Background: Axial spondyloarthritis is a chronic inflammatory disorder driven by tumor necrosis factor alpha and the interleukin-23/interleukin-17 pathway. Tumor necrosis factor alpha inhibitors such as infliximab improve outcomes, but responses vary, suggesting genetic influences; vitamin D receptor polymorphisms—particularly BsmI ( rs1544410) may modulate disease activity and therapeutic response.
Objectives: This study aimed to investigate the association between the VDR BsmI polymorphism and disease activity, as well as infliximab treatment response in patients with Axial spondyloarthritis.
Methods: A cross-sectional study was conducted on 150 AxSpA patients (108 males, 42 females) receiv

Background: Infertility is a global issue that not only affects individuals but also impacts society as a whole. Kisspeptin has emerged as a key player in the understanding of certain facets of infertility. However, research on the role of kisspeptin in fertility, particularly in assisted reproductive treatment, remains limited.
Objectives: To investigate the potential association between follicular fluid kisspeptin levels and various reproductive parameters, including the number and maturity of oocytes, fertilization rate, pregnancy detection, anti-Müllerian hormone levels, and the age of females.
Methods: Sixty infertile couples with an age range of 20 – 40 years participa

Background: Substance abuse can be defined briefly as the excessive and continuous consumption of psychoactive substances without medical supervision, leading to dependence and adverse health consequences. Substance abuse is an escalating and surging public health challenge in Iraq.

Objectives: To assess the frequency of substance abuse among a large group of senior undergraduate medical students and to identify the associated factors.

Methods: A convenience sample of 388 senior medical students from the College of Medicine/ University of Baghdad during April 2023 took part in this study. Itemployed a modified electronic version of the Drug Addiction Survey Questionnaire (D

Background: To study prevalence and method of diagnosis of acute rubella Infection during early pregnancy in Iraq.
Patients and Methods: Clinical signs and symptoms of acute rubella infection were looked for in (170) pregnant women looked before (12) weeks of gestation .Serial rubella specific IgG and IgM serological testing was done in these (170) women before (12) weeks of pregnancy, after (3) weeks, and again at (18-20) weeks of gestation.
Results: Three woman had clinical signs and symptoms of rubella infection from (26) woman were IgM positive at (9) weeks of pregnancy; (94) were IgG +ve but IgM –ve initially and also on repeat sampling after (3) weeks; while (50) women were nonimmune (IgG and I

Back ground: A urinary tract infection is one of the most common diseases occurring from neonate up to geriatric age groups
Patients and Methods: A total of (100) Midstream urine (MSU) samples were collected from patients having signs and symptoms of Lower urinary tract infection. These patients were attending Urology Clinic, Ramadi General Hospital.
Result: Culturing of (100) MSU samples on MacConky and blood agar resulted in (5) types of bacteria which included: Escherichia coli (46%) and it was found the most frequent bacteria causing LUTI. This is followed by Klebsiella pneumonia (23%), Pseudomonas aeruginosa (13%), Proteus mirabilis (10%) and Staphylococcus epidermidis (8%).
Conclusion: Out of

Background: - Carcinoma of the lung has became the most common type of cancer since 1985 & the most common cause of cancer death in both males & females.
Aim of study: - To assess the diagnostic accuracy of bronchial wash cytology & application of immunocytochemical methods, using two tumor markers (low molecular weight cytokeratin & epithelial membrane antigen) for more accurate & precise diagnosis of lung tumors.
Patients, materials and methods: - Fifty fifes suspected lung cancer cases according to their clinicoradiological examinations were included in this study.
Bronchial wash cytology was performed for all the 55 patients. Smears were stained by conventional cytological stain i

Modern international connectivity makes international cooperation essential for medical progress specifically in specialised medicine areas like haematology and oncology. Healthcare problems become more manageable when countries unite their expert knowledge with resources and creative solutions to achieve better patient results worldwide. The University of Baghdad should establish partnerships with UK healthcare organisations to address national healthcare deficiencies as they create mutual educational programs.

