Proteus syndrome and hypothyroidism. an unusual association

We present a case of a 3 /2 -year-old girl diagnosed as Proteus syndrome with severe cosmetic disfigurement-macrodactyly, hemi-hypertrophy of the face and limbs, megalencephaly, lymph edema of both hands and feet along with severe global developmental delay. She was found to have severe recalcitrant epilepsy and also primary hypothyroidism; the association of which is not mentioned in the previous literature

role of amoxicillin in preventing post-tonsillectomy complications

Tonsillectomy is defined as the surgical excision of the palatine tonsils. This single blind prospective study of [200] patients underwent tonsillectomy in Al- Rizgary Teaching Hospital-Erbil- Iraq from February 2006 through June 2006.The main aim of this study is to evaluate the effect of post-tonsillectomy amoxicillin in preventing infection and secondary haemorrhage. Our patient's ages ranged from 2.5 years-55 years and were randomly divided postoperatively into two equal groups. The first group received amoxicillin antibiotic with analgesic paracetamol up to one week postoperatively. The second group received only paracetamol for one week. All tonsillectomy surgeries were done by cold knife dissection method. In the first group no one developed complications neither postoperative infection nor secondary hemorrhage, whereas in the second group who received only paracetamol, 4 patients [4%] had features of infections post operatively with another 2 patients [2%] developed secondary hemorrhage controlled conservatively. The above results showed no significant effect of post-tonsillectomy antibiotic to prevent infection or delayed bleeding

Management of acute otitis externa using aural wick versus local drops

Acute otitis externa is one the commonest otological disease. In this study we aimed to evaluate its types and the possible predisposing factors as well as comparing the effectiveness between local wick and local drops in treating acute otitis externa. A prospective analysis of 100 patients complained of acute otitis externa was performed in the department of Otolaryngology at Rizgary Teaching Hospital in Hawler between August 2005 to January 2006. Male patients were 45%, and the rest 55% were females. Patients were classified into two groups; 50 patients received topical application of cream using aural wick, and the second group of 50 patients treated by topical ear drops. The commonest predisposing factors were water entrance to the affected ear during bathing and swimming [51%]. On culturing, bacteria were found in 64% of patients and fungi in 11%. Topical application using aural wick showed 100% response, whereas only 60% of those received topical ear drops had an immediate response. Acute diffuse otitis externa is the most frequent type. Pseudomonas aerugi-nosa is the commonest bacterial growth. Aspergillous species is the commonest caused of fungal growth. Response to aural wick treatment is much better than aural drops

Occlusal features in a group Iraqi school childern in Baghdad City

The purpose of this study was to find the prevalence of occlusal features among a group of primary school children in Iraq and to study the distribution of these features according to subjects profile, age and gender. The study involved 173 children [64 boys and 109 girls], distributed in different primary schools in Baghdad city. Children examined were with an age range of 8-12 years, with a mean age 10.74 years. The following occlusal features were studied: the molar's Angle's classification, incisal overjet, incisal overbite, posterior cross bite, lip form, tongue size, spacing and crowding. The distribution of incisal overjet, incisal overbite, lip form and tongue size, are significantly affected by subject's profile, while the distribution of crowding and spacing were significantly affected by age and gender

Mortality review of diabetic ketoacidosis in mayo hospital, Lahore - Pakistan

Diabetic ketoacidosis is a known complication of diabetes mellitus. The annual incidence of diabetic ketoacidosis [DKA] among subjects with type 1 diabetes is between 1% and 5% in European and American series respectively. This incidence appears to have remained relatively constant over the last decade in western countries whereas 20-30% of cases occur in newly diagnosed patients. Mortality rate is reported less than 5% in experienced centres whereas internationally overall mortality is 1-10 percent. The objective of this study was to find out mortality rate in patients of diabetic ketoacidosis admitted to east medical ward of Mayo Hospital, Lahore. A descriptive retrospective study was conducted on patients admitted to East medical ward with the diagnosis of DKA. There were 44 patients included in this study. Regarding outcome of patients 84.1% of patients were discharged. The mortality was found to be 15.9% that is much higher as compared to other studies where it was around 5%

Mesenteric cystic lymphangioma

Abdominal cystic lymphangioma is a very rare congenital tumor of lymphatic origin. It usually appears in the pediatric age and frequently presents with non-specific symptoms and deceptive signs causing, at times, diagnostic dilemmas. Ultrasonography and computer tomography imaging are considered the diagnostic modalities of choice. Two cases of mesenteric cystic lymphangioma, one presenting as perforated appendicitis and the other as recurrent gastritis, are reported. Infection in the first and volvulus in the second case is behind the mode of presentation. The diagnostic approach and treatment are described with emphasis on the operative tactic applied for upper jejunal resection. A high index of suspicion, accuracy and repeated physical examination and, most important, the liberal use of ultrasonography in all cases of unclear abdominal illness may contribute considerably to a correct diagnosis and decreased morbidity

significance of autosomal C-band size polymorphism in male infertility

The aim of this study is to assess the possible role of autosomal C-band size polymorphism in male infertility. Two-hundred male patients with clinical diagnosis of infertility and 100 normal controls were included in the present investigation. All patients were assessed by Urologist Consultant at the Department of Pathology and Forensic Medicine, Kufa University, Kufa, Iraq, during a 2-year-period, October 1999 to October 2001. C-band evaluation was based on both quantitative and qualitative methods. Blood culture, chromosome harvesting, and C-band technique were carried out according to standard methods. 1. C-band quantitative study indicates a significant increase in the C- band size of chromosomes 9 and 16 among infertile groups as compared to normal fertile group [p<0.01]. 2. C-band qualitative study indicates a significant increase in the C-band size [level 3] of chromosome number one among the infertile group as compared to normal fertile group [p<0.01]. The present findings require further extensive study to shed light on the possible correlation between C-band polymorphism and male infertility

