Pub Date : 2022-01-05DOI: 10.32007/jfacmedbagdad.6341868
M. Saleh, Jawad Aldiwan, A. Ahmed
Background: Osteoporosis is a global health problem which is estimated to affect more than 200 million people worldwide, especially postmenopausal women. It is characterized by decreased bone mineral density leading to fragility and increased risk of fractures. Objective: This study was conducted to explore the consumption of inappropriate foods related to osteoporosis among a group of Iraqi women. JFac Med Baghdad 2021; Vol.63, No. 4 Received: Sep., 2021 Accepted: Nov., 2021 Published: Jan., 2021 Patients and methods: A cross sectional study of 140 females aged ≥ 40 years attending polyclinics in Al-Dora sector in Baghdad city from 18th January to 24th April 2021. The bone mineral density was measured by portable quantitative calcaneal ultrasound machine (osteosystem) and the bone was assessed for osteoporosis by T-score. Food frequency questionnaire was used for collecting data related to food consumption. Results: Out of the total sample, 74 (52.9%) were found to be osteoporotic. There was a significant association with high salt and coffee consumption with the occurrence of osteoporosis (77.3% and 83.3%, respectively, p = 0.001), compared to those who did not consume caffeinated drinks. Participants with daily consumption of caffeinated drinks had a highly significant association with osteoporosis (21.8% vs 100%, p = 0.001). Conclusion: Excessive consumption of salty foods and caffeinated beverages appears to exert a negative effect on bone mineral density and the occurrence of osteoporosis among the studied group of Iraqi women.
{"title":"Possible relationships of selected food items to osteoporosis among a group of Iraqi women","authors":"M. Saleh, Jawad Aldiwan, A. Ahmed","doi":"10.32007/jfacmedbagdad.6341868","DOIUrl":"https://doi.org/10.32007/jfacmedbagdad.6341868","url":null,"abstract":"Background: Osteoporosis is a global health problem which is estimated to affect more than 200 million people worldwide, especially postmenopausal women. It is characterized by decreased bone mineral density leading to fragility and increased risk of fractures. \u0000 Objective: This study was conducted to explore the consumption of inappropriate foods related to osteoporosis among a group of Iraqi women.\u0000\u0000\u0000\u0000\u0000JFac Med Baghdad\u00002021; Vol.63, No. 4\u0000Received: Sep., 2021\u0000Accepted: Nov., 2021\u0000Published: Jan., 2021\u0000 \u0000\u0000\u0000\u0000\u0000Patients and methods: A cross sectional study of 140 females aged ≥ 40 years attending polyclinics in Al-Dora sector in Baghdad city from 18th January to 24th April 2021. The bone mineral density was measured by portable quantitative calcaneal ultrasound machine (osteosystem) and the bone was assessed for osteoporosis by T-score. Food frequency questionnaire was used for collecting data related to food consumption. \u0000Results: Out of the total sample, 74 (52.9%) were found to be osteoporotic. There was a significant association with high salt and coffee consumption with the occurrence of osteoporosis (77.3% and 83.3%, respectively, p = 0.001), compared to those who did not consume caffeinated drinks. Participants with daily consumption of caffeinated drinks had a highly significant association with osteoporosis (21.8% vs 100%, p = 0.001).\u0000Conclusion: Excessive consumption of salty foods and caffeinated beverages appears to exert a negative effect on bone mineral density and the occurrence of osteoporosis among the studied group of Iraqi women.","PeriodicalId":33125,"journal":{"name":"mjl@ kly@ lTb","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44736446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2022-01-05DOI: 10.32007/jfacmedbagdad.6341873
M. Al-Kaisy, Noura Ishaq Al-Shaibani, Mohammad Fazallulah
Abstract: Background: Subcutaneous emphysema is a common presentation to the emergency department. The presence of emphysema in the head and neck region due to dental procedure is not common, and the presence of pneumomediastinum is exceedingly rare. Case Report: A young lady, presented to the emergency department with chest pain, found to have pneumomediastinum following a dental procedure including a wisdom tooth extraction. Conclusion: Complications following dental procedures are not uncommon, hence there should be a high index of suspicion for the emergency physicians for such patients, especially those where air turbine dental tools have been used.
