatment outcomes.
{"title":"Comparative Study of Quantitative Real-Time Monitoring QRT-PCR for BCR-ABL Gene in Chronic Myelogenous Leukemia (CML) Between Blood and Bone Marrow Samples","authors":"Azhar Haleem, Rana Al-Ani, Ghada Burhan","doi":"10.22317/imj.v7i2.1215","DOIUrl":"https://doi.org/10.22317/imj.v7i2.1215","url":null,"abstract":"Objectives: This study aimed to assess the quantitative real-time RT-PCR (QRT-PCR) technique as a diagnostic tool for molecular surveillance of the BCR-ABL duplicate in Chronic Myelogenous Leukemia (CML) using both peripheral blood (PB) and bone marrow (BM) samples. Methods: Prospective analysis has been conducted a by quantitative real-time RT-PCR (QRT-PCR) for both PB and BM specimens, from 25 patients with untreated CML. QRT-PCR investigation was carried out previous and during treatment with Imatinib for untreated CML. Statistical examinations showed useful agreement of PB and BM pre- treatment specimens. Nevertheless, using the SPSS statistical method that estimates the agreement between PB and BM data, Results: This study showed low correspond of BCR-ABL measurements in PB and BM for specimens acquired through treatment. PB values tended to be lower than the conformable BM values [average difference = -0.37 (p<0.001) in 36 coupled samples] and the 95% limits of agreement ranged from -1.23 to 0.48. Nevertheless, the present study showed that BM and PB QRT-PCR values followed a similar direction during treatment (Spearman correlation coefficient, 0.83; 95% CI, 0.70, 0.96). Conclusion: Our findings imply that PB and BM measures of BCR-ABL are frequently quantitatively different. The most accurate way to determine whether there is minimal residual disease is through BM sampling because BM results tend to be greater than PB values (MRD). Based on these findings, we advise avoiding switching BM and PB sampling for MRD monitoring during CML treatment because doing so could result in incorrect interpretation of treatment outcomes.","PeriodicalId":32555,"journal":{"name":"Iraq Medical Journal","volume":"126 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134933466","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}
Firdous Salih M. Al-Jiboury, A. Salman, A. R. Sarhat
Objectives: This study aimed to assess the prevalence of neonatal jaundice and explore associated risk factors in Tikrit City, Iraq. Methods: The current study was a cross sectional study involved 312 neonates (204 of them with jaundice and 108 without jaundice ), attending Salahaddin General hospital from 1st October 2022 to 30th January 2023. The Study sample was convenient . Jaundiced and Non-jaundiced neonates were enrolled into the study when they enter the wards of pediatrics and neonatal intensive care unites in Salahaddin General Hospital and those visits outpatient clinics of pediatricians and the general population during a free neonatal jaundice screening campaign in Tikrit City. Results: The prevalence of neonatal jaundice is (9.2%). The most frequent cases was having total serum bilirubin(TSB) level ≤18 milligram/dc liter(mgdl) (84.8%).The mean ±standard deviation (SD) of hyperbilirubinemia level is (15 ± 3.366 mgdl ) and the high TSB level was reported among male gender(58.3%).The percent of preterm babies was (33.3%) of total sample .The most cases had normal weight (66.7%) at time of delivery ,mean ±SD of weight is (2698.5±693.54gram) and had no bruises or hematoma as cephalohematoma (89.2%).There was no blood diseases in about (72.5%) of total sample and no history of infection in (68.1%) of cases. The most frequent methods of feeding was breast feeding (39.7%). Regarding to time of appearance of jaundice, the most frequent cases were among those with age group (≤5 days )(89.7%) .The mean±SD for age of neonate at time of admission is (6.2±3.6 day). Blood group incompatibility(ABO incompatibility) was found in (60.8%) of cases with TSB level ≤18 mg/dl and (11.3%) of cases of TSB level <18 mgdl . While Rhesus incompatibility(Rh incompatibility) was found in (13.2%) of cases with TSB level ≤18 mg/dl . Conclusion: This study highlights a prevalence of 9.2% for neonatal jaundice in Tikrit City and identifies important risk factors such as blood group incompatibility and preterm birth. Early detection and appropriate management of neonatal jaundice are crucial to prevent potential complications and ensure optimal neonatal care.
