eng
University of Basrah
The Medical Journal of Basrah University
0253-0759
2413-4414
2020-12-15
38
2
1
7
10.33762/mjbu.2020.129154.1056
167348
افتتاحیة
Misjudgement and Misuse of the Learning Objectives
سوء تقدیر واستعمال أهداف التعلُّم
Ghanim Alsheikh
alsheikhg@gmail.com
1
WHO Collaborating Centre for Public Health Education and Training, Imperial College London, UK.
In medical education, the curriculum passes through at least four stages between vision and learning of students namely: “intended” to “planned” to “implemented” to the “learned” curriculum. The most important safeguard for keeping these formats compatible is the quality of the aims and objectives. This editorial describes the hierarchy of the educational objectives, their importance, types, sources, and qualities and best ways to formulate effective learning objectives that link learning and outcomes to the vision and consequent aims. Also, the article highlights the common misjudgements and misuses of the learning objectives which may produce different and certainly poorer outcomes than those planned for.
یعتبر تحقیق الهدف المخطط لأی منهج دراسی الغایة الأساسیة من التعلیم الطبی ومن السهل تحدید رسالة کلیات الطب لتحقیق الرؤیة التی تسعى الوصول الیها على المدى البعید. ومن البدیهی والأهمیة أن یدرک کل العاملین فی الکلیة وطلابها ویؤمنون بهذه الرؤیة والرسالة والعمل على تحقیقها ویرتبط ذلک النجاح بتوفر عنصر هام وحاسم وهو وجود أهداف التدریس والتعلّم فی البرنامج ومدى عکسها وتناغمها مع الرؤیة والرسالة لتمکین کل من الأساتذة والطلبة فی تحقیق هذا الدافع. ومن المعروف الآن أن أی منهج یمر بصیغ أربعة بین الرؤیة وإنجاز عملیة تعلّم الطالب وهی صیغته المقصودة والمخطط لها ومن ثم الصیغة المطبقة الى الصیغة التی تعلّمها فعلاً الطالب ولا یوجد أی رابط بین النماذج الأربعة أفضل من الأهداف التعلیمیة التی تبدأ بالرؤیة وتنتهی بتعلّم وتخرج الطالب. یصف هذا المقال أهمیة الأهداف التعلیمیة ومصادرها وأجزائها وکیفیة کتابتها وکیفیة تجنب حالات وقوع المخطط بأخطاء تؤدی الى سوء تقدیر الأهداف وسوء استعمالها مما یؤدی الى جعل مخرجات البرنامج التعلیمی تختلف عما قصدها المخطط.
https://mjbu.uobasrah.edu.iq/article_167348_57b33969e235401fe03ba8444beef859.pdf
Learning Objectives,,
,،,؛Curriculum,,
,،,؛Misadjustment
اهداف التعلم
المنهاج
سوء الاستخدام
eng
University of Basrah
The Medical Journal of Basrah University
0253-0759
2413-4414
2020-12-15
38
2
8
14
10.33762/mjbu.2020.127936.1030
167349
بحث
Association between apolipoprotein E polymorphism and lipid profile in patients of myocardial infarction
صمیم البروتین الشحمی E تعدد الأشکال والمظهر الدهنی فی مرضى احتشاء عضلة القلب
PRAMOD KAMBLE
pramodkolhapur2012@yahoo.in
1
Department of Biochemistry, Medicine, Zydus Medical College, Dahod (India)
ABSTRACT: Objective: To determine the effect of apo E polymorphism on lipid profile in patients of myocardial infarction as well as normal healthy controls. Subjects and Method: Total 100 acute myocardial infarction patients with age and gender matched controls, within age ranging from 25 to 80 years were included. Lipid profile levels of MI patients and controls were estimated by standard methods. DNA’s were extracted by salting out method and Genotypes for Apo-E were determined by Multiplex Amplification Refractory Mutation System PCR. Results: The total cholesterol, LDL cholesterol, TC/HDL-C ratio, LDL-C/HDL-C ratio level was significantly increased (p<0.01) in E4E4 allele than E3E3 allele. Analysis of variants has significant difference (p<0.01) observed in total cholesterol and LDL cholesterol levels in all apo E alleles of MI patients. Conclusion: Our results suggestive that the risk of myocardial infarction associated with apo E4E4 alleles which are major risk factor for developing the coronary artery disease.
https://mjbu.uobasrah.edu.iq/article_167349_347a786809655bf1025043a9861fb055.pdf
Key words: Myocardial Infarction,,
,،,؛Apolipoprotein E,,
,،,؛Coronary Artery Disease
eng
University of Basrah
The Medical Journal of Basrah University
0253-0759
2413-4414
2020-12-15
38
2
15
24
10.33762/mjbu.2020.128305.1036
167350
بحث
The Pandemic of COVID-19 in Eastern Mediterranean Region: Selected Outcome Parameters
جائحة کوفید-19 فی دول اقلیم شرق المتوسط: معاییر مخرجات مختارة
Omran Habib
omran49_basmed@yahoo.com
1
Dhurgham Abdul-Wahid
alajwady2009@yahoo.com
2
Nabil Khudair
nabeelsalim21@yahoo.com
3
Nihad Mohammed
nihadqasim07@gmail.com
4
Riyadh Al-Hilfi
riyadalhilfi@gmail.com
5
University of Basrah
Iraqi Association for Medical Research and Studies/ Specialist Pediatrician
Department of Public Health/Basrah
Community physician, Directorate General for Health
Directorate General of Public Health, Ministry of Health, Baghdad
Background: Despite the passage of eight months since the start of COVID-19 pandemic, it still represents a major public health problem at global, regional and national levels. Objective: To present comparative outcome indicators and time trends for the pandemic among countries in the Eastern Mediterranean Region and to discuss possible determinants behind such trends. Methods: We used data on all newly reported cases of COVID-19 infection from the start of the pandemic in each EMR country till the middle of August, 2020. Two sources of data were used: the World Health Organization Website (Corona World meters) and a private website reporting cases world countries. Numbers were directly abstracted from these sources and Excel programme functions were used to make graphic presentations. Results: As on August 5,2020 countries of the Eastern Mediterranean Region varied substantially in scale of the incidence rate per million population (from highest of 38939.1 in Qatar to lowest of 54.2 in Syria), the case fatality (closed case fatality ratio) ranged from Lowest of 0.2% in Qatar to the highest of 37.0% in Yemen. Cause-specific mortality rate ranged from 1.1 to 212.5 per million population in Jordan and Iran respectively. Testing policy was the main determinants of reported cases. None of the countries has reached a stage of clear exit based on scientific evidence despite the decline in the scale of cases in most countries. Conclusion: Most of The countries are experiencing a pattern of accelerated pandemic and are heading towards declining trend.
