Pub Date : 2020-12-15DOI: 10.33762/MJBU.2020.129154.1056
G. Alsheikh
In medical education, the curriculum passes through at least four stages between vision and learning of students namely: “intended” to “planned” to “implemented” to the “learned” curriculum. The most important safeguard for keeping these formats compatible is the quality of the aims and objectives. This editorial describes the hierarchy of the educational objectives, their importance, types, sources, and qualities and best ways to formulate effective learning objectives that link learning and outcomes to the vision and consequent aims. Also, the article highlights the common misjudgements and misuses of the learning objectives which may produce different and certainly poorer outcomes than those planned for .
{"title":"Misjudgement and Misuse of the Learning Objectives","authors":"G. Alsheikh","doi":"10.33762/MJBU.2020.129154.1056","DOIUrl":"https://doi.org/10.33762/MJBU.2020.129154.1056","url":null,"abstract":"In medical education, the curriculum passes through at least four stages between vision and learning of students namely: “intended” to “planned” to “implemented” to the “learned” curriculum. The most important safeguard for keeping these formats compatible is the quality of the aims and objectives. This editorial describes the hierarchy of the educational objectives, their importance, types, sources, and qualities and best ways to formulate effective learning objectives that link learning and outcomes to the vision and consequent aims. Also, the article highlights the common misjudgements and misuses of the learning objectives which may produce different and certainly poorer outcomes than those planned for .","PeriodicalId":33859,"journal":{"name":"The Medical Journal of Basrah University","volume":"474 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91308227","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 : 2020-12-15DOI: 10.33762/MJBU.2020.128481.1038
Hayder Aledan, Shawqi Azeez, A. Shannan, Ammar Husaini, Muqtader Abdulhussein
Background and objectives: Acute kidney injury (AKI) may occur in the setting of COVID-19 infection and associated with worse outcome. We aimed to estimate the incidence of AKI among hospitalized patients with COVID-19 infection. Methods: We conducted an observational study on 339 hospitalized patients with COVID-19 infection at Basra teaching hospital for two months. We studied the rate of AKI, requirement for renal replacement therapy (RRT) and in-hospital mortality. Results: Among 339 hospitalized patients, AKI was reported in 54 (16%). The peak stages of AKI were stage 1 in 42.6%, stage 2 in 22.2% and stage 3 in 35.2%. AKI was primarily seen in patients with shock on vasopressors in 64.8% and in patients on mechanical ventilation in 25.9%. Increased age, obesity, hypertension, vasopressors and mechanical ventilation were independent risk factors for development of AKI. Among the 54 patients with AKI, 20 patients (37%) required renal replacement therapy (RRT). Sixteen out of 20 patients (80%) of those who required RRT died and only 5 out of 34 patients (15%) of those not required RRT died with a totally mortality in AKI patients of 21 patients (39%). Conclusions: AKI occurs in patients with COVID-19 disease especially in ICU in association with vasopressors use and mechanical ventilation and is associated with poor prognosis.
