خلفية: وعادة ما توصف antiemetics وقائية لالغثيان والقيء عندما توصف المسكنات الأفيونية في قسم الطوارئ.

الهدف: لتقييم حدوث الغثيان والقيء بعد تسكين الترامادول، وتأثير بروكلوربيرازين في هذه الإصابة.

كانت تدار الرابع ترامادول مع prochlorperzine (المجموعة الأولى)، أو البيريدوكسين (المجموعة الثانية) إلى 44 مريضا يعانون من آلام حادة سيفر: المرضى والأساليب.

النتا

المقدمة :يعتبر المفراس الحلزوني الطريقة الاولى لفحص المرضى الذين يعانون من الصمم الولادي لاستطاعته التعرف على التشوهات الخلقية للاذن الداخلية التي من الممكن ان تكون مسؤولة عن الصمم الولادي. 

الهدف:لعَرْض حالاتِ شذوذ الأذن الداخلية الموضَحة في المفراس الحلزوني في الأطفالِ المصابين بالصمم الخلقي ولتَقييم اهمية المفراس الحلزوني للتنبؤِ بزرعِ القوقعة.وكذلك لتَقييم مدى حدوث

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: Urinary tract infection (UTI) is the most common disease associated with pregnant women due to several anatomical and hormonal changes in pregnant women lead to ureteral dilatation and urinary infection, many of microorganisms such as fungi, viruses, and bacteria have numerous virulence factors that enhance their ability to colonize in pregnant women. Some bacteria have resistance toward many antimicrobial agents for treatment has led to therapeutic difficulties worldwide, in order that many investigators try to test fungal extract to reduce bacterial infection.

Objectives: To assess the effectiveness of extract of Calvatia craniiformis on different types of bacteria which wa

Background: Indeterminate colitis (IC) originally referred to those 10–15% of cases of inflammatory bowel disease (IBD) in which there was difficulty distinguishing between ulcerative colitis (UC) and Crohn’s disease (CD) in the colectomy specimen and histopathology examination. However, IC is increasingly used when a definitive diagnosis of UC or CD cannot be made at colonoscopy examination, colonic biopsies or at colectomy. The diagnostic difficulties may explain the variably reported prevalence of IC. Clinically, most patients with IC evolve to a definite diagnosis of UC or CD on follow up.
Patients and methods: PATIENTS GROUP: Consisted of 80 patients with indeterminate colitis (IC), their ag

Background: β-thalassemia major is a genetic disorder characterized by reduced rate of β-globin chain production. Clinically, β-thalassemia major is a severe, transfusion-dependant disorder; repeated blood transfusion will lead eventually to chronic liver disease.
Patients and Methods: One hundred patients ; 56 males and 44 females who were known cases with β-thalassemia major on regular blood transfusion, aged between 6 months and 18 years, were studied in a private pathology laboratory, between January 2002-January 2006.Blood was drawn to estimate serum glutamic pyruvate transaminase (SGPT) and serum glutamic oxaloacetic transaminase (SGOT) levels.
Results: Sixty-six patients (66%) had elevated S

Background: Oxidative stress plays a major role in the pathogenesis of diabetes mellitus by damaging cellular organelles and enzymes in blood such as arginase1, insulin and glutathione s-transferase; increasing lipid peroxidation such as malondialdehyde and increasing insulin resistance which can lead to diabetic complications such as diabetic retinopathy.

Objectives: To explore the relationship of oxidative stress to the development of diabetic retinopathy by measuring the levels of Arginase1, the activity of glutathione s-transferase enzyme, and the levels of malondialdehyde as a secondary product of lipid peroxidation (biomarker for oxidative stress).

Patients and Methods

Background: Interleukin-31 has been linked with developing and maintaining pruritus in various dermatological and non-dermatological diseases.

Objectives: To evaluate interleukin-31 serum levels in hemodialysis patients with and without uremic pruritus as a potential contributor.

Methods: This cross-sectional study involved ninety adult chronic kidney disease patients on hemodialysis. All of the enrolled patients were on a three-times/week hemodialysis regimen. Patients were divided into two groups of 45 patients each. Group 1 involved those with pruritus and Group 2 involved those free of pruritus; based on the itching severity scale (ISS). Serum levels of interleukin-31,

Background: Catalase is an antioxidant enzyme found in all living organisms that is responsible for the degradation of hydrogen peroxide, a type of harmful compound known as reactive oxygen species (ROS), into harmless oxygen and water. It is necessary for cell protection from ROS-induced oxidative damage in type 2 diabetes mellitus (T2DM) individuals. T2DM is rapidly rising in prevalence worldwide, emerging as a significant public health challenge. It can disrupt iron regulation in the bloodstream, leading to the production of ROS, which can damage the cells.

Objective: To explore the correlation between iron status and catalase activity in T2DM patients, and the possibility of using it as a pred

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

الخلفية: مشاكل الثدي بما في ذلك سرطان الثدي في تزايد في العراق خلال السنوات الأخيرة ، ومع ذلك ، فإن برامج الكشف المبكر والفحص باستخدام التصوير الشعاعي للثدي( بشكل رئيسي) ومساعدة الموجات فوق الصوتية كفحص تكميلي قد خفضت معدلات الوفيات بشكل كبير من هذا المرض الخبيث.