خلفیة: رغم مرور ما یقارب الثمانیة أشهر ما زالت جائحة کوفید-19 تشکل مشکلة صحیة کبرى على المستوى العالمی والاقلیمی والوطنی. الهدف: لتقدیم عرض مقارن للنمط الزمانی والمخرجات الوبائیة فی دول اقلیم شرق المتوسط وتحدید بعض محددات هذا النمط. الطرائق: استخدمت البیانات المتاحة عن الجائحة لغایة منتصف اب 2020، وقد اعتمد مصدران اساسیان للبیانات هما موقع بمنظمة الصحة الدولیة واخر خاص وفی کلیهما تدون بیانات لجمیع الدول تقریبا. دونت البیانات من الموقعین مباشرة بمتابعة یومیة منذ بدء الجائحة وتم الاستفادة من برنامج اکسل لخزن البیانات وتهیئة الجداول والاشکال. النتائج: أظهرت النتائج تباینا کبیرا فی المعاییر الوبائییة للجائحة بین دول أقلیم شرق المتوسط فی نسب الاصابة ونسب الهلاک ونسبة الوفیات قیاسا للسکان. وکان المحدد الرئیسی للاصابات فی هذه الدول هو عدد الفحوصات التی تجریها کل دولة وبالرغم من تباطؤ المنحنى الوبائی لمعظم الدول الا ان السیطرة الکاملة على الجائحة ما زالت بعیدة، بل ان عدد من دول الأقلیم ما زالت تشهدا تصاعدا فی الوباء. الاستنتاج: معظم دول الاقلیم ما تزال تشهد نسبا عالیة فی الاصابات وبعضها یعانی من تصاعد فی الاعداد الیومیة وهناک الکثیر قد شهد انحدارا فی النمط الزمانی الا ان الجمیع لم یشهد بعد السیطرة الکاملة على الجائحة. کلمات مفتاحیة: کوفید-19، سارس-کوف-2، جائحة، نمط زمانی, وفیات کوفید-19
https://mjbu.uobasrah.edu.iq/article_167350_fc9b4ff938de0b551bb3f231cd7da5cf.pdf
COVID-19,,
,،,؛SARS-CoV-2,,
,،,؛Pandemic,,
,،,؛Time trend. COVID-19 mortality
کوفید-19,,
,،,؛سارس-کوف-2,,
,،,؛جائحة,,
,،,؛نمط زمانی,,
,،,؛وفیات کوفید-19
eng
University of Basrah
The Medical Journal of Basrah University
0253-0759
2413-4414
2020-12-15
38
2
25
36
10.33762/mjbu.2020.128230.1033
167351
بحث
The Epidemiological Pattern of COVID-19 Epidemic, During the Initial Phase in Thi-Qar Governorate, Iraq: A Case Series Study
النمط الوبائی لمرض کوفید-19 فی المرحلة الاولى للوباء فی محافظة ذی قار : دراسة سلسلة حالات
Muslim Musa
muslim1983@stu.edu.iq
1
Community Health Departement, AL-Nasiriyah Technical Institute, Southern Technical University
Background/ Aims: Understanding the epidemiological features and transmission dynamic during the initial phase of the COVID-19 epidemic provide valuable information for control and mitigation of the outbreak. Thus, this study focused on a cohort who represent early cases in Thi-Qar governorate for describing the early epidemiological features during the initial phase of the COVID-19 outbreak. Subject & Methods: This case series study was conducted in AL-Hussien Teaching Hospital, Thi-Qar governorate, from 27, February to 8, May 2020. Patient's data were obtained from official records of the Public Health Department of ThiQar Health Directory. A descriptive and analytical statistic were used by the aid of SPSS, also household secondary attack rate was estimated. Results: The median age was 37 years (IQR:31,20-51), females were 57.2% and males were 42.8%. According to age groups, as a higher infection rate (30.61% %) was found in the age group (14-26), while only (4%) found old age groups(66-78,79-91). Only six patients(12.25%) had comorbidities. Clinically, majority(79.6%) of cases were mild and (18.4%) moderate while only (4%) were severe. The age and comorbidities had an effect on the severity of symptoms. Family transmission(80.43%) was the predominant dynamic of disease transmission. Three index cases in this cohort fulfill the criteria of super-spreader as collectively transmitted the disease to 79.6% individuals, the household secondary attack rates were 22%, 24%, and 17% respectively. Conclusion: Family transmission was the predominant dynamic of transmission which was the result of the presence of a super-spreader event in the early infected patients in the governorate.
الخلفیة و الاهداف : ان فهم الملامح الوبائیة و دینامیکیة الانتشار الکوفید-19 خلال مراحل انتشاره الاولى یوفر معلومات قیمة تفید فی السیطرة و الحد من الانتشار.لهذا رکزت هذه الدراسة على مجموعة من المرضى اللذین یمثلون اول 49 حالة مشخصة فی محافظة ذی قار طرائق البحث: اجریت هذه الدراسة سلسة الحالات فی مستشفى الحسین التعلیمی فی محافظة ذی قار. جمعت بیانات المرضى من السجلات الرسمیة لقسم صحة العامة- دائرة صحة ذی قار .استخدم الاحصاء الوصفی بواسطة SPSS و تم حساب معدل الهجوم المرض. النتائج: ان وسیط الاعمار 37 (النطاق بین الربعین الأول والثالث: 31 ، 20-51) ، شکلت الاناث 57.2% و الذکور 42.8%. سجلت الفئة العمریة14-26 سنة اعلى معدل للإصابات بینما سجلت الفئات العمریة الکبیرة (66-78 سنة و 78-91 سنة) اقل نسبة اصابة (4%). وکان عدد المرضى اللذین لدیهم امراض مصاحبة هو (12.25%)., صنفت اغلب الاصابات على انها طفیفة (79.6%) و شکلت الاصابات المتوسطة (18.4%) بینما کانت الاصابات الحادة فقط (4%). وجد ان الاعمار و وجود الامراض المصاحبة یؤثر على حدة العلامات المرضیة. و توصلت هذه الدراسة ان دینامیکیة انتشار سببها الانتشار بین العوائل , حیث وجد فی مجموعة الدراسة وجود 3 مرضى یمکن وصفهم ناقل العدوى الفائق حیث بلغ اجمالی الحالات المصابة من 39 (79.6%) و بلغ معدل الهجوم الثانوی لعوائل هؤلاء المرض (22% و 24%و 17%). الاستنتاجات: انتشار الوباء فی مراحلة الاولى کان بین العوائل بشکل اساسی و الذی کان سبهه وجود ناقلین العدوى الخارقین ضمن اوائل المصابین فی المحافظة.