{"title":"Incidence and predictors of acute kidney injury among hospitalized patients with COVID-19 infection","authors":"Hayder Aledan, Shawqi Azeez, A. Shannan, Ammar Husaini, Muqtader Abdulhussein","doi":"10.33762/MJBU.2020.128481.1038","DOIUrl":"https://doi.org/10.33762/MJBU.2020.128481.1038","url":null,"abstract":"Background and objectives: Acute kidney injury (AKI) may occur in the setting of COVID-19 infection and associated with worse outcome. We aimed to estimate the incidence of AKI among hospitalized patients with COVID-19 infection. Methods: We conducted an observational study on 339 hospitalized patients with COVID-19 infection at Basra teaching hospital for two months. We studied the rate of AKI, requirement for renal replacement therapy (RRT) and in-hospital mortality. Results: Among 339 hospitalized patients, AKI was reported in 54 (16%). The peak stages of AKI were stage 1 in 42.6%, stage 2 in 22.2% and stage 3 in 35.2%. AKI was primarily seen in patients with shock on vasopressors in 64.8% and in patients on mechanical ventilation in 25.9%. Increased age, obesity, hypertension, vasopressors and mechanical ventilation were independent risk factors for development of AKI. Among the 54 patients with AKI, 20 patients (37%) required renal replacement therapy (RRT). Sixteen out of 20 patients (80%) of those who required RRT died and only 5 out of 34 patients (15%) of those not required RRT died with a totally mortality in AKI patients of 21 patients (39%). Conclusions: AKI occurs in patients with COVID-19 disease especially in ICU in association with vasopressors use and mechanical ventilation and is associated with poor prognosis.","PeriodicalId":33859,"journal":{"name":"The Medical Journal of Basrah University","volume":"20 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"83455332","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 : 2020-12-15DOI: 10.33762/MJBU.2020.128960.1051
M. Sharief
{"title":"Cervical Cancer in a 25-Year Old Woman: Case Report.","authors":"M. Sharief","doi":"10.33762/MJBU.2020.128960.1051","DOIUrl":"https://doi.org/10.33762/MJBU.2020.128960.1051","url":null,"abstract":"","PeriodicalId":33859,"journal":{"name":"The Medical Journal of Basrah University","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"74637947","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 : 2020-12-15DOI: 10.33762/MJBU.2020.128515.1039
S. Berdawd
{"title":"POST OPERATIVE FUNCTIONAL OUTCOME FOR ANORECTAL MALFORMATIONS IN INFANT AND CHILDREN IN ERBIL","authors":"S. Berdawd","doi":"10.33762/MJBU.2020.128515.1039","DOIUrl":"https://doi.org/10.33762/MJBU.2020.128515.1039","url":null,"abstract":"","PeriodicalId":33859,"journal":{"name":"The Medical Journal of Basrah University","volume":"117 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"79454162","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 : 2020-12-15DOI: 10.33762/MJBU.2020.127936.1030
P. Kamble
Objective: To determine the effect of apo E polymorphism on lipid profile in patients of myocardial infarction as well as normal healthy controls. Subjects and Method: Total 100 acute myocardial infarction patients with age and gender matched controls, within age ranging from 25 to 80 years were included. Lipid profile levels of MI patients and controls were estimated by standard methods. DNA’s were extracted by salting out method and Genotypes for Apo-E were determined by Multiplex Amplification Refractory Mutation System PCR. Results: The total cholesterol, LDL cholesterol, TC/HDL-C ratio, LDL-C/HDL-C ratio level was significantly increased (P < 0.01) in E4E4 allele than E3E3 allele. Analysis of variants has significant difference (P < 0.01) observed in total cholesterol and LDL cholesterol levels in all Apo E alleles of MI patients. Conclusion: Our results suggestive that the risk of myocardial infarction with Apo E4E4 alleles.
目的:探讨载脂蛋白E多态性对心肌梗死患者及正常人血脂的影响。对象和方法:选取年龄25 ~ 80岁的急性心肌梗死患者100例，作为年龄和性别匹配的对照。用标准方法估计心肌梗死患者和对照组的血脂水平。用盐析法提取DNA，用多重扩增难突变系统PCR检测载脂蛋白e基因型。结果:E4E4等位基因总胆固醇、LDL胆固醇、TC/HDL-C、LDL- c /HDL-C比值水平显著高于E3E3等位基因(P < 0.01)。心肌梗死患者所有载脂蛋白E等位基因的总胆固醇和低密度脂蛋白胆固醇水平差异有统计学意义(P < 0.01)。结论:载脂蛋白E4E4等位基因与心肌梗死相关。
