Diyala Journal of Medicine <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 as per authorization letter Number 12c/2433 on 19<sup>th</sup> of 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. DJM is publishing four 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> en-US <p>All Rights Reserved.</p> (Ass. Prof. Dr. Anfal Shakir Motib) (Ihsan Ali Hassan) Thu, 23 Jun 2022 08:39:45 +0000 OJS 60 Best Time for Laparoscopic Cholecystectomy Following Endoscopic Sphincterotomy Post Endoscopic Retrograde Cholangiopancreatography: A Prospective Observational Study <p><strong>Background: </strong>Choledocholithiasis occurs in 10–15% of patients with symptomatic gallstones. Stones in the common bile duct ought to be removed to avoid complications like acute pancreatitis and cholangitis.</p> <p><strong>Objective:</strong> To estimate the timing of Laparoscopic cholecystectomy after endoscopic sphincterotomy (post endoscopic retrograde cholangiopancreatography) and its outcomes.</p> <p><strong>Patients and Methods:</strong> A clinical prospective comparative study was done in the Surgical Department of Rizgary Teaching Hospital in Erbil during the period from 1st of January 2019 to 1st of December 2021 on a sample of 50 patients with Common Bile duct stones categorized into two groups; group I (25) patients who underwent laparoscopic cholecystectomy within 72 hours of ERCP (early), while (25) patients with laparoscopic cholecystectomy beyond 3 days (1-6 weeks) of ERCP were included in group II (delayed).</p> <p><strong>Results:</strong> Mean surgical duration for group I patients was significantly shorter than the mean surgical duration for group II patients (p=0.02). The mean hospital stay duration for group I patients was markedly shorter than the mean hospital stay duration for group II patients (p&lt;0.001). There was an obvious association between the two groups regarding wider cystic duct, and intraoperative adhesions.Both findings were found more in group II.</p> <p><strong>Conclusion:</strong> Earlier laparoscopic cholecystectomy after endoscopic retrograde cholangiopancreatography has better&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp; intraoperative&nbsp;&nbsp; and postoperative outcomes than delayed laparoscopic cholecystectomy.</p> Azhy Muhammed Dewana Copyright (c) 2022 Thu, 23 Jun 2022 00:00:00 +0000 The association between obesity and irritable bowel syndrome among a sample of patients attending the primary health care centers in Erbil city <p><strong>Background: </strong>Irritable bowel syndrome and obesity are two prevalent conditions in our community which may be associated with each other according to some literature. Both have significant impact on the community.</p> <p><strong>Objective:</strong> To find the prevalence of irritable bowel syndrome, its association with general and central obesity, as well as to find its sociodemographic characteristics, and effect of some personal health habits on it.</p> <p><strong>Patients and Methods:</strong> In this cross-sectional study, a sample of 248 subjects, 105 males and 143 females, who attended two primary health care centers was taken (included healthy looking subjects and patients with irritable bowel syndrome according to Rome IV criteria). Subjects were aged between 18-65 years. Sociodemographic characteristics, personal health habits, central obesity index and body mass index also recorded in the survey.</p> <p><strong>Results:</strong> Prevalence of irritable bowel syndrome was 33.5%, male to female ratio was 0.73:1. No significant association was found between irritable bowel syndrome and general or central obesity. Bad sleep pattern was found to have a significant association with the disorder.&nbsp;</p> <p><strong>Conclusion:</strong> The study do not find significant association between obesity and irritable bowel syndrome.</p> Zana Mustafa Mahmood , Karwan Hawez Sulaiman Copyright (c) 2022 Thu, 23 Jun 2022 00:00:00 +0000 Evaluation of The Effect of Smoking and Chronic obstructive pulmonary disease(COPD) on Lipid profile <p><strong>Background: </strong>(COPD) disease is consider an important disease that threat our life&nbsp; in recent years and its result mostly from smoking .the patients who affected by this disease will be at higher risk of death caused by frequent exacerbation ,also chronic obstructive pulmonary disease may influence the lipid profile regardless of smoking status.</p> <p><strong>Objective:</strong> To assessment the effect of COPD and smoking on lipid profile.</p> <p><strong>Patients and Methods:</strong> This case control study included 50 patients suffer from (COPD) and other age- and sex-matched 50 smokers (≥ 20 pack/yeas) healthy people. Demographic and clinical data were collected through a direct interview with each participant. Fasting lipid profile was measured according to the standard protocols.</p> <p><strong>Results:</strong> Mean serum level of TG and vLDL in smokers with COPD was 192.4±46.91 mg/dl and 61.8±12.23 mg/dl, respectively compared with 135.5±23.8 mg/dl and 32.68±14.8 mg/dl, respectively in smokers without COPD, with significant differences. Furthermore, the frequency of abnormal triglyceride value among smokers with COPD was 36% compared to 12% among smokers who don’t have this disease . (OR= 4.12. 95%CI= 1.47-11.55, p= 0.007). Similarly, the frequency of abnormal vLDL among smokers with COPD was 18% compared to 4.12% among smokers without COPD (OR= 5.27. 95%CI= 1.08-25.8, p= 0.040). In smokers with COPD, smoking displayed a positive significant correlation with TG (r= 0.325, p= 0.021) and vLDL (r= 0.333, p= 0.018). In smokers without COPD, smoking had a positive and marked association with TC (r= 0.377, p= 0.007)</p> <p><strong>Conclusion:</strong> COPD is associated with negative effects on the lipid profile. In particular, triglycerides and very low-density lipoprotein cholesterol are mostly affected. Aside from COPD, smoking can also be associated with elevated lipids/lipoproteins that exceed normal limits at times.</p> Ali Mahdi Mahmoud , Basil Fawzi Jameel , Muhammed Waheeb AL – Obaidy , Mustafa Nema Abd Copyright (c) 2022 Thu, 23 Jun 2022 00:00:00 +0000