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8. The effect of maternal age on the outcomes of in vitro fertilization in Sulaimani region 

  published in Mustansiriya Medical journal in 1 April 2016

Vol. 15  Issue 1 Page 70-74

      Conference Papers 

Abstract 1

CONTINUOUS DARKNESS INDUCES STRUCTURAL CHANGES IN THYROID GLAND OF ADULT MALE RATS

 

Samia A. Eleiwe*

Nibras Hatim Khamees**

Shilan Hussein Karim**

 

* Department of Anatomy; AlKindi College of Medicine; University of Baghdad.

**Department of Anatomy, School of Medicine, Faculty of Medical Sciences, University of Sulaimani.

 

 

 

ABSTRACT

 

 

Background

The thyroid glands function and structure are influenced by several psychomotor stimulants like: temperature, drugs, chemicals and light. The purpose of this study was to investigate the effect of continuous darkness on the thyroid glands of male rats. Despite so many previous works to explore the effect of exogenous or endogenous melatonin on thyroid, there are few studies dealing with the outcome of progressively increasing phases of darkness on thyroid architecture, according to the available literatures.

 

Objectives

This work is intended to study the effect of rising period of continuous darkness on thyroid tissues in adult male rats.

 

Methods

Adult Wister albino rats were kept in total 24 hours darkness for successive 4 phases. These rats were divided into 8 groups. Group II, III, IV and V were cited in continuous darkness for 2, 4, 6 and 8 weeks in that order. Group Iᵅ, Group Iᵇ, Group I , and Group I ᵈ were control groups of group II, III, IV and V likewise. After the last day of the dark phase dedicated for each group, the animals were sacrificed under effect of anesthesia. The thyroid gland was separated, weighed and right lobe was practiced to study its structural changes.

 

Results

The results illustrated no key structural effect by short and medium phases of darkness, while on long phases; there was detrimental effect on thyroid tissues.

 

Conclusion

The continuous darkness for a long time has undesirable histological and anatomical changes on the thyroid tissues of the adult male rats in a manner correlated with the length of publicity.

 

Keywords: Thyroid, Melatonin, Darkness, Endocrine.

Abstract 2

A Review of 27 Patients Tr eated With

Parotidectomy at Al-Yarmouk Teaching

Hospital

 

Hayder Sabah Salem Al- Kawaz *, Ehsan H. Salem * and Shilan Hussein Karim **

Submitted 31st October 2013; accepted 18th February 2014

 

Abstract

Background

Parotid gland tumors are the majority of tumors which arise in the salivary glands. Recommended treatment

for parotid pathologies is surgical excision. Injury of the facial nerve is the most common complication

encountered after parotid surgery.

Objective

Analyzing the clinical presentations, histopathology and complications following parotid surgery.

Methods

Patient’s documents were reviewed for those underwent parotidectomy between September 2006 to June 2012.

Diagnosis and surgical procedure were standardized in all cases. All patients were monitored thoroughly

specially for facial nerve injury and they were followed up for six months.

Results

27 patients underwent Parotidectomy with a mean age of 51 years, with male to female ratio 2.8:1. There

were two false negative (FN) and one false positive (FP) reported cases by fine needle aspiration cytology

(FNAC) with sensitivity of 50% and a specificity of 95.65%. Pleomorphic adenoma was the commonest benign

pathology (55.56%). Postoperative facial nerve injury encountered in (37.04 %). 80% of cases were completely

recovered in 6 months.

Conclusion

FNAC should be performed in all patients but regarded only as a helpful investigation for management. And

the risk of facial nerve palsy is related to the type, size and extend of the tumour and radicality of the resection

done.

Key words: Parotid tumors, fine needle aspiration cytology, facial nerve injury.

 

European Scientific Journal August 2014 edition vol.10, No.24 ISSN: 1857 – 7881 (Print) e - ISSN 1857- 7431

384

ANGIOGRAPHIC STUDY OF THE NORMAL

CORONARY ARTERY IN PATIENTS

ATTENDING ULAIMANI CENTER FOR HEART

DISEASES

 

Dr.Imad Ghanem Shukri, M.B.Ch.B, M.Sc., FICMS

Assistant Professor in Clinical and applied anatomy, University of Al-

Mustansaria, College of medicine, Department of anatomy,Baghdad-Iraq

Dr. Jawad Mohammed Hawas, M.B.Ch.B, CABM, FICMS

Medicine, FICMS Cardiology, Consultant cardiologist

University of Sulaimani, College of medicine,

Department of Medicine, Sulaimania-Iraq

Dr. Shilan Huseein Karim, M.B.Ch.B, MSc, PhD Human

anatomy, Lecturer

Dr. Issraa Khalil M. Ali, B.D.S, MSc Human anatomy

University of Sulaimani, College of Medicine,

Department of Anatomy, Sulaimania-Iraq

 

 

Abstract

Background and aim :There is no available data on normal coronary

artery dimensions among Iraqi Kurdish population (Sulaimani region), so

that our aim is to study the normal dimensions of the coronary artery

segments during life by using quantitative coronary angiography with

reference to dominancy and variations and possibly to help interventional

cardiologist and cardiac surgeon.

Methods:Between February 2009 to June 2009, 88 patients underwent

quantitative coronary angiography for evaluation of symptoms of ischemic

heart disease and were found to have no coronary artery disease from the

sample size.

