Volume 15 (4) 2017 P-ISSN 1681-6579 DOI: 10.22578/IJMS.15.4. E- ISSN 2224-4719 IRAQI JOURNAL OF MEDICAL SCIENCES Editorial Director Professor ALAA G. HUSSIEN FICMS Editor in-Chief Professor HAIDER S. KADHIM PhD Editorial Secertary Lecturer MAJID H. AHMED PhD Executive Editorial Board Professor HASAN A. AL-HAMADANI FICMS Professor ABDUL-KAREEM M. ALI CABP Professor May F. AL-Habib PhD Professor RAYAH S. BABAN PhD Professor AHMED R. ABU-RGHIF PhD Professor AHMAD S. ABDUL-AMEER PhD Professor BAN J. QASIM PhD Assistant Professor ATHEER J. AL-SAFFAR FICMS Assistant Professor TAQI S. ATIYAH FICMS Assistant Professor ALI F. AL-HASHIMI PhD Linguistic Editor Assistant Professor NAWFAL K. SALIH CABS Managing Editor Assistant Professor KASIM SH. AL-MAYAH PhD Secretary Miss. ESRAA' S. NAJI Editorial Board Members ABDULL HUSSEIN M. AL HADI, PhD AL- Nahrrain University, IRAQ Emeriretus Professor E. mail: [email protected] (Health Care Administration) AHMED N. AL NIAMI, MD University of Wisconsin, USA Asst. Professor E. mail: alniaimi@ wisc.edu (Gynecologic, Oncology ) ANAM R. AL SALIHI, PhD AL Nahrain University, IRAQ Emeriretus Professor E. mail: [email protected] (Anatomy) BASSEM YAMOUT, MD AUB, LEBANON Professor E. mail: [email protected] (Neurology) FAIZ TUMA, MD Oklahoma University, US Asst.Professor E. mail: [email protected] (Surgery, Medical Education) FARQAD B. HAMDAN, PhD AL Nahrain University, IRAQ Professor E. mail: [email protected] (Neurophysiology) GEORGY F. ARAJ, PhD AUB, LEBANON Professor E. mail: [email protected] (Microbiology) GERAD M. GARDNER, MD University of Arkansas, USA Asst. Professor E. mail: [email protected] (Dermatology, Pathology) IMAD M. AL ANI, PhD International Islamic University, MALAYSIA Professor E. mail: [email protected] (Histology, Cell Biology) LOAI A. A. AL SHAMAONY, PhD Misr University, EGYPT Professor E. mail: [email protected] (Biochimestry) MARK R. WICK, MD Virgina University, USA Professor E. mail: [email protected] (Pathology) MOHAMMED H. QARI, FRCPA King Abdul Aziz University, SA Professor E. mail: [email protected] (Clinical Hematology) Mohammed S. HAMEED, MRCP University Hospitals of North Midlands, UK Professor E. mail: [email protected] (Clinical Hematology) SALMAN M. MROUEH, MD AUB, LEBANON Professor E. mail: [email protected] (Pediatrics) SHEREIN S. GHALB, PhD Beni Sueif University, EGYPT Professor E. mail: [email protected] (Forensic Medicine, Clinical Toxicology) TAHSEEN I. AL-SALEEM, MD Fox Chase Cancer Center, USA Professor (Pathology, Hematopathology) TAREK A. EL DIASTY, PhD Mansoura University, EGYPT Professor E. mail: [email protected] (Radiology) Iraqi Journal of Medical Sciences Aims and Scope Iraqi Journal of Medical Sciences is published by College of Medicine, Al-Nahrain University. It is a quarterly multidisciplinary medical journal. High quality papers written in English, dealing with aspects of clinical, academic or investigative medicine or research will be welcomed. Emphasis is placed on matters relating to medicine in Iraq in particular and the Middle East in general, though articles are welcomed from anywhere in the world. Iraqi Journal of Medical Sciences publishes original articles, case reports, and letters to the editor, editorials, investigative medicine, and review articles. All articles published represent the opinions of the authors and do not reflect the policy of Iraqi Journal of Medical Sciences. All rights are reserved to Iraqi Journal of Medical Sciences. No part of the journal may be reproduced or transmitted in any form or by any means, electronic or mechanical, including photocopying, recording, or via any storage or retrieval system, without written permission from the journal. Mission and Vision Mission of Iraqi JMS To establish rapid review processes aiming to puplish scientific papers that help to augment knowledge and highlight discoveries in the field of medical sciences to be a world-wide forum in assisting the distribution of medical reasearches to career readers. Vision of Iraqi JMS To be pioneer national medical journal interesting in increasing the understanding of diseases and treatment. All correspondence and subscription information requests should be addressed to: The Editor of Iraqi Journal of Medical Sciences College of Medicine Baghdad, Iraq Tel. + 964 7717516090 P.O. Box 70044, Kadhimiya, Baghdad, Iraq. E-mail: [email protected] http://www.iraqijms.net Copyright 2000 Iraqi JMS FORMAT INSTRUCTION TO AUTHORS Iraqi Journal of Medical Sciences (Iraqi JMS) is a periodic, peer-reviewed journal published quarterly by College of Medicine, Al-Nahrain University. Iraqi JMS publishes manuscripts in all fields of health and medicine written in English. Types of Contributions: Original