The systematic collaboration between UK and Iraqi healthcare institutions shows potential to transform blood-related care services. This research illustrates that multidisciplinary teams (MDTs) as well as direct partnershi

Background: The alveolar process, also called the alveolar bone, is a thickened ridge that contains the tooth sockets (dental alveoli) on the jaw bones that hold the teeth. After tooth extraction, several changes can occur in the alveolar process that may prevent or delay prosthodontic or other dental treatments. Recently, the Bovine-bone graft has been proposed to be applied in fresh extraction sockets to minimize the reduction in ridge volume. In recent experimental studies, Royal jelly has been shown to have antibacterial, antioxidant, antitumor, and anti-inflammatory properties, resulting in vascular dilatation and increased cell proliferation and differentiation.

Objective: To evaluate the ef

Background: Coronary artery disease is a leading cause of death worldwide. Troponin is released into blood from patients with reversible myocardial ischemia. Stromelysin-2 is also involved in the development and progression of atherosclerosis by tissue remodeling and degradation of extracellular matrix proteins.
Objectives: To investigate the role of serum high-sensitive cardiac troponin I (hs-cTn I) and Stromelysin-2 (Str-2) in the diagnosis and determination of the severity of coronary artery obstruction.
Methods: This cross-sectional study was conducted on 125 subjects undergoing coronary angiography for suspicion of coronary artery disease in Baghdad Teaching Hospital/ Medi

Background: Alterations in the levels of beta-endorphins and serotonin are heavily involved in the mood dysregulation regularly observed in individuals with methamphetamine use disorder, with lower levels of these neurotransmitters contributing to mood disturbances commonly seen in addiction. Such neurochemical imbalances may also disrupt normal mood regulation pathways, leading to the emotional and psychological challenges often experienced by individuals struggling with addiction.
Objective: To investigate the relationship between beta-endorphin and serotonin levels in individuals with methamphetamine addiction, and to evaluate their potential roles in mood regulation and addiction-related behavio

Background: Virulence genes in dermatophytes have been a major focus of research in recent years. These fungi have a unique ability to degrade keratin, an essential structural protein in human skin, using protease enzymes. These enzymes play a crucial role in the development and spread of infections.
Objectives: To assess the impact of UV radiation on the expression of subtilisin virulence genes in Trichophyton indotineae isolates obtained from patients in Baghdad, Iraq.
Materials: Seven T. indotineae isolates were analyzed in this study, and their proteolytic activity was qualitatively assessed using skim milk agar. The isolate displaying the largest clearanc

Background: Lung cancer is the predominant cause of cancer-related mortality globally, accounting for 18.4% of all cancer fatalities, leading to significant economic loss and societal hardship. EBV was identified in 1964 as the premiere human oncogenic virus; it currently contributes to over 200,000 cancer cases annually and around 1.8% of all cancer-related deaths globally. The KRAS gene belongs to the family of rat sarcoma viral oncogenes (RAS), it was identified in lung cancer located on the short arm of chromosome 12 (12p11.1–12p12.1) in 1982.

Objectives:  The study aims to analyze the complex molecular interactions among Epstein-Barr virus (EBV) IgG seropositivity, KRAS mutation-induced im

Background: The loss of functioning melanocytes in the skin causes vitiligo, an acquired autoimmune condition that manifests as big, white, unsightly patches on the skin. Melanocyte loss is caused by several reasons, including oxidative stress, inflammation, autoimmune, and metabolic problems, while the exact etiopathology of the condition remains unknown. There is a relationship between vitiligo, thyroid hormones, and cortisol levels.
Objective: The study aims to measure cortisol hormone levels in the serum of vitiligo patients and examine the thyroid hormones (T3, T4, and TSH).
Methods: In this case-control study, 80 vitiligo patients diagnosed between November 2023 and Febru

Background: Preeclampsia (PE) is a condition that is specific to pregnancy and has a substantial impact on the morbidity and mortality of the mother and the fetus worldwide. Currently, various markers may serve as possible predictors or markers for illness severity.

Objectives: The present study aimed to identify and evaluate the key clinical indicators differentiating preeclampsia with and without severe features.
Methods: The research included 90 pregnant Iraqi women who manifested preeclampsia subsequent to 24 weeks of gestation and were selected from Al-Elwiya Teaching Hospital for Maternity between April and June 2024. The patients were categorized into two groups: 45 wi

Background: Diabetic retinopathy is the primary ocular outcome of diabetes mellitus, a serious disease that significantly impacts global health. Microvascular complications arise from damage to small blood vessels, including retinopathy, nephropathy, cardiomyopathy, and neuropathy. Inconsistent findings exist in epidemiological research that specifically examines lipid levels and diabetic retinopathy. The small, dense Low-Density Lipoprotein particles are a specific subset of Low-Density Lipoprotein that possesses several pro-atherogenic characteristics.
Objectives: to evaluate the usefulness of serum small dense low-density lipoprotein level as a biomarker for predicting patients with type II diabe

