Print ISSN: 2706-6207

Online ISSN: 2664-3154

Volume 7, Issue 1

Volume 7, Issue 1, Winter and Spring 2009

Rare Sites of the Hydatid Cyst

Mohammed Tafash Dagash

Al- Anbar Medical Journal, 2009, Volume 7, Issue 1, Pages 1-12

Background: Cystic hydatidosis caused by Echinococcus granulosus is an important zoonotic world wide. Although all the sites of the body can be a possible location of the parasite , skin is an example of an uncommon site.Objective : To determine the hydatid cyst which can occur any where in human body even the skin , & can deal with it first due to can do this operation under local anesthesia or possibility of rupture .Materials& Methods: prospective study of five patients present with skin swelling . The diagnoses were made in three cases by incidental finding during operation for exploration of the skin swelling for diagnostic & therapeutic . The remaining two cases diagnosis is preoperative by high suspension .Results: out of five patients aged between 30-70 years with skin swelling (average 50 years ) , three of them incidental discover preoperative with 60 % female & 40 % male .Conclusion & Recommendation : Two of them are as secondary hydatid cyst & other three are primary hydatid cyst . Although it is rare hydatid cyst of skin , it should be considered in the differential diagnosis of skin swelling ,especially in endemic areas.

Incidence of Cancer Hit District

Haitham N. Alkubaisi

Al- Anbar Medical Journal, 2009, Volume 7, Issue 1, Pages 13-18

Objective : to study the incidence of cancer in Hit district over one year study from 212008 – 212009
Patients and Methods: a descriptive study of patients complaining from different types of malignancies proved by different diagnostic procedures including surgery & histopathological study according to medicial textbook and British & American clinical oncology.
Result: from this study I found (93) cases of different types of malignancy over one year study (the size of HIT population are 130 000 ). The ratio was 1:1397 i.e. 71.5100 000 Most cases was found in HIT city center (55) cases (1:1091 i.e.91.6100 000 ) the heighest cancer was found in G.I.T. System 31 cases (33.33%) followed by haematology & breast 15,13 respectively, the lowest ratio was found in locomotor ,skin & CNS 2 cases for each equally(2.10%) majority of patients survived (75) cases (80.6%) & ( 18) were died ( 19.3%) only one (1.1%) curred completely but with sever psychological trauma and recurrent abnormal behavioural conditions while other survivals has residual disabilities, high rate of malignancy was found among male (50) patients(53.77%) & 43 (46.2%) in female.
Conclusion: the incidence of malignancy in HIT district was ( 71.5/100 000) compared with national statistical study was
(10- 40 / 100 000) so there was a big increase in the incidence of malignancy in HIT district, that need further studies of the area looking for if possible for the cause.

Relationship Between Uric Acid and Obesity

Al- Anbar Medical Journal, 2009, Volume 7, Issue 1, Pages 19-23

Objective: To determine the relationship between obesity and the level of serum uric acid. Subjects: Blood sample was taken from 143 outpatients at Al-Basrah Hospital, they were divided into two groups, 48 blood sample of obese and 95 blood samples of control. Plasma uric acid was measured by enzymatic determination of uric acid.
Result: Results showed that serum uric acid concentration was significantly increasing in obese group than that of control group (p<0.05), while there is significant difference between mean level of uric acid of females in the two groups (p< 0.05), while the difference among males in the two groups was, though not significant (P>0.05). Serum uric acid concentration in obese male significantly increasing in comparison with obese female (p< 0.05). The relations between age and concentration of uric acid in obese male significantly ( p < 0.005) higher than obese female.
Conclusion: Serum uric acid was significantly increasing in obese than that of control group. When considering obese group only, findings show mean uric acid concentration of males is significantly higher than that of females, it has been suggested that mechanism of hyperuricemia in obesity.

The Role of Epineurotomy in Carpal Tunnel Syndrome

Ahmed Khalaf Jasim; Thamer Khalaf Yaseen; Ayyoub A. Al-Dolaymi

Al- Anbar Medical Journal, 2009, Volume 7, Issue 1, Pages 24-29

Aim: The purpose of this study is to compare the effect of epineurotomy of median nerve with just division of the transverse carpal ligament in the treatment of carpal tunnel syndrome.Patients & Methods: We conducted a prospective, random study to evaluate the effect of epineurotomy on the outcome of operative treatment of established median-nerve compression in the carpal canal. Fifty hands (forty-four patients) were selected randomly into two groups: group I had a release of the transverse carpal ligament alone, and group II had a release and adjuvant epineurotomy of the median nerve. The groups were similar with regard to age group, gender, duration of symptoms, and preoperative physical findings. All patients had electrophysiological evidence of sensory delays and fibrillations on preoperative testing. Results: The patients were evaluated perioperatively and postoperatively after 6 months. The results show (60%) in group I and (56%) in group II who no longer had any symptoms referable to the dysfunction of the median nerve. On physical examination, the average two-point discrimination was 5.1mm in group I, and 4.7mm in group II. The electrophysiological tests revealed an average sensory latency 4.1msec in both groups. The follow-up examination revealed no detectable differences between the two groups with regard to symptoms, objective findings, or electrophysiological findings. Conclusions: we conclude that the epineurotomy of the median nerve offers no benefit compared with sectioning of the transverse carpal ligament alone.

Optimum Cincentration of DNA Extracted from Human Peripheral Blood

Sarab F. I. Al-Ani; Alaa A. B. Al-Kkhafaji; Omer Abdulkareem Ali

Al- Anbar Medical Journal, 2009, Volume 7, Issue 1, Pages 30-33

Objective: our study was to establish a simple, fast and inexpensive method for DNA extraction from human peripheral blood using commercial Laundry detergent (Bonux) from local markets.
Patients & Methods: Four concentrations of laundry detergent (Bonux) (10,20,30 and 40% w/v) were evaluated for obtaining the optimum concentration of DNA extraction from human peripheral blood.
Results: The results revealed that DNA purity of blood sample represented by OD260/280 ratio for 10% concentration of laundry detergent was 1.428±0.048, while the best concentration of laundry detergent was 30% with DNA purity measured in human blood by OD 260/280 ratio (1.843±0.064), while in proteinase k was 1.769 .
Conclusion: we concluded that the commercial laundry detergent powder contain a mixture of detergents, enzymes, chelating complexes, these materials assist in isolation of high molecular weight DNA from human blood. The detergent can be used in the modified procedure instead of proteinase K with 30% concentration of the laundry detergent (Bonux) which is not harmful, available and economical in use.

Eccrine Hidrocystoma Clinical Descriptive Study

Thamir A. Alkubaisi

Al- Anbar Medical Journal, 2009, Volume 7, Issue 1, Pages 34-38

Background: Eccrine hidrocystoma is a benign cystic sweat gland tumor, occurs on the face, and is more common in women. It characterized by chronic course and seasonal variability mostly presents during hot humid weather.
Objective: To asses the different clinical presentation of eccrine hidrocystoma. Because it frequently faced by many dermatologists and ophthalmologists.
Patients& Method: A clinical descriptive study was conducted in the Department of Dermatology and Venerology, Ramadi General Hospital, Anbar, Iraq from May 2007 to March 2008. Forty two patients with eccrine hidrocystoma were enrolled in this study. Detailed history and clinical examination were performed for all patients. Fasting blood sugar test was done for all patients. Thyroid function test was done for some patients. Histopathological study was done for two patients.
Results: The age of patients ranged between 35 -70 (45.71±9.59 )years, 40 females and 2 males with female to male ratio 1:0.05. Disease duration ranged between 2-156 (37.61±32.77)months. All patients presented from May till mid October. With exacerbation at summer season in 32 patients (76%). Forty patients (95%) were housewives with positive family history in 5patients (`12%). Eight patients (19%) have solitary lesions, while 34 patients (81%) have multiple lesions. Association with diabetes mellitus seen in 10 patients (24%).
Eccrine hidrocystomas have bilateral symmetrical Centro facial distribution of cheeks with lower eye lids involvement. All patients showed a symptomatic small vesicular, skin colored lesions, with black discoloration at the tip of the vesicles, and when doing puncture by a sterile needle, a clear fluid content will be seen.
Conclusions: Eccrine hidrocystoma is common benign cystic tumor of sweat glands, characterized by multiple vesicles which involve both checks, associated with profuse sweating affecting adult housewives women with chronic course with exacerbation in summer months mostly at August. Diabetes mellitus may have a role in the pathogenesis of the disease.

Prevalence of Thumb Sucking Habit and its Relation to Malocclusion in Preschool Children

Natheerv A. Rasheed

Al- Anbar Medical Journal, 2009, Volume 7, Issue 1, Pages 39-43

Objectives: to asses the prevalence of thumb sucking habit among preschool children and the effect of the habit on their occlusion.
Materials and Methods: 712 of 4-5 years old preschool children where examined for the presence or absence of thumb sucking habit by questioning, and inspection to the thumbs, and the teeth were examined for the presence of increased over jet and over bite or open bite.
Results: 128 children from the total number have thumb sucking habit, 102 of them have increased over jet, 80 of them have increased over bite, and 29 of them have open bite.
Conclusion: The percent of children having thumb sucking habit was considered to be high at this age range (4-5) years, and the habit was found to be increasing the prevalence of malocclusion of decidous teeth.

Omphalitis in Neonates Admitted to Al-Ramadi Maternity and Children Hospital

Wael W. Sa; eed; Saleem O. Al-Mawla; Sahar J. Al-Hiali

Al- Anbar Medical Journal, 2009, Volume 7, Issue 1, Pages 44-52

Objective: The aim of the present study was to recognize the prevalence of omphalitis in Al-Ramadi maternity and children hospital, main bacterial agent causing omphalitis as well as its relation to neonatal sepsis.Materials and Methods: All neonates admitted to neonatal care unit in Al-Ramadi maternity and children hospital during the study period are examined for omphalitis and data collected as follow: age, sex, gestational age, residency, maternal education, type and site of delivery, history of rupture membrane, way of cutting and clamping of umbilical cord. Umbilical swabs were taken for culture and blood were collected aseptically for culture.Results: During the study, one hundred five (12%) hospitalized neonates had omphalitis with mean age 5.16 ± 4.27 days.Male to female ratio was 1:0.5 Preterm babies were 18.1%. Redness was present in 79%. Pus discharge presented in 21%. Common pathogenic organism revealed by umbilical swab culture was Klebsiella spp. While blood culture revealed Staphylococcus aureus as the common pathogenic organism. No significant association between neonatal sepsis and omphalitis. Only pus discharge was significantly associated with positive blood culture.Conclusions: High prevalence of omphalitis (12%) recorded in Al-Ramadi maternity and children hospital and majority of them presented with redness.Neonatal sepsis recognized among 57% of them that was caused by other causes apart from omphalitis i.e. hospital acquired infection, so several community and hospital based studies are required to determine the prevalence of omphalitis and underlying risk factors.

The Role of Sperm-Bound Antibodies in Infertile Men in Iraq

Isam Salih; Usama Nihad Rifat; Ziad Hammad Abd

Al- Anbar Medical Journal, 2009, Volume 7, Issue 1, Pages 53-59

Objective: Antisperm antibodies need to be considered in particular cases of infertility. This study was carried out to determine the prevalence of clinically significant sperm bound antisperm antibodies (ASAs) in infertile men with abnormal seminal fluid parameters, to study the effects of those antibodies on different seminal parameters and to demonstrate the relationship between those antibodies and various male genital tract abnormalities that may coexist or play a role in their development.
Patients and methods: 118 infertile patients with abnormal seminal fluid parameters were followed prospectively in the Medical city Hospital between November 2004 and February 2006. Patients were assessed by history, physical examination and investigations that included hormonal assays and Doppler study. Screening for ASAs was by Tray agglutination test (TAT) to determine the degree and type of agglutination. Those with positive TAT were further evaluated by indirect Immunofluorescence technique to observe the type of antibodies and their location on the sperm.
Results: Sperm bound ASAs were present in 27 (22.8%) of infertile men with IgA being the predominant one in 26 (96.3%). Sperm agglutination and shaky movement were seen in 25 (92.5%) and 23 (85.1%) respectively of those with immune-infertility respectively. The positive predictive value for sperm agglutination was 86.2% and for sperm shaky movement was 88.4%. Twenty patients (74%) with ASAs had normal sperm count. Sperm motility was significantly reduced in patients with immune infertility. Twenty-five (92.6%) of them had zero to 25% of grade A & B motility. In comparison with infertile patients without ASAs 32 out of 91 (35.2 % ) were in the scale of ( 0 – 25 %) and 55 ( 60.4 % ) in the scale of (26 – 50 % ) and 4 (4.4 % ) in the scale of ( > 50 % ). Leukocytospermia was present in 25 (92.6%) of infertile men with ASAs compared with 10 (11%) of those without ASAs. Leukocytospermia was found in 25 (92.6%) of patients with immune-infertility, it was found in six (22.2%) in patients with physical testicular injuries, six (22.2%) in thermal injuries, three (11.1%) in obstructive lesions, two (7.4%) in cases of unidentified pathology and one (3.7%) in testicular failure. The highest positive predictive value for ASAs detection was seen with physical testicular injuries (85.7%) followed by leukocytospermia (71.4%), genital tract obstruction (50%), thermal injuries (17.1%) and testicular failure (12.5%) successively.
Conclusions: immune-infertility is present in a significant percentage of infertile men. IgA is the predominate antibodies. Sperm agglutination and shaky movement are significant predictors for ASAs and have high positive predictive values. Impaired sperm motility is significantly influenced by ASAs. Leukocytospermia is strongly associated with ASAs. The highest positive predictive value for ASAs is seen in physical testicular injuries followed by leukocytospermia and obstructive lesions.

Effect of Smoking on Lipid Profile in Men in Ramadi Municipality

Sabri M. Hussain; Omar S. Ibrahim; Abdullah Kh. Ibrahem

Al- Anbar Medical Journal, 2009, Volume 7, Issue 1, Pages 60-67

Background: Tobacco smoking is one of the major modifiable cardiovascular risk factors. Nicotine and other toxic substances from tobacco smoke are absorbed through the lungs into the blood stream and are circulated throughout the body. Smoking increases the amount of bad fats circulating in the blood vessels and decreases the amount of good fat availability.Objectives: The aim of the study was to find out differences in the serum lipid profile between men smokers and non-smokers in the fasting state.Patients and Methods: This descriptive study included two hundred and forty healthy non- obese males, categorized into two groups. One hundred (100) and forty (40) healthy men were included in group I (smokers) with in the age of 19-48 years (31.76±6.93) and one hundred apparently healthy men were included in group II (non-smokers) of the same age and weight matched as a control group. Group I was classified as those who stated smoking number of cigarette per day for at least three consecutive months into three different categories; group A included 38 males smoked 1-10 cigarette per day, group B included 78 males smoked 11-20 cigarette per day, and group C included 24 healthy males smoked more than 20 cigarette per day. Lipid profile was measured for all these groups. Results: This study showed that total cholesterol(TC), low-density lipoprotein cholesterol (LDL-C), very-low density lipoprotein cholesterol (VLDL-C), LDL-C/HDL-C (atherogenic index), and triglyceride (TG) were significantly higher in smokers as compared with non-smokers (control group) (P<0.001, P<0.001, P=0.001, P<0.001, P=0.001 respectively) while low-density lipoprotein cholesterol is smoking group was significantly lower in non-smoker (P=0.04). total cholesterol, low-density lipoprotein cholesterol, and atherogenic index were statistically affected by number of cigarette/day. Conclusions: Smoking produces adverse effects on lipid profile and the changes become more marked with the number of cigarette/day smoked

Prevalence of Hepatitis B and C Viruses among Medical Staff in Ramadi General Hospital

Thaa; er Al-Saad; Bassam M. Al-Alousi; Nisreen M. Khalaf; Wahbi Abdul Razak

Al- Anbar Medical Journal, 2009, Volume 7, Issue 1, Pages 68-75

Background: Hepatitis B virus (HBV) infection and Hepatitis C virus (HCV) infections have been recognized as an emerging problem in high risk groups including hospital health care workers (HHCW) and their prevalence varies considerably among different areas of the world. This study has been undertaken to shed light on the prevalence of these viruses among hospital staff in addition to prevention of further transmission of these viruses in such setting.
Methods: The prevalence of hepatitis B and C infection in 422 healthcare workers was estimated on poolls of sera collected during immunization against hepatitis B by enzyme linked immunosorbent assay (ELISA). Healthcare workers were arranged according to the age, sex and nationality.
Results: The prevalence of HBV among HHCW was 3 out of 422 (0.94%) which was significantly higher than in control (0.2%),also prevalence of HCV among HHCW was 3 out of 422 (0.71%) which was significantly higher than in control ,in both estimations no female were positive. All HCV positive cases were of Egyptian nationality.
Conclusions: A relatively high positivity rate was found among HHCW as compared to control. These results were in agreement with previous reports affirming that HHCW are at risk for infection with both HBV and HCV via exposure to infected blood or body fluids.

Risk Factors of Meningitis in Children Under Five Years in Al-Ramadi Maternity and Children Hospital

Mohammed Maher M. Al-Ani

Al- Anbar Medical Journal, 2009, Volume 7, Issue 1, Pages 76-84

AbstractObjective: The main objective of the present study was to find out risk factors of meningitis in children below 5 years in Al-Ramadi Maternity and children Hospital in a trial to control this important disease. Materials and Methods: Over a period of 3 years (from 1st.January/2005 to 31/December 2007) , 336 children under 5 years of age were admitted to the Maternity and children hospital in Ramadi city with symptoms and signs suggestive of meningitis.Cerebrospinal fluid(CSF) general examination for cells, protein and sugar, as well as CSF culture were done for all suspected cases for searching of meningitis.Each child with positive CSF finding(increase cells more than 25 in neonate and more than 5 beyond neonate) was studied for the following: Age of patient, Sex, Residency, Type of feeding, Recent upper respiratory tract infection, History of head trauma, History of antibiotics during illness, Family history for Crowding, Education, Economic status, Animal breeding, Smoking, Water supply, and Family history of meningitis. Results: One hundred twenty cases proved to be cases of meningitis according to CSF result ( increase cell count more than 5) Sixty - six (55%) case had positive culture while 54 (45%) were culture negative(48 of culture negative received antibiotics). Age, urban residency, crowding, low economic state, bottle feeding, passive smoking, recent upper respiratory tract infection were found to be significant risk factors for developing meningitis, while sex, water supply, Maternal education, head trauma, Family history of meningitis, and animal breeding were found not to be significant risk factors.Conclusion: meningitis is an important problem in Al-Ramadi city, age, urban residence, over crowding, recent Upper Respiratory Tract Infections, bottle feeding, passive smoking, and poverty are important risk factors for meningitis.

Diagnostic value of delayed Fiberoptic Bronchoscopy in hemoptysis

Saad Mikhlif M. Salih

Al- Anbar Medical Journal, 2009, Volume 7, Issue 1, Pages 85-93

A study includes 76 patients of different age groups complaining of hemoptysis male represent 60(79%)of the patients white female represents 16(21%) patients ,age incidence varies from 17 to 75 years the peak age groups is that from 40-59 years old which includes 66%.Most of patients in this study complained from hemoptysis of blood as blood streaks, while most of the patients 67(88%) had abnormal radiological findings.The procedure done under local anesthesia in sitting position, trans-nasal approach is routinely done except few cases where trans-oral route used alternatively.Visualization of trachea-bronchial tree and taking samples for cytological, bacteriological, biochemical and screening for tuberculosis were done.Seventy eight percent of the patients had abnormal bronchoscopical finding ranged from tumor masses to paralyzed vocal cords.The samples showed variable findings from malignant cell to chronic bacterial infections.After collection of the direct and indirect findings we diagnose the causes of hemoptysis in a seventy two patients and this study proved that fiber optic bronchoscope is very important and valuable diagnostic tool in hemoptysis with very high sensitivity rate in cases where direct abnormal findings can visualized. This study showed in spite of that CT-scan and MRI studies are important diagnostic modalities; they will never replace the fiber optic bronchoscope in diagnosing of the causes of hemoptysis. Endoscopy:-Is a procedure used to visualize the internal organs by passing an instrument through a natural or artificial orifice (1).Bronchoscopy:- Endoscopic procedure provides direct access to the tracheo-bronchial tree and plays an essential role in the diagnosis and treatment of patients with chest problems (2). Fiber-optic bronchoscopy: - Are flexible bronchoscopes that composed of fiber optic bundles which provides both illumination and visualization pathways. Small channel with diameter (1-3) mm traverse the fiber optic scope through which suction, cathters, brush and biopsy can be taken for chemical, cytological, bacteriological, viral, protozoal and histopath- -logical examination(3,4,5). Diagnostic indication of bronchoscopes (1, 5, 6, and 7):-1-persistant coughs.2-hemoptysis.3-wheeze or bronchial obstruction.4-abnormal thoracic radiography.5-suspected bronchogenic carcinoma.6-airway obstruction.

Incidence of Deep Abscess Related to Mandibular Third Molar Displace

Hamid Hammad Anizy AL-Dulaimi

Al- Anbar Medical Journal, 2009, Volume 7, Issue 1, Pages 94-98

Objective: Casting light on the spread of deep abscess related to mandibular third molar displace in the community.Patients and Methods: One hundred thirty two out-patients with dental problems due to third molar were considered in this study.Results: The incidence rate of deep abscess is found to be 16.67% with male to female ratio 2.14:1. The incidence rate of third molar displacement is found to be approximately 10.61%. Male to female ratio of third molar displacement is 1:1. Third molar extraction was done for 39 (29.55%) of the patients with male to female ratio 2:1. With respect to displaced third molar, surgical extraction was done for 71.43% of the cases. Age was not found to affect displacement, size of abscess and the decision of surgical extraction.Conclusion: It is of interest to mention that this problem occurred in males and females with equal potentiality. Reasons of why it happened in this pattern are not clear yet.

Appendicitis: Bacteriological Aspect And some other factors

Huda R. Aldulaymi; Muntaha M. Al-Alossi; Shehab A. Lafi

Al- Anbar Medical Journal, 2009, Volume 7, Issue 1, Pages 99-105

This study aimed to show more definite bacteriological aspects of appendicitis in patients, direct and indirect bacteriological investigations were done for specimens from appendices resected from patients admitted Ramadi General Hospital, Al-Anbar Governorate, West Iraq. Results showed that the age range of patients was (10-40) years, Male: female ratio was (2:1) among patients within age group (10-20) years. No significant difference (P < 0.05) was found between enteric and anaerobic species, they were showing the isolation rates (43.7%) and (40.8%) respectively. Escherichia. coli took the first rank of isolation (21.1%) followed by Bacteroides. fragilis and, Staphylococcu .aureus ( 12.6%) for each. Proteus species , Peptococcus, Clostridium and other bacterial types were showing lower isolation rates. All patients were showing high white blood cell counts, mean number was more 10 4 cell/cmm. C-reactive protein was increased also in sera of patients, more than 10 mg/L. We can conclude that bacterial infections particularly those constitute facalith structure (normal colonic flora) play a role in appendicitis that is why antimicrobial choice for pre and postoperative therapy to reduce time as an important factor in constituting of complications. Both CRP and WBC are increased though they are non-specific diagnostic factors. Majority of patients were teenaged, males were showing higher rate of

Tuberculosis in Falluja ( 1 year ) Epidemiological study ( 30/6/2007 – 1/7/2008)

Abdul Wahab A.R. Al Faluji

Al- Anbar Medical Journal, 2009, Volume 7, Issue 1, Pages 106-114

Objective: To study the incidence of tuberculosis in Falluja for 1 year (2007-2008).
Subjects & Methods: Collection of all T.B cases in the city who attended T.B center and classified them according to type of T.B.Then treating and following up them.
Results: Notified incidence of disease in Falluja was 28 cases/100000 of population for all types and 11 cases/100000 of population for sp +ve pulm. type , 2/3 of all T.B cases are pulmonary type.
The detection rate was 44% for active pulmonary T.B which represents 63% of the goal of WHO (the goal is detect 70% of expected active pulm. T.B).
Conclusion: Low detection rate especially for active pulm. T.B in Comparison with expected T.B cases in Iraq .
This study makes the need for T.B center in a city of large population like Falluja supplied with enough respiratory disease medication including anti T.B and provide a well trained health case personnel's.

Patent Ductus Arteriosus: Case Report

Saad Mikhlif

Al- Anbar Medical Journal, 2009, Volume 7, Issue 1, Pages 115-117

The ductus arteriosus derived from the sixth aortic arch, connecting the main or proximal left pulmonary artery to the descending aorta.ductal shape, length, and diameter are variable which may influence efficacy of various therapeutic approaches (1, 2). PDA (patent ductus arteriosus) increases in infants with low birth weight. In full-term newborns the ductus usually closed within the first ten hours of life by physical examination and within two days by echocardiography (3).
Complex maternal and fetal prostaglandins' interactions regulate the ductal closure (4). PDA flow turbulence is significant to produce a murmur is commonly thought to be capable of producing a jet lesion and increase the risk of endocarditis justifying closure (5).

Tooth Loss in Adult Urban Population in Ramadi City, Iraq

Raad Salih Al-Ani

Al- Anbar Medical Journal, 2009, Volume 7, Issue 1, Pages 118-123

Objective: this study determines the number and percentage of tooth loss according to age, gender, cause, and types of teeth.
Patients and Methods : 1557 urban adults of 30, 50 and 75 years old from Ramadi city were examined according to the criteria used by WHO (1998). Statistical analysis was done using SSP methods under P< 0.05 which considered statistically significant.
Results: Percentage of tooth loss among these age groups was 17.01, 36.16, and 46.83 respectively. Females significantly have higher percentage of tooth loss (51.47) than that of males which was (48.33). 62.17% of the total sample have tooth loss due to dental caries, where as 35.39% was due to periodontal disease and 2.445 was due to other causes including orthodontic treatment and trauma. The higher number of tooth loss due to dental caries was found in the age group of 30 which constitute 57.13 %, while in 49.55% of age group 75 was due to periodontal disease. According to types of teeth, first permanent molar constitute the higher percentage of tooth loss which was 26.81.
Conclusion: this study showed that percentage of tooth loss was high, so improvement of dental health care, attitude and behavior of people was needed in addition to promotion of regular dental visit including early examination and treatment of dental diseases.

Maternal Stress and Low Birth Weight in Baghdad, Iraq: a Preliminary Report

Abdullah Iltief Jassim

Al- Anbar Medical Journal, 2009, Volume 7, Issue 1, Pages 124-129

Background: Several reports demonstrated a high prevalence rate of low birth weight in Iraq, which was attributed to sanctions. This study was carried out to report on the effect of maternal stress on birth weight.Materials: A total of 400 singleton newborns delivered in Elwayia Maternity Teaching hospital and Al-Habibia Maternity and Paediatrics Teaching Hospital, in Baghdad City during the period 15th June to 15 Nov. 2003 were included in the study. Information regarding the mothers were collected by direct interview. Data requested were gestational age, social support, and psychological stress. Birth weight was taken from case records.Results: Half of the neonates were born with low birth weight. A significant association between low birth weights and stress scale was noticed. A negative significant association between social support and rate of low birth weight was demonstrated.Conclusions: The finding of the study suggests that support intervention may an effective approach in reducing the rate of low birth weight.

Serum copper zinc, and magnesium in acute myocardial infarction in Ramadi municipality

Abdullah Kh. Ibrahem

Al- Anbar Medical Journal, 2009, Volume 7, Issue 1, Pages 130-137

A prospective study carried out to assess serum levels of copper, zinc, and magnesium of 50 consecutive patients after an acute episode of myocardial infarction, their ages range between 33-77years. Patients having hypertension, diabetes mellitus, and renal diseases and those with other major illness were excluded. They were compared with 25 healthy volunteers for age- and sex-matched as a comparison group for metal measurements. Results showed that patients'' mean copper and magnesium concentrations were significantly higher (P

Lifetime of Complete Dentures

Abbass Ibrahim Hussain

Al- Anbar Medical Journal, 2009, Volume 7, Issue 1, Pages 138-143

Objective: Studying the lifetime of complete dentures in terms of age, sex and residential area.Edentulous and methods: Only complete dentures with unprepared fractures were considered in this study. Results: Failure time of complete dentures does not affected neither by sex nor by residential area. Lifetime of complete dentures declined rapidly after the third year of use. Conclusion: The potential lifetime of complete dentures starts degradation after third year of use.