Issue 1, Volume 2, 2016

Research Article
Raid M. S. AL-Ani, Nafea S. Al-Esawi
 
Research Article
Salah Mehdi Ferhan
 
 
Research Article
Ahmad Hasan Raheem
 
Research Article
Shoroq Mohammed AL-Temimi
 
Research Article
Zuhair Gheni Abd Ali
 
Research Article
Shaimaa M.S. Zain Ulabdeen
 
Research Article
Hassan Abdul Amir AL-Daghir
 
Research Article
Talib F. Abbas
 
Case Report
Sami M.Al-Rubaye
 
Case Report
Maithem I. Sabeh, Ahmed AR. Ammar, Ilham Al-Rubaei

Missed intrauterine device with rectal penetration; case report

Muthanna Medical Journal
Volume 3, Issue 1, June 2016, Pages 61-69

 

Case Report                                                                         

Sami M.Al-Rubaye*

*Corrospondance author email: samimanthoor@gmail.com
Head of Surgical Department, MRCSEd, Alzahraa Hospital, Almuqdadia City, Iraq
Received January 2015, Accepted 15 May 2016, Available online 29 June 2016.
This is article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright © 2016 SA

Abstract

Intrauterine contraceptive device has been used widely as a method of contraception but it is not without complications and here we report a case of migration into the rectum.

Keywords: Intrauterine device, rectum, uterine perforation.

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Prenatal diagnosis of thoracic ectopia cordis: a case report

Muthanna Medical Journal
Volume 3, Issue 1, June 2016, Pages 70-73

 

Research Article                                                                         

Maithem I. Sabeh1, Ahmed AR. Ammar2*, Ilham Al-Rubaei3

*Corrospondance author: ahmed.ar.ammar@gmail.com
1 Ibn Al-Bitar center for cardiac surgery. Baghdad.
2 College of Medicine, Muthanna University.
3 Gynecological and Obstetrics department. Al-Hakim teaching hospital. Najaf, Iraq.
Received 12 January 2016, Accepted 11 May 2016, Available online 28 June  2016.
This is article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Copyright © 2016 AA

 

 


Abstract

Twenty years old primigravida lady has visited sonar clinic during the second trimester as a part of routine prenatal care after Shirodkar procedure for cervical weakness. The sonographic study revealed a single active viable fetus, of 15 weeks gestational age, in slight hyperflex position. The placenta was normal and situated posteriorly, with normal amount of amniotic fluid. The fetus had anencephaly associated with heart extrathoracically. Family and maternal history revealed exogamous marriage with uneventful obstetric history. A second sonographic follow-up examination was done at 25 weeks gestational age.

 Keywords: Shirodkar procedure; Sonographic; Thoracic ectopia cordis

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Detection the biological activity of aqueous extract of Shamar plant seeds Foeniculum vulgare Mill

Muthanna Medical Journal
Volume 3, Issue 1, June 2016, Pages 49-55

Research Article                                                                         

Talib F. Abbas*

*Corrospondance author: tlb_abbas77@yahoo.com
College of pharmacy, Muthanna University.  Received 12 October 2015, Accepted 29 May 2016, Available online 28 June  2016.
This is article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Copyright © 2016 TA


Abstract

Unfortunately, many type of chemical drugs approved their unsafely, after period of use, it have been withdrawn from markets. Otherwise, herbal medicine wide spread in using and application, with some modification if it’s necessary. Shamar herbs Foeniculum vulgare Mill, is a herbaceous plant of the family Umbillflorae, native to the Mediterranean, have a WHO recommendation, is a main component of many manufactured drugs in pediatrics. It is commonly known as fennel has been in medicine as analgesic, digestive, diuretic, lactigenous, anti-inflammatory, anti­- spasmodic agent. Crude extract for the verification of biological activity was prepared from seeds bought in the markets. The antimicrobial activity was determined by paper disc diffusion test and minimum inhibitory concentration MIC. The tested microorganisms were clinical isolates obtained from bacteriology sector of Al- Samawa hospital for women and children, It had been evaluated its biological activity in 3 different model of microorganism (E. coli, Klepsiella spp. and Pseudomonas spp.). Results of evaluation approved the biological activity of Foeniculum vulgare Mill as bactericide effect. The MIC show quantity and quality effects of fennel on the Microorganism model, The Coliform inhibited by the lower concentrations gradient, Klebsiella spp. had affected by higher doses, while, the Pseudomonas spp. did not show any change for all concentrations gradient. Therefore, shamar ( Fennel) extract had a pharmacological character in treat many GIT, respiratory infection, in addition to its favor effect in nursing and lactation.

