الخلفية: يعتبر فحص الاجهاد اولى الخطوات غير التداخلية لاختبار وظيفة القلب و ذلك لسهولة اجراءه على نطاق واسع و آمن. ولكن مع الاسف, الكثير من نتائج الفحص غير حاسمة بسبب سوء اعداد المريض.

الهدف : الهدف من هذه الدراسة هو تقييم تحضير المشاركين في فحص الاجهاد في مركز الموصل لامراض القلب و ارتباطها بتكرار النتائج غير الحاسمة.

طريقة البحث: لتح

الخلفية العلمية: سرطان الغدة الدرقية هو الاكثر شيوعا من بين اورام الغدد الصماء حيث انها تمثل ما يقارب 90 ٪ من الأورام الخبيثة للغدد الصماء؛ سرطان الغدة الدرقية العرضي هو الذي يتم الكشف عنه بواسطة الزرع النسيجي النهائي بعد استئصال الغدة الدرقية، من أكثر انواع سرطان الغدة الدرقية التي يتم الكشف عنه عرضيا هو السرطان الحليمي.

 الهدف من الدراسة والطرائق: هذه الد

خلفية الدراسة: نتيجة العنف والنزاع المسلح في ديالى، نزح عدد كبير من الناس فيها. تعاني هذه المجموعات من مشاكل صحية كبيرة تتعلق بنزوحها، بما في ذلك الأمراض الجلدية.

هدف الدراسة: هذه الدراسة تهدف الى تحديد انتشار الامراض الجلدية بين النازحين في ديالى ومدى استخدام خدمات الرعاية الصحية لعلاجها.

الطريقة

خلفية:  عملية غلق فغر القولون هي عملية شائعة في مجال عمل جراحة الاطفال، وتعتير عملية كبرى لانها تتضمن ربط الامعاء الغليضة ببعضها, وتحتاج قبلها الى تحضير للامعاء مع مضادات حيوية وقائية. وهي الحدث الاخير في علاج بعض حالات جراحة الاطفال، والتي تتطلب اجراء عملية فغر القولون كخطوة اولى في علاجها, مثل شلل القولون الولادي والتشوهات الشرجية الولادية         &nbsp

Purpose: To evaluate the frequency of visualization, thickness, and anatomical features of the normal appendix at nonenhanced helical computed tomography (CT).
Materials and methods : Two radiologists prospectively iterpreted, in consensus, the abdominal CT scans of 140 patients who were examined for renal colic assessment. They
were blinded to patients' surgical history regarding a previous appendectomy. No contrast material was used. The frequency of visualization, and the two – wall thickness of normal
appendix were recorded, as well as the anatomical features of the appendix and the effect of adequasy of intraperitoneal fat on identification of the appendix.
Results : The prevalence of appendectomy w

الخلفية: تراوحت نسبة حدوث نقص الصفيحات في معظم الدراسات من 7 إلى 10٪ من جميع النساء الحوامل. على الرغم من أن الحمل في حد ذاته يرتبط بالتغيرات الفسيولوجية التي قد تؤثر على تعداد الصفائح الدموية ، إلا أن العديد من الحالات المرضية يمكن أن تسبب نقص الصفيحات التي لها تأثير كبير على كل من الأم والطفل.

الهدف: الهدف من هذه الدراسة هو تحديد معدل حدوث نقص الصفيحات عند السيد

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

ackground :Polyphenolic compounds are groups of naturally occurring compounds in different plants. They are promising product to protect, and prevent leukemia and many types of cancer by different mechanisms.
Objectives: The present study designed to study the effect of polyphenolic compounds [Ellagic acid (EA), Tannic acid (TA) and Caffiec acid (CA)] on GOT,GPT activities and total protein TP concentration in all types of leukemia [acute myeloblastic leukemia (AML), acute lymphoblastic leukemia (ALL), chronic myeloblasti leukemia (CML) and chronic lymphoblastic leukemia (CLL)],in addition to compare the potency of these compounds among each other.
Patients and Methods: Blood samples were collected from a h