{"title":"Pneumomediastinum following a dental procedure","authors":"M. Al-Kaisy, Noura Ishaq Al-Shaibani, Mohammad Fazallulah","doi":"10.32007/jfacmedbagdad.6341873","DOIUrl":"https://doi.org/10.32007/jfacmedbagdad.6341873","url":null,"abstract":"Abstract: \u0000 \u0000Background: Subcutaneous emphysema is a common presentation to the emergency department. The presence of emphysema in the head and neck region due to dental procedure is not common, and the presence of pneumomediastinum is exceedingly rare. \u0000Case Report: A young lady, presented to the emergency department with chest pain, found to have pneumomediastinum following a dental procedure including a wisdom tooth extraction. \u0000Conclusion: Complications following dental procedures are not uncommon, hence there should be a high index of suspicion for the emergency physicians for such patients, especially those where air turbine dental tools have been used.","PeriodicalId":33125,"journal":{"name":"mjl@ kly@ lTb","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-01-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47024500","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-10-05DOI: 10.32007/jfacmedbagdad.6331864
Ali M. Hami
Background: Diabetic Mellitus is considered as a public health concern. More than 8 percent of the United States has diabetes. Diabetes is a serious risk factor for Atherosclerotic cardiovascular disease (ASCVD) and an important cause of mortality. ASCVD is the commonest cause of death in the Western world. Diabetes was defined as a high risk condition for ASCVD. In adults with diabetes with ASCVD or multiple ASCVD risk factors it is important to prescribe high intensity statin to reduce LDL at least to 50%. Objective: To investigate association between dyslipidemia and HbA1c and to detect benefit of using some statins in decreases the risk of CVD. Material and method: A prospective randomized single dose study was carried out at a private clinic in Wasit governorate-Iraq; included patients with type 2 diabetes. Clinical biochemical lab assessment and re assessment was carried out before and after 3 months of receiving Rosuvastatin 20 mg/ day. A questionnaire paper was used, including sociodemographic and clinical features (age, gender, measuring weight, height, and waist circumference; biochemical markers [total cholesterol, HDL, LDL, TG and HbA1c]). Results: A total of 256 type 2 DM patients were included; receiving 20 mg of rosuvastatin as a single dose for 3 consecutive months. 83 (32.4%) of them were males and 173 (67.6%) were females. Mean age of male (52.0710.486) and that of female (53.1110.410). the mean difference of (BMI, WC, HbA1c, LDL, TG, and cholesterol) among all studied sample after treatment was significantly lower than mean difference that measured before treatment, except that for HDL; where it was significantly higher after treatment, P <0.001. Mean differences of HbA1c and total cholesterol were reduced significantly after treatment among males, females, age <45 yrs., and age 45 yrs., P<0.01; without significant differences in between groups, P>0.05. Conclusions: HbA1c value associated with level of lipid profile in diabetic patients. All age groups and both gender have had benefit of rosuvastatin treatment in reduction of lipid cholesterol as well as HbA1c. Rosuvastatin can be used by type 2 diabetics’ regardless age and gender. HbA1c can be used as a predictor of dyslipidemia in type 2 diabetes.
