Volume 4, Issue 2, Autumn 2008, Page 1-187


Painful osteoarthritic knee joints; a comparative study between intra-articular steroids and combined physiotherapy modalities treatment

Shamran K. Al-Umeri

Al-Qadisiah Medical Journal, 2008, Volume 4, Issue 2, Pages 9-16

Thirty patients 13males(44%) 17females(56%) who had osteoarthritis of the knees according to ARA classification criteria and presented with acute pain without effusion where randomly assigned into 2 groups to evaluate the effects of intra-articular injection(IAS) and in the other hand combination of interferential current (IFC) with pulsed electromagnetic field (PEF) physiotherapy modalities in treating painful Knee OA. All patients were treated with acetaminophen 1g bid, meloxicam 7.5mg once daily. 15 patients 8males(53%)- 7females (47%) received intra-articular injection of methyl prednisolone acetate(IAS) 80mg/2ml depot. The other group 10females(66.6%) – 5 males (33.3%) was treated by interferential current(IFP) 10 minute sessions with 20 minutes sessions of pulsed electromagnetic field therapy(PEF). The WOMAC (Western Ontario and McMaster Universities) scores index of osteoarthritis were recorded at 0 week, 1st wk ,2nd wk, 4th wk, 8th wk and 16th wk. At follow up visits pain, stiffness and physical function are the parameters used for comparison. Both intra-articular injection group and combined physiotherapy modalities group had significant improvement. The IAS group had more rapid pain relief and continue till the end of the study. Slow improvement was achieved in the second group. Our current study suggest that IAS is preferable than IFP&PEF in the treatment of OA knee pain from the practical point of view regarding the cost of the instrument, patient compliance, poverty state of the patients and their needs for early return to their jobs. Availability of portable IFP or PEMF is more practical but under education of our patients & its cost are main obstacles in its way of use.

Investigation of Human Cytomegalovirus pp43 & pp76 in colon adenocarcinoma Using Immunohistochemistry (IHC) technique

Ahmed M.A.Nazar; A.BassitA.Samad; Atta Gitti Allawi

Al-Qadisiah Medical Journal, 2008, Volume 4, Issue 2, Pages 1-8

Several studies have suggested a possible link between human cytomegalovirus infection and various malignancies particularly colon adenocarcinoma.The present study investigates whether HCMV participates in human colon tumorigenesis by the detection of HCMV proteins within epithelial cells of colorectal carcinoma using Immunohistochemistry (IHC) technique.formalin – fixed, paraffin – embedded specimens of adenocarcinoma, and normal tissues were obtained from the margins of the excision as a control, those specimens were tested by IHC to detect the presence of HCMV proteins using two types of mouse monoclonal antibodies as mixture of monoclonal antibodies to an early and immediate early proteins (pp43 & pp76, respectively). The results of IHC assay showed specific nuclear and cytoplasmic reaction of HCMV proteins within the epithelial cells of colon adenocarcinoma (82.60%), the study showed no nuclear or cytoplasmic reaction in any case of control group . In view of the many cellular modulatory properties of this virus, our data justify further studies to establish whether HCMV interfere with the pathogenesis of colon adenocarcinoma.

Histological study of endometrial biopsies (D&C) in 2007

Najat Mutar Auraibi; Shehab Ahmad Faris; Rasha Hatam Saeed

Al-Qadisiah Medical Journal, 2008, Volume 4, Issue 2, Pages 17-26

The aim of present study was carried out firstly to find out the causes for abnormal uterine bleeding in women at Najaf city and secondly to compare the histopathological findings between the premenopausal and postmenopausal women . the total number of cases was 130 women with abnormal uterine bleeding.it has been found that the most frequent age group presentation for D&C was (20-29) years. Premenopausal women for D&C were the most frequent than postmenopausal women . It has also been found that no significant deference between non secretory and secretory phases in two groups of women. Histopathological diagnosis of D&C into normal , retained gestation product , benign and malignant also studied .