https://mjbu.uobasrah.edu.iq/article_167351_1781292262f7727c5ecb470690de329a.pdf
COVID19,,
,،,؛Epidemiology,,
,،,؛Iraq,,
,،,؛Initial phase
کوفید-19,,
,،,؛وبائیة,,
,،,؛الطور الاولى,,
,،,؛العراق
eng
University of Basrah
The Medical Journal of Basrah University
0253-0759
2413-4414
2020-12-15
38
2
37
45
10.33762/mjbu.2020.128481.1038
167352
بحث
Incidence and predictors of acute kidney injury among hospitalized patients with COVID-19 infection
حالات الإصابة والتنبؤ بإصابة الکلى الحادة بین المرضى فی المستشفى المصابین بعدوى COVID-19
Hayder Aledan
hayder.aledan@uobasrah.edu.iq
1
Shawqi Azeez
shawqiazeez@gmail.com
2
Abdali Shannan
abdali197511@gmail.com
3
Ammar Husaini
ammar.husaini@yahoo.com
4
Muqtader Abdulhussein
ahmedalbdeer@gmail.com
5
Medicine, College of Medicine, University of Basrah
Anasthesia and Intensive Care Unit
Internist
Internist
Resident
Abstract Background and objectives: Acute kidney injury (AKI) may occur in the setting of COVID-19 infection and associated with worse outcome. We aimed to estimate the incidence of AKI among hospitalized patients with COVID-19 infection. Methods: We conducted an observational cohort study on 339 hospitalized patients with COVID-19 infection at Basra teaching hospital for two months. We studied the rate of AKI, requirement for renal replacement therapy (RRT) and in-hospital mortality. Results: Among 339 hospitalized patients, AKI was reported in 54 (16%). The peak stages of AKI were stage 1 in 42.6%, stage 2 in 22.2% and stage 3 in 35.2%. AKI was primarily seen in patients with shock on vasopressors in 64.8% and in patients on mechanical ventilation in 25.9%. Increased age, obesity, hypertension, vasopressors and mechanical ventilation were independent risk factors for development of AKI. Among the 54 patients with AKI, 20 patients (37%) required renal replacement therapy (RRT). Sixteen out of 20 patients (80%) of those who required RRT died and only 5 out of 34 patients (15%) of those not required RRT died with a totally mortality in AKI patients of 21 patients (39%). Conclusions: AKI occurs in patients with COVID-19 disease especially in ICU in association with vasopressors use and mechanical ventilation and is associated with poor prognosis.
https://mjbu.uobasrah.edu.iq/article_167352_ae9bac7142a38bd9e4b08a7e26aa3715.pdf
Covid_19
acute kidney injury
intensive care unit
Mechanical ventilation
vasopressors
eng
University of Basrah
The Medical Journal of Basrah University
0253-0759
2413-4414
2020-12-16
38
2
46
54
10.33762/mjbu.2020.128833.1044
167353
بحث
Incidence and Characterization of Skin Lesions Among Hospitalized Patients with COVID-19 infection: An Observational Cohort Study from Iraq
حدوث وتوصیف الآفات الجلدیة بین المرضى فی المستشفى المصابین بعدوى COVID-19: دراسة جماعیة قائمة على الملاحظة من العراق
Zahraa Jasim
zahraa.jassim@uobasrah.edu.iq
1
Khalili Al Hamdi
khalil_hamdi2003@yahoo.com
2
Samer Dhaher
sameralamir1964@gmail.com
3
Zainab Hadi
basmaahmed290@gmail.com
4
Hayder Aledan
hayder.aledan@uobasrah.edu.iq
5
Muhammed Ahmed
m.dhiaa85@gmail.com
6
Ziyad Tariq
ziyad1985t@gmail.com
7
Medicine, University of Basrah, College of Medicine
University of Basrah
Dermatology, University of Basrah
Medicine, Basra Teaching Hospital
Medicine, College of Medicine, University of Basrah
Medicine, Basrah Teaching Hospital
Medicine, Basrah Teaching Hospital
Abstract Background and objectives: A wide arrays of skin lesions occurred in the setting of COVID-19 infection. We aimed to estimate the incidence and types of skin lesions among hospitalized patients with COVID-19 infection. Methods: We conducted an observational cohort study on 369 hospitalized patients with COVID-19 infection at Basra Teaching Hospital for 3 months. We studied the incidence and types of skin lesions. Results: Among 369 hospitalized patients, skin lesions were developed in 5%. Of those who developed skin lesions, 33% were asymptomatic. Patients who developed skin lesions were younger (mean age of 40 ± 19.6 SD) and female (83.3%). The most frequent type of skin lesion was maculopapular 44.3% which occurred exclusively in the medical ward and half of them in asymptomatic patients. For pustular lesions, all were female, diabetic, in the ICU, in symptomatic patients with the highest levels of serum C-reactive proteins. Pseudo-chilblain lesions were reported only in younger female and half of patients were asymptomatic. Urticarial lesions were reported in the younger patients, two-thirds were symptomatic and in the ICU. Purpuric lesions were reported in the older patient who developed acute kidney injury. Extremities were the most common distribution of skin lesions in 38.8%. The mean latency period for development of skin lesions was 8.6 ± 9.1, the shortest for urticarial lesions and the longest for purpuric lesions. Conclusions: Different types of skin lesions were reported in patients with COVID-19 and may be the sole manifestations of the disease.
