Background: Although mammography is a powerful screening tool in detection of early breast cancer, it is imperfect, particularly for women with dense breast, which have a higher risk to develop cancer and decrease the sensitivity of mammogram, Automated breast ultrasound is a recently introduced ultrasonography technique, developed with the purpose to standardize breast ultrasonography and overcome some limitations of handheld ultrasound, this study aims to evaluate the diagnostic efficacy of Automated breast ultrasound and compare it with handheld ultrasound in the detection and characterization of breast lesions in women with dense breasts. Objectives: To evaluate the diagnostic efficacy of Automated breast ultrasound and compare it with hand held ultrasound in detection and characterization of breast lesions in women with dense breast. Subjects and Methods: A prospective observational study conducted at Oncology Teaching Hospital during the period of ten months from 1st of February till 1st of December 2020. Included 62 women with dense breasts on diagnostic mammograms. All women underwent technician performed automated breast ultrasound and radiologist performed handheld ultrasound for both breasts. All suspicious lesions with selected probably benign lesions underwent biopsy, handheld ultrasound detected 48 masses (67.6%), 15 of them (21.1%) were cystic, automated breast ultrasound detected 54 masses (76.1%); 20 of them (28.2%) were cystic. The sensitivity of handheld ultrasound was=87.5%, Specificity=58.8%, the sensitivity of automated breast ultrasound was=93.8%, Specificity=70.6%. Conclusion: Automated breast ultrasound is an effective modality to detect occult breast lesion in women with dense breasts, automated breast ultrasound and handheld ultrasound have a reliable agreement in detection and characterization of breast lesions with higher accuracy of automated breast ultrasound in the evaluation of malignant lesions.
{"title":"Automated breast ultrasound: A comparison study with handheld ultrasound in detection and characterization of lesions in mammographically dense breast","authors":"S. Ahmed, Salam M. Joori","doi":"10.47723/kcmj.v18i2.794","DOIUrl":"https://doi.org/10.47723/kcmj.v18i2.794","url":null,"abstract":"Background: Although mammography is a powerful screening tool in detection of early breast cancer, it is imperfect, particularly for women with dense breast, which have a higher risk to develop cancer and decrease the sensitivity of mammogram, Automated breast ultrasound is a recently introduced ultrasonography technique, developed with the purpose to standardize breast ultrasonography and overcome some limitations of handheld ultrasound, this study aims to evaluate the diagnostic efficacy of Automated breast ultrasound and compare it with handheld ultrasound in the detection and characterization of breast lesions in women with dense breasts.\u0000Objectives: To evaluate the diagnostic efficacy of Automated breast ultrasound and compare it with hand held ultrasound in detection and characterization of breast lesions in women with dense breast.\u0000Subjects and Methods: A prospective observational study conducted at Oncology Teaching Hospital during the period of ten months from 1st of February till 1st of December 2020. Included 62 women with dense breasts on diagnostic mammograms. All women underwent technician performed automated breast ultrasound and radiologist performed handheld ultrasound for both breasts. All suspicious lesions with selected probably benign lesions underwent biopsy, handheld ultrasound detected 48 masses (67.6%), 15 of them (21.1%) were cystic, automated breast ultrasound detected 54 masses (76.1%); 20 of them (28.2%) were cystic. The sensitivity of handheld ultrasound was=87.5%, Specificity=58.8%, the sensitivity of automated breast ultrasound was=93.8%, Specificity=70.6%.\u0000Conclusion: Automated breast ultrasound is an effective modality to detect occult breast lesion in women with dense breasts, automated breast ultrasound and handheld ultrasound have a reliable agreement in detection and characterization of breast lesions with higher accuracy of automated breast ultrasound in the evaluation of malignant lesions.","PeriodicalId":34748,"journal":{"name":"mjlh klyh Tb lkndy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43825672","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}
Background: Clubfoot, or talipes equinovarus, is a congenital deformity that consist of; supination and adduction of the forefoot and midfoot; equinus of hindfoot and varus. It was found that more than 100,000 babies are born each year with congenital clubfoot Objectives: The purpose of this study was to investigate the complications of ponseti method for treatment of children with idiopathic club foot. Subjects and Methods: 50 children with 74 clubfeet were managed by Ponseti method from May 2019 to July 2020 in Al-Wasity teaching hospital with primary correction of the deformity followed sometimes by elongation of Achilles tendon then the patients were followed up till June 2021 and the complications were calculated. Results: complications were 10.8% incomplete correction (mostly equinus) and it was corrected by surgery, 6.7% ulcer on the medial surface of head of 1st metatarsal , 9.4% cast falling and 18.9% relapse. Conclusions: Ponseti technique is a safe and effective method for correction of clubfoot and decreases the need for corrective surgery with minimal complications that can be easily managed.
