Print ISSN: 0253-0759

Online ISSN: 2413-4414

Keywords : Basrah


Self-reported hand contact dermatitis among female hairdressers in Basrah

The Medical Journal of Basrah University, Volume 36, Issue 2, Pages 60-65
DOI: 10.33762/mjbu.2018.159465

Background: Occupational skin diseases are common and deserve medical attention. Hairdressers are special risky group for skin diseases.
Objective: To determine the prevalence of self-reported hand contact dermatitis among female hairdressers in Basrah city.
Methods: Sixty one salons in Basrah city center were chosen randomly by using the systematic random sampling technique from a name’s list of registered salons in Basrah General Health Directorate. A convenient sample of female hairdressers was chosen from these salons.
A special questionnaire form prepared for the purpose of the study was used for collection of data from female hairdressers who agreed to participate in the study by direct interview.
Results: A total of 80 female hairdressers were included in the study. Their age ranged between 19 and 65 years old with a median age of 32.5 years. The prevalence of self- reported hand contact dermatitis or eczema among female hairdressers was 31.3%. It was significantly associated with the age and nationality of female hairdressers (P-value = 0.021 and 0.035 respectively). Furthermore, there was significant association between self- reported hand contact dermatitis and personal history of atopy (P-value < 0.001) and family history of atopy. (P-value=0.031).
Conclusions: The self- reported hand contact dermatitis is fairly common and associated significantly with age of female hairdressers, nationality, personal and family history of atopy. We recommend to enhance occupational health measures for the hairdressers with special alteration in the preventive aspects
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Assessment of the documentation completeness level of the medical records in Basrah General Hospital

The Medical Journal of Basrah University, Volume 36, Issue 2, Pages 50-59
DOI: 10.33762/mjbu.2018.159461

Background: Medical records documentation is an important legal and professional requirement for all health professionals. They include information which describes all aspects of patient's care. But, despite the importance of medical records to support better quality service provided at the health facilities, incomplete documentation is very common all over the world.
Objective of the study: to assess the documentation completeness level of the medical records in the different inpatient wards of Basrah General Hospital.
Methodology: The study was a descriptive cross-sectional one. Medical records of 268 inpatients from Basrah General Hospital during June 2016 were included from four departments of the hospital (medicine, surgery, pediatrics and obstetrics and gynecology). A standard Iraqi Ministry of Health inpatient medical record with a two-level scoring system for assessing the level of documentation completeness were used in the study.
Results: the overall documentation level for the medical records included in the study was generally poor in 78% of the records. Surgical department was found to be the worse in documenting patient's notes related to medical history, while Gynecology and Obstetrics department was found to be the worst in documenting the medical examination assessment and the physician's notes related to the patient's state and details of any improvement / deterioration of his/her condition.
Conclusions and recommendations: The present study confirmed obvious incompleteness of documenting medical data for inpatient records in Basrah General Hospital especially in the general surgery, internal medicine and Gynecology and Obstetrics words. This is specifically found for the Physician notes (patient’s state and details of any improvement/deterioration of the condition) and the Clinical pharmaceutical sheet. A hospital based quality improvement project to improve the medical record documentation completion is highly recommended to be implemented by the Quality Assurance Unit of Basrah Directorate of Health.
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Pattern of knowledge and attitude of women in reproductive age group about Caesarean Section in Basrah city

Rasha A. Al-Timari

The Medical Journal of Basrah University, Volume 36, Issue 1, Pages 1-6
DOI: 10.33762/mjbu.2018.144944

Background: Caesarean section is increasing as a means of delivery. A decision on this choice need to be joint among doctors, women and others. An appropriate decision will be facilitated with good knowledge of women about this operation.
Objectives: To assess the knowledge and attitude of women in the reproductive age about Caesarean Section.
Methods: This is a descriptive cross sectional study carried out in Basrah city among women in the reproductive age group who visited two primary health centers(Al-Razi and Al-Seef centers). The study involved 242 women with age range from 15-45 years,
Results: History of one or more Caesarean Section was reported by 35.5%. The results of study showed that all the women involved in this study heard about Caesarean Section and a good number of them had an idea about the effect of Caesarean Section on the number of children, the possibility of vaginal delivery after first Caesarean Section and about some chronic diseases (hypertension and diabetes) which might increase the prospect of Caesarean Section. Majority of participants preferred normal vaginal delivery because of rapid recovery and less complication than Caesarean Section.
Conclusions: Caesarean section is a prevailing practice in Basrah city. Women had good knowledge about it but in general they prefer normal vaginal delivery.