{"title":"Epidemiological Investigation of Neonatal Jaundice in Tikrit City: Assessing Neonatal Risk Factors from 2022 to 2023","authors":"Firdous Salih M. Al-Jiboury, A. Salman, A. R. Sarhat","doi":"10.22317/imj.v7i2.1241","DOIUrl":"https://doi.org/10.22317/imj.v7i2.1241","url":null,"abstract":"Objectives: This study aimed to assess the prevalence of neonatal jaundice and explore associated risk factors in Tikrit City, Iraq. \u0000 Methods: The current study was a cross sectional study involved 312 neonates (204 of them with jaundice and 108 without jaundice ), attending Salahaddin General hospital from 1st October 2022 to 30th January 2023. The Study sample was convenient . Jaundiced and Non-jaundiced neonates were enrolled into the study when they enter the wards of pediatrics and neonatal intensive care unites in Salahaddin General Hospital and those visits outpatient clinics of pediatricians and the general population during a free neonatal jaundice screening campaign in Tikrit City. \u0000Results: The prevalence of neonatal jaundice is (9.2%). The most frequent cases was having total serum bilirubin(TSB) level ≤18 milligram/dc liter(mgdl) (84.8%).The mean ±standard deviation (SD) of hyperbilirubinemia level is (15 ± 3.366 mgdl ) and the high TSB level was reported among male gender(58.3%).The percent of preterm babies was (33.3%) of total sample .The most cases had normal weight (66.7%) at time of delivery ,mean ±SD of weight is (2698.5±693.54gram) and had no bruises or hematoma as cephalohematoma (89.2%).There was no blood diseases in about (72.5%) of total sample and no history of infection in (68.1%) of cases. The most frequent methods of feeding was breast feeding (39.7%). Regarding to time of appearance of jaundice, the most frequent cases were among those with age group (≤5 days )(89.7%) .The mean±SD for age of neonate at time of admission is (6.2±3.6 day). \u0000Blood group incompatibility(ABO incompatibility) was found in (60.8%) of cases with TSB level ≤18 mg/dl and (11.3%) of cases of TSB level <18 mgdl . While Rhesus incompatibility(Rh incompatibility) was found in (13.2%) of cases with TSB level ≤18 mg/dl . \u0000Conclusion: This study highlights a prevalence of 9.2% for neonatal jaundice in Tikrit City and identifies important risk factors such as blood group incompatibility and preterm birth. Early detection and appropriate management of neonatal jaundice are crucial to prevent potential complications and ensure optimal neonatal care.","PeriodicalId":32555,"journal":{"name":"Iraq Medical Journal","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74279100","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}
S. Alaani, Firas Sadiq Alkubaisy, Abdulqadir Abdulkareem Merie
Objective: This study aimed to analyze the descriptive characteristics of children diagnosed with Congenital Heart Disease (CHD) at Fallujah Maternity and Children Hospital (FMCH). Methods: The prospective study included 1,025 pediatric patients born between 1st December 2018 and 30th September 2022, admitted to the newborns and children's wards, and diagnosed with CHD. Data were collected through interviews with patients' guardians using a registration and questionnaire form, capturing variables related to the child (e.g., name, sex, birth weight, type of CHD) and the mother (e.g., age, occupation, consanguinity, previous CHD births, chronic diseases during pregnancy). Residence (rural or urban) was also recorded. Results: Among the CHD cases, Atrial Septal Defect (ASD) was the most common (72%), followed by Ventricular Septal Defect (VSD) (25%) and Patent Ductus Arteriosus (PDA) (21%). Most diagnoses occurred in children aged 1-28 days. The male-to-female ratio was 1.2:1, and 0.2% had an ambiguous gender. About 58% of children weighed ≥ 2.5kg at birth, and 20% had a family history of CHDs. Conclusion: The increasing prevalence of congenital heart diseases in Fallujah requires preventive strategies targeting modifiable risk factors, better monitoring of high-risk pregnancies, and increased awareness of genetic counseling for families with congenital anomalies. The cardiology department should receive more attention and resources to improve diagnostic and therapeutic capabilities. Further research is needed to understand the reasons behind the recent rise in CHD cases in newborns.