{"title":"Complications of Ponseti Technique in Treatment of Idiopathic Club Foot","authors":"Samer Redah","doi":"10.47723/kcmj.v18i2.776","DOIUrl":"https://doi.org/10.47723/kcmj.v18i2.776","url":null,"abstract":"Background: Clubfoot, or talipes equinovarus, is a congenital deformity that consist of; supination and adduction of the forefoot and midfoot; equinus of hindfoot and varus. It was found that more than 100,000 babies are born each year with congenital clubfoot\u0000Objectives: The purpose of this study was to investigate the complications of ponseti method for treatment of children with idiopathic club foot.\u0000Subjects and Methods: 50 children with 74 clubfeet were managed by Ponseti method from May 2019 to July 2020 in Al-Wasity teaching hospital with primary correction of the deformity followed sometimes by elongation of Achilles tendon then the patients were followed up till June 2021 and the complications were calculated.\u0000Results: complications were 10.8% incomplete correction (mostly equinus) and it was corrected by surgery, 6.7% ulcer on the medial surface of head of 1st metatarsal , 9.4% cast falling and 18.9% relapse.\u0000Conclusions: Ponseti technique is a safe and effective method for correction of clubfoot and decreases the need for corrective surgery with minimal complications that can be easily managed.","PeriodicalId":34748,"journal":{"name":"mjlh klyh Tb lkndy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"47976479","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}
Q. Hassan, Ali Shaker Hussein, A. Fadhil, Mustafa Hakim Kashash, Abd-alrazak Mohammed Khwam
Objective: to assess the awareness and knowledge of our medical students regarding dose levels of imaging procedures and radiation safety issues, and to conclude how the curriculum of clinical radiology in the college medical program impacts such knowledge. Subjects and methods: this is a cross-sectional study conducted among 150 medical students in Alkindy College of Medicine between January 2021 to July 2021, regardless of their age or gender. The study included six grades according to the year 2020-2021. A questionnaire consisting of 12 multiple-choice questions was conducted via an online survey using Google Forms. The questions were divided into two parts (awareness concerning issues of radiation protection, and information about dose levels of frequent radiological investigations). Results: Regarding their radiology knowledge, about one-third of all participants rated as average. Students who had not established training in radiology chose the inappropriate choice more often than individuals who had received training. Also, students without instruction/ teaching in diagnostic clinical radiology were more likely to connect MRI and ultrasound with an increased cancer possibility compared with those students receiving radiology teaching. About the desired educational method, 32% wanted a tutorial or workshops, 29% wanted a learning module, 25% chose a case study and 14% chose a lecture. Conclusion: With increasing years in medical school, the student’s alertness demonstrates better performance regarding the radiation exposures in imaging diagnosis. The greater part of medical students has inadequate knowledge about different aspects of radiation sources, hazard, and their safety. We think that adding more theoretical and practical programs to the educational radiology curriculum will advance awareness of radiation safety and increase knowledge among medical students regarding the doses of radiological examinations.