The prevalence of burn related deaths in Basrah

Abd Alkareem Q. Mohammed

The Medical Journal of Basrah University, Volume 36, Issue 1, Pages 22-27
DOI: 10.33762/mjbu.2018.145029

Background: Burns are injuries to the skin that might be caused by high temperatures, chemicals or different other mechanisms. In Iraq and other developing countries, burns represent an important health problem with many effects on life causing morbidity and mortality, and exert many consequences including disability, psychological impact and financial loss. The aim of this study was to explore the demographics and types of burns, factors associated with burn fatalities, and to evaluate the magnitude of this problem with focusing on causes and manner of thermal deaths among the victims.
Methods: Data were collected retrospectively from autopsies of burn-related deaths reported to Department of Forensic Medicine in Basrah province, southern part of Iraq during a period of 4 years from 1st of January 2013 to 31st of December 2016, along with information retrieved from hospital records, history and information from close relatives.
Results: Out of total of 4244 autopsies conducted during that period, 373 of them were burn-related deaths. The majority of the victims were females (75%). Most of the injuries (89%) were caused by flame. The commonest age group involved in both males and females was (20-29) years. Suicidal burns constituted 62%, and the higher proportion was seen among females. Domestic problems along with psychiatric illnesses were the main factors associated with self-inflicted burns.
Conclusion: Burning deaths represent a large proportion among the overall unnatural deaths in Basrah city, the higher proportion of burn-related deaths was observed in females, and among suicidal burn deaths, females constituted more than ninety percent.

Risk factors of bronchial asthma among adults in Basrah

Abdulhussian O. Mossa Ahmed A. Sherhan

The Medical Journal of Basrah University, Volume 36, Issue 1, Pages 16-21
DOI: 10.33762/mjbu.2018.145027

Objective: To study the risk factors aggravating bronchial asthmatic attacks among adult patients in Basrah
Methods: Ninety six asthmatic patients, their ages ranged from 15 to 47 with a mean ages 29.66±7.37 years and a mean weight of 70.15 ± 12.74, were studied prospectively from January 2015to April 2016 from two consultation clinics. It was a paper questionnaire based study, the questions and answers were completed by the patients and sometimes with help of close relative, if necessary. Because of the increasing number of aggravating factors in modern life and the pollutions of community, the patients were classified into three groups according to number of triggering factors.
Results: Atopic individual was more liable to multiple allergens in comparison to non-atopic individual with 95% CI (.051-0.424) and a value (0.010). The commonest risk factors that had been found aggravating attacks of bronchial asthma in the presence of history of atopy was upper respiratory tract infection with 95% CI ( 0.099-0.441), humidity(95%CI of 0.054-0.414), seasonal allergy (95%CI of 0.008-0.474), spicy food intake with 95% CI of 0.256-0.277, perfumes (odorous) with 95% CI 0f (0.197-0.568), Low corticosteroid medications with 95% CI OF (0.069-0.433) and dusty environments with 95% CI of (0.133-0.490). Asthma was more common at younger age group and older age group constitutes only 11.4%.
Conclusion: In allergic individuals in Basrah, respiratory tract infection, humidity, seasonal changes, indoor perfumes, spicy food diet, low dose of cortico steroid, dusty environments, all are common association with asthma symptoms in atopic individual.

