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Artikel: Giant parathyroid adenoma causing severe hypercalcemia; a case report from Duhok.

Musa, Dildar Haji / Sgery, Azri Salih Haji / Omar, Asaad Shareef / Keorges, Gina James / Ibrahim, Nashwan Mr

Annals of medicine and surgery (2012)

2023 Band 85, Heft 8, Seite(n) 4075–4078

Abstract: Nephrolithiasis, a common urological disease, could indicate a more ominous pathology beyond the kidneys. Patients who present with renal stones must be investigated for serum calcium and subsequently parathyroid hormones, if indicated, as one of the ... ...

Abstract	Nephrolithiasis, a common urological disease, could indicate a more ominous pathology beyond the kidneys. Patients who present with renal stones must be investigated for serum calcium and subsequently parathyroid hormones, if indicated, as one of the clinical presentations of primary hyperparathyroidism is renal stones. Case presentation: A 48-year-old married female with a past medical history significant for renal stones presented to the clinic chiefly complaining of muscle pain, joint pain, and fatigue. After thorough investigations, she was diagnosed with a case of primary hyperparathyroidism due to parathyroid adenoma and was managed surgically according to guidelines. Clinical discussion: Hypercalcemia, serum calcium of greater than 2 standard deviations above the reference value, is commonly seen to be associated with parathyroid mass therefore, assessment of serum calcium is a necessary step toward the diagnosis of parathyroid adenoma in cases with recurrent renal stones. Conclusion: Recurrent nephrolithiasis requires more thorough investigation for the possible underlying cause. Primary hyperparathyroidism due to parathyroid adenoma can present with recurrent renal stones and some vague symptoms.
Sprache	Englisch
Erscheinungsdatum	2023-06-28
Erscheinungsland	England
Dokumenttyp	Journal Article
ZDB-ID	2745440-X
ISSN	2049-0801
ISSN	2049-0801
DOI	10.1097/MS9.0000000000001005
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel: Possible COVID-19 reinfection case in Duhok City, Kurdistan: A case report.

Hussein, Nawfal R / Musa, Dildar H / Saleem, Zana Sidiq M / Naqid, Ibrahim A / Ibrahim, Nashwan

Journal of family medicine and primary care

2021 Band 10, Heft 5, Seite(n) 2035–2037

Abstract: Since the discovery of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the coronavirus disease (COVID-19) pandemic has become the most important health-care crisis globally, having spread to millions of people worldwide. Patients who ... ...

Abstract	Since the discovery of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), the coronavirus disease (COVID-19) pandemic has become the most important health-care crisis globally, having spread to millions of people worldwide. Patients who recover from COVID-19 are still susceptible to reinfection. In this report, we present the case of a patient who had recovered from COVID-19. Recovery was defined as the resolution of symptoms accompanied by two consecutive SARS-CoV-2-negative real-time reverse transcriptase-polymerase chain reaction (RT-PCR) test results. Two months after the first infection, the patient tested positive for anti-SARS-CoV-2 antibodies. Three months after this test, the patient presented with mild COVID-19 symptoms that was confirmed by RT-PCR. These findings indicate a possible reinfection case. If the occurrence of reinfections is demonstrated to be true, then it may change the strategy of community-based disease prevention. More research is needed to confirm the concept of reinfection.
Sprache	Englisch
Erscheinungsdatum	2021-05-31
Erscheinungsland	India
Dokumenttyp	Case Reports
ZDB-ID	2735275-4
ISSN	2278-7135 ; 2249-4863
ISSN (online)	2278-7135
ISSN	2249-4863
DOI	10.4103/jfmpc.jfmpc_2396_20
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: A study of SARS-CoV-2 delta variant breakthrough infections and side effects of the Oxford-AstraZeneca vaccine.

Hussein, Nawfal R / Rasheed, Bizav Naji / Naqid, Ibrahim A / Dirbaz, Arshed Mustafa / Saleem, Zana Sidiq M / Ibrahim, Nashwan / Musa, Dildar H / Mohammed, Sulav Muslih

Public health in practice (Oxford, England)

2022 Band 4, Seite(n) 100303

Abstract: Objective: This study aimed to investigate the breakthrough infection rate and safety profile of the AstraZeneca vaccine.: Methods: The breakthrough COVID-19 infection rate was defined as a positive polymerase chain reaction test 14 days after the ... ...