{"title":"Assessment of Awareness And Knowledge among Medical Students Regarding Radiation Exposure from Common Diagnostic Imaging Procedures","authors":"Q. Hassan, Ali Shaker Hussein, A. Fadhil, Mustafa Hakim Kashash, Abd-alrazak Mohammed Khwam","doi":"10.47723/kcmj.v18i2.792","DOIUrl":"https://doi.org/10.47723/kcmj.v18i2.792","url":null,"abstract":"Objective: to assess the awareness and knowledge of our medical students regarding dose levels of imaging procedures and radiation safety issues, and to conclude how the curriculum of clinical radiology in the college medical program impacts such knowledge.\u0000Subjects and methods: this is a cross-sectional study conducted among 150 medical students in Alkindy College of Medicine between January 2021 to July 2021, regardless of their age or gender. The study included six grades according to the year 2020-2021. A questionnaire consisting of 12 multiple-choice questions was conducted via an online survey using Google Forms. The questions were divided into two parts (awareness concerning issues of radiation protection, and information about dose levels of frequent radiological investigations).\u0000Results: Regarding their radiology knowledge, about one-third of all participants rated as average. Students who had not established training in radiology chose the inappropriate choice more often than individuals who had received training. Also, students without instruction/ teaching in diagnostic clinical radiology were more likely to connect MRI and ultrasound with an increased cancer possibility compared with those students receiving radiology teaching. About the desired educational method, 32% wanted a tutorial or workshops, 29% wanted a learning module, 25% chose a case study and 14% chose a lecture.\u0000Conclusion: With increasing years in medical school, the student’s alertness demonstrates better performance regarding the radiation exposures in imaging diagnosis. The greater part of medical students has inadequate knowledge about different aspects of radiation sources, hazard, and their safety. We think that adding more theoretical and practical programs to the educational radiology curriculum will advance awareness of radiation safety and increase knowledge among medical students regarding the doses of radiological examinations.","PeriodicalId":34748,"journal":{"name":"mjlh klyh Tb lkndy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45181298","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}
Mohammed A. Abdulredha, Nawal F. Naje, Ekhlas Jawad Amer
Background: Selenium-73 with half- life of 7.15 hour emits β+ in nature and has six stable isotopes which are ( 74Se,76Se,77Se,78Se,80Se and 82Se ). Selenium-73 has many applications in technology and radioselenium compounds of metallic have found various applications in medicine. Objective: To make a comparison between different reactions that produced cross sections of Se-73 radioisotopes. Subjects and methods: The feasibility of the production of Selenium -73 via various nuclear reactions was investigated. Excitation functions of 73Se production by the reactions of 75As (p,3n), 169Tm( d,x), 74Se, natSe, natBr (p,x) , 75As (d,4n), natGe (3He,x), 70Ge (α, n), and 72Ge (α, 3n) and neutron capture were calculated using the available data in the international libraries in accordance with SRIM code . Theoretical calculations of the thick target integral yields were deduced using the calculated cross sections by using Matlab program Results: When proton induced reaction on 75As, 74Se, natSe and natBr to obtain 73Se, the reaction 75As(p,3n) with range of energy (22.5 to 45.5 MeV) and the maximum cross section is 315 mb at 36.5 MeV gives maximum yield (2*106 GBq/C).while for the reaction 75As (d,4n) 73Se with range of energy (25 to 56 MeV) , and maximum cross sections is 30 mb at 43MeV gives (0.085*106 GBq/C). The three reactions natGe (3He,x) , 70Ge (α,n) and 72Ge (α,3n) show that the best reaction to obtain 73Se is 72Ge (α,3n) within the range of energy (27 to 46 MeV) and maximum cross sections 494 mb at 42MeV give the maximum yield (0.03*106 GBq/C). Conclusion: the use of proton as projectile is best compared with other particles in order to get maximum isotopes production yield of 73Se.
