المقدمة : يعد نزف الجهاز الهضمي عند الأطفال من العلامات المنذرة التي يجب الانتباه أليها , حيث يعتبر من العلامات السريرة المنذرة للمريض وللطبيب , وبقدر ما هو مزعج بنفس الوقت فأن المسببات لنزف الجهاز الهضمي عادة تكون بسيطة ولا تشكل خطورة على حياة المريض .

أهداف البحث : لمعرفة مسببات نزف الجهاز الهضمي العلوي الأكثر شيوعا عند الأطفال , وتسليط الضوء على أهم العلامات

الخلفية: التدرن الرئوي مرض معدي مُزمن والذي يُؤثّرُ على الحالة الغذائية للمرضى. وجودالحالة الغذائية السيّئةِ في مرضى التدرنِ الرئوي هو أحد أهم العواملِ الحاسمِة في وصف العلاجِ المساعد والمغذّي لمَنْع إجهادِ  الاكسدة والتعقيدات آلاخرى.

هدف الدراسةِ: هذه الدراسةِ صُمّمتْ لتَقييم الحالة الغذائية ومعامل كتلةِ جسم لمرضى التدرن الرئوي.

ا

المقدمة: هذه الدراسة قد أجريت لتقدير درجة النكس لسرطان الثدي بعد التداخل الجراحي لسرطان الثدي المبكر القابل للتداخل الجراحي ( سرطان

   الدرجة الاولى والثانية )في الوحدة الجراحية الأولى و مستشفى الرحمة الأهلي .عدد المرضى الكلي الذين ادخلوا في الدراسة كان مئة وسبعة عشر مريضا عراقيا جميعهم من الاناث وتمت متابعتهم من كانون الثاني 2007 ولغاية نهاية شهر كانون ال

الخلاصه:

ان استهلال وصون الوظائف الإنجابية مرتبطه بوزن الجسمالمثاليفي النساء.

الهدف:دراسة العلاقةبينالسمنة علاماتاحتياطي المبيض فيالنساء في سنمنتصفالإنجابية(21 --35 سنة).

المرضى وطرق العمل:عشرون مشاركه( ذوسمنة),مؤشر كتلةالجسم(BMI) ( 30-35)كغم\م2. والمشاركات20 اخريات ("غيرالبدناء") كان مؤشر كتله الجسم اقل من 30 كغم\م2. كانت متوسط العمرف

الخلفية : ظهور المشيب هي علامة لتقدم السن وجدت انها تقترن بالقصور الشرياني . المتلازمة الايضية هي مايطلق على مجموعة عوامل الخطورة التي غالبا ماتزيد من مخاطر الاصابة بتصلب الشرايين.

الهدف : اختبار الاقتران بين العمر الذي يبدأ به ظهور الشيب والعرضة للاصابة بالمتلازمة الايضية.

الطرق : اربعمائة وواحد وثمانون شخص اشيب الشعر اشتركوا في ال

ملخص تقرير الحالة :

مرض كيس الصفراء شائع نسبيا و مضاعفاته تشاهد من حين لاخر. واحد من المضاعفات النادرة هو انفجار كيس الصفراء. في الحالة المقدمة نحن قد واجهنا صورة مشابهة لانفجار كيس الصفراء عند الاستكشاف الجراحي مع دبيلة كيس الصفراء و خراج حول الكيس و وجود حصاة (داخل الخراج) محددة بين كيس الصفراء و سرير الكبد مع عدم وجود انفجار في كيس الصفراء او فتحة ناسور ممكن اكتشافها.

خليفة الموضوع: للاظفر اهمية وظيفية وجمالية كبيرة وقد جذبت سرعة نمو الاظفر انتباه العديد من الباحثين, ليس فقط كونه عضوا مهما , ولكن لانه يعكس الحالة الصحية للجسم

الهدف: معرفة تأثير التدخين والعمر على سرعة نمة الاظفر

طرق العمل: تم قياس سرعة نمو الاظفر بالطريقة التالية, تم حفر اشارة عن شكل حرف (T) على لوح الاظفر للابهامين الايمن والايسر وذلك بواسطه ابرة عريضة وقيست ا

