Background: Ministry of Health, since its establishment, adopted the policy of central financing system and free medical services in all health facilities. The sanction and the decline in per capita spending affect the health financing system, thus in 1997 a new financing policy was adopted as pilot in seven specialized hospital called “self–finance” system in which the cost of care was shifted to the patients, i.e. the funds obtained came from user charges at the health facilities. This system was extended (with some modifications) to all hospitals in 1999 and PHC centers in 2001 and implemented until 2003 when it was discontinued.
Materials and Methods: During the second half of 2004, a review of

Background: The level of parent education has an important role in making decision about their children oral hygiene.<br />Material and methods: A cross sectional descriptive study was conducted in Baghdad city, the total sample include 569 preschool children (318 males and 251females) aged 5-years, they were randomly selected from different kindergartens. For measuring oral cleanliness gingival condition and dental stain, Plaque index by Silness and Lِe gingival index by Lِe and Silness and stain index by Leung were used respectively.<br />Results: Results showed that the mean plaque index was (0.68 ± 0.018) results reveal a high prevalence of gingival inflammation (77%)with mild type was found to be the predominant, as m

Background: Brain abscess is collection of pus in the brain parrynchima surrounded by a true capsule. Usually diagnosed by CT & MRI, & treated surgically by drainage by burr hole, or excision.
Objective: evaluate our work with brain abscess.
Patient& method: 74 Patients collected in the specialized surgical hospital neuro-surgical department, from Jan. 1995 till Jan. 2005 treated surgically, all cases fully evaluated clinically & radiologically & then evaluation of the surgical procedure.
Results: there is a slight male predominance & prevalence more in the 1st 2decades of life mostly in children with cong. heart disease, headache was the most common presenting feature, with other signs of infection diagn

Background: Hodgkin’s Diseases is a group of cancers characterized by Reed- Sternberg cells, aneuoploid cells that usually express CD15 and CD30. Several epidemiological and serological studies support the role of Epstein –Barr virus in the pathogenesis of Hodgkin’s Diseases

Patients and Method: A retrospective study was done where by twenty cases were collected from the Pediatric Oncology Clinic in AL-Kadhyimia Teaching Hospital over a period of five years from the first of January 2002 – end of December 2006.Information was taken from the patient’s records in the Pediatric Oncology Clinic including age at presentation, sex, physical finding, histopathological subtypes, staging , treat

Background: Human Cytomegalovirus (HCMV) infects a wide range of human cells, including colonic epithelial cells that give rise to adenomas and adenocarcinomas. Persistent productive infection of tumor cells is essential for oncomodulation by HCMV.This study aimed to detect HCMV matrix protein using in situ hybridization technique (ISH) in colorectal adenocarcinoma compared to normal colon tissues, and to the presence of cytomegalovirus inclusion bodies in infected colorectal carcinomas.
Patients and methods: Twenty six of colorectal adenocarcinomas were obtained in paraffin-blocks compared to 10 normal colon specimens which were age and sex matched as control group. Detection of HCMV was obtained by in s

Background: Decreased taste acuity to the four basic tastes is closely related to health problems (diseases & medications), aging, and smoking. This study aimed to determine taste detection and recognition thresholds to the four basic tastes in some physiological and pathological conditions, determine saliva flow rate, serum and saliva zinc levels in these groups.
Objective and Methods: The study includes 218 individuals (35–80) years old divided into six groups; the control, aging (subjects over 60 years), smokers, diabetics, haemodialysis patients and hypertensive patients on chronic use of captopril.The taste detection and recognition thresholds of sweet, salty, sour and bitter tastes, saliva flo

Background: Several biological factors such as bacterial infections and immunological status are implicated in predisposing individuals to bladder cancer. Bacterial infection of urinary tract has been related to increase the risk of bladder cancer.
Patients and Methods: Resected tumors of a total of 73 patients were obtained under sterile surgical conditions. Biopsy processing samples and culture procedures of biopsy samples were mentioned in the text.
Results: Bacterial growth was observed in 48 biopsy tissues of those patients represent (65.8%) while, 25(34.2%) yielded no growth (negative results). It is obvious that E. coli is the most predominant organisms followed by K. pneumoniae and Ps. Aer