Keywords: Fennel; Antimicrobial activity; Foeniculum vulgare 

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Heart block necessitating pacing at Iraqi center for heart diseases, October 2011 – August 2013

Muthanna Medical Journal
Volume 3, Issue 1, June 2016, Pages 43-48

Research Article                                                                         

Hassan Abdul Amir AL-Daghir*

*Corrospondance author: haldaghir@yahoo.com
Department of Medicine, Al-Hussain teaching hospital, Al Muthanna.  Received 12 November 2015, Accepted 26 May 2016, Available online 27 June  2016.
This is article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Copyright © 2016 HA


Abstract

A cross– sectional study was conducted at Iraqi Center for Heart Disease– Baghdad /Iraq. A 82 cases of heart block during the period from October 2011- August 2013. 43(52.43%) were males while female sex was reported in 39 (47.56%), 40(48.78%) had syncope dizziness, 18(21.95%) impaired performance, and 8(9.75%) presyncope. 3rd degree heart block was reported in 47(57.31%), Sick sinus syndrome in 14(17.07%) mobitz 2 in 11(29.39%), bifascicular in 5(6.09%) and be fascicular with prolonged PR interval in 2(2.43%). Temporary pacing was done in 70 (85.36%). Congenital heart block was reported in only one patient (1.21%), while familial heart block had not been reported. Critical IHD had been seen in 20(24.39%). Acute MI was founded in one case (1.21%) only.  Permanent pacemaker had been implanted in 74 (90.24%) of patients. The highest rates of heart block had been shown in elderly patients and mostly of the white race.  Sex has no an impact on the incidence of heart block. Dizziness was a common presenting symptom. Most of events were insidious. The majority of our cases of heart block were of 3rd degree type. Ischemic heart diseases precede the event in about a quarter of our cases, also DM and hypertension are commonly preceding the occurrence of heart block. Drugs although rarely encountered as a cause of heart block in our series but should be taken into consideration. Congenital heart block was extremely rare and so also the familial type which had not be encountered in our cases. Temporary pacing as a bridge for permanent pacing was commonly used. Cardiac biomarkers were nearly normal in all our patients. Holter study showed AV block to be more common than Sick sinus syndrome in those cases studied by this test. No need to perform treadmill test in most of our cases. Coronary angiography is required to be performed according to the recommended guidelines and IHD was reported in a quarter of our cases. Acute myocardial infarction was rare as a cause of heart block necessitating a permanent pacing.

Keywords: Heart block, Ischemic heart disease, Sick sinus syndrome, Coronary angiography, Atrioventricular

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Bacteriological study for some aerobic bacteria contaminated the post–operative wounds

Muthanna Medical Journal
Volume 3, Issue 1, June 2016, Pages 38-42

Research Article                                                                         

Shaimaa M.S. Zain Ulabdeen*

*Corrospondance author: shima.mosavy@yahoo.com
Department of biology, College of Science, Al Muthanna University.  Received 02January 2016, Accepted 22 May 2016, Available online 26 June  2016.
This is article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Copyright © 2016 SZ


Abstract

  This study include isolation and diagnoses of some aerobic bacteria contaminated the post–operative wounds from infected wounds,100 samples were collected from surgery units of teaching hospital, and Al-Samawah general hospital during September 2014 to February 2015, then the samples cultured on various media (Blood agar, MacConkey agar, chrom agar). Our results showed that from 100 samples included, 73(73%) had growth and 27(27%) had no growth. Further, the present data reported that S. aureusas the commonest isolate at percentage (23.2%),followed by Staphylococcus epidermidis (20.6%), Escherichia coli (12.3%), Pseudomonas aeruginosa, Proteus mirabil, Klebsiellapneumoniae (8.2%), Enterococcus faecalis (6.8%), Citrobactersp (2.7%) and Klebsiella oxytoca, Serratiamarcescens, Acinetobactersp at percentage (1.4%). Fomites should be regarded as a possible source of since bacteria from them can be carried from the hands of theater personnel to the patient.

Keywords: Operative wounds, Nosocomial infection, Staphylococcus aureus, Pseudomonas aeruginosa

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Arthroscopic debridement and lavage of knee joint osteoarthrosis

Muthanna Medical Journal
Volume 3, Issue 1, June 2016, Pages 34-37

Research Article                                                                         

Zuhair Gheni Abd Ali*

*Corrospondance author: zuhairg@yahoo.com
Department of Orthopedic Surgery, Al Sadder Medical City, Al Najaf.  Received 21 Decemebr 2015, Accepted 18 May 2016, Available online 12 June  2016.
This is article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Copyright © 2016 ZA


Abstract

Recent advances in instrumentation and the growing understanding of the pathophysiology of osteoarthrosis of the knee joint have led to increase the use of arthroscopy for the management of degenerative arthritis of the knee, during this study 50-patient perform to them arthroscopic debridement and lavage from October 2010- April 2014, 30 male patients and 20 female patient in multi center in Baghdad and Al Najaf cities, patient age range from 40-60 year, all with single knee joints osteoarthrosis, our procedure include debridement and lavage of the hypertrophied synovial and osteophyte and subchondral penetration, in most patient short term symptomatic relieve can be achieved with the arthroscopic debridement and lavage of the osteoarthritic knee joint, the greater symptomatic relieve and more persistent pain relieve can be achieved in patient who have acute onset of pain, mechanical disturbance from cartilage or meniscal fragment, normal knee joint axis, and minimal radiographic evidence of degenerative osteoarthrosis.