Abstract	Objective: This study aimed to investigate the breakthrough infection rate and safety profile of the AstraZeneca vaccine. Methods: The breakthrough COVID-19 infection rate was defined as a positive polymerase chain reaction test 14 days after the vaccine dose. Safety was assessed as local reactions and systemic events that occurred within 14 days of receiving vaccine doses. Results: The average age of the 265 participants was 43.85 years and 169 (63.77%) were male. . After the second dose, 18 (6.71%) participants contracted the infection. The SARS-CoV-2 delta variant was responsible for all infections but no participants required hospitalisation. We found significant correlations between post-vaccination IgG levels and post-vaccination infection (P = 0.001; odds ratio [OR] = 0.959; 95% Confidence interval [CI]: 0.944-0.974), and between a history of previous infection and post-vaccination infection rates (P = 0.005; OR = 0.1; 95%CI:0.009-0.6). IgG levels were significantly higher in women than in men (P = 0.006) and in patients who developed side effects after vaccination than in those without side effects (P = 0.04). A significant association was found between a history of COVID-19 infection prior to vaccination and IgG levels (P = 0.001). Conclusions: The vaccine is effective in preventing severe disease, with few side effects.
Sprache	Englisch
Erscheinungsdatum	2022-07-31
Erscheinungsland	England
Dokumenttyp	Journal Article
ISSN	2666-5352
ISSN (online)	2666-5352
DOI	10.1016/j.puhip.2022.100303
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: The impact of COVID-19 pandemic on the care of patients with kidney diseases in Duhok City, Kurdistan Region of Iraq.

Hussein, Nawfal R / M Saleem, Zana Sidiq / Ibrahim, Nashwan / Musa, Dildar H / Naqid, Ibrahim A

Diabetes & metabolic syndrome

2020 Band 14, Heft 6, Seite(n) 1551–1553

Abstract: Background and aims: The coronavirus disease-2019 (COVID-19) pandemic impacted healthcare services for kidney disease patients. Lockdown and social distancing were mandated in Kurdistan, Iraq to combat the transmission of the infection. The report ... ...

Abstract	Background and aims: The coronavirus disease-2019 (COVID-19) pandemic impacted healthcare services for kidney disease patients. Lockdown and social distancing were mandated in Kurdistan, Iraq to combat the transmission of the infection. The report analyzed the impact of the COVID-19 pandemic on kidney disease patient care in Duhok City, Kurdistan Region of Iraq. Methods: This study took place in the Duhok Kidney Disease and Transplant Center and compared data from February-April 2019 and 2020. Results: The average number of patients visiting the consultation unit per week was reduced from 68.67 ± 13.6, to 33.42 ± 29.36 (P = 0.001) during the pandemic. In the dialysis unit, weekly hemodialysis sessions were reduced from 341.5 to 306.42 sessions (P = 0.002). The number of patients visiting the kidney transplant consultation unit was significantly reduced (135.7 ± 37.7 versus 102.5 ± 26.3; P = 0.005). The number of kidney transplant operations per week was reduced from 1.167 to 0.5 (P = 0.025). Conclusions: The COVID-19 pandemic interrupted healthcare services and may continue to impart long-term negative consequences for kidney disease patients.
Mesh-Begriff(e)	Adult ; COVID-19/epidemiology ; COVID-19/therapy ; Female ; Humans ; Iraq/epidemiology ; Kidney Diseases/epidemiology ; Kidney Diseases/therapy ; Male ; Middle Aged ; Pandemics ; Patient Care/trends ; Quarantine/trends ; Young Adult
Schlagwörter	covid19
Sprache	Englisch
Erscheinungsdatum	2020-08-18
Erscheinungsland	Netherlands
Dokumenttyp	Journal Article
ZDB-ID	2273766-2
ISSN	1878-0334 ; 1871-4021
ISSN (online)	1878-0334
ISSN	1871-4021
DOI	10.1016/j.dsx.2020.08.013
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel: Home management scheme for patients with severe covid-19 in Duhok city, Kurdistan region of Iraq: a possible role for family physicians.

Hussein, Nawfal R / Saleem, Zana Sidiq M / Rashad, Brisik H / Naqid, Ibrahim A / Ibrahim, Nashwan / Musa, Dildar H / Khezaqia, Nina D / Yousif, Ahmed H

Journal of family medicine and primary care

2021 Band 10, Heft 11, Seite(n) 4260–4263

Abstract: Aim: This study investigated the clinical characteristics and outcomes of patients with severe coronavirus disease 2019 (COVID-19) who were involved in the home management scheme in Duhok city.: Materials and methods: This prospective descriptive ... ...

