Print ISSN: 2790-0207

Online ISSN: 2790-0215

Author : Mohammed, Dilshad Sabir

Lipid Abnormalities among Type II Diabetic Patients in Kirkuk City

Dilshad Sabir Mohammed

Kirkuk Journal of Medical Sciences, 2014, Volume 2, Issue 2, Pages 1-7
DOI: 10.32894/kjms.2021.169504

Background: Lipid abnormalities are common in diabetic patients and associated with accelerated atherosclerosis and increased risk of coronary artery disease, this study was carried out to determine the degree of lipid abnormalities among type II diabetic patients in Kirkuk City. Patients and Methods: One hundred twenty patients with type II diabetes and (120) control group (non-diabetic) who attended Azadi Teaching Hospital in Kirkuk City from November 2012 to October 2013 were included in the study. Demographic features recorded and the level of fasting: blood sugar, total cholesterol, triglyceride (TG), high density lipoprotein (HDL), low density lipoprotein (LDL) and very low density lipoprotein (VLDL) was measured. Results: Patients with type II diabetes mellitus (DM) showed statistically significant lipid abnormalities when compared with the control group. Overall lipid abnormalities were detected in (55%) of patients with type II DM. Those with poor glycemic control showed significantly higher lipid abnormalities than patients with fair glycemic control. We found no statistically significant difference in lipid abnormalities in relation to the duration of diabetes mellitus. Conclusion: Outcome of this study showed that a high proportion of patients with type II DM have some forms of derangement in their lipid profile and is correlated with poor glycemic control.

Comparison between Echocardiography and Electrocardiography in the Detection of Left Ventricular Hypertrophy in Hypertensive Patients in Azadi Teaching Hospital in Kirkuk City

Dilshad Sabir Mohammed; Mohammed Ali Khalaf; Asaad Mubark Jabar

Kirkuk Journal of Medical Sciences, 2014, Volume 2, Issue 2, Pages 27-36
DOI: 10.32894/kjms.2021.169508

Background: Left ventricular hypertrophy is an important complication of hypertension and is considered an important risk factor for cardiovascular morbidity and mortality. Objectives: To estimate the frequency of left ventricular hypertrophy (LVH) in our hypertensive population, to compare between electrocardiography and echocardiography in the detection of left ventricular hypertrophy and to study the main risk factors for its development. Patient and Method: One hundred twenty five hypertensive patients underwent standard electrocardiographic (ECG) and echocardiographic (echo) examination using internationally accepted formula for the detection of left ventricular hypertrophy. Result: The echo (echocardiographic) finding of LVH was seen in 103 patients (82.4%). The geometrical types of left ventricular hypertrophy (LVH), as detected by echo were as follow concentric left ventricular hypertrophy (LVH) was present in 63 patients (50.4%), eccentric LVH was present in 27 patients (21.6%) and concentric remodeling was present in 13 patients(10.4%). The ECG detects LVH in 58 patients (46.4%). Comparing ECG with echo for detection of LVH shows that ECG has a lower sensitivity and specificity than echo. There was no statistically significant difference regarding age, gender, duration of hypertension, history of diabetes mellitus (DM) or ischemic heart diseases (IHD), family history of IHD, smoking or obesity. There was a statistically significant association between high blood pressure (uncontrolled hypertension) and the presence of LVH. Conclusion: It was found that there is high prevalence of LVH in our hypertensive patients and echo is more sensitive and specific for detection of LVH. Since most of our patients have uncontrolled hypertension we recommend aggressive management of hypertension to reach the target level of blood pressure.

An Epidemiological Study of Irritable Bowel Syndrome among Students of Medical and Nursing Colleges in Kirkuk University

Dilshad Sabir Mohammed; Amanj Mohammed Salih; Mohammed Mustafa Mohammed

Kirkuk Journal of Medical Sciences, 2013, Volume 1, Issue 2, Pages 68-73
DOI: 10.32894/kjms.2021.169481

Background: Irritable Bowel syndrome is a functional bowel disease characterized by abdominal pain associated with change in the frequency and consistency of stool, this study was carried out to study the prevalence and the clinical characteristics of irritable bowel syndrome among students of medical school of Kirkuk university. Subjects and Methods: This is a cross sectional study done among students in medical and nursing college of Kirkuk university from September 2012 to March 2013 according to a standardized questionnaire based on Rome II criteria for the diagnosis of IBS. Results: This study showed that symptoms of IBS is present in (35%) of students in nursing college and (31%) of students in medical college with overall frequency of (33%), also this study showed a frequency of IBS among (24.3%) of female and (11.2%) of male in nursing college while (18.6%) among female, (12.9%) of male in college of medicine. Regarding the type of IBS according to the bowel motion, diarrheal type was present in (41.6%), constipation type in (30.5%) and the mixed type in (27.7%). Conclusion: The present study showed that symptoms of IBS are frequent among students in medical and nursing college and it is commoner in females more than males.

Urinary Tract Infection among Diabetic Women in Kirkuk City

Dilshad Sabir Mohammed

Kirkuk Journal of Medical Sciences, 2013, Volume 1, Issue 2, Pages 14-22
DOI: 10.32894/kjms.2021.169473

Background: Urinary tract infection (UTI) is the most common of all bacterial infections in diabetes mellitus; it affects persons throughout their life spans. The term UTI encompasses a variety of clinical entities ranging from asymptomatic bacteriuria to cystitis, prostatitis and pyelonephritis. Patients and methods: In the present study, 200 diabetic women,100 of them were at active age group(AAG) their ages range from (25-35)years with mean age of 31 years. Another 100 women were post-menopausal (PM) their ages range from (55-75) years with mean age of 64 years. Two hundred non diabetic women were taken as control group and were divided into 100 at AAG and 100 PM. The patients and control groups were attendant of Kirkuk general hospital. Results: UTI was found to be present in 28 out of 100 cases of AAG diabetic women (p value =0.02) while it presents in 25 out of 100 PM diabetic women (p value =0.04). Also this study shows that 13 out of 25 PM diabetic women received insulin for treatment while 7 out of 25 PM diabetic women received oral antidiabetic drugs, and only 5 out of 25 PM diabetic women didn't receive any treatment (p value=0.03). The present findings shows that 14 out of 28 AAG diabetic women received insulin for treatment, while 8 out of 28 of them received oral antidiabetic drugs and only 6 out of 28 AAG diabetic women didn't receive any treatment (p value =0.043) Conclusion: The prevalence of UTI is higher among diabetic patient compared to nondiabetic patient regardless of age .Diabetes treated with insulin is related to substantial increases in the risk of UTI among both age groups included in the present study