Print ISSN: 2790-0207

Online ISSN: 2790-0215

Issue 2,

Issue 2


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.

Role of Laparoscopy in the Diagnosis of Abdominal Tuberculosis in Patients with Vague Abdominal Symptoms

Dler Omer Mohammed; Loay Shihab Ahmed; Amanj Mohammed Salih

Kirkuk Journal of Medical Sciences, 2014, Volume 2, Issue 2, Pages 8-14

Background and Aim: Tuberculosis continues to be a common disease in Iraq and one of its presentations is abdominal tuberculosis which tends to present with non-specific features that can be hard to diagnose at times. Histopathological confirmation of abdominal tuberculosis is difficult because of suboptional, noninvasive access to the pathology. The aim of this study was to find out the efficacy of diagnostic laparoscopy in establishing the histopathological diagnosis of abdominal tuberculosis. Patients and Methods: A retrospective study conducted on 67patients with vague abdominal pain, with or without ascites, for whom diagnostic laproscopy was performed in Azadi Teaching Hospital in Kirkuk City over a period of six years (January 2007 - December 2012). Data were collected and statistically analyzed using SPSS software version 16. Results: A total of (67) patients with vague abdominal symptoms and an unsettled diagnosis were included in this study, of which 22(32.8%) of the patients were diagnosed with abdominal tuberculosis on laparoscopy. The common symptoms were abdominal pain, changing bowel habits, loss of weight, fever and generalized weakness. The most consistent laboratory finding (>86%) was a high ESR. Macroscopic findings of abdominal tuberculosis were whitish granulations over both peritoneal layers, inflammatory adhesions on the visceral or parietal surface, thickening, hyperemia and retraction of the greater omentum and stalactic band which is characteristic of abdominal tuberculosis. Direct visualization of the peritoneum and obtaining peritoneal biopsies provided the definitive tissue diagnosis to confirm the clinical diagnosis. Conclusion: Although other diagnostic methods of abdominal tuberculosis such as imaging, culture of ascites and polymerase chain reaction (PCR) are used today, laparoscopy with tissue biopsy provided efficient and reliable diagnostic tool for patients suspected with abdominal tuberculosis. Patients were saved from unnecessary laparotomies and were managed on anti-tuberculosis drug therapy.

Comorbidity of Psychiatric Disorders in Epileptic Patients A descriptive Study

Saadoun Dawood Ahmed Al-Jiboori

Kirkuk Journal of Medical Sciences, 2014, Volume 2, Issue 2, Pages 15-21

Background: Epilepsy is a chronic disorder characterized by seizures, or paroxysmal brain dysfunction due to excessive neuronal discharge. Psychiatric and cognitive disturbances are relatively common in epilepsy, especially in refractory epilepsy. Aim of study: The aim of the study is to detect the psychiatric disorders and their frequency in epileptic patients. Patients and Methods: This descriptive study consisted of 104 patients with idiopathic epilepsy; 60 males and 44 female, aged between 17-68 years, who were attending either private clinics or the Psychiatric Unit at Azadi Teaching Hospital, Kirkuk, between December 2012 and January 2014. Diagnoses of comorbid psychiatric disorders were done according to Diagnostic and Statistical Manual of Mental Disorders. Results: The most frequent psychiatric disorders were anxiety disorders (59.64%) followed by sexual dysfunction in males (50%). Conclusion: This study reveals that those patients with epilepsy are at high risk of comorbidity of psychiatric disorders.

The Incidence of Unexplained Subfertility and its Relation with Age and Antisperm Antibodies among Infertile Couples in Erbil City

Sahar Mohammed Zaki Abdulla

Kirkuk Journal of Medical Sciences, 2014, Volume 2, Issue 2, Pages 22-26

Background: Unexplained subfertility (UI) is a term applied to an infertile couple whose standard investigations yield normal results. The diagnosis of UI is one of exclusion. Aims and objectives: 1. To find any other causes of UI. 2. To know distribution of patients with UI according to the age 3. To detect Anti Sperm Antibodies (ASAs) in both serum of couples and in the semen of male partner and its relation with UI. Patients and methods: The study carried out in Erbil In Vitro Fertilization (IVF) and subfertility care center from November 2009-September 2010 and (157) couples (explained and unexplained) were participated in this study and classified according to the cause of subfertility. A serum samples from 33 couples for both male and female, and 33 semen samples were examined for the presence of ASAs by using Enzyme linked immunosorbent assay technique (ELISA ). Results: From those (157) couples the incidence of UI was seen in 33 couples (21%) and the high percentage of infertile couples were age around (26-35) years. The mean age for both male and female was (33.64, 28.64) years respectively. The ASAs were foundin 5out 33 couples (15.16%), in female serum 8(24.24%) while in the semen was 18(54.55%) Conclusions: The age of male and female has effect on both the subfertility and fecundity and there is a relation between female age and subfertility. ASAs could be a cause for subfertility and ASAs found in couples with UI

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.