{"title":"Association between apolipoprotein E polymorphism and lipid profile in patients of myocardial infarction","authors":"P. Kamble","doi":"10.33762/MJBU.2020.127936.1030","DOIUrl":"https://doi.org/10.33762/MJBU.2020.127936.1030","url":null,"abstract":"Objective: To determine the effect of apo E polymorphism on lipid profile in patients of myocardial infarction as well as normal healthy controls. Subjects and Method: Total 100 acute myocardial infarction patients with age and gender matched controls, within age ranging from 25 to 80 years were included. Lipid profile levels of MI patients and controls were estimated by standard methods. DNA’s were extracted by salting out method and Genotypes for Apo-E were determined by Multiplex Amplification Refractory Mutation System PCR. Results: The total cholesterol, LDL cholesterol, TC/HDL-C ratio, LDL-C/HDL-C ratio level was significantly increased (P < 0.01) in E4E4 allele than E3E3 allele. Analysis of variants has significant difference (P < 0.01) observed in total cholesterol and LDL cholesterol levels in all Apo E alleles of MI patients. Conclusion: Our results suggestive that the risk of myocardial infarction with Apo E4E4 alleles.","PeriodicalId":33859,"journal":{"name":"The Medical Journal of Basrah University","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78083172","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 : 2020-12-15DOI: 10.33762/MJBU.2020.127206.1026
S. Dhaher, Mehad H Alwan
Background: Low serum level of Vitamin D may have a potential role in the pathogenesis of female pattern hair loss (FPHL). Aims: To evaluate serum vitamin D level in Iraqi women with female pattern hair loss and compare it with normal healthy control. Settings and Design: A case-control study was carried out on 190 women: 95 patients with FPHL aged ≥15 years and 95 healthy agematched control. Methods and Material: The diagnosis and severity of FPHL were based on clinical examination and using Ludwig classification. All participants were investigated for vitamin D level and alkaline phosphatase. Data were collected and statistically analyzed. Results: The mean ± SD level for vitamin D was significantly lower in the FPHL group than control (13.8 ± 2.6 ng/mL vs 37.6 ± 4.7ng/mL, p < 0.001). Eighty-two patients (86.1%) of the FPHL group and 35 (36.9%) of the control group had a low vitamin D level (p < 0.001). Alkaline phosphatase level was significantly elevated in 77of FPHL compared to the control group ((81% versus 19%, p < 0.001). Low vitamin D level was significantly correlated with the duration of hair loss, alkaline phosphatase elevation, and symptom of bone pain. Conclusions: Women with low serum vitamin D levels have a high potential for the development of FPHL suggesting that vitamin D may have a possible role in the etiopathogenesis of this pattern of hair loss.
背景:低血清维生素D水平可能在女性型脱发(FPHL)发病机制中起潜在作用。目的:评价伊拉克女性型脱发患者血清维生素D水平，并与正常健康对照进行比较。背景和设计:190名女性进行病例对照研究，其中95名年龄≥15岁的FPHL患者和95名健康年龄匹配的对照组。方法与材料:FPHL的诊断和严重程度以临床检查和路德维希分型为依据。所有参与者都被调查了维生素D水平和碱性磷酸酶。收集数据并进行统计分析。结果:FPHL组维生素D的平均±SD水平显著低于对照组(13.8±2.6 ng/mL vs 37.6±4.7ng/mL, p < 0.001)。FPHL组82例(86.1%)和对照组35例(36.9%)患者维生素D水平低(p < 0.001)。与对照组相比，77例FPHL患者的碱性磷酸酶水平显著升高(81%对19%，p < 0.001)。低维生素D水平与脱发持续时间、碱性磷酸酶升高和骨痛症状显著相关。结论:血清维生素D水平低的女性患FPHL的可能性高，这表明维生素D可能在这种脱发模式的发病机制中起作用。
{"title":"Role of Vitamin D in Female Pattern Hair Loss Among Iraqi Women: A Case- Control Study","authors":"S. Dhaher, Mehad H Alwan","doi":"10.33762/MJBU.2020.127206.1026","DOIUrl":"https://doi.org/10.33762/MJBU.2020.127206.1026","url":null,"abstract":"Background: Low serum level of Vitamin D may have a potential role in the pathogenesis of female pattern hair loss (FPHL). Aims: To evaluate serum vitamin D level in Iraqi women with female pattern hair loss and compare it with normal healthy control. Settings and Design: A case-control study was carried out on 190 women: 95 patients with FPHL aged ≥15 years and 95 healthy agematched control. Methods and Material: The diagnosis and severity of FPHL were based on clinical examination and using Ludwig classification. All participants were investigated for vitamin D level and alkaline phosphatase. Data were collected and statistically analyzed. Results: The mean ± SD level for vitamin D was significantly lower in the FPHL group than control (13.8 ± 2.6 ng/mL vs 37.6 ± 4.7ng/mL, p < 0.001). Eighty-two patients (86.1%) of the FPHL group and 35 (36.9%) of the control group had a low vitamin D level (p < 0.001). Alkaline phosphatase level was significantly elevated in 77of FPHL compared to the control group ((81% versus 19%, p < 0.001). Low vitamin D level was significantly correlated with the duration of hair loss, alkaline phosphatase elevation, and symptom of bone pain. Conclusions: Women with low serum vitamin D levels have a high potential for the development of FPHL suggesting that vitamin D may have a possible role in the etiopathogenesis of this pattern of hair loss.","PeriodicalId":33859,"journal":{"name":"The Medical Journal of Basrah University","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88750409","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 : 2020-12-15DOI: 10.33762/MJBU.2020.127475.1022