{"title":"Association between HbA1c and dyslipidemia among sample of Iraqi Patients with Type2 DM","authors":"Ali M. Hami","doi":"10.32007/jfacmedbagdad.6331864","DOIUrl":"https://doi.org/10.32007/jfacmedbagdad.6331864","url":null,"abstract":"Background: Diabetic Mellitus is considered as a public health concern. More than 8 percent of the United States has diabetes. Diabetes is a serious risk factor for Atherosclerotic cardiovascular disease (ASCVD) and an important cause of mortality. ASCVD is the commonest cause of death in the Western world. Diabetes was defined as a high risk condition for ASCVD. In adults with diabetes with ASCVD or multiple ASCVD risk factors it is important to prescribe high intensity statin to reduce LDL at least to 50%. \u0000Objective: To investigate association between dyslipidemia and HbA1c and to detect benefit of using some statins in decreases the risk of CVD. \u0000Material and method: A prospective randomized single dose study was carried out at a private clinic in Wasit governorate-Iraq; included patients with type 2 diabetes. Clinical biochemical lab assessment and re assessment was carried out before and after 3 months of receiving Rosuvastatin 20 mg/ day. A questionnaire paper was used, including sociodemographic and clinical features (age, gender, measuring weight, height, and waist circumference; biochemical markers [total cholesterol, HDL, LDL, TG and HbA1c]). \u0000Results: A total of 256 type 2 DM patients were included; receiving 20 mg of rosuvastatin as a single dose for 3 consecutive months. 83 (32.4%) of them were males and 173 (67.6%) were females. Mean age of male (52.0710.486) and that of female (53.1110.410). the mean difference of (BMI, WC, HbA1c, LDL, TG, and cholesterol) among all studied sample after treatment was significantly lower than mean difference that measured before treatment, except that for HDL; where it was significantly higher after treatment, P <0.001. Mean differences of HbA1c and total cholesterol were reduced significantly after treatment among males, females, age <45 yrs., and age 45 yrs., P<0.01; without significant differences in between groups, P>0.05. \u0000Conclusions: HbA1c value associated with level of lipid profile in diabetic patients. All age groups and both gender have had benefit of rosuvastatin treatment in reduction of lipid cholesterol as well as HbA1c. Rosuvastatin can be used by type 2 diabetics’ regardless age and gender. HbA1c can be used as a predictor of dyslipidemia in type 2 diabetes.","PeriodicalId":33125,"journal":{"name":"mjl@ kly@ lTb","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44578452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-10-05DOI: 10.32007/jfacmedbagdad.6331848
W. Hussen
Background: Foreign body inhalation is a life threating event in children and it is common in our country ,which is a daily practice of Thoracic .It can lead to morbidity even mortality in the hands of untrained or not well- trained doctors. Aim: Is to report a case of missed foreign body inhaled 15-years back, which is uncommonly reported in the literatures and to compare it with other studies reporting similar cases. Methods: The details, presentation, clinical findings, radiological appearance and the successful removal by a rigid bronchoscope under general anesthesia will be presented. Results: The successful removal of this long standing impacted foreign body (plastic whistle) using the rigid bronchoscope and the eventful outcome of patient’s clinical symptoms is elucidated. Conclusion: Refractory respiratory symptoms of long duration without improvement justify the need for diagnostic bronchoscopy which will offers the best chance of cure in missed foreign body inhalation.
{"title":"Missed foreign body inhalation for 15-years","authors":"W. Hussen","doi":"10.32007/jfacmedbagdad.6331848","DOIUrl":"https://doi.org/10.32007/jfacmedbagdad.6331848","url":null,"abstract":" \u0000Background: \u0000Foreign body inhalation is a life threating event in children and it is common in our country ,which is a daily practice of Thoracic .It can lead to morbidity even mortality in the hands of untrained or not well- trained doctors. \u0000Aim: \u0000Is to report a case of missed foreign body inhaled 15-years back, which is uncommonly reported in the literatures and to compare it with other studies reporting similar cases. \u0000Methods: \u0000The details, presentation, clinical findings, radiological appearance and the successful removal by a rigid bronchoscope under general anesthesia will be presented. \u0000Results: \u0000The successful removal of this long standing impacted foreign body (plastic whistle) using the rigid bronchoscope and the eventful outcome of patient’s clinical symptoms is elucidated. \u0000Conclusion: \u0000Refractory respiratory symptoms of long duration without improvement justify the need for diagnostic bronchoscopy which will offers the best chance of cure in missed foreign body inhalation. \u0000 ","PeriodicalId":33125,"journal":{"name":"mjl@ kly@ lTb","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"69419705","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-09-26DOI: 10.32007/jfacmedbagdad.6331850
A. Taha, Kalandar Kaznazani
Congenital agenesis of the hemi-diaphragm (AHD) in adults is rare and exceedingly so on the right side. Since its first recognition in 1959, no more than 9 cases have been published in the English literature by the year 2016. “Partial diaphragm agenesis” is actually large congenital diaphragmatic hernia (CDH) rather than true AHD. Respiratory compromise is the likely presentation, however, patients may survive for years without symptoms. Despite a straightforward clinical and radiographic diagnosis of AHD, the best method of repair is controversial. Herein, we present a case of complete right-sided AHD in a man of 54 diagnosed on surgical exploration 16 years earlier. Despite trans-thoracic mesh repair, the patient experienced just a modest improvement of his shortness of breath (SOB). Though the liver persisted high in the chest as shown by serial CT scans of the chest, polypropylene mesh was effective in preventing further visceral herniation. Adult patients with right-sided AHD always deserve operative intervention to avoid the potential complications.
