Background: Outcome of management of patients with diabetic foot is difficult to predict. Assessment of variables in history , examination and investigations were analyzed with outcome of management and whether can be assigned as prognostic factors .
Methods: prospective study of 300 patients with diabetic foot in Baghdad teaching hospital during the period from April 2000 to March 2004,certain criteria was taken in history and examination, these were investigated and treated either by conservative procedure or amputation.
Results: most common age group was 50-59 years ( 33.3%). The male to female ratio was 2:1. Conservative debridement was performed in ( 60%) of patients while amputation was employed in&nb
Background: Congenital malformations are responsible for a considerable proportion of perinatal, neonatal and infant mortality in many Eastern Mediterranean countries. So this study
aims to find out the incidence, types and probable risk factors of these malformations in Baghdad.
Patients and methods: one hundred cases of congenital malformations were studied out of 8090 neonates born in 4 hospitals in Baghdad province over 5 months in 2002 (preterm, term) .The incidence , types and risk factors were analysed.
Results: the incidence of congenital malformations was 12.36/ 1000 live births, with the central nervous system malformations being the commonest. There is increased risk in consanguinous mar
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
Back ground:Fine needle aspiration (FNA) is indicated in the exploration of superficial and deep masses. The accuracy of this procedure differs in various studies, and according to the organ explored. Palpable mammary masses of concern to the patient or clinician should be aspirated, regardless of imaging findings.
Objective: The present study aimed at evaluation of cytological results of FNA of different palpable breast lesions, using histopathological diagnosis as the gold standard for final diagnosis.
Patients & Methods: This prospective study includes 289 females with palpable breast lesions. FNA aspiration was conducted in a private out patient clinic during the period of 1994-2004. The cytolo
Background: To determine the DNA content in subfertile patients and to correlate it with seminal sperm concentration.
Design: Prospective observational study.
Setting: College of Medicine, Dept. of Physiological chemistry and Institute for embryo Research and infertility treatment-University of Baghdad.The study was conducted
through years 2004-2005.
Methods: A random sample of 61 subfertile male patients undergoing semen evaluation and aged from 20-45 years were studied. Semen samples were assessed for seminal sperm
concentration microscopically and were classified into 3 different groups according to count (million/ml).Then sperm D N A content (μg/ml) was estimated using a microchemical
spectropho
Background: uterine involution is the process by which the postpartum uterus returning to its prepregnant state by the process of autolysis. The aim of the study is to fallow the uterine involution sonographicly during the first two weeks of puerperium and clinical correlation of several puerperal conditions was sought.
Patients and methods: One hundred full term women were delivered in one of Baghdad hospital during a six month period were followed by serial sonogram during the first two weeks of the puerperal period to show the normal process of uterine regression in relation to several condition .The rate of uterine involution were shown as percentage drop in uterine volume at day (7) and day (14) 
Background: Routine use of nasogastric tubes, after abdominal operations, is intended to hasten the return of bowel function, prevent pulmonary complications, diminish the risk of
anastomotic leakage, increase patient comfort and shorten hospital stay. Aim of this study is to evaluate the efficacy of routine nasogastric decompression after abdominal surgery, in
achieving each of the above goals.
Patients and methods:Two hundred and twelve patients having abdominal operations of any type, emergency and elective have been followed prospectively over a period of three years (1st December 2004 until end of December 2007) in Baghdad teaching hospital. Patients were randomized into two groups. Group 1 had naso
Background: Langerhans cell histiocytosis (LCH) is a rare proliferative disorder of histiocytes encompasses a wide clinical spectrum, ranging from a benign localized disease to acute
generalized disease with fatal outcome.
Objectives: to retrospectively evaluate clinical characteristics at diagnosis and outcome of patients with Langerhans cell histiocytosis.
Patients and methods: A retrospective analysis of data on 21 children with Langerhans cell histiocytosis followed at Oncology unit, Children Welfare Teaching Hospital, Medical City,
Baghdad, between 1999 and 2006.
Results : The age at time of diagnosis of LCH ranged from 3 months to 9 years, with a median of 22 months, and male to female ratio was 1
Background: Chronic myeloid leukemia (CML) is a clonal stem disease with distinctive clinical course which is ultimately fatal. It is characterized by the presence of Philadelphia
chromosome (t 9:22).Tyrosine kinase inhibitors like imatinib mesylate as targeted therapy had revolutionized the management of CML with significant prolongation of overall survival and
decreased rate of blastic transformation.
Objective:This study will describe the experience of treating 44 Iraqi patients with chronic myeloid leukemia by imatinib at the National Hematology Centre in Baghdad.
Patients and Methods:This study included 44 Iraqi patients diagnosed in Chronic phase CML at the National Centre of Hematology in Baghdad fr
Background: Otitis media with effusion(OME)is a common cause of deafness in children with subsequent impairment of speech development and scholastic difficulties.Treatment
remains controversial.
