Acute mesenteric ischemia (AMI) is typically defined as a group of diseases characterized by an interruption of the blood supply to varying portions of the small intestine, leading to ischemia and secondary inflammatory changes. If untreated, this process will result in life threatening intestinal necrosis. The incidence is low, estimated at 0.09–0.2% of all acute surgical admissions. Early diagnosis and timely surgical intervention are the cornerstones of modern treatment and are essential to reduce the high mortality associated with this entity. The advent of endovascular approaches may provide new options. We herein report a case of adult male patient with total occlusion of superior and inferior mesenteric artery along with critical Celiac artery stenosis in patient presented with weight loss, abdominal pain and gastrointestinal bleeding and celiac artery stenting done successfully.

Emergency Installation, Patient's Family, Satisfaction, Emergency Level, Knowledge, Triage.

Background: Pseudomonas aeruginosa is a main pathogens as a cause of healthcare acquired infection. This organism causes severe disaster of general health producing a great burden of mortality and morbidity in growing counties. AmpC-type enzymes are generally resistant to cephalosporins, but lower efficacy toward carbapenems. Nevertheless, carbapenem resistance is noted when AmpC enzymes combine with reduced carbapenem cell penetration due to a loss of porin protein. Overproduction of AmpC β-lactamases combinations occurring when associated with ESBLs and modified membrane channels leads to increasing carbapenem resistance of P. aeruginosa clinical isolates. Study Aim: This thesis is designed to identify and assess the frequency of P. aeruginosa clinical isolates, to examine the occurrence of extensively drug resistant P. aeruginosa in hospitals and to examine the presence of common AmpC β-Lactamases genes in XDR isolates in Najaf City-Iraq. Materials and Method: Basic test including stain of Gram, morphology of the colony and conventional biochemical test were used to isolate and identify clinical isolates of P.aeruginosa. Upon receipt, swab specimens were immediately cultured onto MacConkey agar and the plate were incubated for 24 hours at 37°C. Results: During 3-months, an overall of 1070 clinical specimens were collected from six main hospitals and Burn Center in Najaf province. Present results showed that 66 isolates of P. aeruginosa were obtained from clinical sources. The clinical sample type’s collected during the study period included 821 (76.6%) urine specimens from patients suspected with UTIs, 85 (7.9%) wound exudate, 71 (6.6%) ear swab, 56 (5.2 %) burn exudate and 37 (3.4%) CSF aspirates as shown in table (3-2). This study showed that 13 isolates from 66 isolates recognized as XDR P. aeruginosa isolates. This study showed that 13 (19.6%) isolates from 66 isolates recognized as XDR P. aeruginosa isolates. Among the 13 XDR isolates, PCR assay showed that all of these isolates harbored bla_AmpC and bla_CMY AmpC beta lactamase genes by using specific primers for each one.

Odontogenic Keratocysts (OKCs), previously classified as Keratocystic Odontogenic Tumors (KCOTs), are a fascinating and challenging subset of developmental odontogenic cysts, renowned for their distinctive clinical characteristics and notably high rates of recurrence. This comprehensive review endeavors to elucidate the multifaceted nature of OKCs, providing an in-depth exploration across several key dimensions. It encompasses a detailed examination of their clinical presentation, which often ranges from asymptomatic cases to more aggressive manifestations and delves into the unique histopathological features that set OKCs apart from other odontogenic cysts. The review also sheds light on the etiology and pathogenesis of OKCs, with a particular focus on the recent revelations regarding their genetic underpinnings and the implications thereof. Critical insights into the methodologies employed in the diagnosis of OKCs are presented, highlighting the importance of accuracy in differentiating them from other similar lesions. Furthermore, the review discusses the spectrum of treatment modalities available, from conservative approaches to more radical interventions and underscores the significance of emerging adjuvant therapies in reducing recurrence. Finally, it addresses the recent advancements and ongoing debates within the field, illustrating the dynamic and evolving landscape of OKC management and its implications for patient care and outcomes.

This descriptive paper dealing with a graduation research project for the fourth year student of Tikrit Nursing College–Tikrit University in collaboration with a team of medical students from Dalian medical university and Tongji Medical College - Huazhong University of science and Technology. This pioneer project is applied from the period between 1^st October 2021-1^st May 2022 and aims at providing a group of elderly people with home social & health care and to identify the main problems of this population. Mean age was (68.8±6.6) years, and male represent 54 (51.4%), and female 51 (48.6%). Most of the elderly were illiterate 45 (42.9%), and high education was only 13 (12.4%). Most of the married 79 (75.2%) Widow or divorced 26 (24.8%). Had child about 102 (97.1%), and had sister or brother 94 (89.5%). Home Care Services by IKRAM are the followings; Leisure trips (200), Group Leisure trips (40), Food basket  (208), Sociability Session (210 hours), Small Group communication (50), Phone communication (450 calls), Rehabilitation services (30 sessions), Self-care sessions (200), Coordination services (588), Nursing care (300), and Health assessment (330). The Ikram project is very useful, fruitful and effective in alleviating the suffering of the elderly and their families.

Background: Human immunodeficiency virus (HIV), hepatitis A, B and C viruses testing is advised before optional surgeries according to national standards in many nations in order to lower the risk of these viruses being transmitted through a needle stick or cutting lesion. Objective: The purpose of this study was to determine the prevalence of HAV, HBsAg, anti-HCV and HIV viruses among preoperative patients undergoing surgery at Al-Furat Al-Awsat Teaching Hospital. Methods: This cross section study was conducted on patients who had elective surgery in the surgical section at Al-Furat Al-Awsat Teaching Hospital between July to October of 2023. For preoperative patients, information on the medical background of the patients as well as the results of the viral testing were obtained. Result: In the study's total of 447 data was collected from patients who undergone elective surgery, the outcomes of preoperative viral screening were investigated. It was found that positive rate for HAV 5.3 % (24 of 447) , HBV 2.4 % (11 of 447), HCV 0.6 % (3 of 447), without presence of HIV virus. There were 131 (29.3 %) males and 316 (70.7 %) females, with ages ranging from 10 or lower to above 70 year old. The age group with the highest percentage was 21–30 of HAV and HBV, whereas age groups (31–40) and (41–50) of HAV, HBV, and HAV had analogous distributions. When compared to groups (61 and 70) that showed no prevalence of any viral infections, the age group of 70 and above had the lowest HBV score. Ages 10 and under only exhibited HAV, whereas age groups 20 to 29 revealed positive prevalence of HAV, HBV, and HAV. Conclusion : The purpose of this study was to determine the prevalence of HAV, HBsAg, anti-HCV and HIV viruses among preoperative patients undergoing surgery at Al-Furat Al-Awsat Teaching Hospital