Sarah A . Haji - Academia.edu (original) (raw)

Papers by Sarah A . Haji

Research paper thumbnail of Acceptance of COVID -19 vaccines and associated barriers among dental students at college of Dentistry, University of Basrah: A cross-sectional study

Research journal of pharmacy and technology, Aug 30, 2023

Research paper thumbnail of Prevalence of facial nerve palsy in the neuro-medicine private clinic

Romanian Journal of Neurology, Jun 29, 2023

Disorders of the facial nerve result from injury to the nerve that regulates facial movement and ... more Disorders of the facial nerve result from injury to the nerve that regulates facial movement and expression. Viral infections, strokes, inflammation, trauma, surgeries, tumors or others can all cause paralysis or weakness of the face [1,2]. Bell's palsy is the most prevalent defect in the lower motor of the facial nerve [3]. Bell's palsy, also known as Idiopathic Peripheral Facial Palsy, is a facial paralysis that is caused by a malfunction of the Cranial Nerve VII, the Facial Nerve [4]. In the UK, the yearly incidence of Bell's palsy currently stands at 37.7 per 100,000 people [5]. Comparatively, it is around 23 per 100,000 persons annually in the US [6]. Between 11.5 to 40.2 incidences of Bell's palsy are reported worldwide for every 100,000 individuals [7]. It is critical to determine if the facial nerve paralysis is central or peripheral. Central lesions cause paralysis of the lower face only, sparing the forehead; however, clinicians must ensure that they ask about the duration and nature of symptoms in their history, including the presence of associated symptoms such as hyperacusis, posterior auricular pain, taste, and lacrimal changes. All patients who come with facial palsy require a comprehensive cranial nerve evaluation, as well as ophthalmic, otologic, and oral tests [8]. The impact of DM is explained by the peripheral circulatory dysfunction associated with diabetes that

Research paper thumbnail of Preventive Measures and Spread of COVID-19 Infection among Dental students in Basra in the First Period of the Epidemic in Iraq: An Online Cross-Sectional Survey

Research Journal of Pharmacy and Technology

This study was undertaken in the college of the Dentistry- University of Basra, Oral and maxillof... more This study was undertaken in the college of the Dentistry- University of Basra, Oral and maxillofacial surgery Department. This survey assessed protective measures regarding COVID-19 infection and aimed to evaluation the evidence on the affiliation between use of preventive measures and COVID-19 infection among dental students in Basra. The questionnaires were designed and assembled into two domains as follows: 1- Personal data including age, sex, and academic stage. 2- Analytical data including questions regarding infection rate among dental students and their commitment of COVID-19 preventive measures. An explanation for the aim of this study was coupled to the questionnaire, and the members were asked to sign an online informed permission. The questionnaires were directed toward 1000 dental students and only 875 were responding to the survey and included in the databank. The duration of study approximately takes 10 days, the questionnaire was conducted to students on February, 12...

Research paper thumbnail of Prevalence of viral hepatitis amongst dental patients attending university dental clinics in Basrah

International journal of health sciences

Background: Hepatitis is a highly infectious blood-borne disease affecting the population worldwi... more Background: Hepatitis is a highly infectious blood-borne disease affecting the population worldwide. The dental team is highly susceptible to acquiring the disease if get injured by contaminated sharp objects. Immunization against hepatitis B became widely obligatory for dental students and dental team members. Materials and Methods: This retrospective study collected data from the university of Basrah dental clinics. Patients attending oral surgery department clinics from January 2021 to December 2021 were screened for Viral Hepatitis B and Viral Hepatitis C by lateral flow test strips. Data were collected and prevalence was calculated. Results: The sample included 561 patients, having 12 patients being excluded for missing information and the remaining 549 were included in the quantitative assessment. The test results for Hepatitis B revealed 5 total prevalence of 0.91%. For the test results for Hepatitis C, there was a total prevalence of 0.73%. Conclusions: The prevalence of Hep...