Aim: To study the effect of amoxicillin-clavulanate in treatment of OME
Patients and methods: A prospective study of a target sample consisting of sixty children under the age of 12 years presented with chief complaints duration for at least 6 weeks and
on examination there were bilateral red and retracted tympanic membranes without oversized adenoids and no underlying causes require surgical correction e.g cleft palate.The
patients were divided into two groups;group A which received Actifed for 4 weeks and grou
Background: The present study was planned to show the accuracy of clinical examination and tympanometry in diagnosis of middle ear effusion.
Patients and Methods: The study involved 80 patients (160 ears )suspected to have otitis media with effusion (OME) from different age groups ; 56 were males and 24 were females .
Clinical assessment for all patients included otoscopy , pneumatic otoscopy and audiological assessment by using pure tone audiometry and tympanometry then comparing the results to
findings at myringotomy as the gold standard for presence or absence of fluid in the middle ear.
Results : Fluid whether serous or glue was found in 100 ears ( 62.5 %) where as sixty ears were dry, sensitivity , sp
Background: carpal tunnel syndrome (CTS) a relatively common disease affecting ♀ more than ♂, usually at the age between 40 -60 , diagnosed by EMG & NCS, treated when moderate
to severe by surgical decompression of the median nerve.
Objective: To study the role of surgery in the management of CTS.
Patients & method: 124 patients collected from the neuro-surgical departments of the specialized surgical hospital from August 2001 till March 2007, all patients studied thoroughly
regarding age, sex, associated diseases, clinical features, EMG studies, surgery & out come & follow up for at least one year.
Results & discussion: there was around 2:1 ♀:♂ , with age predomena between 40-60
Background: no previous study is done in Iraq about the isolation and the identification of measles virus although the outbreaks were continuous in the previous
years.
Aim of the study: To identify our local strain of measles virus, which had caused measles o utbreak in the year 2004.
Patient and methods: About (55) Urine samples and (80) throat swabs were collected from 88 measles suspected patients all over the country during measles
outbreak of the year 2004. Serological (ELISA) and virological test were used for this purpose.
Results: Measles virus was isolated successfully in 16 patients who had symptoms of measles infection from mid and south of Iraq. These isolates were obtained on B95a
a
Background:
Patients treated for pediatric malignancy are at high risk of parenterally transmitted viral hepatitis.
Objectives:
To detect the seroprevalence of hepatitis B and C viral infections in children with Acute Lymphoblastic Leukemia & identify some variables that could affect its
prevalence in these patients.
Patients and Methods:
One hundred fifty pediatric acute lymphoblastic leukemia patients, presented to Children Welfare Teaching Hospital, Baghdad, during the period from March 11th
2007 to July 31st 2007 were enrolled in this study; they were 103 males, 47 females, aged (2.25 months- 16 years). Sera of these patients were investigated for hepatitis
markers including HBsAg and A
Background: Asthma is an inflammatory airway disease; this inflammatory response can be attributed to reduced lymphocyte apoptosis in peripheral blood and in airway tissues.
The mechanism behind this could be attributed to decreased Bcl2 protein and increase Bax protein in peripheral blood lymphocytes of asthmatic patients.
Aim: to explore the mechanism behind decreased lymphocyte apoptosis in peripheral blood of asthmatic patients at cellular level.
Method: Ninety four subjects; (44) control and (50) patients were included in this study during the period from (2003) to (2004). The aspirated lymphocytes for each individual
were prepared and stained by immunocytochemistry to study the percentage of antiapop
Background: Acute renal failure (ARF) in children is a catastrophic, life -threatening event
Aim of the study: the aim of the present study is to find out the etiology and outcome of patients with acute renal failure below two years of age admitted to the hospital.
Patients and methods: A prospective study was carried out on children below 2 years of age (with exclusion of neonatal period) presented with acute renal shut down
admitted to Children Welfare Teaching Hospital during the period from Jan. 1st, 2007tojan30th,2008.
Results: the study group included 100 patients with acute renal failure, 69 males and 31 females with M/F ratio 2.2:1.Age range was between (2 months - 2 years).
Prerenal ARF wa
Background: Geographic variations in the incidence of different congenital coronary anomalies are well known, but infrequently studied in the Iraqi population.
Recognition of coronary anomalies is important in patients undergoing coronary arteriogrphy; coronary interventions and cardiac surgery .Variation in the frequency of primary congenital coronary anomalies may possibly have a genetic background.
Patients and methods: Three thousands adult patients underwent diagnostic coronary angiography at two cardiac centers in Baghdad between January 2003 to March 2006. Their angiographic films were reviewed by at least two experts in coronary angiographic study.
