Diyala Journal of Medicine 2022-04-25T01:12:48+00:00 Ass. Prof. Dr. Anfal Shakir Motib Open Journal Systems <p style="text-align: justify;">Diyala Journal of Medicine (DJM) was established according to the agreement of the Ministry of Higher Education and Scientific Research-foundation of as per authorization letter Number 12c/2433 on 19th August 2010. then, started to receive different manuscripts in all fields of medicine including clinical medicine and surgery, basic medical sciences, dentist, and pharmacology.Diyala Journal of Medicine is open access to all the published articles and all of them are available on the Internet to all the users directly upon publication. Diyala Journal of Medicine Usually deals with articles closely related to clinical problems more common in Iraq and the Middle East. DJM is publishing 4 issues per year. The DJM is a scientific referred journal published by the College of Medicine – University of Diyala, Baqubah, Diyala, Iraq. This Journal is sponsored by the University of Diyala. The University of Diyala is a governmental university that follows the laws and the instructions of the Ministry of Higher Education and Scientific Research in Iraq. DJM has a printed ISSN of 2219-9764 and an Electronic ISSN of 2617-8982. DJM is reviewing rules relayed on a secure evaluation, which are done by senior reviewers that have related research experience. The considered articles are written in the English language with Arabic abstracts.DJM Publisher Owner is University of Diyala.</p> The Role of 2-Dimensional Speckle Tracking Echocardiography in prediction of significant coronary artery 2022-04-25T01:03:55+00:00 Sabah H. Ibrahem Mustafa subhi Hussein <p><strong>Background:</strong>Speckle tracking echocardiography&nbsp; is new technique&nbsp; to&nbsp; evaluate left&nbsp; ventricular&nbsp; function</p> <p><strong>Objective:</strong> To evaluate&nbsp;&nbsp; sensitivity&nbsp;&nbsp; and&nbsp;&nbsp; specificity&nbsp;&nbsp; of&nbsp;&nbsp; two&nbsp;&nbsp; dimension&nbsp;&nbsp; global longitudinal strain ( 2D-GLS)&nbsp;&nbsp;&nbsp; estimated by speckle tracking echocardiography (2D-STE)&nbsp;&nbsp;&nbsp; to predict the&nbsp;&nbsp; diagnosis and&nbsp;&nbsp; degree of severity of CAD( coronary artery&nbsp;&nbsp; disease) in patient&nbsp;&nbsp; suspected to have stable ischemic&nbsp;&nbsp;&nbsp;&nbsp; heart&nbsp;&nbsp; diseases (IHD).</p> <p><strong>Patients and Methods:</strong> An observational cross-sectional study, patients underwent echocardiography (TTE), left ventricular (LV)systolic function were&nbsp;&nbsp; estimate initially,&nbsp;&nbsp; (calculate&nbsp;&nbsp; LVEF)&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; then&nbsp;&nbsp; assessment&nbsp;&nbsp; of&nbsp;&nbsp; LV&nbsp;&nbsp; global&nbsp;&nbsp; and&nbsp;&nbsp; regional longitudinal&nbsp; strain&nbsp; (GLS)&nbsp; were calculated&nbsp; next.All&nbsp; patient&nbsp; underwent&nbsp; coronary angiography in the catheterization unite and according to the result of coronary angiography, we separated patients&nbsp; into two groups:&nbsp; one how have&nbsp; significant (≥70%) coronary arteries stenosis (group A),and another group&nbsp;&nbsp; with non- significant(&lt;70%) coronary arteries stenosis (group B). The study was done in echocardiography unit and catheterization lab in Ibn-Albitar center of cardiac surgery, the study carried out from April 2018 to May 2019.</p> <p><strong>Results:</strong> This&nbsp;&nbsp; study 93 patients were included , there is&nbsp; mean ages was (60.2 ±6.3) years, majority of cases were males (72.0%), 47.3% of all cases had ≥3 risk factors, and according to angiography study (67.7%) had significant CAD .The frequency of DM, dyslipidemia, and the occurrence of ≥3&nbsp;&nbsp; risk factors were significantly&nbsp;&nbsp; elevated&nbsp;&nbsp; in&nbsp;&nbsp;&nbsp;&nbsp; group A(patients&nbsp; with&nbsp; significant coronary&nbsp; artery stenosis ) in comparison to the&nbsp;&nbsp; group B. Mean EF and GLS were considerably lower in group A related to group B. There&nbsp; was&nbsp; not&nbsp; much&nbsp; difference&nbsp; in&nbsp; GLS&nbsp; between&nbsp; single&nbsp; and&nbsp; two&nbsp; vessels involvement, however, the GLS value in three vessels was significantly lower compared to single and two vessels involvement. GLS were independent predictor of significant coronary artery stenosis, independent of the effect DM, dyslipidemia, and the presence of ≥3 concomitant risk factor.</p> <p><strong>Conclusion:</strong> Assessment (GLS) value by 2D speckle tracking echocardiography is good test for predicating diagnostic and severity of coronary arteries diseases, global longitudinal strain had positive relationship with increasing number of stenotic coronary arteries, and provides high quantitative diagnostic information for detection of the CAD.</p> 2022-04-25T00:00:00+00:00 Copyright (c) 2022 Oral Hygiene and Pocket Depth among Acute Myeloid Leukemic Adult Patients in Erbil City 2022-04-25T00:56:04+00:00 Vian Mohammed Hussein Shahida Rassul Hussein <p><strong>Background:</strong>Leukemia is a hematological disease with oral manifestations.</p> <p><strong>Objective:</strong> To assess gingival health and periodontal pocket depth of different age groups of both genders.</p> <p><strong>Patients and Methods:</strong> A total of 74 patients (aged 20-70 years) who were diagnosed with Acute Myeloid Leukemia (AML) were examined and compared with 74 control group. The oral hygiene status, gingivitis and periodontal pocket were examined. Dental plaque was detected by means of the Silness J &amp; Löe 1, gingival index by Löe H &amp; Silness 2 and calculus index by Ramfjord 3. While the pocket depth was measured by using Williams probe 4.</p> <p><strong>Results:</strong> Demonstrated that ; the total mean for plaque(1.31) ,gingival (1.23) , calculus(0.30) scores and pocket depth (2.95) for control group while the total mean of plaque(1.75) ,gingival (1.57) , calculus(0.45) scores and pocket depth (3.22) for leukemic group with significant differences fore plaque (P-value =0.000) and gingival(P-value =0.004) score but with no significant difference for calculus score(P-value =0.095)and pocket depth (P-value). =0.103)between both groups . A larger number and percentage of male suffered from this disorder than female and a higher number and percentage of AML were aged between (20-29) years.</p> <p><strong>Conclusion:</strong> AML patients in the present study showed more dental plaque, more gingivitis, more calculus score and more pocket depth, compared with healthy patients.</p> 2022-04-25T00:00:00+00:00 Copyright (c) 2022 Epidemiology Study of the Head Lice Pediculus humanus capitis Isolated among Primary School Students in Erbil city, Kurdistan Region, Iraq 2022-04-25T00:46:48+00:00 Karwan S. AL-Marjan Shamall M.A. Abdullah Fouad H. Kamil <p><strong>Background: </strong>The association between man and the head lice is one of the oldest relationship and its history return to 10000 years ago. Blood sucking head lice belong to Kingdom Animalia, Class: Insecta, Order: Phiroptera, Family: Pediculidae, Genus:&nbsp; Pediculus, Species: humanus&nbsp;&nbsp; and Subspecies: capitis that’s obligate parasite on human this highly specialized to suck blood and close association with their host where completed its entire life cycle.</p> <p><strong>Objective:</strong> To determine the rate of infestation by the head lice, <em>Pediculus humanus capitis</em> and its associated factors among primary school children in Erbil City.</p> <p><strong>Patients and Methods:</strong> A case control study was conducted on the twenty two (22) randomly selected primary school in the center of Erbil city. For this purpose, a total of 1082 students (430 boys and 652 girls) were examined from first to sixth stage (age ≥6 years old) during 1<sup>st</sup> October&nbsp; 2020 to 31<sup>th</sup> May 2021. Personal requested information was recorded by student parents in a questionnaire form.</p> <p><strong>Results:</strong> An overall prevalence of infestation of 25.5% (276/1082) was recorded in the present study. Study reveals the existence of a significant relationship age [6 and &lt; 9 years old , 178/759 (23.5%),&nbsp; and ≥ 9 years old, 98/323 (30.3%), P = 0.0174], gender [girls, 215/652 (33%) and boys, 61/430 (14.2%), P &lt; 0.001], education level of parent (educated family, 146/694 (21%) and none educated family, 130/388 (33.5%), P &lt; 0.001], longevity of hair [ long hair, 157/473 (33.2%) and short hair 119/609 (19.5%), P &lt; 0.001] hair washing frequency [daily washing, 243/587 (41.4%), and weekly washing 33/495 (6.7%), P &lt; 0.001], hair combing condition [common comb user,165/499 (33%) and special comb user, 111/583 (19%),&nbsp; P &lt; 0.001] and sleeping habitat [ sleeping&nbsp; together 222/693 (32%) and sleeping habitat alone, 54/389 (13.9%), P &lt; 0.001]. There’s no significant existence related to density of students in classroom [ one student per table, 114/486 (23.5%) and sitting in pair, 162/596 (27.2%), P = 0.1621], hair type, smooth and wrinkle [smooth hair, 183/741 (24.7%), 93/341 (27.3), P = 0.366] and head lice infestation.</p> <p><strong>Conclusion:</strong> We concluded that head lice infestation rate was varied depending on the several physio and socioeconomic factors including, age, gender, type of hair, education level of parents, frequency of hair washing, sleeping habitat and condition of hair combing. Among variables, only density of pupils in classroom, smooth and wrinkled hair show no any significant relationship with pediculosis capitis (P- value = 0.1621 and P –value = 0.366 respectively).</p> 2022-04-25T00:00:00+00:00 Copyright (c) 2022