Research paper thumbnail of Hemodynamic Changes Following Intraoral Injection of Lidocaine in Combination with Adrenaline During Tooth Extraction

Basrah Journal of Surgery, 2018

Local anesthetic drugs are used in combination with vasoconstrictors, commonly adrenaline which i... more Local anesthetic drugs are used in combination with vasoconstrictors, commonly adrenaline which increases their efficacy and duration of action and reduces bleeding at the operative site. However, adrenaline might have adverse hemodynamic effects, especially in patients with cardiovascular diseases. Hypertensive patients represent a risk group in dental practice. One major apprehension of the dentist is the sudden and dramatic increase in blood pressure that could lead to life-threatening complications including sudden death during a dental procedure. The aim of this study is to measure hemodynamic parameters, blood glucose, oxygen saturation and pain score in normotensive and hypertensive patients following intraoral injection of lidocaine with adrenaline and correlate these changes to the level of pain intensity and plasma metanephrine concentration. This prospective study was conducted at Basrah College of Dentistry from October 2016 to June 2017. One hundred patients were included in the study for teeth extraction under local anesthesia. Sixty normotensives, 30 had stage one hypertension (BP=140-159/90-99) and ten healthy volunteers for metanephrine assay. All patients were injected with two cartridges of 2% Lidocaine with 1:80,000 adrenaline. Systolic and diastolic blood pressure, heart rate, oxygen saturation, visual analogue scale, blood glucose and plasma metanephrine concentration were measured at different intervals; before anesthetic injection, 5 minutes after injection, during extraction and 10 minutes following the end of tooth extraction. Administration of local anesthesia with adrenaline in addition to the surgical procedure resulted in a significant increase in systolic blood pressure during tooth extraction (+8.7% and +16.6% mmHg for normotensive and hypertensive patients respectively, p<0.05), also heart rate similarly affected in both groups (10.6% and 13.4% respectively), this effect was significantly higher in the hypertensive group. The blood glucose showed a significant increase (P=0.00) 30 minutes after injection as compared to baseline. Generally, the peak changes in parameters were observed during tooth extraction procedure in both groups. Metanephrine peak plasma level occurs at 10 minutes following injection and it was significantly correlated with the systolic and diastolic blood pressure. In conclusions, the injection of lidocaine with adrenaline in addition to the surgical procedure produces significant increase in blood pressure and heart rate in both normal and hypertensive patients which were larger in the latter group. Similarly, plasma metanephrine concentration was increased during the dental procedure and linked to the increase in the systolic blood pressure.

Research paper thumbnail of Hemodynamic changes following intraoral injection

Local anesthetic drugs are used in combination with vasoconstrictors, commonly adrenaline which i... more Local anesthetic drugs are used in combination with vasoconstrictors, commonly adrenaline which increases their efficacy and duration of action and reduces bleeding at the operative site. However, adrenaline might have adverse hemodynamic effects, especially in patients with cardiovascular diseases. Hypertensive patients represent a risk group in dental practice. One major apprehension of the dentist is the sudden and dramatic increase in blood pressure that could lead to life-threatening complications including sudden death during a dental procedure. The aim of this study is to measure hemodynamic parameters, blood glucose, oxygen saturation and pain score in normotensive and hypertensive patients following intraoral injection of lidocaine with adrenaline and correlate these changes to the level of pain intensity and plasma metanephrine concentration. This prospective study was conducted at Basrah College of Dentistry from October 2016 to June 2017. One hundred patients were included in the study for teeth extraction under local anesthesia. Sixty normotensives, 30 had stage one hypertension (BP=140-159/90-99) and ten healthy volunteers for metanephrine assay. All patients were injected with two cartridges of 2% Lidocaine with 1:80,000 adrenaline. Systolic and diastolic blood pressure, heart rate, oxygen saturation, visual analogue scale, blood glucose and plasma metanephrine concentration were measured at different intervals; before anesthetic injection, 5 minutes after injection, during extraction and 10 minutes following the end of tooth extraction. Administration of local anesthesia with adrenaline in addition to the surgical procedure resulted in a significant increase in systolic blood pressure during tooth extraction (+8.7% and +16.6% mmHg for normotensive and hypertensive patients respectively, p<0.05), also heart rate similarly affected in both groups (10.6% and 13.4% respectively), this effect was significantly higher in the hypertensive group. The blood glucose showed a significant increase (P=0.00) 30 minutes after injection as compared to baseline. Generally, the peak changes in parameters were observed during tooth extraction procedure in both groups. Metanephrine peak plasma level occurs at 10 minutes following injection and it was significantly correlated with the systolic and diastolic blood pressure. In conclusions, the injection of lidocaine with adrenaline in addition to the surgical procedure produces significant increase in blood pressure and heart rate in both normal and hypertensive patients which were larger in the latter group. Similarly, plasma metanephrine concentration was increased during the dental procedure and linked to the increase in the systolic blood pressure.