{"title":"Complete agenesis of the right hemi-diaphragm in an adult: case report and literature review.","authors":"A. Taha, Kalandar Kaznazani","doi":"10.32007/jfacmedbagdad.6331850","DOIUrl":"https://doi.org/10.32007/jfacmedbagdad.6331850","url":null,"abstract":"Congenital agenesis of the hemi-diaphragm (AHD) in adults is rare and exceedingly so on the right side. Since its first recognition in 1959, no more than 9 cases have been published in the English literature by the year 2016. “Partial diaphragm agenesis” is actually large congenital diaphragmatic hernia (CDH) rather than true AHD. Respiratory compromise is the likely presentation, however, patients may survive for years without symptoms. Despite a straightforward clinical and radiographic diagnosis of AHD, the best method of repair is controversial. Herein, we present a case of complete right-sided AHD in a man of 54 diagnosed on surgical exploration 16 years earlier. Despite trans-thoracic mesh repair, the patient experienced just a modest improvement of his shortness of breath (SOB). Though the liver persisted high in the chest as shown by serial CT scans of the chest, polypropylene mesh was effective in preventing further visceral herniation. Adult patients with right-sided AHD always deserve operative intervention to avoid the potential complications.","PeriodicalId":33125,"journal":{"name":"mjl@ kly@ lTb","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43213655","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-09-26DOI: 10.32007/jfacmedbagdad.6331845
H. Dawood, Sinan Ghazi Mahdi
Abstract Background Severe acute lower respiratory infection (SARI) is one of the major causes of morbidity and mortality, especially in developing countries. There is a large global variation in the epidemiology, clinical management and outcomes, including the mortality Aim of the study: To describe the demographic features, Province of residence, occupation and outcomes of patients SARI. Patients and Methods: A retrospective study of 1009 patients involved in the study, between the first of January 2019 and twenty eight of December 2019. From the medical records in Communicable Diseases Control Centre (CDC) office in Baghdad. Results: 1009 patients, 406 with positive for influenza A, and 603 with negative for influenza, the highest incidence was in the age group between 0-10 years for both positive (19.7%) and negative (25.0%) influenza A. Male higher (56.7%) than female in influenza A group, but female is higher (50.4%) in those with negative influenza group. The incidence in Baghdad is higher than other governments for both groups. Freelance is higher than other occupations (31.8%) for positive and housewife (32.2%) for negative influenza A. Death was 6.4% for positive and 1.5% for negative influenza A, the higher mortality rate was in male in age group 0-10 year for both positive (30.8%) and negative (18.9%)influenza A. Conclusion: influenza A is an important cause of SARI, childhood is a high risk for SARI who have high mortality rate especially in male. Freelance and housewife have high occupation risk for SARI. Baghdad has the higher rate than other governments for SARI In Iraq.
