International journal of health sciences
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Comparative study of ropivacaine and ropivacaine with dexmedetomidine in ultrasound-guided transversus abdominis plane (TAP) block for post operative analgesia in laparoscopic cholecystectomies
Get PDFBackground and aims: TAP block is an effective way to provide postoperative analgesia .TAP block using ropivacaine alone has not been consistently proven to be effective in alleviating pain after laparoscopic surgeries. The study aimed to compare the combination of dexmedetomidine and ropivacaine to ropivacaine alone in TAP block for laparascopic cholecystectomy patients for post operative analgesia. Materials and Methods: 60 patients of ASA health status I or II, were divided equally into 2 groups. Groups R received bilateral US- TAP blocks with 20 mL 0.375% Ropivacaine and Group RD received, 20 ml 0.375% ropivacaine with 50μg dexmedetomidine. Each patient was assessed in the PACU for first 24 hr for pain duration of analgesia,and need for rescue analgesic. Results: The mean of VAS pain score was least in group RD compared to group R and statistically significant (P < 0.05).The total rescue analgesia ( tramadol ) consumption in 24 h after surgery was (116.6±37.9) mg in group RD against (160±67.4) mg in group R, which was also statistically significant (P < 0.05). Duration of analgesia was greater in group RD (7.7 ± .53) compared to group R (4.5 ± .56)
Giant cell Granuloma: Histological comparison and a review
Get PDFCentral giant cell granulomas (CGCG) constitute about 10% of benign jawbone lesions. Approximately one-third of CGCG exhibit local aggressive behavior with bone destruction and a tendency to recur.1 Jaffe (1953) was the first to distinguish central giant cell granulomas (CGCG) of the jawbones from other giant cell lesions of bones and originally called them“central giant cell reparative granulomas” since they were believed to be a reactive-reparative process that might heal spontaneously.1 Recently the World Health Organization has defined it as localized benign but sometimes aggressive osteolytic proliferation consisting of fibrous tissue with hemorrhage and haemosiderin deposits, presence of osteoclast-like giant cells and reactive bone formation. Many authors have established the differences with other lesions of giant cells. The clinical behavior of CGCG varies from a slowly asymptomatic swelling to an aggressive lesion that manifests with pain, cortical perforation, and root resorption.2 On the other hand the peripheral giant cell granuloma is a reactive exophytic lesion of the gingiva and alveolar ridge that usually occurs as a result of local irritating factors such as plaque, calculus, chronic infection, chronic irritation, tooth extraction, inproperly finished filling, unstable dental prosthesis, and impacted food which originates from the periosteium or periodontal ligament. 
Health belief model of Adolescents Girls regarding Dietary Habits at Secondary School in Thi-Qar Governorate
Get PDFBackground: Nutritionally, adolescence is a critical stage of life. Obesity and diet-related disorders might develop as a result of poor eating habits developed during adolescence. Objectives: The study's objectives are to investigate the health belief model of adolescent girls on dietary habits and to determine the impact of sociodemographic factors on the HBM of dietary habits in adolescent girls. Methods: Cross-sectional A descriptive research was conducted at three secondary schools, with 200 females chosen at random from a convenience sample. The information gathered from the sample using a self-report HBM scale. Results: Of 200 girls, 106 (53 percent) are between the ages of 17 and 19, 123 (61.5%) are between the ages of 17 and 19, 64 (32 percent) of girls' moms have a secondary school education, 51 (25.5%) of girls' fathers have a secondary school education, and 125 (62.5%) of families are barely enough. On average, girls get a low rating for the health belief model when it comes to food choices (2.458). The HBM of dietary habits is significantly influenced by the students' age, BMI, and monthly income. Conclusion: In terms of food habits, the study sample has a low HBM
Effect of bacterial bio fertilization on phosphorous budget, growth, and yield of Faba bean (Vicia faba L.) When intercropping with wheat (Triticum aestivum L.)
Get PDFThe study was carried out at the College of Agricultural Engineering Sciences - University of Baghdad on soil with a mixture of loam during the winter season of the year (2020-2021). The study included a field experiment to evaluate the effect of bio fertilizer and mineral fertilization on the phosphorous budget in the soil and in the growth parameters of the faba bean plant and the intercropping faba bean with wheat under the level of 50% of the fertilizer recommendation with the use of a complete fertilizer recommendation treatment of 100% for comparison measured the amount of water added for each Experimental unit After draining 50% of the prepared water using a water meter, a (factorial) experiment was carried out by arranging the split plates (The Split-Plot Design) according to the (RCBD) design
Impact of diabetes mellitus on ocular pseudo exfoliation syndrome and open angle glaucoma in Iraqi patients
Get PDFBackground: Diabetes mellitus cause wide spectrum of ophthalmic complications including cataract and glaucoma. Pseudo exfoliation (PEX), although it is an age related,can lead to the development of glaucoma (secondary open angle glaucoma), but the exact mechanism is not well understood, and was described to be associated with different causes like ethnic, genetic, environmental and other organic causes, and a controversy exist about its relation with diabetes mellitus. Aim: To the impact or the association of state of diabetes mellitus with psudoexfoliation (PEX) and open angle glaucoma (OAG). Methodology: This is an observational descriptive cross sectional, case control study included; 214 type 2 diabetes mellitus patients aged 45–72 years, and 214 as control non diabetic persons attending The Specialized Center for Endocrinology and Diabetes – Baghdad, the capital of Iraq between May2020– Jan 2021. Results: Of the 214 diabetic patients 66 (30.84%) were having PEX, versus 12(5.6%), in the control group, with p value < 0,001, and of these 66 patients 44(67.5%) were females and 22 (32.5%) males with ratio 2:1, p value non-significant. Mean age for PEX group was 40.36 ± 4.2 SD, versus 52.43±3.2 SD in non-PEX, with significant p value
Prenatal Yoga on the anxiety level of pregnant women in the third trimester during the COVID-19 pandemic in Purbalingga, Indonesia
Get PDFIntroduction: Prenatal yoga is a modified type of Hatha yoga that is adjusted to the condition of pregnant women. This study aims to determine the effect of prenatal yoga on the anxiety level of pregnant women in the third trimester during the Covid-19 pandemic in Purbalingga. Methods: This study used Pre-Experimental Design with One Group Pretest-Posttest Design. The sample in this study was 576 pregnant women in clinics in Purbalingga. It used the total sampling technique. Data analysis used univariate and bivariate analysis. Results: The results showed that the pretest results of anxiety scores of pregnant women who take prenatal yoga classes are 16.48 with a standard deviation of 5.598, a median of 16.00 (minimum 3-maximum 33). Then, after prenatal yoga, the anxiety score is 4.67 with a standard deviation of 2.862, and a median of 4.67 (minimum 0- maximum 11). Then, the Wilcoxon test obtains a p-value of 0.000 (<0.05). Conclusion: It can be concluded that there is a difference in the level of anxiety before and after the intervention in the form of prenatal yoga. Prenatal yoga reduces anxiety levels in pregnant women in the third trimester during the Covid-19 pandemic
Comparison of interlaminar and transforaminal epidural steroid injection for lumbosacral radiculopathy: A prospective randomized interventional study
Get PDFBackground: Low back pain due to Intervertebral disc herniation, intervertebral disc degeneration without disc herniation are the most common diagnosis of chronic persistent low back and lower extremity symptoms. Epidural steroid injections (ESI) are one of the most common interventional techniques for managing low back pain with or without lower extremity radiation Aims and objectives: Comparison of the effectiveness of lumbar Interlaminar and Transforaminal epidural steroid injections in managing various types of chronic low back pain. Material and methods: A total of 60 patients with history of lumbosacral radicular pain (≥3 months with VAS score ≥50) and magnetic resonance imaging (MRI) of the lumbar spine showing the exact disc level protrusion, who met the inclusion criteria were selected. With simple purposive sampling techniques, all patients were randomly divided into two groups. Group I Received 4 ml of 0.25% bupivacaine with 8mg dexamethasone through fluoroscopy guided interlaminar epidural route and Group T Received 2ml of 0.25% bupivacaine with 4mg dexamethasone through transforaminal route. Baseline assessment was completed just before the randomization and then follow up SLRT and VAS score recordings were taken - post 1 week, 1 month and 3 months after the procedure.