https://mjbu.uobasrah.edu.iq/article_167353_6bdb6b809386eaf750e85ee4a48d174b.pdf
COVID-19,,
,،,؛Skin lesions,,
,،,؛Pseudo-chilblain
eng
University of Basrah
The Medical Journal of Basrah University
0253-0759
2413-4414
2020-12-15
38
2
55
64
10.33762/mjbu.2020.127206.1026
167354
بحث
Role of Vitamin D in Female Pattern Hair Loss Among Iraqi Women: A Case- Control Study
دور فیتامین دی عند النساء العراقیات اللاتی یعانین من تساقط الشعر النمطی: دراسة مقارنة
Samer Dhaher
sameralamir2@yahoo.com
1
Mehad H Alwan
2
University of Basrah College of Medicine
Basrah Health Directorate
Background: Low serum level of Vitamin D may have a potential role in the pathogenesis of female pattern hair loss (FPHL). Aims: to evaluate serum vitamin D level in Iraqi women with female pattern hair loss and compare it with normal healthy control. Settings and Design: A prospective, case–control study was carried out on 190 women: 95 patients with FPHL aged ≥15 years and 95 healthy age-matched control. Methods and Material: The diagnosis and severity of FPHL were based on clinical examination and using Ludwig classification. All participants were investigated for vitamin D level, alkaline phosphatase, and others. Data were collected and statistically analyzed. Results: The mean± SD level for vitamin D was significantly lower in FPHL group than control (13.8±2.6 ng/mL vs 37.6±4.7ng/mL, p<0.001). Eighty two patients (86.1%) of FPHL group and 35 (36.9%) of control group had low vitamin D level (p<0.001). Alkaline phosphatase level was significantly elevated in 77of FPHL compared to control group((81% versus 19%, p <0.001). Low vitamin D level was significantly correlated with duration of hair loss , alkaline phosphatase elevation and bone pain. Conclusions: Women with low serum vitamin D level, would have a high potential for development of FPHL suggesting that vitamin D may have a possible role in the etiopathogenesis of this pattern of hair loss..
لخلفیة: انخفاض مستوى فیتامین د فی المصل قد یکون له دور محتمل فی التسبب فی تساقط الشعر النمطی لدى الإناث (FPHL). الأهداف: تقییم مستوى فیتامین د فی المصل لدى النساء العراقیات المصابات بنقص الشعرالنمطی عند الإناث ومقارنته بالنساء الطبیعیات کمجموعة ضبط الإعدادات والتصمیم: تم إجراء دراسة مستقبلیة للتحکم فی الحالات على 190 امرأة: 95 مریضًا یعانون من FPHL تتراوح أعمارهم بین 15 عامًا و 95 امرأة متطابقًا مع العمر. الأسالیب والمواد: اعتمد تشخیص وشدة FPHL على الفحص السریری واستخدام تصنیف لودفیج. تم استقصاء جمیع المشارکین عن مستوى فیتامین د ، انزیم الفوسفاتیز القلوی ، وغیرهم. تم جمع البیانات وتحلیلها إحصائیا. النتائج: کان متوسط مستوى SD ± لفیتامین د أقل بکثیر فی مجموعة FPHL من المجموعة الضابطة (13.8 ± 2.6 نانوغرام / مل مقابل 37.6 ± 4.7ng / مل ، p <0.001). اثنان وثمانون مریضًا (86.1٪) من مجموعة FPHL و 35 (36.9٪) من المجموعة الضابطة لدیهم مستوى منخفض من فیتامین د (ع <0.001). ارتفع مستوى الفوسفاتیز القلوی بشکل ملحوظ فی 77of FPHL مقارنة بالمجموعة الضابطة ((81٪ مقابل 19٪ ، p <0.001). ارتبط انخفاض مستوى فیتامین د بشکل ملحوظ بمدة تساقط الشعر ، ارتفاع الفوسفاتیز القلوی وآلام العظام. الاستنتاجات: المرأة ذات المستوى المنخفض من فیتامین د فی المصل ، لدیها إمکانات عالیة لتطویر FPHL مما یشیر إلى أن فیتامین د قد یکون له دور محتمل فی التسبب فی هذا النمط من تساقط الشعر .
https://mjbu.uobasrah.edu.iq/article_167354_57fd2a5a913f79548efe067e0828a66d.pdf
Vitamin D,,
,،,؛Female,,
,،,؛Pattern,,
,،,؛Hair,,
,،,؛Loss
فیتامین د,,
,،,؛أناث,,
,،,؛نمطی,,
,،,؛الشعر,,
,،,؛تساقط
eng
University of Basrah
The Medical Journal of Basrah University
0253-0759
2413-4414
2020-12-15
38
2
65
74
10.33762/mjbu.2020.126823.1007
167355
بحث
Glycemic Control in a Cohort of children with type1 Diabetes Mellitus in Sulaimanyah City
السیطرة على نسبة السکر فی الدم لمجموعة من الأطفال المصابین بداء السکری من النوع الأول فی مدینة السلیمانیة
Tara Tayeb
tarahus73@yahoo.com
1
pediatric department, Collage of Medicine Sulaimanyah University
Background / Aims; Diabetic control is generally measured by HbA1C, the recent American Diabetic Association (ADA) guideline has put a target of <7.5%. The aim of this study is to assess the diabetic control in the study sample, based on their HbA1c, and to analyze the factors that may affect diabetic control. Patients and Methods; This is a prospective questionnaire based cross sectional study. Parents/ patients or both filled in the questionnaire, which included demographic characteristics, parents’ educational level, insulin regimen and delivering device, duration of diabetes, number of injections, blood sugar monitoring/day, and hospital admissions related to diabetes, and the last the HbA1c. Statistical analysis was done by SPSS version 24; ANOVA was used to asses correlation of HbA1c with different parameters, Chi-square tests were used to compare the categorical data between different groups of patients. Results; A total of 163 patients were included in the study, 47.9% males and 51.2% females. The mean HbA1c was 10.3 3 ± 2.7. A total of 49 % of patients had a HbA1c ≥10, and 11% had a HbA1c of < 7.5. The HbA1c increased with age (p<0.001), and decreased with higher levels of mother’s education (p=0.03), and more blood sugar monitoring (p=0.003). Gender, residency, duration of diabetes, insulin regimen, number of injections /days, and hospital admissions had no significant affect. Conclusion; Enhancing parent’s education and emphasizing on monitoring of the blood sugar, through reinforcing the role of diabetic educators, has a major impact on diabetic control
https://mjbu.uobasrah.edu.iq/article_167355_053fe2beab826279abda8afca037486a.pdf
type 1 Diabetes mellitus,,
,،,؛HbA1c,,
,،,؛diabetic control
eng
University of Basrah
The Medical Journal of Basrah University
0253-0759
2413-4414
2020-12-15
38
2
75
84
10.33762/mjbu.2020.127475.1022
167359
بحث
Early Mortality Risk in Patients with Multiple Myeloma
