Hyperlipidemiais a term that refers to any of several acquired or genetic disorders that result in a high level of circulating lipids (fats, cholesterol and triglycerides). The condition can affect one fat protein or several. Most people will have no symptoms, with increasing the risk of developing heart problem. It has been found that oxidation processes play important role in developing lipids disorders. Curcumin is a phytochemical antioxidant substance may play a role in lowering lipids levels in the blood.This study was conducted to evaluate the lipid lowering effect of curcumin in Iraqi patients with hyperlipidemia and to study the potentiation effect on atorvastatin.From thosepatients who attendedMedical Clinic in Al-Diwanyiah Teaching Hospital,48 patients of 45-65 years old with diagnosed hyperlipidemia were enrolled in this study,they were divided randomlyinto four groups,12 patients in each. Base line assessment was done in form oflipid profile. 1stgroup was considered as placebo,2ndgroups received atorvastatin,3rd group received curcumin and 4th group received atorvastatin + curcumin. Reassessment was done after 2 months.Curcumin group shows significant reduction in TG (P ≤ o.o5), significant reduction of LDL in atorvastatin group (P≤ 0.05) and highly significant reduction in LDL,TG,and significant reduction in TC in patients received both atorvastatin + curcumin,with no significanteffects on HDL in all treated groups,compared to placebo.curcumin express lipid lowering activity and potentiate atorvastatin action in patient with hyperlipidemia.

Introduction: With the current COVID-19 pandemic, the increasing use of glucocorticoids has resulted in more adverse effects and secondary bacterial or fungal infections. Objective: To find out the clinic-epidemiological profile of patients having COVID-19 associated invasive fungal rhinosinusitis in Diwaniya teaching hospital- Qadisiya province - Iraq.Method: Retrospective case series study of 24 patients with COVID-19 who were admitted to Alshafa centre in Al-Diwaniyah Province from 1st of May 2020 to end of August 2021. Patients were moderate to severe COVID-19 received treatment according to local guidelines. Patients who developed signs and symptoms of nose and paranasal sinuses disorder were seen by otolaryngologists and treated by a multidisciplinary team if invasive mucormycosis and its comorbidities were detected.Results: Out of 24 patients, 8 were female and two patients were excluded because their histopathological examination hasn’t confirmed acute invasive fungal rhinosinusitis. The average age was 54 years old, they all had diabetes, 2 patients had chronic kidney diseases, and 2 patients had malignancy (leukaemia). Furthermore, 19 patients were with severe SARS-COV-2 while 5 patients had moderate symptoms. All patients were confirmed COVID-19 positive by PCR test.Conclusion: Invasive fungal infections of the nose and paranasal sinuses are highly lethal conditions with significant morbidity. Early recognition and high index of suspicion are needed in the case of COVID-19 patients who complain features of sinusitis with careful prescription of drugs that affect immune response in COVID-19 patients.

In our study, we used cephalic trim cartilage from LLC uniting strategies to be compelling in amending short nose, with a low occurrence of complications. Preferences of this procedure incorporate extension of the whole nasal tip and ala, which brings about more far reaching and proportioned nasal length. The versatile nasal tip is kept up by sufficiently liberating the holding powers of the LLC while offering enough underlying help.

Nocturnal enuresis (NE) is an old & common childhood condition. It has been found that,there is a relationship between adenotonsillar hypertrophy in children & nocturnal enuresis. This study was conducted to see the effects of adenotonsillectomy on nocturnal enuresis in children with adenotonsillar hypertrophy.This study was conducted in Diwaniyah teaching hospital,Diwaniyah city,Iraq from May 2012 to August 2014. The total number of children admitted for adenotonsillectomy or tonsillectomy alone were 287. 76 children out of the total number were included in the study. The children were followed by the same questionnaire for four months postoperatively,including,age,the number of night bed wettings,type of enuresis and the results of urine examinationof total 287 children who were submitted for surgery,76 children were eligible for the study,48 (63.16%) of the total number included in the study were males and 28 (36.84%) were females. The mean age was 7.2 years. Adenotonsillectomy was performed in 64 children,and tonsillectomy in12 children. A complete improvement of nocturnal enuresis (NE) & daytime incontinence was achieved in 32 (42.11%) children. A mild to moderateimprovement was observed in 38 (50%),while no improvement seen in the remaining 6 (7.89%) children postoperatively.Nocturnal enuresis (NE) is an old & common childhood condition & there is a relation between nocturnal enuresis in children & adenotonsillar hypertrophy. Children with nocturnal enuresis should be evaluated by ENT surgeon to rule out any adenotonsillar hypertrophy for possible adenotonsillectomy effect. However,a wide base studies are needed to clarify these results.