International Medical Journal

Journal ID : IMJ-03-02-2020-194

Total View : 285

Title : Acute Myelomonocytic Leukaemia Transformed from Juvenile Myelomonocytic Leukaemia : A Case Report and Treatment Challenges

Abstract : Juvenile myelomonocytic leukemia (JMML) is a rare blood cancer occurs in young children characterized by proliferation of myelomonocytic cell and to which no recurrent chromosomal rearrangement has been associated. Here we report a 3-year old boydiagnosed as Acute Myelomonocytic Leukaemia (AMML), who actually transformed from JMML. JMML could have been suspected earlier when he presented as monocytosis and mild splenomegaly. At that time patient was treated as infection and regular follow-up showed persistent monocytosis. After 2 years of follow-up, patient had full blown blastic in transformation. Further investigation showed consistent with AMML. Cytogenetic analysis revealed 46 XY del (6p), -22. Patient received standard induction chemotherapy for acute myeloid leukaemia but achieving remission only after the fourth course of re-induction. Our case highlights Acute Myelomonocytic Leukemia with rapid blastic transformation from JMML and the challenges in managingpatient with AML cytotoxic chemotherapy. The underlying 46XY, del (6p) could possibly be the factors for rapid blastic transformation and resistant to cytotoxic chemotherapy.
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International Medical Journal

Journal ID : IMJ-03-02-2020-193

Total View : 164

Title : Undiagnosed Unilateral Choanal Atresia in an 11 year-old Boy: A Case Report

Abstract : Congenital choanal atresia is characterized by closure of one or both posterior nasal cavity and failure of communication with nasopharynx. An 11-year-old boy presented to our clinic with history of left nasal blockage and snoring which persisted after tonsillectomy. Clinical examination revealed total blockage and CT scan confirms membranous and bony atresia of left nasal cavity. The left unilateral choanal atresia were repaired by transnasal endoscopic surgery with stent insertion. We report a case of unilateral choanal atresia which were missed in this patient despite visiting multiple ENT specialist prior to our review.
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International Medical Journal

Journal ID : IMJ-03-02-2020-192

Total View : 266

Title : Case Report: Laser Asssisted Myringoplasty

Abstract : Myringoplasty is a common procedure in Ear, nose and throat (ENT) practice. Laser has to a certain extent revolutionized ENT surgery and new applications are always explored. We report our first experience of CO2 Laser-assisted myringoplasty in a patient with a long-standing history of suppurative otitis media. Patient recovered well with residual pin-hole anterior perforation and noted improvement in hearing post-operatively.
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International Medical Journal

Journal ID : IMJ-02-02-2020-190

Total View : 108

Title : Evaluate the reliability and accuracy of pre and post orthodontic treatment according to the Index of Complexity Outcome and Need in Iraq

Abstract : A well-organized and efficient orthodontic service for any given population requires evaluation of therapeutic orthodontic needs and their difficulty the purpose is to assess the treatment need and the malocclusion complexity, and degree of improvement after completion of treatment. A randomly picked 60 pairs of study models (30 male and 30 female) were involved in this study for patients attending an orthodontic clinic at the College of the Dentistry/ University of Baghdad seeking treatment. The ICON scores were collected directly from the study model, photo and case sheet records. SPSS software version 25 has been used to analyze the results, 78.3 % of samples categorized as orthodontic treatment need, 21.6% belonged to the easy/mild categories and 58.3% classified as difficult or very difficult. There were no significant age or gender differences in the pre-treatment and in post-treatment ICON score. 98.3% scored as easy/mild categories post-treatment and 76.6% were greatly improved cases, substantially improved in 15%, while 6.6% moderately improved and only 1.7% was minimally improved. Assessing patients attending the hospital using ICON are valid to give priority to the most needed cases and can be applied before deciding to finish the case depending on the improvement grade.
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International Medical Journal

Journal ID : IMJ-02-02-2020-189

Total View : 165

Title : The study of auditory disorders in conscripts and the role of routinely audiometric screening

Abstract : One of the reasons for hearing impairment is due to excessive noise exposure. These encounters can cause permanent hearing loss, which can impair verbal communication with others and decrease the quality of a person's social life. The most prevalent place of exposure to excessive noise and the most common reason of noise-induced hearing impairment is noise exposure in the military environment. The purpose of this study was to investigate the prevalence of auditory disorders in conscripts and the role of routinely audiometric screening. In this cross-sectional study, the invited soldiers to the Islamic Republic of Iran Army were investigated in Tehran. Then, their data such as age, history of exposure to high-intensity noise, history of hearing impairment in the family, history of ear trauma were collected by a questionnaire. Audiometric tests included pure tone audiometry, tympanometry, and acoustic reflex was conducted. The presence of hearing impairment and its type (conductive - sensorineural) were evaluated according to audiometric tests and its relationship with possible risk factors. According to our results, among the 207 studied soldiers, the prevalence of hearing impairment was 14%, and the most prevalent type was sensorineural hearing impairment type (SNHL) with a prevalence of 7.7% and the highest rate of conflict was in high frequencies. Sensorineural hearing loss had a significant relationship with the history of hearing loss in the family. Also, there was a significant relationship between conductive hearing loss and ear trauma. Routine hearing screening including otoscopic ear examination and basic and comprehensive audiometric tests, impedance and acoustic reflex, seems essential for all soldiers at the beginning of their military service and military training and identifies probable ear disorders.
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International Medical Journal

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Submission Deadline ( Vol 30 , Issue 04 )
20 Apr 2023

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Publish On ( Vol 30 , Issue 03 )
31 Mar 2023