Objectives: This study aimed to evaluate the role of MRI in differentiation between benign and malignant well-circumscribed breast masses. Methods: A prospective cross-sectional study conducted on selected female patients with Breast mass who their age older than 35 years. All patients underwent examination using 1.5 Tesla magnetic resonance unit (MAGNETOM AERA, SIMENS). Results: 30 female patients were selected (mean age of 44.2±9.2 years, range between 35-69). Final findings of MRI revealed that 6 (20%) women had malignant breast mass while 24 (80%) women had benign breast mass. The histopathology revealed that 4 (13.3%) women were having malignancy while 26 (86.6%) were having benign breast tumor. There was a highly significant association between malignancy and hyperdense mammography findings of women (p<0.001), multiple lymph nodes for women (p<0.001), increased size of mass by MRI (p<0.001), circumscribed macrolabular lesion on MRI, rapid early kinetic phase of enhanced MRI (p<0.001), washout late kinetic phase enhanced MRI (p<0.001), and MRI kinetic curve type 3(p<0.001). There was a highly significant association between homogenous enhanced MRI findings of women and benign lesions (p<0.001). Conclusion: The validity results of MRI in differentiation between benign and malignant circumscribed breast masses are high, except for positive predictive value, and application of kinetic curve dynamic contrast enhancement increases magnetic resonance in differentiation between benign and malignant circumscribed breast masses.
{"title":"Value of MRI in Differentiation between Benign and Malignant Breast Mass","authors":"Zina Adnan Layth, Zainab Sami Yaseen","doi":"10.22317/imj.v6i3.1196","DOIUrl":"https://doi.org/10.22317/imj.v6i3.1196","url":null,"abstract":"Objectives: This study aimed to evaluate the role of MRI in differentiation between benign and malignant well-circumscribed breast masses. \u0000Methods: A prospective cross-sectional study conducted on selected female patients with Breast mass who their age older than 35 years. All patients underwent examination using 1.5 Tesla magnetic resonance unit (MAGNETOM AERA, SIMENS). \u0000Results: 30 female patients were selected (mean age of 44.2±9.2 years, range between 35-69). Final findings of MRI revealed that 6 (20%) women had malignant breast mass while 24 (80%) women had benign breast mass. The histopathology revealed that 4 (13.3%) women were having malignancy while 26 (86.6%) were having benign breast tumor. There was a highly significant association between malignancy and hyperdense mammography findings of women (p<0.001), multiple lymph nodes for women (p<0.001), increased size of mass by MRI (p<0.001), circumscribed macrolabular lesion on MRI, rapid early kinetic phase of enhanced MRI (p<0.001), washout late kinetic phase enhanced MRI (p<0.001), and MRI kinetic curve type 3(p<0.001). There was a highly significant association between homogenous enhanced MRI findings of women and benign lesions (p<0.001). \u0000Conclusion: The validity results of MRI in differentiation between benign and malignant circumscribed breast masses are high, except for positive predictive value, and application of kinetic curve dynamic contrast enhancement increases magnetic resonance in differentiation between benign and malignant circumscribed breast masses.","PeriodicalId":32555,"journal":{"name":"Iraq Medical Journal","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82226193","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}
Maha Mohammed Jasim Al Bayati, Sahar Abdul Baqi Sabti Al Dulaimi, Mayasah Abbas Abed
Objective: To detect serum angiopoietin -1 level as effective biomarker for missed abortion in early pregnancy. Methods: The study included 100 pregnant women; 50 pregnant women with missed abortion (group A) and 50 pregnant women with viable intrauterine pregnancy in first trimester (group B). Both groups were test for serum level of angiopoietin -1 using Enzyme linked immunosorbent assay technique. Results: The mean serum angiopoietin -1 level is significantly decrease in missed abortion compare with control group women (771.12 ± 165 VS 1381.12 ± 340.36) respectively at P value (0.001). There was correlation between missed abortion and (body mass index, reproductive history) in groups of study. Conclusion: The current study showed that serum levels of angiopoitin-1 are significantly decrease in pregnant women with missed abortion compared with its level in normal viable intrauterine pregnancy of matched gestation.
