Thi-Qar Medical Journal

Objective
To assess prevalence of somatization and psychological morbidity for patients presenting to
out patient ( O.P)clinic in Al-Hussain hospital and to examine correlation between
somatization and psychological disorders
Methods
Out patient ( n=100 ) presenting to out patient clinic of hospital were screened with
Bradford somatization inventory which gauge psychosomatic morbidity and self reporting
questionnaire which measure psychological distress .
Results
Somatization disorder as defined by Bradford, and psychological
morbidity were relatively common in out patient clinic in Nasiriyah O.P hospital settings.
There was significant positive correlation between indices of somatization
and psychological morbidity..
Conclusion
Nasiriyah patients seeking out patient care equally experience both psychological distress
as well as somatic ones. This finding challenges the old notion that people in developing
countries generally express distress somatically.

Three cases of a rare complication of tension pneumo-cephalus following evacuation of
chronic subdural haematoma are described .this occurred in 15% of all cases of chronic
subdural haematoma. Treated following installation of a CT scanner .the chronically
compressed brain contributes to the ingress of this intracranial air .the increase in the
brain bulk and graudual re-expansion of the brain ,in the early post–opeatvie period
,competes with the trapped subdural air resulting in arise in intracranial pressure
leading to neurological deterioration .burr hole was put on the skull wall .according to
the site of the pneumocephalus and aspiration ,using abrain cannula which was modified
with three-way connectur has produced excellent results. All cases were operated in the
AL.mosswy and AL.saady private hospitals during the years 2005-2008, as a etrospective
study in the AL. Basrha city.

This prospective study considered 146 patients attended the endoscopy units in Baghdad
Teaching Hospital and the Gastroenterology and Hepatology Teaching Hospital in the
Medical City in Baghdad from August 2000 till August 2001.They were diagnosed as
sufferers of gastroesophageal reflux disease (GERD). The study tried to differentiate on
base of the clinical presentation between patients with GERD who have endoscopic peptic
esophagitis and those who are free from this complication. It was found that dysphagia has
a statistically significant association with peptic esophagitis while age, male gender,
heartburn, noncardiac chest pain, smoking and alcoholism have no significance for the
intended differentiation despite the observation that, aging, male gender and smoking were
determinants of higher grades of peptic esophagitis in case they are present.

The current study is aim Trichomoniasis among men in Basrah province using
polymerase chain reaction (PCR) for the first time in Iraq compared with classically
microscopic examination method and explain the association between infection and
Urethritis and infertility as well as age ,marital status and location of them . Study is
show the rate of infection 2.3% by microscopic examination and 16 % by PCR also ,
PCR show high sensitive and specific method to detect Trichomonas vaginalis , many
infected men with Trichomoniasis are asymptomatic concluding that men only a vector ,
transmitting organism among females .

The present study was designed to evaluate the serum FSH, LH and testosterone levels in
75 infertile male affected with different male infertility factors. In this study, one hundred
infertile males were involved and according to cause of infertility were divided into 25
normozoospermia, 25 oligozoospermia, and 25 asthenozoospermia infertile couples. From
each male, semen samples were collected and sperm parameters including sperm
concentration, sperm motility, progressive sperm motility, and normal sperm morphology
were evaluated according to standard World Health Organization (WHO) criteria. For
semen processing, sperm prepared using conventional layering technique through
incubation for 30 minute in 5% CO2 at 37ºC. The results of the present study demonstrated
that serum FSH and LH levels significantly (P<0.05) increase in infertile couples with
normozoospermia, oligozoospermia, and decrease in asthenozoospermia as compare with
fertile control group (No. =25). In contract, clearly significant decrease in serum
testosterone levels (P<0.05) in infertile men with normozoospermia and oligozoospermia and
non significant increase (P>0.05) in asthenozoospermia when compare with healthy fertile
male. From the results of the present study, it was concluded that evaluation of serum FSH,
LH, and Testosterone are diagnostic and prognostic tools in management of male infertility
and acts as major control device of germ cell development. Further studies are
recommended to assess the effect of elevated levels of FSH and LH and low levels of
testosterone on DNA damage and embryo quality after in vitro fertilization and embryo
transfer (IVF-ET).

This is a prospective study of 298 post-thyroidectomy specimens, . Analysis of the
biopsies obtained showed 59% colloid goiter (nodular and diffuse), 21.5% benign
thyroid adenoma, and 7.8% carcinoma of the thyroid, of which papillary carcinoma was
the commonest.
From this series, it seems that there is an increase in the incidence of thyroid malignancy
in our province. The aim of this study is to discuss the histopathologic view of post
thyroidectomy specimens and their age and sex distribution in comparison with previous
reports.