Background: Acute renal failure is characterized by impaired excretory endocrine homeostatic and metabolic functions of the kidneys.
Objective: The aim of this study is to look for the role of sex hormones, waist circumference and leptinemia in patients with acute renal failure.
Subjects and Methods: 55 subjects were involved in this study, 30 had acute renal failure and the remaining 25 subjects were normal healthy individuals who served as
a control. The age range of the patients was between 25 and 45 years with a mean of 37±8.2 years. Five mls of blood were withdrawn from each subject by vein puncture. Enzyme
linked immuno assay (ELISA) was used for the measurement of serum leptin level. Radi

Background: Complement (C) & CRP in patients with Rheumatoid arthritis (RA)'could be trigger disease activity.
Aim: To study the correlation between C, CRP, IgM,, IgG, IgA & some clinical presentation in RA patients.
Methods: Latex agglutination test(AG) & single radial immunoassay(SRIA) were used to asses CRP, IgMJgGJgA,, C, in 74 patients with RA.
Results: IgA & IgG were significantly increased, while the mean ofC3, C4 were slightly elevated in RA patients .
Conclusion: There is correlation between IgG and IgM with joint deformity and joint swelling respectively, while C3 was showed statistically significant P<0.01 with joint
stiffness, joint swelling and Rheumatoid nodule, whe

Background:
Trichomonas vaginalis is a pear shaped parasite, with a short undulating membrane, lined with a flagellum and four anterior flagella. It is one of the most
common organisms causing infection in the female genital tract, which is normally limited to vulva, vagina and cervix. It doesn't usually extend to the uterus. The
mucosal surface may be tender, inflamed and covered with a frothy yellow or cream colored discharge.
Aim:
To evaluate the infection rate of Trichomonas vaginalis among females complaining of vaginal discharge with or without pruritis vulvae, and to isolate the
parasite by different laboratory methods, such as wet mount method, culture on special media and staining by sp

Background :
To study the incidence of premature uterine contraction (PUC) with bacterial vaginosis (BV) in Ramadi city and to correlate the incidence of (PUC) with severity
(grades of BV).
Patients and Methods:
A prospective study was performed involving 250 women who consecutively attended Gynecological ward in Maternity and Child Hospital. 150 women were
control groups (without uterine contraction), and 100 women were regarded as patients group (with uterine contraction) at 28-34 weeks of gestation. BV was
diagnosed on the basis of four diagnostic criteria; vaginal pH>4.7, homogenous vaginal discharge, a positive Whiff test, and the presence of clue cells.
Results:
A total of 250 high vag

Background: Autoimmune hepatitis (AIH) is a rare chronic liver disease of unknown etiology, characterized by hypergammaglobulinemia, characteristic autoantibodies, and a
favorable response to immunosuppressive treatment. Strong circumstantial evidences denoted that there is quite long list of environmental factors such as (food additives and drugs), viruses and toxins which play an important role in precipitating this disease. Brucellosis is endemic in Iraq. It may involve any organ in the body. Liver is frequently involved. Doxycycline used for treatment occasionally may lead to hepatotoxicity.
Objective: the aim of the study is To show the relationship between brucellosis , AIH, and hepatotoxici

Background: Chronic obstructive pulmonary disease (COPD) is a common disease and it accounts for over 10% of all hospital medical admission. Cigarette smoking is the most important risk factor. Pulmonary arterial hypertension (PHT) is a common complication of COPD and the increase in pulmonary artery pressure is often mild to moderate. The presence of pulmonary arterial pressure and its severity is readily and reliably determined by transthoracic echocardiography in majority of COPD patients.
Patients and Methods: This study included 55 patients with mean age 65.6 ±8.2 years .The mean duration of symptoms was 18 ±10 months. 32 patients (58%) were current smoker, 18 patients (33%) were exsmoker and 5 pat

CT scan features of Malignant Meningioma
Objective: Meningioma which is a common benign Brain tumor can be malignant, but the final decision is by biopsy. However CT. Scan features can help to evaluate malignancy of a lesion.

