The Medical Journal of Tikrit University

Healing Advantages of β-Sitosterol Cream in Comparison with Lavender Essential Oil in Episiotomy Wounds

2024-03-28T19:35:35+00:00

The pain intensity during the baseline visit among Lavender group were mild 3 (10%) , moderate 16 (53.3%), and sever 11 (36.7%), in comparison to β-sitosterol 1(3.3%), 16 (53.3%), and 13(43.3%) respectively , among control group were 3(3.3%), 15(50 %) and 14(46.7%) respectively. The pain intensity during day 7 visit among Lavender group were no pain 12(40%), mild 18(60%), and moderate 0(0%), in comparison to β-sitosterol 6 (20%), 19(63.3%), and 5(16.7%) respectively, among control group were 6(20%), 6(60%) and 18(60%) respectively, this difference was statistically significant. The pain intensity during day 14 visit among Lavender group were no pain 30(100%), and mild 0(0%), in comparison to β-sitosterol 26 (86.7%), and 4(13.3%), respectively. Regarding redness; was no redness among 16 (53.3%), 14(46.7%) mild redness, and moderate redness 0(0%) of the Lavender group in comparison to 10(33.3%), mild 18(60%), and moderate 2 (6.7%) among β-sitosterol group, and 2(6.7%), 20(66.7%) and 8(26.7%) among control group respectively, this relation were statically significant. Regarding edema; was no edema 21(70%), and mild edema 9(30%) among Lavender group in comparison to 12 (40%), mild 16(53.3%) among β-sitosterol group, and 6(20%), and 16(53.3%) among control group, this relation were statically significant. Discharge was none 10(33.3%), and 16(53.3%) among Lavender group in comparison to 4(13.3%), mild 24(80%) among β-sitosterol group, and 4(13.3%), and 12(40%) among control group, this relation were statically significant P value < 0.05. Approximation was (good) closed wound sites among 14(46.7%), and mild approximation among 13(43.3%) of Lavender group in comparison to good 6(20%), mild 22 (73.3%) among β-sitosterol group, and 6(20%), and 18(60%) among control group. Lavender can be used as a suitable therapy for postpartum episiotomy wound care. There is no side effect found among the patients. β-sitosterol is also good in the treatment of the postpartum episiotomy wound but had lower effect than Lavender with higher price.

Keyword: β-sitosterol versus Lavender in Episiotomy, β-sitosterol in Episiotomy, Lavender Essential Oil in Episiotomy

Corresponding author: Rawaa Khalid Khalaf (rawaakalid7@gmail.com)

Doppler Ultrasonographic Indexes and Its Relation to Transplanted Kidney (Allograft) Function in Sulaimani City Centre

2024-05-28T21:20:14+00:00

Background: The measurement of Doppler Ultrasonography(DU) indexes, including resistive index (RI) and pulsatility index (PI), could assist in evaluating an transplanted kidney. Aim of study: This work attempted at determining how Doppler sonography indexes correlated with transplanted kidney (graft) function. Methods: Our cross-sectional study conducted on 18 kidney transplanted patient (10 male and 8 female). In all cases, DU had been conducted upon transplanted kidney. We analyzed data on the pulsatility index (PI) and resistive index (RI) in the interlobular arteries. Concurrent serum creatinine explored in comparison to the DU results. . Results: The pi and Ri correlate significantly , in liner manner with serum creatinine (P = .005, and P=.002 respectively). Conclusion: The PI and RI are important DU markers for determining the kidney allograft function.

Relation between using hormonal contraceptive ,iucd and secondary infertility in salahalden general hospital

2024-06-05T14:33:24+00:00

Background: As the accessibility and usage of contraception continue to rise, it becomes crucial to thoroughly investigate how contraception affects the restoration of fertility after discontinuation. Aim of the study: To evaluate any potential connections between the usage of hormonal contraceptives and intrauterine devices and secondary infertility. Subjects and method: In Salah Al-Deen General Hospital, between January 1 and June 30, 2023, cross-sectional research was conducted to enrol 100 women, a non-probability practical sampling technique was adopted, who presented after one year after intrauterine contraceptive devices removal (including hormonal and non-hormonal), removal of contraceptive implants, and stopping the use of oral contraceptive pills and contraceptive injections. Results: About 86% got pregnant within one year after the discontinuation of contraception. Secondary infertility and the prevalence of contraceptive complications were significantly associated (P-value = 0.042). Among those who got pregnancy, a significant positive correlation was obtained between the duration of contraception use and the time to get pregnant (P-value =0.023). Conclusion: The incidence of secondary infertility was 14%. There was a significant correlation between the existence of complications and the frequency of secondary infertility. The type and duration of the contraception did not significantly impact the incidence of secondary infertility but among those who got pregnant within one year, the length of contraceptive use and the time it took to become pregnant were significantly correlated.

Evaluation of school environmental health and safety indicators of public and private schools in Tikrit City

2024-04-05T21:40:35+00:00

Background: The school is a fundamental institution where intellectual knowledge, manual and behavioral skills, social connection, and the character of future generations have formed. Therefore identifying, managing, and preventing the adverse effects of environmental factors in schools impact the health of the present and future communities they are in. Subject, material, and method: This is a descriptive (cross-sectional) study done in Iraq, Salah Al-Deen Governorate, Tikrit City from the 17^th of October, 2022 to the end of May 2023. The study sample was 30 schools (20 public and 10 private) out of 279 schools (252 public and 27 private), including 15 primary schools (five private and ten public) and 15 secondary schools (five private and ten public). A well-designed questionnaire was used to collect information about environmental health and safety indicators. Data was collected by researcher through direct observation and interviews with school manager or assistant in each school after pilot study. Result: The study found that proper school location away from hazards and proper area-to-student ratio in 16(53.3%) of schools. Proper schoolyards and sustainable gardens both meet standards in 14(46.7%) of schools. Suitable class size, ventilation, and lighting with class infrastructures in 19(63.3%) schools. Conclusion: The study revealed that 19(63.3%) schools in Tikrit City did not meet the health and safety standards regarding school classes and furniture while more than half of the schools 16(53.3%) were fully meeting the standards regarding school location and area. The schoolyard and garden were fully meeting the standards in 14 (46.7%) school.

Lipid Profile in Prediction of Pre-Eclamptic Pregnant Women in Tikrit-Iraq

2024-05-26T17:08:06+00:00

This study is a prospective case-control study involving 50 pre-eclamptic and 50 healthy pregnant women at the Tikrit Teaching Hospital from November 2022 to June 2023. The two groups were controlled for age, parity, and gestational age. Fasting serum total cholesterol (TC), triglyceride (Tg), high-density lipoprotein-cholesterol (HDL), low-density lipoprotein-cholesterol (LDL), and very low-density lipoprotein (VLDL) were assayed using standard methods. An interview was carried out with those patients using a questionnaire form that included their demographic characteristics (age, body weight, height, blood pressure, edema, and maternal body mass index). A proper obstetric, abdominal, and medical examination, ultrasonography, and laboratory investigations were done. The mean ± SD of the TC (230.54±40.3), Tg (191.14±47.3), LDL (125.6±26.3), and VLDL (42.44 ±13.4) were higher in pre-eclampsia (PE) than the control group (165.06± 24.02), (153.3±31.6), (105.3±13.7), and (35.3±8.3), respectively. The mean ± SD of the HDL (37.58±7.6) was lower among the PE group than the control group (42.18±8.3). The mean ± SD of the TC (257.5±31.02), Tg (209.1±40.41), HDL (37.1±5.8), LDL (141.7±23.6), and VLDL (44.5±9.3) were higher among the severe PE group than the mild PE group (195.1±17.05), (174.2±24.7), (39.35±5.4), (123.2±20.3), and (39.3±7.6), respectively. As well as the control group (165.06± 24.02), (153.3±31.6), (42.18±8.3), (105.3±13.7), and (35.3±8.3), respectively. Serum lipid levels were significantly raised among pre-eclamptic pregnant women when compared to healthy pregnant women. The raised serum lipid level was higher among cases with severe PE than those with mild PE.