{"title":"Epidemiological and clinical aspects of congenital heart disease in Fallujah Maternity and Children Hospital, Iraq","authors":"S. Alaani, Firas Sadiq Alkubaisy, Abdulqadir Abdulkareem Merie","doi":"10.22317/imj.v7i2.1240","DOIUrl":"https://doi.org/10.22317/imj.v7i2.1240","url":null,"abstract":"Objective: This study aimed to analyze the descriptive characteristics of children diagnosed with Congenital Heart Disease (CHD) at Fallujah Maternity and Children Hospital (FMCH). \u0000Methods: The prospective study included 1,025 pediatric patients born between 1st December 2018 and 30th September 2022, admitted to the newborns and children's wards, and diagnosed with CHD. Data were collected through interviews with patients' guardians using a registration and questionnaire form, capturing variables related to the child (e.g., name, sex, birth weight, type of CHD) and the mother (e.g., age, occupation, consanguinity, previous CHD births, chronic diseases during pregnancy). Residence (rural or urban) was also recorded. \u0000Results: Among the CHD cases, Atrial Septal Defect (ASD) was the most common (72%), followed by Ventricular Septal Defect (VSD) (25%) and Patent Ductus Arteriosus (PDA) (21%). Most diagnoses occurred in children aged 1-28 days. The male-to-female ratio was 1.2:1, and 0.2% had an ambiguous gender. About 58% of children weighed ≥ 2.5kg at birth, and 20% had a family history of CHDs. \u0000Conclusion: The increasing prevalence of congenital heart diseases in Fallujah requires preventive strategies targeting modifiable risk factors, better monitoring of high-risk pregnancies, and increased awareness of genetic counseling for families with congenital anomalies. The cardiology department should receive more attention and resources to improve diagnostic and therapeutic capabilities. Further research is needed to understand the reasons behind the recent rise in CHD cases in newborns.","PeriodicalId":32555,"journal":{"name":"Iraq Medical Journal","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91351205","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}
Objectives: This study was used to measure the level of tumor necrosis factor- alpha in patients with acute coronary syndrome. Method: A case control study was used; the level of tumor necrosis factor-alpha was measured in 39 patients with acute coronary syndrome (30male, 9female) & 20(12male, 8female) control group; risk factors (smoking, hypertension, diabetes mellitus), duration of staying in cardiac care unit & complications (recurrent angina pain, hemodynamic, electrical) are also recorded. Result: we were found significant increase in the level of tumor necrosis factor -alpha in all patients with acute coronary syndrome as compared with control group (P value< 0.01) the highest level of tumor necrosis factor -alpha are associated with myocardial infarction rather than unstable angina patients &also high rate of complications. Conclusion: According to this study tumor necrosis factor-alpha was significantly increased in acute coronary syndrome &could be used for determining severity of the diseases in patients with acute coronary syndrome.
