Most Cited

  • Homeopathy role in Covid19

    This is a case-related research article, as I know it was written in the first article on how homeopathy can be used to treat coronavirus? Case study of people suffering from close symptoms of coronavirus have joined. In this I have experimented with the traditional medicines of homeopathy like Ars alb, Influenzum, Bell, Baptisia Dilutions and Aconit Q, Ocimum SancQ, Eup perf Q, Bapti Q, Bryoni Q, Renaculus B with some special patent medicines. The three survived the disease within a week through homeopathic medicines, My point is that people who are on Coronetine and who are on alternative treatment for coronavirus, use these homeopathic medications within 2 hours, and then the coronavirus slows down. So it is good to have a worldwide investigation.

  • Anger, Anxiety and Health Determinants in the Process of Community Recovery

    The article discusses anger and anxiety in the context of recovery. It relates social determinants of health to individual pathology and how an individuals stress level is related to one’s community. How stressors such as, drug infected areas, lack of access to parks and playgrounds, quality education, etc impact significantly on a person’s anxiety is discussed. To help facilitate healthy change the use of peer specialists and partnering with the faith-based community can create a more comprehensive network of supportive allies.

  • Topical Therapy of Vitiligo Using Sunlight Exposure with Lactic Acid Cream (10%) Versus Methoxsalene Solution

    Background Vitiligo is a common autoimmune disease to which multiple therapies have been used. Lactic acid in different modes of preparation like 15% topical solution and 1% intralesional injection has been tried effectively in treatment of vitiligo. Objectives to test the efficacy of lactic acid cream10% with sunlight exposure in treatment of vitiligo, and to be compared with topical methoxsalene solution with sunlight exposure. Materials and Methods This is an interventional, therapeutic, single blinded, comparative study that was conducted in the Center of Dermatology, Medical City, Baghdad, Iraq, between April 2018 and June 2019. Patients with generalized and localized vitiligo were included. The diagnosis of vitiligo was based on clinical characteristic loss of skin pigmentation and supported by woods light examination. The demographic features were recorded. Physical examination was done to determine the site and number of patches per patient. The patients were divided into two groups: group A patients, were treated with lactic acid 10% cream followed by sunlight exposure. While in group B, the patients were treated with topical methoxsalene solution followed by sunlight exposure. All patients were assessed, and the surface area of each patch was measured before starting the treatment and every month for 3 months of treatment. The side effects were also recorded. A follow up visit after 3 months was done. A reduction rate in the surface area of vitiliginous patch was calculated. Results sixty patients, 41 (68.3%) females and 19 (31. 7%) males with a female to male ratio was 2.15:1. Their ages ranged between 3 – 42 years with mean± SD of 23.36±11.95 years. The disease duration ranged between 12-120 months. Total number of the lesions was 78 patches with a mean of 1.3 lesions per patient. No statistically significant differences were found between the two groups regarding demographic nor clinical features…

  • Follicular Dermatoses in Iraqi Patients (Clinical and Histopathological Evaluation)

    Background: Follicular dermatoses are skin diseases that involved the hair follicle either early or during the course of the disease. Objective: To collect a number of dermatoses where there is follicular involvement, to be studied and analysed in order to reach a conclusion that hair follicles are the most important target area in the pathogenesis of these dermatoses. Patients and Methods: This is a descriptive, clinical and histopathological study that was carried out at the Centre of Dermatology and Venereology, Baghdad Teaching Hospital, Medical City, Baghdad, Iraq during the period from December 2017 to August 2019. Forty patients with follicular dermatoses were included and all socio- demographic data related to the disease was obtained from each patient, in addition to clinical examination was performed for each patient. Lesional biopsies were done for 20 patients, for histopathological examination by Haematoxylin and Eosin (H&E). Results: The mean age ± SD was 30.2±16.96 years, 25 patients were males and 15 patients were females, the clinical diagnosis of follicular diseases was established for all skin diseases included in the present work. The histopathological findings of lesional biopsies were mainly: perifollicular lymphocytes, follicular invasion and degeneration, follicular plugging, fibrous tract remnant, perifollicular melanophages and hair follicle cyst. Conclusion: The result of the present study does encourage us to suggest that almost all skin diseases included in this study start initially on the hair follicle and then spread to involve the adjacent epidermis.

  • Clinical and Histopathological Evaluation of Prurigo Nodularis

    Background: Prurigo nodularis (PN) is a well-defined chronic recognized entity as a cause of severe chronic itching. However, this medical problem is not well studied and evaluated previously in Iraqi population. Objective: To do full clinical and histopatholgical evaluation of patient with PN. Patients and methods: This study is an observational cross sectional that was conducted at the Center of Dermatology, Medical City Teaching Hospital. All cases with classical PN and localized variant where collected. Full clinical evaluation was carried out. Biopsies were taken from 10 patients out of 50 with prurigo nodularis processed and stained with Hematoxylin and Eosin. Results: Fifty patients were included, there were 22 (44%) males and 28 (56%) females ,their ages ranged from less than 20-60 years with mean ± SD of age (40 ± 16) years .The common associated disease was atopic dermatitis in 36 (72%) patients, while family history of disease was seen in 24 (48%) patients, psychological factor was seen in 30 (60%) patients . The clinical picture was excoriated nodular lesions commonly on limbs with symmetrical fashion in 40 (80%) of cases while localized pattern was detected in 10 (20%) of patients. Histopatholgical evaluation in ten patients had shown hyperkeratosis (100%), acanthosis (60%), and pseudoepithelamatous hyperplasia (40%). Eosinophils were seen in one patient. Conclusion: This study showed classical prurigo nodularis in 80% of cases while localized in 20% of the patients. It is a disease of middle age patients, more in females than males. Family and personal history of atopic dermatitis was a high finding the histopathology is typical of prurigo nodularis with sparse eosinophils.

