wisam akram

@mustansiriyahuniversity.edi.iq

Obstetrics and Gynecology Consultant and assistant professor
Mustansiriyah Medical colleg



                 

https://researchid.co/wisamakram

Consultant and assistant professor

EDUCATION

M.B.Ch.B. 1987
PhD Obstetrics and gynecology 1997

RESEARCH, TEACHING, or OTHER INTERESTS

Biophysics, Music, History and Philosophy of Science, Cancer Research

FUTURE PROJECTS

adrenal gland in the fetus as predictor of post date pregnancy

Still on gooing


Applications Invited
Correlation between fetal AGV and postdate pregnancy
19

Scopus Publications

Scopus Publications


  • Three-dimensional modelling of the umbilical artery Doppler and its applications in preeclampsia assessment: a case-control study
    W. Akram, W. Nori, and M.A.G. Zghair
    Edra SpA
    Ultrasound and Doppler indices were implemented to screen high-risk pregnancies as preeclampsia, a unique pregnancy syndrome that imposes many challenges on the mother and her unborn child. Since there is currently no conscience of what parameter is best for screening, this study was designed to examine if a 3-dimensional re-modeling of a 2-dimensional Doppler wave will perform better in PE screening and evaluating its severity. A case-control study enrolled 90 eligible primigravida’s age and body mass index-matched screened and followed till 34 weeks, where they were re-grouped into controls; and preeclampsia (PE) cases (45/90) each. Demographic, biochemical, and hematological parameters were tested; followed by ultrasonic parameters [amniotic fluid index, estimated fetal weight, resistance, and pulsatility index (RI and PI)].

  • Biochemical versus radiological screening for osteoporosis in menopause; will Irisin help?
    Wisam Akram, Alaa Ibrahim Ali, and Hind Hadi Majeed
    Pakistan Medical Association
    Objective: To verify the discriminative power of irisin in osteoporosis patients. Method: The comparative case-control study was conducted at the University Teaching Hospital, Baghdad, Iraq,from March 2020 to June 2021 after approval from the ethics review committee of the College of Medicine, Mustansiriyah University, Baghdad, and comprised post-menopausal women. After being scanned by dual-energyX-ray absorptiometer, the subjects were divided into groups based on T-scores; healthy controls with T-score >-1in group 1, and osteoporosis patients with T-score Less than -2.5 in group 2. Participants' sera were tested for Irisin, 25-hydroxy vitamin D, and carboxyl-terminal telopeptides of type I collagen levels. T-score and bone mineral densitywere recorded as radiological markers. Correlation of irisin was determined with T-score and bone mineral density,cut-off value for serum irisin was worked out for osteoporosis prediction. Data was analysed using Medcalic 17. Result: Of the 142 women, 71(50%) were in group 1 with mean age 58.4±3.5 years, and 71(50%) were in group 2with mean age 58.7±3.4 years (p=0.87). Levels of irisin, 25-hydroxy vitamin D, carboxyl-terminal telopeptides of typeI collagen, bone mineral density and T-scores were significant between the groups (p<0.001). Serum irisin correlateddirectly with bone mineral density (r=0.97, p<0.001) and inversely with T-score (r= -0.95, p<0.001). The cut-off valueof serum irisin was 31.4ng/ml with 84% sensitivity and 100% specificity (p<0.001). Conclusion: Strong serum irisin correlation to osteoporosis radiological markers and its good discrimination ofosteoporosis implied its utility as a good serological marker of osteoporosis. Key Words: Bone Density, Fibronectins, Collagen, Post menopause, X-Rays, Osteoporosis, Vitamin D

