Muthanna Medical Journal

Uterine leiomyomas (fibroids or myomas) are the commonest benign tumor of the pelvic organs in females, accurate mapping of myomas is essential for treatment. Many studies, used ultrasonography (US) and magnetic resonance imaging (MRI) to determine myomas localization, number and measurement, recently concern has been increasing rate of hysterectomy for myoma in women who have complete childbearing. The aim of the study is to compare US, MRI results with pathology that is regard as a gold standard in detection, localization and measurement of the uterine lieomyoma. A comparative study was done during the period from July 2012 to April 2016 in AL-Diawanyia general teaching hospital in Iraq all included female patients had uterine myomas and all of them had pelvic ultrasonography, MRI and hysterectomy, the results were compared with pathological results. Both US and MRI results were compared with pathology result and the correct detection rate of myoma in ultrasound was low (73.3%) if compare with MRI detection rate (98.1%) with significant P 0.001. Mean number of myomas in US was (1.62±1.07), in MRI was (2.14±149) and in pathology was (2.15±1.50), mean diameter of myomas in pathology was 3.49±2.21, in MRI was 3.58±2.21 with P value 0.360 while in US mean number was 4.37±1.73with P value 0.002. Regarding myomas’ localization, there is no significant difference between MRI & pathology (P =0.1573) but there is high significant difference in myomas’ localization in US and pathology(P=0.00889). In conclusions; MRI is indicated when exact myoma mapping is required.

The mouth washes are widely used for maintain oral hygiene for patient wearing fixed orthodontic appliances but had effect on the elastic ligature so it’s important to measure the modulus elasticity of elastic ligature. This study was carried out to evaluate the effect of different type of mouthwashes on modulus elasticity of the elastic ligature. A 40 elastic ligatures were selected from commercially available clear elastic ligature, the elastics were adjusted on S.S brackets which were bonded to maxillary right first premolar by chemical composite, the elastic ligatures were divided into four main groups and each group had 10 elastics as follows: group A. 10 elastic ligatures were immersed in a pool distilled water at 37c instead of saliva. Group B. 10 elastic ligatures were immersed in bio fresh. Group C. 10 elastic ligatures were immersed in corsodyl. Group D, 10 elastic ligatures were immersed in parodontax. All samples were then tested to determine the modulus elasticity by instron machine. The Paradontax mouthwash group provided a higher value of mean of the modulus elasticity of the elastic ligature followed by distilled water and Corosydel groups. The biofresh had the least value of mean of the modulus elasticity. There were highly significant differences between control and Corosydel; and control and biofresh groups (P≤0.01). No significant differences, however, between control and paradontax groups (P≥0.05). In conclusion, the Paradontax mouthwash group had a great effect on the modulus elasticity of the elastic ligature. The biofresh had the least effect on the modulus elasticity.

The aim of this study is to demonstrate the effectiveness of injection of (autologous blood) in the treatment of (simple renal cysts). Forty-one patients with (simple renal cysts) having symptoms, diagnosed by ultrasound were included in this prospective clinical study in which we evaluate the advantage of ( renal cyst aspiration) and injection of autologous blood. 26 male and 15 female, the size of cysts were 5-17 cm. A mean age of 59.02+10.85. the majority of cystic lesions were left sided (66%). Seventy-eight percent of lesions were single. The most common site for cystic lesions was the lower pole of the kidney (46%), and 98% of lesions were cortical. The major complication, seen after treatment, was the pain (17%). Other complications comprised hypertension and bleeding. The recurrence rate was 7.32% (3 out of 41). The occurrence of early complication did not predict later recurrence. Inconclusion, (simple renal cyst aspiration) with the injection of autologous blood resulted in high success low recurrence in comparison with (sclerosing agents).

Determination of serum paraoxonase1 activities and lipid profiles concentration and its action in the increasing the susceptibility for atherosclerosis development in βTM patients. The study included βTM patients in addition to apparently healthy control group. The study was conducted on 35 patients with βTM (22 males and 13 females), aged 5 to 15 years and the control group include 31 subjects (19 males and 12 females) those are apparently healthy, aged 6 to 17 years were used as control. Blood was taken from all subjects for determination of serum paraoxonase1 activities, lipid profile, iron and ferritin concentration. The results of present study show significant drop in serum paraoxonase and arylesterase activity, LDL-cholesterol, total cholesterol, HDL-cholesterol concentration and significant increase in serum iron, ferritin and triglycerides concentration in βTM group in comparism with control (healthy) group. In conclusion, a drop in serum PON1 activities and raise serum ferritin and iron concentration are increase the susceptibility for development of atherosclerosis in βTM patients.