  • FIB-5 versus FIB-4 index for assessment of hepatic fibrosis in chronic hepatitis B affected patients

    The article entitled “FIB-5 versus FIB-4 index for assessment of hepatic fibrosis in chronic hepatitis B affected patients” by Khaled Metwally et al. has been withdrawn/retracted from Open Journal of Gastroenterology and Hepatology per authors’ request.

  • Gastric Outlet Obstruction: Transform in Etiogenesis

    Objective: To determine the frequency of various etiologies of Gastric Outlet Obstruction in Northern part of Rajasthan, India. Design & Duration: Prospective study carried out from March 2018 to March 2019. Methodology: The data of all the patients who presented with the features of Gastric Outlet Obstruction during the above mentioned period was collected. This data was analyzed with specific reference to recent trends in its etiology. This change in trend was compared with other local and international studies. Results: Fifty patients were included in the study. All patients underwent upper GI endoscopy and biopsy; 40 cases were diagnosed by this method and the remaining by CT scan. Gastric carcinoma was the most common cause of Gastric Outlet Obstruction seen in 36% of the cases. The next common etiology was peptic ulcer disease which was responsible for 32% of the patients. Conclusion: The ratio between benign and malignant etiologies of Gastric Outlet Obstruction is showing a gradual change in favour of malignant lesions. This change is similar to the trends reported in the western literature.

  • Analysis of Cases of Tuberculosis Related to Diabetes Patients and the Concurrent Use of Licit and Ilicit Drugs in the State of Pernambuco

    INTRODUCTION: Tuberculosis is an infectious disease caused by the bacterium Mycobacterium tuberculosis. In Brazil, TB is considered a public health problem due to the high rate of cases, ranking 20th in the notified cases ranking. The transmission of the disease is related to some lifestyles, since there is a higher incidence in patients with diabetes Who use illicit and licit drugs such as tobacco and alcohol. Factors such as diabetes, alcoholism, smoking and illicit drugs favor the spread of the disease and may shift from latent to active tuberculosis. OBJECTIVE: Given the above, the objective of this study was to verify the cases of tuberculosis related to patients with diabetes and the use of licit and illicit drugs in the state of Pernambuco from 2015 to 2018. METHODS: This is a descriptive study with approach. To verify the incidence of tuberculosis in a given group. For this data were obtained from the SINAM / DATASUS database. The variables used were: diabetes, alcoholism, smoking and illicit drugs. RESULTS: From 2015 to 2018, 19,733 cases of tuberculosis patients were reported. Of these 1,890 (10%) were affected by diabetes, and in 2017 the most affected with (26.5%). Greater susceptibility to develop tuberculosis due to hyperglycemia, leading to insulin dependence which generates indirect cellular effects. It was observed that of the notified by tuberculosis about 4,584 (23%) stated to use alcohol. Alcohol is also considered a risk factor as it alters the immune response due to liver damage, thus leading to an increase to develop TB with an increase of (26.6%) in 2017. TB involvement in patients who have tobacco use was 4,258 (22.1%) with an increase of (31.5%) in 2018, the tobacco is a risk factor because it has reduced immune response due to ciliary dysfunction, developed by cigarette smoke . Given the…

  • Vitiligo Treated by Soaking in an Earth Pond Containing KELEA Activated Water

    Vitiligo completely regressed in two patients who spent several hours for each of three consecutive days in a pond that contains water with a heightened quantity of a non-thermal activity attributed to a natural force called KELEA (Kinetic Energy Limiting Electrostatic Attraction). KELEA is further defined as the source of cellular energy, which comprises the alternative cellular energy (ACE) pathway. The ACE pathway differs from the cellular energy obtained from food metabolism. It is expressed as an added dynamic (kinetic) quality of the body’s fluids. The body utilizes the ACE pathway in both chemical and electrical cellular reactions, including the recovery and regenerative processes following cellular damage. The ACE pathway supports the higher levels of brain functioning including the likelihood of improving upon the presumed KELEA receiving capacity of the brain. The ACE pathway can also limit the triggering and maintenance of the inflammatory response. Each of these activities is presumably involved in the clinical regression of the vitiligo in the two patients. Enhancing the ACE pathway may provide an effective therapeutic approach for many patients with vitiligo.

  • Clinical Picture of Celiac disease: Experience from a health care provider in Arabia

    Background: Most studies describing clinical features and associations of celiac disease come from the studies conducted in the western world. Our aim was to determine the clinical features and associations of Celiac disease from our centre serving a Middle East population in Saudi Arabia. Methods: This retrospective study was conducted in a health care provider serving the Eastern Province of Saudi Arabia. All patients with biopsy-confirmed celiac disease receiving health care at our centre between April 2002 and December 2018 were identified. Individual case records were reviewed. In addition, the Slicer Dicer function was also used from the Electronic medical health record [EPIC] for analysing the clinical features and associations. Results: We analyzed the clinical features of 149 patients with Celiac disease. 66% of these were females. There was progressively increased yield of confirmed Celiac disease over the study period. This was paralleled by an increase in TTG antibody tests performed year by year. 77 (51.6%) patients had gastrointestinal symptoms. 26% of patients had iron deficiency anemia. 24 patients (16%) had diabetes, of which 46% were type 2. 18 (12%) patients had osteoporosis or osteopenia, and 28 (19%) had various skin diseases. Conclusion: In Saudi Arabia, celiac disease is being increasingly recognized, largely because of increased awareness and increasing TTG antibody testing. Many patients present with non-gastrointestinal symptoms. Knowledge about the varied clinical features and the targeted use of celiac serology should lead to even earlier recognition of the disease.