Research paper thumbnail of Acceptance of COVID -19 vaccines and associated barriers among dental students at college of Dentistry, University of Basrah: A cross-sectional study

Research journal of pharmacy and technology, Aug 30, 2023

Research paper thumbnail of Prevalence of facial nerve palsy in the neuro-medicine private clinic

Romanian Journal of Neurology, Jun 29, 2023

Disorders of the facial nerve result from injury to the nerve that regulates facial movement and ... more Disorders of the facial nerve result from injury to the nerve that regulates facial movement and expression. Viral infections, strokes, inflammation, trauma, surgeries, tumors or others can all cause paralysis or weakness of the face [1,2]. Bell's palsy is the most prevalent defect in the lower motor of the facial nerve [3]. Bell's palsy, also known as Idiopathic Peripheral Facial Palsy, is a facial paralysis that is caused by a malfunction of the Cranial Nerve VII, the Facial Nerve [4]. In the UK, the yearly incidence of Bell's palsy currently stands at 37.7 per 100,000 people [5]. Comparatively, it is around 23 per 100,000 persons annually in the US [6]. Between 11.5 to 40.2 incidences of Bell's palsy are reported worldwide for every 100,000 individuals [7]. It is critical to determine if the facial nerve paralysis is central or peripheral. Central lesions cause paralysis of the lower face only, sparing the forehead; however, clinicians must ensure that they ask about the duration and nature of symptoms in their history, including the presence of associated symptoms such as hyperacusis, posterior auricular pain, taste, and lacrimal changes. All patients who come with facial palsy require a comprehensive cranial nerve evaluation, as well as ophthalmic, otologic, and oral tests [8]. The impact of DM is explained by the peripheral circulatory dysfunction associated with diabetes that

Research paper thumbnail of Preventive Measures and Spread of COVID-19 Infection among Dental students in Basra in the First Period of the Epidemic in Iraq: An Online Cross-Sectional Survey

Research Journal of Pharmacy and Technology

This study was undertaken in the college of the Dentistry- University of Basra, Oral and maxillof... more This study was undertaken in the college of the Dentistry- University of Basra, Oral and maxillofacial surgery Department. This survey assessed protective measures regarding COVID-19 infection and aimed to evaluation the evidence on the affiliation between use of preventive measures and COVID-19 infection among dental students in Basra. The questionnaires were designed and assembled into two domains as follows: 1- Personal data including age, sex, and academic stage. 2- Analytical data including questions regarding infection rate among dental students and their commitment of COVID-19 preventive measures. An explanation for the aim of this study was coupled to the questionnaire, and the members were asked to sign an online informed permission. The questionnaires were directed toward 1000 dental students and only 875 were responding to the survey and included in the databank. The duration of study approximately takes 10 days, the questionnaire was conducted to students on February, 12...

Research paper thumbnail of Prevalence of viral hepatitis amongst dental patients attending university dental clinics in Basrah

International journal of health sciences

Background: Hepatitis is a highly infectious blood-borne disease affecting the population worldwi... more Background: Hepatitis is a highly infectious blood-borne disease affecting the population worldwide. The dental team is highly susceptible to acquiring the disease if get injured by contaminated sharp objects. Immunization against hepatitis B became widely obligatory for dental students and dental team members. Materials and Methods: This retrospective study collected data from the university of Basrah dental clinics. Patients attending oral surgery department clinics from January 2021 to December 2021 were screened for Viral Hepatitis B and Viral Hepatitis C by lateral flow test strips. Data were collected and prevalence was calculated. Results: The sample included 561 patients, having 12 patients being excluded for missing information and the remaining 549 were included in the quantitative assessment. The test results for Hepatitis B revealed 5 total prevalence of 0.91%. For the test results for Hepatitis C, there was a total prevalence of 0.73%. Conclusions: The prevalence of Hep...