مخاطر الوفیات المبکرة فی المرضى الذین یعانون من المایلوما المتعددة
Diveen Hussein
diveen.jelal@gmail.com
1
Diveen Hussein
dieen.jelal@gmail.com
2
Hawler Medical University
Hawler Medical University
Abstract: BACKGROUND: Advances in treatment has improved greatly survival of multiple myeloma in the last two decades, and this improvement has been endorsed by wider use of novel drugs and tandem autologous stem cell transplantation. However, still there were cases died earlier post diagnosis OBJECTIVES: To study the risk factors of early mortality in patients with multiple myeloma In Kurdistan region of Iraq PATIENTS AND METHODS: A 176 cases that were diagnosed with symptomatic multiple myeloma between (January 2012 – July 2019) in cancer centers in Kurdistan region of Iraq. A total of 152 were continued within the study through their recorded sheet. Their data were analysed to determine what are the main risk factors that have an impact on early mortality among our myeloma patients. RESULTS: Among the total of 152 studied patients nine of them (5.9%) died early. The highest proportion (32.2%) of the sample aged 60-69 years, more than half (57.2%) of the them were male. The majority of the patients (80.9%) have been diagnosed during 2016-2019. The incidence of early death was 8.7% among patients who didn’t take the cytotoxic treatment compared with 1.7% of patients who took that treatment, but the difference was not significant (p = 0.089). The early death rate was significantly high (22.2%) among patients who didn’t take the immunomodulatory drugs, versus 2.4% of patients who took the immunomodulatory drugs (p = 0.001). The incidence of early mortality was 9.6% among patients with lactate dehydrogenase of ≥ 250 U/L compared with 0%
https://mjbu.uobasrah.edu.iq/article_167359_1c3b42d7d1f35419b8725f3ba23eea60.pdf
Multiple myeloma,,
,،,؛kurdistan region of iraq,,
,،,؛Erbil
eng
University of Basrah
The Medical Journal of Basrah University
0253-0759
2413-4414
2020-12-15
38
2
85
98
10.33762/mjbu.2020.127147.1018
167358
بحث
The anti ulcer effect of omeprazole is modified by Nigella sativa (Black Cumin) in ethanol induced gastric ulceration in rabbits
تخفیف فعل الاومیبرازول المانع لقرحة المعدة بواسطة الحبة السوداء (الکمون الأسود) فی القرحة المعدیة المحدثة بالإیثانول فی الارانب
Jawad Ahmed
jawadahmed_basmed@yahoo.com
1
Ali Al-Rawaq
ali.alrawaq@gmail.com
2
Department of Pharmacology, College of Medicine, University of Basrah, Iraq
Department of Pharmacy, College of Pharmacy, University of Basrah, Iraq
Background: An interaction has been reported between Nigella Sativa (NS) and ranitidine (RAN) on gastric ulceration induced by ethanol in rabbits; the combination NS and RAN caused disappearance of anti-ulcer effect of NS or RAN. Objective: to investigate interaction of NS with a proton pump inhibitor omeprazole (OMP) on ethanol induced gastric ulceration in rabbits. Methods: 24 mature rabbits were divided into 4 groups. The animals were fasted for 48 hours then treated as follow: group 1, 2, 3 and 4 were treated respectively with normal saline (oral), NS oil (10ml/kg) orally, OMP (20mg/kg) IP, and NS+ OMP. One hour later, animals were given absolute ethanol orally; and sacrificed 3 hours later for estimation of Ulcer index (UI), gastric pH, malondialdehyde (MDA), glutathione (GSH), histamine (HIS) levels in serum and gastric tissue. Results: Ethanol induced gastric ulceration in all animals with an UI of 10 ± 0.11 mm2. This effect was paralleled with reduction in gastric pH, increased MDA and HIS and reduction in GSH. UI was reduced to 5.13 ± 0.68 mm2 in NS group, P value = 0.07 and to around zero in OMP group. NS or OMP treatment resulted in reduction in serum and tissue MDA and HIS levels and increased in GSH and gastric pH levels. In NS + OMP treated group, UI became higher than OMP group with MDA and HIS tended to rise and GSH and gastric pH declined. Conclusion: NS + OMP diminished the gastro-protective effect of either NS or OMP.
خلفیة الدراسة: اظهرت إحدى الدراسات تداخلاً بین الحبة السوداء والرانتدین على تقرح المعدة الناجم عن الایثانول فی الارانب وکانت نتیجة تلک الدراسة اختفاء فعل الرانتدین المانع للقرحة المعدیة عند اعطائه مع الحبة السوداء. الهدف: لتقصی تأثیر تداخل الحبة السوداء مع الاومبرازول على القرحة المعدیة الناجمة عن الایثانول فی الأرانب. طرائق العمل: تم تقسیم 24 ارنباً الى أربع مجموعات حیث منعت الحیوانات عن الطعام لمدة 48 ساعة ثم عولجت المجموعات 4،3،2،1 على التوالی باستعمال المحلول الملحی العادی (عن طریق الفم) وزیت الحبة السوداء (10 مل/کغم عن طریق الفم ) والاومبرازول (20 ملغم/کغم) عن طریق الحقن البریتونی والاومبرازول وزیت الحبة السوداء معا". وبعد ساعة واحدة أعطیت الحیوانات الایثانول المطلق عن طریق الفم وتم التضحیة بالحیوانات بعد 3 ساعات لقیاس مؤشر القرحة، ودرجة حموضة المعدة، والمالوندایلدیهاید، والکلوتاثیون والهستامین فی مصل الدم وأنسجة المعدة. النتائج: ظهرت تقرحات المعدة فی جمیع الحیوانات التی اعطیت الایثانول وبمعدل مؤشر للقرحة یساوی 10 ± 0.11 ملم2 وتزامن هذا التاثیر مع انخفاض درجة حموضة المعدة وزیادة مستویات المالوندایلدیهاید والهستامین وانخفاض فی مستوى الکلوتاثیون. وقد انخفض موشر القرحة الى 5,13 ± 0.68 ملم2 فی المجموعة التی عولجت بالحبة السوداء (قیمة الاحتمال = 0.07)، والى درجة صفر فی المجموعة التی عولجت بالاومبرازول. کما أدت المعالجة بالحبة السوداء او بالاومبرازول الى انخفاض مستویات مالوندایلدیهاید والهستامین وزیادة فی الکلوتاثیون فی مصل الدم وفی الانسجة وارتفاع فی درجة حموضة المعدة. أما المجموعة التی عولجت بالاومبرازول وزیت الحبة السوداء معاً، فقد ارتفع مؤشر القرحة بدرجة أعلى مما أحدثه الاومبرازول بمفرده مع ارتفاع فی مستویات مالوندایلدیهاید والهستامین وانخفاض فی مستوى الکلوتاثیون ودرجة حموضة المعدة. الاستنتاج: إن إعطاء زیت الحبة السوداء والاومبرازول معا" أدى الى خفض الفعل المانع للقرحة الناتج عن المعالجة بالاومبرازول أو زیت الحبة السوداء کلّ على حدة.