目的:检测血清血管生成素-1水平作为早期妊娠漏流产的有效生物标志物。方法:纳入100例孕妇;采用酶联免疫吸附法检测两组患者血清血管生成素-1水平，分别为A组和B组。结果:与对照组相比，漏流产组患者血清血管生成素-1水平(771.12±165 VS 1381.12±340.36)显著降低，P值(0.001)。在研究分组中，漏流产与(体重指数、生育史)有相关性。结论:目前的研究表明，与匹配妊娠的正常存活宫内妊娠相比，漏流产孕妇血清血管生成素-1水平明显降低。
{"title":"The usefulness of angiopoietin-1 as biomarker in missed abortion","authors":"Maha Mohammed Jasim Al Bayati, Sahar Abdul Baqi Sabti Al Dulaimi, Mayasah Abbas Abed","doi":"10.22317/imj.v6i3.1194","DOIUrl":"https://doi.org/10.22317/imj.v6i3.1194","url":null,"abstract":"Objective: To detect serum angiopoietin -1 level as effective biomarker for missed abortion in early pregnancy. \u0000Methods: The study included 100 pregnant women; 50 pregnant women with missed abortion (group A) and 50 pregnant women with viable intrauterine pregnancy in first trimester (group B). Both groups were test for serum level of angiopoietin -1 using Enzyme linked immunosorbent assay technique. \u0000Results: The mean serum angiopoietin -1 level is significantly decrease in missed abortion compare with control group women (771.12 ± 165 VS 1381.12 ± 340.36) respectively at P value (0.001). There was correlation between missed abortion and (body mass index, reproductive history) in groups of study. \u0000Conclusion: The current study showed that serum levels of angiopoitin-1 are significantly decrease in pregnant women with missed abortion compared with its level in normal viable intrauterine pregnancy of matched gestation.","PeriodicalId":32555,"journal":{"name":"Iraq Medical Journal","volume":"517 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"80105656","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}
Saif Hassan Razooqi, Rafah Mohammed Saeed Al_Hashimi, Mohammed Hannon Alsodani
Objectives: The aim of study is to evaluate plasma glucose control in diabetic patient on hemodialysis by measure plasma glycated albumin and HbA1c and correlate them with parameters like serum electrolytes blood urea, serum creatinine, hemoglobin, serum albumin, total serum bilirubin, serum uric acid, parathyroid hormone, serum ferritin; to evaluate the effects of these parameters on the level of diabetic control. Methods: This is a cross sectional study which included type 2 diabetic patients on hemodialysis these patients are currently undergoing hemodialysis and are on hemodialysis for more than three months. Total 50 type 2 diabetic patients on hemodialysis; between ages of 47-62 years of either gender were selected randomly and comparison done between the effect of different factors on HbA1c and glycated albumin. Results: There were 50 patients enrolled in this study with a mean age of 54.5 ± 4.7 (range: 47 – 62) years. Males represented 58% (29 patients) while female represent 42% (21 patients) of the studied group with male to female ratio of 1.38 to one. The duration of diabetes (DM) ranged 4 – 20 years and two thirds of the cases had duration of 15 years or less. Regarding the treatment of DM, 35 patients (70%) were on soluble insulin while 15 patients neither receive insulin nor oral antidiabetic agent and their treatment was off. poor glycemic control was significantly associated with younger age, patients aged < 50 years were more frequent among the poor glycemic. good glycemic control had significantly lower HbA1C% level. Conclusion: Most of our diabetic patient on HD has controlled diabetes reflected by the level of HbA1c and GA. Serum ferritin levels is positively correlate with HbA1c levels in diabetic patient on hemodialysis which suggests that serum ferritin levels can be a marker of glycemic control in type 2 DM.