Study the role of Toxoplasma gondii, Cytomegalovirus and anti-phospholipids antibodies in cases of abortion among women in Hilla city

Gayedaa J. AL-Juburi; Mohammed A. Muhsin; Mohammed S. Al-Saeed

Al-Qadisiah Medical Journal, 2008, Volume 4, Issue 2, Pages 27-34

This study was conducted to detect the role of T.gondii and CMV and the possible association between them in cases of abortion. Also the role of auto antibodies against phospholipids (APL) and it's association with the mentioned parasite and virus among women who have consulted the-Children and Maternity Hospital and General Teaching Hospital in AL-Hilla city, during the period from November 2006 to April 2007.
Out of 120 samples, 50(41.66%) were positive for anti-Toxoplasma antibodies. While out of 44 sera, 35(79.5%) and 8(18.8%) were positive for anti-CMV IgG and IgM antibodies respectively. All control samples have been found to be negative for both Toxoplama and CMV.
Twenty eight sera from aborted women (Some negative sera and others positive sera for anti-Toxoplasma and/or anti-CMV antibodies) were subtested for detection of anti-phospholipids (aPL) antibody by using ELISA, it was observed that only 3(10.7%) sera were positive.

The outcome of electrocoagulation after dissection in thyroglossal duct cyst and fistula

Khairallah M-AL-Rubaiee

Al-Qadisiah Medical Journal, 2008, Volume 4, Issue 2, Pages 35-39

Thyroglossal duct cysts are the most common forms of congeLital neck swelling .They are liable for infection &also for malignant transformation .Incorrect management of the infected cyst may end with formation of thyroglssal fistula. Sistrunk’s operation is still the procedure of choice in spite of its recurrence rate about4 %.In this series 32patients underwent the conventional Sistrnk’s operation with moderate modification represented by electocoagulation of the dissected plane of tissues. Twenty eight patients (88%) of the total series were presented with asymptomatic naci swelling; 6%with inflamed neck swelling; 6%with TGD fistula; they were scheduled to undergo the above surgical operation over a period of 4.5years .average age was9.125year; male: female ratiowas1.8:1
Recurrence rate was0%; the mean follow up period was 18 month, 6%of them presented with post operative complications. Electrocoagulation of the dissected plane of tissue in Sistrunk’s probably offer more warranty for ablation of ductuli & thence minimize the recurrence rate.

The Implications of HLA Phenotypes in Inflammatory Bowel Disease

Nawal AL-Khalidy; Jassem AL-Khafaji; Khalida M. AL-Mousawy; Hummady A. AL-Hilaly

Al-Qadisiah Medical Journal, 2008, Volume 4, Issue 2, Pages 40-49

Susceptibility to Inflammatory Bowel Disease (IBD) is, in part, genetically determined, and the HLA genes are candidate for a role in the genetic susceptibility to this disease, because their products play a central role in the immune responses. Multiple studies have reported associations between HLA phenotypes and either Ulcerative Colitis (UC) or Crohn's Disease (CD), the major two disorders of IBD, but much of these data are still controversial. To estimate overall associations between HLA phenotypes and this disease, and to establish

the probable etiologic or protective functions conferred by these molecules, a total of 71 Iraqis, Arabs patients (55 with UC and 16 with CD) compared with ethnically matched, 70 healthy control group were assayed for a panel of monoclonal antibodies for HLA class I and II, using microlymphocytotoxicity test. Among class I molecules; A23, A(16+66), and B27, were positively associated with the disease (Odds ratio: 18.9, 9.4, and 4.8, respectively), conferred etiologic roles. The DQ2 was the only one of class II molecules that played same role (OR 2.6). On the other hand, A2, Bw4, Cw5, DR3, and DR8, were found to be negatively associated with IBD suggesting a protective role at respective ORs; 0.4, 0.1, 0.2, 0.1, and 0.3. Thus, IBD is associated with specific class I and II molecules that may play roles in the etiology or in prevention of this disease. Further studies required to determine allelic variants of HLA-genes in this study.

