Diyala Journal of Medicine 2021-06-25T09:37:28+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 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> Lamotrigine induced Steven Johnson syndrome: A case report in Al Batool teaching hospital in Diyala governorate 2021-06-25T09:25:26+00:00 Sura Qais Mahmood Almaroof Issam Tariq Abdul Wahaab <p><strong>Background: </strong>Steven Johnson syndrome (SJS) is a rare disease that is characterized by acute cutaneous manifestation represented by eruptions of the skin and the mucosal membranes. SJS is an immune-mediated disease, a hypersensitive reaction, characterized by hyperpigmentation of the mucous membranes, rash on the skin and multiple bullae and erosions scattered all over the body especially the face, trunk, and the extremities. Many studies reported that the incidence rate of the SJS was about 1.2 – 6 cases/ million each year and it is more common among males while the toxic epidermal necrolysis (TEN) is more common among females. In addition to the cutaneous manifestations.SJS might show multiple systemic manifestations including the liver, lungs and kidneys. In this case we reported the development of Steven Johnson syndrome in relation to the use of lamotrigine antiepileptic drug.</p> 2021-06-25T00:00:00+00:00 Copyright (c) 2021 Evaluation of Bone Density in Ankylosing Spondylitis Patient on Biologic Agents in Erbil City Case Control Study 2021-06-25T09:19:14+00:00 Mohammed Ibrahim Rasul Shwan Kader Media <p><strong>Background: </strong>Ankylosing spondylitis is a chronic autoimmune inflammatory disease, mostly affect young men. Reduced bone density is the most common complication in ankylosing spondylitis, since reduced bone density occurs in most of the patients. Assessment of bone density in the early stages of the disease by using X- ray absorptiometry is essential. <strong>Objective:</strong> To determine and evaluate the bone mineral density of ankylosing spondylitis patients compared healthy to control group.</p> <p><strong>Patients and Methods:</strong> This is a cross-sectional case control study of 50 patients with ankylosing spondylitis according to the Modified New York criteria and 50 healthy control group. The data were collected including socio demographic information of all patients (age, gender, medical history); systemic diseases type of biology treatment, using supplements, duration of ankylosing spondylitis, regular exercise, and smoking. The body mass index was calculated. Bone mineral density of the lumbar spine (L1-L4), and the left femoral neck were measured by using a dual energy x-ray absorptiometry. Statistical analysis was done by using a statistical package for social sciences (SPSS) version 22; Fisher’s exact, and Student’s t tests were used to compare two means. A p value of ≤ 0.05 was considered statistically significant.</p> <p><strong>Results:</strong> The prevalence of osteoporosis and osteopenia among patients group according to T-spine score were 12% and 42% respectively, compared with 0% and 26% respectively among the control group (p= 0.002) which was statistically significant. According to the T-left femur none patients group and the control group had osteoporosis, but 46% of the cases had osteopenia, compared with 8% of the controls which was statistically significant. There was a significant but non-consistent association between the disease duration and the osteoporosis, and osteopenia in spine and femur. The prevalence of osteopenia and osteoporosis in the spine and femur were highest among those with low body mass index.</p> <p><strong>Conclusion:</strong> Osteoporosis and osteopenia are common among patients with ankylosing spondylitis. In the early stage of disease osteoporosis can occur. The osteoporosis of the spine is more common than in the femur. Osteoporosis related to the duration of the diseases and body mass of the patient.</p> 2021-06-25T00:00:00+00:00 Copyright (c) 2021 Prevalence of Shisha Smoking, with Risk (Physical) Factors among Private University Students in Erbil City 2021-06-25T09:14:42+00:00 Bayan Sabr Ebrahim <p><strong>Background: </strong>Shisha involve charcoal, wood, or coal that conation tobacco to heat up. Tobacco inside the shisha called maassel, which often used. So shisha smoking is popular in every country especially among young people. As a result, shisha can be at risk of many clinical signs and symptoms like cough, chest pain, and symptoms of physical risk like hypertension, obesity, reduce body temperature.</p> <p><strong>Objective:</strong> To determine shisha smoking prevalence and associated physical factors among private university students in Erbil city.</p> <p><strong>Patients and Methods:</strong> Eight questionnaires about physical factors were administrated to 250 males and females among students in Erbil city in the present study.</p> <p><strong>Results:</strong> A total of two hundred and fifty individuals included in this study. Mean age of (19.82<u>+</u>2.060) years. There are (164) shisha smokers among males and females private university students in Erbil city. Earlier plan questionnaire for (250) students was tested, (45.6%) were male shisha smoking, and (20%) were female in a cohort study. Compared to cigarette because characteristics in the way that shisha smoking is practiced the frequency of bloating and depth of inhalation smoking.</p> <p><strong>Conclusion:</strong> In the finding despite the scarcity of students indicate the high prevalence of obesity, reduce body temperature and increase blood pressure in shisha smokers. Can conclude in this study that shisha smoking has persistently been drop for, ten years period, increasingly people are turning to more healthy alternatives.</p> 2021-06-25T00:00:00+00:00 Copyright (c) 2021