{"title":"A comparison of cross sections for Selenium -73 radioisotopes produced by accelerators and reactors","authors":"Mohammed A. Abdulredha, Nawal F. Naje, Ekhlas Jawad Amer","doi":"10.47723/kcmj.v18i2.674","DOIUrl":"https://doi.org/10.47723/kcmj.v18i2.674","url":null,"abstract":"Background: Selenium-73 with half- life of 7.15 hour emits β+ in nature and has six stable isotopes which are ( 74Se,76Se,77Se,78Se,80Se and 82Se ). Selenium-73 has many applications in technology and radioselenium compounds of metallic have found various applications in medicine.\u0000Objective: To make a comparison between different reactions that produced cross sections of Se-73 radioisotopes.\u0000Subjects and methods: The feasibility of the production of Selenium -73 via various nuclear reactions was investigated. Excitation functions of 73Se production by the reactions of 75As (p,3n), 169Tm( d,x), 74Se, natSe, natBr (p,x) , 75As (d,4n), natGe (3He,x), 70Ge (α, n), and 72Ge (α, 3n) and neutron capture were calculated using the available data in the international libraries in accordance with SRIM code . Theoretical calculations of the thick target integral yields were deduced using the calculated cross sections by using Matlab program\u0000Results: When proton induced reaction on 75As, 74Se, natSe and natBr to obtain 73Se, the reaction 75As(p,3n) with range of energy (22.5 to 45.5 MeV) and the maximum cross section is 315 mb at 36.5 MeV gives maximum yield (2*106 GBq/C).while for the reaction 75As (d,4n) 73Se with range of energy (25 to 56 MeV) , and maximum cross sections is 30 mb at 43MeV gives (0.085*106 GBq/C).\u0000The three reactions natGe (3He,x) , 70Ge (α,n) and 72Ge (α,3n) show that the best reaction to obtain 73Se is 72Ge (α,3n) within the range of energy (27 to 46 MeV) and maximum cross sections 494 mb at 42MeV give the maximum yield (0.03*106 GBq/C).\u0000Conclusion: the use of proton as projectile is best compared with other particles in order to get maximum isotopes production yield of 73Se.","PeriodicalId":34748,"journal":{"name":"mjlh klyh Tb lkndy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"43392561","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}
Atif Saad, S. A. Masaod, O. B. Elhassan, Azza A. Zulfu
Background: Repeated blood transfusion is the main therapeutic option for transfusion-dependent anaemias with consequent iron overload and organ damage .Therefore iron chelating agents are important protective measures for these patients. The aim of this study was to investigate the efficiency and safety of Desferroxamine in paediatrics population subjected to iron overload as a consequence of repeated transfusion in a group of Sudanese children Subjects & Methods: This was a descriptive cross-sectional hospital based study. Conducted in two main paediatric reference hospitals in, Sudan. Within the period between November 2017 and April 2018 (6 months duration). The two centres were JaafarI bn- Oaf hospital and Albulk hospital. The study population included all patients of transfusion dependent anaemia who received desferrioxamine within the study period. Hundred patients were enrolled in the study. The study variables were demographic data, number of blood transfusions , serum ferritin pre and post blood transfusion and treatment of desferrioxamin Results: Sixty percent (60%) of the studied cases were males and 40% were females ,46% were thalassemic, 46% were sicklers, 5% aplastic anemia and 3% with red cell aplasia .The mean serum ferritin level before starting desferoxamine was 2.14 and after dessferoxamine was 2.48, P –value was highly significant. The most common side effect encountered was skin rash (36%) Conclusion: This study revealed some features of safety and efficiency of desferoxamine therapy in Sudanese paediatrics population affected by transfusion-dependent anemia. More studies are needed to describe this important health problem
{"title":"Efficiency and Safety of Desferioxamine Chelation Therapy in Paediatric Patients with Transfusion-Dependent Anaemia: Experience of two Centres from Sudan","authors":"Atif Saad, S. A. Masaod, O. B. Elhassan, Azza A. Zulfu","doi":"10.47723/kcmj.v18i2.625","DOIUrl":"https://doi.org/10.47723/kcmj.v18i2.625","url":null,"abstract":"\u0000\u0000\u0000\u0000Background: Repeated blood transfusion is the main therapeutic option for transfusion-dependent anaemias with consequent iron overload and organ damage .Therefore iron chelating agents are important protective measures for these patients. The aim of this study was to investigate the efficiency and safety of Desferroxamine in paediatrics population subjected to iron overload as a consequence of repeated transfusion in a group of Sudanese children \u0000Subjects & Methods: This was a descriptive cross-sectional hospital based study. Conducted in two main paediatric reference hospitals in, Sudan. Within the period between November 2017 and April 2018 (6 months duration). The two centres were JaafarI bn- Oaf hospital and Albulk hospital. The study population included all patients of transfusion dependent anaemia who received desferrioxamine within the study period. Hundred patients were enrolled in the study. The study variables were demographic data, number of blood transfusions , serum ferritin pre and post blood transfusion and treatment of desferrioxamin\u0000Results: Sixty percent (60%) of the studied cases were males and 40% were females ,46% were thalassemic, 46% were sicklers, 5% aplastic anemia and 3% with red cell aplasia .The mean serum ferritin level before starting desferoxamine was 2.14 and after dessferoxamine was 2.48, P –value was highly significant. The most common side effect encountered was skin rash (36%)\u0000\u0000\u0000\u0000\u0000Conclusion: This study revealed some features of safety and efficiency of desferoxamine therapy in Sudanese paediatrics population affected by transfusion-dependent anemia. More studies are needed to describe this important health problem","PeriodicalId":34748,"journal":{"name":"mjlh klyh Tb lkndy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41539066","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}