متلازمة النفق الرسغي هي واحدة من امراض الاعصاب المحيطية الشائعة الناتجة عن انضغاط العصب الوسطي في الرسغ اما كمرض اولي او ثانوي مصاحب لامراض اخرى ويعتمد تشخيصها على الاعراض والفحوصات السريرية ونتائج الفحوصات الكهروفسلجية للعصب الوسطي والعضلة المبعدة القصيرة للابهام. العلاج المتداول لهذه المتلازمة يتضمن تداخلات جراحية أو تداخلات تحفضية من عقاقير دوائية ومساند وعلاج فيزياوي طبيعي ومن ضمن تلك

خلفية البحث: تلعب فعالية التهاب المفاصل الروماتويدي  دورا رئيسا في التسبب في الإعاقة سواء بصورة مباشرة أو عبر آثار غير مباشرة من خلال ضرر المفصل. تقييم نشاط مرض التهاب المفاصل الروماتويدي مهم للتنبؤ بنتيجة وفعالية التدخلات العلاجية خلال فترة المتابعة .معيار نشاط المرض السريري (س د اي آي) هو أداة بسيطة جديدة لقياس فعالية المرض

الهدف: : لتقييم صحة وموثوقية (سي

Background: clinically significant macular edema (CSME) is the commonest cause of visual loss in patients with diabetes mellitus and laser focal photocoagulation is the golden standard for treating it. Patients and Methods: A frequency doubled Nd: YAG laser was used to treat all eyes included in this study with diabetic maculopathy. Thirty eyes of three insulin dependent and twenty six non insulin dependent diabetic Iraqi patients were included. The study involved twenty six males, three females and followed for one year. Their ages were ranging between 36- 59 years, all of them from patients attending ophthalmic out-patient department in the medical city in the period between January 2005 and June 2006

Background: Sacrococcygeal teratoma is seen in 1 in every 35000 live births, and is the most common tumor presenting in newborn and children but also reported in adults.(1)
Sacrococcygeal teratoma are the most common type of germ cell tumors (both benign and malignant) diagnosed in neonates , infants and children younger than 4 years.(2)
Case report: A 2 years old male child presented with a visible lump or mass under the skin at the top of the buttocks crease after falling on the ground on his buttocks, and the parents give a history that the child had a constipation since birth. The case was diagnosed as endodermal sinus tumor with yolk sac elements on the bases of clinical examination, ultrasonograp

Background: Extreme obesity is recognized to be a risk factor for coronary heart disease. It is unclear whether overweight and normal weight also poses a risk.
Objective: The study aims to determine the effect of the body mass index on coronary arteries and left ventricular functions in patients with post myocardial infarction (MI) angina
Method: The study included 50 patients with the diagnosis of post MI angina consecutively admitted to the medical ward of Iraqi Center for Heart Disease. All patients underwent
coronary artery catheterization and Echocardiography for assessment of coronary artery and left ventricular functions 
Results: The results of the study showed that there is a significant diff

Background: This study was done to assist bond strength of glass ionomer cement reinforced by different amount of Hydroxyapatite
Materials and methods: In this study a hydroxyapatite materials were added to glass ionomer cement at different ratios; 10%, 15%, 20%, 25% and 30% (by weight) and the bond strength was detected by construction a cylinders from these mixed materials, constructed on exposed dentine of human extracted premolar teeth and by Zwick’s universal testing machine the bond strength were detected for these mixed materials.
Results: Results showed that the glass ionomer cement reinforced by hydroxyapatite has higher bond strength than conventional glass ionomer cement and the hydroyapat

Back ground: This study was conducted to estimate the relation ship of the incisive papilla to the antero posterior arrangement of the maxillary anterior teeth in a two different groups (Iraqi and Yemenian groups), because incisive papilla is considered as a reliable and relatively stable anatomic land mark.
Materials and Methods: Maxillary and mandibular stone casts were collected from 100 dental students, (50) of Iraqi dental students in Baghdad university and (50) of Yemenian dental students in Ibb university at the 3rd and 4th classes. Age ranged from 21-25 years. Alginate impression, dental stone, stock trays were used. Photographic technique was used to measure anatomic land marks located on de

Background: cerebellar astrocytroma is the commonest paediatric posterior fossa tumor.
Patients and method: 54 patients taken from the neuro-surgical unit in the specialized surgical hospital from Aug 1995 till March 2003, all patients studied thoroughly age, gender, Presentation, Radiological diagnoses, surgery, additive therapy & final outcome including 5 years survival &
conclusion is reached.
Results and discussion: the results show that more than half of the patients were at age 5-7 years with very slight male predominance, most cases diagnosed by CT, some with MRI or MRI
alone.Surgery was done for all cases & 16 patients' preceeded by VP shunt. The final out come is compared with other si

