Print ISSN: 2790-0207

Online ISSN: 2790-0215

Keywords : Azadi teaching hospital

Lipid Abnormalities among Type II Diabetic Patients in Kirkuk City

Dilshad Sabir Mohammed

Kirkuk Journal of Medical Sciences, 2014, Volume 2, Issue 2, Pages 1-7

Background: Lipid abnormalities are common in diabetic patients and associated with accelerated atherosclerosis and increased risk of coronary artery disease, this study was carried out to determine the degree of lipid abnormalities among type II diabetic patients in Kirkuk City. Patients and Methods: One hundred twenty patients with type II diabetes and (120) control group (non-diabetic) who attended Azadi Teaching Hospital in Kirkuk City from November 2012 to October 2013 were included in the study. Demographic features recorded and the level of fasting: blood sugar, total cholesterol, triglyceride (TG), high density lipoprotein (HDL), low density lipoprotein (LDL) and very low density lipoprotein (VLDL) was measured. Results: Patients with type II diabetes mellitus (DM) showed statistically significant lipid abnormalities when compared with the control group. Overall lipid abnormalities were detected in (55%) of patients with type II DM. Those with poor glycemic control showed significantly higher lipid abnormalities than patients with fair glycemic control. We found no statistically significant difference in lipid abnormalities in relation to the duration of diabetes mellitus. Conclusion: Outcome of this study showed that a high proportion of patients with type II DM have some forms of derangement in their lipid profile and is correlated with poor glycemic control.

Comparison between Echocardiography and Electrocardiography in the Detection of Left Ventricular Hypertrophy in Hypertensive Patients in Azadi Teaching Hospital in Kirkuk City

Dilshad Sabir Mohammed; Mohammed Ali Khalaf; Asaad Mubark Jabar

Kirkuk Journal of Medical Sciences, 2014, Volume 2, Issue 2, Pages 27-36

Background: Left ventricular hypertrophy is an important complication of hypertension and is considered an important risk factor for cardiovascular morbidity and mortality. Objectives: To estimate the frequency of left ventricular hypertrophy (LVH) in our hypertensive population, to compare between electrocardiography and echocardiography in the detection of left ventricular hypertrophy and to study the main risk factors for its development. Patient and Method: One hundred twenty five hypertensive patients underwent standard electrocardiographic (ECG) and echocardiographic (echo) examination using internationally accepted formula for the detection of left ventricular hypertrophy. Result: The echo (echocardiographic) finding of LVH was seen in 103 patients (82.4%). The geometrical types of left ventricular hypertrophy (LVH), as detected by echo were as follow concentric left ventricular hypertrophy (LVH) was present in 63 patients (50.4%), eccentric LVH was present in 27 patients (21.6%) and concentric remodeling was present in 13 patients(10.4%). The ECG detects LVH in 58 patients (46.4%). Comparing ECG with echo for detection of LVH shows that ECG has a lower sensitivity and specificity than echo. There was no statistically significant difference regarding age, gender, duration of hypertension, history of diabetes mellitus (DM) or ischemic heart diseases (IHD), family history of IHD, smoking or obesity. There was a statistically significant association between high blood pressure (uncontrolled hypertension) and the presence of LVH. Conclusion: It was found that there is high prevalence of LVH in our hypertensive patients and echo is more sensitive and specific for detection of LVH. Since most of our patients have uncontrolled hypertension we recommend aggressive management of hypertension to reach the target level of blood pressure.

The Prevalence of Viral Hepatitis B and C among Multitransfused Thalassaemic Patients in Azadi Teaching Hospital in Kirkuk City

DilshadSabir Mohammed; Amanj Mohammed Salih; Mohammed FatihHaseeb

Kirkuk Journal of Medical Sciences, 2014, Volume 2, Issue 1, Pages 1-6

Background: Patients with thalassemia major are at high risk of hepatitis C and B due to the blood transfusion from donors infected by HCV and HBV. Hepatitis C virus (HCV) is the major cause of post-transfusion hepatitis infection (PTH). Objective: The aim of this study is to detect the prevalence of anti-HCV antibodies and HBs Ag and risk factors in multitransfused thalassemic patients in Kirkuk city to establish better preventive strategies. Patients and Methods: This study is conducted in Kirkuk city from Nov 2012 to March 2013 for HCV and HBV infection. A structured interview questionnaire is developed by the trained researcher to collect the demographic and risk factors. Statistical analysis was done by Chi-square test. Results: The prevalence of HCV is estimated to be (17.8%) and this is increased with increasing the requirement for blood transfusion in splenectomized patients while only (2.0%) is positive for HBV infection. Conclusion: The study shows a higher prevalence of HCV infection among multitransfused thalassemic patients with increasing requirement for blood transfusion in splenectomized patients.