Diveen J Hussein
Background: advances in treatment has improved greatly survival of multiple myeloma in the last two decades, and this improvement has been endorsed by wider use of novel drugs and tandem autologous stem cell transplantation. however, still there were cases died earlier post diagnosis Objectives: to study the risk factors of early mortality in patients with multiple myeloma in Kurdistan region of Iraq Patients and methods: a 176 cases that were diagnosed with symptomatic multiple myeloma between (January 2012 – July 2019) in cancer centers in Kurdistan region of Iraq. a total of 152 were continued within the study through their recorded sheet. their data were analysed to determine what are the main risk factors that have an impact on early mortality among our myeloma patients. Results: among the total of 152 studied patients nine of them (5.9%) died early. the highest proportion (32.2%) of the sample aged 60-69 years, more than half (57.2%) of the them were male. the majority of the patients (80.9%) have been diagnosed during 2016-2019. the incidence of early death was 8.7% among patients who didn’t take the cytotoxic treatment compared with 1.7% of patients who took that treatment, but the difference was not significant (P = 0.089). the early death rate was significantly high (22.2%) among patients who didn’t take the immunomodulatory drugs, versus 2.4% of patients who took the immunomodulatory drugs (P = 0.001). the incidence of early mortality was 9.6% among patients with lactate dehydrogenase of ≥ 250 U/L compared with 0% among patients with LDH of less than 250 (P = 0.013). Conclusion: LDH level is a high prediction in finding early mortality among patients with multiple myeloma, and intake of immunomodulatory drugs is highly preventive in early death occurrence. keywords: Multiple Myeloma, Kurdistan Region of Iraq Principle Investigator Full name: Diveen Jalal Hussein Email: diveen.jelal@gmail.com Mobile phone number: 07504884399 Research Supervisor: Full name: Dr. Kawa Muhamedamin Hasan Email: mah_kawa@yahoo.com Mobile phone number: 07504486240 Research CO_Supervisor: Full name: Dr. NawsherwanSadiq Mohammed Email: naw_sadiq@yahoo.com
{"title":"Early Mortality Risk in Patients with Multiple Myeloma","authors":"Diveen J Hussein","doi":"10.33762/MJBU.2020.127475.1022","DOIUrl":"https://doi.org/10.33762/MJBU.2020.127475.1022","url":null,"abstract":"Background: advances in treatment has improved greatly survival of multiple myeloma in the last two decades, and this improvement has been endorsed by wider use of novel drugs and tandem autologous stem cell transplantation. however, still there were cases died earlier post diagnosis Objectives: to study the risk factors of early mortality in patients with multiple myeloma in Kurdistan region of Iraq Patients and methods: a 176 cases that were diagnosed with symptomatic multiple myeloma between (January 2012 – July 2019) in cancer centers in Kurdistan region of Iraq. a total of 152 were continued within the study through their recorded sheet. their data were analysed to determine what are the main risk factors that have an impact on early mortality among our myeloma patients. Results: among the total of 152 studied patients nine of them (5.9%) died early. the highest proportion (32.2%) of the sample aged 60-69 years, more than half (57.2%) of the them were male. the majority of the patients (80.9%) have been diagnosed during 2016-2019. the incidence of early death was 8.7% among patients who didn’t take the cytotoxic treatment compared with 1.7% of patients who took that treatment, but the difference was not significant (P = 0.089). the early death rate was significantly high (22.2%) among patients who didn’t take the immunomodulatory drugs, versus 2.4% of patients who took the immunomodulatory drugs (P = 0.001). the incidence of early mortality was 9.6% among patients with lactate dehydrogenase of ≥ 250 U/L compared with 0% among patients with LDH of less than 250 (P = 0.013). Conclusion: LDH level is a high prediction