{"title":"Evaluation of plasma glucose control in diabetic patients on hemodialysis a single center study","authors":"Saif Hassan Razooqi, Rafah Mohammed Saeed Al_Hashimi, Mohammed Hannon Alsodani","doi":"10.22317/imj.v6i3.1191","DOIUrl":"https://doi.org/10.22317/imj.v6i3.1191","url":null,"abstract":"Objectives: The aim of study is to evaluate plasma glucose control in diabetic patient on hemodialysis by measure plasma glycated albumin and HbA1c and correlate them with parameters like serum electrolytes blood urea, serum creatinine, hemoglobin, serum albumin, total serum bilirubin, serum uric acid, parathyroid hormone, serum ferritin; to evaluate the effects of these parameters on the level of diabetic control. \u0000Methods: This is a cross sectional study which included type 2 diabetic patients on hemodialysis these patients are currently undergoing hemodialysis and are on hemodialysis for more than three months. Total 50 type 2 diabetic patients on hemodialysis; between ages of 47-62 years of either gender were selected randomly and comparison done between the effect of different factors on HbA1c and glycated albumin. \u0000Results: There were 50 patients enrolled in this study with a mean age of 54.5 ± 4.7 (range: 47 – 62) years. Males represented 58% (29 patients) while female represent 42% (21 patients) of the studied group with male to female ratio of 1.38 to one. The duration of diabetes (DM) ranged 4 – 20 years and two thirds of the cases had duration of 15 years or less. Regarding the treatment of DM, 35 patients (70%) were on soluble insulin while 15 patients neither receive insulin nor oral antidiabetic agent and their treatment was off. poor glycemic control was significantly associated with younger age, patients aged < 50 years were more frequent among the poor glycemic. good glycemic control had significantly lower HbA1C% level. \u0000Conclusion: Most of our diabetic patient on HD has controlled diabetes reflected by the level of HbA1c and GA. Serum ferritin levels is positively correlate with HbA1c levels in diabetic patient on hemodialysis which suggests that serum ferritin levels can be a marker of glycemic control in type 2 DM.","PeriodicalId":32555,"journal":{"name":"Iraq Medical Journal","volume":"21 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88764313","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}
Redha Al Lawati, M. Al Balushi, Aliya Al Hajri, Ziayana Ambusaidi
Toxic leukoencephalopathy is a rare disease that may present with different signs and symptoms, it requires a combination of clinical signs and symptoms along with radiographic evidence to reach a diagnosis. We report the case of a young man who presented with a decreased level of consciousness and found that he took an overdose of heroin prior to admission, after investigations the patient was found to have toxic leukoencephalopathy. Its an uncommon disease, however, it should be in the differential diagnosis of any patient coming with some neurological and behavioral changes along with substance abuse, mainstay treatment is supportive.
{"title":"Case report of toxic leukoencephalopathy induced by heroin abuse","authors":"Redha Al Lawati, M. Al Balushi, Aliya Al Hajri, Ziayana Ambusaidi","doi":"10.22317/imj.v6i3.1161","DOIUrl":"https://doi.org/10.22317/imj.v6i3.1161","url":null,"abstract":"Toxic leukoencephalopathy is a rare disease that may present with different signs and symptoms, it requires a combination of clinical signs and symptoms along with radiographic evidence to reach a diagnosis. We report the case of a young man who presented with a decreased level of consciousness and found that he took an overdose of heroin prior to admission, after investigations the patient was found to have toxic leukoencephalopathy. Its an uncommon disease, however, it should be in the differential diagnosis of any patient coming with some neurological and behavioral changes along with substance abuse, mainstay treatment is supportive.","PeriodicalId":32555,"journal":{"name":"Iraq Medical Journal","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86665393","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}
Hayder Ghali Wadi Algawwam, Abdullah Ahmed Mohammad, Safwat Abbas Ali Askar
Objective: The objective of this case report study was to use a relatively new chronic pain management method for temporomandibular joint (TMJ) disorder by using intra-articular injections of platelet rich plasma (PRP) to patient with long standing problem. Methods: Patient’s own blood drawn, mixed with anticoagulant, centrifuged twice for preparation of PRP, then 0.5ml of prepared PRP injected intra-articular in TMJ for both right and left side, three sessions of PRP injection done with spacing of 4 weeks in between and patient follow up done for 24 months after last session. Results: The patient was completely symptoms free even after 24 months since last PRP injection session. Conclusion: Intra articular injection of PRP seems to be a safe, effective and cheap pain management method for chronic pain resulting from TMJ disorder.