The aim of this retrospective study is to look for the malignant features of a malignant meningioma .
Patients and Methods: This is a retrospective study of 50 malignant meningiomas in the neurosurgical unit in the specialized surgical hospital (previously AL-Shaheed Adnan hospital), for the period from March 1992 to March 2007. We search specially for Malignant features on the CT scan study of the patients.
Results: 94%of the patients had different features of malignant men

Background: laparoscopic cholecystectomy is standard treatment in gallbladder disease. Acute cholecystitis has been relative contraindication of laparoscopic cholecystectomy. With the
accumulation of experience in laparoscopic surgery, laparoscopic cholecystectomy is being gradually applied for the treatment of acute cholecystitis
Objective: to evaluate and compare the outcome of laparoscopic cholecystectomy in acute and chronic cholecystitis in terms of complications, conversion rates, reason of conversion, need for special modifications of the operative technique, and hospital stay.
Methods: A prospective study done Between April 2007 and January 2010, in the department of general surgery, medical city teac

Background: Bronchogenic carcinoma is considered one of the most common malignant diseases that affects both sexes. The radiological profile of bronchogenic cancer can prove to be of great assistance in the management of this disease.
Objectives: The current study aimed to assess a radiological profile for bronchogenic carcinoma in a sample of Iraqi patients.
Methods: A cross-sectional study that comprised a total of 100 patients affected with bronchogenic cancer in Al-Imamain Al-Kadhimain Medical City, Baghdad, Iraq, from the 1^st of January to 31^st  of July 2020. Clinical characteristics, diagnostic modalities, the site of the tumor with

ABSTRACT :

Background: Osteoarthritis is a prevalent chronic joint condition that occurs when the cartilage, which acts as a low-friction surface between the joints, deteriorates, resulting in pain, stiffness, and swelling. There has been controversy about the effectiveness and tolerability of corticosteroids and hyaluronic acid, and about the superiority of one over the other in treating OA.
Objective current study aimed to compare the efficacy and safety of hyaluronic acid (HA) and methylprednisolone (MP) in the

الخلاصة:

الخلفية: تعرف رعاية الطوارئ بأنها الرعاية المقدمة في المستشفى لأي مريض يعاني من حالة صحية مفاجئة وقابلة للعلاج. في البلدان التي تفتقد للرعاية الصحية المثالية، قد يمثل هذا النوع من الرعاية العنصر الأضعف في النظام الصحي.

اهداف الدراسة: معرفة الأسباب الرئيسية خلف الدخول الى قسم الطوارئ في مستشفى حماية الأطفال التعليمي في بغداد، وكذلك دراسة مدى عجالة الزيارات.

<

الخلفية: انخفاض الوزن عند الولادة هو السبب الرئيسي لوفيات الرضع. وهو يساهم في مجموعة متنوعة من النتائج الصحية السيئة قصيرة وطويلة
الأجل. من المهم تحديد عوامل الخطر المرتبطة بانخفاض الوزن عند الولادة لاتخاذ الإجراء المناسب لمنع أو تقليل العواقب. ومع ذلك، فإن الدراسة
بشأن انخفاض الوزن عند الولادة وعوامل الخطر الأمومية في إقليم كردستان العراق قليلة جدا.
الأهداف: هدفت هذه الدراسة إلى تحديد عوامل الخطر الم

المقدمة:البزل القطني هو إجراء يجرى في أحيان كثيرة في ممارسة طب الأطفال الباطني.
الأهداف: لمراجعة بعض خصائص البزل القطني )المتعلقة بالمريض و المقيم و التقنية( الذي أجري في مستشفى حماية الأطفال التعليمي في بغداد –
العراق.
الطريقة:أجريت دراسة وصفية مستعرضة في الفترة من نيسان إلى أيلول ٢٠١٧ . أستخدم فيها استبيان معد ذاتيًا لجمع البيانات، وهو مكون من اثنين
و ثلاثين فقرة موزعة على الأقسام التالية : ثلاث فقرا

Background: Colorectal cancer (CRC) represents the second most common malignancy and the fourth most common cause of cancer deaths. CRC can manifest early with bright red bleeding per rectum, tenesmus, and altered bowel habits. These symptoms are often attributed to benign lesions, including anal fissure. Our objective is to highlight the alarming scenario of an anal fissure masking the clinical features of an underlying colorectal cancer in healthy middle-aged patients.