{"title":"The Level of Tumor Necrosis Factor –alpha in Patients with Acute Coronary Syndrome","authors":"Ammar Kshash Atban, Jawad Kadhim Abdullah","doi":"10.22317/imj.v7i2.1236","DOIUrl":"https://doi.org/10.22317/imj.v7i2.1236","url":null,"abstract":"Objectives: This study was used to measure the level of tumor necrosis factor- alpha in patients with acute coronary syndrome. \u0000Method: A case control study was used; the level of tumor necrosis factor-alpha was measured in 39 patients with acute coronary syndrome (30male, 9female) & 20(12male, 8female) control group; risk factors (smoking, hypertension, diabetes mellitus), duration of staying in cardiac care unit & complications (recurrent angina pain, hemodynamic, electrical) are also recorded. \u0000Result: we were found significant increase in the level of tumor necrosis factor -alpha in all patients with acute coronary syndrome as compared with control group (P value< 0.01) the highest level of tumor necrosis factor -alpha are associated with myocardial infarction rather than unstable angina patients &also high rate of complications. \u0000Conclusion: According to this study tumor necrosis factor-alpha was significantly increased in acute coronary syndrome &could be used for determining severity of the diseases in patients with acute coronary syndrome.","PeriodicalId":32555,"journal":{"name":"Iraq Medical Journal","volume":"18 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84586625","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}
Objectives: Endolimax is a protozoan genus belongs to Amoebida order. The member of this genus occurrence in a vast range of vertebrate and invertebrate, but the species of this genus are not well studied. This review aimed to provide an updated list and some summarized information on Endolimax species, which were identified in human and animals up to the 2023. Methods: The present study was carried out to evaluate the Endolimax species with a broad review of the literature, books and electronic databases such as ISI Web of Science, PubMed, Scopus, Science Direct and Google Scholar until 2023. The hosts, pathogenicity, synonyms and distribution of valid species were considered and recorded. Results: Totally 20 defined species of Endolimax were found. Among them, only 12 species of Endolimax have been accepted as valid species. The valid species arranged by the host, including 1 species in human, 2 species in rodents, 1 species in birds, 2 species in reptiles, 1 species in amphibian, 4 species in arthropod and 1 species in fishes. Conclusion: Intensive studies are needed in order to identification of other new and valid species in different animals and their characteristics.
目的:内窥镜是阿米巴目原生动物属。该属的成员广泛存在于脊椎动物和无脊椎动物中，但该属的物种尚未得到很好的研究。本综述旨在提供截至2023年在人类和动物中已鉴定的Endolimax物种的更新列表和一些总结信息。方法:利用截至2023年的文献、书籍和ISI Web of Science、PubMed、Scopus、Science Direct、Google Scholar等电子数据库对Endolimax物种进行评价。考虑并记录了有效种的寄主、致病性、同义种及分布。结果:共发现已确定种20种。其中，仅有12种Endolimax被认可为有效种。宿主安排的有效种有:人1种、啮齿动物2种、鸟类1种、爬行动物2种、两栖动物1种、节肢动物4种、鱼类1种。结论:为了在不同的动物中发现新的有效种及其特征，需要深入研究。
{"title":"Checklist of Endolimax species recognized in human and animals, a review on a neglected intestinal parasitic amoeba","authors":"Hossein Hooshyar, M. Arbabi, P. Rostamkhani","doi":"10.22317/imj.v7i2.1219","DOIUrl":"https://doi.org/10.22317/imj.v7i2.1219","url":null,"abstract":"Objectives: Endolimax is a protozoan genus belongs to Amoebida order. The member of this genus occurrence in a vast range of vertebrate and invertebrate, but the species of this genus are not well studied. This review aimed to provide an updated list and some summarized information on Endolimax species, which were identified in human and animals up to the 2023. \u0000Methods: The present study was carried out to evaluate the Endolimax species with a broad review of the literature, books and electronic databases such as ISI Web of Science, PubMed, Scopus, Science Direct and Google Scholar until 2023. The hosts, pathogenicity, synonyms and distribution of valid species were considered and recorded. \u0000Results: Totally 20 defined species of Endolimax were found. Among them, only 12 species of Endolimax have been accepted as valid species. The valid species arranged by the host, including 1 species in human, 2 species in rodents, 1 species in birds, 2 species in reptiles, 1 species in amphibian, 4 species in arthropod and 1 species in fishes. \u0000Conclusion: Intensive studies are needed in order to identification of other new and valid species in different animals and their characteristics.","PeriodicalId":32555,"journal":{"name":"Iraq Medical Journal","volume":"36 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87782159","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}
