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Objectives: Odontogenic tumors occupy an important position among head and neck tumors. Although, rarely encountered in medical practice but they considered increasingly challenging lesions for the clinicians due to their overlapping clinical and histopathological features. This study was designed to determine the relative frequency of central odontogenic tumors in an Iraqi population by utilizing 2022 WHO tumor classification. Material and methods: Sixty cases of central odontogenic tumors from a total of 1869 case records were retrieved retrospectively from the file archive of the histopathology laboratory in Baghdad medical city from the period of 2016 to 2021. For each individual case, data regarding age, gender, location, and tumor type were collected and analyzed. Results: odontogenic tumors constituted 3.2% of the total cases analyzed mostly benign. The male to female ratio was 1/1. The age of the patients ranged from 11 to 75 years. Most cases were recorded in the third and fourth decades of life (n=31, 51.6%). The most common benign and malignant tumors were ameloblastoma and ameloblastic fibrosarcoma respectively. Most of these tumors located in the mandible (n= 45, 75%). The most common mandibular tumor was ameloblastoma followed by ameloblastic fibroma, and odontogenic myxoma. Regarding maxillary tumors, the predominant tumor was ameloblastoma followed by ameloblastic fibroma, ameloblastic fibrosarcoma, and clear cell odontogenic carcinoma. Conclusions: Odontogenic tumors in an Iraqi population occurred more commonly in the mandible and showed no sex predilection. Most cases were diagnosed in third and fourth decades of life and ameloblastoma was the most frequent odontogenic tumor. The relative frequency of malignant odontogenic tumors was 11.67% of all cases studied mostly ameloblastic fibrosarcoma. (AU)
Objetivos: Os tumores odontogênicos ocupam uma posição importante entre os tumores de cabeça e pescoço. Embora raramente encontrados na prática médica, eles consideram lesões cada vez mais desafiadoras para os clínicos devido às suas características clínicas e histopatológicas sobrepostas. Este estudo foi desenhado para determinar a frequência relativa de tumores odontogênicos centrais em uma população iraquiana, utilizando a classificação de tumor da OMS de 2022. Materiais e métodos: Sessenta casos de tumores odontogênicos centrais de um total de 1.869 registros de casos foram recuperados retrospectivamente do arquivo do laboratório de histopatologia na cidade médica de Bagdá no período de 2016 a 2021. Para cada caso individual, dados sobre idade, sexo , localização e tipo de tumor foram coletados e analisados. Resultados: os tumores odontogênicos constituíram 3,2% do total de casos analisados em sua maioria benignos. A proporção entre homens e mulheres era de 1/1. A idade dos pacientes variou de 11 a 75 anos. A maioria dos casos foi registrada na terceira e quarta décadas de vida (n=31, 51,6%). Os tumores benignos e malignos mais comuns foram ameloblastoma e fibrossarcoma ameloblástico, respectivamente. A maioria desses tumores localizava-se na mandíbula (n= 45, 75%). O tumor mandibular mais comum foi o ameloblastoma, seguido do fibroma ameloblástico e do mixoma odontogênico. Em relação aos tumores maxilares, o tumor predominante foi o ameloblastoma seguido de fibroma ameloblástico, fibrossarcoma ameloblástico e carcinoma odontogênico de células claras. Conclusões: Os tumores odontogênicos em uma população iraquiana ocorreram mais comumente na mandíbula e não mostraram predileção por sexo. A maioria dos casos foi diagnosticada na terceira e quarta décadas de vida, sendo o ameloblastoma o tumor odontogênico mais frequente. A frequência relativa de tumores odontogênicos malignos foi de 11,67% de todos os casos estudados principalmente fibrossarcoma ameloblástico (AU)
Subject(s)
Humans , Male , Female , Ameloblastoma , Odontogenic Tumors , Classification , NeoplasmsABSTRACT
Abstract Objective: To assess and evaluate the knowledge, attitude, and practices regarding the consumption of carbonated drinks among dental students. Carbonated drinks are pervaded by carbon dioxide and have more adverse effects since they are acidic in nature. Nowadays, these are consumed more widely globally, causing many systemic diseases; diabetes and obesity are common. Material and Methods: This study includes 204 individuals belonging to the age group of 18-26 years. A self-structured objective type cross-sectional questionnaire survey was conducted to assess the knowledge, attitude, and practice of dental students regarding carbonated drinks. The participants were instructed to mark the most appropriate correct answer from the given list of close-ended type questions. Results: Of 204 dental students, the study population includes 125 female and 79 male students. 98.5% of the students knew about carbonated drinks, while 1.5% were unaware. Conclusion: Most participants preferred to have carbonated drinks even with their awareness about the ill effects of these drinks. Possible implications by the government authorities may probably increase awareness among the population (AU).