The frequency of death among hospitalized neonates with hyaline membrane disease (HMD) in AL-DIWANAH maternity and children teaching hospital from (2005-2007)

Deia.K.kalaf

Al-Qadisiah Medical Journal, 2008, Volume 4, Issue 2, Pages 50-59

Assessment the frequency of death among hospitalized neonates with HMD in AL-DIWANAH, maternity and children teaching hospital, and to analyze risk factors associated with poor outcome.
Patients and methods: all the neonates with HMD who were admitted to neonatal intensive care unit (NICU) and expired, during a period of three years ( 2005 -2007 ),the patients were divided according to different parameters (sex, B,W, gestational age, mode of delivery, days of death, cause of death,) A total live births of 25463, and a total of 356 case of HMD were admitted during the period of the study, and 112 neonate were died with a frequency of 30%.,with sex ratio of male to female (1.4:1 ) respectively, and most of death was due to apnea in 87%, so the causes of death and risk factors for death were presented and compared with results of other studies in other parts of the world.
Major risk factor associated with HMD in the city were apnea, prenatal diagnosis facilities are not available, but post natal diagnosis depend mainly on clinical picture as no lab- test available in regard to L/S ratio by chromatography or shake test for amniotic fluid to assess maturity can be performed, mortality can be reduced by improving the ante-natal, obstetric, post-natal care levels.

Aetiology of Hoarseness in Patients above 40 Years Old

Raid Yaqoub Yousef

Al-Qadisiah Medical Journal, 2008, Volume 4, Issue 2, Pages 60-65

This study is designed to determine the most common causes of hoarseness in patients above 40 years of age and the relationship between hoarseness causes and its duration. The study is prospective in nature. It considers 80 patients with hoarseness who were assessed between April 2006 and April 2008 at my own clinic and at E.N.T. outpatient clinic, Department of Otolaryngology in AL-Diwiania Teaching Hospital, in Al-Diwaniya City, Iraq.Out of the 80 patients, 57 had hoarseness because of non neoplastic causes, giving an incidence of 71.25% (Infective laryngitis n=23,28.75%, Acid laryngitis n=17,21.25% , Allergic laryngitis n=13,16.25%, Vocal cord palsy n=2,2.5%, Psychogenic n=2,2.5% Traumatic n=0,0%, Rienke’s oedema n=0,0% ) while hoarseness occurs in the remaining 23 patients due to neoplastic causes, giving an incidence of 28.75% (laryngeal carcinoma n=12,15%,Polyp n=6,7.5%, Nodule n=3,3.75%, Cyst n=1,1.25%, Granuloma n=1,1.25%, Benign tumor n=0,0%). We also found that hoarse patients for a duration of more than one month were likely to have a neoplastic cause more than non neoplastic cause. The incidence of non neoplastic causes of hoarseness in patients more than 40 years old are more common than neoplastic causes. Moreover, hoarse patients who have a longer duration of hoarseness have a more chance to have neoplastic cause than non neoplastic cause.

The prevalence of neonatal jaundice due To Rh isoimmunization and ABO incompatibilityAdmitted to the maternity and children Teaching hospital in Al-diwaniya city

Jomah Naser Al-obaidi; Adel Jabbar Al-shami

Al-Qadisiah Medical Journal, 2008, Volume 4, Issue 2, Pages 66-72

Jaundice is a common neonatal problem. 65% of newborns develop clinical jaundice with bilirubin level above 5 mg/ dl during the first week of life. Hyperbilirubinemia can be toxic, with high level resulting in encephalopathy known as Kernicterus. Rh and ABO incompatibility are one of the causes of neonatal jaundice due to immune hemolysis of RBC in infants.
The aim of the study was to measure the prevalence of the neonatal jaundice caused by Rh and ABO incompatibility and identify the type of therapy they received, and to find the relation of gestational age with the cause of jaundice and their treatment, also with the incidence of exchange transfusion to each one (find the relation of Term or Preterm babies with ABO or Rh incompatibility as causes of their jaundice).
A total number of 55 neonates who were admitted to the maternity and children teaching hospital in Al-Diwaniya city were studied for the incidence of ABO and Rh incompatibility as causes of neonatal jaundice. Their treatment also subjected to the study. The study found that the prevalence of neonatal jaundice due to ABO incompatibility were 81.8% and due to Rh isoimmunazation were 56.3%, and due to both were 38.1%. 65.4% male and 34.5% female with M: F ratio 1.8:1. 80% of full-term babies their jaundice due to ABO incompatibility where as 86.6% of preterm babies their jaundice due to Rh isoimmunization. All babies with jaundice treated with phototherapy, 15 patients (27.2%) were treated with exchange transfusion and 15 patients (27.2%) were treated with both (phototherapy and ET).Neonatal jaundice due to Rh isoimmunization is less frequent and more sever than due to ABO incompatibility and mostly required exchange transfusion particularly if the neonate is preterm. Anti-D is most important and effective therapy for prevention of Rh isoimmunization, maternal education is required.