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المرضى وطرق البحث : وهي دراسة مكونة من 53 مريضة أتت للكشف عن سرطان الثدي في مستشفى الأورام التعليمي التابع لمجمع مدينة الطب في بغداد - العرا

Background:

generally genetic disorders are a leading cause of spontaneous abortion,

الخلفية: إن سمية الدواء والآثار الجانبية للعلاج الكيميائي تؤثر سلبا على مرضى سرطان الثدي.

الأهداف: لتقييم فعالية التدخلات الصيدلانية في تحسين معرفة مرضى سرطان الثدي ومواقفهم وممارساتهم فيما يتعلق بالعلاج الكيميائي لسرطان الثدي.

Background: Osteoporosis (OP) is a silent disease that affects the microarchitecture of the skeleton bones, leading to a drop in mineral levels and an increase in fracture rates. This condition is more common in women than men, especially postmenopausal women, due to decreased production of estrogen, a hormone that regulates bone formation and bone resorption. Oxidative stress is a known factor in the development of OP, resulting from an imbalance in the production of oxidants and antioxidants. Hip and arm fractures are particularly common in women with OP.

Objective: The study aimed to evaluate the activity of Lactate Dehydrogenase (LDH) and oxidative stress (OS) levels in postmenopausal women wi

Back ground: Visceral leishmaniasis is an endemic protozoan disease in Iraq. Recovery from this disease confers a solid and permanent immunity. Immunological assessment of our patients was carried out and the results showed a significant reduction in the percentage of CD3, CD56 and a significant increase in the percentage of CD19 in the peripheral blood lymphocyte of VL in comparison with control group.
Patients and methods: Indirect immunofluorescence technique analysis was performed to detect the percentage of CD3, CD19and CD56 positive lymphocytes.
Results: Our results in the patients groups showed decrease in the percentage of CD3, CD56 and increase in the percentage of CD19. Follow up of patients after

Background: Shunt operations are performed for different reasons mainly hydrocephalus congenital or acquired. It’s associated with certain morbidity and mortality.
Patients and method: A prospective study from Jan 2004 to Jan 2006, 226 patients under went shunt operation in the specialized surgical hospital in Baghdad. The patients were divided into two groups according to the way of applying the upper end catheter. In group A49 patients where posterior parietal approach was used, and group (B) 174 where parietal or temproprietal approach was used.
Results and discussions: different complications were recorded, but the most frequent was upper end obstruction by choroids plexus or by debris. In group

Background: The removal of an impacted foreign body in the esophagus is still a common practice in the Thoracic Department of the Medical City Hospital .The objective of this study is to cast a light on this rather a common phenomenon in our country , its risks and its management.
Patients and Methods: This is a retrospective study of 120 patients with foreign bodies in the esophagus managed successfully in our department during five years period 1998 – 2002 inclusive .The study included 65 males and 55 females . Their ages range between I year and 75 years. The most common age group was less than 10 years , which constitutes about 30% of our patients .Varieties of foreign bodies were encountered ,their

Background: Nigella sativa seeds have been frequently used in folk medicine for treatment of various diseases such as inflammatory disease. The aim of this
study is to show the effect of this herb on Neutrophils count as the main antiinflammatory cells.

Materials & Methods: Aqueous & oil extract ofNigella sativa seeds have been applied for treatment of 30 blood samples of apparently 
healthy individuals. Blood count has been performed after different incubation periods.
Results & Conclusions: This study revealed that treatment of blood samples with herbal extraction results in highly significant elevation of Neutrophils'
count with time passing particularly the aqueous one and

Background: This research focuses on the characterization studies of 5v-Nucleotidase (5'-NT) of kalaazar patients' sera. 5V NT is one of the enzymes used as indicator of liver function test . In this study the optimum conditions for the activity of 5s - NT enzyme has been demonstrated for kalaazaric patients.
Materials and methods: Thirty five blood samples were obtained from Baghdad Hospitals from untreated infants and children with kala-azar. 5'-NT activity was measured by following the
method of Wood and Williams.
Results: Optimum conditions of serum 5' - NT activity of kala- azaric patients obtained were 50 u L , 30 minutes ,0.8 mM,7.7 and 50'C) as (Volume of serum , incubation time , substrate
co

خلفية البحث:المرضى المستمرين على الغسل الكلوي الدموي هم أكثر عرضة للإصابة بالالتهابات الفايروسية المنقولة دمويا. في السنوات الحديثة تم توثيق انتشار كبير لالتهاب الكبد الفايروسي نمط ج بين مرضى العجز الكلوي ومرضى الغسل الكلوي الدموي المستمر.

الأهداف:لتقييم نسبة وعوامل خطورة التهاب الكبد الفايروسي نمط ج عند مرضى الديلزة الدموية ولتقييم العواقب السريرية لالت

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Background: The World Health Organization (WHO) has announced that coronavirus covid-19 is a pandemic. The first case of covid-19 was confirmed in Iraq on the 24^th of February 2020, which was of an international student who travelled recently to Iraq. This review is the universal data analysis of the first 40-days of coronavirus covid-19 patients admitted to Medical City Teaching Hospital (MCTH) including their clinical outcome.

Objective: We have conducted this study to describe the first 40-days experience in management of corona virus covid-19 and the clinical outcomes of patients treated with a protocol adopted in the first of March 2020 (described in the attachment).