Subject(s)
Humans , Male , Female , Adolescent , Adult , Students, Dental , Carbonated Beverages/adverse effects , Health Knowledge, Attitudes, Practice , Drinking Behavior , Cross-Sectional Studies/methods , Surveys and Questionnaires , Data Interpretation, StatisticalABSTRACT
Background: Helicobacter pylori (H. pylori) is the most common cause of gastric infections worldwide. Due to antibiotic resistance and adverse effects, phytotherapy and phage therapy have been a research focus as an alternative therapy for H. pylori infection. Objectives: To assess the medicinal plant extracts and bacteriophages as a treatment of H. pylori infection. Methodology: Thirty five gastric biopsies were cultured for H. pylori isolation. Screening of medicinal plants extract efficiency was done by Disc diffusion method. Minimum inhibitory concentrations of extracts were assessed. In vivo effect of Punica granatum peel extract was tested by bacterial density and histopathology in rats. Sewage water samples were screened for H. pylori specific bacteriophages. Single plaque isolation technique was used for phage purification. Results: Ten out of 35 (28.57%) patients had positive gastric biopsy for H. pylori by culture. Four out of 10 (40%) isolates were resistant to all antibiotics. Inhibitory effect of Rosemarinus officinalis, Syzygium aromaticum, Rhus coriaria and Ammi visagna on H. pylori was detected. Punica granatum extract was the most efficient in vitro. In vivo, Punica granatum peel extract caused significant reduction of bacterial density (Pty (P<0.05) and enhanced ulcer healing. Sewage water filtrates contained 3 types ofH. pylorispecific bacteriophages. During phagepurification,phage infectivity waslost.Conclusions:Punicagranatumpeel extract revealed better in vivo activity againstH. pylorithanv standard regimen antimicrobials. Other effective plants can be beneficial inH. Pylori infection management .Loss of bacteriophage infectivity may be an obstacle to phage therapy of H. pylori
Subject(s)
Anti-Bacterial Agents , Bacteriophages , Egypt , Helicobacter pylori , Plants, MedicinalABSTRACT
Objective: Patient satisfaction is considered as a measure of the quality of care in health system. Investigation of satisfaction with pharmaceutical services will disclose gaps in training and barricades of implementation. The study examined patient satisfaction of pharmaceutical services at Ministry of Health Hospitals at East Province in Saudi Arabia. Methods: It is a 4-months cross-sectional self-administered survey of patient satisfaction of pharmaceutical care in Ministry of Health Hospitals at East Province, Saudi Arabia. The survey comprises two parts; the first part was demographic data about the patients, the second part was several domains about various pharmaceutical care services at East Province in Saudi Arabia. The 5-point Likert response scale system used with closed and ended questions. The survey scattered through five hospitals in East Province involved a public, pediatrics, maternity and psychiatry hospitals ambulatory care patient. All data and variables analyzed by Microsoft Excel program version 10. Results: The study sample size was 892. Out of 892 patients, 815 (95.66%) was Saudi and 37 (4.34%) was non-SaudiSaudi. Of that 213 (25%) was female and 639 (75%) was male. The majority of patients were between the ages of 20-40 (61.33%) and 41-60 years (39.44%) old. The average score of pharmacy location and related issues was 3.69/5.00. The domain of pharmacy location was ranked highest (4.05/5.00), while the domain of pharmacy waiting area was ranked lowest (3.47/5.00). The average score of medication related issues was 4.28/5.00. The domain of the drug label stickled with all medications was ranked highest (4.43/5.00), while the domain of the medication reconciliation was ranked lowest (3.56/5.00). The average score of pharmacist related issues was 4.66/5.00. The domain of the pharmacist assure by your name before dispensing was ranked highest (4.58/5.00), while the domain of the pharmacist provides you with medication counseling and encourages you to ask questions was ranked lowest (3.91/5.00). The overall pharmacy evaluation was 4.55/5.00. Conclusion: The patient satisfaction of pharmacy services was adequate at MOH hospital in East Province, Saudi Arabia. The outcomes showed a lack in pharmacists ‘interaction with patients and exertions should be focused towards involvement in a more patient-oriented training in Saudi hospital pharmacies.
