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Achalasia Cardia: Short-term Results of 40 Iraqi Patients
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Background:   Achalasia is an uncommon but not a rare a malady.  In Iraq, we lack true statistics about this condition.

Objective:  is to review the experience with trans-thoracic modified Heller operation for achalasia cardia in a major thoracic surgical centre in Iraq over a 4-year period.

Study design: a combined retrospective and prospective study.

Setting: Department of Thoracic Surgery in Baghdad Medical City/Baghdad/Iraq. 

Methods: This study is both retrospective (20 cases) and prospective (20 cases); the information is collected from either patients, case sheets or obtained directly from patients, interviews. In both situations, relevant demographic and clinical information is obtained. The patients then are subjected to a standard diagnostic workup followed by preparation of patients for surgery. A trans-thoracic modified Heller's operation: esophagocardiomyotomy) is done following a standard technique. No anti-reflux procedure is added. Follow up is done to evaluate results of surgery.Patients: 40 patients (26 males and 14 females) with achalasia cardia who were admitted to the Department of Thoracic Surgery in Baghdad Medical City over a period of 4 years (2008 to 2012).

Results: 26 males (65%) and 14 females (35%) with a mean age of 26.6 year. Patients aged 20 -40 years constituted the majority (47.5%). The commonest presenting symptom was dysphagia reported in 39 patients (75%). Cucumber dilated esophagus (rat tail sign) was the commonest appearance on contrast study found in 84% of studied patients. Ten patients (7 females and 3 males) had dilation therapy initially which failed to improve their symptoms thus scheduled for surgery. The remaining 30 patients were offered surgical treatment from the start; thus ultimately, operation was done to all 40 patients. Good to excellent results after surgery were obtained in 35 patients (87.5%).

Conclusions: though good and excellent results followed Heller’s operation for achalasia cardia versus multiple forceful dilatations, laparoscopic Heller oesophageal myotomy reverses the symptoms of achalasia with minimal morbidity. It is recommended to learn and practice this minimal invasive procedure rather than to continue doing an old operation.

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Publication Date
Thu Apr 18 2019
Journal Name
Al-kindy College Medical Journal
Congenital Club Foot Treated By Of Ponseti Method : A Short-Term Results
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Background: Congenital club foot is a complex deformity of foot .It is a collection of different abnormalities, with different etiologies. Consequently, Severity varies with   difficulties in evaluating treatment strategies with outcome results. The treatment of congenital club foot remains controversial. Usually, the orthopedist's goal is to obtain anatomically and functionally normal feet in all patients.                                Objective: To asses short term follow up result of conservatively treated club feet in relation to the age of initial casting by Ponseti technique.           Methods :A cross sectional observational study with some comparative content done in Al-kindy

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Publication Date
Thu Apr 18 2019
Journal Name
Al-kindy College Medical Journal
Congenital Club Foot Treated By Of Ponseti Method : A Short-Term Results
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Background: Congenital club foot is a complex deformity of foot .It is a collection of different abnormalities, with different etiologies. Consequently, Severity varies with   difficulties in evaluating treatment strategies with outcome results. The treatment of congenital club foot remains controversial. Usually, the orthopedist's goal is to obtain anatomically and functionally normal feet in all patients.                                Objective: To asses short term follow up result of conservatively treated club feet in relation to the age

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Publication Date
Mon Nov 23 2020
Journal Name
Open Access Macedonian Journal Of Medical Sciences
Short- and Long-term Effectiveness of Sacral Nerve Stimulation in Patients with Overactive Bladder
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BACKGROUND: Sacral nerve stimulation (SNS) approved for use in North America since 1997 despite the fact that the concept of using SNS to treat patients with voiding dysfunction discussed first almost 50 years ago. AIM: The objectives of the study were to assess the effectiveness of SNS the short and long term for patients with overactive bladder (OAB) dysfunction and its relation to age, gender, and causes. PATIENTS AND METHODS: This is a clinical prospective study that involved 50 cases (32 females and 18 males) with OAB. It was carried out at Ibn Sina Hospital, and the neurosciences hospital in Baghdad/Iraq from April 2015 to April 2018. All the patients were assessed preoperatively and certain inclusion criteria were