The effect of combined exercises with digital communication technology in developing forms of correction and deception for junior specialists in handball
Get PDFHandball players aged 13–15 years in the Middle Euphrates belonging to the Central Handball Federation were distributed according to the specialised centers in the governorates (Karbala, Babylon, and Qadisiyah), which numbered 90 players. The specialised centers affiliated to Qadisiyah Governorate numbered thirty players, and the number of players of the studied age was twenty-two players. The renewal in the methods of communication and presentation of skills in advance and the possibility of reviewing them during performance and freely left to the learner contributed positively to the development of the combinatorial capabilities and the studied skills; and that the process of blending in the exercises prepared by the researcher between the combinatorial abilities and the studied skills contributed greatly to the development of the combinatorial capabilities and the studied skills; and that accreditation In developing skills for young ages in combination with combinatorial abilities, it is the one that will have a great impact in the future as it depends on a very high level
Spirometric evaluation of respiratory complications of new pulmonary TB patients after completion of antitubercular treatment
Get PDFIntroduction-Tuberculosis is a major public health problem of all times globally. TB Infects about one fourth of global population. To evaluate and assess the detailed information about the prevalence of abnormal lung function on spirometry of such patients this study was conducted. Material and Methods- Between Nov2017 to Oct2019, we prospectively evaluated all the patients who were diagnosed as case of pulmonary TB after completing full course of ATT at tertiary care hospital RMCH Bareilly. Results-Out of 210 patients (122)58.09% were males and (88)41.9% were females. Majority of patients lies within age group of (20-60 yrs) 163(77.6%).Smoking history were present in 70(33.3%) of patients. About 84(40%) of patients have BMI <18.5 and 97(46.2%) patients had BMI between 18.5- 24.9 and rest patients had BMI >25. After completing ATT the most common symptoms that patient had SOB 201(95.7%) followed by Dry Cough 121(57.6%) and Expectoration 38(18%). Out of 210 patients 172(81.9%) of patients have abnormal lung function. Conclusion- We found that out of all the symptomatic post TB patients, 172(81.9%) had abnormal lung function and among them majority of patients had Restrictive pattern i.e. 118(56.2%), 27(12.8%) had mixed pattern and 7(3.3%) had obstructive pattern on spirometry. 
In vitro evaluation of novel designed, and synthesized naproxen derivatives bearing 1,2,4 triazole moiety
Get PDFThe Objective of this study is created a novel derivative of the naproxen with the heterocyclic (1,2 and 4 the triazole) ring that reacted with benzoyl chloride derivatives, as well as preliminary antibacterial activity testing of the formed products. The derivatives are synthesized by esterifying naproxen hydrazine hydrate, then reacting with hydrated hydrazine and carbon disulfide, and finally reaction the benzoyl chloride derivatives (in the final step) with the triazole the derivatives of the naproxen including of amino group via a nucleophilic substitution reaction. In addition to naproxen, the antibacterial properties of the novel compounds (Va-Vd) were evaluated in agar at known doses (IN vivo). The antibacterial action of the compounds Va and Vd against staph was demonstrated in the topmost inhibited zone. In the case of E. coli, compound Vb has the smallest inhibitory zone. The findings of this study have implications to produce naproxen 1,2 and 4 the triazole-three-thiol derivatives, which reacted including the variety of benzoyl chloride derivatives. The potential of naproxen will be affected by the attraction of benzoyl chloride derivatives with para-groups on the benzen ring