Background: Hydatid disease is a serious infection of man caused by larval stage (hydatid) of the small dog tapeworm. Serological tests are important in the diagnosis of hydatid
disease.
Objectives: The study was carried out to detect the rate of seropositivity of hydatid cysts in Kirkuk and Tikrit cities.
Materials and Methods: The retrospective hospital based and seroepidemiological studies were carried out in Kirkuk and Tikrit cities, during the period from beginning of January
2000 until the end of October 2003. The hospital based study included 125-hydatid cyst operations in hospitals of Kirkuk (82) and Tikrit (43). The serological tests used for
detection of hydatid cysts antibody were latex agglu

backgrund:

Background: Upper air way obstruction secondary to chronically inflamed adenoid and / or tonsil is a common problem, in the presence of recurrent infection; tonsillectomy and or adenoidectomy are the most common surgery applied among pediatric population.
Objective: The aim of this study was to assess the type of bacteria encountered with- in the core of the adenoid tissue at time of operation.
Subject and Methods: During a period from Feb.2005 to May 2005, twenty two adenoid samples were removed by surgery ,and cross sectioned and sent for culture and sensitivity, at the department of ENT in Al-jerahat hospital for surgical specialties , most of the patients were under 10 year’s
old.
Results: This

Back ground : Chronic renal failure (CRF) is characterized by progressive destruction of renal mass with irreversible sclerosis and loss of nephrons over a period of at least months to many years which is treated either by dialysis which includes hemodialysis (HD) and peritoneal dialysis (PD) or renal transplantation.
Objective : To document the elevation of interleukin-6 (IL-6) in Iraqi HD patients, and to what degree that elevation influences secretion of C-reactive protein (CRP), in addition to its
association with other acute phase proteins and kidney function tests .
Method : A total of 75 individuals were included in the present study, 50 individuals were treated with HD compared to 25 healthy volu

Background:Seventy eight patients with beta - thalassemia major were Collected randomly from the thalassemia center in Ibn-Al-Baldy Hospital (all of them were transfusion dependent),
together with fifty six age and sex matched healthy children were collected as a control.
Aim of the study: To determine the incidence of thromboembolism among them and to evaluate the precipitating factors.
Patients and Methods: History was taken and physical examination was done . EDTA Anticoagulated blood samples were taken prior to the next transfusion , platelet parameters were
estimated for both groups using the MS – 9 coulter counter.
Results: Thromboembolic events was detected in five patients (6.41%).The main site was

Background: Asthma is an allergic disease characterized by airway obstruction as a result of cellular accumulation due to the liberation of certain mediators. Among those mediators are the cytokines such as IL-5. 
Patients & Methods: Interleukin-5 concentration has been estimated in 94 sera samples of Asthmatic patients in comparison with 41 non-asthmatic bronchitis as patient controls in addition to 30 apparent healthy control group using ELISA method.
Results & Conclusions: There is highly significant elevation of IL-5 in the asthmatic cases in comparison with healthy controls (P< 0.001). We conclude that this cytokine may play the major
role in asthmatic attack & it may be a good m

خلفية: السمنةآخذت في الازدياد في جميع أنحاء العالم بحيث ما يقدر بنحو ١.٧ مليار شخص يعانون حاليا من السمنة، حصاة المرارة تمثل المرض الثالث الأكثر شيوعا لدى المرضى الذين يعانون من السمنة المفرطة. وعلاوة على ذلك حوالي ٣٠٪ من المرضى المرشحين لجراحة البدانة إما خضعوا لجراحة استئصال المرارة بالسابق أو شخصوا بوجود حصاة المرارة اثناء التقييم قبل عملية جراحة البدانة.

الهد

Background: Homocysteine (Hcy) is a sulfur containing amino acid that is formed as an intermediary in methionine metabolism. Raised plasma homocysteine levels, which may contribute
to the increased risk of chronic liver disease.
Patients and Methods: Sixty two patients with chronic liver disease and 26 healthy individuals were included as normal controls for the study. The HPLC system was used for the determination of Hcy and vitamin B12.
Results: A highly significant Hcy concentrations were noted in all patients with cirrhosis, chronic hepatitis or liver mass. There was a trendency towards higher Hcy concentrations in more advanced stages of liver disease. The study showed that the concentrations of tot

Summary:
Background: It is well known that the early removal of corpus luteum (CL) in pregnant women results in abortion . Defects in the function of CL lead to deficiency in the secretion of progesterone which adversely affect human embryo implantation .
Aim of the work: l)to determine progesterone concentration in the luteal phase defect (LPD) patients complaining from infertility and 2) to evaluate the clinical value of ovulation induction, sperm intrauterine insemination SIUT and luteal support therapy in the treatment of LPD patients.
Patients & Methods: One hundred and twelve LPD patients were involved in this study. The progesterone concentrations were performed by radioimmunoassay method on cycle day 21. Patients wer

Background: Multiple tumors in the nervous system is a rare event..
Patient & Method: .A forty two years old male who was enjoying completely healthy life presented with one week history of a single attack of confusion .he was presented with double tumour in the brain operated up on our department by craniotomy.
Results: His neurological clinical examination was negative. A CT scan & MRI of the brain showed two intracranial space occupying lesions. A solid right frontal lesion and another cystic lesion in the third ventricle. . The pathology proved the frontal lesion to be a meningioma while the third ventricular tumour was colloid cyst. Post operative period was uneventful. Follow up for few months showed no complaint.

Background: Extensive reports denote the biological role of trace elements (Cu Zn ", Se ') in many various physiological and pathological conditions, one of the list is shown to be Behcet's disease (BD).The aim of this study was directed towards the distribution of trace elements (Cu 2,Zn, 2,Se 2) in sera of BD patients, and control groups.
Methods: Fifty Arab Iraqi patients who fulfdled the ISO criteria for diagnosis BD.compared with 21 patients control with recurrent oral ulcer (ROU), healthy control groups (2Ihealthy relative and 21healthy volunteer). Typing HLA Class I was carried out at Alkarama hospital, by using microlympho-cytotoxicity test. The concentrations of serum Cu ', Zn ", and Se" were determined by atomic absorption s

Background: Insulin produced by pancreatic β cells ceases in people with type1 diabetes mellitus, an endocrine disease caused by autoimmune damage. It can cause weight loss. Energy balance controls the secretion of ghrelin, a peptide hormone made by entering endocrine cells found in the oxyntic glands of the stomach fundus. 

Objectives: This study aimed to investigate the relationship between serum ghrelin and body mass index in newly diagnosed children with type 1 diabetes mellitus.

Methods: The study involved 120 pediatric participants aged 2-14 years conducted from February to May 2024. They were divided into four groups: group 1 contains 40 lean patients with type 1 d

Background: Birth defects are the leading cause of both neonatal and post-neonatal deaths, as an estimated 240,000 neonates die in their first month of life worldwide each year. In Iraq, local studies have shown varying frequencies and types of congenital anomalies.

Objectives: To provide a new insight into the incidence and types of congenital anomalies and to explore their possible risk factors in Baghdad City.
Methods: In this cross-sectional observational study, a total of 2007 neonates were enrolled from six hospitals in Baghdad during the period extending between September and December 2020. Hospital records and personal interviews were used for data collection. These d

Pleuropulmonary blastoma is a rare and aggressive neoplasm typically presents in young children, younger than 5 years, as a pulmonary and/or pleural-based tumor. We reported a case of type-II pleuropulmonary blastoma (PPB) in an 8 month old infant who presented to Al-Khansa'a Maternity Hospital in Western Mosul with a history of repeated attacks of shortness of breath and signs of pulmonary infection unresponsive to treatment. A bronchoscopic examination showed a mass involved and obstructed the orifice of the main bronchial tree of the right upper lung lobe. A thoracotomy was performed; tumor involved the right upper lung lobe, the covering pleural surface and invading the mediastinal structures. Right

خلفية: لقد استخدمت دراسات وراثية خلوية لتقييم التعرض للمادة مسرطنة أو مطفرة والآثار في وقت مبكر في ضبط والمهنية البيولوجية والبيئية. عدوى بكتيرية لم تقليديا تعتبر الأسباب الرئيسية ASA من السرطان. وقد تم ربط البكتيريا لسرطان بواسطة آليتين: تحريض من التهاب مزمن وإنتاج الأيضات البكتيرية المسببة للسرطان.