Background: Hair follicle degradation characterizes androgenic alopecia (AGA). Deterioration shortens anagen and lengthens telogen, turning terminal hairs into vellus hairs. Males and females have this prevalent sickness. Antibacterial, anti-inflammatory, and antioxidant Syzygium aromaticum may treat it.
Objectives: To investigate Syzygium aromaticum as a hair growth booster in testosterone-induced alopecia as an alternative to allopathic treatments with fewer side effects.
Methods: A controlled experimental animal study at College of Pharmacy/ University of Baghdad was conducted from November 2022 to December 2024. Male BALB/c mice weighing 25–30 grams and

Background: Cancer is the greatest cause of death worldwide. To treat cancer effectively, radiation must maximize cytotoxicity against tumor cells while limiting injury to healthy cells. Nanotechnology and biomedical technologies can help improve cancer detection and treatment, but they also create challenges.
Objective: The objective of the study is to evaluate the effect of different concentrations of gold nanoparticles (25%, 50%, 100%) exposed to different doses of gamma radiation (200Gy, 400Gy, 600Gy) on breast cancer cells in women and comparison with normal cells.
Method: For 24 and 48 hours, breast cancer and normal breast cells were treated to 25%, 50%, and 100% gold n

Background: preventive analgesia using opioids has been the cornerstone in relieving postoperative pain. However, it carries undesirable side effect. The recent approach is to use other modalities instead. A lot of studies and researches have been done to evaluate ketorolac and Nefopam efficacy, duration of  pain relief and their side effects.
Objectives: prospective study to evaluate the efficacy and duration action of ketorolac 30mg and nefopam 20mg in relieving postoperative pain in comparison to Pethidine 50mg in obstetric patients after cesarean section under general anesthesia.
Methods: 120 patients included in this study. They were randomly divided in 3 groups. All rece

Background: Rheumatoid arthritis is an inflammatory illness. A complication of Rheumatoid arthritis is mainly linked to the risk of cardiovascular disease. High body weight has been implicated as a perilous risk factor for the development of Rheumatoid arthritis. Neopterin is secreted by monocytes and macrophages and is highly secreted from the coronary plaque. Moreover, high-sensitivity C-reactive protein is a biochemical analysis applied to quantify C-reactive protein with high sensitivity.
Objectives: To evaluate serum Neopterin and high-sensitivity C-reactive protein in patients with rheumatoid arthritis to predict the risk of coronary artery disease. In addition, a correlation between neopterin

Abstract

Back ground: Renal cell carcinoma is an uncommon condition that develops during pregnancy. Due to a lack of conventional norms and a dearth of literature, its management is a serious issue.

Case presentation: We will discuss a case study of a twenty-year-old female girl who is pregnant G1 P1 A0, has had five missing periods (20 weeks gestation), and has frank hematuria due to a massive, incidentally detected renal cell carcinoma. We also go through the current guidelines for treating kidney malignancies during pregnancy, as well as the imaging studies that are now available.

Conclusion: Although the best time for surgery is debatable, a mult

لخلفية:الجوافة، هو نبات استوائي غني بالعديد من المكونات الكيميائية النباتية وله العديد من الاستطبابات التقليدية التي حددتها الدراسات السابقة. ينتمي نبات الجوافة إلى الفصيلة الآسية، أفادت العديد من الدراسات السابقة عن نشاط دوائي خاص ضد العديد من خطوط الخلايا السرطانية. الأهداف : تركز هذه الدراسة على عزل المركبات الفينولية من أوراق الجوافة المزروعة حديثاً في العراق وتقييم النشاط السام للخلايا لمستخل

Background: Most individuals with inflammatory arthritis are diagnosed with rheumatoid arthritis (RA), which is an immunological disorder characterized by the development of autoantibodies, particularly anti-cyclic citrullinated peptide (ACCP) antibodies, which play a significant role in initiating inflammatory responses. Recent studies have shown that the production of cytokines contributes to the progression and dissemination of RA.