{"title":"Effectiveness of PRP As A pain Management Method in Temporomandibular Joint Osteoarthritis; A Case Report","authors":"Hayder Ghali Wadi Algawwam, Abdullah Ahmed Mohammad, Safwat Abbas Ali Askar","doi":"10.22317/imj.v6i2.1180","DOIUrl":"https://doi.org/10.22317/imj.v6i2.1180","url":null,"abstract":"Objective: The objective of this case report study was to use a relatively new chronic pain management method for temporomandibular joint (TMJ) disorder by using intra-articular injections of platelet rich plasma (PRP) to patient with long standing problem. \u0000Methods: Patient’s own blood drawn, mixed with anticoagulant, centrifuged twice for preparation of PRP, then 0.5ml of prepared PRP injected intra-articular in TMJ for both right and left side, three sessions of PRP injection done with spacing of 4 weeks in between and patient follow up done for 24 months after last session. \u0000Results: The patient was completely symptoms free even after 24 months since last PRP injection session. \u0000Conclusion: Intra articular injection of PRP seems to be a safe, effective and cheap pain management method for chronic pain resulting from TMJ disorder.","PeriodicalId":32555,"journal":{"name":"Iraq Medical Journal","volume":"2014 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82737891","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}
B. Ebrahimi, N. Ghaffari, Tahereh Alizamir, Khojaste Rahimi Jaberi, Zohreh Nazmara
Objectives: The aim of this study is to predict the gender among Iranian population by determining the facial and nasal indices. Methods: Four hundred healthy individuals including 200 males and 200 females (age range of 20-25 years) with normal craniofacial configuration took part in the present study. Facial and nasal variables including facial length (FL), facial width (FW), facial index (FI), nasal length (NL), nasal height (NH), nasal width (NW), and nasal index (NI) measured and SPSS 22.0 software was used for statistical analysis. Results: The mean age was 22.16±2.44 years. The mean FL, FW, FI, NL, NW, and NI were 11.53±0.592 cm, 12.54±1.41 cm, 92.67±6.24 cm, 6.02±0.53 cm, 2.78±0.25 cm, and 90.79±8.22 cm, respectively. There were significant differences in the mean value of all nasofacial parameters (P<0.05). The most prominent face and nose types were hyperleptoprosopic (46%) and platyrrhine (57.75%) among Iranian population. The highest sensitivity and specificity to predict the gender dimorphism were related to FL and FW (.990 and 0.97) and (.970 and 0.94), respectively. Conclusion: Nasofacial parameters such as FL and FW that are able to sexual dimorphism with high sensitivity and specificity can be helpful in forensic medicine. Also, the nasofacial parameters are useful in in reconstructive, and aesthetic surgeries.
{"title":"Gender Determination Using Nasofacial Anthropometry in the Iranian Population","authors":"B. Ebrahimi, N. Ghaffari, Tahereh Alizamir, Khojaste Rahimi Jaberi, Zohreh Nazmara","doi":"10.22317/imj.v6i2.1172","DOIUrl":"https://doi.org/10.22317/imj.v6i2.1172","url":null,"abstract":"Objectives: The aim of this study is to predict the gender among Iranian population by determining the facial and nasal indices. \u0000Methods: Four hundred healthy individuals including 200 males and 200 females (age range of 20-25 years) with normal craniofacial configuration took part in the present study. Facial and nasal variables including facial length (FL), facial width (FW), facial index (FI), nasal length (NL), nasal height (NH), nasal width (NW), and nasal index (NI) measured and SPSS 22.0 software was used for statistical analysis. \u0000Results: The mean age was 22.16±2.44 years. The mean FL, FW, FI, NL, NW, and NI were 11.53±0.592 cm, 12.54±1.41 cm, 92.67±6.24 cm, 6.02±0.53 cm, 2.78±0.25 cm, and 90.79±8.22 cm, respectively. There were significant differences in the mean value of all nasofacial parameters (P<0.05). The most prominent face and nose types were hyperleptoprosopic (46%) and platyrrhine (57.75%) among Iranian population. The highest sensitivity and specificity to predict the gender dimorphism were related to FL and FW (.990 and 0.97) and (.970 and 0.94), respectively. \u0000Conclusion: Nasofacial parameters such as FL and FW that are able to sexual dimorphism with high sensitivity and specificity can be helpful in forensic medicine. Also, the nasofacial parameters are useful in in reconstructive, and aesthetic surgeries.","PeriodicalId":32555,"journal":{"name":"Iraq Medical Journal","volume":"97 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79206510","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}
Faruk Hassan Faraj, H. A. Ali Ghalib, Ismael Yadullah Abdullah
Objectives: Assess the patient characteristics and presentations of non-obstetric causes of acute abdominal pain among pregnant women. Methods: Sixty five pregnant patients of different gestational age groups were enrolled in this study who visited Sulaimani Emergency Hospital between 2nd January 2019 and 31 December 2019. Results: Acute appendicitis is the most common cause of non-obstetric abdominal pain in pregnant women (35.4%) followed by acute cholecystitis (18.5%) and renal stones (12.3%). Miscarriages are most commonly associated with acute pancreatitis with a rate of (50%). The majority of the patients were discharged home well within one month except for one patient (1.5%) who unfortunately died after surgical treatment for acute appendicitis. Conclusion: Acute appendicitis is the most common non-obstetric cause of acute abdominal pain in pregnant women. While 2nd and 3rd causes were, acute cholecystitis and renal colic consecutively in decreasing frequency.