Background: Determine how do obesity and type2 diabetes intertwined? and what it takes to turn an obese person into a person with diabetes. That link may help to understand why some obese people never develop diabetes while many others do. Serum sugar level was used as indicator of insulin level; leptin level was used as indicator of leptin resistance.
A total of 50 obese subjects were involved in this study, 25 obese subject (BMI >30) had diabetes mellitus type 2(no insulin dependant), selected from Baghdad teaching Hospital in Baghdad /Iraq. The remaining 25 obese (BMI >30) were normal healthy individuals.
Patients and Methods: ELSA technique was used for the measurement of serum leptin. Blood

Background: Mitochondria play an important role in the regulation of physiological type of cell death (Apoptosis) this type of cell death can be stimulated by two major pathways: external (Fas-Fas ligand interaction) and internal mitochondrial pathway which require disruption of mitochondrial transmembrane potential (ΔΨm ) which leads to opening of mitochondrial channels that lead to release of cytochrome –C which would execute apoptotic process.
Patients and Methods:The study included 32 normal subjects; 2 ml of venous blood were aspirated from each of them and processed for peripheral blood lymphocytes separation (PBL)
Then lymphocyte apoptosis was studied before and after exposing (PBL) to hypertherm

Background: Free radicals have been implicated in many pathological processes, including ischemia, inflammation, and malignancy. The free radicals may affect tissues damage by lipid
peroxidation which generate malondialdehyde (MDA) as a by byproduct of the reaction. The objective of this study is to examine the dynamics of lipid peroxidation in patients with
thyroid disorders using the measurement of malondialdehyde level as a marker for the degree of thyroid disorder.
Methods: Two hundred and forty five subjects were enrolled in this study. Hundred and ninety five were patients with different thyroid disorders (88 yperthyroidism, 63 hypothyroidism and 44 thyroid carcinoma) the remaining 50 subjects were

Back ground: Although adult stem cells possess plasticity that permit differentiation along new lineages, production of exocrine and endocrine pancreatic cells and insulin-secreting beta-cells from adult non pancreatic stem cells has been considered controversial. We present that highly purified adult rat hepatic oval stem cells, which are capable of differentiation to hepatocytes and bile ducts epithelium, can also trans-differentiate into pancreatic exocrine-endocrine tissue, when homogenized hepatic tissue is implanted into subcutaneous tissue .
Methods and Materials: A total of 60 adult Swiss albino rats were divided into two groups . Group I , control group (30 animals) was injected with normal salin

Backgrund: This study was carried out to determine the prevalence of chlamydia the pneumonia in community-acquired pnevmonia in Iraq.

Background: Human cytomegalovirus (HCMV) infection during pregnancy causing serious problems through induction of viral genes that enhance the expression of different cellular factors ending in failure of pregnancy.
Patients and Methods: Paraffin embedded sections of curate samples were obtained from 34 women had spontaneous abortion, and 5 women had elective termination of pregnancy (as control), and then subjected for immunohistochemistry analysis to detect human cytomegalovirus (HCMV) early protein, and in situ hybridization technique to detect nuclear factor-κB (NF- κB) mRNA.
Results: Only nine out of 34 women with spontaneous abortion were positive for HCMV early protein, with a significantly higher expression of NF-κB in H

Background: proteins, glycoproteins and fructose as parameters used to assess infertility in men.
Objective: To determine and correlate serum and seminal plasma of total proteins, glycoproteins and fructose with infertility in men.
Patients and Methods: The study was performed on 154 subjects; 109 infertile men (oligospermic and azoospermic) and 45 normal volunteers (normospermic men). All sera and seminal plasma were submitted for total proteins, glycoproteins and fructose levels measurment.
Results: No significant difference was noted in serum and seminal plasma of total proteins in oligospermic and azoospermic and that of normospermic men (P>0.05) compared to normospermic men. Statistical sign