Keywords: Osteoarthrosis, Knee joint, Arthroscopy

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MicroRNA-92gene expression in epithelial ovarian cancer using a novel Real-Time Polymerase change reaction

Muthanna Medical Journal
Volume 3, Issue 1, June 2016, Pages 23-33

Research Article                                                                         

Shoroq Mohammed AL-Temimi*

*Corrospondance author: shoroqaltemimi@yahoo.com
Department of Pathology, College of Medicine, Qaddissia University. 
Received 11 Decemeber 2015, Accepted 11 May 2016, Available online 04 June  2016.
This is article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Copyright © 2016 SA


Abstract

MiR–92 is one of six miRs encoded by the miR-17-92 cluster and its one of the best-characterized oncogenic miR clusters. A role for miR-92 in the pathogenesis of human cancers has been implicated by the high incidence of amplification in multiple neoplasm. The objective of this study is to estimation the miR-92 gene expression levels in both fresh tissues and serum ofsame ovarian cancer patients by using stem-loop follow by Taq-Man Real Time PCR (RT-PCR) technique and correlate the miR-92 gene expression with stages and lymph node involvement of ovarian cancer patients. Stem-Loop RT-PCR was performed to identify the level of miR-92 gene expression in both fresh tissues and serum of same ovarian cancer patients. The expression levels of miR-92 relative to mRNA of GAPDH were determined by using the livak method. Mean fold change of miR-92 was statistical significantly higher in ovarian cancer from precancerous tissues. Mean fold change of serum miR-92 gene expression  was higher statistical significantly difference from  healthy control , mean fold change of miR-92 in advance stage( III,IV) was higher statistical significantly difference from that early stage (I,II) and mean fold change of miR‑92 in patient with positive lymph node was higher statistical significantly difference from that of negative lymph node .There was no significant associationbetween gene expression of miR-92 and age of patients. Together we concluded that the over-expression of miR-92 were observed in serum patients with epithelial ovarian cancer compared with healthy controls, and miR-92 gene expression levels increased with lymph node involvement and advance stage of epithelial ovarian cancer.

Keywords: Epithelial ovarian cancer, miR-92, stem-loop RT-qPCR

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Erythrocyte sedimentation rate in patients with positive sputum for AFB and negative HIV serological test

Muthanna Medical Journal
Volume 3, Issue 1, June 2016, Pages 17-23

 

Research Article                                                                         

Ahmad Hasan Raheem*

*Corrospondance author: ahmedhasan197815@yahoo.com
Department of Medicine, College of Medicine, University of Muthanna.  Received 21 November 2015, Accepted 14 May 2016, Available online 01 June  2016.
This is article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Copyright © 2016 AR


Abstract

The goals of this study are detection of  the prevalence of  ESR elevation in patients whosuffering from pulmonary tuberculosis with positive sputum for acid fast bacilli and negative serological test for HIV, and showingthe effect of normal  ESR ondiagnosis of active pulmonary tuberculosis. 37 patients of pulmonary TB with sputum positive for AFB and negative serological test for HIV, were involved in this retrospective study over145 days,at major TB center of Al-Hillacity, Iraq.The Westergren method used for detection of ESR for all patients. Of the total 37 patients involved in this study 21(57%) were males and 16(43%) were females. The ages of the male patients ranged from 21-82 years, and the females from 23-75 years in addition to one girl with age of 5-year. 22(59.5%) patients cigarette smoker and 15(40.5%) non smoker. 3 patients (8.1%) with ESR less than 20mm/hr, 13 patients (35.1%) with ESR 20-40mm/hr,12 patients (32.4%) with ESR 41-60mm/hr and  9 patients (24.3%) more than 60 mm/hr. According to dependent normal range in this study 7(19 %) patientswith normal ESR. 19% of patients involved in this study have normal ESR, so the pulmonary TB should be expected in any patient with suggestive clinical features even when the ESR is normal  specially in an endemic area as in Iraq, and it is clear from result above that the smoking is important risk factor for pulmonary TB.

Keywords: ESR, Tuberculosis, Acid Fast Bacilli, Sputum, HIV

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