Objectives: (I) to describe the hemodynamic and electrocardiograph (ECG) responses in patients with acute myocardial infraction (AMI) to a low level treadmill test (2) to assess the safety of low-level treadmill testing after AMI (3) to determine if information gained from the test can be used for discharge planning.
Methods: 50 consecutive patients with AMI were subjected for symptoms limited treadmill testing in the CCU of University Teaching Hospital Iraqi medical College, their age range was from 30-70 with mean age of 55 years. Blood pressure, heart rate, and ECG during a low level treadmill test studied 6 days after AML They were divided into two groups, group I those who could finish the test and group 2 those who couldn't finish the test.
Results: 38 patients (76 percent) completed the test. Fatigue was the main reason for the early stopping of the test. Between the rest and maximum exercise there was 12% increase in systolic blood pressure, 6 percent increase in diastolic blood pressure and 17 percent increase in heart rate. The resting systolic blood pressure, diastolic blood pressure and heart rate were significantly increased (p<0.05) in the patients who were unable to finish the test. ST segment elevation or depression> I mm was seen in 5 patients.
Conclusions: This low level treadmill testing was safe if it is done under supervised conditions. It provides an objective information about the patient’s readiness for discharge and a help in future management of the patients.
Background: Bowel preparation prior to
colonic surgery usually includes antibiotic
therapy together with mechanical bowel
preparation which may cause discomfort to the
patients, prolonged hospitalization and water
& electrolyte imbalance.
Objective: to assess whether elective colon
and rectal surgery may be safely performed
without preoperative mechanical bowel
preparation.
Method: the study includes all patients who
had elective large bowel resection at Medical
City – Baghdad Teaching Hospital between
Feb, 2007 to Jan, 2010. Emergency operations
were not included. The patients were randomly
assigned to the 2 study groups (with or without
mechanical bowel preparation.
Results: A to
Background: Anemia of chronic disease (ACD) occurs in the presence of chronic infection, inflammatory conditions or neoplastic conditions despite of adequate iron and vitamins storage. Gingivitis is the inflammation of the gingiva, periodontitis is the inflammation in the periodontium that extend deeper with loss of connective tissue attachment and supporting bone. The main pathogenesis of periodontal diseases and ACD is immune activation. Aims of study: Determine and compare the clinical periodontal parameters (plaque index (PLI), gingival index (GI), bleeding on probing (BOP), probing pocket depth (PPD) and clinical attachment level (CAL)). Evaluate the hematocrit (Hct) level, red blood cells (RBCs) count and white blood cells (WBCs) c
... Show MoreBackground: Acute idiopathic thrombocytopenic purpura (ITP) is a self – limiting illness, usually occurring after an infectious disease, and it is due to decrease number of circulating platelets manifests as a bleeding tendency, easy bruising (purpura), or extravasations of blood from capillaries into skin and mucous membranes. &n
... Show MoreBackground: the different roles of cytokines IL-4, IL-10, IL-12p40, IFN- during acute toxoplasmosis disease in pregnant women.
Background: Patients with chronic kidney
disease have different grades of sensorineural
deafness .
Objective: To study the incidence of
sensorineural hearing loss and possible contributing
factors in patients with chronic kidney disease.
Methods: A total of 100 patients with chronic
kidney disease were studied. All of them were
males. 92 of them were on regular haemodialysis
programme. Only 8 patients were on conservative
management the age range of the study patients was
18-40 year patients were divided into three groups
according to age. All patients were assessed
clinically and were evaluated by audiometry , and
analysis was made on bone conduction threshold
.The mean follow up period was 2
Background: Oxidative stress is a deleterious process that can be an important mediator of damage to cell structures and consequently various disease states. Exposure to free radicals from a variety of sources has led organisms to produce a series of defense mechanisms. The antioxidant ceruloplasmin is a copper-containing ferroxidase that can oxidize ferrous iron (Fe2+) to its nontoxic ferric (Fe3+) form. Ferrous iron (Fe2+) is extremely damaging because of its ability to generate toxic free radicals. Oral lichen planus (OLP) is a chronic inflammatory oral mucosal disease of unknown etiology. Previous studies reported that reactive oxygen species may be involved in the pathogenesis of lichen planus. The aim of this study was to estimate the
... Show MoreInterleukin-35 (IL-35) is a new member of IL-12 family of cytokines, and its role in pathogenesis of hepatitis B virus (HBV) infection has been recently suggested. Accordingly, a case-control study was conducted during June - October 2018 to determine IL-35 serum level in Iraqi patients with chronic HBV infection. The results revealed that IL-35 level was significantly decreased in patients as compared to control (163 vs. 301 pg/ml; p < 0.001). However, such decreased level was more pronounced in patients at the age groups < 40 and 40 – 50 years (165 and 145 pg/ml, respectively) as compared to the corresponding age groups in control (482 and 234 pg/ml, respectively). In the case of gender groups, both male
... Show MoreRegional immune response with mammary gland carcinoma was
studied statistically. However, the prognostic value remains
conflicting. Thirty mice were used in this study which infected
were with mammary gland carcinoma. The tumor size of the animals
under study were measured before and after laser irradiation by using
a vernier and compared these results were with that of non irradiated
animals with laser (control group)
The aim of this study was to evaluate the effect of low level laser
therapy (LLLT) on increasing the response of immune system by
stimulating the lymph node action to decrease the cancer cell activity
and then decreasing the tumor size of an infected mice.
The results of the gross observati
Background: Hepatitis C and B is common disease all over the world and their chronicity is a social and medical problem so medical treatment by alpha interferon can change the mortality and morbidity.
Object: Identify the incidence of the side effects of pegylated interferon alpha in a sample of Iraqi patients with chronic hepatitis B&C and their relation to age, gender, duration of treatment and type of hepatitis comparing them with the literatures from other countries.
Patients and methods:A descriptive case series study was conducted on 50 patients, 24 male and 26 female, with established diagnosis of hepatitis B(20 patients)and C(30 patients) who attend Baghdad Teaching hospital and Gastroenterology and Hepatology centre in