Hanging as a method of suicide: a retrospective study

Abd Alkareem Q. Mohammed

The Medical Journal of Basrah University, Volume 35, Issue 2, Pages 97-104
DOI: 10.33762/mjbu.2017.134241

Objectives: Hanging is a common cause of death worldwide as well as a method of suicide with a high fatality rate, In this retrospective study, data were obtained from cases of hanging reported to Department of Forensic Medicine at the province of Basrah, Iraq, in order to analyze the characteristics of hanging, to focus on its distribution by gender, age groups, marital status, the place of occurrence of the incident, ligature types used, autopsy findings and manner of death, and to determine the possible causes of hanging fatalities over the period of the study, in addition to various other associated factors with the aim to find out which individuals are more prone to death by hanging and to explore the potential control and preventive measures.
Methodology: Over a period of seven years, from January 2010 to December 2016. data from autopsy reports, together with information from police investigation reports and history obtained from relatives were used in this study.
Results: A total of 184 forensic autopsies were conducted on cases of death due to hanging during the period of the study. The highest proportion of hanging cases was suicidal in nature (86%). Twenty eight percent of the suicidal hanging victims were in their 3rd decade of life, and the incidence rate of hanging among female and male victims was almost equal, female to male ratio was 1.1:1.
Conclusion: Hanging is a common cause of suicide in our society, especially among young individuals. Prevention of death by hanging is not easy since different types of materials can be used as a ligature.

Immunization Coverage and its determinants in Children Aged 12-23 Months in Basrah

Ziyad T. Maki; Essam M. Abdalsaid; Riyadh A. Alhilfi

The Medical Journal of Basrah University, Volume 35, Issue 2, Pages 84-90
DOI: 10.33762/mjbu.2017.134239

Background: Immunization is one of the most important programmes which contributed to the prevention of major childhood diseases. A high coverage rate is desirable for the effectiveness of this programme.
Objectives: This study aimed to assess the level of immunization coverage rate among children aged 12 to 23 months in Basrah during 2014-2015. Also, to explore the vaccination dropout rate and the causes of partially immunization.
Methods: A cross sectional survey was done in 30 clusters that followed the World Health Organization cluster sampling technique. Data were collected via direct interview with 300 mothers using an Arabic language questionnaire and the data were analyzed using SPSS programme.
Results: The vaccination coverage rate in this study was 80.7% and the dropout rate was 19.3%, which is rather high while the main causes of the dropout were difficulties facing mothers' attendance to Primary Health Care centers (50%) and lack of information (31%).
Conclusions: The results of the current study showed that although the coverage rate of immunization was adequate, the dropout rate was high and the important reasons for that were inadequate awareness and inconvenience timing for mothers. In addition, literacy status and occupation of mothers, child birth order and family type were other reasons.

One-year survival of children with malignant diseases in Basrah

OS. Habib; Ali H. Atwan

The Medical Journal of Basrah University, Volume 35, Issue 1, Pages 1-10
DOI: 10.33762/mjbu.2017.125131

Background: Childhood cancer represents an important health problem in Basrah with an incidence rate as high as rates in western countries. Little is known about the prognosis and survival of children diagnosed with malignancy after initiation of treatment.
Objectives: to estimate the one-year survival of children diagnosed with malignant diseases in Basrah and to identify non–medical risk factors for the risk of death during the first year following diagnosis.
Methods: This is a hospital-based follow up study of 352 children aged less than 15 years diagnosed with any sort of malignant disease. The study was conducted in Basrah Specialized Hospital for Children over the period (1st of October 2012 to 31st December 2013) and enrolled all newly diagnosed cases during two calendar years (2011-2012 inclusive). The fate of each and every case was ascertained chronologically during and at the end of the 12 months after diagnosis.
Results: The results showed that, of the 352 cases followed up, 102 ( 29.0%) completed their treatment courses at the end of 1st year while 105 (29.8 %) of them were still continuing on treatment , 19 (5.4%) relapsed and still on treatment and 89 ( 25.3 %) of the cases died by the end of first year. The remaining have stopped treatment 25 ( 7.1% ), refused treatment in Basrah 10 ( 2.8% ) or transferred elsewhere on medical advice 2 (0.6%).
The one year survival rate for all the studied children was 74.7%, Thus the one year mortality was 25.3%). Among a set of variables, three "female gender, better mother education and modern type of family accommodation" were significant predictors of one year survival of a child with cancer.
Conclusions: Childhood cancer is major health problem in Basrah in terms of incidence and burden on the health care system. Despite all efforts the one year survival rate was much lower than corresponding figures in many other countries.