{"title":"A retrospective study of demographic profile and outcome of Sever acute respiratory illness (SARI) in Iraq","authors":"H. Dawood, Sinan Ghazi Mahdi","doi":"10.32007/jfacmedbagdad.6331845","DOIUrl":"https://doi.org/10.32007/jfacmedbagdad.6331845","url":null,"abstract":"Abstract \u0000Background Severe acute lower respiratory infection (SARI) is one of the major causes of morbidity and mortality, especially in developing countries. There is a large global variation in the epidemiology, clinical management and outcomes, including the mortality \u0000Aim of the study: To describe the demographic features, Province of residence, occupation and outcomes of patients SARI. \u0000Patients and Methods: A retrospective study of 1009 patients involved in the study, between the first of January 2019 and twenty eight of December 2019. From the medical records in Communicable Diseases Control Centre (CDC) office in Baghdad. \u0000Results: 1009 patients, 406 with positive for influenza A, and 603 with negative for influenza, the highest incidence was in the age group between 0-10 years for both positive (19.7%) and negative (25.0%) influenza A. Male higher (56.7%) than female in influenza A group, but female is higher (50.4%) in those with negative influenza group. The incidence in Baghdad is higher than other governments for both groups. Freelance is higher than other occupations (31.8%) for positive and housewife (32.2%) for negative influenza A. Death was 6.4% for positive and 1.5% for negative influenza A, the higher mortality rate was in male in age group 0-10 year for both positive (30.8%) and negative (18.9%)influenza A. \u0000Conclusion: influenza A is an important cause of SARI, childhood is a high risk for SARI who have high mortality rate especially in male. Freelance and housewife have high occupation risk for SARI. Baghdad has the higher rate than other governments for SARI In Iraq. \u0000 ","PeriodicalId":33125,"journal":{"name":"mjl@ kly@ lTb","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44232731","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-09-26DOI: 10.32007/jfacmedbagdad.6331840
A. Al-Imam, H. J. Al-Doori, Luay Mahmoud Hassan
Background: High-energy visible (HEV) possesses high-frequency in the violet-blue band of the visible light spectrum. Blue light has relevance to ophthalmology via photochemically-induced retinal injury. Objectives: To explore the spatial-temporal mapping of online search behavior concerning HEV light. Materials and Methods: We retrieved raw data of web search volume, via Microsoft Google Trends, using five search topics; "Biological effects of HEV light", "Vision impairment", "Macular degeneration", "Retinal tear", and "Retinal detachment", for the period 2004-2020. Results: Web users, mainly from Far-East Asia and Australasia, were most interested in seeking online information concerning "Macular degeneration" and "Vision impairment" search topics, moderately interested in "Biological effects of HEV light" and "Retinal detachment", and least interested in "Retinal tear". Internet users from the Middle East and Arab world contributed minimally to the holistic map. Web queries increased at both chronological ends, 2004-2006 and 2018-2020; however, these trends were respondent to specific search topics. For instance, the search volume for the "Biological effects of HEV light" increased significantly in 2018-2020. Predictive modeling was most accurate for "Biological effects of HEV light". The strongest correlation was for "Vision impairment" versus "Macular degeneration". ANOVA, linear modeling, and machine learning unanimously agreed on predictors' significant effect (search topics and time) on the web search volume. Conclusion: Web queries' mapping provided indirect evidence on the causality between HEV light and retinal damage. Future research mandates rigor observational and experimental studies.
{"title":"Web Query Behaviour Concerning HEV (Blue) Light in Ophthalmology","authors":"A. Al-Imam, H. J. Al-Doori, Luay Mahmoud Hassan","doi":"10.32007/jfacmedbagdad.6331840","DOIUrl":"https://doi.org/10.32007/jfacmedbagdad.6331840","url":null,"abstract":"Background: High-energy visible (HEV) possesses high-frequency in the violet-blue band of the visible light spectrum. Blue light has relevance to ophthalmology via photochemically-induced retinal injury. \u0000Objectives: To explore the spatial-temporal mapping of online search behavior concerning HEV light. \u0000Materials and Methods: We retrieved raw data of web search volume, via Microsoft Google Trends, using five search topics; \"Biological effects of HEV light\", \"Vision impairment\", \"Macular degeneration\", \"Retinal tear\", and \"Retinal detachment\", for the period 2004-2020. \u0000Results: Web users, mainly from Far-East Asia and Australasia, were most interested in seeking online information concerning \"Macular degeneration\" and \"Vision impairment\" search topics, moderately interested in \"Biological effects of HEV light\" and \"Retinal detachment\", and least interested in \"Retinal tear\". Internet users from the Middle East and Arab world contributed minimally to the holistic map. Web queries increased at both chronological ends, 2004-2006 and 2018-2020; however, these trends were respondent to specific search topics. For instance, the search volume for the \"Biological effects of HEV light\" increased significantly in 2018-2020. Predictive modeling was most accurate for \"Biological effects of HEV light\". The strongest correlation was for \"Vision impairment\" versus \"Macular degeneration\". ANOVA, linear modeling, and machine learning unanimously agreed on predictors' significant effect (search topics and time) on the web search volume. \u0000Conclusion: Web queries' mapping provided indirect evidence on the causality between HEV light and retinal damage. Future research mandates rigor observational and experimental studies.","PeriodicalId":33125,"journal":{"name":"mjl@ kly@ lTb","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46569964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-09-26DOI: 10.32007/jfacmedbagdad.6331836