https://mjbu.uobasrah.edu.iq/article_167358_a30f9f545b7052a0452c02865d4caf9a.pdf
Nigella sativa
omeprazole
herb-drug interaction
Gastric ulcer
Antioxidant
الحبة السوداء,,
,،,؛اومیبرازول,,
,،,؛تداخل دوائی عشبی,,
,،,؛قرحة المعدة,,
,،,؛مضاد للاکسدة
eng
University of Basrah
The Medical Journal of Basrah University
0253-0759
2413-4414
2020-12-15
38
2
99
103
10.33762/mjbu.2020.127119.1016
167357
بحث
Pattern of Childhood Leukemia in Duhok City
نمط سرطان الدم لدى الأطفال فی مدینة دهوک
Khalaf Hussein Hasan Al Iessa
dr_gargary@yahoo.com
1
Khalaf Hasan
dr_gargary@yahoo.com,dr_gargary@uod.ac
2
Department of Pediatrics
College of Medicine
University of Duhok
Duhok
Iraq
Department of Pediatrics College of Medicine University of Duhok
Background: There is substantial variation in the incidence rate of acute lymphoblastic leukemia by ethnicity. In addition, leukemia has broad-spectrum variations in clinical and laboratory findings at presentations. Aim: This study aimed to determine the patterns of acute childhood leukemia in Duhok city. Patients and methods: In this cross-sectional study, the patients who were diagnosed with leukemia and admitted at Jin pediatric Oncology Haematology center in Duhok .The general and clinical features of the patients included age, sex, season diagnosis, socioeconomic status, clinical features, and biochemical parameters were collected between the 1st of September, 2015 and 1st of September 2016. Results: The study revealed that most of the patients were in the 1-5 age group (54.8%) followed by 5-10 years (24.7%). The patients were males (56.2%) and females (43.8%) with 1.28:1.0. Acute lymphoblastic leukemia was the most prevalent type of leukemia (86.3%). The patients were admitted in dry and rainy seasons; 54.8% and 45.2%, respectively. Most of the patients were admitted in winter (45.2%), followed by summer (34.2%). The patients had low (45.2%), middle (42.2%), and high (12.35) socio-economic status. Pallor was the most prevalent presentation of the patients with leukemia (n=50) followed by fever (n=36), and splenomegaly (n=32). Some of the patients had multiple signs and symptoms. The HB and WBC of most of the patients were abnormal (84.9% and 71.2%, respectively), similar to platelets (53.4%). Conclusion: This study showed that there is variation in the age group, clinical features, season of diagnosis, and biochemical parameters in leukemia patients.
https://mjbu.uobasrah.edu.iq/article_167357_cc342b06f5dbf96141990a4d7d0ddcba.pdf
clinical presentation
cancer
pediatrics,leukemia,duhok
eng
University of Basrah
The Medical Journal of Basrah University
0253-0759
2413-4414
2020-12-15
38
2
104
108
10.33762/mjbu.2020.127000.1010
167356
بحث
The effectiveness of uterine packing combined with topical tranexamic acid for the management of primary postpartum hemorrhage
فعالیة حشو الرحم مع حمض الترانیکسامیک الموضعی لإدارة النزف الأولی بعد الولادة
Maysara Abdulrhidha
maysaram1979@gmail.com
1
Jubran Hassan
jubranhassan@gmail.com
2
Dhamya Alharoon
dsalharoon@gmail.com
3
department of obstetric and gynecology - college of medicine - university of Basrah - Basrah city Iraq
Department of clinical pharmacy; college of pharmacy; university of Basrah Basrah city IRAQ
Al Basrah hospital for maternity and childhood Iraq -basra province-basra city -alabasya
Objectives: the aim of the study is to identify the effectiveness of adding topical tranexamic acid to uterine pack to control primary PPH compared to uterine packing alone. Methods: the study included 30 women with intractable primary PPH after vaginal deliveries due to uterine atony in whom the conventional local pathway of management of PPH had failed to control bleeding. In 15 women(the case group), uterine pack impregnated with 20 ml of tranexamic acid(1gm/10ml) was used to control bleeding and compared to 15 women (the control group) in whom uterine pack without tranexamic acid was used, outcome studied include the need for further surgical intervention and need for blood product. Results: although uterine packing impregnated with TXA was successful in controlling bleeding in 13 women out of 15(86.7%) compared to 10 out of 15 cases (66.7%) in women who underwent uterine packing without TXA, however; the difference in effectiveness of both methods is statistically insignificant. The requirement for blood product transfusion was less in TXA group. Conclusion: topical uterine TXA increase the efficiency of uterine tamponade to control PPH, and may decrease the need for more invasive surgical intervention as hysterectomy.
https://mjbu.uobasrah.edu.iq/article_167356_1bb5de23e6e4d7b1d8969212da85865d.pdf
tranexamic acid,,
,،,؛uterine packing,,
,،,؛postpartum hemorrhage
eng
University of Basrah
The Medical Journal of Basrah University
0253-0759
2413-4414
2020-12-15
38
2
109
114
10.33762/mjbu.2020.128515.1039
167362
بحث
POST OPERATIVE FUNCTIONAL OUTCOME FOR ANORECTAL MALFORMATIONS IN INFANT AND CHILDREN IN ERBIL
النتائج الوظیفیة بعد العملیات الجراحیة للتشوهات الشرجیة عند الرضع والأطفال فی أربیل
salar berdawd
salar.sabah@hmu.edu.krd
1
pediatric surgery department,college of medicine /hawler medical university
ABSTRACT Background/aims: Outcomes of anorectal malformations have greatly improved but many children still experience some form of urinary or fecal incontinence despite optimal management. The aim is to evaluate the functional outcome in infants with anorectal malformation for different surgical procedure including traditional and recent operations and outcome for different type of anorectal malformation. Subjects and Methods : An analytical study include 28 cases of anorectal malformation (16 males and 12 females ) operated by different technique in Erbil city during 2010 - 2016. Cases of cloaca and early deaths were excluded from the study. Results : In male Rectoperineal fistula (25% ) and in female Rectovestibular fistula (25% ) were the most common anomalies. the most common procedure were primary anorectoplasty for perineal fistula in both male and female infants in 10 cases ( 35.71% ) followed by transfistula anorectoplasty for rectovaginal fistula in 7 cases (25%) and PSARP for rectobladder neck and urethral fistula for male infants in 6 cases. The most common functional complication was constipation in 2 (7.15%) cases and only one case (3.57%) developed fecal incontinence . 89.29 percent of the patients had voluntary bowel movements and were totally continent. Conclusion : Despite significant developments in the understanding of the pathophysiology and surgical techniques, the results of surgery of ARM remain far from perfect. An optimal operation restores normal anatomy and preserves all potential sphincter structures. Functional complications, especially treatable ones, such as constipation, should be detected and treated early to achieve an optimal outcome.