in finding early mortality among patients with multiple myeloma, and intake of immunomodulatory drugs is highly preventive in early death occurrence. keywords: Multiple Myeloma, Kurdistan Region of Iraq Principle Investigator Full name: Diveen Jalal Hussein Email: diveen.jelal@gmail.com Mobile phone number: 07504884399 Research Supervisor: Full name: Dr. Kawa Muhamedamin Hasan Email: mah_kawa@yahoo.com Mobile phone number: 07504486240 Research CO_Supervisor: Full name: Dr. NawsherwanSadiq Mohammed Email: naw_sadiq@yahoo.com","PeriodicalId":33859,"journal":{"name":"The Medical Journal of Basrah University","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"78652631","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 : 2020-12-15DOI: 10.33762/MJBU.2020.128412.1037
H. Ali, E. Al-Tawri
Background and aim: Increasing body weight in breast cancer patients after finishing chemotherapy is a rising health problem among many countries; this study try to evaluate this health issue among breast cancer patients attended Basra Oncology Center. Patients and Methods: This cross sectional study carried out on 210 patients with breast cancer who received chemotherapy at Basra oncology center, from 2017 to 2019. The participant's personal data and the other clinical information were derived from patient file. Results: Weight changes after finishing chemotherapy occurred in about 95% of breast cancer patients, and measurement of body mass index of patients at the start and at the end of chemotherapy revealed more women occupied the obese strata after completing the chemotherapy. The study showed statistically significant differences in the weight changes among the age, weight at diagnosis, state of hormone receptor & marital status subgroups. The only significant predictors of body weight changes after completing chemotherapy were patient age and body mass index at time of diagnosis. Conclusion: There is a significant weight gain in breast cancer patients in Basra Oncology Center after finishing chemotherapy.
{"title":"Body Weight Changes in 210 Breast Cancer Patients after Finishing Chemotherapy; Cross Sectional Study","authors":"H. Ali, E. Al-Tawri","doi":"10.33762/MJBU.2020.128412.1037","DOIUrl":"https://doi.org/10.33762/MJBU.2020.128412.1037","url":null,"abstract":"Background and aim: Increasing body weight in breast cancer patients after finishing chemotherapy is a rising health problem among many countries; this study try to evaluate this health issue among breast cancer patients attended Basra Oncology Center. Patients and Methods: This cross sectional study carried out on 210 patients with breast cancer who received chemotherapy at Basra oncology center, from 2017 to 2019. The participant's personal data and the other clinical information were derived from patient file. Results: Weight changes after finishing chemotherapy occurred in about 95% of breast cancer patients, and measurement of body mass index of patients at the start and at the end of chemotherapy revealed more women occupied the obese strata after completing the chemotherapy. The study showed statistically significant differences in the weight changes among the age, weight at diagnosis, state of hormone receptor & marital status subgroups. The only significant predictors of body weight changes after completing chemotherapy were patient age and body mass index at time of diagnosis. Conclusion: There is a significant weight gain in breast cancer patients in Basra Oncology Center after finishing chemotherapy.","PeriodicalId":33859,"journal":{"name":"The Medical Journal of Basrah University","volume":"5 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76762261","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 : 2020-12-15DOI: 10.33762/MJBU.2020.127000.1010
Maysara Mohammed Abdulrhidha, Jubran K Hassan, D. S. Alharoon
