• Title/Summary/Keyword: Kurdistan Region

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High Risk Human Papilloma Virus Genotypes in Kurdistan Region in Patients with Vaginal Discharge

  • Hussein, Nawfal R;Balatay, Amer A;Assafi, Mahde S;Al-Mufty, Tamara Abdulezel;Khalil, Amira S
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.7
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    • pp.3191-3193
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    • 2016
  • Background: The human papilloma virus (HPV) is considered as the major risk factor for the development of cervical cancer. This virus is of different genotypes and generally can be classified into high and low risk types. Objective: To determine the rate of high risk HPV genotypes in women with vaginal discharge and lower abdominal pain in Kurdistan region, Iraq. Materials and Methods: Cervical swabs were taken from 104 women. DNA was extracted and the polymerase chain reaction (PCR) technique was used to determine the presence of high risk genotypes. Results: It was found that 13/104 (12.5%) of the samples were positive for high risk HPV genotypes. Amongst those who were positive, 4/13 (30.7%) were typed as genotype 16 and 7/13 (53.8%) showed mixed genotyping. On the other hand, genotypes 53 and 56 were found in only one sample each. Conclusions: High risk HPV genotypes are not uncommon and further community based study is needed to determine the prevalence of HPV and its genotypes and plan for prevention of infection.

Diagnosis and Management of Post-Partum Hemorrhage Caused by Acquired Hemophilia A: A Case Report

  • Rashid, Nawshirwan G.;Amin, Shaema Salih;Abdulqader, Aveen M. Raouf
    • Korean Journal of Clinical Laboratory Science
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    • v.54 no.2
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    • pp.163-166
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    • 2022
  • Acquired hemophilia A (AHA) is an uncommon autoimmune bleeding disorder in which autoantibodies that affect the functions of factor VIII (FVIII) are present in the blood. The initial diagnosis of AHA is difficult as the presentations of AHA differ from those of congenital hemophilia A. Moreover, the treatment of AHA is more complex due to the presence of autoantibodies against FVIII. Here, we present a case report of postpartum AHA, to increase the perception and knowledge regarding the recognition and management of such cases. We present a young female with the chief complaint of vaginal bleeding and upper arm ecchymosis. Laboratory results exhibited isolated prolonged activated partial thromboplastin time (APTT) and FVIII inhibitors. The patient was treated with corticosteroids, FVIII concentrates, and a bypassing agent. In conclusion, unexplained postpartum bleeding, unmanageable with basic hemostatic measures, should lead to clinical suspicion of an acquired bleeding disease.

Red Cell Alloimmunization and Autoimmunization in Multi-Transfused Thalassemia Patients in Sulaymaniyah Province-Iraq

  • Abdulqader, Aveen M. Raouf;Mohammed, Ali Ibrahim;Mohammed, Nagham Ibrahim
    • Korean Journal of Clinical Laboratory Science
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    • v.52 no.2
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    • pp.98-104
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    • 2020
  • Thalassemias are considered important health issues throughout Iraq, involving its Kurdistan region. This disorder, particularly its major form, needs lifelong regular transfusions. But this form of medical care is associated with various complications including red cell alloimmunization and autoimmunization. This study determined the frequency and associations of alloimmunization among multi-transfused patients with β-thalassemia major. The subjects were 204 patients who were registered at a thalassemia care center in Sulaymaniyah-Iraqi Kurdistan. The patients' records were analyzed, their red cells were phenotyped for ABO/RhD antigens using the gel card method, and irregular antibody screening/identification was performed using the standard tube method. Alloantibodies were detected in 5.8% of the patients, while DAT was positive in 4% of the patients, which indicated autoantibodies. The identified alloantibodies were anti-E (2.4%), anti-C (1.4%), anti-e (1%), and anti-K (1%). A patient's age at the start of transfusion (>2 years) (P=0.042) and a positive history of transfusion reactions (P=0.003) were correlated with a significantly higher rate of alloantibody formation. From the results of our study, we conclude that measures to decrease the development of alloantibodies may incorporate matching for Rhesus and Kell systems and early induction of blood transfusions.

Patterns of Cancer in Kurdistan - Results of Eight Years Cancer Registration in Sulaymaniyah Province-Kurdistan-Iraq

  • Khoshnaw, Najmaddin;Mohammed, Hazha A;Abdullah, Dana A
    • Asian Pacific Journal of Cancer Prevention
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    • v.16 no.18
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    • pp.8525-8531
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    • 2016
  • Background: Cancer has become a major health problem associated with high mortality worldwide, especially in developing countries. The aim of our study was to evaluate the incidence rates of different types of cancer in Sulaymaniyah from January-2006 to January-2014. The data were compared with those reported for other middle east countries. Materials and Methods: This retrospective study depended on data collected from Hiwa hospital cancer registry unit, death records and histopathology reports in all Sulaymaniyah teaching hospitals, using international classification of diseases. Results: A total of 8,031 cases were registered during the eight year period, the annual incidence rate in all age groups rose from 38 to 61.7 cases/100,000 population/year, with averages over 50 in males and 50.7 in females. The male to female ratio in all age groups were 0.98, while in the pediatric age group it was 1.33. The hematological malignancies in all age groups accounted for 20% but in the pediatric group around half of all cancer cases. Pediatric cancers were occluding 7% of total cancers with rates of 10.3 in boys and 8.7 in girls. The commonest malignancies by primary site were leukemia, lymphoma, brain, kidney and bone. In males in all age groups they were lung, leukaemia, lymphoma, colorectal, prostate, bladder, brain, stomach, carcinoma of unknown primary (CUP) and skin, while in females they were breast, leukaemia, lymphoma, colorectal, ovary, lung, brain, CUP, and stomach. Most cancers were increased with increasing age except breast cancer where decrease was noted in older ages. High mortality rates were found with leukemia, lung, lymphoma, colorectal, breast and stomach cancers. Conclusions: We here found an increase in annual cancer incidence rates across the period of study, because of increase of cancer with age and higher rates of hematological malignancies. Our study is valuable for Kurdistan and Iraq because it provides more accurate data about the exact patterns of cancer and mortality in our region.

