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Articles 74911 - 74940 of 1791776

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Mechanisms And Intermediate Outcomes Of A Community Translation To Adapt A Whole Family-Inclusive Lifestyle Intervention: A Pilot Evaluation, Megan J. Moran, Kimberly Padilla, Abby Neiser, Nicole Clark, Virginia Jimenez, Natalia Sanchez, Talia Thompson, Ana M. Gutierrez-Colina, Jesse Owen, Chesleigh Keene, Matthew A. Haemer, Lauren B. Shomaker Jul 2025

Mechanisms And Intermediate Outcomes Of A Community Translation To Adapt A Whole Family-Inclusive Lifestyle Intervention: A Pilot Evaluation, Megan J. Moran, Kimberly Padilla, Abby Neiser, Nicole Clark, Virginia Jimenez, Natalia Sanchez, Talia Thompson, Ana M. Gutierrez-Colina, Jesse Owen, Chesleigh Keene, Matthew A. Haemer, Lauren B. Shomaker

Journal of Patient-Centered Research and Reviews

Purpose: Involving community members in the process of translating scientific evidence into health messaging and interventions can lead to improved health outcomes and more patient-centered healthcare. Community Translation (CT) is one methodology for fostering collaboration between researchers and community members, and it has been shown to result in locally relevant, acceptable solutions to health challenges. There has been very little research on the direct effects that participation may have on community members who become involved in CT. Understanding the mechanisms of CT and its outcomes on participating community members is essential to maximizing the potential of CT. To address this …

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The Effects Of A Mindfulness-Based Intervention On Depression And Anxiety In The Long-Covid Population, Rachel Welbel, Elizabeth Rutha, Jeffrey Ording, Douglas Wang, Jana Hirschtick Jul 2025

The Effects Of A Mindfulness-Based Intervention On Depression And Anxiety In The Long-Covid Population, Rachel Welbel, Elizabeth Rutha, Jeffrey Ording, Douglas Wang, Jana Hirschtick

Journal of Patient-Centered Research and Reviews

Long-COVID is a complicated, post-viral syndrome involving multiple body systems and can present with neuropsychiatric symptoms. Little has been reported about the neuropsychiatric symptoms of long-COVID, and validated treatments do not yet exist. There is prior evidence that mindfulnessbased strategies have been helpful for those with chronic illnesses; shown significant decreases in anxiety, stress, and depression; and enhanced quality of life. In this study, we report on the utility of a mindfulness-based intervention on levels of anxiety and depression in a long-COVID population. Our hospital system founded both a “Covid Recovery Clinic” (CRC) and a “Post-COVID Resilience Program” (PCRP). The …

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The Hazard Ratio Is Equivalent To An Odds Under The Assumption Of Proportional Hazards, David M. Thompson Jul 2025

The Hazard Ratio Is Equivalent To An Odds Under The Assumption Of Proportional Hazards, David M. Thompson

Journal of Patient-Centered Research and Reviews

Clinicians routinely interpret statistical findings from medical research to inform patients of treatment benefits. Studies that use the hazard ratio present special challenges. Clinicians should not equate hazard ratios with risk ratios, ie, relative risks. However, clinicians can provide patients with a straightforward interpretation of the hazard ratio as an odds, as long as the ratio was calculated in a study in which the assumption of proportional hazards is justified. In such a case, the hazard ratio is equivalent to the odds that a person, who is randomly chosen from the group represented in the ratio’s numerator, experiences an event …

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The International Soft Tissue Sarcoma Consortium, Gianni Bisogno, Monika Sparber-Sauer, David Rodeberg, Johannes H.M. Merks, Ewa Koscielniak, Suzanne L. Wolden, Gian Luca De Salvo, Paola Del Bianco, Wei Xue, Martin Ebinger, Christian Vokuhl, Rajkumar Venkatramani, Samuel L. Volchenboum, Brian Furner, Veronique Minard Colin, Douglas S. Hawkins Jul 2025

The International Soft Tissue Sarcoma Consortium, Gianni Bisogno, Monika Sparber-Sauer, David Rodeberg, Johannes H.M. Merks, Ewa Koscielniak, Suzanne L. Wolden, Gian Luca De Salvo, Paola Del Bianco, Wei Xue, Martin Ebinger, Christian Vokuhl, Rajkumar Venkatramani, Samuel L. Volchenboum, Brian Furner, Veronique Minard Colin, Douglas S. Hawkins

