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iqjmc-1163
Endoscopic injection of adrenaline versus normal saline in bleeding peptic ulcer A prospective evaluation
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Background: Endoscopic treatment is widely accepted as the most effective method for controlling acute ulcer bleeding and preventing ulcer rebleeding.
Objective: is to compare efficacy and safety of local endoscopic injection of adrenaline to normal saline in bleeding peptic ulcers and to identify the risk of rebleeding after successful endoscopic hemostasis.
Patients and methods: This is a prospective study of 77 patients with bleeding peptic ulcers were treated by local endoscopic injection of adrenaline or NS. Patients who succeeded initial hemostasis were admitted and followed for rebleeding events. Rebleeding was confirmed by urgent endoscopy followed by referral to urgent surgery. Outcome was measured directly by rebleeding rate, need for surgery, and the mortality rate and indirectly by the number of blood transfusion units and days of hospitalization. All clinical and endoscopic data of patients were collected to stratify the risk of rebleeding.
Results: The rebleeding rates (17.9% for NS group vs. 11.4% for adrenaline group), the need for emergency operation (10.2% vs. 5.7%), blood transfusion (3.2 units vs. 2.4 units), hospital stay (2.8 days vs. 2.7 days) and in-hospital mortality (5.6% vs. 5.7%) were not significantly different in both groups. Clinical and endoscopic analysis revealed that presence of shock, coexisting disease, large ulcer size (>2cm) and active bleeding were independent factors predicting rebleeding.
Conclusion: local endoscopic injection of NS and adrenaline are equally safe and effective in stopping ulcer bleeding and rebleeding. Severe bleeding, comorbidities, large ulcer size, active bleeding all are predictors of rebleeding.

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Publication Date
Fri Apr 30 2021
Journal Name
Al-kindy College Medical Journal
Slump Test versus Straight Leg Raise Test in the Diagnosing of Lumbar Disc Herniation: A Prospective Comparative Study
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Background: The clinical examination is one of the best suitable methods for diagnosis of low backache. Backache is one disease that the signs, clinical examination finding, and the results on imaging modalities not always related. The straight leg raising (SLR) and slump tests, can be used for diagnosis of lumber disc herniation. Objectives: To compare the result of the slump test and SLR test in the diagnosis of lumber disc herniation. Subjects and Methods: A prospective comparative study conducts on 280 patients in Al-Kindy teaching and private clinics complaints of backache, aging between 18-70 years old with acute or recurrent backache, sciatica pain, or low back and sciatica pain for last 12 weeks, while patients

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Publication Date
Fri Apr 30 2021
Journal Name
Al-kindy College Medical Journal
Slump Test versus Straight Leg Raise Test in the Diagnosing of Lumbar Disc Herniation: A Prospective Comparative Study
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Background: The clinical examination is one of the best suitable methods for diagnosis of low backache. Backache is one disease that the signs, clinical examination finding, and the results on imaging modalities not always related. The straight leg raising (SLR) and slump tests, can be used for diagnosis of lumber disc herniation.

Objectives: To compare the result of the slump test and SLR test in the diagnosis of lumber disc herniation.

Subjects and Methods: A prospective comparative study conducts on 280 patients in Al-Kindy teaching and private clinics complaints of backache, aging between 18-70 years old with acute or recurrent backache, sciatica pai

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Publication Date
Sat Dec 31 2016
Journal Name
Al-kindy College Medical Journal
H1N1 INFLUENZA VERSUS SEASONAL INFLUENZA MORBIDITY AND MORTALITY: A PROSPECTIVE STUDY IN AL-KINDY TEACHING HOSPITAL/ IRAQ-BAGHDAD
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Background: H1N1 influenza pandemic or swine flu was an influenza pandemic first described in Iraq in October 2009 .The virus appeared to be anew strain of H1N1 causes wide range of morbidity and mortality among different genders and age groups as part of worldwide pandemics.Seasonal flu is a contagious respiratory illness caused by influenza viruses that infect the nose, throat, and lungs. It can cause mild to severe illness, and at times can lead to death. The best way to prevent the flu is by getting a flu vaccine each year.

Objectives: Is to determine the morbidity and mortality in different age groups in patients with H1N1 influenza versus those patients with seasonal influenza who were admitted at the same time to AL-kindy

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Publication Date
Thu Jan 02 2014
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Single-layer seromuscular Continuous Versus Two-Layers Intestinal Anastomosis Of Small bowel in Baghdad Teaching Hospital (A prospective Study)
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Background: Anastomosis may be done with the help of stapling devices, by using double layered suturing technique or by a single layer technique.
Patients and methods:
A prospective study conducted in Baghdad Teaching Hospital, Iraq.  A total of sixty- four patients were included in this study. They were divided into two groups; group A, 28 patients, single layer seromuscular continuous anastomosis was done and group B, 36 patients underwent conventional double layered anastomosis.Objective: The aim of the study is to prove that a single layer continuous technique can be constructed in a significantly less time with similar rate of complications compared with two layers technique

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Publication Date
Fri Sep 17 2021
Journal Name
Al-kindy College Medical Journal
Single Layer Extra-Mucosal Versus Double Layer Intestinal Anastomosis for Colostomy Closure: A Prospective Comparative Study
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Background: The main objective was to compare the outcome of single layer interrupted extra-mucosal sutures with that of double layer suturing in the closure of colostomies.