الهدف: لأن مفاهيم جديدة في العلاقة مع الأورام الخبيثة عدوى معينة يتم تنفيذ هذه

Background: Several factors render chronic lymphocytic leukemia (CLL) an interesting subject for study by researchers. These include marked progress in understanding the molecular biology of normal and neoplastic lymphocytes and recent advances in molecular genetics techniques. Among molecular markers, vascular endothelial growth factor (VEGF), have been widely studied.
Objective: The aim of the study is to evaluate the role of VEGF in the pathogenesis of CLL and its role in disease progression.
Patients, materials and methods: A retrospective cross-sectional study was done on 60 patients with chronic lymphocytic leukemia (45 males & 15 females) compared with 20 controls (anemic patients), all recr

Background: Multiple myeloma (MM) is a malignant clonal expansion of plasma cells. Previous studies had demonstrated that both bone marrow angiogenesis as measured by microvessel density (MVD) and PCNA were increased in variety of malignant disorders, including multiple myeloma.
Objective: Assessment of angiogenesis in bone marrow of MM patients by using immunohistochemical stain to measure microvessel density (MVD) using factor VIII –related antigen and to evaluate the expression of PCNA antigen in plasma cells of MM bone marrow sections . Also to find the correlation between these two parameters and between them and the percentage of plasma cells infiltration in bone marrow of MM.
Patients, materia

Background: Bladder carcinoma is one of the most common cancer worldwide, it accounts for 6.5% of all cancers, with highest incidence in industrialized countries .It represents the fourth most common cancer in men and the eighth in women. Bladder carcinoma depends in its pathogenesis on a combination of genetic and environmental factors, these factors produce phenotypic changes that allow normal transitional cells to become cancerous and finally acquire the “malignant phenotype".  Many attempts had been tried to explore the role of some genetic abnormalities encountered in bladder carcinoma. It has indicated that many genetic abnormalities may underline the pathogenesis of cancer evolution of urinary

Background: Fibromyalgia syndrome (FMS) is a common rheumatologic syndrome with multiple manifestations and associated with many diseases, it characterized by chronic wide
spread muscular pain and tenderness. Resistin is an adipokine discovered in 2001 and considered as a link between obesity and type 2 diabetes by antagonizing and resisting the
action of insulin as it name encompass ;resistin (resist insulin) . It is secreted mainly from adipose tissue in mice and from white blood cells besides the adipose tissue in humans.
Research reviled that resistin has a role in some inflammatory diseases like Rheumatoid Arthritis (RA).
Objective: The objective of this study is to measure Resistin concentration and

Background typhoid fever is the commonest cause of non traumatic terminal ileal perforation in our study with a grave postoperative morbidity & mortality depending upon preoperative time delay &/or type of surgical intervention practiced. 
Objective to evaluate the frequency of non traumatic causes of terminal ileal perforation, their presentations,perforation-operation interval effect on complications, as well as different modalities of treatment and their complications.
Methods the study is a prospective study of 82 patients with perforation of terminal ileum diagnosed by explorative laparatomy in Al Kindy teaching hospital ,Baghdad, Iraq from April 2008- December 2010, all of the patien

Background: Cataract surgery is one of the most common surgeries, and changes in intraocular pressure might occur after cataract surgery, and some postoperative medications might affect it.

Objectives: Evaluate the effects of the non-steroidal anti-inflammatory drug bromfenac 0.09% ophthalmic solution on intraocular pressure (IOP) after phacoemulsification surgery and report any side effects of the drug.

Patient and Method: This is a prospective study done in an ophthalmic center in Iraq involving adult patients with senile or iatrogenic cataracts prepared for cataract surgery by phacoemulsification with intraocular lens (IOL) implantation and were divided into two groups: