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The Effect of Age on Clinical and Radiological Presentation in Patients with Pulmonary Tuberculosis in Baghdad

Authors: Hashim M.Al-Kadhimi --- Haider Noori Dawood
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2011 Volume: 10 Issue: 1 Pages: 125-129
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND:Mycobacterium tuberculosis causes the most common type of human tuberculosis worldwide .The most common mode of transmission is by inhalation of droplet nuclei from expectorated respiratory secretions.Active infection is diagnosed by documenting the presence of M tuberculosis in respiratory secretions or other body fluids or tissues.Age is an important determinant of the risk for the disease .The risk may increase in the elderlyOBJECTIVE:To compare the effect of age between elderly and younger on clinical and radiological presentation in patients with pulmonary tuberculosis in Iraq.PATIENTS AND METHODS:A prospective study was done for 251 patients with smear positive pulmonary tuberculosis in outpatient's clinic in the Chest and Respiratory Disease Specialized Center in Baghdad.Collected from January to May 2009.The following parameters were assessed:Age, gender, symptoms, risk factors, radiological findings, and incidence of recurrent .The relation of these parameters between elderly and younger was evaluatedRESULTS:There were 174 young adult patients and 77 elderly patients .The elderly group age was between 60-80years ,and younger adult age was between 17-59 years. There was no significant difference in the symptoms between the two groups .Family history of pulmonary tuberculosis (p=0.009) was more common in young adult, while DM (p=0.001) was more common in elderly .Comparison of radiological findings in young adults vs. elderly patients shown a typical findings (p=0.036) which is more in elderly .There was no significant difference in the incidence of recurrence between the two groups.CONCLUSION:There was no significant difference in the symptoms between elderly and younger age groups .Family history of PTB was more common in young adults, while DM was more common in elderly.A typical radiological findings were more in elderly.There was no significant difference in the incidence of recurrence between the two groups

Keywords

tuberculosis --- age --- radiology


Article
Pulmonary Function Test in Cement Workers in Iraq

Authors: Haider Noori Dawood --- Abdul Razak Makki Abd Lrazak --- Adnan Majeed Muhasen
Journal: Iraqi Academic Scientific Journal المجلة العراقية للاختصاصات الطبية ISSN: 16088360 Year: 2013 Volume: 12 Issue: 1 Pages: 85-89
Publisher: The Iraqi Borad for Medical Specialization المجلس العراقي للاختصاصات الطبية

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Abstract

ABSTRACT:BACKGROUND: Exposure to cement dust has long been associated with the prevalence of respiratory symptoms and decline in pulmonary function.OBJECTIVE: This study assessed the effect of exposure to cement dust on lung function in cement factory workers in Iraq , by measuring Forced Vital Capacity (FVC), Forced Expiratory Volume in the first second (FEV1), FEV1/FVC ratio and Forced Expiratory Flow 50% (FEF50%).PATIENTS AND METHODS180 workers enrolled in the study , 171 , are male (93.44%) and only 12 are female(6.56%). and 100 workers controls (non exposed) were selected.The age of the subjects ranged between 20-50 years. Both groups were smokers and non smokers, had no chronic pulmonary diseases or symptoms during the time of study. Spirometeric study was used to measure FEV1, FVC, FEV1/FVC ratio and FEF50% .RESULTS: Statistically, significant reduction in FEV1 and the FEV1/FVC ratio were found in exposed workers when compared to control. Lungfunction indices were found to be not affected with increasing duration ofexposure to cement dust nor with smoking. CONCLUSION: Exposure to Portland cement dust may result in reduction in the pulmonary function and may lead to respiratory diseases.Implementing measures to control dust and providing adequate personal respiratory protective equipment for the production workers are highly recommended

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