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Publication Date
Tue Apr 01 2008
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Short Term Outcomes of Percutaneous Pulmonary Balloon Valvuloplasty in Adult Patients with Pulmonary Stenosis
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Background:
Percutaneous Balloon Pulmonary Valvuloplasty (BPV) is now the treatment of choice for pulmonary valve stenosis (PS) Patients and Methods. It is a retrospective
study involving 40 consecutive patients with moderate to severe PS underwent BPV in Ibn Albitar Hospital for Cardiac Surgery from Sept. 2003 to Sept. 2004 ,
were medical records , Electrocardiograms ( ECG ) , Echo Doppler studies , and Catheterization data were reviewed carefully.
Results:
Mean pressure gradient across pulmonary valve (PV) was reduced from 112 +/- 46 mmHg before intervention to 49 It/- 34.7 after intervention.
Procedure failure occurred in one patient (2.5 %), four patients (10%) developed mild to moderate pul

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Publication Date
Tue Feb 12 2019
Journal Name
Iraqi Journal Of Physics
Short-term effect of ultrasound therapy on stiffness elbow joint
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Elbow stiffness is hard to treat and commonly resulted from trauma or degenerative arthritis. This study aimed to demonstrate the effectiveness of using ultrasound therapy in management of stiff elbow joint resulted from several etiological factors. A total number of 42 patients (35 male and 7 female) allocated randomly from the Department of Physiotherapy at Al-yarmouk Teaching Hospital during 2013. Each patient examined physically by physiotherapist taking in consideration the measurement of the joint movement angle using goniometer in flexion and the extension, and the pain score using visual analogue scale (VAS). Ultrasound therapy initiated thrice weekly for two weeks. At the time of entry, the means degree of flexion and extension

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Publication Date
Sat Oct 01 2022
Journal Name
The Egyptian Rheumatologist
Diagnostic potential of interleukin-40 (IL-40) in rheumatoid arthritis patients
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Publication Date
Wed Jan 02 2013
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Short Term Outcome Of Macrosomic Neonates Of Diabetic & Non-Diabetic Mothers
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Background: Big birth weight is one of the important factors affecting the perinatal morbidity & mortality. It may result in an irreversible squeal because of birth trauma & fetal asphyxia.
Patients & Methods:
This is a prospective study of 50 singleton macrosomic newborns weighting 4000 g & more aged 1-3 days admitted in the neonatal care unit of Children Welfare Teaching Hospital & Baghdad Teaching Hospital during a 6 months period from 1st of March to 1st of September 2010. The maternal & neonatal records were reviewed & infant morbidities including hypoglycemia, respiratory distress, feeding intolerance, birth injury & associated anomalies were discussed. All the in

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Publication Date
Sun Oct 01 2017
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Causes of short stature in Iraqi hospital based study patients
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Backgrounds: Growth is an important objective parameter of general health of the child. Normal growth requires adequate nutrition along with various hormonal stimuli. Short stature is a common cause of referral to pediatric endocrinologists.
Objectives: To find the causes of short stature in patients referred to pediatric endocrinology clinic of children welfare teaching hospital, the significance of bone age assessment and the variation of growth hormone level in these patients.
Patients and methods: This prospective study was carried out in the endocrine clinic of Children Welfare Teaching Hospital/Medical City over ten months period, included 150 patients. A proper detailed medi

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Publication Date
Sun Oct 02 2011
Journal Name
Journal Of The Faculty Of Medicine Baghdad
Neonatal bacterial sepsis: risk factors, clinical features And short term outcome
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Background: Neonatal infections are afrequent and important causes of neonatal morbidity and mortality especially in the developing countries.
Objective: The aim of the study is to determine the clinical picture, risk factors associated with neonatal sepsis and to estimate short term outcome from neonatal sepsis and its relation to birth weight, gestational age, onset of sepsis and type of bacteria.
Patients and Methods: A prospective study was conducted on 80 neonates presented with sepsis who had been admitted to intensive care unit in Children Welfare Teaching hospitals in Baghdad over six months period between (15th of January 2008 to 15th of June 2008).A thorough history and physical examination were carried out, and samples o

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Publication Date
Wed Sep 01 2021
Journal Name
Expert Systems With Applications
A long short-term recurrent spatial-temporal fusion for myoelectric pattern recognition
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