Seroprevalence of viral hepatitis B and C among pre-surgical patients in Basrah, Iraq

Nadia K.Abdul-Jalil; Jasim N. Al-Asadi

The Medical Journal of Basrah University, Volume 34, Issue 2, Pages 86-93
DOI: 10.33762/mjbu.2016.117159

Background: Viral hepatitis is an important worldwide health problem. Patients undergoing any surgical procedure may have this infection, requiring special precautions so that they cannot transmit it to others.
Objectives: To determine the seroprevalence of viral hepatitis B and C in pre-surgical patients.
Subjects and methods: This cross-sectional study was performed on adult presurgical patients admitted to Basrah General Hospital for elective surgery. Convenience sampling was used to enroll the participants aged 18 years and above. Demographic and medical information were collected. Blood samples were examined by ELISA for HBsAg and HCV antibodies.
Results: Out of 254 pre-operative patients (mean age 45.7±16.8 years), 63% of them were males), and 15 (5.9%) were HBsAg seropositive while 7 (2.8%) were Anti-HCV seropositive. None was concurrently positive for both hepatitis B and C. The overall sero-prevalence of either hepatitis B or C was 8.7%. In multivariate analysis, the significant risk factors for viral hepatitis seropositivity were; history of dental surgical intervention (OR, 12.84; 95% CI, 1.60-24.69; P=0.018), number of blood transfusion (OR, 2.39; 95% CI, 1.07-4.96; P=0.033), and tattooing (OR, 4.59; 95% CI, 1.09-7.33; P=0.037).
Conclusion: The seroprevalence of viral hepatitis B and C in presurgical patients in Basrah was high. Routine screening of presurgical patients is recommended to prevent spread of the disease.
Key words: Basrah, Hepatitis B, Hepatitis C, Pre-surgical, Seroprevalence

Survival of preterm babies beyond the neonatal period

Lamis Aziz Hameed

The Medical Journal of Basrah University, Volume 34, Issue 2, Pages 101-106
DOI: 10.33762/mjbu.2016.117212

Background: Preterm birth is a significant cause of infant deaths particularly during the neonatal period. Study of these births may assist in predicting the survival of those born preterm, and in turn may help in reducing the causes and undesired outcomes.
Objective: This study was designed to explore the chance of survival among babies admitted to intensive care units in Basrah Maternity and Children Hospital.
Method: The study was a follow up study carried out on 440 babies who were born preterm and were admitted for reasons related to their prematurity to neonatal intensive care units in Basrah maternity and children hospital in 2012, of whom 408 were successfully followed up until the end of the neonatal period (birth to 28 days).
Results: Most of the babies were males (58.8%), singleton (93.1%), delivered by normal vaginal delivery (74.01%), moderately preterm (53.4%) and of birth weight range 1500- < 2500 grams(62.5%). Logistic regression analysis to identify independent predictors of survival showed that neonatal outcome (the probability of surviving the neonatal period) was significantly and independently related to birth weight and gestational age. Other variables [sex, type of delivery and type of birth(single, twin and multiple] could not significantly predict survival in the present study.
Conclusions: It is concluded that the problem of neonatal mortality in Basrah is similar to that reported for other developing and neighboring countries. In our study the neonatal mortality rate was 27.94%, mostly in the first 24 hours of life. Two significant predictors could be identified as undesired predictors of survival; namely; low birth weight and shorter gestational age. We highly recommend a larger scale study on issue of neonatal survival. Perhaps improved care of mothers and neonates reduce the risk of both preterm birth and neonatal death.

A study on the predictors of in hospital mortality of patients with acute stroke in Basrah

Talib Kadhim

The Medical Journal of Basrah University, Volume 33, Issue 2, Pages 78-84
DOI: 10.33762/mjbu.2015.108420

Aim: to identify predictors of in hospital mortality after acute stroke and to investigate the impact of statins on stroke mortality within a package of other predictors.
Patient &method: all patients were admitted to Al-Sadr teaching hospital in Basrah from January 2013 to September 2013 with acute stroke. Diagnosis of acute stroke was based on clinical & imaging criteria as documented in patients medical files.
Results: A total of 147 patients (104 males and 43 females) were studied. Common co-morbidity included hypertension which was documented in (68.3%) and diabetes mellitus in (45.8%). Twenty three (16.0%) of stroke patients died while in hospital. Logistic regression analysis indicated significant prediction of mortality by history of old stroke, female gender, use of statins and high diastolic blood pressure at the time of admission.
Conclusions: female gender, recurrent stroke, elevated DBP and use of statins were all predicting in hospital mortality.