We determined the degree of ovelap between autoimmune thyroiditis disease and
Systemic Lupus Erythematosis (SLE). Fourty one SLE patients with twenty age- and
sex-matched controls were included in this study. Twenty-one (51%) of the SLE patients
had anti thyroglobulin (anti-TG) antibodies. Ten SLE patients had elevated TSH levels,
usually in association with the presence of anti-TG. These results suggest that SLE is
associated with autoimmune thyroiditis and that many patients with SLE have minor
hypothyroidism.

Objectives: This study is aimed at the pathoanatomic correlates of depression in the
postacute stage of patientswith stroke.
Methods: Of a consecutive series of 47 stroke patients, with single demarcated
unilateral lesions was selected. Clinical examination, neuroradiological, CT scan
examination, and psychiatric assessment were performed within a 2-month period after the
acute stroke. Depression was assessed with the Beck Inventory Scale ( BIS ) and DSM-IV-R
criteria. The neuroradiological examination of all patients was performed on the same
scanner,lesion location, lesion volume, and ventricle-to-brain ratio were analyzed.
Results : We found no significant differences in depression scores between patients with
left and right hemisphere lesions and no correlation between the severity of depression and
the anteriority and or the volume of lesion or brain atrophy. Major depressive disorders
were only found in nine patients with left hemisphere lesions,all involving the basal ganglia,
whereas none of the patients with right hemisphere stroke exhibited major depression.
Conclusions: Lesions in the vicinity of the left hemisphere basal ganglia tend to play a
crucial role in the development of major depression after the acute stage of stroke. The
pathophysiological implications of this finding are discussed.

Background: Antibacterial resistance is an evolving problem which reflects the
antibacterial prescription in our community. Such problem has great impact on proper
management and consequences of urinary tract infection (UTI)
Aim: To determine the relative role of uropathogens and their antibiotic susceptibility
pattern in community-acquired urinary tract infection (UTI) in Al-Hussain Teaching
Hospital/ Thi-Qar Province.
Methodology: A retrospective study was carried out to review urine culture and
antibiotic sensitivity testing from symptomatic outpatients visiting Al-Hussain Teaching
Hospitals/ Thi-Qar Province over the period from June 2007 to June 2008.
Results: Of 236 samples, 124(52.5%) were culture positive. Staphylococci and
Escherichia coli were the leading cause of UTI accounting for 75% of all isolates. The
rates and roles of other pathogens, including Klebsiella species (11%), Pseudomonas
species (8%), Enterobacter, Proteus, and Streptococci were responsible for the
remaining 6%. More than 75% of isolated Staphylococci and Escherichia coli were
sensitive to nitrofurantoin and amikacin, while more than 60% were sensitive to
ciprofloxacin. Sensitivity to commonly prescribed antibacterials as co-trimoxazole,
amoxicillin,ampicillin and gentamicin were less.
Conclusion: Common uropathogens were highly sensitive to nitrofurantoin, amikacin
and to lesser extent to ciprofloxacin, while exhibiting low sensitivity pattern against
commonly prescribed antibiotics including co-trimoxazole, amoxicillin, ampicillin,
nalidixic acid and gentamicin.

This study reflects the differences between the Praziquantel and Albendazole
effectiveness in the medical treatment of hydrated disease. And it shows that the
combination of both drugs (Albendazole 10mg\kg b.i.d. for 28 days 3 courses separated
by 2 weeks intervals, and Praziquantel 40mg\kg once weekly as adjunct to Albendazole
), was more effective(57.14%), than Praziquantel(47.37%) alone in a dose of 40mg\kg
for 28 day, 3 courses separated 2 weeks intervals. While the Albendazole alone was
(41.93%) effective in the treatment of hydatidosis.

The work involves preparation many compounds which derivatives from 5-Cyano-2
mercapto compound react with ethyl bromo acetate in presence of Sodium ethoxide as a
strong base will be give Ethyl [5-Cyano(1,3,4-thiadiazole-2-yl)thio]acetate and when the last
allow to react with hydrazine will be product[5-Cyano(1,3,4-thiadiazole-1-2-yl) thio]aceto
hydrazide which condensation with carbonyle compounds to give Schiff ‘ bases.
All compound have testing by biological activity for tow concentration (10-4,10-6)M on some
kinds of bacteria.

Hyperemesis gravidarum continue to be a major health problem among pregnant
women. Lipid peroxidation can be an adverse factor in human pregnancy .The
presented study was carried out from the beginning of December 2005 till September
2006 on one hundred females with hyperemesis gravidarum; ninety pregnant women
were apparently healthy as control group.The studied females were classified into three
groups according to their age, parity and family history. The biochemical parameter
measured was Malondialdeyde (MDA) by using stander method. The presented study
showed there was a significant increase (P<0.05) in serum Malondialdehyde MDA levels
in pregnant patients as compared to control groups. The present study consider as an
important study which showed how much exposure of pregnant women with
hyperemesis gravidarum to oxidative stress as measured by increase serum MDA levels.