Diyala Journal of Medicine

Lymphangiogenesis Using D2-40 in Oral Squamous Cell and Mucoepidermoid Carcinoma and its Correlation with Clinicopathological parameters

Mustafa Gh Taher — Sun, 01 Dec 2019 00:00:00 +0000

Background: Oral squamous cell carcinoma (OSCC) and Mucoepidermoid carcinoma (MEC) are the most common malignant tumor of the oral cavity and salivary gland respectively, the extent of lymph node (LN) metastasis by lymphangiogenesis is a major determinant for the staging and the prognosis of these malignancies and often guides therapeutic decisions.

Objective: To correlate the lymphangiogenesis of OSCC and MEC with their clinicopathological parameters.

Material and Methods: Fifteen oral squamous cell carcinoma and eighteen mucoepidermoid carcinoma tissue samples collected during the period from 2008 till 2014. Age, gender, site of tumors and stage were reviewed. Lymphangiogenesis obtained by Immunohistochemical findings using D2-40 immunomarker.

Results: All cases of OSCC and MEC exhibited positive immunostaining for lymphangiogenic marker. There is a correlation between OSCC and MEC regarding the age group and site of tumors (P=0.001), while gender, lymphatic vessel density (LVD) and TNM stage have no correlation with OSCC and MEC. Lymphatic vessel density and showed no relation with stage of OSCC and MEC.

Conclusion: No statistical correlation was found between LVD which expressed by mean of lymphangiogenesis using D2-40 immunomarker and OSCC MEC stage.

Ischemic Heart Disease Mortality, Morbidity and Risk Factors of Coronary Care Unit Patients

Ali Hussein Salih — Sun, 01 Dec 2019 00:00:00 +0000

Background: Ischemic heart disease (IHD) is the commonest type of heart disease .It causes more deaths and disability and incurs greater economic costs than any other illness. Gender, age, hypertension, diabetes mellitus, smoking, hyperlipidemia and family history are obvious risk factors. In acute state it may be complicated by life threatening arrhythmia, heart failure, circulatory failure and cerebrovascular accidents.

Aims of study: To evaluate the patients with ischemic heart disease admitted to the coronary care unit of Baquba teaching hospital

Patients and Methods: A total of 160 cases of patients with various symptoms of ischemic heart disease including chest pain, dyspnea, and palpitation are evaluated in the coronary care unit of Baquba teaching hospital by history taking, physical examination, and Electrocardiogram, echocardiogram, and lab tests with continuous follow up until discharge from the coronary care unit.

Results: From total number 97(60.62%) patients were males,58 have myocardial infarction and 39 have angina .The rest of the patients were females 63 (39.38%),41 of them have angina and 22 have myocardial infarction. Male was the highest risk factor followed by hypertension, diabetes mellitus, smoking family history and hyperlipidemia .Arrhythmia is the commonest complication while heart failure, cerebrovascular accident and circulatory failure of lesser frequency .

Relationship between Fetal Gender, Pregnancy and Neonatal outcome among Pregnant Women attending labour ward at Al- Batool Teaching Hospital for Maternity and Children in Diyala Governorate. Iraq

Sawsan Talib Salman — Sun, 01 Dec 2019 00:00:00 +0000

Background: In many societies, adverse outcomes in pregnancy and labour have often be ascribed to male fetal gender, so, In recent years, many investigators try to find any relationship between fetal gender and pregnancy outcome.

Objective: To evaluate the role of fetal gender on pregnancy and neonatal outcome.

Subjects and methods: A cross sectional study was done at a labour ward in Al-Batool Teaching hospital for maternity and children in Diyala Governorate, Iraq during the period from 1^st of August till 31^st of October 2013. One hundred one pregnant women were eligible for enrollment in the study according to inclusion criteria. The effect of fetal gender on both maternal and fetal parameters were all recorded.

Results: A total of 101 neonate were born, of whom 53 were males and 48 were females, there was no significant differences noticed between male and female regarding to the maternal age and parity. Also the result showed that preterm and post term pregnancies more frequently in male bearing pregnancies than in female bearing pregnancies (4.95%, 0.99% respectively), despite these findings were significant statistically, while fetal gender has no positive correlation to the weeks of gestation. Pregnant women with a male fetus had a higher rate of cesarean section (8.91%) than with female fetuses (4.95%) which is statistically significant but there is no positive correlation between fetal gender and cesarean section, the results of this study find that there is no correlation between neonate gender and birth weight. By studying the correlation between neonate gender and other neonatal parameters like Apgar score <7 at 5 mint, admission to NICU, clear liquor, and Meconium liquor it was proved that there is no correlation between fetal gender and these parameters except there is a positive correlation between male gender and Apgar score <7 at 1 mint.

Conclusions: There is a positive correlation between male gender and Apgar score <7 at 1 minute but no correlation found between fetal gender and other maternal or neonatal parameters.