  • Predictors for Successful Pregnancy Following Hystro-Laparoscopic Intervention among Infertile Females: A Cohort Study
    Rafal Mustafa Murshid, Wasan Nori, Reshed Zeki Obaid, and Wisam Akram
    Al-Rafidain University College
    Background: Infertility is a major medical and sociopsychological problem that impacts a couple's life. Investigations help guide therapeutic intervention by exploring underlying causes. Hysteroscopy can identify and treat intrauterine pathologies such as adhesion, septum, and endometrial polyps. Laparoscopy has a diagnostic and therapeutic role in the pelvic cavity, including tubal blockage, pelvic adhesions, endometriosis, and polycystic ovaries. Objective: To evaluate the value of combined hystro-laparoscopic interventions in managing female infertility and to explore predictors for a successful pregnancy. Methods: A retrospective cohort study enrolled (142) eligible females who underwent hystro-laparoscopy. Participants' demographic criteria were recorded. Additionally, intraoperative interventions (hysteroscopic removal of the polyp and septum) and laparoscopic removal of pelvic adhesions, removal of the chocolate cyst, ovarian drilling and laparoscopic chromotubation). All patients were followed up for six months. Logistic regression and odd ratio were used to assess the intervention's reliability in predicting pregnancy. Results: Clinical pregnancy was reported in 48/142, with a success rate of 33.8%. Pregnant women had significantly lower ages and lived in urban areas. Laparoscopic adhesion removal and tubal block correction reliably predicted clinical pregnancy, with adjusted odds ratios (AOR) of 0.25; 95% CI (0.08–0.78) and 0.40; 95% CI (0.16-0.98), respectively. None of the hysteroscopic interventions was statistically significant. Conclusions: Because hystero-laparoscopic procedures improve the chances of getting pregnant and are minimally invasive, they are an important part of fertility workups and can be used to diagnose and treat fertility problems.

  • Unveiling Systemic Immune Inflammation Index Correlations in Women with Polycystic Ovary Syndrome: A Cross-sectional Study
    Wisam Akram, Amenah Fadhil, and Wassan Nori
    Al-Rafidain University College
    Background: Polycystic ovary syndrome (PCOS) is a common endocrinopathy of reproductive-age women that imposes metabolic and cardiovascular risks. Systemic immune inflammation index (SII), an inflammatory biomarker calculated from a complete blood count, was linked to many metabolic and cardiovascular illnesses. Objective: To evaluate the SII correlation with clinical, biochemical, and hormonal parameters characteristic of PCOS cases for screening and diagnostic values. Methods: For fifty PCOS patients who were eligible, we did a cross-sectional study and collected three types of information on each person: demographic information like age, menstrual cycle length, and body mass index (BMI); hormonal information like LH/FSH ratio, testosterone, and fasting insulin; and biochemical information like the homeostasis model assessment of insulin resistance (HOMA-IR), serum cholesterol, serum HDL, and serum LDL. The systemic inflammatory index (SII) was calculated from a complete blood count. Results: We found a strong positive correlation between SII and BMI, LH/FSH ratio, testosterone, fasting serum insulin, HOMA-IR, cholesterol, and LDL. However, the correlation between SII, HDL and menstrual cycle days was negative. Regarding the other parameters (HOMA-IR, testosterone, cholesterol, BMI, and LH/FSH ratio), the best subset regression model figures out how strongly SII is linked to each one. Conclusions: SII was strongly and significantly correlated to PCOS clinical, biochemical, and hormonal parameters, which makes it recommendable for screening. Its feasibility, affordability, and meaningful correlation inspired therapeutic and prognostic applications in practice.

  • Prediction of Placenta Previa from Serial Reading of Serum Human Chorionic Gonadotropin Late in the First Half of Pregnancy
    Shatha Sami Hussein, Manal Madany A. Qader, and Wisam Akram
    Springer Science and Business Media LLC

  • Predicting Late-Term Pregnancy: The Role of Corrected Fetal Adrenal Gland Volume in Low-Risk Pregnants
    Wassan Nori, Wisam Akram, Shaymaa Khalid Abdulqader, and Taghreed Al-Haidari
    Springer Science and Business Media LLC


