Background:Breast carcinoma is the most common malignant tumor and the leading cause of carcinoma death in women, with more than 1,000,000 cases occurring worldwide annually.(1) as a matter of fact , the mortality rate for breast carcinoma changed very little from the 1930s to the early 1990s, because of the combined action of earlier diagnosis and improved therapy .<br />Materials and methods: The prospective study included 500 cases of breast carcinoma who went total mastectomy , between October 2006- April 2007, where taken from private pathology laboratory , sections(4microns) are taken and stained with H&E stain and over-reviewed.<br />Results: Clinicopathological analysis of the 500 cases of breast carcinoma, includ

الخلفية: الشاي الأخضر له نشاط مضاد للميكروبات ضد أنواع عديدة من البكتيريا ، ويعتبر مادة طبيعية ذات آثار جانبية قليلة.

الهدف من الدراسة: أجريت دراسة في المختبر للتحقق من قدرة مستخلص الشاي الأخضر والنيكوتين على تثبيط النمو وتكوين الأغشية الحيوية بواسطة المكورات العقدية اللعابية.

الطريقة العمل: تضمنت هذه الدراسة عينة ملائمة من 40 متطوعا عراقيا أصحاء تتراوح أعمارهم بين 18 و 23 ع

Background:

Background:

Background: Patients with chronic renal failure ( CRF) are at increased rick of cardiovascular diseases and 60 of cardiovascular mortality in CRF is attributed to sudden  death.

يعد سرطان الثدي من اكثر انواع السرطانات التي تصيب النساء في العالم ، وقد تناولت الكثير من الدراسات والبحوث العوامل المسببة لهذا المرض من أجل التوصل للتشخيص المبكر والعلاج الناجح له.

تناولت هذه الدراسة حصراً النوع الخبيث والأكثر انتشاراً لسرطان الثدي وهو " سرطان القنوات المنتشر" حيث تركزت على بحث العلاقة بين هذا السرطان وتركيز الانترليوكين العاشر ، كما تناولت العلاقة بين تركيز

 الخلفية: - يُعرف التهاب حمة الدماغ الناجم عن الفيروس باسم التهاب  الدماغ الفيروسي الذي يتعايش بشكل متكرر مع التهاب السحايا الفيروسي وهو أكثر أنواع التهاب الدماغ انتشارًا

الأهداف: - إلقاء الضوء على التهاب الدماغ الفيروسي وأنواعه ووبائياته وأعراضه ومضاعفاته.

النتائج: - على الرغم من أنه يمكن أن يصيب الأشخاص من جميع الأعمار ، إلا أن العدوى الفيروسية هي السبب الأكثر انتشارًا ل

Background: Bronchiolitis is the first episode of wheezing associated with low grade fever, rhinitis, tachypnea, and increasing respiratory effort in a previously healthy
infant during the winter months, and it is the most common lower respiratory tract infection in infancy.
Objectives: This study is designed to analyze the clinical signs and symptoms alone or as combinations as possible predictors of severe hypoxemia in infants with
bronchiolitis.
Patients and methods: This is a prospective study, which was carried out on 96 infants with a mean age of 7.74 ±3.72 months who were admitted to Children Welfare Teaching Hospital in Medical City-Baghdad with bronchiolitis during the period from 1st O

الخلفية: نظرًا لارتفاع معدلات الإصابة والوفاة ، تعد سمنة المراهقين والاكتئاب من أكثر اهتمامات الصحة العامة شهرة على مستوى العالم.  هذه الدراسة تهدف إلى فهم العلاقة بين مؤشر كتلة الجسم والاكتئاب خاصة عند الفتيات العراقيات.

هدف الدراسة: فحص مستوى الاكتئاب لدى الفتيات المراهقات وتحديد العلاقة بين الاكتئاب ومؤشر كتلة الجسم لدى المراهقات العراقيات.