Mustafa Hussein Ajlan Al-Jarshawi, A. Al-Imam
Background Medical child abuse describes a child receiving unnecessary, harmful, or potentially harmful medical care at the caretaker's instigation. Objectives To focus on medical child abuse as an entity and emphasize its epidemiology, clinical presentations, prevention, and management. Results In the UK, the annual incidence of medical child abuse in children below one year increased to 3:100,000, while its prevalence in Arabs, including Iraq, is ambiguous due to lack of evidence and improper clinician's awareness. The mean age at diagnosis is 14 months to 2.7 years. Female caregivers are the most common offenders. Clinically, medical child abuse could fit into three stages; falsification of illness story, falsification of illness story and physical signs' fabrication, or induction of illness in children. A successful diagnosis mandates a comprehensive review of medical records to identify discrepancies between caregivers' stories versus clinical findings or investigations. Management requires recognizing abuse, halting it, securing the child's safety, maintaining the family's integrity when possible, and aborting unnecessary lateral referrals within the healthcare system. Conclusion Reported cases of medical child abuse are increasing steadily, while less severe ones go unrecognized. No diagnostic tool can help other than the physician's high index of suspicion. The management follows the same principles applied for other forms of child abuse, while good medical practice ensures its prevention.
{"title":"A Review on Medical Child Abuse and Child Protection","authors":"Mustafa Hussein Ajlan Al-Jarshawi, A. Al-Imam","doi":"10.32007/jfacmedbagdad.6331836","DOIUrl":"https://doi.org/10.32007/jfacmedbagdad.6331836","url":null,"abstract":"Background \u0000Medical child abuse describes a child receiving unnecessary, harmful, or potentially harmful medical care at the caretaker's instigation. \u0000Objectives \u0000To focus on medical child abuse as an entity and emphasize its epidemiology, clinical presentations, prevention, and management. \u0000Results \u0000In the UK, the annual incidence of medical child abuse in children below one year increased to 3:100,000, while its prevalence in Arabs, including Iraq, is ambiguous due to lack of evidence and improper clinician's awareness. The mean age at diagnosis is 14 months to 2.7 years. Female caregivers are the most common offenders. Clinically, medical child abuse could fit into three stages; falsification of illness story, falsification of illness story and physical signs' fabrication, or induction of illness in children. A successful diagnosis mandates a comprehensive review of medical records to identify discrepancies between caregivers' stories versus clinical findings or investigations. Management requires recognizing abuse, halting it, securing the child's safety, maintaining the family's integrity when possible, and aborting unnecessary lateral referrals within the healthcare system. \u0000Conclusion \u0000Reported cases of medical child abuse are increasing steadily, while less severe ones go unrecognized. No diagnostic tool can help other than the physician's high index of suspicion. The management follows the same principles applied for other forms of child abuse, while good medical practice ensures its prevention.","PeriodicalId":33125,"journal":{"name":"mjl@ kly@ lTb","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43779092","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-09-26DOI: 10.32007/jfacmedbagdad.6331747
Qais Neamah Raheem, T. Hassan, Ammar Q. Raheem, H. Al-Farhan
Association of Electrocardiographic Left Ventricular Strain Pattern with Coronary Artery Disease and Cerebrovascular Accident in Hypertensive Patients Background: Patients diagnosed with hypertension and left ventricular hypertrophy could presented with electrocardiographic changes including criteria of left ventricular hypertrophy, and left ventricular strain pattern( fixed ST depression and T inversion in leads I, avL, V5&6) Objective: To study the impact of electrocardiographic left ventricular strain pattern in hypertensive patient as predictor for coronary artery disease and cerebrovascular accident development. Material and method: a cross sectional hospital based study was conducted during 2012-2017 at Iraqi center for heart diseases including hypertensive patients with normal ECG or LV strain pattern criteria, all patients underwent echocardiography and coronary angiography and the data were collected from patients’ files. Results: The records of 401 hypertensive patients [262(65.3%) males/139(34.7%) females] were included in this study. Their mean age was 60.07 ± 10.8 year. The relation between electrocardiographic left ventricular strain pattern and Coronary Angiography among patients was significant (P <0.001). There was a significant difference between electrocardiographic left ventricular strain pattern and cerebrovascular accident among studied group (P<0.001). Conclusions: electrocardiographic left ventricular strain in hypertensive patients is highly associated with coronary artery disease and cerebrovascular accident. .