Surgery Faculty Publications

Background: The International Soft Tissue Sarcoma Consortium (INSTRuCT) was established in 2017 to enhance international collaboration. This study describes the characteristics of rhabdomyosarcoma (RMS) patients in the INSTRuCT database and examines differences across contributing groups. Methods: INSTRuCT includes data Children’s Oncology Group (COG), Cooperative Weichteilsarkom Studiengruppe (CWS), and European Paediatric Soft Tissue Sarcoma Study Group (EpSSG) along with prior studies from Malignant Mesenchymal Tumour Committee (MMT) and Italian Soft Tissue Sarcoma Committee (STSC). Data standardization was supported by the University of Chicago’s Pediatric Cancer Data Commons. Pseudonymized patient-level data from clinical trials were harmonized. Differences across groups were assessed using …

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Cancer Vaccination And Immune-Based Approaches In Pancreatic Cancer, Matthew D. Bloom, Ali Raza Shaikh, Zhengyang Sun, Babar Bashir, Adam E. Snook Jul 2025

Cancer Vaccination And Immune-Based Approaches In Pancreatic Cancer, Matthew D. Bloom, Ali Raza Shaikh, Zhengyang Sun, Babar Bashir, Adam E. Snook

Department of Medical Oncology Faculty Papers

Pancreatic ductal adenocarcinoma (PDAC) is an aggressive malignancy with high recurrence rates even after curative resection and adjuvant chemotherapy. Although immunotherapeutic approaches, such as immune checkpoint blockade (ICB), have revolutionized the treatment of some solid tumor malignancies, this has not been the case for PDAC. Several characteristics of PDAC, including its distinctive desmoplastic tumor microenvironment (TME), intratumor heterogeneity, and poor antigenicity and immune cell infiltration, contribute to its dismal immunotherapeutic landscape. Cancer vaccines offer one approach to overcoming these barriers, particularly in the resectable or borderline resectable settings, where tumor burden is low and immunosuppression is less pronounced. Various vaccination …

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A Qualitative Case Study On Mental Health Stigma Within Rastafarian Culture, Alecia Douglas Jul 2025

A Qualitative Case Study On Mental Health Stigma Within Rastafarian Culture, Alecia Douglas

Walden Dissertations and Doctoral Studies

Cultural and social factors, such as ethnic and racial backgrounds, religion, and supernatural beliefs, influence mental health utilization among African Americans. Past studies show that Rastafarians underutilize mental health services due to the stigma associated with mental health. However, there remains a gap in the literature regarding the incorporation of culturally sensitive and inclusive approaches in mental illness treatment. Per the biopsychosocial (BPS) pathways framework, biological, psychological, and social factors interact to provide a holistic architype of mental illness. The framework can be applied to understand how mental health stigma is influenced by personal beliefs, experiences, values, cultural, and societal …

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Emergency Managers Perceived Effectiveness Of Disaster Mitigation Plans And Training Focused On The Special Needs Population, Jessica Windsor Jul 2025

Emergency Managers Perceived Effectiveness Of Disaster Mitigation Plans And Training Focused On The Special Needs Population, Jessica Windsor

Walden Dissertations and Doctoral Studies

The special needs population faces increased vulnerability during disasters, yet disaster planning often overlooks their unique requirements. This study focuses on the experiences and perceptions of emergency managers in the Southeastern United States. The purpose of the study was to examine the extent to which emergency management plans recognize and address the needs of special populations and identify training gaps. The research questions aimed to uncover the factors that influence inclusive planning, training effectiveness, and resource allocation. Grounded in the Disaster Health Framework, the study utilized a qualitative research design involving surveys with 14 emergency managers, followed by thematic analysis …

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Age, Gender, And Length Of Stay For Copd Patients In Florida Community Hospitals For 2019, Dr. Carol-Ann Miller Jul 2025

Age, Gender, And Length Of Stay For Copd Patients In Florida Community Hospitals For 2019, Dr. Carol-Ann Miller