Ali Adnan Nabat Alajrish, A. A. Alwasity, Ahmad Adnan Nabat Alajrish
Objectives: The aim of this study was to review the Indications and complications Acute peritoneal dialysis. Method: A descriptive study was performed in pediatric central teaching hospital in Baghdad City on fifty-nine cases was admitted for peritoneal dialysis for different reasons. Results: show that the pre renal causes of PD was the most common cause which represent more than sixty percent followed by chronic renal failure and other causes, acute gastroenteritis as a cause of renal failure is most commonly seen in the first four years of life while calculi mostly seen after age of two years, sepsis is seen in the first two years of life, Catheter blockage was the most common complication followed by bleeding and other complications, Indications for acute peritoneal dialysis in the study group uremic symptom and oliguria was the most common indications , male to female incidence is nearly equal. Conclusion: PD was the most common cause of CKD, chronic renal failure, acute gastroenteritis, sepsis and catheter blockage was the most common complication followed by bleeding and other complications.
{"title":"Acute peritoneal dialysis in children (indication and complication)","authors":"Ali Adnan Nabat Alajrish, A. A. Alwasity, Ahmad Adnan Nabat Alajrish","doi":"10.22317/imj.v7i1.1222","DOIUrl":"https://doi.org/10.22317/imj.v7i1.1222","url":null,"abstract":"Objectives: The aim of this study was to review the Indications and complications Acute peritoneal dialysis. \u0000Method: A descriptive study was performed in pediatric central teaching hospital in Baghdad City on fifty-nine cases was admitted for peritoneal dialysis for different reasons. \u0000Results: show that the pre renal causes of PD was the most common cause which represent more than sixty percent followed by chronic renal failure and other causes, acute gastroenteritis as a cause of renal failure is most commonly seen in the first four years of life while calculi mostly seen after age of two years, sepsis is seen in the first two years of life, Catheter blockage was the most common complication followed by bleeding and other complications, Indications for acute peritoneal dialysis in the study group uremic symptom and oliguria was the most common indications , male to female incidence is nearly equal. \u0000Conclusion: PD was the most common cause of CKD, chronic renal failure, acute gastroenteritis, sepsis and catheter blockage was the most common complication followed by bleeding and other complications.","PeriodicalId":32555,"journal":{"name":"Iraq Medical Journal","volume":"96 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83371127","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}
Introduction: The most frequent malignant tumour of the salivary glands is mucoepidermoid carcinoma which accounts for 30% of all malignancies of the salivary glands. There are numerous histologic variations with various levels of differentiation. Sclerosing MEC (SMEC) is a rare subtype of MEC that has the potential to be misdiagnosed as a low-grade non-SMEC malignancy or a benign reactive condition. There have been no cases of the extremely rare sclerosing variant of central or intraosseous MEC reported as of yet. Case reports: We present two cases of Sclerosing Central MEC, in which histologic analysis revealed relatively well-circumscribed, nonencapsulated tumours made up of dispersed epithelial islands of low-grade MEC and extensive central sclerosis. Similar sclerotic stroma was present in the tumor in the second case, but the epithelial component was of intermediate grade. Both cases showed abundant intracytoplasmic mucin and positive Mayer mucicarmine and PAS stains. Conclusions: Sclerosing central mucoepidermoid carcinoma was identified as the cause. Both cases underwent a complete resection of the tumor and have since been free of the disease.
{"title":"Sclerosing Central Mucoepidermoid Carcinoma: Rare Case Series and Review","authors":"A. Haleem, R. R. Al-Ani","doi":"10.22317/imj.v7i1.1204","DOIUrl":"https://doi.org/10.22317/imj.v7i1.1204","url":null,"abstract":"Introduction: \u0000The most frequent malignant tumour of the salivary glands is mucoepidermoid carcinoma which accounts for 30% of all malignancies of the salivary glands. There are numerous histologic variations with various levels of differentiation. Sclerosing MEC (SMEC) is a rare subtype of MEC that has the potential to be misdiagnosed as a low-grade non-SMEC malignancy or a benign reactive condition. There have been no cases of the extremely rare sclerosing variant of central or intraosseous MEC reported as of yet. \u0000Case reports: \u0000We present two cases of Sclerosing Central MEC, in which histologic analysis revealed relatively well-circumscribed, nonencapsulated tumours made up of dispersed epithelial islands of low-grade MEC and extensive central sclerosis. Similar sclerotic stroma was present in the tumor in the second case, but the epithelial component was of intermediate grade. Both cases showed abundant intracytoplasmic mucin and positive Mayer mucicarmine and PAS stains. \u0000Conclusions: \u0000Sclerosing central mucoepidermoid carcinoma was identified as the cause. Both cases underwent a complete resection of the tumor and have since been free of the disease.","PeriodicalId":32555,"journal":{"name":"Iraq Medical Journal","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87611623","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}
Objectives: Interlaminar decompression is a surgical procedure that decompresses the lumbar spinal canal in order to release neuro-vascular components that have been compromised by degenerative stenosis. It can significantly improve patient quality of life and reduce morbidity and the effects of lumbar canal stenosis. Methods: A retrospective study of 57 patients, surgically operated for degenerative lumbar canal stenosis, at the Sulaymaniyah teaching hospital between Mar. 2018 and Mar. 2020. Diagnosis was achieved via history and clinical examination and radiological imaging (Lumbo-sacral spine MRI). Surgical procedure was standardized for all patients that was interlaminar decompression of the lumbar spinal canal, the postoperative follow up was after 12-24 months. Results: In total, 57 patients with degenerative lumbar canal stenosis (due to ligamentum flavum hypertrophy) were included, male (26%) and female (74%), age of the cases were between 34 – 85 years, mean 57.39 and median 57 and standard deviation 10.96, there were no deference in the outcome of different ages and genders. chief complain of patients were back pain and both lower limbs radiculopathy in the majority of the cases, associated with paresthesia and numbness of the lower limbs, which were improved modestly after surgical decompression. Conclusion: Interlaminar decompression of the stenosed lumbar spinal canal is an effective and generally safe surgical procedure with high patient satisfaction and good functional outcomes expected.
{"title":"Surgical outcome of lower limbs radiculopathy “due to degenerative lumbar canal stenosis” 12-24 months after decompression","authors":"Nashaddin Azeez Mohammed, Ari Sami Hussain","doi":"10.22317/imj.v7i1.1224","DOIUrl":"https://doi.org/10.22317/imj.v7i1.1224","url":null,"abstract":"Objectives: Interlaminar decompression is a surgical procedure that decompresses the lumbar spinal canal in order to release neuro-vascular components that have been compromised by degenerative stenosis. It can significantly improve patient quality of life and reduce morbidity and the effects of lumbar canal stenosis. \u0000Methods: A retrospective study of 57 patients, surgically operated for degenerative lumbar canal stenosis, at the Sulaymaniyah teaching hospital between Mar. 2018 and Mar. 2020. \u0000Diagnosis was achieved via history and clinical examination and radiological imaging (Lumbo-sacral spine MRI). Surgical procedure was standardized for all patients that was interlaminar decompression of the lumbar spinal canal, the postoperative follow up was after 12-24 months. \u0000Results: In total, 57 patients with degenerative lumbar canal stenosis (due to ligamentum flavum hypertrophy) were included, male (26%) and female (74%), age of the cases were between 