Research paper thumbnail of Hemodynamic Changes Following Intraoral Injection of Lidocaine in Combination with Adrenaline During Tooth Extraction

Basrah Journal of Surgery, 2018

Local anesthetic drugs are used in combination with vasoconstrictors, commonly adrenaline which i... more Local anesthetic drugs are used in combination with vasoconstrictors, commonly adrenaline which increases their efficacy and duration of action and reduces bleeding at the operative site. However, adrenaline might have adverse hemodynamic effects, especially in patients with cardiovascular diseases. Hypertensive patients represent a risk group in dental practice. One major apprehension of the dentist is the sudden and dramatic increase in blood pressure that could lead to life-threatening complications including sudden death during a dental procedure. The aim of this study is to measure hemodynamic parameters, blood glucose, oxygen saturation and pain score in normotensive and hypertensive patients following intraoral injection of lidocaine with adrenaline and correlate these changes to the level of pain intensity and plasma metanephrine concentration. This prospective study was conducted at Basrah College of Dentistry from October 2016 to June 2017. One hundred patients were included in the study for teeth extraction under local anesthesia. Sixty normotensives, 30 had stage one hypertension (BP=140-159/90-99) and ten healthy volunteers for metanephrine assay. All patients were injected with two cartridges of 2% Lidocaine with 1:80,000 adrenaline. Systolic and diastolic blood pressure, heart rate, oxygen saturation, visual analogue scale, blood glucose and plasma metanephrine concentration were measured at different intervals; before anesthetic injection, 5 minutes after injection, during extraction and 10 minutes following the end of tooth extraction. Administration of local anesthesia with adrenaline in addition to the surgical procedure resulted in a significant increase in systolic blood pressure during tooth extraction (+8.7% and +16.6% mmHg for normotensive and hypertensive patients respectively, p<0.05), also heart rate similarly affected in both groups (10.6% and 13.4% respectively), this effect was significantly higher in the hypertensive group. The blood glucose showed a significant increase (P=0.00) 30 minutes after injection as compared to baseline. Generally, the peak changes in parameters were observed during tooth extraction procedure in both groups. Metanephrine peak plasma level occurs at 10 minutes following injection and it was significantly correlated with the systolic and diastolic blood pressure. In conclusions, the injection of lidocaine with adrenaline in addition to the surgical procedure produces significant increase in blood pressure and heart rate in both normal and hypertensive patients which were larger in the latter group. Similarly, plasma metanephrine concentration was increased during the dental procedure and linked to the increase in the systolic blood pressure.

Research paper thumbnail of Hemodynamic changes following intraoral injection

Local anesthetic drugs are used in combination with vasoconstrictors, commonly adrenaline which i... more Local anesthetic drugs are used in combination with vasoconstrictors, commonly adrenaline which increases their efficacy and duration of action and reduces bleeding at the operative site. However, adrenaline might have adverse hemodynamic effects, especially in patients with cardiovascular diseases. Hypertensive patients represent a risk group in dental practice. One major apprehension of the dentist is the sudden and dramatic increase in blood pressure that could lead to life-threatening complications including sudden death during a dental procedure. The aim of this study is to measure hemodynamic parameters, blood glucose, oxygen saturation and pain score in normotensive and hypertensive patients following intraoral injection of lidocaine with adrenaline and correlate these changes to the level of pain intensity and plasma metanephrine concentration. This prospective study was conducted at Basrah College of Dentistry from October 2016 to June 2017. One hundred patients were included in the study for teeth extraction under local anesthesia. Sixty normotensives, 30 had stage one hypertension (BP=140-159/90-99) and ten healthy volunteers for metanephrine assay. All patients were injected with two cartridges of 2% Lidocaine with 1:80,000 adrenaline. Systolic and diastolic blood pressure, heart rate, oxygen saturation, visual analogue scale, blood glucose and plasma metanephrine concentration were measured at different intervals; before anesthetic injection, 5 minutes after injection, during extraction and 10 minutes following the end of tooth extraction. Administration of local anesthesia with adrenaline in addition to the surgical procedure resulted in a significant increase in systolic blood pressure during tooth extraction (+8.7% and +16.6% mmHg for normotensive and hypertensive patients respectively, p<0.05), also heart rate similarly affected in both groups (10.6% and 13.4% respectively), this effect was significantly higher in the hypertensive group. The blood glucose showed a significant increase (P=0.00) 30 minutes after injection as compared to baseline. Generally, the peak changes in parameters were observed during tooth extraction procedure in both groups. Metanephrine peak plasma level occurs at 10 minutes following injection and it was significantly correlated with the systolic and diastolic blood pressure. In conclusions, the injection of lidocaine with adrenaline in addition to the surgical procedure produces significant increase in blood pressure and heart rate in both normal and hypertensive patients which were larger in the latter group. Similarly, plasma metanephrine concentration was increased during the dental procedure and linked to the increase in the systolic blood pressure.