  • Evaluating the Academic Performance of Mustansiriyah Medical College Teaching Staff vs. Final-Year Students Failure Rates
    Wassan Nori, Wisam Akram, Saad Mubarak Rasheed, Nabeeha Najatee Akram, Taqi Mohammed Jwad Taher, Mustafa Ali Kassim Kassim, and Alexandru Cosmin Pantazi
    Al-Rafidain University College
    Background: Evaluating medical colleges' teaching staff performance is an essential topic for evaluating academic performance. Objective: To assess the academic performance of the teaching staff in the pediatric, surgical, and gynecology branches in comparison to the medicine branch performance from 2014 to 2018. Methods: The total number and the number of failed students being examined in final years were obtained officially from the examination committee in Mustansiriyah Medical College for the final 6th-year students for the four main branches (medicine, pediatrics, surgery, and obstetrics and gynecology). The students' number in the medicine branch was used as the control group against which the performance of other branches was compared. We utilized the odds ratio from meta-analysis statistics and compared student failure and success rates. Results: The odd ratio of pediatric branch performance versus medicine branch was 1.02 with a 95% confidence interval of 0.68–1.53, while for surgery, it was 0.67 with a 95% CI (0.46 to 0.98) and 3.13 with a 95% CI (1.79 to 5.47) for the obstetrics and the gynecology departments. Conclusion: The performance of the pediatric branch was the only one compatible with the performance of the medicine branch. In contrast, both the surgery and gynecology branches significantly deviated from the medicine branch's performance. Further research is needed to pinpoint the causes of these performance deviations.

  • The dilemma of COVID-19 diagnosis in pregnancy
    Wassan Nori, Roaa Mokram Hamed, Wisam Akram, and Maha Chasib Munshid
    Maad Rayan Publishing Company
    Coronavirus disease 2019 (COVID-19) is a new and rapidly developing health crisis. Ongoing research looks at the prevalence and consequences of COVID-19 in the obstetric community and postnatal period. In the COVID-19 era, pregnant mothers were prone to infection with the severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), with a higher risk of poor pregnancy outcomes. Therefore, an accurate and early diagnosis is necessary for this vulnerable group screening for asymptomatic carriers is a cornerstone to limiting the COVID-19 pandemic. It is vital to evaluate patients’ clinical symptoms and epidemiological history carefully. Although the serological test, reverse transcription polymerase chain reaction (RT-PCR), can confirm infection, it cannot determine the degree or severity of the illness. Moreover, it has false-negative results. Imaging tests allow an exact diagnosis of lung damage, the severity of the disease, and the classification of patients. Comprehensive analysis of serological and imaging data will assist in the formation of an appropriate clinical diagnosis. This review will discuss what is new and important in confirming COVID-19 infection in pregnant women and the pros and cons of each.

  • Fertility outcomes following bariatric surgery
    Wassan Nori, Wisam Akram, and Eham Amer Ali
    Baishideng Publishing Group Inc.
    Obesity impacts human health in more than one way. The influence of obesity on human reproduction and fertility has been extensively examined. Bariatric surgery (BS) has been used as an effective tool to achieve long-term weight loss in both sexes. BS improves hormonal profiling, increasing the odds of spontaneous pregnancy and success rates following assisted reproductive techniques in infertile females. For obese males, BS does improve sexual function and hormonal profile; however, conflicting reports discuss reduced sperm parameters following BS. Although the benefits of BS in the fertility field are acknowledged, many areas call for further research, like choosing the safest surgical techniques, determining the optimal timing to get pregnant, and resolving the uncertainty of sperm parameters.