Abstract	Aim: This study investigated the clinical characteristics and outcomes of patients with severe coronavirus disease 2019 (COVID-19) who were involved in the home management scheme in Duhok city. Materials and methods: This prospective descriptive study enrolled Kurdish patients diagnosed with severe COVID-19 between June 1 and November 1, 2020, and were treated at home. Results: The average age of the patients was 59.77 ± 14 years and 51 (56.04%) of them were males. Seven of these patients (7.69%) were smokers. Most patients (72.52%) had one or more comorbidities. Fever (87.1%) was the most commonly presented symptom in older patients. The case fatality rate was 3/91 (3.29%). This rate was not found to be associated with sex, history of smoking, or comorbidities. The age of deceased patients (40 ± 25 years) was significantly lower than that of cured patients (60 ± 13 years) (p = -0.025). Conclusions: The case fatality rate of patients enrolled in this scheme was comparable to those who received treatment in hospitals. Therefore, this scheme could provide a good alternative for treating patients with severe COVID-19 and family physicians could lead the scheme through the primary care network.
Sprache	Englisch
Erscheinungsdatum	2021-11-29
Erscheinungsland	India
Dokumenttyp	Journal Article
ZDB-ID	2735275-4
ISSN	2278-7135 ; 2249-4863
ISSN (online)	2278-7135
ISSN	2249-4863
DOI	10.4103/jfmpc.jfmpc_166_21
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Human papillomavirus (HPV) genotype prevalence and impact of COVID-19 on the HPV prevention program in Duhok city.

Daniel, Shameran / Mohammed, Avan Saeed / Ibrahim, Nashwan / Hussein, Nawfal R / Balatay, Amer A / Naqid, Ibrahim A / Shekho, Chiman Kanaan / Musa, Dildar H / Saleem, Zana Sidiq M

Dialogues in health

2022 Band 1, Seite(n) 100055

Abstract: Introduction and aims: Human papillomavirus (HPV) is a sexually transmitted virus that can cause cervical cancer. This study aimed to investigate the prevalence of HPV infection, the prevalent HPV genotypes in women and men with recurrent genital ... ...

Abstract	Introduction and aims: Human papillomavirus (HPV) is a sexually transmitted virus that can cause cervical cancer. This study aimed to investigate the prevalence of HPV infection, the prevalent HPV genotypes in women and men with recurrent genital infections, and the impact of the coronavirus disease 2019 (COVID-19) pandemic on the HPV prevention program. Materials and methods: This cross-sectional study was conducted in Duhok city, in the Kurdistan Region of Iraq, between January 2018 and September 2020. We recruited patients from an infectious disease clinic, who were married, were older than 18 years, and agreed to participate in this study. A reverse hybridisation-based assay was used to identify the HPV genotypes prevalent in these patients. Results: Among the patients in the study, 20.9% (67/320) tested positive for HPV infection. The HPV prevalence in females was 18.8% (52/276), which was lower than that in males (34.1%,15/44) (p = 0.21). Thirty-six patients (11.3%) were infected with a single HPV genotype, seventeen (5.3%) with two HPV genotypes, eight (2.5%) with three HPV genotypes, and the remaining six (1.8%) with four or more HPV genotypes. The most common genotypes detected among the patients were HPV-6 (7.2%), -11 (3.8%), and -16 (3.4%). The prevalence of all HPV genotype infections was highest and lowest in the 18-25- and 36-45-year age groups, respectively ( Conclusion: HPV infection was common in the study population. The most common genotypes were HPV 6, 11, and 16, against which vaccines are available. Further population-based studies are needed to investigate the prevalence of such an infection.
Sprache	Englisch
Erscheinungsdatum	2022-10-03
Erscheinungsland	United States
Dokumenttyp	Journal Article
ISSN	2772-6533
ISSN (online)	2772-6533
DOI	10.1016/j.dialog.2022.100055
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel ; Online: Impact of Covid-19 pandemic on surgical practice in Kurdistan, Iraq: An online cross-sectional survey.

Hussein, Nawfal R / Musa, Dildar H / Ibrahim, Nashwan / Naqid, Ibrahim A / M Saleem, Zana Sidiq / Jacksi, Karwan

International journal of surgery open

2020 Band 27, Seite(n) 47–51

Abstract: Introduction: The COVID-19 pandemic is a major challenge to healthcare services in the world. It has negatively impacted surgical practice, and health workers. We aimed to assess the impact of the COVID-19 pandemic on surgical practice in the Kurdistan ... ...