طرق البحث:عن طريق استبي

Background Insulin works to control blood sugar levels by sending signals to liver, muscle and fat cells to bring in sugar out of the blood. Obesity, hyperinsulinemia, hyperglycemia, and hyperlipidemia are only a few of the interconnected metabolic disorders that are frequently linked to these diseases.    A statistical procedure called the Homeometric Assessment Model (HOMA) is used to determine the insulin resistance and pancreatic cell activity. (HOMA - IR). Both are determined using insulin and fasting plasma glucose (FPG), but utilizing different formulas. Although investigations based on a modified version of HOMA using connective peptide concentrate (C-peptide) are shown, they are extremely scarce.<

Background: Klebsiella oxytoca is a Gram-negative rod-shaped bacterium that is becoming resistant to multiple drugs and is frequently endangering patients' lives. It is a member of the human microbiota.

Objectives: To assess the value of identifying K. oxytoca using an automated diagnostic system (VITEK-2) as compared to traditional manual methods.

Methods: From July to November 2022, 136 clinical specimens were collected from patients in Baghdad hospitals. The VITEK-2 system was used to recognize the isolated bacteria to the genus and species levels. The biochemical indole test was used as a confirmatory test at the species level.

Results:

Background: Diabetes mellitus is significantly related to cardiovascular disease, such as atherosclerosis. Antioxidants are essential in the prevention of atherosclerosis by a variety of mechanisms, which encompass the suppression of free radical production, inhibition of low-density lipoprotein oxidation, and prevention of atherosclerotic plaque formation.

Objectives: This study aims to evaluate the levels of total antioxidant capacity and malondialdehyde as oxidative stress indicators in Iraqi type 2 diabetes mellitus (T2DM) patients and investigate their relationship with atherosclerotic risk factors.

Methods: This case-control study took place between October 2023 to Ja

Background: Childhood idiopathic nephrotic syndrome is one of the most common conditions pediatric nephrologists encounter globally. Nephrotic syndrome is characterized by proteinuria, hyperlipidemia, and edema. The degree and duration of proteinuria have an impact on serum electrolyte levels. However, local data is limited.

Objectives: To assess and compare the degree of electrolyte imbalance and its relationship to kidney function indicators during relapse and remission in children with idiopathic nephrotic syndrome.

Methods: In this case-control study, blood samples were collected from 80 Iraqi children with an age range of (2-14) years. They were divided into three grou

الخلفية: الاعتلال الكلوي السكري يمثل السبب الاكثر شيوعا للمرحلة النهائية لامراض الكلى في العالم. هذا النوع من مضاعفات مرض السكري ينتج من التداخل ما بين العوامل الايضية والدم-حركية ومع ذلك هناك قرائن اخرى تدل على دور رئيسي للالتهابات في امراضية الاعتلال الكلوي السكري.

هدف الدراسة: تحديد دور نوعين من السايتوكينات (انترلوكين-18 وعامل التنكرز السرطاني الفا) في نش

Background: Periodontal disease increases local and systemic inflammatory responses in pregnant women, which may lead to premature delivery.

Objectives: To detect maternal serum levels of proinflammatory cytokines (interleukine-6, interleukin-8) with preterm delivery in pregnant women suffering from gingivitis.

Methods: In this case-control study, a total of 85 pregnant women were included in the study, of whom 55 had gingivitis: 25 preterm deliveries and 30 full-term deliveries. Thirty healthy pregnant women with healthy gingiva were in the control group. They were selected from Al-Ramadi Teaching Hospital for Gynaecology and Paediatrics, from November 202

Background: The critically ill patient is at risk of developing intensive care acquired infection, with the lungs being especially vulnerable. Ventilator associated pneumonia (VAP) occurring after two days of mechanical ventilation and it is the most nosocomial infection seen in the intensive care unit .The establishment of an accurate diagnosis of ventilator associated pneumonia remains problematic and yet there is still no accepted "gold standard" for the diagnosis.
Patients& Methods: This is a cross section study for 328 patients admitted to intensive care unit at medical city teaching hospital. Full history, physical examination and investigation were done after 48 hours of admission according to

خلفية الموضوع: يعتبر فهم عوامل الخطورة المرتبطة باصابات موقع العمل عنصرا جوهريا لتصميم وتنفيذ التدابير الوقائية لمثل هذه الاصابات التي تعتبر مصدرا هاما من مصادر العجز والوفيات والخسائرالاجتماعية والاقتصادية في جميع انحاء العالم.

الهدف: وصف حالات الاصابات المهنية تبعا انموذج الشخص والمكان والوقت.

المواد وطرائق العمل: ا

خلفية الدراسة: اللشمانيا الاحشائية مرض يصيب الجهاز الطلائي الشبكي البطاني يؤثر هذا المرض على النظام المناعي لجسم الانسان كما انه قد يعمل على احداث تغيير واضح في تراكيز ومستويات بعض المعادن الضئيلة كالنحاس .

الاهداف: تقييم مستويات وتراكيز كل من  IL-10  و γ IFN-   وCu  للاطفال المصابين باللشمانيا الاحشائية بعد تشخيص اصابتهم بالمرض باستخدام كل من اختبار المستضد ال

Background: The metabolism of many trace elements, such as chromium, copper, and manganese, was reported to be altered in type 2 diabetes mellitus. This element may have specific roles in the pathogenesis and progress of this disease.

Objectives: To evaluate the serum levels of copper, chromium, and manganese in type 2 diabetic patients in Iraq. 

Methods: This case-control study included 100 type 2 diabetic patients, 35-60 years old, with high BMI as cases, and 100 non-diabetic subjects as controls who were healthy volunteers not suffering from type 2 diabetes (staff and students). The data was collected from October 2022 until January 2023. The cases were seen in the Diab

Objective: To determine the prevalence of hepatitis C virus (HCV) infection among blood donors and risky population in Diyala province.<br />Materials and methods: In this retrospective study, the records of HCV screening and confirmatory tests were reviewed for the period 1996-2001.Third generation Enzyme-linked immunosorbant assay (ELISA) and Enzyme immunoblot assay were used as screening and confirmatory tests respectively.<br />Results: The prevalence of HCV infection among blood donors was 0.15%, with the highest in 1997. The highest prevalence rates were found among multiple blood recipient; hemophilia, thalassemia and hemodialysis patients (27.3%, 16.9% & 14.3%) respectively. Whereas, the patients with chronic hepa

Background: Alcohol remains the single most significant cause of liver disease throughout the Western world, responsible for between 40 and 80% of cases of cirrhosis in different countries. Many of the factors underlying the development of alcoholic liver injury remain unknown, and significant questions remain about the value of even very basic therapeutic strategies.
Patients and Methods: In a cross sectional study, 113 alcoholic patients with evidence of liver disease in the absence of other significant etiology attending the Gastoenterorology and Hepatology Teaching Hospital between December 2001 and December 2003 were studied for the hematological and biochemical spectrum of alcoholic liver disease in

Background : The contribution of diastolic dysfunction in patients with preserved left ventricular (LV) systolic function to impaired functional status and cardiac mortality in myocardial infarction (MI) is unknown.
Materials and Methods : Assessment of LV diastolic function was performed by Doppler analysis of the mitral and pulmonary venous flow and the propagation velocity of early mitral flow by color M-mode Doppler echocardiography in 150 consecutive patients at day 5-7 following their first acute MI.
Results : Patients were classified into four groups: group A: preserved LV systolic and diastolic function (n=59); group B: LV systolic dysfunction with preserved diastolic function (n=8); group C: LV diastolic dysfunction with

Background:

Background: Rhabdomyolysis is a clinical and biochemical syndrome that occurs when skeletal muscle cells disrupt and release creatine phosphokinase and myoglobin into the interstitial space and plasma. The causes of rhabdomyolysis are legion, but the most important and the classical form is the crush syndrome. Acute kidney injury occurs in 33-50% of patients with rhabdomyolysis. Here we report nine cases with acute kidney injury due to crush injury with rhabdomyolysis after the Al-Aema bridge catastrophe in Baghdad, in September 2005.
Methods: Nine patients presented to the nephrology department of the Baghdad Teaching Hospital with a suggestive history of crush and laboratory evidence of rhabdomyolysis and acute kidney injury within

Background: Cholestatic Jaundice is a dilemma facing not only the primary care provider but also the specialist pediatricians in our country.
Subjects & methods: Analysis of 50 cases of cholestatic jaundice aged 3 weeks- 18 months were carried out over 18 months in the Gastroenterology & Hepatology unit in the Children Welfare Teaching Hospital, Medical City, and Baghdad. Clinical, biochemical, radiological and histopathological results were recorded.
Results: Fifty patients with Cholestatic Jaundice, 28 males &22 females, were evaluated. The main causes of Cholestatic Jaundice were Biliary Atresia in 22 cases (44%)(the mean age of presentation was 4.1 months ), and Neonatal Hepatitis Syndr

Background: Dysentery is an important cause of morbidity and mortality associated with diarrhea. About 10% of all diarrheal episodes in children less than 5 years are dysenteric, but these cause about 15% of all deaths attributed to diarrhea.
Objective : To demonstrate the most common pathogens causing bloody diarrhea in children between 2 months and 5 years old, to describe some of the associated factors accompanying bloody diarrhea and to highlight the most important clinical features.
Patients and methods: A descriptive study of 82 children, between the age of 2 months to 5 years with bloody diarrhea, who were admitted to the Children Welfare Teaching Hospital/ Medical City/Baghdad during the period betw

 الخلفية: تشخيص أمراض الرئة الخلالي كثيرا ما يتأخر، لأنه يتم إهمال االاعراض السريرية والأعراض التنفسية, تعزى إلى تشخيص امراض  الرئة الأكثر شيوعاً مثل الربو ومرض انسداد الشعب الهوائية المزمن في إطار الرعاية الصحية الأولية.

الهدف: تقييم العائد التشخيصي لخزعة الرئة المفتوحة في المرضى الذين يعانون من اشتباه في امراض الرئة الخلالي  بالسمات السريرية والإشعاعية.

المواضيع و

Background: Cerebral palsy is a disorder of movement and posture resulting from permanent, nonprogressive defect or lesion of the immature brain. Spastic cerebral palsy is a common clinical type which is difficult to diagnose clinically in the early years of life. This study was conducted to identify the changes in the H-reflex excitability in children with spastic cerebral palsy as compared to normal children.
Methods: The excitability of the monosynaptic H-reflex pathway was tested in 36 children with spastic cerebral palsy during waking by calculation of the H-reflex wave amplitude with the ratio of maximal H /maximal M response amplitudes and compared with 32 normal children of the matching age.

المقدمه:

فتق "أمياند" هو الفتق المغبني في حالة وجود الزائده الدوديه من ضمن محتوياته سواء كانت الزائده ملتهبه أو غير ملتهبه, وتحصل هذه الحاله بواقع 1% من حالات الفتق المغبني.

عرض الحالات:

أجريت هذه الدراسه عبر مراجعة (402) حاله من عمليات الفتق المغبني أجريت في مستشفى الشهيد أحمد أسماعيل – السليمانيه - جمهورية العراق في ال

Background: In Ulcerative colitis (UC), the presence of a persistently elevated number of T cells in the inflamed area with respect to the activity of the disease suggesting bad prognosis. This study was done to evaluate cellular immune response in different disease activity patterns and its possible implication in evaluation of disease activity.
Materials and methods: This study included Forty seven archived paraffin-embedded samples of ulcerative colitis; these samples diagnosed and graded for disease activity. Then dual
immunofluorescence staining was used for phenotyping of lymphocytic infiltrate (CD3- CD19) and (CD4-CD8). A total and differential T cell as well as plasma cell count was recorded in thes