https://mjbu.uobasrah.edu.iq/article_167362_6b5f459f9651c7b08b1fecc79edaa4f4.pdf
Imperforate anus,,
,،,؛anorectal malformation,,
,،,؛postoperative complication,,
,،,؛functional outcome,,
,،,؛anorectoplasty
eng
University of Basrah
The Medical Journal of Basrah University
0253-0759
2413-4414
2020-12-15
38
2
115
119
10.33762/mjbu.2020.128197.1032
167361
بحث
Study of Interleukin 6 as marker of inflammation and a predictor of in-hospital complications in patients with acute coronary syndrome
دراسة انترلوکین 6 کعلامة للالتهاب ومنبئ للمضاعفات داخل المستشفى فی مرضى متلازمة الشریان التاجی الحادة
Sally Alhumrani
sallyalhumrani@gmail.com
1
Nidham Jamalludeen
njovc@yahoo.com
2
Abdulameer Abdulhameed
nidham_j@hotmail.com
3
Dept. of Microbiology College of Medicine University of Basrah
Department of Microbiology, College of Medicine, University of Basrah, Basrah, Iraq
Department of Medicine College of Medicine University of Basrah Basrah, Iraq
Abstract: Background Although abnormal fatty deposits of infected arterial plaque play a major role in the formation of atherosclerotic plaque, activation of inflammatory cells plays a major role in the instability of the plaque and the cause of acute coronary syndrome. The aim of this study was to measure the level of interleukin-6 and to study its association with complications that occur in hospital in patients with acute coronary syndrome. Method: One hundred and twenty-five patients with acute coronary syndrome and 120 healthy individuals as a control group were included in this study. According to ECG and serum troponin changes, the patient group was classified into three ST-elevated myocardial infarction, ST non-elevated myocardial infarction and unstable angina. Sandwich ELISA was used by commercial groups (LEGAND MAX TM) for the IL-6 assay. Result: This study shows significantly significant differences in the level of IL-6 in patients with acute coronary syndrome (73.37 pg / dL) compared to the control group (9.47 pg / dL) (P value 0.001) There were no significant differences at the level of IL-6 in patients with acute coronary syndrome and conventional risk factors (P. value <0.05). There were significant differences in the level of IL-6 in all forms of ACS. (P. value 0.001). And those patients who had complications in hospital had a higher IL-6 level (92.89 Pg / dl) than those without complications (68.83 Pg / dl) P. value (0.012). Conclusion: This study indicated that IL-6 was significantly elevated in ACS patients
ادراسة انترلوکین 6 کعلامة للالتهاب ومنبئ للمضاعفات داخل المستشفى فی مرضى متلازمة الشریان التاجی الحادة خلفیة على الرغم من أن الترسبات الدهنیة غیر الطبیعیة للویحات الشریانیة المصابة تلعب دورًا رئیسیًا فی تکوین تصلب الشرایین ، إلا أن تنشیط الخلایا الالتهابیة یلعب دورًا رئیسیًا فی عدم استقرار اللویحة وسبب متلازمة الشریان التاجی الحادة. الهدف من هذه الدراسة هو قیاس مستوى الإنترلوکین 6 ودراسة ارتباطه بالمضاعفات التی تحدث فی المستشفى لدى مرضى متلازمة الشریان التاجی الحادة طرائق العمل تم شمول مائة وخمسة وعشرین مریضا یعانون من متلازمة الشریان التاجی الحادة و 120 من الأفراد الأصحاء وحسب بیانات التروبنین والتخطیط القلبی. تم تصنیف مجموعة المرضى الى ثلاثة مجامیع.وتم الفحص باستخدام اختبار الالیزا. النتائج: تظهر هذه الدراسة فروق ذات دلالة إحصائیة فی مستوى الانترلوکین 6 فی المرضى الذین یعانون من متلازمة الشریان التاجی الحادة (73.37 بیکوغرام / دیسیلتر) مقارنة بمجموعة التحکم (9.47 بیکوغرام / دیسیلتر) (قیمة P 0.001) لم تکن هناک فروق ذات دلالة إحصائیة على مستوى IL-6 فی المرضى الذین یعانون من متلازمة الشریان التاجی الحادة وعوامل الخطر التقلیدیة (P. قیمة <0.05) غیر ان الدراسه سجلت تغیر معنوی مع المضاعفات المرضیه فی المستشفى الاستنتاجات اشارت هذه الدراسه الى ان مستوى الانترلوکین 6 سجل ارتفاعا معنویا لدى مرضى الشریان التاجی الحاد وایضا قد یکون مؤشرا جیدا للکشف عن شدة المرض والتنبؤ بالمضاعفاتز
https://mjbu.uobasrah.edu.iq/article_167361_7660ac62f04095ad175efb245fdf15d3.pdf
ACS,,
,،,؛interleukin-6,,
,،,؛STEMI,,
,،,؛NSTEMI,,
,،,؛unstable angina
eng
University of Basrah
The Medical Journal of Basrah University
0253-0759
2413-4414
2020-12-15
38
2
120
126
10.33762/mjbu.2020.128412.1037
167360
بحث
Body Weight Changes in 210 Breast Cancer Patients after Finishing Chemotherapy; Cross Sectional Study
تغییرات وزن الجسم لدى 210 مریضات مصابات بیسرطان الثدی بعد انتهاء العلاج الکیمیائی دراسة مقطعیة
Hasson Ali
hasson73mahdi.hm@gmail.com
1
Elaf Al-Tawri
elaf.altawri@gmail.com
2
Basrah Oncology Haematology Center, Iraq
Public Health, Basrah, Iraq
Abstract Background and aim: Increasing body weight in breast cancer patients after finishing chemotherapy is a rising health problem among many countries; this study try to evaluate this health issue among breast cancer patients attended Basra Oncology Center. Patients and Methods: This cross sectional study carried out on 210 patients with breast cancer who received chemotherapy at Basra oncology center, from 2017 to 2019. The participant's personal data and the other clinical information were derived from patient file. Results: Weight changes after finishing chemotherapy occurred in about 95% of breast cancer patients, and measurement of body mass index of patients at the start and at the end of chemotherapy revealed more women occupied the obese strata after completing the chemotherapy. The study showed statistically significant differences in the weight changes among the age, weight at diagnosis, state of hormone receptor & marital status subgroups. The only significant predictors of body weight changes after completing chemotherapy were patient age and body mass index at time of diagnosis. Conclusion: There is a significant weight gain in breast cancer patients in Basra Oncology Center after finishing chemotherapy.