Relationship Between Perceived Risk and Physician Recommendation and Repeat Mammography in the Female Population in Tehran, Iran

  • Moshki, Mahdi;Taymoori, Parvaneh;Khodamoradi, Sahmireh;Roshani, Daem
    • Asian Pacific Journal of Cancer Prevention
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    • v.17 no.sup3
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    • pp.161-166
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    • 2016
  • Iranian women are at high risk of low compliance with repeat mammography due to a lack of awareness about breast cancer, negative previous experiences, cultural beliefs, and no regular visits to a physician. Thus research is needed to explore factors associated with repeated mammography participation. Applying the concept of perceived risk as the guiding model, this study aimed to test the fit and strength of the relationship between perceived risk and physician recommendation in explaining repeat mammography. A total of 601 women, aged 50 years and older referred to mammography centers in region 6, were recruited via a convenience sampling method. Using path analysis, family history of breast cancer and other types of cancer were modeled as antecedent perceived risk, and physician recommendation and knowledge were modeled as an antecedent of the number of mammography visits. The model explained 49% of the variance in repeat mammography. The two factors of physician recommendation and breast self-examination had significant direct effects (P < 0.05) on repeat mammography. Perceived risk, knowledge, and family history of breast cancer had significant indirect effects on repeat mammography through physician recommendation. The results of this study provide a background for further research and interventions not only on Iranian women but also on similar cultural groups and immigrants who have been neglected to date in the mammography literature.

Seismicity and seismic hazard assessment for greater Tehran region using Gumbel first asymptotic distribution

  • Bastami, Morteza;Kowsari, Milad
    • Structural Engineering and Mechanics
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    • v.49 no.3
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    • pp.355-372
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    • 2014
  • Considering the history of severe earthquakes and the presence of active faults in the greater Tehran region, the possibility of a destructive earthquake occurring is high and seismic hazard analysis is crucial. Gumbel distributions are commonly-used statistical distributions in earthquake engineering and seismology. Their main advantage is their basis on the largest earthquake magnitudes selected from an equal-time predefined set. In this study, the first asymptotic distribution of extremes is used to estimate seismicity parameters and peak ground acceleration (PGA). By assuming a Poisson distribution for the earthquakes, after estimation of seismicity parameters, the mean return period and the probable maximum magnitude within a given time interval are obtained. A maximum probable magnitude of 7.0 has a mean return period of 100 years in this region. For a return period of 475 years, the PGA in the greater Tehran region is estimated to be 0.39g to 0.42g, depending on local site conditions. This value is greater than that of the Iranian Code for Seismic Design of Buildings, indicating that a revision of the code is necessary.

Probabilistic seismic hazard assessment of Sanandaj, Iran

  • Ghodrati Amiri, Gholamreza;Andisheh, Kaveh;Razavian Amrei, Seyed Ali
    • Structural Engineering and Mechanics
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    • v.32 no.4
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    • pp.563-581
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    • 2009
  • In this paper, the peak horizontal ground acceleration over the bedrock (PGA) is calculated by a probabilistic seismic hazard assessment (PSHA). For this reason, at first, all the occurred earthquakes in a radius of 200 km of Sanandaj city have been gathered. After elimination of the aftershocks and foreshocks, the main earthquakes were taken into consideration to calculate the seismic parameters (SP) by Kijko (2000) method. The seismotectonic model of the considered region and the seismic sources of the region have been modeled. In this research, Sanandaj and its vicinity has been meshed as an 8 (vertical lines) * 10 (horizontal lines) and the PGA is calculated for each point of the mesh using the logic tree method and the five attenuation relationships (AR) with different weighted coefficient. These calculations have been performed by the Poisson distribution of four hazard levels. Then by using it, four regional maps of the seismic hazard regions have been provided for Sanandaj and its vicinity. The results show that the maximum and minimum value of PGA for the return periods of 75, 225, 475, 2475 years are (0.114, 0.074) (0.157, 0.101), (0.189, 0.121) and (0.266, 0.170), respectively.

The Effect of Deceptive Brand Image on Consumer Purchase Intention: Empirical Evidence from Iraqi Market

  • ALQAYSI, Sahar Jalal;ZAHARI, Abdul Rahman
    • The Journal of Asian Finance, Economics and Business
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    • v.9 no.6
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    • pp.207-217
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    • 2022
  • In recent years, the Iraqi market witnessed a large opening that resulted from the entry of many different products with an absence of government regulations. As a result, marketing deception practices have emerged as a new phenomenon. This study examines the effect of deceptive brand image on consumer purchase intention, with consumer attitude as a mediator. A quantitative method was applied in the form of a questionnaire distributed to shoppers at Carrefour Supermarket in Erbil, Kurdistan Region of Iraq. A random sampling technique was conducted. Subsequently, 200 questionnaires were distributed, and 175 valid questionnaires were analyzed, indicating an 87% response rate. Partial least squares structural equation modelling (PLS-SEM) has been utilized to test the hypothesis. The result showed that brand image deception has a negative impact on consumer purchasing intention. Also, attitude mediates the relationship between deceptive brand image and consumer purchase intention. The empirical finding confirms that deceptive marketing practices such as brand deception can change the attitude of consumers negatively toward brands and, therefore, affect the consumer purchase intentions. The findings suggest that honest brand marketing is beneficial in increasing the attitude toward the brand. This strategy will increase consumer purchase intentions.