Diyala Journal of Medicine <p style="text-align: justify;">Diyala Journal of Medicine (DJM) was established according to agreement of Ministry of Higher Education and Scientific Research-foundation of as per authorization letter Number 12c/2433 in 19th August 2010. Fellow up, Started to receiving different manuscripts in all fields of medicine such as clinical, basic, dentist, pharmacology and scientific original articles. Diyala Journal of Medicine usually Deal with articles closely related with clinical problem more common in Iraq and Middle East. Also considered is a periodic peer-reviewed journal published biannually by the College of Medicine in Diyala University. However, review articles of high standards will be considered Writing in English languages with Arabic abstract.</p> <p><span style="font-size: 20px; font-family: Times New Roman;"><span style="font-size: 20px; color: #17365d;">&nbsp;</span></span></p> College of Medicine - University of Diyala en-US Diyala Journal of Medicine 2219-9764 <p>All Rights Reserved.</p> Lymphangiogenesis Using D2-40 in Oral Squamous Cell and Mucoepidermoid Carcinoma and its Correlation with Clinicopathological parameters <p><strong>Background</strong>: 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.</p> <p><strong>Objective</strong>: To correlate the lymphangiogenesis of OSCC and MEC with their clinicopathological parameters.</p> <p><strong>Material and Methods</strong>: 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.&nbsp;</p> <p><strong>Results:</strong> 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.</p> <p><strong>Conclusion:</strong> No statistical correlation was found between LVD which expressed by mean of lymphangiogenesis using D2-40 immunomarker and OSCC MEC stage.</p> Mustafa Gh Taher Copyright (c) 2019-12-01 2019-12-01 17 2 66 75 Incidence of Readmission in Patients in Sulaimani Emergency Hospital <p><strong>Background:</strong>Readmission after hospitalization is a preventable experience which can impose huge costs on the patients and the health care systems. Studies have reported that readmission of patients within 30 days following discharge is quite common and associated with some clinical and nonclinical factors. Mental and behavioral health issues, alcohol-related disorders, pregnancy, diabetes, schizophrenia, and mood disorders have been reported as the commonest conditions that can cause readmission. Research has also stated that patient readmission can show low quality of health care services.</p> <p><strong>Objective:</strong> To assess the incidence of patients who had been readmitted to emergency room in Sulaimani Emergency Hospital during three consecutive months.</p> <p><strong>Patients and Methods:</strong>The present prospective study which was carried out on 126 readmitted patients who were selected from 3264 patients who had referred to Sulaimani Accident &amp; Emergency Hospital&nbsp; in Kurdistan Region of Iraq from (1st. Jun 2018 ) to ( 31st.Aug. 2018 ) . A researcher-designed checklist was used to collect the required data. The collected data were analyzed through descriptive statistics using Statistical Package for Social Sciences version 22.0, and the results were presented as frequencies and percentages in tables.</p> <p><strong>Results:</strong> The results of the present study revealed that the hospital readmission rate was lower among the patients older than 50 years. Also, female patients accounted for a larger population of readmitted patients than the males. There was no significant association found between gender and readmission. Epigastric and abdominal pains were the most frequent symptoms and presentations observed at readmission. In addition, associated medical diseases and surgical procedures were found to have outstanding effect on readmission. The most common detected disorders among the readmitted patients were suspected acute appendicitis and acute pancreatitis. In addition the type of medical intervention was found to have a remarkable effect on the rate of readmission. A significant relationship was observed between the observed clinical presentations and the readmitted patients’ age, occupation, and marital status. Also, the readmitted patients’ past surgical history and their age, gender, occupation, and marital status were significantly correlated.</p> <p><strong>Conclusion:</strong> Hospital readmission was found to be common among patients who had associated medical diseases, surgical procedures, suspected acute appendicitis, and acute pancreatitis; therefore, such patients need to be provided with more careful care and proper medical interventions in order to prevent or reduce readmission rate and consequently cut costs. Moreover, while admitting and readmitting patients, their age, gender, marital status, and occupation need to be taken into close account because these variables are effective in their clinical presentation and correlated with their past surgical history.</p> <p><strong>DOI:</strong> &nbsp;</p> Faruk H Faraj Authman Y Ali Copyright (c) 2019-12-01 2019-12-01 17 2 136 157 Ischemic Heart Disease Mortality, Morbidity and Risk Factors of Coronary Care Unit Patients <p><strong>Background: </strong>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.</p> <p><strong>Aims of study:</strong> To evaluate the patients with ischemic heart disease admitted to the coronary care unit of Baquba teaching hospital</p> <p><strong>Patients and Methods: </strong>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.</p> <p><strong>Results: </strong>From total number 97(60.62%) patients were males,58 have myocardial infarction and 39 have angina .The rest of the patients were females&nbsp; 63 (39.38%),41 of them have angina and 22 have myocardial infarction. Male was the highest risk factor followed by&nbsp; hypertension, diabetes mellitus, smoking&nbsp; family&nbsp; history and hyperlipidemia .Arrhythmia is the commonest complication&nbsp; while heart failure, cerebrovascular accident&nbsp; and circulatory failure of lesser frequency .</p> Ali Hussein Salih Copyright (c) 2019-12-01 2019-12-01 17 2 35 40