Prevention of peritoneal adhesions by administration of sodium carboxymethyl cellulose, cortisone and oral vitamin E

Previous studies have shown that dietary supplements of vitamin E or intraperitoneal administration of sodium carboxymethyl cellulose [SCMC] solution reduced postoperative adhesions by approximately 50%. The aim of this study was to evaluate the ability of sodium carboxymethyl cellulose [SCMC] [Hercules cellulose gum, grade 7H4F, Food Grade, Hercules Inc., Wilmington, D.E.] to prevent adhesions and to compare this solution with cortisone and vitamin E and to determine whether there is synergistic beneficial effect of vitamin E and SCMC in reducing postoperative adhesions

High dietary fiber cookies from several sources of bran or husk

Corn bran [CB], rice bran [RB] and barley husk [BH] by-products in the food industry were used as dietary fiber sources in producing high fiber cookies. [CB], [RB] and [BH] substitution resulted in cookies with differently lower spread ratio and diameter values as well as higher specific volume than the control cookie. Sensory data revealed that at levels of 18% corn bran, 12% rice bran and 6% barley husk substitution affected only surface and interior color. Barley husk more than 6% substitution gave a bitter and highly undesirable flavor. Cookies prepared with 18% [CB], 12% [RB] and 6% [BH] contained 266, 161 and 130% greater dietary fiber than control cookie made with wheat flour. The mathematical models were used to predict farinograph characteristics, baking properties and dietary fiber content as a function of any given level of fiber sources substituted cookies with higher determination coefficient [R2 >/= 0.999]

Mathematical models for selection of optimum condition during breadmaking

The effect of dough temperature on water absorption, mixing time, gas production and bread quality during panned bread-making was studied by nonlinear regression analysis. Giza 150, Giza 156 and Shnab wheat flours were used. Dough temperatures were varied from 25 to 40C. Baking tests showed that dough mixed and fermented at 30-35C had essentially equal loaf characteristics, while dough mixed and fermented at 25 or 40C produced bread with inferior grain and lower in the loaf volume. The applied mathematical model indicated a good agreement between observed and predicted data within the studied experimental region. The maximum gas production of 250, 270, 295 mmHg was obtained when using optimum fermentation temperature 34, 34, 31C in the 3 flours, respectively. The reduction of mixing and fermentation periods ranged from 6-20% when the dough was mixed and fermented at optimum temperature

Prevalence of cytomegalovirus infection in child bearing age women in Mosul, Iraq

The enzyme-linked immunosorbant assay [ELISA] was used for estimation of specific cytomegalovirus IgM and IgG antibodies in sera of 200 pregnant women and 100 unmarried women. IgM was detected in 2.5% and 1% in both groups respectively. IgG was detected in 90.0% and 84.0% in both groups respectively. The seropositivity rate was higher in multigravida than in primigravida. The rate of infection was higher in pregnant women at third stage of gestation than those in the first and second stage. We conclude that infection with CMV in Childbearing age women is high which may carry increasing risk of intrauterine transmission with subsequent congenital infection and late sequalae. Follow up study of infants at risk is needed and has already been planned

Clustering of hepatitis B viral infection among family members of HBsAg carrier hospital personnel in Mosul, [northern Iraq]

Radioimmunoassay [RIA]was used to study the prevalence of hepatitis B viral infection [HBV] among 50 family members of HBsAg carrier hospital personnel and 52 family members of non-carrier hospital personnel working at the main health care centers in mosul. HBsAg and anti-HBs was detected in rate of 22.0% and 46.0% respectively among the first group and in rate of 3.8% and 17.3% respectively among the second group. The seropositvity rate [HBsAg or Anti-HBs] was high among spouses and children. HBeAg marker was detected more often among members of HBeAg positive carriers. This study indicates that family members of HBsAg carrier hospital workers are at high risk of contact infection with HBV.screening of family members of HBsAg positive hospital personnel is important and subsequent vaccination of seronegative members should be adopted to stop this intrafamilial spread of infection

Cryopreservation and in vitro fertilization [IVF] of human and Iraqi bovine oocytes

Human and bovine oocytes were frozen slowly [0.30 °C/min and 0.27 °C/min respectively] in liquid nitrogen. The survivals of the thawed oocytes [0.45 °C/min or 100 °C/min] were examined in vitro by different tests [Morphology, Biochemical and in vitro maturation techniques]. In this study we report 84% survivals, 35% in vitro maturation [IVM] and 60% IVF of the thawed oocytes by frozen-thawed sperms. The survival rates of human and bovine oocytes were nearly similar being 90% and 86.4% respectively. The freezing technique used in this study was found to be a simple and efficient method for cryopreservation of both human and bovine oocytes. We report IVF of cryopreserved bovine oocytes by frozen-thawed sperms