ABSTRACT
Background: aortic valve disease is common and its prevalence increases with age. For people over the age of 75 years, the prevalence of aortic stenosis [AS] is 5%. More than one in eight people over the age of 75 have moderate or severe valve disease
Aim of the Work: the aim of this study was to compare the short term results of aortic valve replacement through upper mini sternotomy and full sternotomy
Patients and Methods: This study was a prospective randomized controlled clinical trial. The study was conducted at Suez Canal University Hospital in the cardiothoracic operating rooms and inward after approval of Research and Ethics Committees. The study included 50 patients having aortic valve disease presented to Suez Canal University Hospital, cardiothoracic outpatient clinic for isolated aortic valve replacement
Results: The mean age of patients in Full Sternotomy in Aortic Valve Replacement [FSAVR] group was 33.48 +/- 17.74 while it was 32.03 +/- 15.29 in Mini Sternotomy in Aortic Valve Replacement [MSAVR] group which showed insignificance difference [p > 0.05]. [20- 29y] was the most frequent age group in both study groups [28% in FSAVR group and 32% in MSAVR group]. No significance different found [p > 0.05] according to gender in both group. Male gender was the most frequent in both group [56% in FSAVR group and 64% in MSAVR group]
Conclusion: Mini Sternotomy [MS] can be considered as excellent option with favorable outcomes that should be considered part of the routine practice of cardiac surgeons in the modern era
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Detection of Genital Mycoplasma hominis and Ureaplasma urealyticum among infertile female patients attending gynecological clinic. Prospective study. Medical Center Gynecological Clinic, Khamis Mushayt City, Saudi Arabia. Duplicate genital Swabs for genital mycoplasmas were taken from two hundred and sixty-three infertile female patients between March 2011 and August 2012; the age range was 21 to 45 years. Agar plates were examined every 24-72 hours for the characteristic Ureaplasma and Mycoplasma hominis [M. hominis] colonies. Isolates were identified serologically as M. hominis or Ureaplasma urealyticum [U. urealyticum] by growth inhibition test [disc method]. Two genital mycoplasmas were detected out of 263 specimens by culture method. The positive specimens were identified as At. hominis. The result demonstrates lower values and further investigations for rapid detection of genital mycoplasmas in infertile female patients using PCR could be important and necessary for the detection of mycoplasmas infections
ABSTRACT
To compare Mycoplasma 1st kit and a conventional culture system in the detection of genital mycoplasmas. Comparative Prospective study. Department of Microbiology and Genito-Urinary-Medicine Clinic. Mycoplasma 1st kit and a conventional culture system were compared; One hundred specimens from males and females were allocated to each method. Swabs were inoculated in the broth medium for the conventional culture system and in the Mycoplasma 1st kit cupules. All inoculated broths were incubated aerobically at 37°C and cultures showing pH shift were sub cultured in agar plates and incubated anaerobically in a candle jar at 37°C up to 7 days. The agar plates were examined for the characteristic ureaplasma and mycoplasma hominis colonies. Detection of the genital mycoplasmas obtained from each method was very similar with high sensitivities. Seventeen out of 100 specimens screened for mycoplasma hominis, yielded positive results by the conventional culture method and were detected in 26 specimens by Mycoplasma 1st kit. Fifty-eight out of 100 patients' specimens, ureaplasma urealyticum were isolated by the culture method and detected in 55 specimens by Mycoplasma 1st kit. The commercial kit provides additional information on antimicrobial susceptibilities. Both systems were easy to perform. While broth-agar culture could be less expensive per test for routine screening of specimens than the kit, the commercial kit provides additional information on antimicrobial susceptibilities
Subject(s)
Humans , Male , Female , Mycoplasma Infections/diagnosis , Sensitivity and SpecificityABSTRACT
To look into the long-term outcome of surgical treatment of congenital glaucoma. Children with congenital glaucoma that underwent goniotomy, trabeculotomy, combined trabeculotomy-trabeculectomy, trabeculectomy, cyclocryotherapy, Nd-Yag-cyclophotocoagulation, and Ahmed valve implant form January 1988 to December 1997 were reviewed in December 2007. 44 eyes of 25 patients, 16 male and 9 female, reviewed. The mean age at diagnosis was 10.5 [range 0.03-180] months. Twenty three [92%] patients were diagnosed to have congenital glaucoma at or shortly after birth. Thirty seven eyes [84.1%] had primary infantile glaucoma, 3 eyes [6.8%] had developmental glaucoma and 4 eyes [9.1%] had secondary glaucoma. The mean corneal diameter 12.7 [range 9-18] mm, and mean cupping 0.7 [range 0.2-1.0]. 78 glaucoma procedures were performed with the mean patient's age at the time of surgery 34.4 [range 0.07-181] months. The mean intraocular pressure reduced from 26.7 to 14.0 mmHg in 15 eyes [34%] after a mean number of operation/eye of 1.8, and a mean follow up of 54.3 months. Kaplan-Meier life-table analysis showed decreasing success rates with time of all procedure. However, trabeculectomy was clearly the most successful in our hands. No serous surgical complications. Vision [>/= 6/12] achieved in 27.3% of eyes, and 63.6% of the eyes were legally blind [
Subject(s)
Humans , Male , Female , Treatment Outcome , Glaucoma/surgery , Long-Term Care , Retrospective Studies , Trabeculectomy , Vision, OcularABSTRACT
A case series of six patients with uncontrolled anterior uveitis of different etiology were treated with subconjunctival injections of 5-Fluorouracil [5-FU 5.0 mg/0.1 ml with a total dose of 15-20 mg over 2-3 weeks. All patients showed complete remission of anterior uveitis and control of uveitic glaucoma for > 9 months. 5- Fluorouracil might be an effective alternative to corticosteroids in controlling anterior uveitis. Patients at high risk of corticosteroids complications and those with uveitic glaucoma may benefit from this drug