Abstract	Introduction: The COVID-19 pandemic is a major challenge to healthcare services in the world. It has negatively impacted surgical practice, and health workers. We aimed to assess the impact of the COVID-19 pandemic on surgical practice in the Kurdistan Region, Iraq. Methods: An online cross-sectional study using an online survey was performed between 13 April to 29 April, 2020 in the Kurdistan Region, Iraq. An online cross-sectional study using an online survey was performed between 13 April to 29 April, 2020 in the Kurdistan Region, Iraq. A total of 241 surgeons, aged 28-70 years (mean range 22.2 ± 7.9 SD), were recruited to this study. The questionnaire was designed to evaluate the impact of the COVID-19 pandemic on surgeons' practices. Participants completed a self-developed online questionnaire. Results: The majority of participants (44.39%) were general surgeons, followed by urologists (17.01%). Approximately 82.57% of surgeons performed surgeries during the COVID-19 pandemic and 60.31% undertook emergency surgeries only. There was no significant difference between men and women (P = 0.41) and different age groups (P = 0.08). Only 28.22% of surgeons had access to full personal protective equipment (PPE), and 41.18% believed that wearing PPEs severely affected their skills. Results also found that surgeons aged between 28 and 34 years were more pledged to the use of PPEs, than other age groups (P = 0.001). The use of PPEs during surgeries was significantly higher in the Sulaymaniyah province (P = 0.001). The surgical services were also severely impacted in the Sulaymaniyah province than in the other provinces (p = 0.001). Conclusion: The COVID-19 pandemic severely affected surgical practice in the Kurdistan Region, particularly in the Sulaymaniyah province. Males, and young surgeons showed a higher commitment level for using PPE. Additional training and precautions are needed to increase awareness about COVID-19 among surgeons, and the importance of using PPE during surgery.
Sprache	Englisch
Erscheinungsdatum	2020-11-04
Erscheinungsland	England
Dokumenttyp	Journal Article
ISSN	2405-8572
ISSN (online)	2405-8572
DOI	10.1016/j.ijso.2020.10.014
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel: A sharp increase in the number of COVID-19 cases and case fatality rates after lifting the lockdown in Kurdistan region of Iraq.

Hussein, Nawfal R / Naqid, Ibrahim A / Saleem, Zana Sidiq M / Almizori, Lokman A / Musa, Dildar H / Ibrahim, Nashwan

Annals of medicine and surgery (2012)

2020 Band 57, Seite(n) 140–142

Abstract: With the appearance of first cases of Coronavirus disease (COVID-19), strict control measures were implemented in the Kurdistan Region of Iraq to combat the infection. These measures included the closure of schools and universities, the closure of ... ...

Abstract	With the appearance of first cases of Coronavirus disease (COVID-19), strict control measures were implemented in the Kurdistan Region of Iraq to combat the infection. These measures included the closure of schools and universities, the closure of borders and airports, cancellation of public and religious gatherings, and mandatory quarantine for persons returning from traveling abroad. Such measures have played a major role in the control of COVID-19 spread. However, due to social and economic pressures, the government relaxed the lockdown. After relaxing the measures, a sharp increase in the number of patients was noticed. Besides, there was a significant increase in the number of symptomatic patients and the case fatality rate was doubled. In addition, the outbreak and outbreak response led to the loss of trust and a breakdown in relations between the society and local authority. To minimize the consequences for population health, local authority should have a plan that balances between health imperatives and socioeconomic imperatives. Finally, to be successful in controlling the infection, the government must rebuild public trust in the handling of COVID-19 outbreak and compensate people for lost earnings.
Schlagwörter	covid19
Sprache	Englisch
Erscheinungsdatum	2020-07-24
Erscheinungsland	England
Dokumenttyp	Journal Article
ZDB-ID	2745440-X
ISSN	2049-0801
ISSN	2049-0801
DOI	10.1016/j.amsu.2020.07.030
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel: Impact of the Covid-19 pandemic on the elimination of hepatitis C virus in Duhok, Kurdistan, Iraq: A retrospective cross-sectional study.

Hussein, Nawfal R / Daniel, Shameran / Mirkhan, Shahram A / Saleem, Zana Sidiq M / Musa, Dildar H / Ibrahim, Nashwan / Naqid, Ibrahim A

Journal of family medicine and primary care

2020 Band 9, Heft 12, Seite(n) 6213–6216

Abstract: Background and aim: Infection with hepatitis C virus (HCV) is a public health threat worldwide. The World Health Organization aims to eliminate HCV. However, the coronavirus disease (COVID-19) pandemic has led to a severe compromise in health services, ... ...