Walden Dissertations and Doctoral Studies

Hospital administrators have been challenged due to length of stay (LOS) among patients suffering with chronic obstructive pulmonary disease (COPD). The purpose of this quantitative study was to examine whether there was a relationship between age, gender, and length of stay for COPD patients in Florida during the year 2019. The dependent variable was COPD length of stay, and independent variables were age and gender in Florida community hospitals during 2019. The Donabedian model was selected as the theoretical framework for this study to address structure, process, and outcomes associated with COPD readmissions. Secondary data was obtained from the Healthcare …

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Effective Strategies Adult Education Business Leaders Use To Attain Their Organization's Sustainability, Ryan J. Bagshaw Jul 2025

Effective Strategies Adult Education Business Leaders Use To Attain Their Organization's Sustainability, Ryan J. Bagshaw

Walden Dissertations and Doctoral Studies

Leaders in nonprofit adult education frequently struggle with maintaining financial sustainability, a challenge that can compromise their operations and the positive influence they have on their communities. This issue is critical for education leaders and policymakers who rely on these institutions to support workforce development and foster economic growth. Grounded in the Baldrige framework, the purpose of this qualitative single-case study was to identify and explore the strategies employed by leaders of a Caribbean nonprofit adult education organization to enhance their organization’s sustainability. The participants were four leaders from an adult education facility in St. Lucia, the Caribbean. Data sources …

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Driving Implementation Of Segregation Of Duties Processes, Marlin Earl Moyer Jul 2025

Driving Implementation Of Segregation Of Duties Processes, Marlin Earl Moyer

Walden Dissertations and Doctoral Studies

In the healthcare industry, safeguarding the confidentiality, integrity, and accessibility of IT systems is crucial. However, some organizations face difficulties in implementing effective segregation of duties (SoD) processes, which can lead to increased risks. This is a major concern for healthcare IT leaders and organizations, as inadequate SoD can compromise patient data security and disrupt operational efficiency. The purpose of this qualitative, pragmatic study was to explore the strategies used by senior IT leaders to implement SoD processes. The transformational leadership theory was used as the conceptual framework for the study. The participants included seven IT leaders at Northeastern U.S. …

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The Effect Of Immunosuppressive Therapy On The Lipid Profile Of Kidney Transplant Patients: A Single-Center Study, Anas Saad Khalaf Algburi, Ali Jasim Alsaedi, Dalia Mahmood Ali Jul 2025

The Effect Of Immunosuppressive Therapy On The Lipid Profile Of Kidney Transplant Patients: A Single-Center Study, Anas Saad Khalaf Algburi, Ali Jasim Alsaedi, Dalia Mahmood Ali

Iraqi National Journal of Medicine

Background: Post-transplant dyslipidemia is common and presents unique management challenges for nephrologists. The most important outcomes of post-transplant dyslipidemia treatment include preserving or improving allograft function and reducing cardiovascular morbidity and mortality. Aim: This study aims to assess the impact of immunosuppressive therapy on lipid profiles in kidney transplant patients Methods: This cross-sectional study was conducted at the Renal Transplant and Nephrology Center, Baghdad Medical City, over 15 months. A total of 51 kidney transplant recipients were enrolled, including 34 males (66.7%) and 17 females (33.3%), with an age range of 20 to 60 years and a male-to-female ratio of …

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Patients Journey To Hemodialysis Centers: Multi-Center Study, Ali Al Saedi, Dalia Ali, Anas Aljboori, Anas Mansour, Zahraa Mahdi Jul 2025

Patients Journey To Hemodialysis Centers: Multi-Center Study, Ali Al Saedi, Dalia Ali, Anas Aljboori, Anas Mansour, Zahraa Mahdi

Iraqi National Journal of Medicine

Background: Hemodialysis is used to restore electrolyte balance (sodium levels, potassium in the body, bicarbonate, chloride, as well as magnesium, calcium, and phosphate) and filters the waste products and excess fluid. Unfortunately, developing nations continue to have a severe shortage of resources, which makes it difficult to provide highly technical and costly care like dialysis. Aim: The study's objective is to reveal and trace the journey of patients with end stage kidney disease who are on regular hemodialysis program and how they reach to dialysis centers. Methods: the study was to be conducted in many dialysis centers in different regions …