Case Report

Our case report aims to discuss how congruent clinical features of benign-looking anal fissure can delay the diagnosis of rectal cancer. In January 2019, a healthy forty-four years old Iraqi male with no famil

خلفية البحث: يعتبر مرض التدرن من المشاكل الصحية العالمية ومن المسببات الاساسية للمراضة والوفاة في معظم انحاء العالم .فهو المسبب التاسع
للوفيات في العالم بالرغم من وجود عدة استراتيجيات للعلاج .
هدف الدراسة: تقييم الطرق التقليدية )المسحة المباشرة والزرع( مقارنة بفحص تفاعل البوليميراز المتسلسل اللحظي لتشخيص التدرن الرئوي وخارج
الرئوي .
المرضى وطرق العمل: تم جمع 612 عينة توزعت الى 409 عينة تدرن رئوي و 203 عينة

Background: Mitochondria play an important role in the regulation of physiological type of cell death (Apoptosis) this type of cell death can be stimulated by two major pathways: external (Fas-Fas ligand interaction) and internal mitochondrial pathway which require disruption of mitochondrial transmembrane potential (ΔΨm ) which leads to opening of mitochondrial channels that lead to release of cytochrome –C which would execute apoptotic process.
Patients and Methods:The study included 32 normal subjects; 2 ml of venous blood were aspirated from each of them and processed for peripheral blood lymphocytes separation (PBL)
Then lymphocyte apoptosis was studied before and after exposing (PBL) to hypertherm

Background: Free radicals have been implicated in many pathological processes, including ischemia, inflammation, and malignancy. The free radicals may affect tissues damage by lipid
peroxidation which generate malondialdehyde (MDA) as a by byproduct of the reaction. The objective of this study is to examine the dynamics of lipid peroxidation in patients with
thyroid disorders using the measurement of malondialdehyde level as a marker for the degree of thyroid disorder.
Methods: Two hundred and forty five subjects were enrolled in this study. Hundred and ninety five were patients with different thyroid disorders (88 yperthyroidism, 63 hypothyroidism and 44 thyroid carcinoma) the remaining 50 subjects were

ملخص تقرير الحالة :

مرض كيس الصفراء شائع نسبيا و مضاعفاته تشاهد من حين لاخر. واحد من المضاعفات النادرة هو انفجار كيس الصفراء. في الحالة المقدمة نحن قد واجهنا صورة مشابهة لانفجار كيس الصفراء عند الاستكشاف الجراحي مع دبيلة كيس الصفراء و خراج حول الكيس و وجود حصاة (داخل الخراج) محددة بين كيس الصفراء و سرير الكبد مع عدم وجود انفجار في كيس الصفراء او فتحة ناسور ممكن اكتشافها.

خليفة الموضوع: للاظفر اهمية وظيفية وجمالية كبيرة وقد جذبت سرعة نمو الاظفر انتباه العديد من الباحثين, ليس فقط كونه عضوا مهما , ولكن لانه يعكس الحالة الصحية للجسم

الهدف: معرفة تأثير التدخين والعمر على سرعة نمة الاظفر

طرق العمل: تم قياس سرعة نمو الاظفر بالطريقة التالية, تم حفر اشارة عن شكل حرف (T) على لوح الاظفر للابهامين الايمن والايسر وذلك بواسطه ابرة عريضة وقيست ا

Background: Extreme obesity is recognized to be a risk factor for coronary heart disease. It is unclear whether overweight and normal weight also poses a risk.
Objective: The study aims to determine the effect of the body mass index on coronary arteries and left ventricular functions in patients with post myocardial infarction (MI) angina
Method: The study included 50 patients with the diagnosis of post MI angina consecutively admitted to the medical ward of Iraqi Center for Heart Disease. All patients underwent
coronary artery catheterization and Echocardiography for assessment of coronary artery and left ventricular functions 
Results: The results of the study showed that there is a significant diff

Background: cerebellar astrocytroma is the commonest paediatric posterior fossa tumor.
Patients and method: 54 patients taken from the neuro-surgical unit in the specialized surgical hospital from Aug 1995 till March 2003, all patients studied thoroughly age, gender, Presentation, Radiological diagnoses, surgery, additive therapy & final outcome including 5 years survival &
conclusion is reached.
Results and discussion: the results show that more than half of the patients were at age 5-7 years with very slight male predominance, most cases diagnosed by CT, some with MRI or MRI
alone.Surgery was done for all cases & 16 patients' preceeded by VP shunt. The final out come is compared with other si

Background: