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All Journal International Journal of Health Science (IJHS) Obat: Jurnal Riset Ilmu Farmasi dan Kesehatan
Abd Al-Salam Aziz M. Al-Khatib
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Health Professions Medicine & Pharmacology Nursing Public Health

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Early Diagnosis And Management Of Diaphragmatic Injuries Abd Al-Salam Aziz M. Al-Khatib; Zaid Maad Ahmed Samem; Saad Fakhri Abdulrahman
International Journal Of Health Science Vol. 4 No. 2 (2024): July: International Journal of Health
Publisher : Pusat Riset dan Inovasi Nasional

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.55606/ijhs.v4i2.3881

Abstract

This prospective study was conducted at the Department of General Surgery in Tikrit Teaching Hospital from December 2008 to December 2012. It included 73 patients who sustained diaphragmatic injuries, primarily from penetrating injuries such as gunshot wounds and shells (65 patients, 89%), with the remaining patients presenting with blunt trauma (8/73, 11%). The study comprised both male and female patients, with a male-to-female ratio of 3.8:1. The majority of patients were in the 20-29 years age group (43/73, 60%). The left hemidiaphragm was the most commonly injured site in both blunt and penetrating traumas, accounting for 89% (7/8) and 66% (43/65) of cases, respectively. Acute presentation with abdominal pain and concurrent intraabdominal and thoracic injuries was the most commonly encountered clinical scenario (58/73, 74.5%). The spleen was the most frequently injured intraabdominal organ in both blunt and penetrating traumas. Diaphragmatic injury should be suspected in all patients with penetrating injury below the nipple in front and inferior scapular angle in the back, confirmed by chest X-ray showing diagnostic findings such as elevation of the injured hemidiaphragm or obliteration of its contour, and/or a pathognomonic "collar sign." Most patients underwent laparotomy for diaphragmatic defect repair and management of intraabdominal visceral injuries, with only two patients requiring thoracotomy in addition to laparotomy. Empyema was the most common postoperative morbidity, and the mortality rate depended on the severity of injury and the time lag between patients' arrival and operation.
Analyzing The Link Between Symptoms and Tumor Site In Colorectal Cancer Patients At Al Sheikh Zayed General Hospital, 2010-2018 Zaid Maad Ahmed Samem; Abd Al-Salam Aziz M. Al-Khatib; Saad Fakhri Abdulrahman
OBAT: Jurnal Riset Ilmu Farmasi dan Kesehatan Vol. 2 No. 4 (2024): Juli : OBAT: Jurnal Riset Ilmu Farmasi dan Kesehatan
Publisher : Asosiasi Riset Ilmu Kesehatan Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.61132/obat.v2i4.537

Abstract

The purpose of this study is to better understand potential variables causing delays in diagnosis by examining the link between early symptoms and tumor location in colorectal cancer. Retrospective data from Hospital University Baghdad Iraq (Al sheikh zayed general hospital) patients diagnosed with colorectal cancer between 2010 and 2018 was gathered. The majority of the 212 patients in the research (43.4%) had rectal tumors, which were followed by left-sided tumors (37%) and right-sided tumors (18.9%). Upon analyzing the symptoms, it was found that rectal bleeding had a strong correlation (34%), but changes in bowel habits were more common in rectal tumors (32%) and left-sided tumors (22.6%). There was a strong correlation found between abdominal mass and right-sided tumors (7.5%) and left-sided tumors (11.3%) and intestinal obstruction. The most common sign of straining, called tendesmus, was observed in rectal tumors (8%). There was no discernible relationship between the location of the tumor and stomach discomfort. These results emphasize the need of taking early symptoms into account when identifying colorectal cancer and the necessity of customized screening and diagnostic strategies depending on the location of the tumor.
Co-Authors Saad Fakhri Abdulrahman Zaid Maad Ahmed Samem