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Effect Of Vitamin  C As An Iron-Supporting Supplement In Adolescents With Suspected Iron Deficiency Anemia: Is It Effective For Increasing Hemoglobin Levels?, Ryan Pramana Putra, Nany Hairunisa, Refia Putri Restiana, Husnun Amalia, Emad Yousif Jul 2025

Effect Of Vitamin  C As An Iron-Supporting Supplement In Adolescents With Suspected Iron Deficiency Anemia: Is It Effective For Increasing Hemoglobin Levels?, Ryan Pramana Putra, Nany Hairunisa, Refia Putri Restiana, Husnun Amalia, Emad Yousif

Iraqi National Journal of Medicine

Background: Anemia is a global health problem that affects adolescents, adults, and children in both developed and developing countries. Anemia in adolescent girls (10–19 years of age) is defined as a hemoglobin level in the blood of <12 g/dL. In Indonesia, the prevalence of iron deficiency anemia in adolescent girls reaches 48.9%. Iron supplementation can be enhanced with vitamin C as a companion supplement. Vitamin C increases iron absorption in the body by reducing Fe3+ to Fe2+, which requires an acidic environment for optimal dissolution and absorption. Aim: This study aims to assess the comparative effectiveness of iron supplementation with or without vitamin C in increasing hemoglobin levels. Methodology: An experimental design with consecutive sampling was conducted in September 2023 at Junior High School 1 Prambon, Nganjuk, East Java. The total sample consisted of 52 girls aged 12–13 years with anemia. The first group received iron and vitamin C, while the second group received iron only. Hemoglobin levels were  by the fingerstick method. Results: There were 32 samples (53.33%) aged 13 years. The average change in hemoglobin levels before and after intervention in group 1 was 2.238 g/dL with < 0.05, while in group 2 it was 0.661 g/dL with <0.05. The average difference in changes in hemoglobin levels between groups 1 and 2 after intervention was 1.303 g/dL with <0.05. Conclusion: Iron supplementation with vitamin C results in more significant increases in hemoglobin levels.

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Role Of Surgical Excision In The Treatment Of Large Macrocystic Lymphatic Malformations In Children, Hiba Mahmood Yousuf, Moaied A. Hassan Jul 2025

Role Of Surgical Excision In The Treatment Of Large Macrocystic Lymphatic Malformations In Children, Hiba Mahmood Yousuf, Moaied A. Hassan

Iraqi National Journal of Medicine

Background: Lymphatic malformations are rare benign congenital cystic lesions that can develop anywhere in the body. Therapeutic options for these lesions include intralesional sclerotherapy, surgical excision, and other modalities. Aim: This study aims to assess the safety and efficacy of complete surgical excision as a therapeutic option in the treatment of large macrocystic lymphatic malformations in children, as well as to introduce a novel modification to the surgical procedure. Methods: A prospective study was conducted on 14 patients with large macrocystic lymphatic malformations in different body locations, treated between October 2018 and October 2021 at our institution. Complete surgical excision …

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Concurrent Dermatological Manifestations, Covid-19 Infection, And Mds/Rcmd-Rs: A Unique Case Report, Amenah S. Abdulkareem, Qutaiba M. Alawaad, Asaad Khalaf Jul 2025

Concurrent Dermatological Manifestations, Covid-19 Infection, And Mds/Rcmd-Rs: A Unique Case Report, Amenah S. Abdulkareem, Qutaiba M. Alawaad, Asaad Khalaf

Iraqi National Journal of Medicine

A 24-year-old male with refractory cytopenia with multilineage dysplasia and ring sideroblasts (MDS/RCMD-RS) who developed severe dermatological manifestations concurrent with COVID-19 infection. The patient exhibited complex vasculitic and purpuric skin lesions, which were hypothesized to result from COVID-19-induced endothelitis and vasculitis, exacerbated by underlying immune dysfunction from MDS. Despite treatment with EPO therapy, cyclosporin, and supportive care, the patient's condition deteriorated rapidly, leading to fatal respiratory failure. The report underscores the interplay between hematologic malignancies, immune dysregulation, and COVID-19, highlighting the potential for exacerbated dermatological and systemic complications in such patients. This case emphasizes the need for heightened vigilance and …

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Knowledge And Practice Of Undergraduate Medical Students Regarding Self-Medication: A Cross-Sectional Survey In Baghdad, Iraq, Samer Shukur Mohammed, Wael Waleed Mustafa Jul 2025

Knowledge And Practice Of Undergraduate Medical Students Regarding Self-Medication: A Cross-Sectional Survey In Baghdad, Iraq, Samer Shukur Mohammed, Wael Waleed Mustafa

Iraqi National Journal of Medicine

Background: The global trend of self-medication is rising, making it a priority to investigate associated risks that could lead to life-threatening complications. Aim: To assess self-medication practices among undergraduate medical students and evaluate their knowledge and the factors influencing their use of self-medication Methods: A cross-sectional questionnaire-based study was conducted among 234 medical students from various medical colleges in Baghdad between November 2023 and March 2024. Participants were selected randomly. Data were collected and analyzed using SPSS version 23. The chi-square significance test was performed, and P-values ≤ 0.05 were considered statistically significant. Results: The study found that 72% of …

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Assessment Of Knowledge About Toxoplasmosis Among Nursing College Students, Zainab Hassan, Saba Adnan, Abdulameer Abdullah Al- Musawi Jul 2025

Assessment Of Knowledge About Toxoplasmosis Among Nursing College Students, Zainab Hassan, Saba Adnan, Abdulameer Abdullah Al- Musawi

Iraqi National Journal of Medicine

Background: Toxoplasmosis is a parasitic disease caused by Toxoplasma gondii. Humans acquire toxoplasmosis by consuming infected meat containing cysts of T. gondii or through contact with cat feces. Toxoplasmosis is known to cause miscarriage, also referred to as spontaneous abortion or pregnancy loss, which pertains to an unviable intrauterine pregnancy occurring during the first trimester and is the most common type of miscarriage. Aim: The aim of this study is to assess the level of knowledge of nursing students about toxoplasmosis. Methods: A questionnaire was administered to 90 nursing students. The self-completed questionnaire consisted of 17 questions covering the parasite, …

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Mothers’ Plan To Protect Their Children From Covid-19 And Other Viral Illnesses, Miami Kadhum Yossif, Rehab Abdulwehab Jaafer Jul 2025

Mothers’ Plan To Protect Their Children From Covid-19 And Other Viral Illnesses, Miami Kadhum Yossif, Rehab Abdulwehab Jaafer

Iraqi National Journal of Medicine

Background: Mothers play a critical role in safeguarding the health and well-being of their children—a vulnerable population—particularly during outbreaks of infectious diseases. Aim: This study investigated the strategies employed by mothers to protect their children from COVID-19 and other viral illnesses. Methods: A cross-sectional study was conducted at the outpatient pediatric clinics of Basra Maternity and Children Hospital and Almawani Teaching Hospital, 118 mothers were enrolled from diverse backgrounds. Data was collected through structured interviews and a standardized questionnaire designed to assess maternal practices, attitudes, and experiences concerning the protection of their children. The key areas explored included hygiene practices, …

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Knowledge And Attitudes Of Doctors In Basra Governorate Regarding The International Classification Of Diseases (Icd-10), Nada Hasan Abdulraheem Al-Kawaz, , Huda Hassan Muhaibes Al-Abbodi, Ziyad Tarik Shwaish Jul 2025

Knowledge And Attitudes Of Doctors In Basra Governorate Regarding The International Classification Of Diseases (Icd-10), Nada Hasan Abdulraheem Al-Kawaz, , Huda Hassan Muhaibes Al-Abbodi, Ziyad Tarik Shwaish

Iraqi National Journal of Medicine

Background: The International Classification of Diseases, Tenth Revision (ICD-10), is a critical tool for standardizing health information globally. Despite its widespread adoption, gaps in understanding and application among healthcare providers persist, potentially affecting patient care and health system efficiency. Aim: To examine the knowledge, attitudes, and practices of physicians regarding the implementation of the ICD-10 system Methods: This descriptive, cross-sectional study assessed the knowledge and attitudes of 67 healthcare professionals (27 specialists, 25 senior residents, eight general practitioners, and seven junior residents) from various medical settings in Basra, southern Iraq, including hospitals and clinics. Participants completed a questionnaire evaluating their …