The alteration in serum amino acid profile in patients with chronic obstructive pulmonary disease

Shama Abd Al-Azez; Buthena Abass Frhan

Al-Qadisiah Medical Journal, 2008, Volume 4, Issue 2, Pages 73-79

The aim of this study was to identify whether there is a difference in serum (BCAA) concentration in COPD, and is this alteration associated with changes in total protein concentration, total cholesterol, Albumin and triglyceride (TGL). Fourteen patients with COPD their age is (62.3±2.4), and fourteen healthy volunteers their age (60.32±1.56) were examined. All subjects were men, furthermore the patients have irreversible obstructive air way diseases (emphysema due to heavy smoking) but they were clinically in stable condition and not suffering from respiratory tract infection or exacerbation of their diseases. Serum sample were obtained from all patients and control group for the measurement of BCAA, total protein, albumin and total cholesterol.
The results show that the concentration of BCAA were reduced in patients with COPD (P<0.05) in addition to that there were a significant differ in serum concentration of total protein, total cholesterol, TGL and albumin between the patients with COPD and control group.

Ovarian consequences of transient discontinuation of combined oral contraceptive pills (the missing pills)

Abdaladeem Y. J

Al-Qadisiah Medical Journal, 2008, Volume 4, Issue 2, Pages 80-82

The aim of this study is to determine the effects of transient interruption of combined oral contraceptive pills (the missing pills) on pregnancy rates, Ovulation, &any other pathological complications.
-Design: a prospective &case controlled study.
-Setting: this study was done in Elwiyah & Habibiyah teaching hospitals, Baghdad / Iraq.

Tools & methods
One hundred women were chosen, all are using combined oral contraceptive pills, fifty women considered as the control group whom on regular use of pills, the study group are those women on pills but with missing pills (1, 2 or 3), those with more than 3 missing pills were not included in the study, these women were followed up for 6 weeks following the next period.
All women (study & control groups) were supplied with the same type of combined oral contraceptive pills which was Microgynon Schering (levo Norgestrel 0.15 mg + Ethinyl estradiol 0.03 mg).

Radiation Dose Reduction of Head CT scan with a Low–Tube Voltage

Amal Abdulallah sakban; Runak Tahr Ali

Al-Qadisiah Medical Journal, 2008, Volume 4, Issue 2, Pages 83-90

The increasing radiation exposure to patient from CT has been of concern to radiologists, medical physicists. The aim of this study is to reduce radiation dose from head computed tomography (CT) by using a technique with low tube voltage (90 Kv) instead of (120 Kv).
A phantom for measurement of the radiation dose and a phantom containing low-contrast objects were scanned with a 16–detector row CT scanner at 120 kV and 90 kV. The tube current–time product settings were 100–560 mAs, and the doses at the center and periphery of the phantom were measured.The effective dose and the DLP were estimated for patients who are undertaking head for CT examinations- By using phantom. From these results it is found that the longer scan series imparts a higher DLP to the patient compared to that of a shorter scan series. A reduction from 120 kV to 90 kV led to as much as a 35% reduction in the radiation dose, without of low-contrast detectability, at CT.

The Effect of Obesity on Blood Pressure

Farhan H. Ali Al-Naily

Al-Qadisiah Medical Journal, 2008, Volume 4, Issue 2, Pages 91-98

The aim of this study to quantify the effect of obesity on blood pressure. We study 80 persons (clinically normal), divided in two groups according to the age, the first group under 40 years which is subdivided into two groups, group A 20 persons with normal weight and group C also 20 persons with over weight and the second group, above 40 years also subdivided into two groups, group B 20 persons with a normal weight and group D 20 persons, with over weight and we have found the effect of obesity on, systolic, diastolic, and mean blood pressure on the first group and on the second group.And the results indicate that the effect of obesity on the age group over 40 years more than the effect of obesity on the age group, below the 40 years. So the effect of obesity on SBP, DBP and MBP is increase with the increasing of the age.

Elevated leukocyte count and advers events in patients with acute coronary syndrome

ALI M.HUSSAIN AL.YASSIAN

Al-Qadisiah Medical Journal, 2008, Volume 4, Issue 2, Pages 99-108

Inflammation has been shown to play a role in atherosclerosis and CAD. An elevated leukocyte count is associated with adverse inhospital out come and mortality in patients presented with acutecoronarysyndrome. This study was designed to determine the relation between initial total WBC count and the hospital mortality and complications in patients with ACS including STEMI, NSTEMI, and UA and to know if this parameter has significant power of clinical severity and out come. Patients and methods: The relationship between initial total WBC count with hospital mortality and complications and clinical out come in 57 patients with ACS admitted to the CCU in AD-DIWANYIA teaching hospital from the first of January to the 30 of march 2008 has been tested ,diseases were evaluated for seventeen (17) patients with STEMI ,twenty (20) patients with NSTEMI , twenty (20) patients with UA , venous blood samples were taking from each patient for initial total WBC count ,fasting lipid profile ,random blood sugar. Comparison between those patients with STEMI, NSTEMI, UA were conducted includes one inflammatory marker (WBC). High initial total WBC count was associated with high cardiovascular risk, heart failure and mortality (19.2%, 12.2 %, and 8.77 %) among patients with STEMI, NSTEMI, and UA respectively. Conclusion: In patients with ACS, initial leukocyte count is predictive of out come and as the level increased the complications increase and the clinical out come adversely affected.

Management of Rachipagus Parasitic Twin

Mohammed J. Aboud

Al-Qadisiah Medical Journal, 2008, Volume 4, Issue 2, Pages 109-115

Occurrence of asymmetrical or parasitic conjoined twins (CT) is rare, and currently they are classified analogically to the common unions of symmetrical CT. We report on an infant with a parasitic third limb attached to the back at thoracolumber area , in whom male genitalia was found . Parasite parts included incomplete upper limb, hemipelvis, thoracolumber vertebral column, spinal cord, and one kidney with ureter ,small bowel, lung tissue and adrenal gland. Auto site anomalies comprised evidence of thoracolumbar meningomyelocele. We considered this case to be a rare atypical parasitic rachiopagus CT. The differential diagnosis of the type of twining and other entities with caudal duplications is analyzed briefly . We report a case of rachipagus parasitic twin diagnosed delivered a live baby at 34 weeks of gestation to 30-year-old primgravida woman with history of 10 years secondary infertility .

Evaluation of Hepatitis B Virus Vaccination among Children in Al-Diawynia City

Ali R. Omer; Nihad A.M. Al-Rashedi; Amina N. Al-Thwani

Al-Qadisiah Medical Journal, 2008, Volume 4, Issue 2, Pages 116-125

This study attempts to determine the protective level of antibodies against hepatitis B surface antigen among vaccinated and unvaccinated children in Al-Diawynia city, age ranging 1- 10 year. A total of 220 blood samples have been collected and tested for detection of serological markers of hepatitis B virus (HBsAg, anti-HBs and anti-HBc). They included 150 children represented the vaccinated group and 70 children represented the unvaccinated group. Prevalence of anti-HBs was higher in vaccinated children 67.3% than in unvaccinated children 3.3%. Anti-HBc was not found in vaccinated children, while 4.2% in unvaccinated children. The distribution of protective level is divided to less than 10; 10-100; and 100-more than 500 mIU/ml among studies groups that have anti-HBs 14(9.3%); 34(22.6%); and 53(53.3%) of vaccinated and (0.0%); (1.4%); and 2(2.8%) of unvaccinated group. Finally, prevalence of protective anti-HBs level according to the doses received by vaccinated group has revealed that 66% of those who received the three primary doses.

Ocular manifestations of Rheumatoid arthritis

Furkaan Majied Hamied

Al-Qadisiah Medical Journal, 2008, Volume 4, Issue 2, Pages 126-130

Rheumatoid arthritis is the most common inflammatory arthritis of rheumatoid diseases which are group of immune mediated multisystem diseases.To find out the clinical ocular manifestations of rheumatoid arthritis & to ensure the importance of ophthalmologic assessment for each patient with rheumatoid arithritis.56 patients attendant to the rheumatological unite in Al-Diwaniya Teaching hospital, examined by (Visual acuity, slit lamp biomicroscopy, tonometry, tear breakup time, Schirmer test, & fundoscopy).of 56 patients; 18(32%) had positive ocular findings. The most common finding was dry eye; 9(18%) of patients.

Evaluation of Irritable Bowel Syndrom in AL-Diwanyia City

ALI MOHAMMED HUSSEIN AL-YASSIN; USAMA TAHHER MUSLEM; ALI TALIB N. ALDAMARCHI

Al-Qadisiah Medical Journal, 2008, Volume 4, Issue 2, Pages 131-142

Irritable bowel syndrome (IBS) is the most commonly diagnosed gastrointestinal condition that comprises 25-50% of all referral to gastroenterologists. IBS causes a great deal of discomfort and distress, but it does not permanently harm the intestines and does not lead to a serious disease, such as cancer.
To study the epidemiological aspect, clinical varieties and the response the available treatment in patients whom complaining of irritable bowel syndrome according to Rome criteria in al Diwaniya province in Iraq.
Two hundreds sixty four patients with variable clinical presentation of irritable bowel syndrome of different age groups and sexes were fully examined and investigated to exclude the organic disease. We used the chi square calculation in statistical analysis.
The mean age of patients in our study was 26.1±1.2 that is mean higher prevalence in younger age group. There is an overall female predominance with more common in married than single. IBS can distribute in smoker and nonsmoker with no significance difference. The most common presentation was the alteration of constipation and diarrhea. Most patients had an exacerbation of symptoms after an emotional stress or eating heavy meal. About 90% of patients fell un satisfactory response to available treatment.
This disorder mainly affects young patients of both sexes, so it has adverse effect on the performance and the productive power of country. More advanced treatment modalities adopted in developed countries needed to be evaluated and applied in our country.

Prevalence of patients with Failure to thrive admitted to Maternity and Children Teaching Hospital in Al-Diwaniya

Obaidi; Jomah Nasir Al; Nasma Naji Al-Hijia

Al-Qadisiah Medical Journal, 2008, Volume 4, Issue 2, Pages 143-150

This is a prevalence study of patients with failure to thrive under 5 years who were admitted in maternity and children teaching hospital in Al – Diwaniya from 1 / 7 / 2008 to 1 / 9 / 2008 .The total number of patients under 5 years was 420 patient , 59.40% was male , and 40.95% was female . The patients under 1 years of age were 66.66%, from 1 year to 2 years age was 20.47%. From 2-3y.(7.14%),from3-4y.(3.78%),from4-5y(1.90%).
The prevalence of patients with failure to thrive was 50.71% , the patients with failure to thrive due to organic causes was 48.33% , and inorganic causes ( psychosocial ) was 2.38% . The prevalence of patients with no FTT was 49.28%.

Desmoid tumors of the abdominal wall:Two cases report

Adel M. Al-Rekabi

Al-Qadisiah Medical Journal, 2008, Volume 4, Issue 2, Pages 151-155

Desmoid tumors are slow growing deep fibromatoses with aggressive infiltration of adjacent tissue but without any metastatic potential.We report on two female patients with desmoid tumor of the abdominal wall who underwent primary resection and proline mesh repair. Both patients had a history of an earlier abdominal surgery. Preoperative evaluation included abdominal ultrasound,and computed tomography. The histology in both cases revealed a desmoid tumor.Complete surgical resection and proline mesh repair is the first line management of this tumor entity.

Effect of Formula and Breast Milk Feeding on Random Blood Sugar Values in Healthy, Full Term Babies, in 1st 48 hours after Birth

Thamer Emad Ahmad

Al-Qadisiah Medical Journal, 2008, Volume 4, Issue 2, Pages 156-171

In our study, we tried to discuss the effect of type of feeding on random blood sugar and whether it can be considered as a cause of hypoglycemia. To achieve this, we measured random blood sugar of 100 full term healthy newborn babies using, a blood glucose monitor device called Glucutrend® 2,all of them were delivered by caesarean section as such deliveries stay in the hospital for at least 48 hours and therefore this makes them easy to be followed-up. Among them, 48 babies were milk formula fed and 52 babies were breast-fed .The random blood sugar was measured at specific times after birth.
It was found that whether in males or in females or all, there was no significant statistical difference in random blood sugar values at each specific time between babies who were formula-fed as compared to those who were breast-fed.
The study showed also that random blood sugar is increasing with time by the effect of feeding .Of the 100 babies studied, only 6 suffered from hypoglycemia presented by jitteriness. However, there was no significant statistical difference between random blood sugar values of hypoglycemic babies who were breast-fed as compared to hypoglycemic babies who were formula-fed.
The range at which hypoglycemia showed symptoms presented by jitteriness are around 35-40 mg/dl during the 1st 10 hours after birth. However, the study also showed that hypoglycemia has no standard level but depends on signs and symptoms because some babies did not present with jitteriness at this level.

The Evaluation of High Density Lipoproteins-cholesterol and Triglycerides on newely diagnosusis Gestatinal diabetes

Ajile Abdul Hussein Al- Zamily

Al-Qadisiah Medical Journal, 2008, Volume 4, Issue 2, Pages 172-180

Many studies indicated that lipid profile risk factor for gestation diabetes mellitus (GDM), and the early detection of GDM may prevent or delay progression to type 2 diabetes mellitus. Detection of impaired gestation requires a test which is inconvenient to screen for this condition in clinical practice.This studies was aimed to assess these effects of high density lipoproteins-cholesterol (HDL-C) and triglycerides (TGs) on the manifestations of gestational diabetes mellitus (GDM).Materials and methods:-Twenty-four Pregnant women were preformed brief IGTT, (75g oral glucose tolerance test ) during period the August /2006 to October / 2007. They classified into three groups depending on the results of IGTT nets.
1. Group A: Normal Glucose Tolerance (NGT), (No.10).
2. Group B: Impaired gestation diabetes mellitus (IGDM), (No.7).
3. Group C: Gestational diabetes mellitus (GDM), (No.7).
HDL-c was showed a significant direct correlation with serum glucose assessed by 2h-OGTT (R2=0.173, 0.498, 0.723 for group A,B, and C respectively). Gestation diabetes mellitus patients (GDM) showed direct correlation between HDL-C and serum glucose level.
In addition, direct correlation between TG and serum glucose, but not reach to significant correlation.IGDM is associated with high density lipoprotein –cholesterol. The HDL-C and TG associated with risk for GDM and study this parameters help to prevent or delay GDM

Occurrence of Salmonella serotypes in Euphrates River Water at A-Nassyria city-Iraq

Yahia Abedelreda Abass

Al-Qadisiah Medical Journal, 2008, Volume 4, Issue 2, Pages 181-187

The study was undertaken from April to September 2007 to detect occurrence of Salmonella serotypes in Euphrates river water and its correlation with two indicator organisms (FC & FE) of water contamination. Three stations for study were selected on the river at Al-Nassyriya and one on sewage effluent. High influence for sewage effluents on bacteriological properties of river water (through counting large number of indicators) were found specially in station 2 which lies at the area of sewage effluent outlet with the river and lead to increase of pathogens counts. Salmonella were found in all samples of stations 2,3,4 and in 70% of station 1.The most frequently serotypes were S. anatum (22.72%) and S. typhimurium (20.9%).