{"title":"Diagnostic value of left ventricle strain pattern of hypertensive patients in coronary and cerebrovascular diseases","authors":"Qais Neamah Raheem, T. Hassan, Ammar Q. Raheem, H. Al-Farhan","doi":"10.32007/jfacmedbagdad.6331747","DOIUrl":"https://doi.org/10.32007/jfacmedbagdad.6331747","url":null,"abstract":"Association of Electrocardiographic Left Ventricular Strain Pattern with Coronary Artery Disease and Cerebrovascular Accident in Hypertensive Patients \u0000Background: Patients diagnosed with hypertension and left ventricular hypertrophy could presented with electrocardiographic changes including criteria of left ventricular hypertrophy, and left ventricular strain pattern( fixed ST depression and T inversion in leads I, avL, V5&6) \u0000Objective: To study the impact of electrocardiographic left ventricular strain pattern in hypertensive patient as predictor for coronary artery disease and cerebrovascular accident development. \u0000Material and method: a cross sectional hospital based study was conducted during 2012-2017 at Iraqi center for heart diseases including hypertensive patients with normal ECG or LV strain pattern criteria, all patients underwent echocardiography and coronary angiography and the data were collected from patients’ files. \u0000Results: The records of 401 hypertensive patients [262(65.3%) males/139(34.7%) females] were included in this study. Their mean age was 60.07 ± 10.8 year. \u0000 The relation between electrocardiographic left ventricular strain pattern and Coronary Angiography among patients was significant (P <0.001). \u0000There was a significant difference between electrocardiographic left ventricular strain pattern and cerebrovascular accident among studied group (P<0.001). \u0000Conclusions: electrocardiographic left ventricular strain in hypertensive patients is highly associated with coronary artery disease and cerebrovascular accident. \u0000 .","PeriodicalId":33125,"journal":{"name":"mjl@ kly@ lTb","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46076628","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2021-09-26DOI: 10.32007/jfacmedbagdad.6331835
Iman Ahmed Mohammed, A. S. Hamdan, O. Jaber, Ghsoon Harbi Abbas
BACKGROUND: A novel coronavirus officially recognized as SARS-CoV2, first emerged in Wuhan, China, has allowed COVID-19 to rapidly spread. The WHO declared the global pandemic of COVID-19 a public health emergency of international concern. Early evaluation of the mental health of healthcare workers (HCWs) and consideration of effective therapeutic strategies is important. OBJECTIVE: To assess the mental status (depression and anxiety) among HCWs and identify the association between depression, anxiety levels and (certain demographic factors and other factors). PATIENTS AND METHODS: A cross-sectional study was conducted on data collected from 11th-17th Jan 2021 by an electronic questionnaire. All HCWs of all age groups working at health facilities belong to Al-Resafa health directorate diagnosed as COVID-19 and then get cured were included. RESULTS: The mean age ± SD of the HCWs = 35.5±9.9 yrs., 61.0% females. Regarding depression 29.7% of HCWs were normal and 43.2% their anxiety level was normal. Depression and anxiety were statistically significantly associated with institution type, gender, job title, smoking status, hospital admission, oxygen use, O2 saturation level<93% and getting COVID-19 infection more than one time. CONCLUSION: The proportion of HCWs showing high psychological impacts is alarmingly high. Indeed, despite the severity of the psychological impacts in all HCWs, governmental psychological assistance was present for 80.2% of the sample. Special interventions to improve mental well-being in HCWs exposed to COVID-19 have to be immediately implemented.
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