Al-Qadisiyah Medical Journal

Background: It has been stated that hypertension as a disorder can complicate up to 10 % of all gestations and is broadly including pregnancy related hypertension and preexisting one. It is associated with significant mortality and morbidity for mothers and babies. Poor placental circulation has been proposed to result from some form of endothelial dysfunction with resultant induction of an inflammatory response and oxidative stress. The interplay between these changes may be mirrored by changes in hematological parameters and coagulative parameters as stated by previous studies
Aim of the study: the aim of this study was to assess changes in hematological parameters in association with pregnancy induced hypertension and pre-eclampsia in a sample of Iraqi pregnant women.
Patients and methods: The current study was planned to be a case control study. The study started on April the 15th 2020 and ended at February the 3rd 2021. The study included two major groups. The first group included women diagnosed with pregnancy induced hypertension (n = 60) who were sub-classified into 30 women with hypertension and 30 women with eclampsia. The second group included 30 pregnant women with normal blood pressure. Those women were attending the obstetric department at Al-Imamein Al-Kadhimaein Medical City, Baghdad, Iraq.
Results: hemoglobin and hematocrit levels were significantly lower in women with pregnancy induced hypertension than in control group (p < 0.05). WBC count and ANC were significantly higher in women with pregnancy induced hypertension than in control group (p < 0.05). Platelet count was significantly lower in women with pregnancy induced hypertension than in control group (p < 0.05). Platelet volume was significantly higher in patients with pre-eclampsia in comparison with control group and pregnancy induced hypertension subgroup. PT and PTT were significantly higher in women with pregnancy induced hypertension than in control group (p < 0.05) and there was no significant difference between pregnancy induced hypertension pre-eclampsia subgroups (p > 0.05).
Conclusion: anemia, leukocytosis, thrombocytopenia and prolonged PT and PTT are the main features in association with pregnancy induced hypertension and that the most acceptable explanation is the presence of endothelial dysfunction with subsequent inflammation and induction of coagulation.

Summary
Data are reported on a series of 52 endoscopic procedures of dacryocystorhinostomy, performed in the Department of Otorhinolaryngology of Al- Diwaniya general teaching hospital, between June 2012 and March 2014. The studied 52 patients (35 female, 17 male, mean age 35 and 33 years, respectively) with nasolacrimal duct obstruction. In all cases, pre-operative diagnosis made by ophthalmologist. All procedures were performed under general anesthesia and surgical times were estimated and recorded; mean time for primary dacryocystorhinostomy was 30 minutes. A silicone stent was inserted in all patients for a period of 4 months. The procedure was successful in 92.3 % of cases. Personal clinical and surgical experience, relating to surgical techniques used in dacryocystorhinostomy, was described.

Aim of the study
This study aimed to estimate the success rate, complications, and time of the procedure aiming to increase the expertise of the surgeon who perform this procedure as estimated by the high success rate and lower operative time and less rate of complications.

Abstract
Background: Cerebral palsy (CP) is encephalopathic diseases, which is static non progressive acquired during periods of brain growth at fetal life, infancy, or early childhood, which lead to disorder in motor function, postures. and newly recognition that cp is static but changeable neurological features
Objective: to evaluate risk factors associated with cp.
Materials and Methods: this is prospective Case control study done in central teaching hospital of children in Baghdad on 100 case study population of children diagnosed with CP and 100 Control group of children who do not have cp. This study was Carried out using proforma access and Collect relevant data from the records of these individuals.
Results: - larger part of study subjects were guys. (male & Female (1.2: 1). risk factors that were altogether connected with cp. were gestational period, IUGR, premature rupture of membrane, neonatal jaundice, neonatal seizures, neonatal CNS infection, head trauma. while maternal age, mode of Laboure, twin member antepartum hemorrhage, abnormal presentation, and cord prolapse, had not significant results.
Conclusion: -the strongest risk factor associated with cp is birth asphyxia &followed by gestational age, neonatal jaundice, neonatal seizures, premature rupture of membrane, neonatal CNS infections & head trauma, so, parents and clinicians should be aware of the risk factors for CP.

Abstract
Obstract designed to assess the correlation between duration of the presentation of CES and the role of time of surgical decompresion where time of the illness was taking from beginning of the urinary complication whether it was in form of urinary retention or over flow enuresis until the time of surgical decompression , where 13 patients were selected with classical presentation of CES in different time periods of presentation and grouped in 3 groups with 4 days , less than week and less than 2 weeks after urinary complications who treated surgically by open discectomy and decompression of nerve root (roots ) of pathology and the result was concluded at 3 periods of follow up postoperativly in 1st week ,one month and 3 month according to 3 main data; improvement of backache and sciatica , power of leg muscles and urinary and bowel function.

Abstract
Background: C-reactive protein (CRP) has been known as a marker of inflammation and applied as a risk biomarker of patients with coronary artery diseases (CAD). Of interest, was the association of CRP to OHB and CAD mutually. This study aimed to evaluate the correlation of oral health behavior (OHB) of patients with CAD and compare this with that of a provably healthy control group.
Methods: 136 patients who were managed as CAD took part in the study. A healthy control group, made up of 74, had recruited following matching for age and gender with the patients' group. The dental examination of all enrolled participants comprised the dental status (DMFT scoring) and periodontal disease (PD) status using Clinical attachment loss. Likewise, in all subjects, the levels of serum ultra-sensitive CRP (US-CRP) had evaluated. Statistical evaluation: t-test, chi-squared test, regression analysis, ANOVA analyses (level of significance p<0.05) had completed using SPSS-25.
Results: The mean DMFT of the CAD-group (13.7±9.8) and the Control group (5.1±4.8) showed a significant difference (p-0.05). A significantly higher average loss of teeth in the CAD-group (10.9±8.9 vis 3.3±3.3). Both the grades and stages of PD were statistically worse among CAD-group (p-0.001). The levels of serum US-CRP were significantly higher in patients with CAD compared to the controls.
Conclusion: The levels of serum US-CRP were significantly higher in patients with CAD. The state of OHB in patients with CAD significantly differed from that of the control. Patients with CAD displayed more signs of PD and a higher dental loss.

Background:
Early laryngeal carcinoma with no cervical lymph node metastasis disease carries more good prognosis in which the disease was eradicable, maintaining function so the prognosis depend on the time of presentation of the disease and considerable importance is attached to the early detection of the disease because comprehensive treatment in its early stage is associated with a very good prognosis.
Aim of study:
To know the demographic distribution, types, grading and staging of laryngeal carcinoma at time of presentation.
Patients & Methods:
Twenty patients diagnosed as carcinoma of the larynx included in current study were seen in outpatient clinic in ENT department Al-Yarmouk teaching hospital from April 2017 to April 2018.History,clinical examination including laryngeal examination (full ENT examination, fiber optic examination of the larynx and neck examination) and general examination. Investigations done for all patients depend on the time of presentation, direct laryngoscopy and biopsy taken from the site of the lesion from all patients under general anesthesia, radiological evaluation(neck CT scan, chest X rays) done for all patients and data collected in questionnaire.
Results:
Most common type of Ca. larynx is SCC 100% (20 patients), with well differentiated 60% (12 patients); Hoarseness is the most common symptom about 60% (12 patients); the most common region involved is supraglottic 50% (10 patients) followed by glottic 30% (6 patients). The early regional presentation is glottic 57% (4 patients); Ca. larynx staging T1N0 is the common in early presentation 40% (8 patients) and L.N. metastasis as late presentation 30% (6 patients).
Conclusion:
Supraglottic region is the most commonly demographic area involved in carcinoma of larynx. Squamous cell carcinoma is the most common type with predominantly well differentiated histologically. Glottictumours is the most early in presentation. Lymph nodes metastasis more in supraglottic as indicate late presentation.

Abstract
Backdrop: recent reseaches reported that vitamin D inadequacy and paucity are widespread throughout the world and related to large number of illnesses encompassing asthma.
Objective of study: to assess vitamin D inadequacy and paucity in children with asthma in Al Diwaniyah maternity and children teaching Hospital and their relations to the disease severity .
Methods: This case-control study was carried out on 173 child, 87 had asthma and 86 normal children as control group, aged 2 to 5 years in Al Diwaniyah maternity and children teaching Hospital, Iraq, during the period from the17th of September to3rd of November 2014. Patients with asthma were subdivided into 4 categories according to severity: intermittent, mild persistent, moderate persistent, severe persistent. The level of vitamin D was measured and equated between the study groups.
Results: The discrepancy of vitamin D values in the asthma group (mean +/- SD) 37.5+7.43 ng/mL) and the well group (mean +/- SD) 173.88+17.79 ng/mL) was encountered to be highly important (P<0.001). Mean serum vitamin D showed marked decrease as the disease severity increase. An important disparity was conformed between the study groups concerning the commonness of pulmonary infections causing visits to the emergency rooms admissions and number of hospital admissions (p <0.001).
Conclusion: these results showed that serum 25-hydroxy vitamin D levels were inversely related to asthma severity.