Jennifer Bingen, R. Krueger, Ana Lakatos, J. Raaum, M. Kron
There is a global shortage of health care providers needed to address all levels of primary and specialty care. The recent COVID-19 pandemic also highlights the importance and added value of health professionals with specialty training in infectious diseases. In the United States, advanced practice providers (APPs) are being engaged to meet the expanding demand for generalist and specialist patient care. The history and development of advanced practice registered nurses (APRNs) and physician assistants (PAs), are discussed as collaborative healthcare providers to promote better understanding of the ways they can be incorporated into a healthcare system. An example of how APPs are utilized to provide both inpatient and outpatient care of persons with infectious diseases is illustrated at our midwestern United States regional medical center. Especially relevant for regions of the world where both nurses and physicians are in short supply, this paper identifies ways that healthcare leaders can support, develop and strategically utilize APPs to provide critically necessary functions and achieve excellent outcomes. Challenges to future healthcare administration are articulated and compared with World Health Organization roadmap objectives for nursing that can be expanded to better utilize all APPS as valuable healthcare professionals.
{"title":"Incorporation of Nurse Practitioners and Physician Assistants into patient care teams - Focus on infectious Diseases","authors":"Jennifer Bingen, R. Krueger, Ana Lakatos, J. Raaum, M. Kron","doi":"10.47723/kcmj.v18i2.855","DOIUrl":"https://doi.org/10.47723/kcmj.v18i2.855","url":null,"abstract":"There is a global shortage of health care providers needed to address all levels of primary and specialty care. The recent COVID-19 pandemic also highlights the importance and added value of health professionals with specialty training in infectious diseases. In the United States, advanced practice providers (APPs) are being engaged to meet the expanding demand for generalist and specialist patient care. The history and development of advanced practice registered nurses (APRNs) and physician assistants (PAs), are discussed as collaborative healthcare providers to promote better understanding of the ways they can be incorporated into a healthcare system. An example of how APPs are utilized to provide both inpatient and outpatient care of persons with infectious diseases is illustrated at our midwestern United States regional medical center. Especially relevant for regions of the world where both nurses and physicians are in short supply, this paper identifies ways that healthcare leaders can support, develop and strategically utilize APPs to provide critically necessary functions and achieve excellent outcomes. Challenges to future healthcare administration are articulated and compared with World Health Organization roadmap objectives for nursing that can be expanded to better utilize all APPS as valuable healthcare professionals.","PeriodicalId":34748,"journal":{"name":"mjlh klyh Tb lkndy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41886272","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}
Bahjat Abdulridha Alsaeedi, R. Mohammed, Waad Edan Louis Al-Rubaye
Background: Drawing blood to measure total serum bilirubin is painful & time consuming. Transcutaneous bilirubinometer working by multiwavelength spectral reflectance from the skin surface on forehead or upper sternum is a quick & painless technique. Objectives: to compare the effectiveness of transcutaneous (over the upper sternum and forehead) and serum bilirubin measurement of neonate with jaundice. Subjects and Methods: This is a cross sectional prospective study. It enrolled 175 jaundiced neonates & excluded those exposed to phototherapy. It was conducted at Child Central Teaching Hospital in Baghdad, Iraq from the 1st of August to the 30th of October 2018. Transcutaneous bilirubin measurement on forehead and upper sternum was done by JM 103 Minolta Air shields bilirubinometer. Total serum bilirubin was measured by APEL BR 501 BILIRUBIN METER. Data entered & analyzed using SPSS 20 computer software. Means, frequencies, cutoff values, sensitivity & specificity were calculated. Results: The mean age, gestational age & birth weight were (6.3±4.3 days), (36.9±2.1 weeks) and (2.7±0.6 Kg) respectively. Mean total serum bilirubin, transcutaneous chest & forehead bilirubin levels were 12.6±4.2 mg/dl, 11.8±3.8 mg/dl & 11.2±3.9 mg/dl respectively. Mean total serum bilirubin was significantly higher than transcutaneous chest and forehead bilirubin. Cutoff values of transcutaneous chest & forehead bilirubin levels were [(9 mg/dl) with sensitivity (95.4%) & specificity (86.4%)] and [(8.2 mg/dl) with sensitivity (94.7%) & specificity (86.4%)] respectively. Conclusions: Transcutaneous bilirubin measurements on chest and forehead have an acceptable validity in predicting hyperbilirubinemia with less accuracy on forehead.