Abstract	Background and aim: Infection with hepatitis C virus (HCV) is a public health threat worldwide. The World Health Organization aims to eliminate HCV. However, the coronavirus disease (COVID-19) pandemic has led to a severe compromise in health services, and this has halted efforts to eliminate HCV. Herein, we report our experience with the initiative of HCV elimination in Duhok city, Kurdistan Region of Iraq, with a focus on the effect of the COVID-19 pandemic on the HCV elimination plan. Materials and methods: An anti-HCV antibody test was used to screen subjects. All positive results were then confirmed by reverse-transcription polymerase chain reaction (RT-PCR) testing. All patients with current HCV infection were treated with direct-acting antiviral regimens. Results: During the study period, 459,015 subjects were tested for anti-HCV antibody positivity, with a monthly average of 9,562 tests for HCV. This number dropped to zero during the lockdown period between 1March and 31May 2020. Among the tested samples, 0.29% (1350/459015) tested positive for anti-HCV antibodies. RT-PCR testing of all positive samples revealed that 0.020% (93/459015) were positive. Of the 93 recruited subjects, 3 patients did not complete the treatment course due to the lockdown. All patients who finished the treatment course were cured as determined by sustained virologic response 12 (SVR12) weeks after finishing the treatment course. Conclusion: During the COVID-19 pandemic, reductions in health facility utilisation led to a significant decrease in services offered for HCV screening and treatment. Such a decrease in services has had a negative impact on HCV elimination. An urgent plan is needed to resume the services, and strict follow-up is needed for patients whose treatment was interrupted.
Sprache	Englisch
Erscheinungsdatum	2020-12-31
Erscheinungsland	India
Dokumenttyp	Journal Article
ZDB-ID	2735275-4
ISSN	2278-7135 ; 2249-4863
ISSN (online)	2278-7135
ISSN	2249-4863
DOI	10.4103/jfmpc.jfmpc_1675_20
Datenquelle	MEDical Literature Analysis and Retrieval System OnLINE

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Artikel: Impact Of Covid-19 Pandemic On Surgical Practice In Kurdistan, Iraq: An Online Cross-Sectional Survey

Hussein, Nawfal R. / Musa, Dildar H. / Ibrahim, Nashwan Naqid Ibrahim A. / Saleem, Zana Sidiq M. / Jacksi, Karwan

International Journal of Surgery Open

Abstract: Introduction The COVID-19 pandemic is a major challenge to healthcare services in the world It has negatively impacted surgical practice, and health workers We aimed to assess the impact of the COVID-19 pandemic on surgical practice in the Kurdistan ... ...

Abstract	Introduction The COVID-19 pandemic is a major challenge to healthcare services in the world It has negatively impacted surgical practice, and health workers We aimed to assess the impact of the COVID-19 pandemic on surgical practice in the Kurdistan Region, Iraq Methods An online cross-sectional study using an online survey was performed between 13 April to 29 April, 2020 in the Kurdistan Region, Iraq An online cross-sectional study using an online survey was performed between 13 April to 29 April, 2020 in the Kurdistan Region, Iraq A total of 241 surgeons, aged 28–70 years (mean range 22 2 ± 7 9 SD), were recruited to this study The questionnaire was designed to evaluate the impact of the COVID-19 pandemic on surgeons’ practices Participants completed a self-developed online questionnaire Results The majority of participants (44 39%) were general surgeons, followed by urologists (17 01%) Approximately 82 57% of surgeons performed surgeries during the COVID-19 pandemic and 60 31% undertook emergency surgeries only There was no significant difference between men and women (P=0 41) and different age groups (P=0 08) Only 28 22% of surgeons had access to full personal protective equipment (PPE), and 41 18% believed that wearing PPEs severely affected their skills Results also found that surgeons aged between 28–34 years were more pledged to the use of PPEs, than other age groups (P=0 001) The use of PPEs during surgeries was significantly higher in the Sulaymaniyah province (P=0 001) The surgical services were also severely impacted in the Sulaymaniyah province than in the other provinces (p=0 001) Conclusion The COVID-19 pandemic severely affected surgical practice in the Kurdistan Region, particularly in the Sulaymaniyah province Males, and young surgeons showed a higher commitment level for using PPE Additional training and precautions are needed to increase awareness about COVID-19 among surgeons, and the importance of using PPE during surgery
Schlagwörter	covid19
Verlag	WHO
Dokumenttyp	Artikel
Anmerkung	WHO #Covidence: #907111
Datenquelle	COVID19

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