Objectives: To assess the predictive capability of Interleukin 41 (IL-41) compared with ACCP and its correlation with disease activity and treatment response in a group of Iraqi patients afflicted with RA.

Methods: One hundred patients with RA

Background: Until today, the etiology of recurrent aphthous stomatitis (RAS) remains unknown, although hints of its etiologic basis lay on genetic susceptibility, infectious agents and alterations in immune mechanics.
Objectives: The aim of this study was to investigate the possible alterations in salivary tumor necrosis factor-alpha (TNF-α) and Immunoglobulin-A (IgA) level in patients with RAS and its relation with clinical types of disease.
Subjects and Methods: Salivary TNF-α levels were investigated in 50 RAS patients and 25 healthy controls by enzyme-linked immunosorbent assay (ELISA). Single radial immune diffusion method was used for estimation of IgA level in two studied groups.
Results: S

الخلفية : تعتبر انخفاض نسبة الكالسيوم من المضاعفات الشائغة بعد عمليات استئصال الغدة الدرقية .وفي معظم الاجيان يكون ذلك الانخفاض مؤقتا وليس دائميا .وتعتمد نسبة حدوثه على الحجم المستئصل من الغدة الدرقية وطبيعة الحالة المرضية للغدة وفيما اذا تم عقد الشريان السفلي المغذي للغدة الدرقية ام لا .

الغرض: ان الغاية من البحث هو تحديد نسبة انخفاض الكالسيوم في بعد اجراء ع

Background: The plant (Khat) contains at least 40 types of alkaloids. It has an adrenergic like effect especially on the heart one of these alkaloid is cathedulins group which has molecular height of 600- 1200mm.I/L. it is used frequently mainly at the African horn region (e.g. yemen). This plant alkaloids used by people in form of bands (each band is about 50gm, two bands 100gm and so on).
Patients and methods: Three groups of Patients have been included in this study. Group A: (30) patients with dilated cardiomyopathy, Group B: (50) patients with history of ischemic heart disease with clinical presentation of ischemic cardiomyopathy and Group C: (80) cases (50 cases of ischemic cardiomyopathy, 30 cases

ماذا يحكم ارجاع فرفره أذين القلب الى النبض الطبيعي المباشر أو المتأخر؟                                                               

 د. عمار الحمدي                                 &n

Background: Hepatitis is a disease of the liver caused by the infectious and non-infectious agents.
Patients &methods: A total of 600 blood donors attending blood bank at Baghdad city were included in this study , they were screened by Enzyme Immune sorbent Assay for detection of HBs Ag and anti-HCV ,that confirmed by recombinant immunoblot assay .the possible influence of the various factors on the prevalence was analyze too.
Results: Form the total donors there were 37(6.2%)and 6(1.7%)positive for HBV &HCV respectively .peak prevalence for HBs Ag was noticed in age groups (20-29)years .
Conclusion: Screening blood donors for both HBV and HCV is indispensable for safe blood transfusion. . In gen

Background: penetrating foreign body is a common problem but penetration by screw driver is very uncommon
Patient & method: A nine years old boy presented with penetrating screw driver through the medial canthus of the eye.
Result: the foreign body removed under GA with good result.
Conclusion: minimal invasive procedure are preferred when we have penetrating head injury.

Background: intestinal anastomosis is one of the most commonly performed procedures it required to reestablish gastrointestinal continuity after surgical resection, traumatic disruption or bypass procedures. In last decade, advances in intestinal stapling devices have led to an increased frequency of stapled anastomosis. There are varieties of proposed benefit from a stapled technique: better blood supply, reduced tissue manipulation, less edema, uniformity of suture, adequate or perhaps wider lumen at the site of anastomosis, ease and rapidity.
Patient and methods: a prospective study was conducted on 103 patients who suffered from benign and malignant diseases in addition to trauma patients. They were d

Background: Left ventricular hypertrophy and diastolic dysfunction are considered to be an important risk factor for cardiovascular morbidity and mortality in asymptomatic hypertensive
patients. At the bedside, left ventricular geometric remodeling and diastolic dysfunction in hypertension can not be diagnosed without echocardiography which is a useful adjunct to the medical history, physical examination, ECG, and chest radiography. Hence, it provides an opportunity for good management and prognosis of what appears to be preclinical hypertensive complication. 
Subjects and Methods: 127 subjects with essential hypertension of either sex attending echo unit were subjected to medical history, clinical exa