Background: Ulcerative colitis is a chronic idiopathic inflammatory disorder that affects the rectum & extends proximally to affect variable extent of the colon. Autoimmune hemolytic
anemia had reported in few cases.
Objective: to determine the prevalence of autoimmune hemolytic anemia in Ulcerative colitis.
Patient & Methods: Fifty Iraqi patients having Ulcerative colitis attending the GIT Center in Baghdad during the period from March to August 2004 were interviewed, examined and
diagnosed according to pathological study done for colonic biopsies by the same centre. Blood was drown for the assessment of complete picture with blood film, reticulocyte
percent, erythrocyte sedimentation rate, Coombs test (direct, indirect), antinuclear antibody, immunoglobulin assay, serum iron and TIBC in the same laboratory unit.
Results: In our study, 18(36%) patients were anemic, fifteen of them had normal or low reticulocyte percent with normochromic normocytic RBC in blood film, probable causes of
anemia was either iron deficiency proved by low serum iron and high total iron binding capacity (TIBC), or anemia of chronic illness. The remaining three of eighteen patients with
reticulocytosis, two of them Coombs test were negative and normal film, but they were having acute bloody diarrhea which probably was the cause of reticulocytosis.
The third patient was Coombs positive with features of hemolytic anemia in the blood film (polychromic with spherocytosis), this patient had also a high titer of IGg, LDH, so that this
female had all the evidence of autoimmune hemolytic anemia which is a rare complication of Ulcerative colitis. Salfasalazine as a treatment of Ulcerative colitis can cause autoimmune haemolysis, but in this case the drug had stopped for one month before the development of autoimmune haemolysis. In our sample we had five patients with reticuloytosis but normal haemoglobin level and normal blood film with cooms negative (direct and indirect) those five patients might had nonimmune causes of hemolytic like G6PD deficiency which need further investigations, or might had bloody diarrhea which cause elevated reticulocyte as areaction to blood loss, or it may be due to salazopyrine effect which may lead to increase level of reticulocyte.
Conclusion:Most studies giving range of autoimmune haemolytic anaemia with Ulcerative colitis between 1%-2%, all these studies showed direct coomb's test positive, and our study
showed 2% incidence. So it is one of the rare manifestations of Ulcerative colitis. It does not depend much on severity, duration and degree of colonic involvement.
Background: Chronic obstructive pulmonary disease (COPD) is a preventable disease with some significant extra pulmonary effects that may contribute to the severity in individual patients.. The systemic manifestations of COPD include a number of endocrine disorders , such as those involving the pituitary, the thyroid , the gonads, the adrenals and the pancreas. The mechanisms by which COPD alters endocrine function are incompletely understood but likely involve hypoxemia , hypercapnia , systemic inflammation and glucocorticoid administration.
Objective: To evaluate the relationship bet
... Show MoreObjectives: To assess quality of health care for clients at outpatient consultancy clinics in Al-Hilla City Hospitals, and to find out significant differences between the clients' perspectives toward quality of health care dimensions and their demographic characteristics such as (residence, age, gender, level of education, and occupation ).
Methodology: A descriptive analytic study design was carried out at outpatient consultancy clinics of Al- Hilla city hospital (Al-Hilla and Al-Imam Al-Sadiq general teaching hospital) from April 10 th to June 15 th 2019. Non – probability (purposive) sample of 200 clients who were coming to the Outpatient Consultancy Clinics were selected. Data is collected through used of an assessment tools an
The study area lies in Wasit governorate south west Kut city, where Al Ahdeb oil field is located to the south of Al Ahrar district. The present study deals with assessment of heavy metals pollution in water by collecting eleven water samples (five samples from drainage and six samples from surface water) in 5th of December 2016. The water samples analysis of heavy elements in the study area shown that water is polluted with high concentration of (Pb, Cd) elements, while the concentration of (Cu, Fe, Zn) in water samples are within the permissible limits of both World Health Organization, and Iraqi standards and there are no hazard effects from these elements. The study detected some diseases that inju
... Show MoreThe science of (- - Semiology) comes in the introduction to language sciences and linguistics that addressed the levels of language building and its phonemic signs, through which we can monitor and analyze the data of the phoneme of the actor, and the ways to build his linguistic speech, especially since (the linguist Saussure - He emphasized that linguistque is only part of the science of signs, which is particularly advanced within logic, social psychology, and general psychology, and since language is in the origin - whatever language, and at what level - it is not A separate, single and unified language, in fact, they are intertwined, multiple, varied and renewed languages due to their influence The times and its development and the
... Show MoreAbstract
Objective: To assess pregnant women Knowledge toward Urinary Tract Infection at Kirkuk City.
Methodology: A descriptive and analytical study was conducted from 1st of November 2013 and up to the 19 th of August 2014 in five typical primary health care centers at Kirkuk City. A Probability (randomly sample) was used to select the sample of 180 women aged (15-44) years. A questionnaire format was used as a tool for data collection , content validity of the questionnaire achieved through reviewing it by (24) experts in numerous scientific fields and reliability of the questionnaire was determined through a pilot study. Descriptive and inferential statistics were used to analyze the data.
Resul
... Show MoreStudies of three surface sections of the Euphrates Formation in its type locality Western Iraq, yielded a rich benthic foraminifera. Tabulation of the results showed more or less similar content which are previously studied except for the presence for the first time of Triloculina trigonula Lamark, Triloculina tricarinata D'orbigny in the lower parts and Spirolina cf. cylindracea Lamark in the upper parts. In addition two Biozone established in the studies sections, the lower Ammonia beccarii zone and upper Ammonia beccarii-Borelis melo curdica zone
Mapping groundwater quality Index for irrigation is of great importance for agricultural issues. As groundwater is a vital source of water for domestic and agricultural activities in Iraqi Western Desert area, where the study area (Dibdibba aquifer) represents the extreme eastern part of it, evaluation of groundwater quality and its suitability for irrigation is important. This study aims to develop decision support tools for identifying the optimal locations of groundwater regarding its quality to meet the future demands of the study area. Samples were collected during the wet season (April-May 2017 (and analyzed for determining the physicochemical properties. The indices used in the quality assessment were the sodium adsorption r
... Show MoreThe relationship between Al-Wand lake and groundwater was studied in Khanaqin cityby identifying water levels for Al-Wand lake and the shallow groundwater aquifer for 2019 and 2020. The hydrochemical analyses of Al-Wand river water, Al-Wand lake water and shallow groundwater, and identifying the grain size analysis and mineralogy of the surface sediments have been done. This relationship was adopted on climate data of the study area by knowing which seasons contained water surplus or water deficit, and porosity and permeability define of soil that affects groundwater movement, and identify the salinity that effect on water quality.
Filled the place thought philosophers and ancient is the identity that you know The value of belonging to a World Geography existential - the spiritual , and Which is characterized by the structure humanity from one another and the Rest of the organisms they interact with him alone by environmental Conditions - surrounding has to achieve time through continuous movement Localized or comprehensive . The place is exemplified by making special Natural Great Creator, I believe making structure humanity combined - Individual interactive because of its influential role in all daily consumer Productions and creative arts, specifically drama's TV , because the place in Aesthetic discourse - TV drama directly affect the creating and building the
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Communication attribution is a condition of the validity of the hadeeth and that each narrator heard from his Sheik.There are some of the narrators who said to hear who told him and his contemporary, and this narrator is also innocent of the stigma of fraud, but this hearing has no truth.