Objectives: the aim of the study is to identify the effectiveness of adding topical tranexamic acid to uterine pack to control primary postpartum hemorrhage PPH compared to uterine packing alone. Methods: the study included 30 women with intractable primary PPH after vaginal deliveries due to uterine atony in whom the conventional local pathway of management of PPH had failed to control bleeding. In 15 women (the case group), uterine pack impregnated with 20 ml of tranexamic acid(1gm/10ml) was used to control bleeding and compared to 15 women (the control group) in whom uterine pack without tranexamic acid was used, outcome studied include the need for further surgical intervention and the need for blood product transfusion. Results: although uterine packing impregnated with TXA was successful in controlling bleeding in 13 women out of 15(86.7%) compared to 10 out of 15 cases (66.7%) in women who underwent uterine packing without TXA, however; the difference between effectiveness of each method is statistically insignificant. The requirement for blood product transfusion was less in TXA group. Conclusion: topical uterine TXA increase the efficiency of uterine tamponade to control PPH, and may decrease the need for more invasive surgical intervention as hysterectomy
{"title":"The effectiveness of uterine packing combined with topical tranexamic acid for the management of primary postpartum hemorrhage","authors":"Maysara Mohammed Abdulrhidha, Jubran K Hassan, D. S. Alharoon","doi":"10.33762/MJBU.2020.127000.1010","DOIUrl":"https://doi.org/10.33762/MJBU.2020.127000.1010","url":null,"abstract":"Objectives: the aim of the study is to identify the effectiveness of adding topical tranexamic acid to uterine pack to control primary postpartum hemorrhage PPH compared to uterine packing alone. Methods: the study included 30 women with intractable primary PPH after vaginal deliveries due to uterine atony in whom the conventional local pathway of management of PPH had failed to control bleeding. In 15 women (the case group), uterine pack impregnated with 20 ml of tranexamic acid(1gm/10ml) was used to control bleeding and compared to 15 women (the control group) in whom uterine pack without tranexamic acid was used, outcome studied include the need for further surgical intervention and the need for blood product transfusion. Results: although uterine packing impregnated with TXA was successful in controlling bleeding in 13 women out of 15(86.7%) compared to 10 out of 15 cases (66.7%) in women who underwent uterine packing without TXA, however; the difference between effectiveness of each method is statistically insignificant. The requirement for blood product transfusion was less in TXA group. Conclusion: topical uterine TXA increase the efficiency of uterine tamponade to control PPH, and may decrease the need for more invasive surgical intervention as hysterectomy","PeriodicalId":33859,"journal":{"name":"The Medical Journal of Basrah University","volume":"9 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"82415560","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 : 2020-12-15DOI: 10.33762/MJBU.2020.127476.1023
Raid M. Al-Ani
Fishbone is the commonest pharyngeal foreign body in Asia. However, uncommon types also were reported in the literature. A 9-months-old male infant presented with crying, dysphagia and excessive salivation. Plain X-ray of the cervical spine lateral view confirmed the diagnosis of a metallic foreign body in the hypopharynx. The foreign body was extracted under general anesthesia without complications. A high index of suspicion from the caregiver and early intervention from the dealing doctor are crucial to avoid unwanted complications of pharyngeal foreign bodies' impaction. In conclusion, we reported a rare hypopharyngeal foreign body (Sim Card Slotter of an old fashion mobile phone) in a 9-months-old boy.
{"title":"Hypopharyngeal Foreign Body in A 9-months-Old Male Baby","authors":"Raid M. Al-Ani","doi":"10.33762/MJBU.2020.127476.1023","DOIUrl":"https://doi.org/10.33762/MJBU.2020.127476.1023","url":null,"abstract":"Fishbone is the commonest pharyngeal foreign body in Asia. However, uncommon types also were reported in the literature. A 9-months-old male infant presented with crying, dysphagia and excessive salivation. Plain X-ray of the cervical spine lateral view confirmed the diagnosis of a metallic foreign body in the hypopharynx. The foreign body was extracted under general anesthesia without complications. A high index of suspicion from the caregiver and early intervention from the dealing doctor are crucial to avoid unwanted complications of pharyngeal foreign bodies' impaction. In conclusion, we reported a rare hypopharyngeal foreign body (Sim Card Slotter of an old fashion mobile phone) in a 9-months-old boy.","PeriodicalId":33859,"journal":{"name":"The Medical Journal of Basrah University","volume":"28 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77196352","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}
京公网安备 11010802042870号
京ICP备2023020795号-1
扫码关注我们
求助内容：
应助结果提醒方式：