Subjects and Methods: Sixty-seven patients with closure colostomy were assigned in a prospective randomized fashion into either single layer extra-mucosal anastomosis (Group A) or double layer anastomosis (Group B). Primary outcome measures included mean time taken for anastomosis, immediate postoperative complications, and mean duration of hospital stay. Secondary outcome measures assessed the postoperative return of bowel function, and the overall mean cost. Chi-square test and student t-test did the statistical analysis..

Resu

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Publication Date
Thu Jan 01 2015
Journal Name
Journal Of Baghdad College Of Dentistry
Evaluation of antibacterial effect of irrigant solutions (titanium tetra fluoride, green tea, sodium hypochlorite, normal saline) using real-time quantitative – polymerase chain reaction
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Background: Removal of bacteria from the pulp system by instrumentation of an infected root canal, will be significantly reduced the number of bacteria, but it is well documented that instrumentation alone can-not clean and kill all bacteria found on the root canal walls. Antibacterial irrigants are needed to kill the remaining microorganisms. The aims of this study was to assess antibacterial effect of titanium tetrafluoride (TiF4) solution and brewing green tea against root canal bacteria and to compare with sodium hypochlorite and normal saline through microbiological and molecular studies. Materials and methods: Microbiological study was carried out to determine the concentration of titanium tetrafluoride and brewing green tea at which

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Publication Date
Sun Oct 02 2016
Journal Name
Journal Of The Faculty Of Medicine Baghdad
The effectiveness of irrigation method by normal saline compared to povidone iodine soaking in decreasing the rate of contamination in appendectomy wound
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Background: The number of bacteria is important as much as the type of it in developing wound infection. Pressurized irrigation of the surgical wound leads to decrease bacterial number which led to decrease incidence of wound infection.
Objective: to evaluate effectiveness of normal saline irrigation and povidone iodine soaking in decreasing the number of bacteria.
Patient and method: This was a prospective study of 100 patients who were admitted to Al Kadhimyia Teaching Hospital during the period from May 2012 and April 2013 with diagnosis of acute appendicitis. After appendicectomy was done, patients were randomized into two groups, fifty patients (group one) the subcutaneous tissue was irrigated by

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Publication Date
Tue Jan 02 2018
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Cervical ripening by using extra-amniotic dexamethasone infusion versus extra-amniotic saline infusion
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Background: Induction of labour is a commonly practiced obstetric intervention designed to artificially initiate the process of cervical effacement to achieve vaginal delivery.
Objective: examine the hypothesis that corticosteroids, when administered extra-amniotically, can enhance labor process and reduce the induction--delivery interval in comparison with folly's and extra-amniotic saline infusion.
Patients and methods: This, randomized case- control study was conducted on99 women, who were referred to the AL-Batool teaching Hospital in Diyala, Iraq, for induction of labor with a Bishop score of less than or equal to 5 from January 2014-March 2016, and divided into 2 groups, 1st group consist of 58 pregnant, a 26F catheter &

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Publication Date
Fri Dec 27 2024
Journal Name
Journal Of Baghdad College Of Dentistry
Evaluation of antibacterial effect of irrigant solutions (titanium tetra fluoride, green tea, sodium hypochlorite, normal saline) using real-time quantitative – polymerase chain reaction
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Background: Removal of bacteria from the pulp system by instrumentation of an infected root canal, will be significantly reduced the number of bacteria, but it is well documented that instrumentation alone can-not clean and kill all bacteria found on the root canal walls. Antibacterial irrigants are needed to kill the remaining microorganisms. The aims of this study was to assess antibacterial effect of titanium tetrafluoride (TiF4) solution and brewing green tea against root canal bacteria and to compare with sodium hypochlorite and normal saline through microbiological and molecular studies. Materials and methods: Microbiological study was carried out to determine the concentration of titanium tetrafluoride and brewing green tea at which

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Publication Date
Fri Oct 20 2023
Journal Name
Ibn Al-haitham Journal For Pure And Applied Sciences
Normal and Reverse Flow Injection Analysis Methods for Estimation of Mesalazine in Pharmaceutical Dosage Forms
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Determining the actual amounts of active ingredients in various pharmaceutical commercial forms is still receiving a lot of attention. Two flow injection analysis (FIA) methods were suggested for determination of mesalazine (MES) in pharmaceutical forms. Normal and reverse FIA systems (nFIA and rFIA) combined with UV-Vis spectrophotometric technique were used for the analysis. The methods involved using two mods of FIA systems for measuring a colored product result from coupling of MES with 2,2'-dihydroxybiphenyl after oxidized with sodium periodate in alkaline medium. The absorbance of the red colored dye was measured at maximum wavelength of 500 nm. The calibration graphs for MES were linear in the ranges 2.5-200 and 0.5-60 µg/mL with

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