الملخص: تعد زیادة وزن المریضات المصابات بسرطان الثدی بعد الانتهاء من العلاج الکیمیائی مشکلة صحیة متزایدة بین العدید من البلدان. تحاول هذه الدراسة تقییم هذا الموضوع الصحی بین المریضات المصابات بسرطان الثدی فی مرکز اورام البصرة. الطریقة: هذه الدراسة المقطعیة اجریت على مدى سنتین وشملت 210 مریضة مصابة بسرطان الثدی استلمت وانهت العلاج الکیمیائی فی مرکز اورام البصرة من عام 2017 الى عام 2019 , المعلومات السریریة والشخصیة للمشترکین مستمدة من ملفات المرضى. النتائج: تغییرات وزن الجسم لمرضى سرطان الثدی بعد انهاء العلاج الکیمیائی حدثت لدى 95% من المرضى تقریبا, و قیاس معامل کتلة الجسم للمرضى عند بدأ العلاج وبعد الانتهاء من العلاج اظهر ان الکثیر من النساء یصبحن فی طبقة السمنة بعد الانتهاء من العلاج. الدراسة تظهر فروقات ذات دلالة احصائیة بین المجموعات الفرعیة : العمر, الوزن عند التشخیص, حالة مستقبلات الهرمونات و الحالة الزوجیة. المتنبؤون الوحیدون المهمون لتغییرات وزن الجسم بعد اکمال العلاج الکیمیائی کانوا عمر المریض ومعامل کتلة الجسم عند التشخیص. الاستنتاجات: هناک زیادة وزن هامة لدى مرضى سرطان الثدی فی مرکز اورام البصرة بعد الانتهاء من العلاج الکیمیائی.
https://mjbu.uobasrah.edu.iq/article_167360_fb0aed740a7bc1cbdfa8bf2da4949dea.pdf
Key words,,
,،,؛Breast cancer,,
,،,؛Weight changes,,
,،,؛chemotherapy
الکلمات المفتاحیة: سرطان الثدی,,
,،,؛تغییرات الوزن,,
,،,؛العلاج الکیمیائی
eng
University of Basrah
The Medical Journal of Basrah University
0253-0759
2413-4414
2020-12-15
38
2
127
130
10.33762/mjbu.2020.127476.1023
167363
تقریر حالة
Hypopharyngeal Foreign Body in A 9-months-Old Male Baby
جسم غریب تحت البلعوم فی ذکر طفل عمره 9 أشهر
Raid Al-Ani
raedalani2003@yahoo.com
1
Department of Surgery (Otolaryngology),College of Medicine,University of Anbar,Ramadi City, Iraq
Fishbone is the commonest pharyngeal foreign body in Asia. However, uncommon types also were reported in the literature. A 9-months-old male infant presented with crying, dysphagia and excessive salivation. Plain X-ray of the cervical spine lateral view confirmed the diagnosis of a metallic foreign body in the hypopharynx. The foreign body was extracted under general anesthesia without complications. A high index of suspicion from the caregiver and early intervention from the dealing doctor are crucial to avoid unwanted complications of pharyngeal foreign bodies' impaction. In conclusion, we reported a rare hypopharyngeal foreign body (the door of the Simcard room of an old fashion mobile phone) in a 9-months-old boy. Fishbone is the commonest pharyngeal foreign body in Asia. However, uncommon types also were reported in the literature. A 9-months-old male infant presented with crying, dysphagia and excessive salivation. Plain X-ray of the cervical spine lateral view confirmed the diagnosis of a metallic foreign body in the hypopharynx. The foreign body was extracted under general anesthesia without complications. A high index of suspicion from the caregiver and early intervention from the dealing doctor are crucial to avoid unwanted complications of pharyngeal foreign bodies' impaction. In conclusion, we reported a rare hypopharyngeal foreign body (the door of the Simcard room of an old fashion mobile phone) in a 9-months-old boy.
https://mjbu.uobasrah.edu.iq/article_167363_64499cb0a6ace3d1c23e44f96274721e.pdf
Foreign body
Hypopharynx
Infant
eng
University of Basrah
The Medical Journal of Basrah University
0253-0759
2413-4414
2020-12-15
38
2
131
136
10.33762/mjbu.2020.128960.1051
167364
تقریر حالة
Cervical Cancer in a 25-Year Old Woman: Case Report.
سرطان عنق الرحم لاامراة بعمر 25 سنة: تقریر حالة.
Maysoon Sharief
nadhimkmahdi@gmail.com
1
Department of Gynecology &amp;amp; Obstetrics, University of Basrah, Basrah, Iraq.
A case of female 25 years old, married for 5 years, illiterate and she has 3 children from Basrah, Southern Iraq, she had history of recurrent vaginal bleeding during the second and 3rd trimesters in the last pregnancy unfortunately she was missed diagnosed during pregnancy as pregnancy cause of vaginal bleeding and was delivered by caesarian section due to cervical mass and bleeding with no history of follow up after delivery and continuous irregular vaginal bleeding 2 months after delivery till the last consultation when she developed severe pallor and severe vaginal bleeding . The patient was admitted to the Maternal and Child Hospital, Basrah, Iraq. On speculum examination, the cervix was fusiform, enlarged, barrel in shape, friable and bled on touch. Hemoglobin level was 6 gm/dl. Ultrasound and Magnetic Resonance Imaging (MRI) confirmed the presence of a large 7X5X6 Cm. cervical malignant solid mass lesion seen invading the upper third of vagina and lower endometrial cavity. No invasion to the rectum and urinary bladder. Total abdominal hysterectomy, bilateral salpingoophorectomy along with the removal of upper third of the vagina were done after blood correction. The patients agreed that future fertility cannot be preserved. Postoperatively, This finding was proved by the histopathological diagnosis which was invasive non-keratinized, moderately differentiated squamous cell carcinoma of the cervix (FIGO stage IB2).. patient was referred to oncologist for further management.
https://mjbu.uobasrah.edu.iq/article_167364_d41d8cd98f00b204e9800998ecf8427e.pdf
Cancer,,
,،,؛Cervix,,
,،,؛Gynecology & Obstetrics
سرطان,,
,،,؛عنق الرحم,,
,،,؛النسائیة والتولید