articles, review articles, case studies, editorials, medical education, history of medicine, ethics, practical points, medical quiz, conferences, meetings and letters to the Editor. Manuscripts: • Submission of a manuscript implies that is not being considered for publication anywhere. • The author should provide the following: A. A document officially state that the current work was carried out at the site, which provides the certification. The document should be signed by the highest authorized member at that location. B. Document stated clearly that his current work is in agreement with the medical ethics provided either from the local ethical committee in the place where he did his work or from the Ministry of Health, Department of Training and Improving skill - Research and Educational facilities, the approval has to be stated separetly in the method section. C. Publication fees are 100,000 IDs in addition to 20,000 IDs for checking of plagiarism. Other extra fees will be taken for extra pages (6000 IDs for each additional page (more than six pages) and up to 24000 IDs only and 10,000 IDs For any Figure). • Manuscripts submitted to Iraqi JMS are subject to editorial evaluation and revision by three referees after being checked electronically for any plagiarism. • The format of IJMS complies with the uniform requirements for manuscripts submitted to Biomedical Journals, published by the International Committee of Medical Journals Editors (ICMJE) (Vancouver, British Colombia, 1979) and its last update in October 2001, available on the web site www.icmje.org. • Manuscript should be typewritten font size 14, double spaced on size A4 (29.5x21 cm) paper with wide margins and line- numbered. Page should be numbered consecutively. One original and three photocopies including figures, tables, and photographs should be submitted. Begin each of following sections on separate page in the following sequence: Title page, abstract and keywords, text, acknowledgments, references, tables, and legends for illustration. • Manuscript and figures will not be returned to the authors whether the editorial decision is to accept, revise or reject. • Manuscripts must be accompanied by a covering paper signed by all authors that the paper has not been published in and will not be submitted to any other journal if accepted in Iraqi JMS. • The title page should contain (a) title of the manuscript, (b) names of each author (first name, middle initial and family name) including highest academic degree, (c) official academic and/or clinical title and affiliation (d) name and address of the institution where the work was done (e) name and address (E-mail if available) of the author to whom correspondence should be sent. • Authors can also submit the scientific publication through the official Iraqi JMS web site at (http://submit.Iraqijms.com/). Users must register when accessing the Iraqi JMS online submission system for the first time, by clicking on “Register.” Three steps are involved in obtaining a personal account. Abstract: Manuscript should include an abstract of not more than 250 words. Structured abstract typed on a separate sheet and consist of background, objective, method, results, and conclusion. Keywords: Three to ten keywords should be provided on the same page as the abstract in English. As far as possible, be selected from the National Library of Medicine, Medical Subject Headings. Manuscript format: It should be divided into the following parts: introduction, methods, results and discussion. References: All references should be listed in consecutive numerical order by English numerical, in the order of citation in the text and each reference must be followed with its DOI link. Once a reference is cited all subsequent citations should be to the original number. Examples 1. Standard Journal Article: use et al when the number of authors exceeds 3. Halliwell B, Gutteridge JMC. Oxygen toxicity, Oxygen radicals, transition metals and disease. Biochem J. 1984; 219(1): 1-14. 2. Books: Mann JI, Pyorala K, Teuscher A. Diabetes in epidemiological perspective. London: Churchill Livingstone; 1983. p. 1-5. 3. Chapter in book: Phillips SJ, Whisnant JP. Hypertension and strock. In: Laragh JH, Brenner BM. editors. Hypertension: Pathophysiology, diagnosis, and management. 2nd ed. NewYork: Raven Press; 1995. p. 465-78. • How to find DOI for the references of your submitted article to Iraqi Journal of Medical Sciences (IJMS) 1. First, click on this link http://www.crossref.org/guestquery/ 2. Go to "search on article title" 3. Fill in the author name and the title of the reference 4. Copy and paste the found DOI (if any: as some references have no DOI) to the end of each reference in the reference list in