Reconstruction after Wide Excision of Primary Bone Tumors

Adnan Abdilmajeed Faraj

Kirkuk Journal of Medical Sciences, 2014, Volume 2, Issue 2, Pages 37-42

Introduction: Aggressive behavior of primary bone tumors can occur with benign, intermediate and malignant tumors. There is a debate regarding the type of surgical intervention. The current retrospective study examines the outcome of excision, bone graft and fixation surgery. Patients and Methods: Nine patients with different types of primary bone tumors were treated by wide excision of the lesion under C arm guidance, replacing the defect with freeze dried allograft (two patients), synthetic bone graft (one patient), autogenous structured iliac or tibial or fibular bone graft (6patients). The current series tumor staging was II-A in 5 patients and II-B in four patients; according to Enneking’s classification. Results: Mean follow-up period was 2 years. The result was good in 7 patients with no recurrence of tumor with bone graft healing, and a satisfactory function of the limb. One patient had A damintinoma of the tibia, despite several operations, the tumor recurred. Conclusion: Using different types of bone graft, and implants after excision of primary tumor with a safety margin; will restore the function and is associated with a good outcome.

Epidemiological Data of Drug Abuse in Kirkuk Governorate; A Descriptive Study

Saadoun Dawood Ahmed Al-Jiboori

Kirkuk Journal of Medical Sciences, 2014, Volume 2, Issue 2, Pages 43-50

Background: Drug abuse is the self-administration of any drug in a manner that diverts from approved medical or social patterns within a given culture. Legal or licit drugs and substances are socially accepted and their use does not constitute any criminal offence. Objective: To determine types of drugs which are abused, to demonstrate the sociodemographic profile of the abusers, the sources of starting drugs consumption and the associated psychiatric disorders among them. Patients and Methods: A descriptive study of (372) patients with drug abuse consisting of (285) males and (87) females. The study was done in Kirkuk city between December 2012 and January 2014. Diagnosis of drug abuse was made according to the Diagnostic Statistical Manual of diseases-Fourth Text Revised (DSM-IVTR). Results: The majority of the patients were singles (56.4%), (83.6%) with the age range of (17-38) years, (64%) were illiterate and primary school educate, (72%) were unemployed, (70%) from urban area. (17%), (16%), (13%), of the patients abused, Tramadol, poly drugs, and Alprazolam respectively. (18%) of the patients were diagnosed anxiety disorders, and (3.7%) of the patients were diagnosed with somatoform. Conclusions: Drug abuse is a growing problem in Iraq. Unaware of medical professional of some drugs with potential risks of abuse, unsupervised prescription and easy access of these drugs, in addition to the characteristic groups of high risks of abuse, such as young males, poorly educated, unemployed, those who were exposed to stressful factors and psychiatric patients. All these need to be addressed by medical, legal and social authorities.

Premenstrual Syndrome among Kirkuk University Students

Mohammed Mustafa Mohammed

Kirkuk Journal of Medical Sciences, 2014, Volume 2, Issue 2, Pages 51-55

Background: Premenstrual syndrome (PMS) is a common menstrual disorder precipitated by stress and tensions either at home or at work and particularly affect women during their reproductive live mostly in their reproductive live mostly in their twenties and thirties. Objective: To estimate the prevalence of PMS among Kirkuk University Students and its effect on their activities and learning process. Patients and Methods: This cross-sectional study was conducted during the period 10th/11/2010-10th/3/2011 among 224 Kirkuk University students; by using a special questionnaire form which includes information about: name of the college, age of the student, marital status and physical and psychological symptoms of PMS. Results: Majority of the students included in the study complained from more than one symptom of PMS; and PMS affect their activities. Conclusion: PMS symptoms affect the study and training of the students during their academic year. Recommendation: Advice the girls to take prophylactic drugs and avoid consumption of food and beverage that are high in sugar content or taking sweets which might aggravate menstrual symptoms