{"title":"A Comparative Study between Transcutaneous Bilirubinometry and Total Serum Bilirubin Measurement in Jaundiced Newborns","authors":"Bahjat Abdulridha Alsaeedi, R. Mohammed, Waad Edan Louis Al-Rubaye","doi":"10.47723/kcmj.v18i2.787","DOIUrl":"https://doi.org/10.47723/kcmj.v18i2.787","url":null,"abstract":"\u0000\u0000\u0000\u0000Background: Drawing blood to measure total serum bilirubin is painful & time consuming. Transcutaneous bilirubinometer working by multiwavelength spectral reflectance from the skin surface on forehead or upper sternum is a quick & painless technique. \u0000Objectives: to compare the effectiveness of transcutaneous (over the upper sternum and forehead) and serum bilirubin measurement of neonate with jaundice.\u0000Subjects and Methods: This is a cross sectional prospective study. It enrolled 175 jaundiced neonates & excluded those exposed to phototherapy. It was conducted at Child Central Teaching Hospital in Baghdad, Iraq from the 1st of August to the 30th of October 2018. Transcutaneous bilirubin measurement on forehead and upper sternum was done by JM 103 Minolta Air shields bilirubinometer. Total serum bilirubin was measured by APEL BR 501 BILIRUBIN METER. Data entered & analyzed using SPSS 20 computer software. Means, frequencies, cutoff values, sensitivity & specificity were calculated. \u0000Results: The mean age, gestational age & birth weight were (6.3±4.3 days), (36.9±2.1 weeks) and (2.7±0.6 Kg) respectively. Mean total serum bilirubin, transcutaneous chest & forehead bilirubin levels were 12.6±4.2 mg/dl, 11.8±3.8 mg/dl & 11.2±3.9 mg/dl respectively. Mean total serum bilirubin was significantly higher than transcutaneous chest and forehead bilirubin. Cutoff values of transcutaneous chest & forehead bilirubin levels were [(9 mg/dl) with sensitivity (95.4%) & specificity (86.4%)] and [(8.2 mg/dl) with sensitivity (94.7%) & specificity (86.4%)] respectively.\u0000\u0000\u0000\u0000\u0000Conclusions: Transcutaneous bilirubin measurements on chest and forehead have an acceptable validity in predicting hyperbilirubinemia with less accuracy on forehead.","PeriodicalId":34748,"journal":{"name":"mjlh klyh Tb lkndy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49175141","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}
Ureteric obstruction is rarely noted in cases of gastric cancer. Its involvement by distant metastasis from gastric adenocarcinoma without direct invasion is an exceptionally unusual occurrence. This is the story of a 58-year-old man who arrived at the emergency department with acute flank pain and fever. He was initially diagnosed with obstructive pyelonephritis after the discovery of a new onset, complete ureteric obstruction on the left side. Subsequent investigations and follow-up revealed the presence of gastric adenocarcinoma with possible ureteric metastasis bilaterally, flank pain and hydronephrosis were the first and only presentations of gastric cancer. The rarity of the condition and the unusual presentation encouraged us to report the case.