Results: The diameter of the coronary arteries were larger in male subjects

than females with significant p-value for LMCA, proximal LAD, LCx and

RCA regarding proximal RCA also was larger among male but statistica-lly

was non significant .The diameter of the coronary arteries in Kurdish

population were similar to Caucasians and white but greater than that of

Indians.

 

Conclusion:In general males has larger coronary artery diameter than

females, the mean diameter was similar to that reported in Caucasians and

white and larger than Indians.

Keywords: Coronary angiography, coronary artery, coronary variation

 

 

European Scientific Journal April 2015 edition vol.11, No.12 ISSN: 1857 – 7881 (Print) e - ISSN 1857- 7431

236

COMPARATIVE ULTRASONOGRAPHIC

MEASUREMENT OF RENAL SIZE AND ITS

CORRELATION WITH AGE, GENDER, AND

BODY MASS INDEX IN NORMAL SUBJECTS IN

SULAIMANI REGION

 

Ph.D, Human Anatomy (Lecturer)

University of Sulaimani, School of Medicine, Department of Anatomy,

Sulaimani, Iraq

Naser Abdullah Mohammed

FIBMS Radiology (Lecturer) University of Sulaimani, School of Medicine,

Department of Surgery/Radiology, Sulaimani, Iraq

Ismaeel H.A.Aghaways

C.A.B.S, F.EB.U (Assistant Professor), University of Sulaimani, School of

Medicine, Department of Surgery, Sulaimani, Iraq

Bryar Ali Muhammed, M.B.Ch.B

University of Sulaimani, School of Medicine, Department of Anatomy,

Sulaimani, Iraq

 

Abstract

Background: The renal size of a population is a very useful

diagnostic parameter in the practice of medicine. Since the renal size is

affected by various factors, it is necessary to first determine the normal

value.

Objective:The aim of this study is to provide an estimation of renal size in

normal subjects in Sulaimani Teaching Hospital, and to study its relation

with age, gender, and body mass index (BMI) using ultrasonography.

Therefore, this provides a standard data for our locality as we are deficient of

them. Method:A cross sectional descriptive study was conducted in

Sulaimani Teaching Hospital during the period of June 2013 to February

2014. 450 random volunteer person were included in the study aging

between 18 - 96 years, without any known renal diseases.The total sample of

the study were 450 person. 239 person (53%) were females, while 211

person (47%) were males. The mean of the right renal size in males was

76553.9947 mm3, while the mean of the left renal size was 94493.9mm3. In

females, the mean of the right renal size was 68324.0292mm3, while the

mean of the left renal size was 84150.43264mm3. Mean renal size for the

right kidney was 72210.9842 mm3,While the mean renal size for the left

kidney was 89031.0296 mm3. Results:There was a positive correlation

between the size of the right and left kidney, with the left kidney size which

is larger. There was also a positive correlation between renal size and age, as

renal size increased with age till the 5th decade of life. While the male renal

size was greater than the female renal size with the same age group, there

was a positive correlation between renal size and body mass index (BMI).

Keywords: Ultrasonography, Renal size, Body mass index

The effect of maternal age on the outcomes of in vitro fertilization in Sulaimani region

 

Shilan Hussein Karim

M.B.Ch.B, MSc,Ph.D Human anatomy

Lecturer

 

Abstract

Background

In Vitro fertilization IVF can be a very effective fertility treatment. However, we need to have sufficient eggs of sufficient quality in order to make it successful. Both egg quantity and egg quality are very much related to female age

A woman’s ability to conceive a child reduces with age, on average, the younger the women have the higher chances of success.

 

Objectives

This work is intended to study the impact of maternal age on the outcome of IVF resulting in biochemical pregnancy in Sulaimani region.

 

Methods

This retrospective study has being done in Dwarozh IVF private center in Sulaimani, between December 2008 and January 2011 on 125 women. All of these women had undergone thorough IVF treatment according to established protocols. According to maternal age the women were divided in to group 1 below 35 years and group 2 from 36 years and above.

For each cycle number of retrieved oocyte, injected oocyte, fertilization, number of embryo transfer, quality and grading of the embryo with the result of biochemical pregnancy has been studied.

Then comparison between the two maternal age groups has been done to show the significance of maternal age on the outcome of IVF.

 

Results

 For the Group 1(G1), the effect of maternal age on Fertilizes oocytes is significant, as the T-value is 37.035577. The P-Value is < .00001. The result is significant at p < .05.and the percentage of positive biochemical pregnancies was 45.83%.

While for Group 2 (G2) the effect of maternal age on fertilized oocyte is significant, as the T-value is 58.997473. The P-Value is < .00001. The result is significant at p < .05 and the percentage of biochemical pregnancies were

33.96%

 

Conclusion

Maternal age has significant effect on the number of fertilized oocytes and percentage of biochemical pregnancy for the IVF process. The percentage of biochemical pregnancy is more in age group less than 35 years.

 

ABBREVIATIONS: IVF: In vitro fertilization, Oocyte R: oocyte retrieval, MI: Meiosis I, MII: Meiosis II, GV: Germinal vesicle, ET: embryo transfer, Bhcg: Beta human chorionic gonadotropin.

 

Keywords

In vitro fertilization, maternal age, fertilization, biochemical pregnancy.

 

Department of Anatomy and Embryology, School of Medicine, University of Sulaimani.

shilanmed@yahoo.com

 

shilan.karim@univsul.edu.iq