Results: Among 3000 adult patients wh
Background:- Cryoprecipitate (CRYO) is the cold- precipitated concentration of factor VIII , it is prepared from fresh frozen plasma (FFP) by rapid freezing within
six hours of collection and thawed slowly between 1 - 6 Cº and removed from the supernatant . The product contain most of F VIII and part of fibrinogen from the
original plasma as well as F XIII Von Willebrand (vWF) and fibronectin
Aim of the study: -This study is conducted to provide more information about significant contents of cryoprecipitates in regard to factor VIII, fibrinogen, and von
Willebrand factor as part of the quality assurance in blood transfusion centers and to provide competent and efficient therapeutic materials to
Subject and Method :
study involved sixty five children with kala-azar who were admitted to the maternity and children teaching hospital in Diwaniah during a one year period , 1999. The
clinical and epidemiological criteria of the disease were discussed. The majority of these patients were under the age of 5 years ( 97% ) and were from rural areas ( 86% )
Result :
The symptoms and signs of the disease were fever (100% ), splenomegaly (100% ), anaemia ( 100% ), hepatomegaly ( 92% ), anorexia ( 62% ), bleeding tendency ( 46%
) and jaundice ( 31% ). Our patients had high incidence of bleeding tendency , jaundice , edema and relatively high mortality in comparison with patients elsewhere
Backround:
chlorhexidine mouth wash one of the effective chemical plaque control method that is used to prevent plaque accumalation and subsequent gingivitis.
Background:
type 2 diabetes mellitus is a chronic disease that is accompanied by the production of free radicals which will ultimately increase the level of oxidative stress.
Background:
previous reports suggested a connection between hyperlipidemia and neuropathy
Background:
Coriandrum sativum, Nigella sative, and Calendula officinalis are commonly used herbs in traditional medicine.
Background: progress towards the control of measles require a national capacity to measure program affectiveness.
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: Molecular DNA hybridization has confirmed more than 120 different human papilloma virus (HPV) genotypes. A small group of them have high- risk oncogenic potential. Many studies have described an association of such high risk-HPV genotypes with a variety of oral lesions including squamous cell carcinoma, leukoplakia, and lichen planus.
Materials and Methods: A total number of 42 tissue specimens, representing 27 patients with oral lichen planus and 15 apparently-healthy oral tissues, were included in this study. The molecular methods for HPV detection and genotyping were performed by in situ hybridization(ISH) using cocktailed- and specific high- risk HPV DNA probes, respectively.
Resu
خلفية الدراسة:إن منع الإصابة بالمضاعفات الالتهابية هي أحد أهم أهداف الجراحة الناجحة. إن الالتهابات المصاحبة لوجود الشبكة في عمليات إصلاح الفتوق هي من أعقد المشاكل التي تواجه الجراح. لذا معرفة عوامل الخطورة مسبقاً قد يفيد في تفاديها.
الهدف من الدراسة: تحليل عوامل الخطورة لإلتهابات الجروح المصاحبة لوجود الشبكة في عمليات إصلاح فتوق البطن
... Show Moreخلفية الموضوع: التهاب الغضروف بعد عملية رفع الانزلاق الغضروفي القطني يحدث بنسبة 4% وانها واحده من اكثر المضاعفات بعد التدخل الجراحي المؤثر وظيفيا على المريض.
الغاية من الدراسة: هو تقييم مفعول زرق الجنتاميسين في مكان الغضروف بعد رفعه من عملية رفع الانزلاق الغضروفي القطني من منع حدوث التهاب الغضروف بعد العملية.
طرق معالجة المو
... Show Moreالخلفية: منذ ادخال مثبطات عامل نخر العظم-ألفا بما فيها الايتانرسيبت, تمت دراسة فعاليتها وسلامتها في علاج التهاب المفاصل الروماتويدي في العديد من التجارب العشوائية السريرية المسيطر عليها. ومع ذلك فان البيانات المتعلقة بتنبؤ الاستجابة السريرية لهذه العقارات ماتزال متناثرة.
الهدف: لتقييم منبئات الاستجابة لعقار الايتانرسيبت في علاج المرضى العراقيين المصاب
... Show Moreالخلاصه: الشقيقه تعتبر من الامراض المزعجه والتي توثر على انجاز الاعمال اليوميه ,التغيرات الهرمونيه العصبيه تعتير من الاسباب لحدوث الصداع الاولي .
الاهداف: ايجاد العلاقه بين داء الشقيقه ومستوى الهرمونات الذكريه والانثويه
الطريقه: 27 مريض بالغ ذكر وانثى تم تشخيصهم بداء الشقيقه و20 شخص بالغ ذكر وانثى سليم تم قياس مستوى الهرمونات الذكريه والانثويه في مستوى الدم لد
... Show More