Background: Osteoarthritis (OA) is disorder of diarthrodial joints characterized clinically by pain and functional limitation. Rheumatoid factor (RF) represents one of routine laboratory tests that done for all patients have joint complaints. Chloroquine phosphate (CQP) is a disease modifying antirheumatic drug (DMARD) used for patients suffer from knee osteoarthritis (KOA) in order to reduce their RF value and improves the disease status.
Objective: To evaluate the effect of chloroquine phosphate on rheumatoid factor (RF) level in serum of patients with knee osteoarthritis KOA) Design: case report.
Subjects and methods: RF value were assessed quantitatively by ELISA technique before and after tre

Background:
Rheumatoid arthritis (RA) is a chronic, inflammatory autoimmune disorder that causes the immune system to attack the joints. It is a disabling and painful inflammatory condition, which can lead to substantial loss of mobility due to pain and joint destruction. RA is a systemic disease, often affecting extra-articular tissues throughout the body including the skin, blood vessels, heart, lungs, and muscles. 
Patients and Methods: Enzyme immunoassay for Determination of human TNF- , IL-1 and GM-CSF in serumsamples from50 patients with a diagnosis of rheumatoid arthritis
Results: of cytokines showed a significant increase in TNF-alpha, IL-1 beta and GM-CSF in patients with rheumatoid arthrit

Background: the incidencies of clinically palpable thyroide nodules are 4% to 7% 

Background: Bone disease of hyperthyroidism is a type of high-turnover osteoporosis. In many patients
with hyperthyroidism, there is excessive bone resorption, occasionally marked in degree and far
exceeding that in the usual patient with osteoporosis. The purpose of this study was to evaluate the bone
mineral density (BMD) in hyperthyroid patients in a controlled study.
Patients and Methods. The study group consists of 48 patients with hyperthyroidism who were seen at
Specialized Centre for Endocrinology and Diabetes, and at Rheumatology Clinic and Osteoporosis Clinic
in Baghdad Teaching Hospital. In all patients, measurement of BMD at the lumbar spine (L1-L4) using
dual-energy x-ray absorptiometry (DXA) machine was

Background: since the occurrence of transient bacteraemia is fatal following different dental procedures in patients at-risk of bacterial endocarditis, the purpose of this research was to estimate the percentage and nature of bacteraemia following four orthodontic treatment procedures which were: an upper alginate impression, separator placement, band fitting or placement, and arch wire adjustment on a fixed appliance.Materials and methods: the study group consisted of 40 patients (25 females and 15 males) ranging from 17-25 years of age attending Orthodontic Department in the College of Dentistry/Baghdad University, and out patients department from private clinic. The 40 patients were divided into four groups (10 patients each). A cannu

Summary

Background:-Carotid body tumors is an uncommon disease entity in Iraq , presented with painless swelling below the angle of the mandible , and is usually benign .The author reviews his personal surgical challenge with eight cases having had this tumor during twelve years period

Patients and Methods:-Eight patients with carotid body tumors were managed during twelve years period (1994- 2005) in the Thoracic and Vascular Department of the Medical City Teaching Hospital in Baghdad, Iraq

Results:-These patients were retrospectively studied as regard their age, gender, clinical features, diagnostic methods, operative findings, surgical techniques and postoperative outcome.

Conclusion:-Early presentation

Background: surgical treatment of established carpal tunnel syndrome (CTS) can be accomplished by various operative modalities, epineurotomy of the median nerve plus carpal ligament release has been advocated by many authors, This study try to evaluate the role of epineurotomy on the outcome of operative treatment of CTS postoperatively, compared to simple release only .

Patients and Methods: 48 hands of 42 patients, 34 female and 8 male. where classified in to two groups, one group had a release of the transverse carpal ligament alone, group (1). and the other group had a release plus epineurotomy of the median nerve, group (2). Selection of patients was according to the same clinical criteria regarding physical finding, periods

Background: Techniques of Inguinal hernia repair have seen an evolution from the pure tissue repair to the prosthetic repair and in the recent years past to laparoscopic repair. High recurrence rates using fascia for the hernia repair or the use of sutures under tension prompted the development of polypropylene mesh to reinforce the posterior wall of the inguinal canal.The aim of this study is to compare the post operative results of Lichtenstein mesh technique with Dar ning repair.<br />Patients and methods:-A prospective study of "100" patients with inguinal hernia were conducted to evaluate two methods, of open repair of inguinal hernia Lichtenstein mesh technique with Traditional non-mesh technique (modified Bassini or Darning)