{"title":"Left Flank Pain and Hydronephrosis as the Initial Presentations of Advanced Gastric Cancer","authors":"Ahmad Jaradat, Ali Shakshir","doi":"10.47723/kcmj.v18i2.805","DOIUrl":"https://doi.org/10.47723/kcmj.v18i2.805","url":null,"abstract":"Ureteric obstruction is rarely noted in cases of gastric cancer. Its involvement by distant metastasis from gastric adenocarcinoma without direct invasion is an exceptionally unusual occurrence. This is the story of a 58-year-old man who arrived at the emergency department with acute flank pain and fever. He was initially diagnosed with obstructive pyelonephritis after the discovery of a new onset, complete ureteric obstruction on the left side. Subsequent investigations and follow-up revealed the presence of gastric adenocarcinoma with possible ureteric metastasis bilaterally, flank pain and hydronephrosis were the first and only presentations of gastric cancer. The rarity of the condition and the unusual presentation encouraged us to report the case.","PeriodicalId":34748,"journal":{"name":"mjlh klyh Tb lkndy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49632347","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}
Noor Shamil Alnaqeeb, Yousif Abdul Raheem, B. M. Ali
Background: The prevalence of both obesity & diabetes are increasing all over the world & more in women. They have a negative impact not only on morbidity & mortality but also on quality of life. Objectives: To assess the HRQoL with a specific comparison between obese & normal weight among women with Type 2 Diabetes Mellitus. Subjects and Methods: A cross sectional study was conducted among 618 diabetic women aged 18 to 45 years. Data collection was done by interview & SF36 questionnaire. A comparison for Physical Component Summary & Mental Component Summary scores were done on the base of their Body Mass Index. Results: There was a significant difference score between obese & normal patients in PCS (p=0.001) & in MCS (p=0.009). The normal weight patients had significantly higher PCS mean (±SD), in strata of ; age (≤35,>35)=78.43(±8.80), 65.02(±17.9) /socioeconomic status (poor, fair) =69.96(±20.72), 67.50(±15.71) /marital status (single, married, divorced or widowed)=72.50(±14.81), 67.68(±17.44), 71.09(±16.79) /number of children (≤ 2 / >2 ) =68.66(±12.91), 69.64(±20.82) /smoking (smoker , nonsmoker) =72.50(±8.55), 68.44(±17.34) / duration of DM (5-10 year, >10 year) =67.68(±16.46), 70.27(±17.18)/complications of DM (one complication , > one complications) =71.12(±15.56), 77.91(±8.98)/treatment type (OHM, injection, both) =64.86(±18.87), 73.67(±14.49), 60.00 (±10.31)& regularity of visit (poor,fair,good) =66.25(±9.78), 60.31(±19.73), 72.63(±14.00). Also the same thing in MCS mean (±SD), in strata of; (SES) (poor) =72.11(±18.82), number of children (>2) =69.20(±19.66), smoking (smoker) =82.25(±11.50), duration of DM (>10 year) =67.55(±16.3), complications of DM (> one complications) =65.81(±10.17), & regularity of visit (poor) =59.86(±18.46). Conclusions: Obese patients have a lower score as compared with normal weight patients in PCS & MCS.
{"title":"Health-Related Quality of Life in Diabetic Women with Comparing Obese & Normal weight","authors":"Noor Shamil Alnaqeeb, Yousif Abdul Raheem, B. M. Ali","doi":"10.47723/kcmj.v18i2.420","DOIUrl":"https://doi.org/10.47723/kcmj.v18i2.420","url":null,"abstract":"Background: The prevalence of both obesity & diabetes are increasing all over the world & more in women. They have a negative impact not only on morbidity & mortality but also on quality of life.\u0000Objectives: To assess the HRQoL with a specific comparison between obese & normal weight among women with Type 2 Diabetes Mellitus.\u0000Subjects and Methods: A cross sectional study was conducted among 618 diabetic women aged 18 to 45 years. Data collection was done by interview & SF36 questionnaire. A comparison for Physical Component Summary & Mental Component Summary scores were done on the base of their Body Mass Index.\u0000Results: There was a significant difference score between obese & normal patients in PCS (p=0.001) & in MCS (p=0.009). The normal weight patients had significantly higher PCS mean (±SD), in strata of ; age (≤35,>35)=78.43(±8.80), 65.02(±17.9) /socioeconomic status (poor, fair) =69.96(±20.72), 67.50(±15.71) /marital status (single, married, divorced or widowed)=72.50(±14.81), 67.68(±17.44), 71.09(±16.79) /number of children (≤ 2 / >2 ) =68.66(±12.91), 69.64(±20.82) /smoking (smoker , nonsmoker) =72.50(±8.55), 68.44(±17.34) / duration of DM (5-10 year, >10 year) =67.68(±16.46), 70.27(±17.18)/complications of DM (one complication , > one complications) =71.12(±15.56), 77.91(±8.98)/treatment type (OHM, injection, both) =64.86(±18.87), 73.67(±14.49), 60.00 (±10.31)& regularity of visit (poor,fair,good) =66.25(±9.78), 60.31(±19.73), 72.63(±14.00). Also the same thing in MCS mean (±SD), in strata of; (SES) (poor) =72.11(±18.82), number of children (>2) =69.20(±19.66), smoking (smoker) =82.25(±11.50), duration of DM (>10 year) =67.55(±16.3), complications of DM (> one complications) =65.81(±10.17), & regularity of visit (poor) =59.86(±18.46).\u0000Conclusions: Obese patients have a lower score as compared with normal weight patients in PCS & MCS.","PeriodicalId":34748,"journal":{"name":"mjlh klyh Tb lkndy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49195007","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}
Mohammed Sh. Al- Edanni, Mustafa Ghanim, Abdul Kareem Tariq Abdul Kareem, Hamza Abdulsalam Ibrahim, Abdulaziz Naji
Background: During the pandemic, Corona virus forced many people, especially students, to spend more time than before on the computer and smartphone to study and communicate. The poor posture of the body may have worse effect on its body parts , most of which is the cervical spine (forward head posture). Objective: To assess the incidence of neck pain and the associated factors among undergraduate medical students related to position during E learning Subjects and Methods: Cross-sectional study was conducted among medical students in three Iraqi universities during 2021. The sample size was 152. Online questionnaire by Google forms sampling method were used to collect the data which was analysed using SPSS 25. Results: The percentage of students who suffered cervical pain was (80.3%) of the 152 who participated in this study and the majority of those who suffered pain were complained from increase pain during the pandemic (72.1%). This study also showed the students recumbent on the floor 67 (44.1%) more than those who use the table and chair 62 (40.8%) during E-learning. The percentage of students who use the phone for more than 4 hours were (73.7%). Conclusion: there is a relationship between poor posture and cervical pain during E-learning in the pandemic. Most of students were suffering from neck pain with greatest percentage were in those who student in recumbent on the floor and when using chair and table.
{"title":"Cervical Pain Related to Position of the Neck during E-Learning","authors":"Mohammed Sh. Al- Edanni, Mustafa Ghanim, Abdul Kareem Tariq Abdul Kareem, Hamza Abdulsalam Ibrahim, Abdulaziz Naji","doi":"10.47723/kcmj.v18i2.822","DOIUrl":"https://doi.org/10.47723/kcmj.v18i2.822","url":null,"abstract":"\u0000\u0000\u0000\u0000Background: During the pandemic, Corona virus forced many people, especially students, to spend more time than before on the computer and smartphone to study and communicate. The poor posture of the body may have worse effect on its body parts , most of which is the cervical spine (forward head posture).\u0000Objective: To assess the incidence of neck pain and the associated factors among undergraduate medical students related to position during E learning\u0000Subjects and Methods: Cross-sectional study was conducted among medical students in three Iraqi universities during 2021. The sample size was 152. Online questionnaire by Google forms sampling method were used to collect the data which was analysed using SPSS 25.\u0000Results: The percentage of students who suffered cervical pain was (80.3%) of the 152 who participated in this study and the majority of those who suffered pain were complained from increase pain during the pandemic (72.1%). This study also showed the students recumbent on the floor 67 (44.1%) more than those who use the table and chair 62 (40.8%) during E-learning. The percentage of students who use the phone for more than 4 hours were (73.7%).\u0000\u0000\u0000\u0000\u0000Conclusion: there is a relationship between poor posture and cervical pain during E-learning in the pandemic. Most of students were suffering from neck pain with greatest percentage were in those who student in recumbent on the floor and when using chair and table.","PeriodicalId":34748,"journal":{"name":"mjlh klyh Tb lkndy","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2022-08-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44445216","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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