34 – 85 years, mean 57.39 and median 57 and standard deviation 10.96, there were no deference in the outcome of different ages and genders. \u0000chief complain of patients were back pain and both lower limbs radiculopathy in the majority of the cases, associated with paresthesia and numbness of the lower limbs, which were improved modestly after surgical decompression. \u0000Conclusion: Interlaminar decompression of the stenosed lumbar spinal canal is an effective and generally safe surgical procedure with high patient satisfaction and good functional outcomes expected.","PeriodicalId":32555,"journal":{"name":"Iraq Medical Journal","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82856477","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}
Abdullah Ahmed Mohammad, Hayder Ghali Wadi Algawwam, Nuha Abdulwahab Muhammed Ali, Huda Ihsan KhairuAllah, Safwat Abbas Ali
Objectives: The anterior cruciate ligament (ACL) is one of the most common injured knee ligaments and it is one of the most frequent injuries seen in orthopedic practice Methods: This is a retrospective study of 20 patients (14 female and 6 male) with ACL tear managed by intra articular activated PRP injection in the first author private clinic in Kirkuk over 2 years period (August 1, 2017–July 31, 2019). A detailed history was taken according to a questionnaire and a complete physical and radiological (MRI) examination was done. A sample of patient’s own blood was used to prepare PRP by a process of two repeated centrifugation. Longevity resources EXT50 Ozone Generator with oxygen tank and CGA870 Oxygen Regulator were used for activation of PRP. The clinical notes were reviewed to ascertain the clinical presentations and response of patients to PRP therapy. Results: The mean age was 55±10.38years. The age groups affected with ACL were 50-59 and 60-69 years (n: 7, 35%) for each, while (n:5,25%) from age group 40-49 years and (n: 1, 5%) was from age group 20-29. Although 19 patient (95%) have at least one co-morbid condition, all the patient (n:20, 100%) show good response.7 patient (35%) received three doses of PRP and 13 patient (65%) received four doses to get good response. Conclusion: Even though PRP and Ozone are not expensive therapies, they seem to be safe and effective in pain management of ACL tear.
{"title":"The effectiveness of Ozone activated Platelet Rich Plasma intra articular injection in pain management of anterior cruciate ligament tear","authors":"Abdullah Ahmed Mohammad, Hayder Ghali Wadi Algawwam, Nuha Abdulwahab Muhammed Ali, Huda Ihsan KhairuAllah, Safwat Abbas Ali","doi":"10.22317/imj.v7i1.1226","DOIUrl":"https://doi.org/10.22317/imj.v7i1.1226","url":null,"abstract":"Objectives: The anterior cruciate ligament (ACL) is one of the most common injured knee ligaments and it is one of the most frequent injuries seen in orthopedic practice \u0000Methods: This is a retrospective study of 20 patients (14 female and 6 male) with ACL tear managed by intra articular activated PRP injection in the first author private clinic in Kirkuk over 2 years period (August 1, 2017–July 31, 2019). A detailed history was taken according to a questionnaire and a complete physical and radiological (MRI) examination was done. A sample of patient’s own blood was used to prepare PRP by a process of two repeated centrifugation. Longevity resources EXT50 Ozone Generator with oxygen tank and CGA870 Oxygen Regulator were used for activation of PRP. The clinical notes were reviewed to ascertain the clinical presentations and response of patients to PRP therapy. \u0000Results: The mean age was 55±10.38years. The age groups affected with ACL were 50-59 and 60-69 years (n: 7, 35%) for each, while (n:5,25%) from age group 40-49 years and (n: 1, 5%) was from age group 20-29. Although 19 patient (95%) have at least one co-morbid condition, all the patient (n:20, 100%) show good response.7 patient (35%) received three doses of PRP and 13 patient (65%) received four doses to get good response. \u0000Conclusion: Even though PRP and Ozone are not expensive therapies, they seem to be safe and effective in pain management of ACL tear.","PeriodicalId":32555,"journal":{"name":"Iraq Medical Journal","volume":"45 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86138866","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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