  • The Value of Serum Fibrinogen/Uric Acid Ratio as a Novel Marker of Fetal Growth Restriction in Preeclampsia at 34 Weeks
    Wassan Nori, Alaa Ibrahim Ali, and Wisam Akram Ismael
    Bentham Science Publishers Ltd.
    Background: Fetal growth restriction (FGR) is a common alignment that complicates pregnancy, especially for preeclampsia cases; therefore earlier detection is crucial to improve the outcome. Objective: We examine whether the ratio of maternal serum fibrinogen to serum uric acid (ms F/U) can serve as a marker FGR in patients with preeclampsia at 34 weeks. Material and Methods: A cross-sectional study recruited 98 preeclamptic primigravidae at the University Teaching Hospital from June 2018 to June 2019. Patients were sent for laboratory and ultrasound examinations. Maternal parameters include systolic and diastolic blood pressure, serum fibrinogen, and serum uric acid. Ultrasonic fetal parameters include amniotic fluid index AFI, estimated fetal weight EFW, pulsatility index PI, and resistance index RI. Results: Pearson’s correlation between ms F/U ratio and all other feto-maternal variables was significant as P value was <0.0001. The ms F/U ratio showed strong positive correlations with EFW and AFI. The ms F/U ratio showed strong inverse correlations with PI, RI, systolic, diastolic blood pressure, and albumin/creatinine ratio. The strength of association tested by a coefficient of Mallow showed the strongest association between ms F/U versus fetal weight. The highest Odd ratio for FGR was 45, associated with the ms F/U ratio. The cutoff value for ms F/U ratio was 26.08 mg/dL with an estimated sensitivity and specificity of 85% and 96.25%, respectively, with an AUC of 0.82. Conclusion: Strong and significant correlation of ms F/U ratio with feto-maternal parameters at high sensitivity and specificity added to its simplicity, and cost-effectiveness makes ms F/U ratio a reliable marker for earlier FGR to improve the outcome.

  • Effect of gender on the reliability of COVID-19 rapid antigen test among elderly
    Wassan Nori and Wisam Akram
    Baishideng Publishing Group Inc.
    Defining con-founders that affect the reliability of diagnostic tests for coronavirus disease 2019 is vital to breaking the chain of infection. The elderly population is a higher risk group for the emerging virus. However, gender seems to exert a critical role in modifying the infection risk among women owing to hormonal changes. The menopause transition is an exceptional period for older women where the protective and immunomodulatory effects of the estrogen hormone are lost. Accordingly, attention should be given to postmenopausal women since they will have an increased risk compared to their pre-menopausal peers.

  • The value of neutrophils/lymphocyte ratio in predicting foetuses that need urgent delivery in post-term pregnancies: A prospective study


  • Alpha-1antitrypsin in pre-eclampsia; from a clinical perspective


  • The efficiency of 17a hydroxyprogesterone in the prevention of preterm labour irrespective of administration route: Systematic review metanalysis



  • To operate or to wait? Doppler indices as predictors for medical termination for first trimester missed abortion
    Wassan Nori, Muna Abdulghani, A. Roomi and W. Akram
    IMR Press
    Department of Obstetrics andGynecology, College ofMedicine, Al-MustansiriyahUniversity, 10052 Iraq Department of Radiology, College ofMedicine, Al-MustansiriyahUniversity, 10052 Iraq Ministry of Education, Directorate of Education Thi-Qar, Thi-Qar, 64001 Iraq College ofHealth andMedical Technology, Al-AyenUniversity, Thi-Qar, 64001 Iraq ConsultantObstetrician andGynecologist, AL-Yarmook TeachingHospital, 10015 Iraq


Publications


GRANT DETAILS

Consultant

RESEARCH OUTPUTS (PATENTS, SOFTWARE, PUBLICATIONS, PRODUCTS)

Matlab Mathcad Mathematica
Medcalc Minitab statsdirect centurion statographics

CONSULTANCY

In Obstetrics and Gynecology

Industry, Institute, or Organisation Collaboration

Mustansiriyah Medical College

INDUSTRY EXPERIENCE

30 years and Assistant professor and consultant in Obstetrics and Gynecology

STARTUP

Medical Statistics

SOCIAL, ECONOMIC, or ACADEMIC BENEFITS

second peer reviewer
Researcher
Statistician