The WHO Surgical Safety Checklist-Part two: Feasibility of the Application in an Operating Theater in Basrah

Hind M Kamal; and Mazin H. Al-Hawaz; Omran S. Habib

The Medical Journal of Basrah University, Volume 33, Issue 1, Pages 34-43
DOI: 10.33762/mjbu.2015.103873

Background: This is a prospective two-stage interventional study carried out at one of the main operating theaters in Basrah General Hospital. The study lasted for 6 months (from May to October 2013).
Objectives: The study was designed to assess the adherence of staff in the operating theater to items of services covered by a World Health Organization Surgical Safety Checklist and to measure the effect of active reminding of them about such list. The study is in line with the vision of the Ministry of Health to provide high quality care.
Methods: A structured questionnaire form was prepared for the purpose of the study. It is an adapted list of the first edition of the World Health Organization Surgical Safety Checklist. The study consisted of two phases: Phase One, which involved the observation of procedures, instructions and labeling of patients before, during and after the surgical operation. This phase was completed without informing the involved staff about any specific requirement regarding adherence to safety measures and checklist. A total of 269 surgical operations (patients) were covered in this phase. In phase Two, full group instructions and explanation of the safety check list was made to operative theater staff. The same manner of observation on each patient was done for the rest of this phase and covered 109 surgical operations (patients).
Results: A substantial improvement in the adherence of staff was observed following the active intervention by the researchers to remind all parties of the importance of the World Health Organization Surgical Safety Checklist.
Conclusions: it is feasible to use Surgical Safety Checklist and its use must be continuously monitored to make the best of its application.

Cancer Mortality in Basrah: A household Survey Results

Riyadh AA Al-Hilfi; Omran S. Habib

The Medical Journal of Basrah University, Volume 33, Issue 1, Pages 10-16
DOI: 10.33762/mjbu.2015.103869

Background: This paper presents some data on cancer related mortality in Basrah governorate during the period 2010-2012 as part of a comprehensive household survey carried out during 2013 to document the extent of cancer and validate the official cancer registration.
Objective: The main objective is to present data on cancer mortality in Basrah governorate
Method: The study involved visiting 6999 households (families) who were interviewed on, among other aspects, incident cancer and mortality due to cancer during the three-year recall period.
Results: A total of 6999 households (families) with 40688 inhabitants were successfully visited and data were collected and analyzed about their cancer experience. Eighty three persons died with cancer during 2010-2012 giving an average annual cancer specific mortality rate of 68.0 per 100000 persons. The mortality rate was higher for females (71.49 per 100000 females) as compared to males (64.61 per 100000 males) and was increasing with advancing age. The leading causes of mortality were cancers of the lung, breast, urinary bladder and colon-rectum. These four cancers accounted for almost half the deaths (49.4%) or 33.6 per 100000 of the population. Within the overall pattern of mortality in the population, cancer came in the 2nd rank after cardiovascular disease.
Conclusion: Cancer is an important contributor to mortality in Basrah governorate. The current level of mortality is higher than any previously reported figures.

Reproductive Health/Family Planning in Basrah: Evaluation of the knowledge, utilization & satisfaction of the service users.

and Rajaa A. Mahmoud; Narjis A-H Ajeel

The Medical Journal of Basrah University, Volume 33, Issue 1, Pages 51-61
DOI: 10.33762/mjbu.2015.103876

Background: Reproductive Health and Family planning is critical for the women’s health and their families, and according to the World Health Organization, the right of having reproductive health services including family planning is identified as one of the targets of the United Nations Millennium Development Goals (MDGs)
Objectives: This study aimed to explore the utilization of reproductive health services, together with having opinions and satisfaction of the target group regarding these services.
Subjects and method: A client satisfaction and knowledge assessment questionnaire was used through health facility exit face to face with a total of 265 women at governmental health facilities in Basrah
Results: The study showed that only 27% of the interviewed respondents were completely satisfied with the service they received and among those who were not satisfied, crowding of the health facility was the main cause of non satisfaction. 34% of the respondents were found to have an unmet need for a reproductive health service at the public health facility level. The study also showed that 16% of the respondents found to be using a contraceptive method of which 51% were from the private source.
Conclusion: The study showed that the majority of the women aged (15-49) years living in Basrah were not aware of the availability of specific reproductive health services including breast and cervical cancer detection, postnatal care (PNC), Sexually Transmitted Infections (STDs), Acquired Immune Deficiency Syndrome (AIDS), infertility management, gender based violence and youth health services..

Gastrointestinal tract cancer in Basrah: time, place and histopathological characteristics

Seenaa S. Meziad; Sarkis K. Strak; Omran S. Habib

The Medical Journal of Basrah University, Volume 32, Issue 2, Pages 55-62
DOI: 10.33762/mjbu.2014.103860

Background: This is a cancer registry- based study carried out in Basrah to analyze the pattern of gastrointestinal tract malignant diseases over a period of seven years (2005-2011 inclusive). The study is in line with the work of Basrah Cancer Research Group to quantify cancer in Basrah governorate.
Objectives: To describe the time trend, spatial distribution and histopathological types of gastrointestinal tract cancers in Basrah governorate over the years 2005-2011.
Methods: The data used in the study were based on all new malignant cases which were diagnosed, treated and registered in Basrah cancer registration units. A total of 1601 new cases could be identified. Of these 1123 cases were from the inhabitants of Basrah governorate. The rest were from other Iraqi governorates.
Results: Analysis of cases from Basrah indicated an overall annual incidence rate of gastrointestinal malignant diseases of 6.87 per 100000 population with very little variation with the passage of time from 2005 to 2011. Great variation in the district specific incidence rates was found with Basrah city centre and Shatt Al-Arab districts having the highest incidence rates (8.28 and 8.62 per 100000 population. Other districts have lower incidence rates: north of Basrah (5.59), West of Basrah (4.24) and south of Basrah (4.53). Histopathologically, four types represented 94.2% of total registered cases. Adenocarcinoma was the commonest cancer representing 71.8% followed by Squamous cell carcinoma (12.8%), Non-Hodgkins lymphoma (7.6%) and undifferentiated carcinoma (3.0%).
Conclusions: Gastrointestinal tract cancer represented one of the major cancer groups in Basrah and deserves more care regarding prevention, early detection and treatment and research.
Key words: Cancer, Basrah, Incidence, Time trend, place distribution

The use of the who surgical safety checklist-part one: the state of the art in an ‎operating theater in Basrah ‎

Omran S Habib; Al-Hawaz; Hind M Kamal; Mazin Hawaz

The Medical Journal of Basrah University, Volume 32, Issue 1, Pages 8-14
DOI: 10.33762/mjbu.2014.94416

Background: This is a prospective study carried out at one of the main operating theaters in Basrah general hospital. ‎The study lasted for 6 months (from May to October 2013). ‎
Objectives: The aim was to assess the adherence of staff in the operating theater to items of services covered by a World ‎Health Organization Checklist. The study is in line with the vision of the Ministry of Health to provide high quality care.‎
Method: A structured questionnaire form was prepared for the purpose of the study. It was based on the World Health ‎Organization checklist; first edition. Observation of all procedures, instructions and labeling of patients before, during ‎and after the surgical operation was made. A total of 378 surgical operations (patients) were covered in the study
Results: The degree of adherence to the various items of the checklist (28 items) varied greatly. Items with high ‎adherence rate (>‎‏ ‏‎90%) were those related to documentation of age, gender, informed consent, shortness of breath and ‎patient recovery checking. Items with fair documentation (70-90%) were those related to next of kin, mobile phone ‎number, history of chronic disease, time of last meal, allergy to anaesthesia, post-operative checking of certain ‎equipment, preparation of blood and prophylactic antibiotics and biopsy handling. All other items were of poor ‎adherence. ‎
Conclusions: The adherence to the requirements of the surgical safety check list was fair but further improvement in ‎its use is required to enhance quality of care.‎