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Study about the immunological investigations done before Kidney transplant in Basrah during (2012-2017) 巴士拉肾移植前免疫学调查研究(2012-2017)
Pub Date : 2022-12-01 DOI: 10.33762/bsurg.2022.136517.1031
Nibras S. Al-Ammar
Kidney transplant considered as alternative treatment in end-stage renal disease. Human leukocyte antigens an important role in graft rejection, donor specific HLA antibodies that measured by panel reactive antibody, lead to increased sensitization. Cytomegalovirus, Epstein-Barr virus, Hepatitis-B, and -C viruses have an association with poor outcome of the transplant. The study is aimed to discuss the immunological investigations that were done before the transplant. The study has carried out in College of Medicine by analyzing the data records for 36 patients undergo kidney transplant in Al-Sadder Teaching Hospital, 5 patients were excluded because of incomplete data. Data has been recorded during (2012-2017). HLA (Human Leukocyte Antigens) matching between recipients and donors includ ing HLA-A, -B, -DR and -DRB1. Presence of PRAs (Panel Reactive Antibodies), Hepatitis B virus surface antigen (HBV sAg), Hepatitis C virus antibody (HCV Ab), Cytomegalovirus (CMV) IgM and IgG, Epstein-Barr virus (EBV) IgM and IgG screened in recipients. Out of 31 recipients, 83.9% were males and 16.1% were females. 77.4% of donors and recipients were relatives and 22.6% were not relatives. 22.6% of donors and 25.8% of recipients were tested for HLA and only 57.14% showed partially matching within some HLA classes. 9.7% of recipients have PRA. No recipient showed positive results for the presence of HBV sAg and HCV Ab. 6.5% of recipients have CMV IgM, 67.7% have CMV IgG, 9.7% showed positive results for the presence of EBV IgM and 6.5% have EBV IgG. Inconclusion, recipients and donors showed partially matched HLA classes, not all recipients and donors tested for HLA matching. Some recipients have PRA, high percentage of recipients has CMV IgG, and some of them have CMV IgM antibodies. All these factors might effects on the fate of transplant. HLA-DQ have to be tested and screening for the presence of PRA, viral Ag or Abs specific to these viruses in both recipients and donors is recom -mended.
肾移植被认为是终末期肾病的替代治疗方法。人类白细胞抗原在移植物排斥反应中起着重要作用,供体特异性HLA抗体通过面板反应性抗体测定,导致增敏。巨细胞病毒、EB病毒、乙型肝炎和丙型肝炎病毒与移植效果不佳有关。这项研究旨在讨论移植前进行的免疫学研究。这项研究是在医学院进行的,通过分析Al Sadder教学医院36名肾移植患者的数据记录,其中5名患者因数据不完整而被排除在外。数据记录在(2012-2017年)期间。受体和供体之间的HLA(人类白细胞抗原)匹配包括HLA-A、-B、-DR和-DRB1。在受试者中筛选出PRAs(群体反应性抗体)、乙型肝炎病毒表面抗原(HBV sAg)、丙型肝炎病毒抗体(HCV Ab)、巨细胞病毒(CMV)IgM和IgG、EB病毒(EBV)IgM和IgG。在31名接受者中,83.9%为男性,16.1%为女性。77.4%的捐赠者和接受者是亲属,22.6%不是亲属。22.6%的供体和25.8%的受体进行了HLA检测,只有57.14%的供体和受体在某些HLA类别中显示出部分匹配。9.7%的受试者患有PRA。没有受试者显示HBV sAg和HCV Ab阳性结果。6.5%的受试者具有CMV IgM,67.7%具有CMV IgG,9.7%具有EBV IgM阳性结果,6.5%具有EBV IgG。结论:受者和供者显示出部分匹配的HLA类别,并非所有受者和受者都进行了HLA匹配测试。一些受试者患有PRA,高比例的受试者具有CMV IgG,其中一些人具有CMV IgM抗体。所有这些因素都可能影响移植的命运。必须检测HLA-DQ,并建议在受体和供体中筛查PRA、病毒Ag或Abs的存在。
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引用次数: 0
Strangulated ovarian inguinal hernia in a female infant Case report 1例女性婴儿腹股沟绞窄性卵巢疝病例报告
Pub Date : 2022-11-19 DOI: 10.33762/bsurg.2022.134714.1026
M. Abdulla
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引用次数: 0
DECISION MAKING IN SURGERY 外科决策
Pub Date : 2022-06-01 DOI: 10.33762/bsurg.2022.133215.1020
M. Al-Musafer
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引用次数: 0
ENDOSCOPY IN THE EVALUATION OF PATIENTS WITH UPPER GASTROINTESTINAL SYMPTOMS(DYSPEPSIA). 内窥镜检查在评价上消化道症状(消化不良)患者中的作用。
Pub Date : 2022-06-01 DOI: 10.33762/bsurg.2022.174669
Hussein Alkatrani, Mansour Mohammad
A Retrospective study includes records of 1832 patients with dyspeptic symptoms who underwent endoscopic examination in Al-Mawani Teaching Hospital during the period from October 2015 - October 2019 were analyzed. 942 (51.4%) were males and 890(48.6%) were females, 794 (43.3%) had no endoscopic abnormalities,1038 (56.7%) had endoscopic finding. Oesophagitis was seen in 149 (8.1% ) patients , gastritis was seen in 603 (32.9%) patients, duodenal ulcer was seen in 257(14%) patients with male to female ratio (1.8:1) and peak age group between (20-40) years. Gastric ulcer was seen in 47 (2.5%) patients with male to female ratio (1.2:1)and peak age group between (40-60) yrs, and ratio of duodenal to gastric ulcer was (5.5-1). Combined duodenal and gastric ulcer was found in 4(0.2%) patients, gastric cancer was found in 10 (0.54%) patients with peak age group between (50-70) years. It is concluded that endoscopy is golden standard test for diagnosis of gastroduodinal pathology.
回顾性研究分析了2015年10月至2019年10月在Al-Mawani教学医院接受内窥镜检查的1832例消化不良症状患者的记录。其中男性942例(51.4%),女性890例(48.6%),无内镜异常794例(43.3%),有内镜发现1038例(56.7%)。食管炎149例(8.1%),胃炎603例(32.9%),十二指肠溃疡257例(14%),男女比例为1.8:1,高峰年龄在(20 ~ 40)岁。胃溃疡47例(2.5%),男女比例为1.2:1,高峰年龄在40-60岁之间,十二指肠溃疡与胃溃疡的比例为5.5-1。并发十二指肠溃疡4例(0.2%),胃癌10例(0.54%),发病高峰年龄在50 ~ 70岁。结论内镜检查是诊断胃十二指肠病变的金标准检查方法。
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引用次数: 2
PROFILE OF MICROORGANISM AND ANTIBIOTIC SENSITIVITY PATTERN IN PATIENTS UNDERGOING EMERGENCY LAPAROTOMY FOR PERITONITIS 腹膜炎急诊剖腹手术患者的微生物特征及抗生素敏感性
Pub Date : 2022-06-01 DOI: 10.33762/bsurg.2022.132161.1015
V. Jayaprakash, Poorvi Sharma, R. Shenoy, S. KRISHNA M
Peritonitis is one of the common emergencies and multiple organisms have been implicated in the pathogenesis. Inappropriate and prolonged use of antibiotics have been attributed to the emergence of antibiotic resistance. This is a retrospective observational study, from 1st January 2018 to 31st December 2019 (Two years). Patients with secondary peritonitis undergoing surgery are included in this study. Common pathogens and its antibiotic sen sitivity pattern from peritoneal fluid, blood and surgical site were studied. Perforation peritonitis is the most common cause of peritonitis. Cefaperazone-sulbactum and Piperacillin-tazobac tum were the common empirical antibiotics prescribed. Escherichia coli followed by Klebsiella pneumonia were the commonest microorganism isolated from the peritoneal fluid and found to have adequate sensitivity for the empiri cal antibiotics. Enterococus and candida were the common organism isolated in blood culture. E-coli and Klebsiella from wound swab showed higher resistance to the empirical antibiotics. Large intestine perforation has higher percentage of surgical site infection. E-coli and Klebsiella pneumoniae were the common cause of secondary peritonitis. The empirical antibiotic is shown to be sensitive to the common organism isolated from peritoneal cavity. Wound swab isolates have shown higher resistance to antibiotics hence isolating the organism and assessing the sensitivity might be prudent. Due to geographical variation of antibiotic resistance trends to microorganism, it is prudent to have antibiotic surveillance on a local basis that can recommend appropriate antibiotics.
腹膜炎是常见的急症之一,其发病机制涉及多种生物。抗生素的不适当和长期使用被归因于抗生素耐药性的出现。这是一项回顾性观察性研究,从2018年1月1日到2019年12月31日(两年)。本研究纳入了接受手术的继发性腹膜炎患者。研究了腹膜液、血液和手术部位常见致病菌及其对抗生素的敏感性。穿孔性腹膜炎是腹膜炎最常见的病因。头孢哌酮舒巴坦和哌拉西林他唑巴坦是常用的经验性抗生素。从腹膜液中分离出的最常见的微生物是大肠杆菌,其次是肺炎克雷伯菌,并发现其对常用抗生素具有足够的敏感性。在血液培养中分离出的常见菌种为肠球菌和念珠菌。伤口拭子中的大肠杆菌和克雷伯菌对经验性抗生素表现出较高的耐药性。大肠穿孔的手术部位感染率较高。大肠杆菌和肺炎克雷伯菌是继发性腹膜炎的常见病因。实验证明,该抗生素对腹膜腔分离的常见生物体敏感。伤口拭子分离物对抗生素表现出更高的耐药性,因此分离生物体并评估其敏感性可能是谨慎的。由于微生物对抗生素耐药性趋势的地理差异,谨慎的做法是在当地进行抗生素监测,以推荐合适的抗生素。
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引用次数: 0
ASSOCIATION BETWEEN URINARY TRACT INFECTION AND PRETERM LABOUR A PROSPECTED STUDY IN BASRAH MATERNITY AND CHILD HOSPITAL 尿路感染与早产的关系:巴士拉妇幼医院的前瞻性研究
Pub Date : 2022-06-01 DOI: 10.33762/bsurg.2022.174668
Edewar Z.Khosho, Huda AL.Sharae, Iman Abd Alla
Preterm birth is complex condition with multiple risk factors and substantial medical, psychological , economic and social impacts. Preterm is also the most important determinant of short and long term morbidity in infant and children. The aim of this study is to determine the association between preterm labour and urinary tract infection, par ity, socioeconomic state, locality and degree of education. A prospective descriptive study had been carried out in Al-Basrah Maternity and Child Hospital from 1st of February 2020 to 1st of October 2020 which include (100) pregnant women admitted to labour room and had spontaneous preterm labour, they evaluated clinically and by investigations . The percentage of urinary tract infected women is 62% among total women with preterm labor, 38% of women had no Urinary Tract Infection (UTI). The UTI diagnosed by presence of 10 or more pus cells and / or bateruria (10) 5 or more . Sixty three percent of women was primgravida and 37% of them was multigravida (not more than gravida 3). Forty-two percent of women was from city center and 58% of them from peripheral areas. Forty-One percent of women have high education level define by having secondary school and more and 59% of them have low education level. Fifty-Eight percent of women having low income defined by family income less than 600000 iraqi dinar and 42% of them have high income. The study showed strong association between preterm labour and urinary tract infection, so we advise to do it on large number of patients to prove the relationship between preterm labour and urinary tract infection.
早产是一种复杂的疾病,具有多种风险因素,并对医疗、心理、经济和社会产生重大影响。早产也是婴儿和儿童短期和长期发病率的最重要决定因素。本研究的目的是确定早产与尿路感染、平等、社会经济状况、地区和教育程度之间的关系。从2020年2月1日至2020年10月1日,在巴士拉妇幼医院进行了一项前瞻性描述性研究,其中包括(100)名进入产房并自然早产的孕妇,他们通过临床和调查进行了评估。尿路感染妇女占早产妇女总数的62%,38%的妇女没有尿路感染(UTI)。尿路感染诊断为存在10个或更多脓细胞和/或细菌尿(10)5个或更多。63%的妇女是初孕,37%是多孕(不超过妊娠3)。42%的妇女来自市中心,58%的妇女来自外围地区。41%的女性受教育程度较高,其中59%的女性受教育程度较低。58%的低收入妇女家庭收入低于60万伊拉克第纳尔,42%的妇女家庭收入较高。本研究显示早产与尿路感染有很强的相关性,建议对大量患者进行研究,以证明早产与尿路感染之间的关系。
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引用次数: 0
A comparison between rural and urban residents attending Basrah Dental College south of Iraq for tooth extraction between 2018-2021 and its relation to the dental health care situation in Iraq 2018-2021年在伊拉克南部巴士拉牙科学院接受拔牙的城乡居民的比较及其与伊拉克牙科保健状况的关系
Pub Date : 2022-06-01 DOI: 10.33762/bsurg.2022.133215.1021
S. Aljazaeri
Most studies confirmed caries are the main cause of tooth extraction in urban and rural areas, especially in young people. There is a relationship between the level of education and dental extraction, particularly in rural areas. In this cross-sectional examination overall 1257 patients were treated in the teaching clinic of the oral and maxillofacial surgery department, College of Dentistry, the University of Basrah between 2018-2021. Data were collected from patients’ data after taking the agreement of the ethical committee in the college. The comparisons include age, gender, educational level, occupation, chief complaint, diagnosis, and tooth site. reasons and pattern of tooth loss were recorded and data were computed on SPSS. Version 20. The numbers of tooth extraction in urban and rural were very close 632(50.3%) and 624(49.7%) extractions respectively. The male to female percentage was 38.2 %, 61.8% respectively and the highest number of extractions was observed in females in rural areas most of the patients are a housewife. Tooth extraction has seen more in the third, fourth and fifth decade than other age groups 20.4%, 22%, 19.9% respectively. A significant difference between education and dental extraction was noted between urban and rural areas. The main complaint was for prosthetic therapy 45.3% and 43.2% because of pain. The largest proportion considered as the main cause of extraction was dental caries consequences of 80.5% and the lowest 16.9% from periodontal disease.
大多数研究证实,在城市和农村地区,尤其是年轻人中,龋齿是拔牙的主要原因。教育水平与拔牙之间存在关系,特别是在农村地区。在本横断面检查中,共有1257例患者于2018-2021年在巴士拉大学牙科学院口腔颌面外科教学诊所接受治疗。经学院伦理委员会同意,从患者资料中收集数据。比较包括年龄、性别、文化程度、职业、主诉、诊断、牙齿部位等。记录牙齿脱落的原因和模式,并在SPSS软件上进行数据计算。版本20。城市和农村拔牙次数非常接近,分别为632例(50.3%)和624例(49.7%)。男女比例分别为38.2%和61.8%,拔牙次数最多的是农村女性,多为家庭主妇。拔牙在第三、第四和第五十岁年龄组的比例分别为20.4%、22%和19.9%。城市和农村地区在教育和拔牙方面存在显著差异。假体治疗的主诉为45.3%,疼痛的主诉为43.2%。拔牙的主要原因中,龋齿占80.5%,牙周病占16.9%。
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引用次数: 0
ANTIMULLARIAN HORMONE VARIATION THROUGHOUT THE MENSTRUAL CYCLE 整个月经周期抗髓激素的变化
Pub Date : 2022-06-01 DOI: 10.33762/bsurg.2022.174670
Ali Falih Al-Assadi, Huda AL.Sharae, Wafaa Sami, Safa Kifah
This prospective cross-sectional study is to assess the Anti-Mullerian hormone variation throughout the menstrual cycle in the number of women suffering from subfertility and attending the Basrah Fertility Center at Basrah Mater nity and Children Hospital. This study was conducted at Basrah Maternity and Children Hospital (Basrah city, south of Iraq) during the pe riod from February 2019 to July 2020.The participants had not used combined oral contraceptive (COC) or being pregnant or breastfeeding for at least 2 months before the study cycle; midcycle was identified by subtracting 14 days from the mean cycle length. Fifty participants were included in this study; they were assessed using specially designed questionnaire. From each attendance 3 blood samples were taken for Anti-mullerian measurment, the first at the early follicular phase, the second one at the midcycle, and the third at the mid-luteal phase of the men strual cycle. differences between AMH1 (early follicular phase) and AMH2 (midcycle) (p-value 0.0001) and between AMH2 and AMH3 (mid-luteal phase) (p-value 0.004), whereas there was no statisti cally significant difference between AMH1 and AMH3. In conclusion, there is a significant intracyclic variation in the level of AMH and which tend to be lower at the mid cycle phase. This table shows the variation in the mean level in a with low, normal, and high In a patient with low mean AMH value, the highest value was at the mid-luteal phase, and the was differences these 3 were statistically significant.
这项前瞻性横断面研究旨在评估患有低生育能力并在巴士拉妇幼医院巴士拉生育中心就诊的女性在整个月经周期中抗苗勒管激素的变化。本研究于2019年2月至2020年7月在巴士拉妇幼医院(伊拉克南部巴士拉市)进行。参与者在研究周期前至少2个月未使用联合口服避孕药(COC)或怀孕或哺乳;通过从平均周期长度中减去14天来确定周期中期。50名参与者参与了这项研究;他们使用专门设计的问卷进行评估。从每次就诊中抽取3份血样进行抗苗勒氏测量,第一份在男性月经周期的卵泡早期,第二份在月经周期中期,第三份在黄体中期。AMH1(卵泡早期)和AMH2(周期中期)之间的差异(p值0.0001)以及AMH2和AMH3(黄体中期)之间(p值0.004),而AMH1和AMH3之间没有统计学上的显著差异。总之,AMH水平存在显著的周期内变化,并且在周期中期趋于较低。该表显示了低、正常和高AMH患者的平均水平变化。在平均AMH值低的患者中,最高值出现在黄体中期,这三者之间的差异具有统计学意义。
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引用次数: 0
Risk factors among patients with ovarian cancer attending oncology hematology center in Basrah city 在巴士拉市肿瘤血液学中心就诊的癌症卵巢患者的危险因素
Pub Date : 2022-06-01 DOI: 10.33762/bsurg.2022.132631.1017
R. Ahmed
Worldwide, approximately 225,500 ovarian cancers are diagnosed annually. The leading cause of gynecological cancer death (140,200 worldwide annually) is the ovarian cancer, which accounts for more deaths than all the other gynecological cancers combined. The ovarian cancer is the fourteenth commonest cancer among population in Basrah city in Iraq. This is a case control study carried out in the Basrah oncology – hematology center and primary health care cen ters in Basrah city. The study include 103 cases of ovarian cancer and 206 control. We found that more than half of case of ovarian cancer aged 50 years and above. History of insulin treatment is a risk factor for ovarian cancer (OR more than one) with significant statistical association. Hysterectomy and tubal ligation are protective against ovarian cancer . There are many risk factors of ovarian cancer some of these are modifiable while the others are not modifiable. Hysterectomy and tubal ligation considered as protective factors.
全世界每年诊断出约225500例卵巢癌。妇科癌症死亡的主要原因(全球每年140200人)是癌症,其死亡人数超过所有其他妇科癌症的总和。卵巢癌症是伊拉克巴士拉市第十四常见的癌症。这是在巴士拉市肿瘤血液学中心和初级卫生保健中心进行的病例对照研究。该研究包括103例癌症和206例对照。我们发现超过一半的癌症患者年龄在50岁及以上。胰岛素治疗史是卵巢癌症(或不止一种)的危险因素,具有显著的统计学相关性。子宫切除术和输卵管结扎术对卵巢癌症具有保护作用。癌症有许多危险因素,其中一些是可改变的,而另一些是不可改变的。子宫切除术和输卵管结扎术被认为是保护因素。
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引用次数: 0
BREAST CANCER AND MITOCHONDRIAL DNA MUTATIONS IN KURDISH WOMEN: A CASE-CONTROL STUDY FROM SULAYMANIYAH, IRAQ. 库尔德妇女乳腺癌和线粒体DNA突变:来自伊拉克苏莱曼尼亚的病例对照研究。
Pub Date : 2022-06-01 DOI: 10.33762/bsurg.2022.174671
Han N. Mohammed Fadhl, D. Rashid, F. Abdulkarim
The molecular basis of breast cancer has been thoroughly investigated in the last decade. Many nuclear suscep tibility genes were discovered. Moreover, research about mitochondrial DNA (mtDNA) mutations and mitochondrial haplogroup determinants (single nucleotide polymorphism; SNP) has explored their potential role in cancers in general and breast cancer in particular. This study is to identify breast cancer-related SNPs and mtDNA haplogroups among Kurdish women living in Sulaymaniyah/Iraq. This case-control study was conducted in Kurdistan Institute for Strategic and Scientific Research (KISSR) / Molecular Lab in Sulaymaniyah in collaboration with a specialized lab in South Korea. Twenty women with breast cancer and 20 women with benign breast diseases were enrolled. The entire mitochondrial genome of 40 breast tissue specimens was sequenced. Haplogrep 2.0 was utilized for haplogroup identification. Statistical Analysis was performed using Chi-square and Fisher’s exact tests. A total of 547 mutations (Cancer, n=344 and Control, n=203) were identified including 15 first-reported mutations. HV haplogroup in the cancer samples was a risk factor for the development of breast cancer (p=0.002) compared to H haplogroup in the control samples (p =0.006) (Odd Ratio [OR] = 28.00). Furthermore, SNP (A8860G) was an additional risk compared to other randomly selected SNPs (A750G, A1438G, and C7028T) (p ˂0.05 and OR >1). In conclusions; the association of certain mtDNA haplogroups and SNPs with breast cancer risk is not new. Unlike studies performed in other populations of the world figuring out A10398G as the risky SNP, our study identified A8860G in the Kurds. Geographic and ethnic variations between human populations do exist, so an SNP that is common in one population group may be much rarer in another. Hence, more research on the molecular biology of breast cancer in our locality is warranted to clarify the situation.
在过去的十年中,人们对癌症的分子基础进行了深入的研究。发现了许多与核相容的基因。此外,关于线粒体DNA(mtDNA)突变和线粒体单倍群决定簇(单核苷酸多态性;SNP)的研究已经探索了它们在一般癌症,特别是乳腺癌症中的潜在作用。本研究旨在确定生活在伊拉克苏莱曼尼亚的库尔德妇女中与乳腺癌相关的SNPs和mtDNA单倍群。这项病例对照研究是在苏莱曼尼亚的库尔德斯坦战略与科学研究所(KISSR)/分子实验室与韩国的一个专门实验室合作进行的。20名患有癌症的女性和20名患有良性乳腺疾病的女性被纳入研究。对40个乳腺组织标本的线粒体全基因组进行了测序。利用Haplogrep 2.0进行单倍群鉴定。使用卡方检验和Fisher精确检验进行统计分析。共鉴定了547个突变(癌症,n=344和对照,n=203),包括15个首次报告的突变。癌症样本中的HV单倍群与对照样本中的H单倍群相比(p=0.006)(比值比[OR]=28.00),是癌症发生的危险因素(p=0.002)。此外,与其他随机选择的SNP(A750G、A1438G和C7028T)相比,SNP(A8860G)是一种额外的风险(p=0.05和OR>1)。在结论中;某些mtDNA单倍群和SNPs与癌症风险的关联并不是新的。与在世界其他人群中进行的将A10398G确定为危险SNP的研究不同,我们的研究在库尔德人中确定了A8860G。人类种群之间确实存在地理和种族差异,因此在一个种群中常见的SNP在另一个种群可能要罕见得多。因此,有必要对我国癌症的分子生物学进行更多的研究,以澄清这一情况。
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引用次数: 0
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Basrah Journal of Surgery
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