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Monitoring Al-Hijamah Therapy On Pcv% In Tobacco Smokers: Pre-Post Analysis, Bahaa Kargule Jul 2025

Monitoring Al-Hijamah Therapy On Pcv% In Tobacco Smokers: Pre-Post Analysis, Bahaa Kargule

Iraqi National Journal of Medicine

Background: Al-hijamah is a traditional therapy used to clear blood and interstitial fluids, thereby helping maintain optimal levels of various blood solutes. Smoking is known to increase packed cell volume percentage (PCV%), leading to increased blood viscosity and associated complications. Aim: This study aimed to examine the impact of Al-hijamah therapy on reducing elevated PCV levels in healthy adult smokers Methods: A pre-post study was conducted on 25 healthy male adults aged 30–55 years who underwent Al-hijamah therapy in Fallujah, Iraq. All the participants were smokers who were medication-free and had PCV% values near the upper limit. Al-Hijamah was performed …

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Barriers To Diet And Exercise Among Patients With Type 2 Diabetes Mellitus In Basrah Hospitals, Jhood Abdul Samad Molan, Fatima K. Hassan, Miaad K. Khaddam, Zainab A.R. Antesh, Hudaa S. Karim Jul 2025

Barriers To Diet And Exercise Among Patients With Type 2 Diabetes Mellitus In Basrah Hospitals, Jhood Abdul Samad Molan, Fatima K. Hassan, Miaad K. Khaddam, Zainab A.R. Antesh, Hudaa S. Karim

Iraqi National Journal of Medicine

Background: Type 2 diabetes mellitus (T2DM) is growing health concern globally, particularly in the Middle East. To encourage individuals to adopt a healthy lifestyle essential for managing diabetes, it is imperative to thoroughly understand the barriers, especially those that can be modified, encountered by patients following nutritional and exercise medical advice. Aim: The primary objective of this study was to investigate the barriers related to nutrition and exercise among patients with T2DM in hospitals located in Basrah. Methods: This cross-sectional study included 194 adults with history of T2DM who were visiting the outpatient departments of internal medicine in four selected …

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Septoplasty Without Packing Or Splints: Our Experience, Jafar Fawzi Al Badran, Huda Hassan Al Abboodi Jul 2025

Septoplasty Without Packing Or Splints: Our Experience, Jafar Fawzi Al Badran, Huda Hassan Al Abboodi

Iraqi National Journal of Medicine

Background: Septoplasty is a common surgical procedure performed in otorhinolaryngology departments to correct nasal septum deviation. Traditionally, nasal packing or splints used to stabilize the septal mucosal flaps and promote adhesion. However, these can cause complications such as nasal obstruction until removal, dry mouth, watering of eyes, severe pain during pack removal, headache, difficulty swallowing, and hypoxia. Methods: This prospective longitudinal observational study conducted on 50 patients undergoing septoplasty for nasal obstruction without the use of nasal packing or splints. This study included 50 patients who presented to the ENT department with nasal obstruction over one year (October 2021 to …

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Pattern Of Cancer Mortality In Basrah Governorate From 2018–2022, Huda Hassan Al-Abboodi, Jafar Fawzi Al Badran, Nada Hasan Abdulraheem Jul 2025

Pattern Of Cancer Mortality In Basrah Governorate From 2018–2022, Huda Hassan Al-Abboodi, Jafar Fawzi Al Badran, Nada Hasan Abdulraheem

Iraqi National Journal of Medicine

Background: Cancer is the second leading cause of death globally, with an estimated 9.6 million fatalities reported in 2018. Thus, understanding the impact of cancer rates and examining how cancer deaths are distributed by age and have changed over the years is crucial. Aim: This descriptive statistical study aimed to identify the most prevalent cancer types responsible for deaths in the Basra Governorate from 2018 to 2022, along with their distribution across various age groups and geographical areas. Methods: The study utilized a descriptive statistical approach based on death certificate data from Basra Governorate, encompassing all cancer-related deaths from 2018 …

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Self-Reported Post-Covid-19 Vaccine Signs, Symptoms Among Vaccinated Medical Staff: Types, Severity, And Associated Factors, Ali Khalid Saeed, Yousif Abdul Raheem Jul 2025

Self-Reported Post-Covid-19 Vaccine Signs, Symptoms Among Vaccinated Medical Staff: Types, Severity, And Associated Factors, Ali Khalid Saeed, Yousif Abdul Raheem

Iraqi National Journal of Medicine

Background: Vaccines against severe acute respiratory syndrome coronavirus-2 (SARS-CoV-2) infection vary in mechanisms, side effects, and effectiveness. Health care professionals have shown high vaccine coverage rates. Aim: This study aims to assess the prevalence of self-reported clinical signs and symptoms of COVID-19 infection among health care professionals in Iraq and determine the type and severity of COVID-19 vaccine-related symptoms. Methods: A cross-sectional survey was conducted from January 1st to July 1st, 2023, using an online questionnaire disseminated through social media platforms. Results: Among 770 participants, common symptoms included body aches (36.9%), malaise (34%), headache (22%), and fever (20%), with chest …

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Alternate Day Oral Iron Replacement Versus Daily Intake In Women With Iron-Deficiency Anemia In Basrah, Muntadar Jafar Mawla, Mohammed A. Al-Anssari, Qutaiba M. Dawood, Murtadha A. Jeber, Asaad A. Khalaf Jul 2025

Alternate Day Oral Iron Replacement Versus Daily Intake In Women With Iron-Deficiency Anemia In Basrah, Muntadar Jafar Mawla, Mohammed A. Al-Anssari, Qutaiba M. Dawood, Murtadha A. Jeber, Asaad A. Khalaf

Iraqi National Journal of Medicine

Background: Iron-deficiency anemia (IDA) remains a major global health concern, disproportionately affecting women of reproductive age. Conventional daily iron supplementation, though effective, is often associated with poor adherence due to gastrointestinal side effects. Emerging evidence suggests that alternate-day dosing may enhance iron absorption and tolerability, but comparative efficacy data in clinical settings remain limited. Aim: This study aimed to compare the hematological and iron store responses of women with IDA in Basrah, Iraq, between alternate-day and daily oral iron supplementation regimens. Methods: A total of 97 women with confirmed IDA (hemoglobin [Hb] < 12 g/dL, serum ferritin < 15 ng/mL) were enrolled in a prospective follow-up cohort study. The participants were divided into two groups: Group B (n = 48) received 100 mg of elemental iron daily, while Group A (n = 49) received the same dose every other day. Serum ferritin and hematological parameters (Hb, red blood cell [RBC] count, hematocrit) were assessed at baseline, three weeks, six weeks, and three months. ANOVA and paired t-tests were used for statistical analysis, with a significance level of P < 0.05. Results: Compared to the daily group, the alternate-day group exhibited a significantly higher mean increase in serum ferritin (28.6 ± 4.2 ng/mL vs. 22.3 ± 3.8 ng/mL, P = 0.001) and hemoglobin (2.8 ± 0.5 g/dL vs. 2.1 ± 0.4 g/dL, P = 0.001) at three months. The alternate-day group demonstrated earlier and more sustained improvements in iron reserves (P < 0.01 at all follow-ups), but both regimens increased RBC counts. Conclusion: In women with IDA, alternate-day iron supplementation is more effective in restoring hemoglobin and iron stores than daily dosing, possibly due to improved absorption and reduced hepcidin inhibition. These findings suggest potential benefits for patient adherence and clinical outcomes, supporting the use of alternate-day regimens as a superior therapeutic approach. To validate these results, further randomized controlled trials are necessary.

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A Comparative Analysis Of Multidrug-Resistant Escherichia Coli In Urinary Tract Infections Among Males And Females (2022–2023), Hussein Abd Ali Mohammed Sadeq Al Her, Ekhlas Abdulameer Hameed Alazzawi, Yehia Ali Hadi Al-Qhadi Jul 2025

A Comparative Analysis Of Multidrug-Resistant Escherichia Coli In Urinary Tract Infections Among Males And Females (2022–2023), Hussein Abd Ali Mohammed Sadeq Al Her, Ekhlas Abdulameer Hameed Alazzawi, Yehia Ali Hadi Al-Qhadi

Iraqi National Journal of Medicine

Background: Uropathogenic Escherichia coli (UPEC) is a primary cause of urinary tract infections (UTIs) globally. The increasing antibiotic resistance of UPEC strains poses a significant challenge for treatment in countries like Iraq. Aim: The study aims to evaluate antimicrobial resistance patterns of Escherichia coli (E. coli) among UTI patients, considering age and sex, and to compare these findings with data from other geographical locations. Methods: Our study investigated antibiotic resistance patterns among E. coli strains responsible for UTIs in patients at Karbala Teaching Hospital for Children, Iraq. We specifically examined age and sex differences. Data on 144 E. coli isolates …

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Evaluation Of Anatomic And Dosimetric Changes During Simultaneously Integrated Boost Volumetric Modulated Arc Therapy For Head And Neck Cancer, Farah Dirar Yousif, Raad Hefdhi Abedtwfeq Jul 2025

Evaluation Of Anatomic And Dosimetric Changes During Simultaneously Integrated Boost Volumetric Modulated Arc Therapy For Head And Neck Cancer, Farah Dirar Yousif, Raad Hefdhi Abedtwfeq

Iraqi National Journal of Medicine

Background: Volumetric modulated arc therapy (VMAT) is the most commonly used radiotherapy (RT) technique for locally advanced head and neck cancers (HNC), concurrent with chemotherapy. Aim: This study aims to evaluate the anatomical changes that may arise in patients undergoing VMAT treatment. Methods: The study involved 20 patients with locally advanced HNC who received VMAT treatment concurrently with chemotherapy. Prior to the initiation of radiotherapy treatment, computed tomography (CT) simulation was conducted for all patients. The prescribed doses for the primary target (PTVP), high-risk lymph nodes (PTV60), and low-risk lymph nodes (PTV54) were 69.96 Gy, 60 Gy, and 54 Gy, …

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Reviewing Of Radical Radiotherapy To The Mediastinum In Patients With Lymphoma, Zeina Abd-Aljabbar Mahdi Jaber, Manwar Al-Naqqash Jul 2025

Reviewing Of Radical Radiotherapy To The Mediastinum In Patients With Lymphoma, Zeina Abd-Aljabbar Mahdi Jaber, Manwar Al-Naqqash

Iraqi National Journal of Medicine

Background: Historically and clinically, lymphomas are categorized into two major groups: Hodgkin lymphoma (HL) and non-Hodgkin lymphoma (NHL). Over the years, radiotherapy techniques have advanced from extended-field to involved-field and more recently to involved-site/involved node radiation therapy (RT) (ISRT/INRT). Aim: This study aimed to evaluate the efficacy of mediastinal radiotherapy in lymphoma patients in Iraq. Methods: A prospective study was conducted to assess clinical and dosimetric changes in various radiotherapy planes and dosimetry between January 2023 and December 2023. The data collected included The data collected included patient demographics, medical history, treatment details, lymphoma characteristics, staging, radiotherapy plans, dose/fraction, and …

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Central Cervical Cleft: A Very Rare Case Of Cervical Congenital Malformation, Wael J. Alshihaby Jul 2025

Central Cervical Cleft: A Very Rare Case Of Cervical Congenital Malformation, Wael J. Alshihaby

Iraqi National Journal of Medicine

Central cervical cleft is an rare congenital midline anomaly of the neck, typically presenting as a vertically oriented skin defect accompanied by a subcutaneous fibrous band and, in many cases, an associated skin tag. This case report presents a case involving a five-year-old female who exhibited a midline cervical lesion with intermittent clear discharge but no associated pain or functional impairment. Clinical examination identified a characteristic cutaneous defect with a prominent skin tag in the midline of the anterior neck. Radiological evaluation, including ultrasound and CT scan, confirmed the localized nature of the anomaly and excluded deeper structural involvement. After …

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Research Integrity Risk Index (Ri²) And Iraqi Universities, Dhurgham A. Abdulwahid Jul 2025

Research Integrity Risk Index (Ri²) And Iraqi Universities, Dhurgham A. Abdulwahid

Iraqi National Journal of Medicine

No abstract provided.

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