{"title":"Non-obstetric causes and presentations of acute abdominal pain among pregnant women","authors":"Faruk Hassan Faraj, H. A. Ali Ghalib, Ismael Yadullah Abdullah","doi":"10.22317/imj.v6i2.1175","DOIUrl":"https://doi.org/10.22317/imj.v6i2.1175","url":null,"abstract":"Objectives: Assess the patient characteristics and presentations of non-obstetric causes of acute abdominal pain among pregnant women. \u0000Methods: Sixty five pregnant patients of different gestational age groups were enrolled in this study who visited Sulaimani Emergency Hospital between 2nd January 2019 and 31 December 2019. \u0000Results: Acute appendicitis is the most common cause of non-obstetric abdominal pain in pregnant women (35.4%) followed by acute cholecystitis (18.5%) and renal stones (12.3%). Miscarriages are most commonly associated with acute pancreatitis with a rate of (50%). The majority of the patients were discharged home well within one month except for one patient (1.5%) who unfortunately died after surgical treatment for acute appendicitis. \u0000Conclusion: Acute appendicitis is the most common non-obstetric cause of acute abdominal pain in pregnant women. While 2nd and 3rd causes were, acute cholecystitis and renal colic consecutively in decreasing frequency. ","PeriodicalId":32555,"journal":{"name":"Iraq Medical Journal","volume":"135 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89485835","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}
Emad Jabour Rashid, Ahmed Farhan Abusuda, Ammar Ali Hussein
Objectives: To study the early and midterm results of transcatheter closure of perimembranous VSD using Amplatzer Ductal Occluder type 1. Methods: Prospective study of one hundred thirteen patients with perimembranous VSD (PMVSD) who referred to catheterization laboratory and underwent transcatheter closure of their defects by using Amplatzer Ductal Occluder type 1 device. Routine right and left heart catheterization was performed with evaluation of the pulmonary and systemic pressure. All the procedures were done under fluoroscopy and transthoracic echocardiography guide. Follow up evaluations were done between 1 month and 12 months after discharge (mean 4.5 ± 1.13 months) with transthoracic echocardiography and 12 lead electrocardiography. Results: The age of patients range from 2 to 34 years at procedure (mean 10.60 ± 7.31 years), weight range from 10 to 85 kg (mean 32.38 ± 19.70 kg). The mean echocardiographic defect size was 5.69 ± 1.63 mm and the mean angiographic size was 5.89 ± 1.70 mm. The devices size used range from 6/4 – 16/14 mm. The most common device used was 10/8. The ADOs were successfully implanted in 108 patients (95.6 %). The VSD occlusion rate was 85.2% at completion of the procedure, rising up to 90.7 % next day at discharge, 93.5% at one month and 97.2% at 6 months during follow-up. Two patients (1.9%) developed CAVB, one case within 24 hours and the other case after 2 days of the procedure, they were admitted in hospital treated by temporary pacemaker implantation, steroids and NSAIDs (high dose aspirin) with complete remission within 5 days. Conclusion: Transcatheter closure of PMVSD with ADO1 in children is a safe and effective treatment associated with excellent success and closure rates and with no significant adverse events, but long-term follow-up in a large number of patients would be warranted.
{"title":"Early and mid-term results of transcatheter closure of perimembranous ventricular septal defect using Amplatzer Ductal Occluder type 1","authors":"Emad Jabour Rashid, Ahmed Farhan Abusuda, Ammar Ali Hussein","doi":"10.22317/imj.v6i2.1176","DOIUrl":"https://doi.org/10.22317/imj.v6i2.1176","url":null,"abstract":"Objectives: To study the early and midterm results of transcatheter closure of perimembranous VSD using Amplatzer Ductal Occluder type 1. \u0000Methods: Prospective study of one hundred thirteen patients with perimembranous VSD (PMVSD) who referred to catheterization laboratory and underwent transcatheter closure of their defects by using Amplatzer Ductal Occluder type 1 device. Routine right and left heart catheterization was performed with evaluation of the pulmonary and systemic pressure. All the procedures were done under fluoroscopy and transthoracic echocardiography guide. Follow up evaluations were done between 1 month and 12 months after discharge (mean 4.5 ± 1.13 months) with transthoracic echocardiography and 12 lead electrocardiography. \u0000Results: The age of patients range from 2 to 34 years at procedure (mean 10.60 ± 7.31 years), weight range from 10 to 85 kg (mean 32.38 ± 19.70 kg). The mean echocardiographic defect size was 5.69 ± 1.63 mm and the mean angiographic size was 5.89 ± 1.70 mm. The devices size used range from 6/4 – 16/14 mm. The most common device used was 10/8. The ADOs were successfully implanted in 108 patients (95.6 %). The VSD occlusion rate was 85.2% at completion of the procedure, rising up to 90.7 % next day at discharge, 93.5% at one month and 97.2% at 6 months during follow-up. Two patients (1.9%) developed CAVB, one case within 24 hours and the other case after 2 days of the procedure, they were admitted in hospital treated by temporary pacemaker implantation, steroids and NSAIDs (high dose aspirin) with complete remission within 5 days. Conclusion: Transcatheter closure of PMVSD with ADO1 in children is a safe and effective treatment associated with excellent success and closure rates and with no significant adverse events, but long-term follow-up in a large number of patients would be warranted.","PeriodicalId":32555,"journal":{"name":"Iraq Medical Journal","volume":"86 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83487960","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}
Mahmood Shakir Shukur, Ali Omar Taha, Fadya Lutfi Dawood Dalloo
Objectives: The aim of study is to evaluate and assess squeal of otitis media with effusion in children. Methods: cross sectional retrospective study was admitted to children in age range 1 to 15 years old, all children who diagnosed as otitis media with effusion. patients who came to outpatient complaining of deafness, acute or chronic rhino sinusitis, snoring, sleep apnea, atopy and diagnosed as otitis media with effusion included in this study. full otolaryngological examination done for these patients including otoscopical examination, anterior rhinoscopy and nasal endoscopy. documented cases of OME by aural otoscopy included in this study Change of color and position of tympanic membrane, fluid level, retracted tympanic membrane considered as signs of otitis media with effusion. These patient submitted to tympanometry to confirm the diagnosis of effusion. Results: 252 kids have otitis media, mean age of them 9.2 ± 3.5 years old. (70.6%) of babies are males and (29.4%) are females. (42.9%) of babies are at age group 6-10 years. According to symptoms appear; (73%) of them have bilateral effusion. (43.7%) of babies have rhinitis. Just (9.9%) of them have atopy. (25%) of them have snoring. Just (7.5%) of babies have apnea. According to management types; (79.8%) have medical treatment and (20.2%) have surgical management. There is significant association between age groups and site of effusion. There is significant association between site of effusion and snoring, medical treatment, surgical procedure and recurrent of effusion. Conclusion: In current study males’ babies are more have OM with effusion. And most age group that have OM is 6-10 years old, most OM with effusion occur bilaterally and associated with rhinitis. There is association between site of effusion and snoring, medical treatment, surgical procedure and recurrent of effusion.
{"title":"Evaluation of squeal of otitis media with effusion in children","authors":"Mahmood Shakir Shukur, Ali Omar Taha, Fadya Lutfi Dawood Dalloo","doi":"10.22317/imj.v6i2.1179","DOIUrl":"https://doi.org/10.22317/imj.v6i2.1179","url":null,"abstract":"Objectives: The aim of study is to evaluate and assess squeal of otitis media with effusion in children. \u0000Methods: cross sectional retrospective study was admitted to children in age range 1 to 15 years old, all children who diagnosed as otitis media with effusion. patients who came to outpatient complaining of deafness, acute or chronic rhino sinusitis, snoring, sleep apnea, atopy and diagnosed as otitis media with effusion included in this study. full otolaryngological examination done for these patients including otoscopical examination, anterior rhinoscopy and nasal endoscopy. documented cases of OME by aural otoscopy included in this study Change of color and position of tympanic membrane, fluid level, retracted tympanic membrane considered as signs of otitis media with effusion. These patient submitted to tympanometry to confirm the diagnosis of effusion. Results: 252 kids have otitis media, mean age of them 9.2 ± 3.5 years old. (70.6%) of babies are males and (29.4%) are females. (42.9%) of babies are at age group 6-10 years. According to symptoms appear; (73%) of them have bilateral effusion. (43.7%) of babies have rhinitis. Just (9.9%) of them have atopy. (25%) of them have snoring. Just (7.5%) of babies have apnea. According to management types; (79.8%) have medical treatment and (20.2%) have surgical management. There is significant association between age groups and site of effusion. There is significant association between site of effusion and snoring, medical treatment, surgical procedure and recurrent of effusion. Conclusion: In current study males’ babies are more have OM with effusion. And most age group that have OM is 6-10 years old, most OM with effusion occur bilaterally and associated with rhinitis. There is association between site of effusion and snoring, medical treatment, surgical procedure and recurrent of effusion.","PeriodicalId":32555,"journal":{"name":"Iraq Medical Journal","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82451198","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}
Mahnaz Poorhassan, B. Ebrahimi, M. Babaei, Morteza Gholaminejhad, Ghazaleh Moshkdanian, K. Mehrannia, Amirreza Sadr Yekta, I. Mohammed, Sahar Ijaz, G. Hassanzadeh, M. Gity
Objectives: This study aimed to find the difference in the values of the cranial base angles among Iranian adults and investigate the relationship between the Basal and Sphenobasion angles. Methods: 100 individuals (50 males and 50 females) aged between 18 to 60 participated in this cross-sectional study which was carried out from September 2018 to September 2019 in the imaging centers affiliated with the Faculty of Medicine, Tehran University of Medical Sciences and Basal and Sphenobasion angles were measured in all of the participants. Results: A significant correlation was observed between age and Sphenobasion angle in the male group (P= 0.0001, r= 0.439), but no positive relation was observed between Sphenobasion angle and age in the female group (p=0.309). The results of this study exhibited the significant relations between the Basal and Sphenobasion angles in the females and males (P= 0.001, r= 0.396 and P= 0.0001, r= 0.534 respectively). Conclusion: This study showed positive correlations between the Basal angle and age in the females and males and significant relations between the Basal and Sphenobasion angles in the two genders.
{"title":"Evaluation of the Basal and Sphenobasion angles using CT Scan in the Iranian population","authors":"Mahnaz Poorhassan, B. Ebrahimi, M. Babaei, Morteza Gholaminejhad, Ghazaleh Moshkdanian, K. Mehrannia, Amirreza Sadr Yekta, I. Mohammed, Sahar Ijaz, G. Hassanzadeh, M. Gity","doi":"10.22317/imj.v6i2.1173","DOIUrl":"https://doi.org/10.22317/imj.v6i2.1173","url":null,"abstract":"Objectives: This study aimed to find the difference in the values of the cranial base angles among Iranian adults and investigate the relationship between the Basal and Sphenobasion angles. \u0000Methods: 100 individuals (50 males and 50 females) aged between 18 to 60 participated in this cross-sectional study which was carried out from September 2018 to September 2019 in the imaging centers affiliated with the Faculty of Medicine, Tehran University of Medical Sciences and Basal and Sphenobasion angles were measured in all of the participants. \u0000Results: A significant correlation was observed between age and Sphenobasion angle in the male group (P= 0.0001, r= 0.439), but no positive relation was observed between Sphenobasion angle and age in the female group (p=0.309). The results of this study exhibited the significant relations between the Basal and Sphenobasion angles in the females and males (P= 0.001, r= 0.396 and P= 0.0001, r= 0.534 respectively). \u0000Conclusion: This study showed positive correlations between the Basal angle and age in the females and males and significant relations between the Basal and Sphenobasion angles in the two genders.","PeriodicalId":32555,"journal":{"name":"Iraq Medical Journal","volume":"53 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"81092273","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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